A prefecture is to establish a financial stabilization fund in order to stabilize the finances of national health insurance, and to appropriate it to the expenses necessary for the following projects:
都道府県は、国民健康保険の財政の安定化を図るため財政安定化基金を設け、次に掲げる事業に必要な費用に充てるものとする。
projects to lend to a Municipality with a shortfall in premium collection within the prefecture, as provided by Cabinet Order, funds in an amount within the range of an amount calculated as provided by Cabinet Order, taking into consideration the state of collection of insurance premiums in the Municipalities within the prefecture, etc., on the basis of the amount by which the amount of insurance premiums collected subject to fund projects falls short of the amount of insurance premiums required subject to fund projects;
当該都道府県内の収納不足市町村に対し、政令で定めるところにより、基金事業対象保険料収納額が基金事業対象保険料必要額に不足する額を基礎として、当該都道府県内の市町村における保険料の収納状況等を勘案して政令で定めるところにより算定した額の範囲内の額の資金を貸し付ける事業
projects to grant, as provided by Cabinet Order, to a Municipality with a shortfall in premium collection within the prefecture for which it is found that there are special circumstances in the amount of insurance premiums collected subject to fund projects falling short of the amount of insurance premiums required subject to fund projects, funds in an amount not exceeding one half of an amount calculated as provided by Cabinet Order, taking into consideration the state of collection of insurance premiums in the Municipalities within the prefecture, etc., on the basis of the amount by which the amount of insurance premiums collected subject to fund projects falls short of the amount of insurance premiums required subject to fund projects.
基金事業対象保険料収納額が基金事業対象保険料必要額に不足することにつき特別の事情があると認められる当該都道府県内の収納不足市町村に対し、政令で定めるところにより、基金事業対象保険料収納額が基金事業対象保険料必要額に不足する額を基礎として、当該都道府県内の市町村における保険料の収納状況等を勘案して政令で定めるところにより算定した額の二分の一以内の額の資金を交付する事業
When the amount of revenue subject to fund projects falls short of the amount of expenses subject to fund projects, a prefecture is, as provided by Cabinet Order, to draw down the financial stabilization fund within the range of an amount calculated as provided by Cabinet Order, taking into consideration the state of insurance benefits provided by the Municipalities within the prefecture, etc., on the basis of that shortfall, and transfer an amount equivalent to that shortfall to the special account of the prefecture relating to national health insurance.
When a prefecture has drawn down the financial stabilization fund pursuant to the provisions of the preceding paragraph, it must, as provided by Cabinet Order, transfer an amount equivalent to the amount drawn down to the financial stabilization fund.
都道府県は、前項の規定により財政安定化基金を取り崩したときは、政令で定めるところにより、その取り崩した額に相当する額を財政安定化基金に繰り入れなければならない。
In addition to the case prescribed in paragraph (2), when it is found necessary for ensuring the stable financial management of the national health insurance program provided by prefectures, etc., such as restraining a significant rise in the payments for national health insurance services expenses, taking into consideration the outlook for the expenses required for medical care and the finances of national health insurance, a prefecture may, as provided by Cabinet Order, draw down the financial stabilization fund within the range of an amount calculated as provided by Cabinet Order as the amount required therefor, and transfer it to the special account of the prefecture relating to national health insurance.
都道府県は、第二項に規定する場合のほか、国民健康保険の医療に要する費用及び財政の見通しを勘案して国民健康保険事業費納付金の著しい上昇の抑制その他の都道府県等が行う国民健康保険の安定的な財政運営の確保のために必要があると認められる場合に、政令で定めるところにより、これに要する額として政令で定めるところにより算定した額の範囲内で財政安定化基金を取り崩し、当該都道府県の国民健康保険に関する特別会計に繰り入れることができる。
In order to fund the financial stabilization fund, a prefecture is to collect financial stabilization fund contributions from the Municipalities within the prefecture, as provided by Cabinet Order.
都道府県は、財政安定化基金に充てるため、政令で定めるところにより、当該都道府県内の市町村から財政安定化基金拠出金を徴収するものとする。
Municipalities must pay the financial stabilization fund contributions under the preceding paragraph.
市町村は、前項の規定による財政安定化基金拠出金を納付しなければならない。
A prefecture must, as provided by Cabinet Order, transfer to the financial stabilization fund an amount equivalent to three times the total amount of financial stabilization fund contributions collected from the Municipalities within the prefecture pursuant to the provisions of paragraph (5).
都道府県は、政令で定めるところにより、第五項の規定により当該都道府県内の市町村から徴収した財政安定化基金拠出金の総額の三倍に相当する額を財政安定化基金に繰り入れなければならない。
The national government is to bear, as provided by Cabinet Order, an amount equivalent to one-third of the amount transferred by a prefecture pursuant to the provisions of the preceding paragraph.
国は、政令で定めるところにより、前項の規定により都道府県が繰り入れた額の三分の一に相当する額を負担する。
All income arising from the financial stabilization fund must be appropriated to the financial stabilization fund.
