This Act comes into effect on October 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:

Aiming at five years after the enforcement of this Act, the government is to take into account the status of the enforcement of this Act, etc., review how the regulations based on the provisions of the respective medical insurance Acts amended by this Act and the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 7 (hereinafter referred to as the "Elderly Medical Care Assurance Act") should be, and, if it finds it necessary, take required measures based on the results.

With regard to insurance benefits under the provisions of the Health Insurance Act before the amendment by the provisions of Article 1 or Article 3 that pertain to medical care, provision of drugs or medical treatment, or home-nursing provided before the date on which the provisions of Article 1 or Article 3 come into effect, the provisions then in force continue to govern respectively.

When the Minister of Health, Labour and Welfare intends to specify the provisions of Article 63, paragraph (2), items (iii) and (iv) of the Health Insurance Act as amended by the provisions of Article 1 (excluding those of the provisions of item (iii) of that paragraph that pertain to advanced medical care techniques), the standards under Article 85-2, paragraph (2) of that Act, the provisions of Article 86, paragraph (2), item (i) of that Act, and the Order of the Ministry of Health, Labour and Welfare under Article 70, paragraph (1) and Article 72, paragraph (1) of that Act as applied mutatis mutandis pursuant to Article 85-2, paragraph (5) and Article 86, paragraph (4) of that Act, the Minister may consult with the Central Social Insurance Medical Council even before the date on which this Act comes into effect (hereinafter referred to as the "Effective Date").

①A hospital or clinic that, on the Effective Date, is actually approved as a specially approved medical institution providing services covered by health insurance pursuant to the provisions of Article 86, paragraph (1), item (i) of the Health Insurance Act before the amendment by the provisions of Article 1 is deemed to have received the designation referred to in Article 63, paragraph (3), item (i) of the Health Insurance Act on the Effective Date; provided, however, that this does not apply if its establisher has notified otherwise, as specified by Order of the Ministry of Health, Labour and Welfare, by the day before the Effective Date.

②With regard to a hospital or clinic deemed to have received designation pursuant to the provisions of the main clause of the preceding paragraph, notwithstanding Article 68, paragraph (1) of the Health Insurance Act, the period during which the designation is effective is to be the same as the period remaining on the Effective Date of the period during which the approval was to be effective for that hospital or clinic pursuant to Article 68, paragraph (1) of that Act as applied mutatis mutandis pursuant to Article 86, paragraph (12) of the Health Insurance Act before the amendment by the provisions of Article 1.

The provisions of Articles 100 and 136 of the Health Insurance Act as amended by the provisions of Article 1 apply to insured persons and specially-insured day laborers whose date of death is on or after the Effective Date and persons who were such persons, and the provisions then in force continue to govern the payment of burial charges under the Health Insurance Act before the amendment by the provisions of Article 1 to insured persons and specially-insured day laborers whose date of death is before the Effective Date and persons who were such persons.

①Of persons who acquired eligibility as an insured person of health insurance (excluding specially-insured day laborers; the same applies hereinafter in this paragraph) before April 1, 2007 and continue to hold eligibility as an insured person until that day (excluding insured persons with optional and continued coverage, special retired insured persons, and persons whose standard monthly remuneration is to be revised from that month), the standard monthly remuneration of those whose standard monthly remuneration for March of that year is 98,000 yen (excluding those for whom the monthly remuneration amount that was the basis of that standard monthly remuneration is 93,000 yen or more) or 980,000 yen (excluding those for whom the monthly remuneration amount that was the basis of that standard monthly remuneration is less than 1,005,000 yen) is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration to be the monthly remuneration amount that is the basis of the standard monthly remuneration under Article 40, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 2.

②The standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard monthly remuneration amount for the period from April 1, 2007 through August 31, 2007.

With regard to payment of insurance premiums pertaining to a bonus before April 2007, the provisions then in force continue to govern.

①With regard to the amount of injury and sickness allowance up to the day preceding the date of enforcement of the provisions of Article 2 for a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (excluding a person who was an insured person with optional and continued coverage when the grounds for payment arose; the same applies in the following paragraph), the provisions then in force continue to govern.

