Section 1 Imposition of Expenses
第一節 費用の負担
The national government, pursuant to the provisions of a Cabinet Order, is subject to defray the costs incurred by a Municipality for the amount equivalent to the percentage as prescribed in each of the following items for the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits, according to the categories of allowance listed in said items:
costs necessary for Long-Term Care Benefits (except for those listed in the following item) and Prevention Benefits (except for those listed in the same item):20 percent of the necessary costs;
costs necessary for Long-Term Care Benefits (limited to those pertaining to a Facility Covered by Long-Term Care Insurance and Daily Life Long-Term Care for A Person Admitted to A Community-Based Specified Facility) and Prevention Benefits (limited to those pertaining to Daily Preventive Long-Term Care Admitted to A Specified Facility):15 percent of the necessary costs.
介護給付（介護保険施設及び特定施設入居者生活介護に係るものに限る。）及び予防給付（介護予防特定施設入居者生活介護に係るものに限る。）に要する費用 百分の十五
With regard to application of the provisions of the preceding paragraph to a Municipality that provides Order based on the provisions of Article 43, paragraph (3), Article 44, paragraph (6), Article 45, paragraph (6), Article 55, paragraph (3), Article 56, paragraph (6), or Article 57, paragraph (6), measures pursuant to the provisions of said ordinance are not implemented to those amount of costs necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in the same paragraph, and said amount of costs are equivalent to the amount of expenses necessary for said Long-Term Care Benefit and Prevention Benefit, which are calculated pursuant to the provisions of a Cabinet Order;
Article 122Adjusting Subsidies
第百二十二条（調整交付金等）
The national government provides Adjusting Subsidies to a Municipality pursuant to the provisions of a Cabinet Order, in order to adjust the finances of Long-Term Care Insurance by taking into consideration the distribution by age group of Primary Insured Persons, distribution of income of Primary Insured Persons, etc.;
The total amount of Adjusting Subsidies pursuant to the provisions of the preceding paragraph is to be the amount equivalent to 5 percent of the total amount of costs necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in paragraph (1) of the preceding Article for each Municipality (in a case when the provisions of paragraph (2) of the same Article apply, the amount calculated by applying the provisions of the same paragraph; the same applies in the following paragraph).
The total amount of Adjusting Subsidies to be granted as a portion of each fiscal year is to be the amount equivalent to 5 percent of the total prospective amount of costs necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in paragraph (1) of the preceding Article in each Municipality in said fiscal year, plus the amount of Adjusting Subsidies for the fiscal year prior to the year previous to said fiscal year that have not yet been provided, or the amount equivalent to 5 percent of said total prospective amount, minus an amount that is the portion provided that exceeded the amount to be provided in prior fiscal years of the year previous to said fiscal year.
第百二十二条の二
The national government, pursuant to the provisions of a Cabinet Order, provides an amount equivalent to 20 percent of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support to a Municipality.
国は、政令で定めるところにより、市町村に対し、介護予防・日常生活支援総合事業に要する費用の額の百分の二十に相当する額を交付する。
The national government, in order to adjust the finances of Long-Term Care Insurance, provides to a Municipality an amount calculated pursuant to the provisions of a Cabinet Order with regard to the amount of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support, taking into consideration the distribution by age group of Primary Insured Persons, distribution of income of Primary Insured Persons, etc.
国は、介護保険の財政の調整を行うため、市町村に対し、介護予防・日常生活支援総合事業に要する費用の額について、第一号被保険者の年齢階級別の分布状況、第一号被保険者の所得の分布状況等を考慮して、政令で定めるところにより算定した額を交付する。
The total amount of the amounts provided pursuant to the provisions of the preceding paragraph (including the amount provided pursuant to the provisions of Article 106-8 of the Social Welfare Act (limited to the portion pertaining to item (ii))) is to be the amount equivalent to 5 percent of the total amount of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support of each Municipality.