財政安定化基金から生ずる収入は、全て財政安定化基金に充てなければならない。
The meanings of the terms listed in the following items, among the terms used in this Article, are as prescribed respectively in those items.
この条における用語のうち次の各号に掲げるものの意義は、当該各号に定めるところによる。
Municipality with a shortfall in premium collection: a Municipality for which the amount of insurance premiums collected subject to fund projects falls short of the amount of insurance premiums required subject to fund projects;
収納不足市町村 基金事業対象保険料収納額が基金事業対象保険料必要額に不足する市町村
amount of insurance premiums collected subject to fund projects: the amount calculated as provided by Cabinet Order as having been applied to the amount of expenses incurred in paying payments for national health insurance services expenses, the amount of expenses incurred in paying the financial stabilization fund contribution, the amount of expenses incurred in repaying loans from the prefecture under the project set forth in paragraph (1), item (i) (referred to as "financial stabilization fund loans" in the following item) and other amounts of expenses specified by Cabinet Order, out of the amount of insurance premiums collected by a Municipality during the relevant fiscal year;
amount of insurance premiums required subject to fund projects: the amount calculated as provided by Cabinet Order as being applied to the amount of expenses required for paying payments for national health insurance services expenses, the amount of expenses required for paying the financial stabilization fund contribution, the amount of expenses required for repaying financial stabilization fund loans and other amounts of expenses specified by Cabinet Order, out of the amount of insurance premiums that a Municipality needs to collect during the relevant fiscal year;
基金事業対象保険料必要額 市町村が当該年度中に収納することが必要な保険料の額のうち、国民健康保険事業費納付金の納付に要する費用の額、財政安定化基金拠出金の納付に要する費用の額、財政安定化基金事業借入金の償還に要する費用の額その他政令で定める費用の額に充てるものとして政令で定めるところにより算定した額
amount of revenue subject to fund projects: the amount calculated as provided by Cabinet Order as being applied to the total sum of the amount obtained by deducting the amount equivalent to the co-payment relating to the benefits from the amount of costs spent on benefits for medical treatment by the Municipalities within the prefecture and the amount of costs spent on paying expenses for Dietary Treatment for inpatients, Living Support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses, high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care by the Municipalities within the prefecture (referred to as "amount of costs spent on benefits for medical treatment, etc." in the following item), to the amount of expenses incurred in paying the contribution for the special high-cost medical expenses joint project, young-old payments, etc., old-old aid, etc., the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. and the children and child-rearing support levy, to the amount of expenses incurred in making the transfer under the provisions of paragraph (3) and the transfer under the provisions of paragraph (7) (referred to as "financial stabilization fund transfer" in the following item), and to other amounts of expenses specified by Cabinet Order, out of the total of the amounts received during the relevant fiscal year in the special account of the prefecture relating to national health insurance (excluding the amount transferred in pursuant to the provisions of paragraph (2));
基金事業対象収入額 都道府県の国民健康保険に関する特別会計において当該年度中に収入した金額（第二項の規定により繰り入れた額を除く。）の合計額のうち、当該都道府県内の市町村による療養の給付に要した費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに当該都道府県内の市町村による入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費、移送費、高額療養費及び高額介護合算療養費の支給に要した費用の額の合計額（次号において「療養の給付等に要した費用の額」という。）、特別高額医療費共同事業拠出金、前期高齢者納付金等及び後期高齢者支援金等、介護納付金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金の納付に要した費用の額、第三項の規定による繰入金及び第七項の規定による繰入金（次号において「財政安定化基金繰入金」という。）の繰入れに要した費用の額その他政令で定める費用の額に充てるものとして政令で定めるところにより算定した額
amount of expenses subject to fund projects: the amount calculated as provided by Cabinet Order as the total of the amount of expenses incurred in granting subsidies for national health insurance benefit expenses, etc. borne during the relevant fiscal year by the special account of the prefecture relating to national health insurance (limited to those pertaining to the amount of costs spent on benefits for medical treatment, etc.), the amount of expenses incurred in paying the contribution for the special high-cost medical expenses joint project, young-old payments, etc., old-old aid, etc., the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. and the children and child-rearing support levy, the amount of expenses incurred in making the transfer under the provisions of paragraph (3) and the financial stabilization fund transfer, and other amounts of expenses specified by Cabinet Order.
基金事業対象費用額 都道府県の国民健康保険に関する特別会計において当該年度中に負担した国民健康保険保険給付費等交付金の交付に要した費用の額（療養の給付等に要した費用の額に係るものに限る。）、特別高額医療費共同事業拠出金、前期高齢者納付金等及び後期高齢者支援金等、介護納付金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金の納付に要した費用の額、第三項の規定による繰入金及び財政安定化基金繰入金の繰入れに要した費用の額その他政令で定める費用の額の合計額として政令で定めるところにより算定した額
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