This Act comes into effect on January 1, 2001; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items respectively.

①Of persons who acquired eligibility as an insured person under health insurance (excluding specially-insured day laborers; the same applies hereinafter in this paragraph) before January 1, 2001 and who continue to hold eligibility as an insured person until that day (excluding persons who hold eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act, persons who hold eligibility as a special retired insured person prescribed in Article 9, paragraph (1) of the Supplementary Provisions of that Act, and persons whose standard remuneration amount is to be revised from that month), the standard remuneration amount of a person whose standard monthly remuneration amount in December 2000 is 92,000 yen is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration amount to be the monthly remuneration amount that is the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised Health Insurance Act").

②The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from January 1, 2001 to September 30 of that year.

With regard to the payment of high-cost medical expenses under the provisions of the Health Insurance Act pertaining to medical care, medication or treatment given before the day on which this Act comes into effect (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.

With regard to a person who, before January 1, 2001, made a request under the provisions of Article 76 of the Health Insurance Act prior to amendment by the provisions of Article 1, and whose childcare leave under the Act on Childcare Leave, Caregiver Leave, and Other Measures for the Welfare of Workers Caring for Children or Other Family Members (Act No. 76 of 1991) or other laws and regulations specified by Cabinet Order ended on or after the last day of that month, the person is deemed to have made a request under the provisions of Article 71-3-2 of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 8, paragraph (7) of the Supplementary Provisions of the Revised Health Insurance Act) on the first day of that month, and the provisions of Article 71-3-2 of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 8, paragraph (7) of the Supplementary Provisions of the Revised Health Insurance Act) and Article 3, paragraph (2) of the Supplementary Provisions apply with regard to the insurance premiums, the special insurance premiums prescribed in Article 3, paragraph (1) of the Supplementary Provisions of the Revised Health Insurance Act and the adjusted insurance premiums prescribed in Article 8, paragraph (3) of the Supplementary Provisions of the Revised Health Insurance Act pertaining to that person for the period on or after that month.

Notwithstanding the provisions of Article 160, paragraph (11) of the Health Insurance Act and Article 13, paragraph (2) of the Supplementary Provisions of that Act, an insurer of health insurance may, as provided by Cabinet Order, specify the method of calculating the long-term care insurance premium rate or the amount of special long-term care insurance premiums so that the sum, over each fiscal year from fiscal year 2000 through fiscal year 2002, of the total amount of long-term care insurance premium or the total amount of special long-term care insurance premiums of that insurer equals the sum of the amounts of payments (excluding those pertaining to specially-insured day laborers) that the insurer is to pay under the provisions of the Long-Term Care Insurance Act (for health insurance administered by the government, the amount obtained by deducting the national subsidy amount under the provisions of Article 153, paragraph (2) of the Health Insurance Act from that amount).

In addition to what is provided for in Article 4 through the preceding Article of the Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.