前項の規定により交付する額（社会福祉法第百六条の八（第二号に係る部分に限る。）の規定により交付する額を含む。）の総額は、各市町村の介護予防・日常生活支援総合事業に要する費用の額の総額の百分の五に相当する額とする。
The national government, pursuant to the provisions of a Cabinet Order, grants an amount equivalent to 50 percent of the amount (hereinafter referred to as "specified community support project support amount") that is obtained by multiplying the percentage that is the result of the sum of the cost payment percentage of the Secondary Insured Person group as set forth in Article 125, paragraph (1) and 50 percent, by the amount of expenses necessary for a Community Support Project (except for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support) to a Municipality.
国は、政令で定めるところにより、市町村に対し、地域支援事業（介護予防・日常生活支援総合事業を除く。）に要する費用の額に、第百二十五条第一項の第二号被保険者負担率に百分の五十を加えた率を乗じて得た額（以下「特定地域支援事業支援額」という。）の百分の五十に相当する額を交付する。
第百二十二条の三
The national government, in addition to what is provided for in the preceding two Articles, grants subsidies to Municipalities within the scope of the budget, pursuant to the provisions of a Cabinet Order, in order to support the initiatives of Municipalities for supporting independent daily life of their Insured Persons in the community, preventing them from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing 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.
The national government, in order to support the initiatives of prefectures pertaining to the support under the provisions of Article 120-2, paragraph (1) and the projects under the provisions of paragraph (2) of that Article, grants subsidies to prefectures within the scope of the budget, pursuant to the provisions of a Cabinet Order.
国は、都道府県による第百二十条の二第一項の規定による支援及び同条第二項の規定による事業に係る取組を支援するため、政令で定めるところにより、都道府県に対し、予算の範囲内において、交付金を交付する。
Article 123Cost Impositions upon a Prefecture
第百二十三条（都道府県の負担等）
A prefecture, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, is subject to defray to a Municipality the amount equivalent to the portion as prescribed in each of the following items for the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits, according to the categories of costs listed in each said item:
costs necessary for Long-Term Care Benefits (except for those listed in the following item) and Prevention Benefits (except for those listed in the same item):12.5 percent of the necessary costs;
costs necessary for Long-Term Care Benefits (limited to those pertaining to a Facility Covered by Long-Term Care Insurance and Living Care for the Elderly Admitted to a Special Facility for Preventive Long-Term Care Service) and Prevention Benefits (limited to those pertaining to Daily Preventive Long-Term Care Admitted to A Specified Facility):17.5 percent of the necessary costs.
介護給付（介護保険施設及び特定施設入居者生活介護に係るものに限る。）及び予防給付（介護予防特定施設入居者生活介護に係るものに限る。）に要する費用 百分の十七・五
The provisions of Article 121, paragraph (2) apply mutatis mutandis to the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in the preceding paragraph.
A prefecture, pursuant to the provisions of a Cabinet Order, provides an amount equivalent to 12.5 percent of the costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support to a Municipality.
都道府県は、政令で定めるところにより、市町村に対し、介護予防・日常生活支援総合事業に要する費用の額の百分の十二・五に相当する額を交付する。
A prefecture, pursuant to the provisions of a Cabinet Order, subsidizes an amount equivalent to 25 percent of the specified community support project support amount to a Municipality.
都道府県は、政令で定めるところにより、市町村に対し、特定地域支援事業支援額の百分の二十五に相当する額を交付する。
Article 124Costs Imposed on the General Fund of a Municipality
第百二十四条（市町村の一般会計における負担）
A Municipality, pursuant to the provisions of a Cabinet Order, bears an amount equivalent to 12.5 percent of the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits by said general fund.
The provisions of Article 121, paragraph (2) apply mutatis mutandis to the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in the preceding paragraph.
A Municipality, pursuant to the provisions of a Cabinet Order, bears the cost of the amount equivalent to 12.5 percent of the amount of expenses necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support by said general fund.
市町村は、政令で定めるところにより、その一般会計において、介護予防・日常生活支援総合事業に要する費用の額の百分の十二・五に相当する額を負担する。
A Municipality, pursuant to the provisions of a Cabinet Order, bears the cost of the amount equivalent to 25 percent of the specified community support project support amount by the general fund.
