Supplementary Provisions, Article 29
第二十九条
With regard to the share of the national treasury under the provisions of Article 70 of the Revised National Health Insurance Act for fiscal year 2004, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment (meaning the amount equivalent to the amount of the medical expense contribution calculated in the manner of the provisions of Article 54, paragraph (1) of the Act on Health and Medical Services for the Elderly, deeming the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in Article 55, paragraph (3) of that Act and the amount equivalent to the finalized medical expense contribution before burden adjustment prescribed in Article 56, paragraph (3) of that Act to be the estimated medical expense contribution and the finalized medical expense contribution prescribed in Article 54, paragraph (1) of that Act, respectively; the same applies hereinafter)" in paragraph (1), item (ii) of that Article is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment 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 amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" with "the amount obtained (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the 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")) by the retired insured persons' enrollment share before the effective date (meaning the enrolment ratio of retired insured persons, etc. in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment 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 enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 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 the Act Partially Amending the Health Insurance Act, etc. by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment 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 "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc."), the total sum of the amount of the excess (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
平成十六年度における新国保法第七十条の規定による国庫負担金については、同条第一項第二号中「負担調整前老人保健医療費拠出金相当額（老人保健法第五十五条第三項に規定する負担調整前概算医療費拠出金相当額及び同法第五十六条第三項に規定する負担調整前確定医療費拠出金相当額をそれぞれ同法第五十四条第一項に規定する概算医療費拠出金及び確定医療費拠出金とみなして、同項の規定の例により算定した医療費拠出金の額に相当する額をいう。以下同じ。）」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、「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（同法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。）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。以下同じ。）を乗じて得た額との合算額（以下「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「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「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「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。
The amount subject to contributions from employee insurance, etc. prescribed in Article 72-4, paragraph (1), Article 81-4, paragraph (2) and Article 81-5, paragraph (2) of the Revised National Health Insurance Act for fiscal year 2004 is, notwithstanding the provisions of Article 72-4, paragraph (1) of the Revised National Health Insurance Act, the amount obtained by deducting the amount set forth in item (iii) from the total sum of the amounts set forth in items (i) and (ii).
the total sum of the amount obtained by deducting the amount equivalent to the co-payment pertaining to benefits for medical treatment for retired insured persons, etc. from the amount of expenses required for those benefits, and the amounts of expenses required for the payment of Dietary Treatment expenses for inpatients, specified medical expenses, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses and high-cost medical expenses
退職被保険者等に係る療養の給付に要する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入院時食事療養費、特定療養費、療養費、訪問看護療養費、特別療養費、移送費及び高額療養費の支給に要する費用の額の合算額
the amount obtained by multiplying the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions as applied mutatis mutandis with terms replaced pursuant to Article 18 of the Supplementary Provisions and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions by the enrolment ratio of retired insured persons, etc. (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions by the retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 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 by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment 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 "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc."), the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)
附則第十八条において読み替えて準用される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に退職被保険者等加入割合を乗じて得た額（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を乗じて得た額の二分の一に相当する額と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を乗じて得た額との合算額（以下「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「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（以下この号において「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（以下この号において「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。）
the amount obtained by deducting the total sum of the amounts equivalent to the expenses required for the payment of the long-term care payments pertaining to those insurance premiums from the total sum of the amounts equivalent to the insurance premiums pertaining to retired insured persons, etc.
With regard to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. under the provisions of paragraphs (8) and (9) of the Supplementary Provisions of the Revised National Health Insurance Act for fiscal year 2004, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (8), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment 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 amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" in that item with "the amount obtained (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc.) by the special retired insured persons' enrollment share before the effective date (meaning the special retired insured persons' enrollment share in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment 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 special retired insured persons' enrollment share from the effective date (meaning the special retired insured persons' enrollment share in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 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 the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment from the effective date prescribed in paragraph (6) of that Article by the special retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc."), the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)", and the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (9), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. as the terms are replaced pursuant to Article 18 of the Supplementary Provisions of that Act, and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" in that item with "the amount obtained (where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. exceeds the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
平成十六年度における新国保法附則第八項及び第九項の規定による概算療養給付費等拠出金及び確定療養給付費等拠出金については、新国保法附則第八項第二号中「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、「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（同法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特例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特例退職被保険者等加入割合をいう。以下同じ。）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特例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特例退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額との合算額（以下「平成十四年度の特例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特例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特例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「平成十四年度の特例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（以下この号において「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、平成十四年度の特例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特例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（以下この号において「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、新国保法附則第九項第二号中「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附則第十八条の規定により読み替えられた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、「得た額」とあるのは「得た額（平成十四年度の特例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特例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を超えるときは、その超える額（以下この号において「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、平成十四年度の特例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特例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（以下この号において「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。