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Supplementary Provisions, Article 3

第三条

With regard to the amount to be borne by the national government for Municipalities or special wards (hereinafter, up to and including Article 5 of the Supplementary Provisions, simply referred to as "Municipalities") pursuant to the provisions of Article 70, paragraph (1) of the Revised National Health Insurance Act in fiscal year 2005, notwithstanding the provisions of , it is to be the total sum of an amount equivalent to 36/100 of the amount set forth in item (i), the amount obtained by deducting the amount set forth in item (iii) from the amount set forth in item (ii), and the amount set forth in item (iv).

平成十七年度におけるの規定により国が市町村又は特別区(以下附則第五条までにおいて単に「市町村」という。)に対して負担する額については、の規定にかかわらず、第一号に掲げる額の百分の三十六に相当する額、第二号に掲げる額から第三号に掲げる額を控除した額及び第四号に掲げる額の合算額とする。

the amount obtained by deducting an amount equivalent to one-half of the amount transferred pursuant to the provisions of paragraph (12) of the Supplementary Provisions of the Revised National Health Insurance Act from the amount set forth in Article 70, paragraph (1), item (i) of the Revised National Health Insurance Act;

に掲げる額からの規定による繰入金の二分の一に相当する額を控除した額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 36/100 of the amount of the estimated medical expense contribution for fiscal year 2005 (meaning the estimated medical expense contribution prescribed in ; the same applies hereinafter);

ロ及びハに掲げる場合以外の場合 平成十七年度の概算医療費拠出金(に規定する概算医療費拠出金をいう。以下同じ。)の額の百分の三十六に相当する額

in the case where the amount of the estimated medical expense contribution for fiscal year 2003 exceeds the amount of the final medical expense contribution for fiscal year 2003 (meaning the final medical expense contribution prescribed in ; the same applies hereinafter): the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 40/100 of the sum of the excess amount and the medical expense contribution adjustment amount pertaining to that excess amount (meaning the amount calculated in accordance with the provisions of ; the same applies hereinafter);

平成十五年度の概算医療費拠出金の額が平成十五年度の確定医療費拠出金(に規定する確定医療費拠出金をいう。以下同じ。)の額を超える場合 イに定める額から、その超える額とその超える額に係る医療費拠出金調整金額(の規定の例により算定した額をいう。以下同じ。)との合計額の百分の四十に相当する額を控除した額

in the case where the amount of the estimated medical expense contribution for fiscal year 2003 is less than the amount of the final medical expense contribution for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 40/100 of the sum of the shortfall and the medical expense contribution adjustment amount pertaining to that shortfall;

平成十五年度の概算医療費拠出金の額が平成十五年度の確定医療費拠出金の額に満たない場合 イに定める額に、その満たない額とその満たない額に係る医療費拠出金調整金額との合計額の百分の四十に相当する額を加算した額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 36/100 of the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2005 (meaning the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in by the enrolment ratio of retired insured persons, etc. (meaning the enrolment ratio of retired insured persons, etc. prescribed in Article 70, paragraph (1), item (ii) of the Revised National Health Insurance Act; the same applies hereinafter); the same applies hereinafter);

ロ及びハに掲げる場合以外の場合 平成十七年度の退職被保険者等概算医療費拠出金相当額(に規定する負担調整前概算医療費拠出金相当額に退職被保険者等加入割合(に規定する退職被保険者等加入割合をいう。以下同じ。)を乗じて得た額をいう。以下同じ。)の百分の三十六に相当する額

in the case where the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2003 exceeds the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2003 (meaning the amount obtained by multiplying the amount equivalent to the final medical expense contribution before burden adjustment prescribed in by the enrolment ratio of retired insured persons, etc.; the same applies hereinafter): the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 40/100 of the sum of the excess amount and the medical expense contribution adjustment amount pertaining to that excess amount;

平成十五年度の退職被保険者等概算医療費拠出金相当額が平成十五年度の退職被保険者等確定医療費拠出金相当額(に規定する負担調整前確定医療費拠出金相当額に退職被保険者等加入割合を乗じて得た額をいう。以下同じ。)を超える場合 イに定める額から、その超える額とその超える額に係る医療費拠出金調整金額との合計額の百分の四十に相当する額を控除した額

in the case where the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2003 is less than the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 40/100 of the sum of the shortfall and the medical expense contribution adjustment amount pertaining to that shortfall;

