This Act comes into effect on April 1, 2018; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:

②In addition to the matters specified in the preceding paragraph, the government is to, with a view to five years after this Act comes into effect, review the status of enforcement of the provisions as amended by the provisions of this Act and, if it finds it necessary, take required measures based on the results of that review.

The provisions of Articles 153 and 154 of the Health Insurance Act as amended by the provisions of Article 5 (limited to the amending provisions listed in Article 1, item (ii) of the Supplementary Provisions; the same applies in the following Article) (referred to as the "item (ii) New Health Insurance Act" in the following Article), and of Articles 4-4 through 5-3 and Article 5-5 of the Supplementary Provisions of that Act, apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year from fiscal year 2017 onward, and with regard to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year up to fiscal year 2016, the provisions then in force continue to govern.

①The amount of the national subsidy to the Japan Health Insurance Association in fiscal year 2017 under the provisions of Article 5-3 of the Supplementary Provisions of the item (ii) New Health Insurance Act, which apply as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) New Health Insurance Act, is, notwithstanding the provisions of Article 5-3 of the Supplementary Provisions of the item (ii) New Health Insurance Act, the total amount of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that Article and the amount equivalent to 4/12 of the amount that is to be calculated in that fiscal year pursuant to the provisions of Article 153, paragraph (2) of the Health Insurance Act prior to its amendment by the provisions of Article 5 (hereinafter in this paragraph referred to as the "item (ii) Former Health Insurance Act"), as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) Former Health Insurance Act.

②In fiscal year 2017, the amount of the expenses required for the payment of those of the long-term care payments prescribed in Article 7-2, paragraph (3) of the Health Insurance Act that the Japan Health Insurance Association is to contribute which relate to specially-insured day laborers prescribed in Article 3, paragraph (2) of that Act (limited to the portion relating to the estimated payment under the provisions of the Long-Term Care Insurance Act), which is used in calculating the amount of the national subsidy to the Japan Health Insurance Association under the provisions of Article 154, paragraph (2) of the item (ii) New Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) New Health Insurance Act, which apply as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the item (ii) New Health Insurance Act, is, notwithstanding the provisions of Article 152, paragraph (1), item (ii) of the item (ii) New Long-Term Care Insurance Act, the total amount of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that item and the amount equivalent to 4/12 of the amount calculated in that fiscal year pursuant to the provisions of Article 11, paragraph (1) of the Supplementary Provisions of the item (ii) Former Long-Term Care Insurance Act.

With regard to the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter in this Article) comes into effect and to conduct engaged in after this Act comes into effect in the case where the provisions then in force are to remain applicable pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.