附 則
Supplementary Provisions
第一条（施行期日）
Supplementary Provisions, Article 1Effective Date
This Act comes into effect on October 1, 2002; provided, however, that the provisions in Article 3 adding one Article after Article 79-2 of the Act on Health and Medical Services for the Elderly come into effect on the date of promulgation, the provisions of Articles 2, 5, and 8 and of Articles 6 through 8, 33, 34, 39, 41, and 48, Article 49, paragraph (3), Article 51, Article 52, paragraph (3), and Articles 54, 67, 69, 71, 73, and 77 of the Supplementary Provisions come into effect on April 1, 2003, and the provisions of Article 61-2 of the Supplementary Provisions come into effect on the date on which the provisions of Article 15 of the Act on the Arrangement of Related Acts for the Enforcement of the Act on the Use of Information and Communications Technology in Administrative Procedures, etc. (Act No. 152 of 2002) come into effect or the date on which this Act comes into effect, whichever is later.
この法律は、平成十四年十月一日から施行する。ただし、第三条中老人保健法第七十九条の二の次に一条を加える改正規定は公布の日から、第二条、第五条及び第八条並びに附則第六条から第八条まで、第三十三条、第三十四条、第三十九条、第四十一条、第四十八条、第四十九条第三項、第五十一条、第五十二条第三項、第五十四条、第六十七条、第六十九条、第七十一条、第七十三条及び第七十七条の規定は平成十五年四月一日から、附則第六十一条の二の規定は行政手続等における情報通信の技術の利用に関する法律の施行に伴う関係法律の整備等に関する法律（平成十四年法律第百五十二号）第十五条の規定の施行の日又はこの法律の施行の日のいずれか遅い日から施行する。
第三十条（地方税法の一部改正に伴う経過措置）
Supplementary Provisions, Article 30Transitional Measures Accompanying Partial Amendment of the Local Tax Act
The provisions of Article 703-4 of the Local Tax Act as amended by the provisions of Article 6, and Articles 35-5 and 36 of the Supplementary Provisions of the Local Tax Act as so amended, apply to national health insurance tax for fiscal years from fiscal year 2003 onward, and the provisions then in force continue to govern national health insurance tax for fiscal years up to and including fiscal year 2002.
第六条の規定による改正後の地方税法第七百三条の四並びに附則第三十五条の五及び第三十六条の規定は、平成十五年度以後の年度分の国民健康保険税について適用し、平成十四年度分までの国民健康保険税については、なお従前の例による。
The provisions then in force continue to govern national health insurance tax for fiscal years up to and including fiscal year 2002 under the provisions of Article 703-4, paragraph (3), item (ii) of the Local Tax Act prior to amendment by the provisions of Article 6, as applied with terms replaced pursuant to the provisions of Article 33-2 of the Supplementary Provisions of the Local Tax Act prior to amendment by the provisions of Article 6.
第六条の規定による改正前の地方税法附則第三十三条の二の規定により読み替えて適用される第六条の規定による改正前の同法第七百三条の四第三項第二号の規定による平成十四年度分までの国民健康保険税については、なお従前の例による。
With regard to the application of the provisions of Article 703-4, paragraph (3), item (ii), (b) of the Local Tax Act as amended by the provisions of Article 6 to national health insurance tax for fiscal year 2003, in sub-item (b) of that item, the phrase "the pre-burden-adjustment elderly health medical expense contribution equivalent prescribed in Article 70, paragraph (1), item (ii) of the National Health Insurance Act" is deemed to be replaced with "the total of the first-period pre-burden-adjustment estimated medical expense contribution equivalent prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) and the second-period pre-burden-adjustment estimated medical expense contribution equivalent prescribed in paragraph (8) of that Article", the phrase "that item" is deemed to be replaced with "Article 70, paragraph (1), item (ii) of the National Health Insurance Act", and the phrase "amount obtained" is deemed to be replaced with "amount obtained (if the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 (meaning the total of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly prior to amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter in this paragraph) by the retired insured persons' enrollment share for fiscal year 2001 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 (meaning the total of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter in this paragraph) by the retired insured persons' enrollment share for fiscal year 2001, an amount equivalent to one-half of the total of the excess amount (hereinafter referred to as the "excess amount" in this paragraph) and the amount calculated for the excess amount in accordance with the rules of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and if the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the retired insured persons' enrollment share for fiscal year 2001 is less than the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the retired insured persons' enrollment share for fiscal year 2001, an amount equivalent to one-half of the total of the shortfall (hereinafter referred to as the "shortfall" in this paragraph) and the amount calculated for the shortfall in accordance with the rules of that paragraph is to be added)".
