Supplementary Provisions

This Act comes into effect on August 1, 2017; provided, however, that the provisions listed in the following items come into effect on the date specified in the respective items.

The government is to, with a target of three years after this Act comes into effect, taking into consideration the state of enforcement of this Act, etc., comprehensively review the strengthening of the minimum guarantee function of the basic pension and other matters, and, when it finds it necessary, is to take the required measures based on the results of that review.

In keeping with the purpose of the Act Partially Amending the Consumption Tax Act, etc., and Other Matters to Carry Out a Drastic Reform of the Tax System for Securing Stable Financial Resources for Social Security, etc., the necessary legislative measures are to be taken within six months from the date of promulgation of that Act, in order to implement, from the day on which the provisions set forth in Article 1, item (ii) of the Supplementary Provisions of that Act come into effect, a system concerning benefits as a welfare measure for elderly persons with low income or persons with disabilities and others whose income is equal to or less than a fixed amount, among the recipients of pensions under the public pension system. In this case, the financial resources for it are to be secured by using the increase in consumption tax revenue resulting from the enforcement of that Act.

The provisions then in force continue to govern the estimated Young-Old Subsidy and fixed Young-Old Subsidy, the estimated young-old payments and fixed young-old payments, and the estimated aid for the old-old and fixed aid for the old-old, under the provisions of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as the "Elderly Medical Care Assurance Act"), pertaining to Insurers of employee insurance, etc. (meaning the Insurers of employee insurance, etc. prescribed in Article 10, paragraph (1) of the Supplementary Provisions of the National Health Insurance Act (Act No. 192 of 1958) as it stood before the amendment by Article 3 of the Act Partially Amending the National Health Insurance Act, etc. to Establish a Sustainable Medical Insurance System (Act No. 31 of 2015; hereinafter referred to as the "National Health Insurance Act, etc. Partial Amendment Act") (excluding the Japan Health Insurance Association as the Insurer under Article 123, paragraph (1) of the Health Insurance Act); the same applies hereinafter through Article 51-7 of the Supplementary Provisions) for fiscal year 2015 and earlier fiscal years.

Notwithstanding Article 34, paragraph (1) of the Elderly Medical Care Assurance Act and Article 13-6, paragraph (1) of the Supplementary Provisions of the Elderly Medical Care Assurance Act as amended by Article 27 (hereinafter referred to as the "Amended Elderly Medical Care Assurance Act"), the amount of the estimated young-old subsidy under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated in that fiscal year pursuant to the provisions of Article 13-6 of the Supplementary Provisions of the Elderly Medical Care Assurance Act as it stood before the amendment by Article 27 (hereinafter referred to as the "Pre-amendment Elderly Medical Care Assurance Act").

Notwithstanding Article 35, paragraph (1) of the Elderly Medical Care Assurance Act and Article 13-4, paragraph (1) of the Supplementary Provisions of the Elderly Medical Care Assurance Act, the amount of the fixed young-old subsidy under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated in that fiscal year pursuant to the provisions of Article 13-7 of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act.

Notwithstanding Article 38, paragraph (1) of the Elderly Medical Care Assurance Act and Article 13-8, paragraph (1) of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act, the amount of the estimated young-old payment under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to those provisions and the amount equivalent to 6/12 of the amount that would be calculated pursuant to those provisions if the provisions of Article 38, paragraph (1) of the Elderly Medical Care Assurance Act and Article 13-8, paragraph (1) of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act were applied in that fiscal year.

Notwithstanding Article 39, paragraph (1) of the Elderly Medical Care Assurance Act and Article 13-5, paragraph (1) of the Supplementary Provisions of the Elderly Medical Care Assurance Act, the amount of the fixed young-old payment under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to those provisions and the amount equivalent to 6/12 of the amount that would be calculated pursuant to those provisions if the provisions of Article 39, paragraph (1) and Article 13-9, paragraph (1) of the Supplementary Provisions of the Elderly Medical Care Assurance Act as it stood before the amendment by Article 10 of the National Health Insurance Act, etc. Partial Amendment Act (referred to as the "Pre-2017-amendment Elderly Medical Care Assurance Act" in Article 60, paragraph (2) of the Supplementary Provisions) were applied in that fiscal year.

Notwithstanding Article 120, paragraph (1) of the Elderly Medical Care Assurance Act and Article 14-9, paragraph (1) of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act, the amount of the estimated aid for the old-old under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated in that fiscal year pursuant to the provisions of Article 14-9, paragraph (1) of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act.

Notwithstanding Article 121, paragraph (1), item (i) of the Elderly Medical Care Assurance Act and Article 14-3, paragraph (1) of the Supplementary Provisions of the Elderly Medical Care Assurance Act, the amount of the fixed aid for the old-old under the provisions of the Elderly Medical Care Assurance Act pertaining to Insurers of employee insurance, etc. for fiscal year 2016 is the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated in that fiscal year pursuant to the provisions of Article 14-10, paragraph (1) of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act.

①The 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 the provisions prescribed in Article 1, item (v) of the Supplementary Provisions, change the amounts of the young-old subsidies, the young-old payments and the aid for the old-old under the provisions of the Elderly Medical Care Assurance Act pertaining to each Insurer for fiscal year 2016 (referred to as "young-old subsidy, etc." in the following paragraph), and notify the amounts as so changed respectively.

②The provisions of Article 42, paragraph (3) and Article 43, paragraph (3) of the Amended Elderly Medical Care Assurance Act, and the provisions of that paragraph as applied mutatis mutandis pursuant to Article 124, apply mutatis mutandis respectively to the case where the amount of the young-old subsidy, etc. has been changed pursuant to the provisions of the preceding paragraph.

The amount to be subsidized in fiscal year 2016 pursuant to the provisions of Article 153, paragraph (1) of the Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-3 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 5 of the Supplementary Provisions of the Health Insurance Act and Article 25 is, notwithstanding the provisions of that paragraph, the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated pursuant to the provisions of Article 153, paragraph (1) of the Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-3 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 5 of the Supplementary Provisions of the Health Insurance Act and Article 25 if the provisions of Articles 13-6 and 13-8 of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act were applied in that fiscal year.

The amount to be subsidized in fiscal year 2016 pursuant to the provisions of Article 153, paragraph (2) of the Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of that Act, as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Health Insurance Act, as the terms are replaced and applied pursuant to the provisions of Article 5-3 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 25, is, notwithstanding the provisions of that paragraph, the sum total of the amount equivalent to 6/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 6/12 of the amount that would be calculated pursuant to the provisions of Article 153, paragraph (2) of the Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of that Act, as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Health Insurance Act, as the terms are replaced and applied pursuant to the provisions of Article 5-3 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 25, if the provisions of Articles 13-6, 13-8 and 14-9 of the Supplementary Provisions of the Pre-amendment Elderly Medical Care Assurance Act were applied in that fiscal year.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.