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Article 117Municipal Insured Long-Term Care Service Plan

第百十七条（市町村介護保険事業計画）

A Municipality, for Basic Guidelines, provide a plan concerning the efficient implementation of Insurance Benefits pertaining to an Insured Long-Term Care Project that is implemented by said Municipality by specifying three years as one project term (hereinafter referred to as "Municipal Insured Long-Term Care Service Plan").

市町村は、基本指針に即して、三年を一期とする当該市町村が行う介護保険事業に係る保険給付の円滑な実施に関する計画（以下「市町村介護保険事業計画」という。）を定めるものとする。

A Municipal Insured Long-Term Care Service Plan is to provide the matters listed as follows:

市町村介護保険事業計画においては、次に掲げる事項を定めるものとする。

the total necessary capacity of persons to utilize Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care in each fiscal year, and other prospective quantity of Service Covered by Long-Term Care Benefits, etc. by type, for each area that is specified by said Municipality as the area where its residents live their daily life by comprehensively taking into consideration geographical conditions, population, transportation and other social conditions, the status of development of facilities for providing Service Covered by Long-Term Care Benefits, etc., and other conditions;

当該市町村が、その住民が日常生活を営んでいる地域として、地理的条件、人口、交通事情その他の社会的条件、介護給付等対象サービスを提供するための施設の整備の状況その他の条件を総合的に勘案して定める区域ごとの当該区域における各年度の認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護に係る必要利用定員総数その他の介護給付等対象サービスの種類ごとの量の見込み

the prospective quantity of Community Support Projects in each fiscal year;

各年度における地域支援事業の量の見込み

matters concerning measures that a Municipality is to undertake regarding support for independent daily life of Insured Persons in the community, prevention of falling into a Condition of Need for Long-Term Care, etc., or reduction or prevention of deterioration of a Condition of Need for Long-Term Care, etc., and ensuring the appropriateness of the expenses required for Long-Term Care Benefit, etc.;

被保険者の地域における自立した日常生活の支援、要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止及び介護給付等に要する費用の適正化に関し、市町村が取り組むべき施策に関する事項

matters concerning the targets for the matters listed in the preceding item.

前号に掲げる事項の目標に関する事項

A Municipal Insured Long-Term Care Service Plan is to endeavor to provide for the following matters, in addition to the matters listed in the items of the preceding paragraph:

市町村介護保険事業計画においては、前項各号に掲げる事項のほか、次に掲げる事項について定めるよう努めるものとする。

measures for securing the total necessary capacity of persons to utilize services as set forth in item (i) of the preceding paragraph and other prospective volume by type of Service Covered by Long-Term Care Benefits, etc.;

前項第一号の必要利用定員総数その他の介護給付等対象サービスの種類ごとの見込量の確保のための方策

the amount of cost necessary for a Community Support Project in each fiscal year and measures for ensuring the prospective volume of a Community Support Project;

各年度における地域支援事業に要する費用の額及び地域支援事業の見込量の確保のための方策

medium- to long-term estimates of the quantity by type of Service Covered by Long-Term Care Benefits, etc., the amount of funding required for Insurance Benefits, the quantity of Community Support Projects, the amount of funding required for Community Support Projects, and the level of insurance premiums;

介護給付等対象サービスの種類ごとの量、保険給付に要する費用の額、地域支援事業の量、地域支援事業に要する費用の額及び保険料の水準に関する中長期的な推計

matters concerning initiatives in collaboration with the prefecture that contribute to securing and improving the quality of Long-Term Care Support Specialists and other persons engaged in Service Covered by Long-Term Care Benefits, etc. and Community Support Projects;

介護支援専門員その他の介護給付等対象サービス及び地域支援事業に従事する者の確保及び資質の向上に資する都道府県と連携した取組に関する事項

matters concerning initiatives in collaboration with the prefecture that contribute to improving productivity, such as improving the efficiency of operations at Business Offices or facilities for the provision of Service Covered by Long-Term Care Benefits, etc. or the implementation of Community Support Projects, and improving the quality of Long-Term Care Service;

