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A Municipality, in order to administer affairs concerning Old-Old Healthcare (excluding affairs concerning the collection of insurance premiums and affairs specified by a Cabinet Order as contributing to the promotion of the benefits of the insured), is to establish, for each area of a prefecture, a cross-regional federation to which all Municipalities within the relevant area belong (hereinafter referred to as a "Association of Medical Care Systems for the Elderly Aged 75 and older").
市町村は、後期高齢者医療の事務（保険料の徴収の事務及び被保険者の便益の増進に寄与するものとして政令で定める事務を除く。）を処理するため、都道府県の区域ごとに当該区域内のすべての市町村が加入する広域連合（以下「後期高齢者医療広域連合」という。）を設けるものとする。
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