附則
Supplementary Provisions

(施行期日)

(Date of Enforcement)

第一条この法律は、大正十五年七月一日から施行する。ただし、保険給付及び費用の負担に関する規定は、大正十六年一月一日から施行する。

Article 1This Act comes into effect as of July 1, 1926; provided, however, that the provisions on insurance benefits and sharing of costs are enforced from January 1, 1927.

(健康保険組合の財政調整)

(Financial Coordination of Health Insurance Societies)

第二条健康保険組合が管掌する健康保険の医療に関する給付、保健事業及び福祉事業の実施又は健康保険組合に係る前期高齢者納付金等、後期高齢者支援金等、日雇拠出金若しくは介護納付金の納付に要する費用の財源の不均衡を調整するため、連合会は、政令で定めるところにより、会員である健康保険組合(以下この条において「組合」という。)に対する交付金の交付の事業を行うものとする。

Article 2(1)In order to balance the financing of expenses required for payments for medical treatment covered by health insurance administered by health insurance societies, the provision of insurance services and welfare services, payments of young-old subsidies, of aid for the old-old, and of day laborer contributions, and long-term care payments pertaining to health insurance societies, JHIA is to grant subsidies as specified by Cabinet Order to health insurance societies which are JHIA members (hereinafter referred to as "societies " in this Article).

2組合は、前項の事業に要する費用に充てるため、連合会に対し、政令で定めるところにより、拠出金を拠出するものとする。

(2)A society is to contribute funds to federations as specified by Cabinet Order in order to allocate the funds for expenses required for the business referred to in the previous paragraph.

3組合は、前項の規定による拠出金の拠出に要する費用に充てるため、調整保険料を徴収する。

(3)A society collects adjusted insurance premiums to allocate for the expenses required for the funds contributed pursuant to the provisions of the preceding paragraph.

4調整保険料額は、各月につき、各被保険者の標準報酬月額及び標準賞与額にそれぞれ調整保険料率を乗じて得た額とする。

(4)The adjusted insurance premium amount for an insured person is the amount obtained per month by multiplying both the person's standard monthly remuneration amount and the person's amount of standard bonus by the adjustment rate for insurance premiums.

5調整保険料率は、交付金の交付に要する費用並びに組合の組合員である被保険者の数及び標準報酬を基礎として、政令で定める。

(5)The adjustment rate for insurance premiums is specified by Cabinet Order based on expenses required for granting subsidies as well as the number of society members who are insured persons and their standard remunerations.

6第七条の三十九、第二十九条第二項及び第百八十五条第三項の規定は、第一項の事業について準用する。

(6)The provisions of Article 7-39, Article 29, paragraph (2), and Article 185, paragraph (3) apply to the business referred to in paragraph (1).

この場合において、第七条の三十九第一項中「事業若しくは財産」とあるのは「事業」と、「定款」とあるのは「規約」と、第二十九条第二項中「前項」とあるのは「附則第二条第六項」と、「とき、又は前条第二項の規定に違反した指定健康保険組合、同条第三項の求めに応じない指定健康保険組合その他政令で定める指定健康保険組合の事業若しくは財産の状況によりその事業の継続が困難であると認めるとき」とあるのは「とき」と、第百八十五条第三項中「組合員である被保険者の共同の福祉を増進するため」とあるのは「附則第二条第一項の事業を推進するため」と読み替えるものとする。

In this case, "business or assets" in Article 7-39, paragraph (1) is deemed to be replaced with "business", "articles of incorporation" in the same paragraph is deemed to be replaced with "constitution", "the preceding paragraph, or if it is found that the continuation of business of a designated health insurance society which has violated the provisions of paragraph (2) of the preceding Article, of a designated health insurance society which fails to follow the request referred to in paragraph (3) of the same Article, or of another designated health insurance society as specified by Cabinet Order is difficult due to the status of services or property or other reasons" in Article 29, paragraph (2) is deemed to be replaced with "Article 2, paragraph (6) of the Supplementary Provisions", and "promoting the common welfare of insured persons who are members of a health insurance society" in Article 185, paragraph (3) is deemed to be replaced with "promoting the business referred to in Article 2, paragraph (1) of the Supplementary Provisions".

7第百五十八条、第百五十九条、第百五十九条の三、第百六十一条、第百六十二条、第百六十四条、第百六十五条、第百六十七条及び第百九十三条の規定は、第三項の規定による調整保険料について準用する。

(7)The provisions of Article 158, Article 159, Article 159-3, Article 161, Article 162, Article 164, Article 165, Article 167 and Article 193 apply mutatis mutandis to the adjusted insurance premium pursuant to the provisions of paragraph (3).

8一般保険料率と調整保険料率とを合算した率の変更が生じない一般保険料率の変更の決定は、第百六十条第十三項において準用する同条第八項の規定にかかわらず、同項の認可を受けることを要しない。

(8)Notwithstanding the provisions of Article 160, paragraph (8) as applied mutatis mutandis to paragraph (13) of the same article, the authorization referred to in Article 160, paragraph (8) is not required for the determination of a change in the general insurance rate that does not cause a change in the combined rate of the general insurance rate and adjustment rate for insurance premiums.

