Supplementary Provisions, Article 13-3Special Provisions for Insured Persons Staying at a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly
第十三条の三（指定介護老人福祉施設に入所中の被保険者の特例）
An insured who is found to have changed the insured's address to the place where a designated facility covered by public aid providing long-term care to the elderly (meaning a designated facility covered by public aid providing long-term care to the elderly prescribed in Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act; the same applies hereinafter in this paragraph) is located by being admitted to that designated facility, and who is found to have had an address within the area of another Association of Medical Care Systems for the Elderly Aged 75 and older (meaning an Association of Medical Care Systems for the Elderly Aged 75 and older other than the Association of Medical Care Systems for the Elderly Aged 75 and older in whose area that designated facility is located) at the time of being admitted to that designated facility, is, even where that designated facility has become, due to a reduction in the maximum number of persons who may be admitted, a community-based facility for the elderly covered by public aid requiring long-term care prescribed in Article 8, paragraph (22) of that Act (limited to one that has received the designation under the main clause of Article 42-2, paragraph (1) of that Act for an office conducting the business of community-based long-term care for residents of a community-based facility for the elderly covered by public aid requiring long-term care prescribed in Article 8, paragraph (22) of that Act; hereinafter in this Article referred to as a "converted community-based facility for the elderly covered by public aid requiring long-term care"), to be, while continuing to be admitted to that converted community-based facility for the elderly covered by public aid requiring long-term care and notwithstanding the provisions of Article 50, an insured for old-old medical care provided by that other Association of Medical Care Systems for the Elderly Aged 75 and older; provided, however, that this does not apply to an insured who has been continuously hospitalized, admitted or occupying (hereinafter in this Article referred to as "hospitalization, etc.") in two or more hospitals, etc. (meaning hospitals, etc. prescribed in Article 55, paragraph (1); the same applies hereinafter in this Article) including a designated facility covered by public aid providing long-term care to the elderly that has become a converted community-based facility for the elderly covered by public aid requiring long-term care (hereinafter in this Article referred to as a "former facility covered by public aid providing long-term care to the elderly") (limited to a person who continues to be admitted to that converted community-based facility for the elderly covered by public aid requiring long-term care), and who is found, as a result of being hospitalized, etc. in both the hospital, etc. in which the insured was hospitalized, etc. immediately before being admitted to that former facility covered by public aid providing long-term care to the elderly (hereinafter in this paragraph referred to as the "last hospital, etc.") and the former facility covered by public aid providing long-term care to the elderly, to have sequentially changed the insured's address to the places where the last hospital, etc. and the former facility covered by public aid providing long-term care to the elderly are respectively located (referred to as a "specified continuously hospitalized insured person" in the following paragraph).