②With regard to payment of injury and sickness allowance to a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who became an insured person with optional and continued coverage after the grounds for payment arose), notwithstanding the provisions of Article 99, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 2, the provisions of that Article apply by deeming those persons to be insured persons prescribed in that paragraph.

③With regard to payment of injury and sickness allowance to a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who was an insured person with optional and continued coverage when the grounds for payment arose), the provisions then in force continue to govern.

①With regard to the amount of childbirth allowance up to the day preceding the date of enforcement of the provisions of Article 2 for a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (excluding a person who was an insured person with optional and continued coverage when the grounds for payment arose and a person who was receiving, or was to receive, childbirth allowance pursuant to the provisions of Article 106 of the Health Insurance Act before amendment by the provisions of Article 2; the same applies in the following paragraph), the provisions then in force continue to govern.

②With regard to payment of childbirth allowance to a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who became an insured person with optional and continued coverage after the grounds for payment arose), notwithstanding the provisions of Article 102 of the Health Insurance Act as amended by the provisions of Article 2, the provisions of that Article apply by deeming those persons to be insured persons prescribed in that Article.

③With regard to payment of childbirth allowance to a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who was an insured person with optional and continued coverage when the grounds for payment arose and a person who was receiving, or was to receive, childbirth allowance pursuant to the provisions of Article 106 of the Health Insurance Act before amendment by the provisions of Article 2), the provisions then in force continue to govern.

In the case of applying the provisions of Article 160 of the Health Insurance Act before amendment by the provisions of Article 4 (hereinafter referred to as the "Health Insurance Act Before the October 2008 Amendment") to the general insurance premium rate on or after April 1, 2008 for insured persons covered by health insurance administered by the government, the phrase "estimated amount" in paragraph (2) of that Article is deemed to be replaced with "estimated amount, estimated amount of expenses required for the execution of the affairs of health insurance services, estimated amount of expenses required for building up the reserves prescribed in Article 160-2 of the Health Insurance Act as amended by the provisions of Article 4 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 83 of 2006)", the phrase "national subsidy" is deemed to be replaced with "share of the national treasury, national subsidy", and the phrase "throughout approximately five years" is deemed to be replaced with "during the period until March 31, 2009", and in addition, the provisions of paragraphs (5) and (6) of that Article do not apply.

①The Minister of Health, Labour and Welfare designates the person who is to become the president and the persons who are to become the auditors of the Japan Health Insurance Association (hereinafter referred to as "JHIA") prescribed in Article 7-2, paragraph (1) of the Health Insurance Act after amendment by the provisions of Article 4 (hereinafter referred to as the "Health Insurance Act as Amended in October 2008").

②The person who is to become the president and the persons who are to become the auditors designated pursuant to the provisions of the preceding paragraph are deemed to have been appointed as the president and the auditors, respectively, at the time of the establishment of JHIA pursuant to the provisions of Article 7-11, paragraph (1) of the Health Insurance Act as Amended in October 2008.

①The Minister of Health, Labour and Welfare appoints committee members and has them handle the affairs relating to the establishment of JHIA.

②The committee members must determine the working conditions of JHIA's employees and the standards for hiring JHIA's employees.

③The committee members must determine the constitution, prepare a business plan and budget for the period on or after the date of enforcement of the provisions of Article 4 within the business year that includes that date, and obtain authorization from the Minister of Health, Labour and Welfare for the constitution, business plan and budget.

④The committee members must, by the date of enforcement of the provisions of Article 4, determine the operating rules prescribed in Article 7-22, paragraph (1) of the Health Insurance Act as Amended in October 2008 and notify the Minister of Health, Labour and Welfare of those rules.

⑤When the committee members have completed the preparations for the establishment of JHIA, they must without delay notify the Minister of Health, Labour and Welfare to that effect and hand over their affairs to the person who is to become the president designated pursuant to the provisions of paragraph (1) of the preceding Article.

⑥When the Minister of Health, Labour and Welfare has given the authorization referred to in paragraph (3), the Minister is to give public notice to that effect immediately.