平成十五年度の退職被保険者等概算医療費拠出金相当額が平成十五年度の退職被保険者等確定医療費拠出金相当額に満たない場合 イに定める額に、その満たない額とその満たない額に係る医療費拠出金調整金額との合計額の百分の四十に相当する額を加算した額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 36/100 of the amount of the estimated long-term care benefit payment for fiscal year 2005 (meaning the estimated long-term care benefit payment prescribed in prior to its amendment by the provisions of (hereinafter in this item referred to as the "Former Long-Term Care Insurance Act"); the same applies hereinafter);

ロ及びハに掲げる場合以外の場合 平成十七年度の概算介護給付費納付金(の規定による改正前の介護保険法(以下この号において「旧介護保険法」という。)に規定する概算介護給付費納付金をいう。以下同じ。)の額の百分の三十六に相当する額

in the case where the amount of the estimated long-term care benefit payment for fiscal year 2003 exceeds the amount of the final long-term care benefit payment for fiscal year 2003 (meaning the final long-term care benefit payment prescribed in of the Former Long-Term Care Insurance Act; the same applies hereinafter): the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 40/100 of the sum of the excess amount and the long-term care benefit payment adjustment amount pertaining to that excess amount (meaning the amount calculated in accordance with the provisions of of the Former Long-Term Care Insurance Act; the same applies hereinafter);

平成十五年度の概算介護給付費納付金の額が平成十五年度の確定介護給付費納付金(に規定する確定介護給付費納付金をいう。以下同じ。)の額を超える場合 イに定める額から、その超える額とその超える額に係る介護給付費納付金調整金額(の規定の例により算定した額をいう。以下同じ。)との合計額の百分の四十に相当する額を控除した額

in the case where the amount of the estimated long-term care benefit payment for fiscal year 2003 is less than the amount of the final long-term care benefit payment for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 40/100 of the sum of the shortfall and the long-term care benefit payment adjustment amount pertaining to that shortfall.

平成十五年度の概算介護給付費納付金の額が平成十五年度の確定介護給付費納付金の額に満たない場合 イに定める額に、その満たない額とその満たない額に係る介護給付費納付金調整金額との合計額の百分の四十に相当する額を加算した額

With regard to the application of the provisions of the preceding paragraph to a Municipality, etc. reducing co-payments (meaning a Municipality that has reduced the ratio of co-payment pursuant to the provisions of Article 43, paragraph (1) of the National Health Insurance Act, and a Municipality for which a prefecture or a Municipality has chosen to bear all or part of the amount equivalent to the co-payment for all or part of the insured persons; the same applies hereinafter), the amount set forth in item (i) of that paragraph is to be the amount equivalent to the amount set forth in the same item, calculated pursuant to Cabinet Order provisions as if the relevant measures to reduce the ratio of co-payment or to bear all or part of the amount equivalent to the co-payment were not taken.

一部負担金軽減市町村等(の規定により一部負担金の割合を減じている市町村及び都道府県又は市町村が被保険者の全部又は一部について、その一部負担金に相当する額の全部又は一部を負担することとしている市町村をいう。以下同じ。)に対する前項の規定の適用については、同項第一号に掲げる額は、当該一部負担金の割合の軽減又は一部負担金に相当する額の全部若しくは一部の負担の措置が講ぜられないものとして、政令の定めるところにより算定した同号に掲げる額に相当する額とする。

With regard to the amount to be borne by the national government in fiscal year 2005 pursuant to the provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act toward a Municipality that was designated for fiscal year 2003 pursuant to the provisions of Article 68-2, paragraph (1) of the National Health Insurance Act and that falls under the Municipalities prescribed in Article 70, paragraph (3) of the Revised National Health Insurance Act, the phrase "" in is deemed to be replaced with "Article 3, paragraphs (1) and (2) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. Accompanying the Reorganization and Rationalization, etc. of National Subsidies, etc. (Act No. 25 of 2005; hereinafter referred to as the "Partial Amendment Act")" and the phrase "34/100" is deemed to be replaced with "36/100", the phrase "" in is deemed to be replaced with " as replaced pursuant to the provisions of Article 3, paragraph (3) of the Supplementary Provisions of the Partial Amendment Act", and the phrase "" in is deemed to be replaced with " as replaced pursuant to the provisions of Article 3, paragraph (3) of the Supplementary Provisions of the Partial Amendment Act".

