附 則
Supplementary Provisions
第一条(施行期日)
Supplementary Provisions, Article 1Effective Date
This Cabinet Order comes into effect on the date of promulgation.
この政令は、公布の日から施行する。
第四条(健康保険法施行令の一部改正に伴う経過措置)
Supplementary Provisions, Article 4Transitional Measures Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act
The provisions of Article 34, paragraph (2) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 2 (hereinafter referred to in this Article as the "New Order") apply to the case where the month in which benefits for medical treatment are received is on or after September 2006, and for the case where the month in which benefits for medical treatment are received is up to August of that year, the provisions then in force continue to govern.
第二条の規定による改正後の健康保険法施行令(以下この条において「新令」という。)第三十四条第二項の規定は、療養の給付を受ける月が平成十八年九月以後の場合について適用し、療養の給付を受ける月が同年八月までの場合については、なお従前の例による。
The provisions of Article 39, paragraph (2) of the New Order apply to the case where the month in which a dependent prescribed in that paragraph (hereinafter referred to in this Article and the following Article simply as a "dependent") receives medical care is on or after September 2006, and for the case where the month in which a dependent receives medical care is up to August of that year, the provisions then in force continue to govern.
新令第三十九条第二項の規定は、同項に規定する被扶養者(以下この条及び次条において単に「被扶養者」という。)が療養を受ける月が平成十八年九月以後の場合について適用し、被扶養者が療養を受ける月が同年八月までの場合については、なお従前の例による。
The provisions of Article 42, paragraph (2), item (iv) of the New Order apply to the case where the month in which medical care was received is on or after August 2006, and for the case where the month in which medical care was received is up to July of that year, the provisions then in force continue to govern.
新令第四十二条第二項第四号の規定は、療養のあった月が平成十八年八月以後の場合について適用し、療養のあった月が同年七月までの場合については、なお従前の例による。
第五条
Supplementary Provisions, Article 5
Among the insured persons to whom Article 74, paragraph (1), item (iii) or Article 110, paragraph (2), item (i)(d) of the Health Insurance Act applies, for those who fall under any of the following items (hereinafter referred to in this Article as "insured persons with specified income"), the base amount for calculating high-cost medical expenses under Article 41, paragraph (2) of the Order for Enforcement of the Health Insurance Act (hereinafter referred to in this Article as the "Order") is, notwithstanding Article 42, paragraph (2) of the Order, the amount specified in item (i) of that paragraph.
健康保険法第七十四条第一項第三号又は第百十条第二項第一号ニの規定が適用される被保険者のうち、次の各号のいずれかに該当するもの(以下この条において「特定収入被保険者」という。)に係る健康保険法施行令(以下この条において「令」という。)第四十一条第二項の高額療養費算定基準額は、令第四十二条第二項の規定にかかわらず、同項第一号に定める額とする。
a person for whom the amount of income under Article 34, paragraph (2) or Article 39, paragraph (2) of the Order, in the case where the month in which benefits for medical treatment or the medical care of the person's dependent is received is from September 2006 through August 2007, is less than 6,210,000 yen (in the case of a person with no dependent, a person for whom it is less than 4,840,000 yen);
a person for whom the amount of income under Article 34, paragraph (2) or Article 39, paragraph (2) of the Order, in the case where the month in which benefits for medical treatment or the medical care of the person's dependent is received is from September 2007 through March 2008, is less than 6,210,000 yen (in the case of a person with no dependent, a person for whom it is less than 4,840,000 yen).
For an insured person with specified income, the base amount for calculating high-cost medical expenses under Article 41, paragraph (3) of the Order is, notwithstanding Article 42, paragraph (3) of the Order, the amount specified in item (i) of that paragraph.
With regard to the high-cost medical expenses to be paid to an insured person with specified income pursuant to Article 43, paragraph (1) of the Order, the amount that the insurer pays to the medical institution providing services covered by health insurance, etc. prescribed in that paragraph is, notwithstanding that paragraph, limited to the amount obtained by deducting, from the amount of the co-payment concerned prescribed in that paragraph, the amount specified in each of the following items in accordance with the category of medical care listed in that item.
medical care listed in Article 43, paragraph (1), item (ii) of the Order: the amount specified in sub-item (a) of that item;
令第四十三条第一項第二号に掲げる療養 同号イに定める額
medical care listed in Article 43, paragraph (1), item (iii) of the Order: the amount specified in sub-item (a) of that item.
令第四十三条第一項第三号に掲げる療養 同号イに定める額
With regard to the payment of high-cost medical expenses relating to medical expenses combined with treatment outside insurance coverage or dependent's medical expenses for an insured person with specified income, Article 43, paragraph (3) of the Order is applied by deeming the phrase "each of those items" in that paragraph to be replaced with "sub-item (a) of each of those items".
略称規定第四十三条第一項・この項及び第四十三条第五項の中だけ
被保険者が同一の月に一の保険医療機関若しくは保険薬局若しくは法第六十三条第三項第二号に掲げる病院若しくは診療所若しくは薬局(以下この項及び第五項において「保険医療機関等」と総称する。)又は指定訪問看護事業者から療養を受けた場合において…
わかりやすく言うと
厚生労働大臣の指定を受けた病院・診療所(保険医療機関)と薬局(保険薬局)、それに特定の保険者がその被保険者の診療や調剤のために指定した病院・診療所・薬局をまとめた呼び名です。
略称規定附則第四条第一項・この条の中だけ
第二条の規定による改正後の健康保険法施行令(以下この条において「新令」という。)第三十四条第二項の規定は、療養の給付を受ける月が平成十八年九月以後の場合について適用し、療養の給付を受ける月が同年八月までの場合については、なお従前の例による。
わかりやすく言うと
平成十八年政令第二百四十一号の第二条による改正後の健康保険法施行令のことです。
略称規定附則第四条第二項・この条及び附則第五条の中だけ
新令第三十九条第二項の規定は、同項に規定する被扶養者(以下この条及び次条において単に「被扶養者」という。)が療養を受ける月が平成十八年九月以後の場合について適用し、被扶養者が療養を受ける月が同年八月までの場合については、なお従前の例による。
略称規定附則第五条第一項・この条の中だけ
健康保険法第七十四条第一項第三号又は第百十条第二項第一号ニの規定が適用される被保険者のうち、次の各号のいずれかに該当するもの(以下この条において「特定収入被保険者」という。)に係る健康保険法施行令(以下この条において「令」という。)第四十…
わかりやすく言うと
健康保険法第七十四条第一項第三号か第百十条第二項第一号ニが適用される被保険者のうち、平成十八年九月から平成二十年三月までの療養について、健康保険法施行令で定める収入の額が六百二十一万円未満(被扶養者がいない人は四百八十四万円未満)の人のことです。