介護給付等対象サービスの提供又は地域支援事業の実施のための事業所又は施設における業務の効率化、介護サービスの質の向上その他の生産性の向上に資する都道府県と連携した取組に関する事項

matters concerning a project for ensuring cooperation among organizations that are a Designated In-Home Service Provider, Designated Community-Based Service Provider, and Designated In-Home Long-Term Care Support Provider and concerning other projects for promoting the efficient provision of Service Covered by Long-Term Care Benefits, etc., (limited to those pertaining to Long-Term Care Benefits);

指定居宅サービスの事業、指定地域密着型サービスの事業又は指定居宅介護支援の事業を行う者相互間の連携の確保に関する事業その他の介護給付等対象サービス（介護給付に係るものに限る。）の円滑な提供を図るための事業に関する事項

matters concerning a project for ensuring cooperation among organizations that are a Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, and Designated Provider of Support for Prevention of Long-Term Care and other projects for promoting the efficient provision of Service Covered by Long-Term Care Benefits, etc., (limited to those pertaining to Prevention Benefits) and efficient implementation of a Community Support Project;

指定介護予防サービスの事業、指定地域密着型介護予防サービスの事業又は指定介護予防支援の事業を行う者相互間の連携の確保に関する事業その他の介護給付等対象サービス（予防給付に係るものに限る。）の円滑な提供及び地域支援事業の円滑な実施を図るための事業に関する事項

matters concerning support for independent daily life in the community of Insured Persons who have Dementia, matters concerning organic coordination with measures concerning education, community development, and employment and other related measures, and other matters concerning the comprehensive promotion of measures concerning Dementia;

認知症である被保険者の地域における自立した日常生活の支援に関する事項、教育、地域づくり及び雇用に関する施策その他の関連施策との有機的な連携に関する事項その他の認知症に関する施策の総合的な推進に関する事項

the total capacity of residents of each of the Fee-Based Homes for the Elderly for which notification has been made pursuant to the provisions of and the registered housing prescribed in (referred to as "registered housing" in paragraph (3), item (vii) of the following Article), in each area referred to in item (i) of the preceding paragraph (limited to that pertaining to those that have not received the designation under the main clause of Article 41, paragraph (1), the main clause of Article 42-2, paragraph (1), or the main clause of Article 53, paragraph (1) as a Business Office conducting the business of daily life long-term care for a person admitted to a Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Preventive Long-Term Care Admitted to a Specified Facility; the same applies in paragraph (3), item (vii) of the following Article);

前項第一号の区域ごとの当該区域におけるの規定による届出が行われている有料老人ホーム及びに規定する登録住宅（次条第三項第七号において「登録住宅」という。）のそれぞれの入居定員総数（特定施設入居者生活介護、地域密着型特定施設入居者生活介護又は介護予防特定施設入居者生活介護の事業を行う事業所に係る第四十一条第一項本文、第四十二条の二第一項本文又は第五十三条第一項本文の指定を受けていないものに係るものに限る。次条第三項第七号において同じ。）

matters concerning the integrated implementation of Community Support Projects with health services for the elderly and National Health Insurance health services, matters concerning cooperation with medical care for Insured In-Home Persons Requiring Long-Term Care and Insured In-Home Persons Requiring Support and other medical care, matters concerning cooperation with measures concerning housing for the elderly, and other matters necessary for supporting independent daily life of Insured Persons in the community.

地域支援事業と高齢者保健事業及び国民健康保険保健事業の一体的な実施に関する事項、居宅要介護被保険者及び居宅要支援被保険者に係る医療その他の医療との連携に関する事項、高齢者の居住に係る施策との連携に関する事項その他の被保険者の地域における自立した日常生活の支援のため必要な事項

A Municipal Insured Long-Term Care Service Plan must be prepared by taking into consideration the outlook for changes in the population structure, the number of Persons Requiring Long-Term Care, etc., in the area of said Municipality, the intentions of Persons Requiring Long-Term Care, etc. concerning use of the Service Covered by Long-Term Care Benefits, etc., and other conditions.