⑦JHIA is established on the date of enforcement of the provisions of Article 4 when the public notice referred to in the preceding paragraph has been given. In this case, JHIA must without delay give public notice of its constitution.

①A committee member or a person who has held that position must not divulge, without justifiable reasons, confidential information learned in the course of duty concerning the affairs of the establishment of JHIA.

②A person who divulges confidential information in violation of the provisions of the preceding paragraph is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen.

①The committee members are to recruit employees by presenting the working conditions of JHIA's employees and the standards for hiring JHIA's employees to the employees of the Social Insurance Agency through the Director-General of the Social Insurance Agency.

②When the working conditions of JHIA's employees and the standards for hiring JHIA's employees have been presented to the employees of the Social Insurance Agency pursuant to the provisions of the preceding paragraph, the Director-General of the Social Insurance Agency is to confirm the intentions of the employees of the Social Insurance Agency regarding becoming JHIA's employees, select, from among those who have expressed an intention to become JHIA's employees, the persons who are to become JHIA's employees in accordance with the standards for hiring JHIA's employees, prepare a roster of them, and submit it to the committee members.

③Among the employees of the Social Insurance Agency listed in the roster referred to in the preceding paragraph, a person who has received notice from the committee members to the effect that the person is to be hired and who is an employee of the Social Insurance Agency at the time of the enforcement of the provisions of Article 4 is hired as an employee of JHIA at the time of the establishment of JHIA.

④The matters that are to constitute the content of the working conditions to be presented pursuant to the provisions of paragraph (1), the method of presentation pursuant to the provisions of that paragraph, the method of confirming the intentions of employees pursuant to the provisions of paragraph (2), and other matters necessary for the implementation of the provisions of the preceding three paragraphs are specified by Order of the Ministry of Health, Labour and Welfare.

⑤With regard to the hiring of JHIA's employees, acts done by the committee members and acts done toward the committee members are deemed to be acts done by JHIA and acts done toward JHIA, respectively.

①No retirement allowance based on the Act on National Public Officers' Retirement Allowance (Act No. 182 of 1953) is paid to a person hired as an employee of JHIA pursuant to the provisions of paragraph (3) of the preceding Article.

②When JHIA intends to pay a retirement allowance upon the retirement of an employee of JHIA to whom the provisions of the preceding paragraph have applied, it is to treat the person's continuous period of service as an employee prescribed in Article 2, paragraph (1) of the Act on National Public Officers' Retirement Allowance (including a person deemed to be an employee pursuant to the provisions of paragraph (2) of that Article) as a period of service as an employee of JHIA.

③JHIA is to pay, as a retirement allowance, an amount equivalent to the amount of retirement allowance calculated in accordance with Article 10 of the Act on National Public Officers' Retirement Allowance to a person who, among those who were in service as employees of the Social Insurance Agency on the day preceding the date of establishment of JHIA and were continuously hired as employees of JHIA pursuant to the provisions of paragraph (3) of the preceding Article, retired from JHIA during the period from the date of establishment of JHIA until acquiring eligibility to receive unemployment benefits, etc. under the Employment Insurance Act (Act No. 116 of 1974), and who would have been able to receive a retirement allowance pursuant to the provisions of Article 10 of the Act on National Public Officers' Retirement Allowance if the person had remained in service as an employee of the Social Insurance Agency until the day of that retirement.

If a person who was hired as an employee of JHIA pursuant to the provisions of Article 15, paragraph (3) of the Supplementary Provisions and who, on the day preceding the date of establishment of JHIA, has received certification from the Minister of Health, Labour and Welfare or a person delegated by the Minister pursuant to the provisions of Article 7, paragraph (1) of the Child Allowance Act (Act No. 73 of 1971) (including as applied mutatis mutandis pursuant to Article 6, paragraph (2), Article 7, paragraph (5) or Article 8, paragraph (4) of the Supplementary Provisions of that Act; the same applies hereinafter in this Article) meets the requirements for payment of child allowance or the benefits under Article 6, paragraph (1), Article 7, paragraph (1) or Article 8, paragraph (1) of the Supplementary Provisions of that Act (hereinafter referred to as "special benefit, etc." in this Article) on the date of establishment of JHIA, then with regard to payment of child allowance or special benefit, etc. to that person, certification by the mayor of a municipality (including the mayor of a special ward; the same applies hereinafter) pursuant to the provisions of Article 7, paragraph (1) of that Act is deemed to have been given on the date of establishment of JHIA. In this case, payment of the child allowance or special benefit, etc. for which certification is deemed to have been given starts, notwithstanding the provisions of Article 8, paragraph (2) of that Act (including as applied mutatis mutandis pursuant to Article 6, paragraph (2), Article 7, paragraph (5) or Article 8, paragraph (4) of the Supplementary Provisions of that Act), from the month following the month that includes the day preceding the date of establishment of JHIA.

