Supplementary Provisions, Article 9
第九条
The amount of the estimated medical expense contribution for fiscal year 1991 is, notwithstanding the provisions of Article 55, paragraph (1) of the New Elderly Health Act, the sum total of the amounts set forth in the following items.
平成三年度の概算医療費拠出金の額は、新老健法第五十五条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。
an amount equivalent to 10/12 of the amount of the estimated medical expense contribution for fiscal year 1991 calculated based on the provisions of the Former Elderly Health Act;
旧老健法の規定に基づき算定された平成三年度の概算医療費拠出金の額の十二分の十に相当する額
an amount equivalent to 7/10 of the amount obtained by multiplying the sum total of the following amounts (referred to as the "post-commencement adjusted estimated elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc. from 1:
the amount obtained by multiplying the amount obtained by deducting the post-commencement estimated medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the estimated post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement estimated elderly medical expenses per participant aged 70 or over, etc. pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average amount of the post-commencement estimated elderly medical expenses per participant aged 70 or over, etc. pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of estimated elderly medical expenses") exceeds the rate specified by Cabinet Order in Article 55, paragraph (1), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of estimated elderly medical expenses by the rate specified by Cabinet Order; the same applies in (b)) from the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer (meaning the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses, defrayed by Municipalities in fiscal year 1991, required for medical care (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), payment of medical expenses for health care facilities for the elderly, and payment of medical expenses for home-nursing for the elderly (referred to as "medical care, etc." in the following Article) provided on or after the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer; the same applies hereinafter in this Article) by the estimated participant adjustment rate under Article 55, paragraph (4) of the New Elderly Health Act for fiscal year 1991;
当該保険者に係る施行日以後老人医療費見込額（市町村が平成三年度において支弁する一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われる医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）、老人保健施設療養費の支給及び老人訪問看護療養費の支給（次条において「医療等」という。）に要する費用の見込額として厚生省令で定めるところにより算定される額をいう。以下この条において同じ。）から施行日以後調整対象外医療費見込額（当該保険者が概算施行日以後基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費見込額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費見込額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費見込額」という。）で除して得た率が、新老健法第五十五条第一項第一号イの政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日以後老人医療費見込額のうち、一人平均老人医療費見込額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る新老健法第五十五条第四項の概算加入者調整率を乗じて得た額
an amount equivalent to 6/12 of the amount obtained by multiplying the post-commencement adjusted estimated elderly medical expenses by the post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc.
施行日以後調整後老人医療費見込額に施行日以後老人保健施設療養費等概算率を乗じて得た額の十二分の六に相当する額
The post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc. in the preceding paragraph is the rate obtained by dividing the total amount of the post-commencement estimated medical expenses for health care facilities for the elderly, etc. pertaining to each Insurer (meaning the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses, defrayed by Municipalities in fiscal year 1991, required for the medical expenses for health care facilities for the elderly, etc. prescribed in Article 48, paragraph (1) of the New Elderly Health Act that are provided on or after the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer) by the total amount of the post-commencement estimated elderly medical expenses pertaining to each Insurer.
前項の施行日以後老人保健施設療養費等概算率は、各保険者に係る施行日以後老人保健施設療養費等見込額（市町村が平成三年度において支弁する一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われる新老健法第四十八条第一項に規定する老人保健施設療養費等に要する費用の見込額として厚生省令で定めるところにより算定される額をいう。）の総額を、各保険者に係る施行日以後老人医療費見込額の総額で除して得た率とする。
Supplementary Provisions, Article 10
第十条
The amount of the fixed medical expense contribution for fiscal year 1991 is, notwithstanding the provisions of Article 56, paragraph (1) of the New Elderly Health Act, the sum total of the amounts set forth in the following items.
平成三年度の確定医療費拠出金の額は、新老健法第五十六条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。
an amount equivalent to 7/10 of the sum total of the following amounts:
次に掲げる額の合計額の十分の七に相当する額
the amount obtained by multiplying the amount obtained by deducting the pre-commencement medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the fixed pre-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average amount of the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by Cabinet Order in Article 55, paragraph (1), item (i) of the Former Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the pre-commencement elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by the rate specified by Cabinet Order; the same applies in (b)) from the pre-commencement elderly medical expenses pertaining to the relevant Insurer (meaning the amount of expenses, defrayed by Municipalities in fiscal year 1991, required for medical care (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), and payment of medical expenses for health care facilities for the elderly provided before the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer; the same applies hereinafter in this item) by the fixed participant adjustment rate under Article 56, paragraph (2) of the Former Elderly Health Act for fiscal year 1991;
当該保険者に係る施行日前老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日前に行われた医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）及び老人保健施設療養費の支給に要する費用の額をいう。以下この号において同じ。）から施行日前調整対象外医療費額（当該保険者が確定施行日前基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、旧老健法第五十五条第一項第一号の政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日前老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る旧老健法第五十六条第二項の確定加入者調整率を乗じて得た額
an amount equivalent to 7/10 of the amount obtained by multiplying the sum total of the following amounts (referred to as "post-commencement adjusted elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. from 1;
the amount obtained by multiplying the amount obtained by deducting the post-commencement medical expenses outside adjustment (meaning, in the case where the Insurer concerned is an insurer exceeding the fixed post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average of the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by the Cabinet Order referred to in Article 55, paragraph (1), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the post-commencement elderly medical expenses pertaining to that Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by that rate specified by Cabinet Order; the same applies in (b)) from the post-commencement elderly medical expenses pertaining to the Insurer concerned (meaning the amount of expenses required for medical care, etc. provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991; the same applies hereinafter in this Article) by the fixed participant adjustment rate under Article 56, paragraph (3) of the New Elderly Health Act for fiscal year 1991;
当該保険者に係る施行日以後老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた医療等に要する費用の額をいう。以下この条において同じ。）から施行日以後調整対象外医療費額（当該保険者が確定施行日以後基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、新老健法第五十五条第一項第一号イの政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日以後老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る新老健法第五十六条第三項の確定加入者調整率を乗じて得た額
an amount equivalent to 6/12 of the amount obtained by multiplying the post-commencement adjusted elderly medical expenses by the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc.
