Supplementary Provisions, Article 27
第二十七条
With regard to the share of the national treasury under the provisions of Article 70 of the Revised National Health Insurance Act for fiscal year 2002, the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment (meaning the amount equivalent to the amount of the medical expense contribution calculated in the manner of the provisions of Article 54, paragraph (1) of the Act on Health and Medical Services for the Elderly, deeming the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in Article 55, paragraph (3) of that Act and the amount equivalent to the finalized medical expense contribution before burden adjustment prescribed in Article 56, paragraph (3) of that Act to be the estimated medical expense contribution and the finalized medical expense contribution prescribed in Article 54, paragraph (1) of that Act, respectively; the same applies hereinafter) by the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of retired insured persons and their dependents (hereinafter referred to as "retired insured persons, etc.") to the total number of insured persons of that Municipality (hereinafter referred to as the "enrolment ratio of retired insured persons, etc.")" in paragraph (1), item (ii) of that Article is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the retired insured persons' enrollment share before the effective date (meaning the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of retired insured persons and their dependents (hereinafter referred to as "retired insured persons, etc.") to the total number of insured persons of that Municipality in the period on or after April 1, 2002 and before the Effective Date (hereinafter referred to as the "enrolment ratio of retired insured persons, etc.")), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the retired insured persons' enrollment share from the effective date (meaning the enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003) (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (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 is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
平成十四年度における新国保法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「負担調整前老人保健医療費拠出金相当額（老人保健法第五十五条第三項に規定する負担調整前概算医療費拠出金相当額及び同法第五十六条第三項に規定する負担調整前確定医療費拠出金相当額をそれぞれ同法第五十四条第一項に規定する概算医療費拠出金及び確定医療費拠出金とみなして、同項の規定の例により算定した医療費拠出金の額に相当する額をいう。以下同じ。）に当該市町村に係る被保険者の総数に対する退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の総数の割合として政令の定めるところにより算定した割合（以下「退職被保険者等加入割合」という。）を乗じて得た額」とあるのは、「特別調整前概算医療費拠出金相当額（健康保険法等の一部を改正する法律（平成十四年法律第百二号）第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における当該市町村に係る被保険者の総数に対する退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の総数の割合として政令の定めるところにより算定した割合（以下「退職被保険者等加入割合」という。）をいう。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における退職被保険者等加入割合をいう。）を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の退職被保険者等加入割合を乗じて得た額を超えるときは、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二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た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項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。
The amount subject to contributions from employee insurance, etc. prescribed in Article 72-4, paragraph (1), Article 81-4, paragraph (2) and Article 81-5, paragraph (2) of the Revised National Health Insurance Act for fiscal year 2002 is, notwithstanding the provisions of Article 72-4, paragraph (1) of the Revised National Health Insurance Act, the amount obtained by deducting the amount set forth in item (iii) from the total sum of the amounts set forth in items (i) and (ii).
the total sum of the amount obtained by deducting the amount equivalent to the co-payment pertaining to benefits for medical treatment for retired insured persons, etc. from the amount of expenses required for those benefits, and the amounts of expenses required for the payment of Dietary Treatment expenses for inpatients, specified medical expenses, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses and high-cost medical expenses
退職被保険者等に係る療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、特定療養費、療養費、訪問看護療養費、特別療養費、移送費及び高額療養費の支給に要する費用の額の合算額
the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions by the retired insured persons' enrollment share from the effective date (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item 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 is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)
特別調整前概算医療費拠出金相当額（旧老健法第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「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二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）
the amount obtained by deducting the total sum of the amounts equivalent to the expenses required for the payment of the long-term care payments pertaining to those insurance premiums from the total sum of the amounts equivalent to the insurance premiums pertaining to retired insured persons, etc.
With regard to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. under the provisions of paragraphs (8) and (9) of the Supplementary Provisions of the Revised National Health Insurance Act for fiscal year 2002, the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment by the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of special retired insured persons and their dependents to the total number of insured persons and their dependents of that specified health insurance Society (hereinafter referred to as the "special retired insured persons' enrollment share")" in paragraph (8), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the special retired insured persons' enrollment share before the effective date (meaning the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of special retired insured persons and their dependents to the total number of insured persons and their dependents of that specified health insurance Society in the period on or after April 1, 2002 and before the Effective Date (hereinafter referred to as the "special retired insured persons' enrollment share"); the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share from the effective date (meaning the special retired insured persons' enrollment share in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item 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 is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)", and the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment by the special retired insured persons' enrollment share" in paragraph (9), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent by the special retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share from the effective date (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item 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 is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
平成十四年度における新国保法附則第八項及び第九項の規定による概算療養給付費等拠出金及び確定療養給付費等拠出金については、新国保法附則第八項第二号中「負担調整前老人保健医療費拠出金相当額に当該特定健康保険組合に係る被保険者及びその被扶養者の総数に対する特例退職被保険者及びその被扶養者の総数の割合として政令の定めるところにより算定した割合（以下「特例退職被保険者等加入割合」という。）を乗じて得た額」とあるのは「特別調整前概算医療費拠出金相当額（健康保険法等の一部を改正する法律（平成十四年法律第百二号）第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前特例退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における当該特定健康保険組合に係る被保険者及びその被扶養者の総数に対する特例退職被保険者及びその被扶養者の総数の割合として政令の定めるところにより算定した割合（以下「特例退職被保険者等加入割合」という。）をいう。以下同じ。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後特例退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における特例退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「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二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」と、新国保法附則第九項第二号中「負担調整前老人保健医療費拠出金相当額に特例退職被保険者等加入割合を乗じて得た額」とあるのは「特別調整前概算医療費拠出金相当額の十二分の七に相当する額に施行日前特例退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後特例退職被保険者等加入割合を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「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二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。