平成十五年度分の国民健康保険税に係る第六条の規定による改正後の地方税法第七百三条の四第三項第二号ロの規定の適用については、同号ロ中「国民健康保険法第七十条第一項第二号に規定する負担調整前老人保健医療費拠出金相当額」とあるのは「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）附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「同号」とあるのは「国民健康保険法第七十条第一項第二号」と、「得た額」とあるのは「得た額（平成十三年度における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。以下本項において同じ。）に平成十三年度の退職被保険者等加入割合を乗じて得た額が平成十三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。以下本項において同じ。）に平成十三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（以下本項において「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、平成十三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十三年度の退職被保険者等加入割合を乗じて得た額が平成十三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十三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（以下本項において「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。
With regard to the application of the provisions of Article 703-4, paragraph (3), item (ii), (b) of the Local Tax Act as amended by the provisions of Article 6 to national health insurance tax for fiscal year 2004, in sub-item (b) of that item, the phrase "the pre-burden-adjustment elderly health medical expense contribution equivalent prescribed in Article 70, paragraph (1), item (ii) of the National Health Insurance Act" is deemed to be replaced with "the total of the first-period pre-burden-adjustment estimated medical expense contribution equivalent prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) as applied mutatis mutandis with terms replaced pursuant to Article 18 of the Supplementary Provisions of that Act and the second-period pre-burden-adjustment estimated medical expense contribution equivalent prescribed in Article 16, paragraph (8) of the Supplementary Provisions of that Act", the phrase "that item" is deemed to be replaced with "Article 70, paragraph (1), item (ii) of the National Health Insurance Act", and the phrase "amount obtained" is deemed to be replaced with "amount obtained (if the total of one-half of the amount obtained by multiplying seven-twelfths of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 (meaning the total of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly prior to amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc.) by the retired insured persons' enrollment share before the Effective Date (meaning the retired insured persons' enrollment share for the period from April 1, 2002 to the day before the Effective Date; the same applies hereinafter in this paragraph), and the amount obtained by multiplying the pre-burden-adjustment estimated medical expense contribution equivalent 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 retired insured persons' enrollment share for the period from the Effective Date to March 31, 2003; the same applies hereinafter in this paragraph) (hereinafter referred to as the "pre-burden-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. for fiscal year 2002" in this paragraph), exceeds the total of one-half of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent before the Effective Date prescribed in Article 15, paragraph (3) of the Supplementary Provisions of that Act by the retired insured persons' enrollment share before the Effective Date, and the amount obtained by multiplying the pre-burden-adjustment finalized medical expense contribution equivalent from the Effective Date prescribed in paragraph (6) of that Article by the retired insured persons' enrollment share from the Effective Date (hereinafter referred to as the "pre-burden-adjustment finalized medical expense contribution equivalent for retired insured persons, etc. for fiscal year 2002" in this paragraph), the total of the excess amount (hereinafter referred to as the "excess amount" in this paragraph) and the amount calculated for the excess amount in accordance with the rules of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and if the pre-burden-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. for fiscal year 2002 is less than the pre-burden-adjustment finalized medical expense contribution equivalent for retired insured persons, etc. for fiscal year 2002, the total of the shortfall (hereinafter referred to as the "shortfall" in this paragraph) and the amount calculated for the shortfall in accordance with the rules of that paragraph is to be added)".
平成十六年度分の国民健康保険税に係る第六条の規定による改正後の地方税法第七百三条の四第三項第二号ロの規定の適用については、同号ロ中「国民健康保険法第七十条第一項第二号に規定する負担調整前老人保健医療費拠出金相当額」とあるのは「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）附則第十八条において読み替えて準用される同法附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「同号」とあるのは「国民健康保険法第七十条第一項第二号」と、「得た額」とあるのは「得た額（平成十四年度における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第三条の規定による改正前の老人保健法第五十五条第一項各号に掲げる額の合計額をいう。）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退職被保険者等加入割合をいう。以下本項において同じ。）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。以下本項において同じ。）を乗じて得た額との合算額（以下本項において「平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額」という。）が同法附則第十五条第三項に規定する施行日前特別調整前確定医療費拠出金相当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同条第六項に規定する施行日以後負担調整前確定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（以下本項において「平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額」という。）を超えるときは、その超える額（以下本項において「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を控除するものとし、平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額に満たないときは、その満たない額（以下本項において「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を加算するものとする。）」とする。
第三十五条（罰則に関する経過措置）
Supplementary Provisions, Article 35Transitional Measures Concerning Penal Provisions
With regard to the application of penal provisions to acts committed before the enforcement of this Act (for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions) and to acts committed after the enforcement of the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 8 of the Supplementary Provisions, the provisions then in force continue to govern.
第三十六条（政令への委任）
Supplementary Provisions, Article 36Delegation to Cabinet Order
Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
第四十五条（国民健康保険法等の一部を改正する法律の一部改正に伴う経過措置）
Supplementary Provisions, Article 45Transitional Measures Accompanying the Partial Amendment of the Act Partially Amending the National Health Insurance Act, etc.
The provisions then in force continue to govern national health insurance tax for fiscal years up to and including fiscal year 2002 under the provisions of Article 33-2 of the Supplementary Provisions of the Local Tax Act prior to amendment by the provisions of Article 6, as applied with terms replaced pursuant to the provisions of Article 28, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. prior to amendment by the provisions of the preceding Article.
前条の規定による改正前の国民健康保険法等の一部を改正する法律附則第二十八条第二項の規定により読み替えて適用される第六条の規定による改正前の地方税法附則第三十三条の二の規定による平成十四年度分までの国民健康保険税については、なお従前の例による。
略称規定附則第三十条第三項
…「同号」とあるのは「国民健康保険法第七十条第一項第二号」と、「得た額」とあるのは「得た額（平成十三年度における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…
わかりやすく言うと
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）の第三条で改正される前の老人保健法のことです。
定義附則第三十条第三項・この規定の中だけ
健康保険法等の一部を改正する法律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