指定介護老人福祉施設（介護保険法第四十八条第一項第一号に規定する指定介護老人福祉施設をいう。以下この項において同じ。）に入所をすることにより当該指定介護老人福祉施設の所在する場所に住所を変更したと認められる被保険者であつて、当該指定介護老人福祉施設に入所をした際他の後期高齢者医療広域連合（当該指定介護老人福祉施設が所在する後期高齢者医療広域連合以外の後期高齢者医療広域連合をいう。）の区域内に住所を有していたと認められるものは、当該指定介護老人福祉施設が入所定員の減少により同法第八条第二十二項に規定する地域密着型介護老人福祉施設（同項に規定する地域密着型介護老人福祉施設入所者生活介護の事業を行う事業所に係る同法第四十二条の二第一項本文の指定を受けているものに限る。以下この条において「変更後地域密着型介護老人福祉施設」という。）となつた場合においても、当該変更後地域密着型介護老人福祉施設に継続して入所をしている間は、第五十条の規定にかかわらず、当該他の後期高齢者医療広域連合が行う後期高齢者医療の被保険者とする。ただし、変更後地域密着型介護老人福祉施設となつた指定介護老人福祉施設（以下この条において「変更前介護老人福祉施設」という。）を含む二以上の病院等（第五十五条第一項に規定する病院等をいう。以下この条において同じ。）に継続して入院、入所又は入居（以下この条において「入院等」という。）をしていた被保険者（当該変更後地域密着型介護老人福祉施設に継続して入所をしている者に限る。）であつて、当該変更前介護老人福祉施設に入所をする直前に入院等をしていた病院等（以下この項において「直前入院病院等」という。）及び変更前介護老人福祉施設のそれぞれに入院等をすることにより直前入院病院等及び変更前介護老人福祉施設のそれぞれの所在する場所に順次住所を変更したと認められるもの（次項において「特定継続入院等被保険者」という。）については、この限りでない。
Notwithstanding the provisions of Article 50, an insured for specified continuous hospitalization, etc. that is set forth in each of the following items is an insured for late-stage elderly medical care provided by a Association of Medical Care Systems for the Elderly Aged 75 and older specified in each of the following items:
特定継続入院等被保険者のうち、次の各号に掲げるものは、第五十条の規定にかかわらず、当該各号に定める後期高齢者医療広域連合が行う後期高齢者医療の被保険者とする。
an insured whose address is found to have been sequentially changed to the locations of two or more hospitals, etc. due to the fact that the person was hospitalized, etc. in each of the two or more hospitals, etc. in which the person was continuously hospitalized, etc., and who is found to have been domiciled in the area of another Association of Medical Care Systems for the Elderly Aged 75 and older (meaning a Association of Medical Care Systems for the Elderly Aged 75 and older other than the Association of Medical Care Systems for the Elderly Aged 75 and older where the pre-change facility covered by public aid providing long-term care to the elderly is located) when the person was hospitalized, etc. in the first of the two or more hospitals, etc.:the relevant other Association of Medical Care Systems for the Elderly Aged 75 and older;
継続して入院等をしていた二以上の病院等のそれぞれに入院等をすることによりそれぞれの病院等の所在する場所に順次住所を変更したと認められる被保険者であつて、当該二以上の病院等のうち最初の病院等に入院等をした際他の後期高齢者医療広域連合（変更前介護老人福祉施設が所在する後期高齢者医療広域連合以外の後期高齢者医療広域連合をいう。）の区域内に住所を有していたと認められるもの 当該他の後期高齢者医療広域連合
an insured that is found to have changed its address from a place other than the location of one of the two or more hospitals, etc. at which the relevant person was continuously hospitalized, etc. to a place where the relevant other hospital, etc. is located (hereinafter referred to as a "specified change of address" in this item) as a result of being continuously hospitalized, etc. from one of the two or more hospitals, etc. to another (hereinafter referred to as "continuous hospitalization, etc." in this item), and that is found to have been domiciled in the area of another Association of Medical Care Systems for the Elderly Aged 75 and older (meaning a Association of Medical Care Systems for the Elderly Aged 75 and older other than the Association of Medical Care Systems for the Elderly Aged 75 and older where the pre-change facility covered by public aid providing long-term care to the elderly is located) at the time of the last continuous hospitalization, etc. in relation to the specified change of address:the relevant other Association of Medical Care Systems for the Elderly Aged 75 and older.
継続して入院等をしていた二以上の病院等のうち一の病院等から継続して他の病院等に入院等をすること（以下この号において「継続入院等」という。）により当該一の病院等の所在する場所以外の場所から当該他の病院等の所在する場所への住所の変更（以下この号において「特定住所変更」という。）を行つたと認められる被保険者であつて、最後に行つた特定住所変更に係る継続入院等の際他の後期高齢者医療広域連合（変更前介護老人福祉施設が所在する後期高齢者医療広域連合以外の後期高齢者医療広域連合をいう。）の区域内に住所を有していたと認められるもの 当該他の後期高齢者医療広域連合
With regard to an insured subject to the provisions of the preceding two paragraphs, the provisions of Article 55 apply by deeming the Converted community-based welfare facility for the elderly to be a Hospital, etc.
前二項の規定の適用を受ける被保険者については、変更後地域密着型介護老人福祉施設を病院等とみなして、第五十五条の規定を適用する。