Supplementary Provisions, Article 4
第四条
With regard to the share of the national treasury in fiscal 1990 under the provisions of Article 70 after the amendment, in Article 70, paragraph (1), item (ii), the phrase "the amount of expenses required for payment of the medical expense contribution for health and medical services for the elderly" is deemed to be replaced with "the amount of the estimated medical expense contribution under the provisions of Article 55 of the Act on Health and Medical Services for the Elderly (hereinafter referred to as the "estimated medical expense contribution for fiscal 1990") (where the amount of the estimated medical expense contribution in fiscal 1988 under the provisions of Article 6 of the Supplementary Provisions of the Act Partially Amending the Act on Health and Medical Services for the Elderly, etc. (Act No. 106 of 1986) (hereinafter referred to as the "estimated medical expense contribution for fiscal 1988") exceeds the amount of the finalized medical expense contribution in fiscal 1988 under the provisions of Article 7 of the Supplementary Provisions of that Act (hereinafter referred to as the "finalized medical expense contribution for fiscal 1988"), the sum of the excess amount (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly, and the amount equivalent to four-tenths of the amount obtained by deducting that sum from the amount obtained by multiplying the amount equivalent to ten-sevenths of that sum by the benefit ratio (meaning the rate obtained by dividing the sum of the total sums of all Municipalities prescribed in the preceding item (where the provisions of the following paragraph apply, the amount calculated by applying the provisions of that paragraph) by the sum of the amount of expenses required for benefits for medical treatment for general insured persons of all Municipalities and the amount of expenses calculated for medical treatment with respect to payment of specified medical expenses and medical expenses; the same applies hereinafter), taken together, is to be deducted from the amount of the estimated medical expense contribution for fiscal 1990, and where the amount of the estimated medical expense contribution for fiscal 1988 is less than the amount of the finalized medical expense contribution for fiscal 1988, the sum of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of paragraph (2) of that Article, and the amount equivalent to four-tenths of the amount obtained by deducting that sum from the amount obtained by multiplying the amount equivalent to ten-sevenths of that sum by the benefit ratio, taken together, is to be added to the amount of the estimated medical expense contribution for fiscal 1990)".
平成二年度における改正後の第七十条の規定による国庫負担金については、同条第一項第二号中「老人保健医療費拠出金の納付に要する費用の額」とあるのは、「老人保健法第五十五条の規定による概算医療費拠出金（以下「平成二年度概算医療費拠出金」という。）の額（老人保健法等の一部を改正する法律（昭和六十一年法律第百六号）附則第六条の規定による昭和六十三年度における概算医療費拠出金（以下「昭和六十三年度概算医療費拠出金」という。）の額が同法附則第七条の規定による昭和六十三年度における確定医療費拠出金（以下「昭和六十三年度確定医療費拠出金」という。）の額を超えるときは、その超える額（以下「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額と、当該合計額の七分の十に相当する額に給付率（すべての市町村の前号に規定する合算額（次項の規定の適用がある場合にあつては、同項の規定を適用して算定した額）の合算額をすべての市町村の一般被保険者に係る療養の給付に要する費用の額並びに特定療養費及び療養費の支給についての療養につき算定した費用の額の合算額で除して得た率をいう。以下同じ。）を乗じて得た額から当該合計額を控除した額の十分の四に相当する額との合算額を平成二年度概算医療費拠出金の額から控除するものとし、昭和六十三年度概算医療費拠出金の額が昭和六十三年度確定医療費拠出金の額に満たないときは、その満たない額（以下「不足額」という。）と不足額について同条第二項の規定の例により算定した額との合計額と、当該合計額の七分の十に相当する額に給付率を乗じて得た額から当該合計額を控除した額の十分の四に相当する額との合算額を平成二年度概算医療費拠出金の額に加算するものとする。）」とする。
With regard to adjusting subsidies in fiscal 1990 under the provisions of Article 72 after the amendment, in Article 72, paragraph (2), item (i), the phrase "paragraph (1), item (ii) of that Article" is deemed to be replaced with "Article 70, paragraph (1), item (ii) as read with terms replaced pursuant to the provisions of Article 4, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act (Act No. 31 of 1990)".
