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Supplementary Provisions, Article 4

第四条

With regard to the amount to be borne by the national government for Municipalities pursuant to the provisions of Article 70, paragraph (1) of the National Health Insurance Act as amended by the provisions of (hereinafter referred to as the "National Health Insurance Act as Amended in October 2006") in fiscal year 2006, notwithstanding the provisions of , it is to be the total sum of an amount equivalent to 34/100 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).

の規定による改正後の国民健康保険法(以下「平成十八年十月改正後国保法」という。)の規定により国が市町村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三十四に相当する額、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 National Health Insurance Act as amended by the provisions of (hereinafter referred to as the "National Health Insurance Act as Amended in 2006") from the amount set forth in Article 70, paragraph (1), item (i) of the National Health Insurance Act as Amended in October 2006;

にの規定による改正後の国民健康保険法(以下「平成十八年改正後国保法」という。)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 34/100 of the amount of the estimated medical expense contribution for fiscal year 2006;

ロ及びハに掲げる場合以外の場合 平成十八年度の概算医療費拠出金の額の百分の三十四に相当する額

in the case where the amount of the estimated medical expense contribution for fiscal year 2004 exceeds the amount of the final medical expense contribution for fiscal year 2004: 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;

平成十六年度の概算医療費拠出金の額が平成十六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 2004 is less than the amount of the final medical expense contribution for fiscal year 2004: 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;

平成十六年度の概算医療費拠出金の額が平成十六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 34/100 of the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2006;

ロ及びハに掲げる場合以外の場合 平成十八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三十四に相当する額

in the case where the amount equivalent to the provisional medical expense contribution for retired insured persons, etc. for fiscal year 2004 exceeds the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2004: 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;

平成十六年度の退職被保険者等概算医療費拠出金相当額が平成十六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 2004 is less than the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2004: 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;

平成十六年度の退職被保険者等概算医療費拠出金相当額が平成十六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 34/100 of the amount of the estimated payment for fiscal year 2006 (meaning the estimated payment prescribed in Article 152 of the Long-Term Care Insurance Act; the same applies hereinafter);

ロ及びハに掲げる場合以外の場合 平成十八年度の概算納付金(介護保険法第百五十二条に規定する概算納付金をいう。以下同じ。)の額の百分の三十四に相当する額

in the case where the amount of the estimated long-term care benefit payment for fiscal year 2004 exceeds the amount of the final long-term care benefit payment for fiscal year 2004: 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;

平成十六年度の概算介護給付費納付金の額が平成十六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 2004 is less than the amount of the final long-term care benefit payment for fiscal year 2004: 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.

平成十六年度の概算介護給付費納付金の額が平成十六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

The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to the application of the provisions of the preceding paragraph to municipalities, etc. reducing co-payments. In this case, the phrase "" in paragraph (2) of that Article is deemed to be replaced with "paragraph (1), item (i) of the following Article".

前条第二項の規定は、一部負担金軽減市町村等に対する前項の規定の適用について準用する。この場合において、同条第二項中「」とあるのは、「次条第一項第一号」とする。

With regard to the amount to be borne by the national government in fiscal year 2006 pursuant to the provisions of Article 70, paragraph (3) of the National Health Insurance Act as Amended in October 2006 toward a Municipality that was designated for fiscal year 2004 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 National Health Insurance Act as Amended in October 2006, the phrase "" in is deemed to be replaced with "Article 4, paragraph (1) 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 of the Supplementary Provisions as applied mutatis mutandis pursuant to paragraph (2) of that Article", the phrase "" in is deemed to be replaced with " as replaced pursuant to the provisions of Article 4, 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 4, paragraph (3) of the Supplementary Provisions of the Partial Amendment Act".

平成十八年度におけるの規定により国が平成十六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。)附則第四条第一項及び同条第二項において準用する」と、中「」とあるのは「一部改正法附則第四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「一部改正法附則第四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 2006 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 (19) of the Supplementary Provisions of the National Health Insurance Act as Amended in 2006 from the amount of those expenses.

平成十八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) of the preceding Article, as applied mutatis mutandis in paragraph (2), apply, the amount calculated by applying that paragraph; the same applies in the following paragraph);

第一項第一号に掲げる額(第二項において準用する前条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 2006;

ロ及びハに掲げる場合以外の場合 平成十八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 2004 exceeds the amount of the final medical expense contribution for fiscal year 2004: 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;

平成十六年度の概算医療費拠出金の額が平成十六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 2004 is less than the amount of the final medical expense contribution for fiscal year 2004: 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;

平成十六年度の概算医療費拠出金の額が平成十六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 2006;

ロ及びハに掲げる場合以外の場合 平成十八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 2004 exceeds the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2004: 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;

平成十六年度の退職被保険者等概算医療費拠出金相当額が平成十六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 2004 is less than the amount equivalent to the final medical expense contribution for retired insured persons, etc. for fiscal year 2004: 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;

平成十六年度の退職被保険者等概算医療費拠出金相当額が平成十六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 payment for fiscal year 2006;

ロ及びハに掲げる場合以外の場合 平成十八年度の概算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 2004 exceeds the amount of the final long-term care benefit payment for fiscal year 2004: 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;

平成十六年度の概算介護給付費納付金の額が平成十六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 2004 is less than the amount of the final long-term care benefit payment for fiscal year 2004: 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;

平成十六年度の概算介護給付費納付金の額が平成十六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 year 2004;

平成十六年度の基準超過費用額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 National Health Insurance Act as Amended in 2006.

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 2006 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 7/100 of the amount obtained by deducting the total amount of expenses in excess of the standard for fiscal year 2004 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 2006 from the amount of the estimated medical expense contribution for fiscal year 2006, and the amount of the estimated payment for fiscal year 2006.

平成十八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、平成十八年度の概算医療費拠出金の額から平成十八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十八年度の概算納付金の額の合算額の見込額の総額から平成十六年度の基準超過費用額の総額を控除した額の百分の七に相当する額とする。

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