This Act comes into effect on April 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:

①The government is to conduct a review of the scope of Insured Persons under the long-term care insurance system and of persons who can receive insurance benefits, in conjunction with an integrated review of the entire system relating to social security, and, based on the results thereof, is to take required measures with fiscal year 2009 as the target.

②The government is to, with three years after the enforcement of this Act as the target, conduct a review of the Prevention Benefit and Community Support Projects under the Long-Term Care Insurance Act as amended by the provisions of Article 3 (hereinafter referred to as the "New Long-Term Care Insurance Act"), taking into account the status of their implementation, etc., from the perspective of the degree of their effect relative to cost, etc., and take required measures based on the results.

①In the case of a Municipality (including special city wards; the same applies hereinafter) in which, at the time of enforcement of this Act, it is found to be difficult to secure the prospective volume of Preventive Long-Term Care Support (meaning the Preventive Long-Term Care Support prescribed in Article 8-2, paragraph (18) of the New Long-Term Care Insurance Act) because community general support centers (meaning the community general support centers prescribed in Article 115-39, paragraph (1) of the New Long-Term Care Insurance Act) are not established or for other reasons, the provisions of Article 18, item (ii), Article 19, paragraph (2), Article 32 through Article 34 and Section 4 of Chapter IV of the New Long-Term Care Insurance Act do not apply until the date specified by Municipal Ordinance within the period from the date of enforcement of this Act (hereinafter referred to as the "Effective Date") to April 1, 2008.

②In the case referred to in the preceding paragraph, with regard to the application of the provisions of Article 18 (excluding the part pertaining to item (ii)), Article 19, paragraph (1), Article 27, paragraphs (4) and (5), Article 42-2, paragraph (1) and Article 48, paragraph (1) of the New Long-Term Care Insurance Act to the Insured Persons of Long-Term Care Insurance provided by the Municipality concerned during the period from the Effective Date to the date specified by Municipal Ordinance as referred to in that paragraph, the phrase "the Condition of Need for Long-Term Care" in Article 18, item (i) of the New Long-Term Care Insurance Act is deemed to be replaced with "the Condition of Need for Long-Term Care (including Needed Support Condition)"; the phrase "Person Requiring Long-Term Care" in Article 19, paragraph (1) of the New Long-Term Care Insurance Act with "Person Requiring Long-Term Care (including Person Requiring Support)"; the phrase "Category of Condition of Need for Long-Term Care" in that paragraph with "Category of Condition of Need for Long-Term Care (including categories specified by Order of the Ministry of Health, Labour and Welfare pertaining to a condition in which it is expected that there will be difficulty in carrying out daily life due to physical or mental problems; the same applies in the following Section and Section 3)"; the phrase "with a Condition of Need for Long-Term Care" in each item of Article 27, paragraph (4) of the New Long-Term Care Insurance Act with "with a Condition of Need for Long-Term Care (including Needed Support Condition)"; the phrase "said Condition of Need for Long-Term Care" in those items with "said Condition of Need for Long-Term Care (including Needed Support Condition)"; the phrase "the Condition of Need for Long-Term Care" in item (i) of paragraph (5) of that Article with "the Condition of Need for Long-Term Care (including Needed Support Condition)"; the phrase "when an Insured Person Requiring Long-Term Care" in Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act with "when an Insured Person Requiring Long-Term Care (limited, with regard to Communal Daily Long-Term Care for a Dementia Patient 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, to persons in a condition falling under a Category of Condition of Need for Long-Term Care specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article and the following Article)"; and the phrase "when an Insured Person Requiring Long-Term Care" in Article 48, paragraph (1) of the New Long-Term Care Insurance Act with "when an Insured Person Requiring Long-Term Care (limited to persons in a condition falling under a Category of Condition of Need for Long-Term Care specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article and the following Article)".

With regard to insurance benefits under the provisions of the Long-Term Care Insurance Act prior to its amendment by this Act pertaining to In-Home Service, In-Home Long-Term Care Support or Facility Service provided before the date of enforcement of this Act (for the provisions set forth in the items of Article 1 of the Supplementary Provisions, the respective provisions; the same applies hereinafter in this Article and Article 15 of the Supplementary Provisions), the provisions then in force continue to govern.

The provisions of Article 13 of the New Long-Term Care Insurance Act apply to an Insured Person Subject to Domicile Exception prescribed in paragraph (1) of that Article who is found to have changed his or her domicile, on or after the Effective Date, to the location where a Facility Subject to Domicile Exception prescribed in that paragraph (hereinafter in this Article and the following Article referred to as a "Facility Subject to Domicile Exception") is located by entering or moving into that facility (hereinafter in this Article and the following Article referred to as "Admission, etc."), and who is found to have had a domicile in a Municipality other than the Municipality where said Facility Subject to Domicile Exception is located at the time of Admission, etc., to said Facility Subject to Domicile Exception.