施行日以後調整後老人医療費額に施行日以後老人保健施設療養費等確定率を乗じて得た額の十二分の六に相当する額
The post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. referred to in the preceding paragraph is the rate obtained by dividing the total amount of the post-commencement medical expenses for health care facilities for the elderly, etc. pertaining to each Insurer (meaning the amount of expenses required for the medical expenses for health care facilities for the elderly, etc. prescribed in Article 48, paragraph (1) of the New Elderly Health Act provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991) by the total amount of the post-commencement elderly medical expenses pertaining to each Insurer.
前項の施行日以後老人保健施設療養費等確定率は、各保険者に係る施行日以後老人保健施設療養費等額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた新老健法第四十八条第一項に規定する老人保健施設療養費等に要する費用の額をいう。）の総額を、各保険者に係る施行日以後老人医療費額の総額で除して得た率とする。
Supplementary Provisions, Article 11Change in the Amount of Contributions for Fiscal Year 1991, Etc.
第十一条（平成三年度の拠出金の額の変更等）
The Social Insurance Medical Fee Payment Fund under the Act on Social Insurance Medical Fee Payment Fund (Act No. 129 of 1948) must, without delay after the enforcement of this Act, change the amount of the contribution each Insurer is to pay for fiscal year 1991, and notify each Insurer concerned of the amount of the contribution after the change.
社会保険診療報酬支払基金法（昭和二十三年法律第百二十九号）による社会保険診療報酬支払基金は、この法律の施行後遅滞なく、各保険者が平成三年度に納付すべき拠出金の額を変更し、当該各保険者に対し、変更後の拠出金の額を通知しなければならない。
The provisions of Article 59, paragraph (3) of the New Elderly Health Act apply mutatis mutandis to the case referred to in the preceding paragraph.
新老健法第五十九条第三項の規定は、前項の場合に準用する。
Supplementary Provisions, Article 12Preparations before Enforcement of Provisions on Payment of Medical Expenses for Home-Nursing for the Elderly, Etc.
第十二条（老人訪問看護療養費の支給等に関する規定の施行前の準備）
When the Minister of Health and Welfare intends to specify the Ministry of Health and Welfare Order referred to in Article 46-17-5, paragraph (1) of the New Elderly Health Act, and when the Minister intends to specify the standards for the operation of the business of designated home-nursing for the elderly prescribed in paragraph (2) of that Article (excluding the part concerning the handling of designated home-nursing for the elderly), the Minister may hear the opinion of the Elderly Health Council even before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions.
厚生大臣は、新老健法第四十六条の十七の五第一項の厚生省令を定めようとするとき、及び同条第二項に規定する指定老人訪問看護の事業の運営に関する基準（指定老人訪問看護の取扱いに関する部分を除く。）を定めようとするときは、附則第一条第二号に掲げる規定の施行の日前においても老人保健審議会の意見を聴くことができる。
When the Minister of Health and Welfare intends to specify the standards referred to in Article 46-5-2, paragraph (2) of the New Elderly Health Act and the standards for the operation of the business of designated home-nursing for the elderly prescribed in Article 46-17-5, paragraph (2) of the New Elderly Health Act (limited to the part concerning the handling of designated home-nursing for the elderly), the Minister may hear the opinion of the Central Social Insurance Medical Council even before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions.
厚生大臣は、新老健法第四十六条の五の二第二項の基準及び新老健法第四十六条の十七の五第二項に規定する指定老人訪問看護の事業の運営に関する基準（指定老人訪問看護の取扱いに関する部分に限る。）を定めようとするときは、附則第一条第二号に掲げる規定の施行の日前においても中央社会保険医療協議会の意見を聴くことができる。
Supplementary Provisions, Article 13Transitional Measures Concerning Health Care Facilities for the Elderly
第十三条（老人保健施設に関する経過措置）
A health care facility for the elderly prescribed in Article 6, paragraph (4) of the Former Elderly Health Act pertaining to the permission under Article 46-6, paragraph (1) of the Former Elderly Health Act is deemed to be a health care facility for the elderly prescribed in Article 6, paragraph (4) of the New Elderly Health Act, as replaced pursuant to Article 1-2 of the Supplementary Provisions of the New Elderly Health Act, pertaining to the permission under Article 46-6, paragraph (1) of the New Elderly Health Act.
旧老健法第四十六条の六第一項の許可に係る旧老健法第六条第四項に規定する老人保健施設は、新老健法第四十六条の六第一項の許可に係る新老健法附則第一条の二の規定により読み替えられた新老健法第六条第四項に規定する老人保健施設とみなす。
Supplementary Provisions, Article 14Transitional Measures Concerning Penal Provisions
第十四条（罰則に関する経過措置）
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
Supplementary Provisions, Article 15Delegation of Other Transitional Measures to Cabinet Order
第十五条（その他の経過措置の政令への委任）
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。