市町村は、政令で定めるところにより、その一般会計において、特定地域支援事業支援額の百分の二十五に相当する額を負担する。
Article 124-2Transfers to Special Accounts of Municipalities, etc.
第百二十四条の二（市町村の特別会計への繰入れ等）
A Municipality must, pursuant to the provisions of a Cabinet Order, transfer from the general account to the special account pertaining to Long-Term Care Insurance an amount calculated pursuant to the provisions of a Cabinet Order on the basis of the total amount by which the insurance premiums for Primary Insured Persons have been reduced based on the reduced imposition of insurance premiums on persons with low income, carried out as provided for by a Prefectural or Municipal Ordinance.
The national government shall, pursuant to Cabinet Order provisions, bear an amount equal to one-half of the amount to be transferred pursuant to the provisions of the preceding paragraph.
国は、政令で定めるところにより、前項の規定による繰入金の二分の一に相当する額を負担する。
Each prefecture shall, pursuant to Cabinet Order provisions, bear an amount equal to one-fourth of the amount to be transferred pursuant to the provisions of paragraph (1).
都道府県は、政令で定めるところにより、第一項の規定による繰入金の四分の一に相当する額を負担する。
第百二十四条の三（住所地特例適用被保険者に係る地域支援事業に要する費用の負担金）
A Municipality is to bear, pursuant to the provisions of a Cabinet Order, as expenses necessary for Community Support Projects, the amount calculated pursuant to the provisions of a Cabinet Order with regard to the expenses necessary for Community Support Projects conducted by the Municipality Where the Facility Is Located, in which the Facility Subject to Domicile Exception where an Insured Person to Whom the Domicile Exception Applies is undergoing Admission, etc. is located, for Insured Persons to Whom the Domicile Exception Applies by Long-Term Care Insurance provided by said Municipality.
市町村は、政令で定めるところにより、当該市町村が行う介護保険の住所地特例適用被保険者に対して、当該住所地特例適用被保険者が入所等をしている住所地特例対象施設の所在する施設所在市町村が行う地域支援事業に要する費用について、政令で定めるところにより算定した額を、地域支援事業に要する費用として負担するものとする。
Article 125Grant for Long-Term Care Benefit Expenses
第百二十五条（介護給付費交付金）
With regard to the amount (hereinafter referred to as "Amount Subject to Medical Insurance Premium Payment") that is obtained by multiplying the payment percentage of the Secondary Insured Person group by the amount of expense necessary for Long-Term Care Benefits and Prevention Benefits among the expenses that are imposed upon a special account pertaining to Municipal Long-Term Care Insurance, pursuant to the provisions of a Cabinet Order, a Grant for Long-Term Care Benefit Expenses that is provided to a Municipality by the Organization is to be allocated to said amount.
The payment proportion of a Secondary Insured Person group as prescribed in the preceding paragraph is to be established based on the percentage obtained by multiplying 50 percent to the percentage of the total prospective number of Secondary Insured Persons pertaining to all Municipalities to the total prospective number of Insured Persons pertaining to all Municipalities and is to be specified by a Cabinet Order by taking into consideration the changes of said proportion every three years.
The provisions of Article 121, paragraph (2) apply mutatis mutandis to the amount of expenses necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in paragraph (1).
The payment that is collected by the Organization pursuant to the provisions of Article 150, paragraph (1) is to be allocated to the Grant for Long-Term Care Benefit Expenses as set forth in paragraph (1).
Article 126Grants for Supporting Community Support Projects
第百二十六条（地域支援事業支援交付金）
With regard to the amount that is obtained by multiplying the payment percentage of the Secondary Insured Person group as set forth in paragraph (1) of the preceding Article by the amount of expenses necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support among the expenses that are imposed on a special account pertaining to Municipal Long-Term Care Insurance (hereinafter referred to as "Amount Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support"), pursuant to the provisions of a Cabinet Order, the Grants for Supporting Community Support Projects that the Organization provides to a Municipality are allocated to said amount.