平成十七年度におけるの規定により国が平成十五年度につきの規定により指定を受けた市町村であってに規定する市町村に該当するものに対して負担する額については、中「」とあるのは「国の補助金等の整理及び合理化等に伴う国民健康保険法等の一部を改正する法律(平成十七年法律第二十五号。以下「一部改正法」という。)附則第三条第一項及び第二項」と、「百分の三十四」とあるのは「百分の三十六」と、中「」とあるのは「一部改正法附則第三条第三項の規定により読み替えられた」と、中「イ」とあるのは「一部改正法附則第三条第三項の規定により読み替えられたイ」とする。

With regard to the total amount of adjusting subsidies for fiscal year 2005 under the provisions of Article 72, paragraph (2) of the Revised National Health Insurance Act, notwithstanding the provisions of , it is to be the amount provided for in the budget as the amount obtained by deducting, from the amount obtained by adding the amount set forth in item (vi) to the amount remaining after deducting the total amount of the amounts set forth in item (v) from the total estimated amount of the sum of the amount set forth in item (i), the amount obtained by deducting the amount set forth in item (iii) from the amount set forth in item (ii), and the amount set forth in item (iv), the amount obtained by deducting an amount within one-third of the amount of the expenses to be borne by the national government pursuant to the provisions of paragraph (18) of the Supplementary Provisions of the Revised National Health Insurance Act from the amount of those expenses.

平成十七年度におけるの規定による調整交付金の総額については、の規定にかかわらず、第一号に掲げる額、第二号に掲げる額から第三号に掲げる額を控除した額及び第四号に掲げる額の合算額の見込額の総額から、第五号に掲げる額の総額を控除し、その控除後の金額に第六号に掲げる額を加えて得た額から、の規定により国が負担する費用の額から当該費用の額の三分の一以内の額を控除した額を控除した額として予算で定める額とする。

an amount equivalent to 9/100 of the amount set forth in paragraph (1), item (i) (where the provisions of paragraph (2) apply, the amount calculated by applying those provisions; the same applies in the following paragraph);

第一項第一号に掲げる額(第二項の規定の適用がある場合にあっては、同項の規定を適用して算定した額。次項において同じ。)の百分の九に相当する額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 9/100 of the amount of the estimated medical expense contribution for fiscal year 2005;

ロ及びハに掲げる場合以外の場合 平成十七年度の概算医療費拠出金の額の百分の九に相当する額

in the case where the amount of the estimated medical expense contribution for fiscal year 2003 exceeds the amount of the final medical expense contribution for fiscal year 2003: the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 10/100 of the sum of the excess amount and the medical expense contribution adjustment amount pertaining to that excess amount;

平成十五年度の概算医療費拠出金の額が平成十五年度の確定医療費拠出金の額を超える場合 イに定める額から、その超える額とその超える額に係る医療費拠出金調整金額との合計額の百分の十に相当する額を控除した額

in the case where the amount of the estimated medical expense contribution for fiscal year 2003 is less than the amount of the final medical expense contribution for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 10/100 of the sum of the shortfall and the medical expense contribution adjustment amount pertaining to that shortfall;

平成十五年度の概算医療費拠出金の額が平成十五年度の確定医療費拠出金の額に満たない場合 イに定める額に、その満たない額とその満たない額に係る医療費拠出金調整金額との合計額の百分の十に相当する額を加算した額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 9/100 of the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2005;

ロ及びハに掲げる場合以外の場合 平成十七年度の退職被保険者等概算医療費拠出金相当額の百分の九に相当する額

in the case where the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2003 exceeds the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2003: the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 10/100 of the sum of the excess amount and the medical expense contribution adjustment amount pertaining to that excess amount;