①The rights and obligations that the State holds at the time of the establishment of JHIA in relation to the affairs listed in Article 4, paragraph (1), item (xciv) of the Act for Establishment of the Ministry of Health, Labour and Welfare (Act No. 97 of 1999) are succeeded to by JHIA, except for those specified by Cabinet Order.

②When JHIA has succeeded to the rights and obligations held by the national government pursuant to the preceding paragraph, an amount equivalent to the amount obtained by deducting the total value of the liabilities specified by Cabinet Order pertaining to the obligations to be succeeded to from the total value of the assets specified by Cabinet Order pertaining to the rights to be succeeded to by JHIA is deemed to have been contributed to JHIA by the government, as provided by Cabinet Order.

③The value of the assets referred to in the preceding paragraph is the value appraised by the appraisal committee members on the basis of the market price as of the day of JHIA's establishment.

④The appraisal committee members referred to in the preceding paragraph and other matters necessary for appraisal are specified by Cabinet Order.

No registration and license tax is imposed on registration or recording accompanying the succession in the case where JHIA succeeds to rights pursuant to paragraph (1) of the preceding Article.

In the case where JHIA has succeeded to rights concerning real estate pursuant to Article 18, paragraph (1) of the Supplementary Provisions, special provisions may be established by Cabinet Order regarding the procedures for registration to be made with respect to those rights.

A person who was an insured person of the health insurance administered by the government prescribed in Article 5, paragraph (2) of the Health Insurance Act Before the October 2008 Amendment (hereinafter referred to as "former government-managed health insurance") on the day before the date of enforcement of the provisions of Article 4 (excluding a person who, on that day, falls under any of the grounds listed in the items of Article 36 or Article 38, items (i) through (iii) of the Health Insurance Act Before the October 2008 Amendment) is to become, on the date of enforcement of the provisions of Article 4, an insured person of the health insurance administered by the Japan Health Insurance Association prescribed in Article 5, paragraph (2) of the Health Insurance Act as Amended in October 2008.

①In the case where a person who retired from the place of business where the person was employed before the date of enforcement of the provisions of Article 4, and who had not made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment before that date, makes that application to JHIA on or after the date of enforcement of the provisions of Article 4 by the day on which 20 days have elapsed counting from the day of retirement (if JHIA finds that there are justifiable grounds, the day on which it so finds; the same applies in the following paragraph), that person is to be treated as a person who was an insured person with optional and continued coverage under former government-managed health insurance during the period from the day following the day of retirement to the day before the date of enforcement of the provisions of that Article.

②A person who retired from the place of business where the person was employed before the date of enforcement of the provisions of Article 4, and who made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment to the Director-General of the Social Insurance Agency on the day before that date (limited to a person who made that application by the day on which 20 days have elapsed counting from the day of retirement), is to be treated as a person who was an insured person with optional and continued coverage under former government-managed health insurance during the period from the day following the day of retirement to the day before the date of enforcement of the provisions of Article 4.

③A person who is an insured person with optional and continued coverage under former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 (including a person treated as having been an insured person with optional and continued coverage pursuant to the preceding two paragraphs, but excluding a person who, on that day, fell under any of Article 38, items (i) through (iii) of the Health Insurance Act Before the October 2008 Amendment) is to become, on the date of enforcement of the provisions of Article 4, an insured person with optional and continued coverage under the health insurance administered by JHIA. In this case, the period during which that person was an insured person with optional and continued coverage under former government-managed health insurance is deemed to be a period during which the person was an insured person with optional and continued coverage under the health insurance administered by JHIA.