①A person who, at the time of enforcement of this Act, is actually admitted to a Care Facility for the Elderly prescribed in Article 20-4 of the Former Act on Social Welfare for the Elderly (meaning the Act on Social Welfare for the Elderly prior to its amendment by the provisions of Article 10; hereinafter in this Article, Article 10, paragraph (2) and Article 17, paragraphs (2) and (3) of the Supplementary Provisions) by receiving the measure under Article 11, paragraph (1), item (i) of the Former Act on Social Welfare for the Elderly (hereinafter in this Article and Article 16 of the Supplementary Provisions referred to as a "Person Admitted Under a Measure Before the Effective Date") is to be, while continuing to be admitted to said Care Facility for the Elderly on or after the Effective Date (including, for a Person Admitted Under a Measure Before the Effective Date who has come to have a domicile consecutively at the location of each of one or more other Facilities Subject to Domicile Exception by continuing from said Care Facility for the Elderly into Admission, etc., to those one or more other Facilities Subject to Domicile Exception, the period during which the person continues to be in Admission, etc., to those one or more other Facilities Subject to Domicile Exception), an Insured Person of Long-Term Care Insurance provided by the Municipality that took said measure, notwithstanding Article 9 of the Long-Term Care Insurance Act and Article 13 of the New Long-Term Care Insurance Act.

②A Facility Subject to Domicile Exception where an Insured Person to whom the provisions of the preceding paragraph apply is in Admission, etc., must provide the necessary cooperation to the Municipality where said Facility Subject to Domicile Exception is located and the Municipality that provides Long-Term Care Insurance to said Insured Person.

①An Insured Person who, by being admitted before the enforcement of this Act to a Facility Covered by Public Aid Providing Long-Term Care to the Elderly prescribed in Article 7, paragraph (21) of the Long-Term Care Insurance Act prior to its amendment by the provisions of Article 3 (hereinafter referred to as the "Former Long-Term Care Insurance Act") (limited to one with a capacity of 29 residents or less; hereinafter in this Article referred to as a "small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly"), is found to have changed his or her domicile to the location where said small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly is located, and who is found to have had a domicile within the area of another Municipality (meaning a Municipality other than the Municipality where said small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly is located) when admitted to said small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly, is to be, while continuing to be admitted to said small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly on or after the Effective Date, an Insured Person of Long-Term Care Insurance provided by said other Municipality, notwithstanding Article 9 of the Long-Term Care Insurance Act; provided, however, that this does not apply to an Insured Person who is continuously admitted to two or more Former Facilities Covered by Long-Term Care Insurance prescribed in Article 7, paragraph (19) of the Former Long-Term Care Insurance Act (hereinafter in this Article referred to as "Former Facilities Covered by Long-Term Care Insurance") and who is found to have changed his or her domicile consecutively to the location of each of the Former Facility Covered by Long-Term Care Insurance (hereinafter in this paragraph referred to as the "facility of immediately preceding admission") to which the Insured Person was admitted immediately before being admitted to the small-scale Facility Covered by Public Aid Providing Long-Term Care to the Elderly in which the Insured Person is currently admitted (hereinafter in this Article referred to as the "current facility of admission") and the current facility of admission, by being admitted to each of the facility of immediately preceding admission and the current facility of admission (referred to as an "insured person in specified continuous admission" in the following paragraph).

②Among insured persons in specified continuous admission, those set forth in the following items are to be Insured Persons of Long-Term Care Insurance provided by the Municipality specified in the respective items, notwithstanding Article 9 of the Long-Term Care Insurance Act:

③With regard to an Insured Person to whom the provisions of the preceding two paragraphs apply, Article 13 of the New Long-Term Care Insurance Act applies by deeming the current facility of admission and the Former Facility Covered by Long-Term Care Insurance to which the person was admitted before being admitted to the current facility of admission each to be a Facility Subject to Domicile Exception prescribed in Article 13, paragraph (1) of the New Long-Term Care Insurance Act.

A person who, at the time of enforcement of this Act, actually has received the Certification of Needed Long-Term Care prescribed in Article 19, paragraph (1) of the Former Long-Term Care Insurance Act or the Certification of Needed Support prescribed in paragraph (2) of that Article is deemed to have received, on the Effective Date, the Certification of Needed Long-Term Care prescribed in Article 19, paragraph (1) of the New Long-Term Care Insurance Act (hereinafter referred to as "New Certification of Needed Long-Term Care"). In this case, the Effective Period prescribed in Article 28, paragraph (1) of the Long-Term Care Insurance Act pertaining to a person deemed to have received said New Certification of Needed Long-Term Care is, notwithstanding that paragraph, to be the same period as the remaining period of the Effective Period prescribed in that paragraph pertaining to that person on the Effective Date, or of the Effective Period prescribed in Article 33, paragraph (1) of the Former Long-Term Care Insurance Act.