市町村の介護保険に関する特別会計において負担する費用のうち、介護予防・日常生活支援総合事業に要する費用の額に前条第一項の第二号被保険者負担率を乗じて得た額（以下「介護予防・日常生活支援総合事業医療保険納付対象額」という。）については、政令で定めるところにより、機構が市町村に対して交付する地域支援事業支援交付金をもって充てる。
Payments that are collected by the Organization pursuant to the provisions of Article 150, paragraph (1) are to be allocated to Grants for Supporting Community Support Projects as set forth in the preceding paragraph.
Article 127Assistance by National Government
第百二十七条（国の補助）
The national government, in addition to those items as prescribed in Article 121 through Article 122-3 and Article 124-2, may assist with a portion of the expenses necessary for an Insured Long-Term Care Project within the budget.
国は、第百二十一条から第百二十二条の三まで及び第百二十四条の二に規定するもののほか、予算の範囲内において、介護保険事業に要する費用の一部を補助することができる。
第百二十七条の二
The national government, in a case when a prefecture grants subsidies pursuant to the provisions of Article 115-50, paragraph (1), may subsidize, within the budget, all or a part of the amount that said prefecture has subsidized to the persons prescribed in the same paragraph.
国は、都道府県が第百十五条の五十第一項の規定により補助金の交付を行う場合には、予算の範囲内において、当該都道府県が同項に規定する者に対して補助した金額の全部又は一部を補助することができる。
Article 128Assistance by a Prefecture
第百二十八条（都道府県の補助）
A prefecture, in addition to those items as prescribed in Article 123 and Article 124-2, may assist with a portion of the expenses necessary for an Insured Long-Term Care Project.
第百二十九条（保険料）
A Municipality must collect insurance premiums in order to allocate these amounts to the disbursements necessary for an Insured Long-Term Care Project (including the disbursements necessary for payment of a Fiscal Stability Fund contribution).
市町村は、介護保険事業に要する費用（財政安定化基金拠出金の納付に要する費用を含む。）に充てるため、保険料を徴収しなければならない。
Insurance premiums as prescribed in the preceding paragraph are imposed upon a Primary Insured Person with the amount of an insurance premium calculated by the rate of an insurance premium that is calculated pursuant to the provisions of Order in accordance with the standards provided by a Cabinet Order.
The rate of an insurance premium as set forth in the preceding paragraph is to be determined in order to be able to maintain fiscal balance of revenue and expenses approximated through three years in consideration of the estimated amount of disbursements necessary for Insurance Benefits calculated based on the prospective volume, etc., of the Service Covered by Long-Term Care Benefits, etc., as prescribed in a Municipal Insured Long-Term Care Service Plan, the estimated amount of disbursements necessary for payment of a Fiscal Stability Fund contribution, the approximate amount of disbursements necessary for repayment of borrowings from a prefecture pursuant to the provisions of Article 147, paragraph (1), item (ii), and estimated amount of disbursements necessary for Community Support Projects and Health Care and Welfare Projects, the distribution of income of the Primary Insured Person group and said prospective amount, and the amount of national treasury impositions, etc.
前項の保険料率は、市町村介護保険事業計画に定める介護給付等対象サービスの見込量等に基づいて算定した保険給付に要する費用の予想額、財政安定化基金拠出金の納付に要する費用の予想額、第百四十七条第一項第二号の規定による都道府県からの借入金の償還に要する費用の予定額並びに地域支援事業及び保健福祉事業に要する費用の予定額、第一号被保険者の所得の分布状況及びその見通し並びに国庫負担等の額等に照らし、おおむね三年を通じ財政の均衡を保つことができるものでなければならない。
A Municipality, notwithstanding the provisions of paragraph (1), does not collect an insurance premium from a Secondary Insured Person.
Article 130Base Date for Assessment
第百三十条（賦課期日）
The base date for assessment of an insurance premium is to be the first date of said fiscal year.
保険料の賦課期日は、当該年度の初日とする。