④A person who was an insured person (excluding an insured person with optional and continued coverage) under former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4, and who retired from the place of business where the person was employed on that day and, on that day, made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment to the Director-General of the Social Insurance Agency, is to become, on the date of enforcement of the provisions of Article 4, an insured person with optional and continued coverage under the health insurance administered by JHIA.

A person who was an insured person of the insurance for specially-insured day laborers with the government as the insurer prescribed in Article 123, paragraph (1) of the Health Insurance Act on the day before the date of enforcement of the provisions of Article 4 is to become, on the date of enforcement of the provisions of Article 4, an insured person of the insurance for specially-insured day laborers with JHIA as the insurer under Article 123, paragraph (1) of the Health Insurance Act as Amended in October 2008.

①Insurance benefits paid by the Director-General of the Social Insurance Agency pursuant to the provisions of the Health Insurance Act before the date of enforcement of the provisions of Article 4 are deemed to be insurance benefits paid by JHIA pursuant to the corresponding provisions of that Act.

②Of the insurance benefits under the provisions of the Health Insurance Act for which the grounds for benefits arose before the date of enforcement of the provisions of Article 4, those not yet paid on that date are to be paid by JHIA.

With regard to the collection of insurance premiums for former government-managed health insurance and for the insurance for specially-insured day laborers with the government as the insurer, for which grounds for collection arose before the date of enforcement of the provisions of Article 4, and of other amounts to be collected on or after that date pursuant to the provisions of the Health Insurance Act Before the October 2008 Amendment, the collection of amounts pertaining to insured persons with optional and continued coverage and of amounts to be collected prescribed in Chapter IV of the Health Insurance Act (including the delinquent charges prescribed in Article 181, paragraph (1) of that Act) is to be carried out by JHIA, and the collection of all other amounts is to be carried out by the Minister of Health, Labour and Welfare.

With regard to litigation cases or non-contentious cases concerning the business of JHIA prescribed in Article 7-2, paragraphs (2) and (3) of the Health Insurance Act as Amended in October 2008 that are pending at the time of JHIA's establishment and that JHIA takes over, JHIA is deemed, as provided by Cabinet Order, to be the state or the administrative agency prescribed in the Act on the Authority of the Minister of Justice over Suits Relating to the Interests of the State (Act No. 194 of 1947), and that Act applies.

With regard to a person who, at the time of enforcement of the provisions of Article 4, is actually using the words "Japan Health Insurance Association" in its name, the provisions of Article 7-8 of the Health Insurance Act as Amended in October 2008 do not apply for six months after the enforcement of the provisions of Article 4.

Notwithstanding Article 7-25 of the Health Insurance Act as Amended in October 2008, the first business year of JHIA begins on the day of its establishment and ends on the first March 31 thereafter.

①Within one year after its establishment, JHIA must determine the insurance premium rate for each prefecture prescribed in Article 160, paragraph (2) of the Health Insurance Act as Amended in October 2008 (hereinafter referred to as the "insurance premium rate for each prefecture").

②Until JHIA determines the insurance premium rate for each prefecture, the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 is used for the insurance premiums of insured persons of the health insurance administered by JHIA.

③Until JHIA determines the insurance premium rate for each prefecture, the average insurance premium rate prescribed in Article 168, paragraph (1), item (i), (a) of the Health Insurance Act as Amended in October 2008 is the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4.

With regard to the first determination of the insurance premium rate for each prefecture after the establishment of JHIA, the provisions of Article 160, paragraphs (6) through (8) of the Health Insurance Act as Amended in October 2008 apply mutatis mutandis. In this case, the phrase "that prefecture" in paragraph (6) of that Article is deemed to be replaced with "each prefecture", and the phrase "Other than when being asked for an opinion referred to in the preceding paragraph, when the chief of a branch office finds it necessary to change the insurance premium rate for a prefecture" in paragraph (7) of that Article is deemed to be replaced with "When being asked for an opinion referred to in the preceding paragraph".