平成二年度における改正後の第七十二条の規定による調整交付金については、同条第二項第一号中「同条第一項第二号」とあるのは、「国民健康保険法の一部を改正する法律（平成二年法律第三十一号）附則第四条第一項の規定により読み替えられた第七十条第一項第二号」とする。
With regard to subsidies in fiscal 1990 under the provisions of Article 73 after the amendment, in Article 73, paragraph (1), item (ii), the phrase "the amount of expenses required for payment of the medical expense contribution for health and medical services for the elderly" is deemed to be replaced with "the amount of the estimated medical expense contribution under the provisions of Article 55 of the Act on Health and Medical Services for the Elderly (hereinafter referred to as the "estimated medical expense contribution for fiscal 1990") (where the amount of the estimated medical expense contribution in fiscal 1988 under the provisions of Article 6 of the Supplementary Provisions of the Act Partially Amending the Act on Health and Medical Services for the Elderly, etc. (Act No. 106 of 1986) (hereinafter referred to as the "estimated medical expense contribution for fiscal 1988") exceeds the amount of the finalized medical expense contribution in fiscal 1988 under the provisions of Article 7 of the Supplementary Provisions of that Act (hereinafter referred to as the "finalized medical expense contribution for fiscal 1988"), the amount obtained by multiplying the amount equivalent to ten-sevenths of the sum of the excess amount (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly by the benefit ratio (meaning the rate obtained by dividing the sum of the total sums of all Societies prescribed in the preceding item (where the provisions of the following paragraph apply, the amount calculated by applying the provisions of that paragraph) by the sum of the amount of expenses required for benefits for medical treatment of all Societies and the amount of expenses calculated for medical treatment with respect to payment of specified medical expenses and medical expenses; the same applies hereinafter) is to be deducted from the amount of the estimated medical expense contribution for fiscal 1990, and where the amount of the estimated medical expense contribution for fiscal 1988 is less than the amount of the finalized medical expense contribution for fiscal 1988, the amount obtained by multiplying the amount equivalent to ten-sevenths of the sum of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of paragraph (2) of that Article by the benefit ratio is to be added to the amount of the estimated medical expense contribution for fiscal 1990)", and the phrase "paragraph (1), item (ii)" in paragraph (4) of that Article is deemed to be replaced with "paragraph (1), item (ii) as read with terms replaced pursuant to the provisions of Article 4, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act (Act No. 31 of 1990)".
平成二年度における改正後の第七十三条の規定による補助金については、同条第一項第二号中「老人保健医療費拠出金の納付に要する費用の額」とあるのは「老人保健法第五十五条の規定による概算医療費拠出金（以下「平成二年度概算医療費拠出金」という。）の額（老人保健法等の一部を改正する法律（昭和六十一年法律第百六号）附則第六条の規定による昭和六十三年度における概算医療費拠出金（以下「昭和六十三年度概算医療費拠出金」という。）の額が同法附則第七条の規定による昭和六十三年度における確定医療費拠出金（以下「昭和六十三年度確定医療費拠出金」という。）の額を超えるときは、その超える額（以下「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の七分の十に相当する額に給付率（すべての組合の前号に規定する合算額（次項の規定の適用がある場合にあつては、同項の規定を適用して算定した額）の合算額をすべての組合の療養の給付に要する費用の額並びに特定療養費及び療養費の支給についての療養につき算定した費用の額の合算額で除して得た率をいう。以下同じ。）を乗じて得た額を平成二年度概算医療費拠出金の額から控除するものとし、昭和六十三年度概算医療費拠出金の額が昭和六十三年度確定医療費拠出金の額に満たないときは、その満たない額（以下「不足額」という。）と不足額について同条第二項の規定の例により算定した額との合計額の七分の十に相当する額に給付率を乗じて得た額を平成二年度概算医療費拠出金の額に加算するものとする。）」と、同条第四項中「第一項第二号」とあるのは「国民健康保険法の一部を改正する法律（平成二年法律第三十一号）附則第四条第三項の規定により読み替えられた第一項第二号」とする。