市町村介護保険事業計画は、当該市町村の区域における人口構造の変化の見通し、要介護者等の人数、要介護者等の介護給付等対象サービスの利用に関する意向その他の事情を勘案して作成されなければならない。

A Municipality is to endeavor to prepare a Municipal Insured Long-Term Care Service Plan by accurately ascertaining the physical and mental conditions of Insured Persons, the environments in which they are placed, and other circumstances in each area specified by said Municipality pursuant to the provisions of paragraph (2), item (i), analyzing information on the status of implementation of the Insured Long-Term Care Project, such as the results published pursuant to the provisions of Article 118-2, paragraph (1), taking into consideration said circumstances and the results of said analysis, and giving consideration to the results of the consultation under the provisions of Article 30-18-5, paragraph (1) of the Medical Care Act (limited to those pertaining to the matters listed in item (iv) of that paragraph).

市町村は、第二項第一号の規定により当該市町村が定める区域ごとにおける被保険者の心身の状況、その置かれている環境その他の事情を正確に把握するとともに、第百十八条の二第一項の規定により公表された結果その他の介護保険事業の実施の状況に関する情報を分析した上で、当該事情及び当該分析の結果を勘案するとともに、医療法第三十条の十八の五第一項の規定による協議の結果（同項第四号に掲げる事項に係るものに限る。）を考慮して、市町村介護保険事業計画を作成するよう努めるものとする。

A Municipality, in preparing a Municipal Insured Long-Term Care Service Plan, is to bear in mind the importance of the effective and efficient provision of medical care and long-term care that takes into account the physical, mental, and social characteristics accompanying the aging of residents.

市町村は、市町村介護保険事業計画の作成に当たっては、住民の加齢に伴う身体的、精神的及び社会的な特性を踏まえた医療及び介護の効果的かつ効率的な提供の重要性に留意するものとする。

A Municipal Insured Long-Term Care Service Plan must be prepared in conjunction with a Municipal Welfare Plan for the Elderly as prescribed in .

市町村介護保険事業計画は、に規定する市町村老人福祉計画と一体のものとして作成されなければならない。

A Municipality is to conduct a survey and analysis of the status of implementation of the measures prescribed in paragraph (2), item (iii) and the status of achievement of the targets prescribed in item (iv) of that paragraph, and evaluate the performance of the Municipal Insured Long-Term Care Service Plan.

市町村は、第二項第三号に規定する施策の実施状況及び同項第四号に規定する目標の達成状況に関する調査及び分析を行い、市町村介護保険事業計画の実績に関する評価を行うものとする。

A Municipality is to endeavor to publish the results of the evaluation under the preceding paragraph and is to report them to the prefectural governor.

市町村は、前項の評価の結果を公表するよう努めるとともに、これを都道府県知事に報告するものとする。

A Municipal Insured Long-Term Care Service Plan must be one for which consistency has been ensured with the municipal plan prescribed in .

市町村介護保険事業計画は、に規定する市町村計画との整合性の確保が図られたものでなければならない。

A Municipal Insured Long-Term Care Service Plan must maintain harmony and balance with a Municipal Community Welfare Plan as prescribed in , a municipal plan for securing stable housing for the elderly as prescribed in , and other plans pursuant to the provisions of Acts that provide matters concerning health, medical care, welfare, or housing of Persons Requiring Long-Term Care, etc.

市町村介護保険事業計画は、に規定する市町村地域福祉計画、に規定する市町村高齢者居住安定確保計画その他の法律の規定による計画であって要介護者等の保健、医療、福祉又は居住に関する事項を定めるものと調和が保たれたものでなければならない。

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan, is to undertake the necessary measures in advance in order to reflect the opinions of Insured Persons.

市町村は、市町村介護保険事業計画を定め、又は変更しようとするときは、あらかじめ、被保険者の意見を反映させるために必要な措置を講ずるものとする。

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan (limited to the portion pertaining to the matters listed in paragraph (2), items (i) and (ii)), must hear opinions of the prefecture in advance.

市町村は、市町村介護保険事業計画（第二項第一号及び第二号に掲げる事項に係る部分に限る。）を定め、又は変更しようとするときは、あらかじめ、都道府県の意見を聴かなければならない。

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan, must submit said Plan to the prefectural governor without delay.

市町村は、市町村介護保険事業計画を定め、又は変更したときは、遅滞なく、これを都道府県知事に提出しなければならない。

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