平成十五年度の退職被保険者等概算医療費拠出金相当額が平成十五年度の退職被保険者等確定医療費拠出金相当額を超える場合 イに定める額から、その超える額とその超える額に係る医療費拠出金調整金額との合計額の百分の十に相当する額を控除した額

in the case where the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2003 is less than the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 10/100 of the sum of the shortfall and the medical expense contribution adjustment amount pertaining to that shortfall;

平成十五年度の退職被保険者等概算医療費拠出金相当額が平成十五年度の退職被保険者等確定医療費拠出金相当額に満たない場合 イに定める額に、その満たない額とその満たない額に係る医療費拠出金調整金額との合計額の百分の十に相当する額を加算した額

the amount specified respectively below, according to the categories of cases set forth below:

次に掲げる場合の区分に応じ、それぞれ次に定める額

in cases other than those set forth in (b) and (c): an amount equivalent to 9/100 of the amount of the estimated long-term care benefit payment for fiscal year 2005;

ロ及びハに掲げる場合以外の場合 平成十七年度の概算介護給付費納付金の額の百分の九に相当する額

in the case where the amount of the estimated long-term care benefit payment for fiscal year 2003 exceeds the amount of the final long-term care benefit payment for fiscal year 2003: the amount obtained by deducting, from the amount specified in (a), an amount equivalent to 10/100 of the sum of the excess amount and the long-term care benefit payment adjustment amount pertaining to that excess amount;

平成十五年度の概算介護給付費納付金の額が平成十五年度の確定介護給付費納付金の額を超える場合 イに定める額から、その超える額とその超える額に係る介護給付費納付金調整金額との合計額の百分の十に相当する額を控除した額

in the case where the amount of the estimated long-term care benefit payment for fiscal year 2003 is less than the amount of the final long-term care benefit payment for fiscal year 2003: the amount obtained by adding, to the amount specified in (a), an amount equivalent to 10/100 of the sum of the shortfall and the long-term care benefit payment adjustment amount pertaining to that shortfall;

平成十五年度の概算介護給付費納付金の額が平成十五年度の確定介護給付費納付金の額に満たない場合 イに定める額に、その満たない額とその満たない額に係る介護給付費納付金調整金額との合計額の百分の十に相当する額を加算した額

an amount equivalent to 9/100 of the amount of expenses in excess of the standard for fiscal 2003 (meaning the amount of expenses in excess of the standard prescribed in Article 70, paragraph (3) of the Revised National Health Insurance Act; the same applies hereinafter);

平成十五年度の基準超過費用額(に規定する基準超過費用額をいう。以下同じ。)の百分の九に相当する額

an amount equivalent to one-fourth of the total amount of the sum of the amount transferred pursuant to the provisions of Article 72-2-2, paragraph (1) of the Revised National Health Insurance Act and the amount transferred pursuant to the provisions of paragraph (12) of the Supplementary Provisions of the Revised National Health Insurance Act.

の規定による繰入金及びの規定による繰入金の合算額の総額の四分の一に相当する額

With regard to the total amount of prefectural adjusting subsidies for fiscal year 2005 under the provisions of Article 72-2, paragraph (2) of the Revised National Health Insurance Act, notwithstanding the provisions of , it is to be an amount equivalent to 5/100 of the amount obtained by deducting the total amount of expenses in excess of the standard for fiscal 2003 from the total estimated amount of the sum of the amount set forth in paragraph (1), item (i), the amount obtained by deducting the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2005 from the amount of the estimated medical expense contribution for fiscal year 2005, and the amount of the estimated long-term care benefit payment for fiscal year 2005.

平成十七年度におけるの規定による都道府県調整交付金の総額については、の規定にかかわらず、第一項第一号に掲げる額、平成十七年度の概算医療費拠出金の額から平成十七年度の退職被保険者等概算医療費拠出金相当額を控除した額及び平成十七年度の概算介護給付費納付金の額の合算額の見込額の総額から平成十五年度の基準超過費用額の総額を控除した額の百分の五に相当する額とする。

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