Where, among the insurance premium rates for each prefecture calculated pursuant to Article 160, paragraph (3) of the Health Insurance Act as Amended in October 2008, there are any for which the difference from the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 exceeds the standard specified by Cabinet Order, notwithstanding that paragraph, JHIA is to, from the day of its establishment and only until the date specified by Cabinet Order within a period ending March 31, 2024, taking into account the status of the efforts of each of its branches (meaning the branches prescribed in Article 160, paragraph (1) of the Health Insurance Act) concerning the maintenance and promotion of the health of insured persons and their dependents and the optimization of expenses required for medical care, adjust the insurance premium rates for each prefecture as provided by Cabinet Order and, following discussion at the management board, determine insurance premium rates for each prefecture that differ from the insurance premium rates for each prefecture so calculated.

①With regard to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Long-Term Care Insurance Act before the amendment by the provisions of Article 26 (hereinafter in this Article referred to as the "Former Long-Term Care Insurance Act") that, at the time of enforcement of the provisions of Article 26, has actually received the designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act, the provisions of the Health Insurance Act before the amendment by the provisions of Article 5, the provisions of the Act on Assurance of Medical Care for Elderly People before the amendment by the provisions of Article 9, the provisions of the National Health Insurance Act before the amendment by the provisions of Article 14, the provisions of the Mariners Insurance Act before the amendment by the provisions of Article 20, the provisions of the Former Long-Term Care Insurance Act, the provisions of the National Public Officers Mutual Aid Association Act before the amendment by the provisions of Article 58 of the Supplementary Provisions, the provisions of the Local Public Officers, etc. Mutual Aid Association Act before the amendment by the provisions of Article 67 of the Supplementary Provisions, the provisions of the Mariners' Employment Security Act before the amendment by the provisions of Article 90 of the Supplementary Provisions, the provisions of the Public Assistance Act before the amendment by the provisions of Article 91 of the Supplementary Provisions, the provisions of the Act on Special Measures concerning Employment Promotion of Mariners before the amendment by the provisions of Article 96 of the Supplementary Provisions, the provisions of the Act on the Prevention of Elder Abuse and Support for Caregivers of Elderly Persons before the amendment by the provisions of Article 111 of the Supplementary Provisions, and the provisions of the Act on Promotion of Wide-Area Administration in Special Zones of the Doshu System before the amendment by the provisions of Article 111-2 of the Supplementary Provisions (including the provisions of orders based on these provisions) remain in force until March 31, 2024.

②With regard to insurance benefits pertaining to designated long-term care sanatorium facility services provided by March 31, 2024 pursuant to Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act that is to remain in force pursuant to the provisions of the preceding paragraph, the provisions then in force continue to govern even after that date.

③With regard to the disposition on whether or not to grant designation on an application for designation under Article 107, paragraph (1) of the Former Long-Term Care Insurance Act that was filed before the date of enforcement of the provisions of Article 26 and for which no such disposition has been made at the time of enforcement of the provisions of Article 26, the provisions then in force continue to govern. In this case, if, on or after the date of enforcement of the provisions of that Article, designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act is granted to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Former Long-Term Care Insurance Act, it is deemed to be the long-term care sanatorium-type medical facility referred to in paragraph (1), and the provisions that are to remain in force pursuant to that paragraph apply.

With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, each of those provisions; the same applies hereinafter) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions and in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect but before the provisions of the Acts prescribed in paragraph (1) of the preceding Article, which are to remain in force pursuant to the provisions of that paragraph, cease to be effective, the provisions then in force continue to govern.

①Dispositions, procedures and other acts carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment (including orders based on it; the same applies hereinafter in this Article), for which there are equivalent provisions in each Act as amended, are deemed, unless otherwise provided for in these Supplementary Provisions, to have been carried out pursuant to the equivalent provisions of each Act as amended.

②With regard to matters for which a notification or other procedure must be carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment and for which that procedure has not been carried out before the date on which this Act comes into effect, the provisions of each Act as amended apply by deeming the procedure not to have been carried out pursuant to the equivalent provisions of each Act as amended, unless otherwise provided for in this Act or orders based on it.

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.