The provisions of the Article 41, Articles 43 through 46, Article 134, paragraphs (2) and (3), Article 159, Article 160, Article 161, and Article 168, paragraph (1) (excluding item (ii) of the same paragraph) apply mutatis mutandis to a ward transfer support grant, etc. In this case, the necessary technical replacement of terms is specified by Cabinet Order.

①In addition to the services listed in Article 139, paragraph (1), the Organization carries out the services of collecting bed conversion support payment, etc. from Insurers and granting bed conversion subsidies to prefectures, and services incidental thereto.

②The provisions of Chapter V (excluding Article 139, paragraph (1), Article 140 and Article 142, paragraph (2)), Article 168, paragraph (1) (excluding item (i) of that paragraph) and paragraph (2), and Article 170, paragraph (1) apply mutatis mutandis to the services of the Organization pertaining to sickbed conversion promotion services. In this case, the necessary technical replacement of terms is specified by Cabinet Order.

Beyond what is provided for in Article 2 through the preceding Article of the Supplementary Provisions, necessary particulars concerning a sickbed conversion promotion services are prescribed by the Order of the Ministry of Health, Labour and Welfare.

Until the date specified by Cabinet Order as prescribed in Article 2 of the Supplementary Provisions, with regard to the application of the provisions of Article 34, paragraph (1), Article 35, paragraph (1), Article 38, paragraph (1), or Article 39, paragraph (1), the phrase "the amount obtained by dividing" in Article 34, paragraph (1), item (i), (a), 2., Article 35, paragraph (1), item (i), (a), 2., Article 38, paragraph (1), item (i), (a), 2. and item (ii), (a), 2., and Article 39, paragraph (1), item (i), (a), 2. and item (ii), (a), 2. is deemed to be replaced with "the sum of the amount obtained by dividing and the amount of the ward transfer support grant calculated pursuant to the provisions of Article 8 of the Supplementary Provisions".

The rate of 14.5 percent per annum for the delinquent charge prescribed in Article 45, paragraph (1) (including as applied mutatis mutandis pursuant to Article 124, Article 124-8 and Article 10 of the Supplementary Provisions) is, for the time being, notwithstanding the provisions of that paragraph, if the special base rate for delinquent tax of each year (meaning the special base rate for delinquent tax prescribed in Article 94, paragraph (1) of the Act on Special Measures Concerning Taxation (Act No. 26 of 1957); the same applies hereinafter in this Article) is less than 7.2 percent per annum, for that year the rate obtained by adding 7.3 percent per annum to that special base rate for delinquent tax.

①An 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).

②Notwithstanding 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:

③With 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.

For the time being, with regard to the application of Article 99, paragraph (2), the phrase "where, limited to the period from the month containing the day on which the insured came to fall under any of the cases listed in the items of that Article until the month in which two years have elapsed," in that paragraph is deemed to be replaced with "where".

Until otherwise provided for by law, notwithstanding the provisions of Article 116, paragraph (1), a prefecture may, pursuant to the provisions of Cabinet Order, allocate a fiscal stability fund to the expenses necessary for a project to provide grants to an Association of Medical Care Systems for the Elderly Aged 75 and older for the purpose of preventing an increase in the insurance premiums rate.

In fiscal years 2024 and 2025, the term "in the amount" in Article 124-3, paragraph (1) is deemed to be replaced with "in the amount equivalent to one half of the amount".