9前項の規定による決定をしたときは、当該変更後の一般保険料率を厚生労働大臣に届け出なければならない。

(9)When a determination is made pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare must be notified of the general insurance rate after the change.

(特定健康保険組合)

(Specified Health Insurance Society)

第三条厚生労働省令で定める要件に該当するものとして厚生労働大臣の認可を受けた健康保険組合(以下この条において「特定健康保険組合」という。)の組合員である被保険者であった者であって、改正法第十三条の規定による改正前の国民健康保険法第八条の二第一項に規定する退職被保険者であるべきもののうち当該特定健康保険組合の規約で定めるものは、当該特定健康保険組合に申し出て、当該特定健康保険組合の被保険者(以下この条において「特例退職被保険者」という。)となることができる。ただし、任意継続被保険者であるときは、この限りでない。

Article 3(1)A person who was an insured person with membership in a health insurance society authorized by the Minister of Health, Labour and Welfare as meeting the requirements specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "specified health insurance society" in this Article) and who is specified by the specified health insurance society among those who should be persons with retirement insurance as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act may become an insured person of the specified health insurance society (hereinafter referred to as a "special retired insured person") by submitting a request to the specified health insurance society; provided, however, that this does not apply in cases of an insured person with optional and continued coverage.

2特例退職被保険者は、同時に二以上の保険者(共済組合を含む。)の被保険者となることができない。

(2)A special retired insured person may not be insured by two or more insurers (including mutual aid associations) at the same time.

3特例退職被保険者は、第一項の申出が受理された日から、その資格を取得する。

(3)A special retired insured person acquires such eligibility on the date on which the request referred to in paragraph (1) is accepted.

4特例退職被保険者の標準報酬月額については、第四十一条から第四十四条までの規定にかかわらず、当該特定健康保険組合が管掌する前年(一月から三月までの標準報酬月額については、前々年)の九月三十日における特例退職被保険者以外の全被保険者の同月の標準報酬月額を平均した額の範囲内においてその規約で定めた額を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額とする。

(4)With regard to the standard monthly remuneration amount of a special retired insured person, notwithstanding the provisions of Articles 41 through 44, when the amount specified by the specified health insurance society in the range of the average standard monthly remuneration amount for the same month of all insured persons other than special retired insured persons administered by the specified health insurance society on September 30 in the preceding year (for the standard monthly remuneration amount from January to March, the year prior to the preceding year) is deemed to be the monthly remuneration amount forming the basis of the standard monthly remuneration amount, that standard monthly remuneration amount is applied.

5第百四条の規定にかかわらず、特例退職被保険者には、傷病手当金は、支給しない。

(5)Notwithstanding the provisions of Article 104, injury and sickness allowance is not paid to a special retired insured person.

6特例退職被保険者は、この法律の規定(第三十八条第二号、第四号及び第五号を除く。)の適用については、任意継続被保険者とみなす。

(6)A special retired insured person is deemed to be an insured person with optional and continued coverage with regard to the application of this Act (excluding Article 38, items (ii), (iv) and (v)).

この場合において、同条第一号中「任意継続被保険者となった日から起算して二年を経過したとき」とあるのは「改正法第十三条の規定による改正前の国民健康保険法第八条の二第一項に規定する退職被保険者であるべき者に該当しなくなったとき」と、同条第三号中「保険者」とあるのは「附則第三条第一項に規定する特定健康保険組合」とする。

In this case, the phrase "two years have elapsed since the day on which the person became an insured person with optional and continued coverage" in Article 38, item (i) is replaced with "the person is no longer is eligible to be a retired insured person as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act" and "insurer" in item (iii) of the same Article is replaced with "specified health insurance society as prescribed in Article 3, paragraph (1) of the Supplementary Provisions".

7特例退職被保険者に対する保険給付の特例その他特例退職被保険者に関して必要な事項は、政令で定める。

(7)Special provisions concerning insurance benefits for special retired insured persons and other necessary matters concerning special retired insured persons are specified by Cabinet Order.

(地域型健康保険組合)

(Regional Health Insurance Societies)

第三条の二第二十三条第三項の合併により設立された健康保険組合又は合併後存続する健康保険組合のうち次の要件のいずれにも該当する合併に係るもの(以下この条において「地域型健康保険組合」という。)は、当該合併が行われた日の属する年度及びこれに続く五箇年度に限り、第百六十条第十三項において準用する同条第一項に規定する範囲内において、不均一の一般保険料率を決定することができる。

Article 3-2(1)A health insurance society established by a merger referred to in Article 23, paragraph (3) or a health insurance society that remains after a merger falling under all of the following requirements (hereinafter referred to as "regional health insurance society " in this Article) may determine unequal general insurance rates in the range prescribed in Article 160, paragraph (1) as applied mutatis mutandis to paragraph (13) of the same paragraph within the fiscal year in which the merger occurred and the subsequent five years:

一合併前の健康保険組合の設立事業所がいずれも同一都道府県の区域にあること。

(i)all of the establishments of the health insurance society before the merger are located in the same prefecture; and

二当該合併が第二十八条第一項に規定する指定健康保険組合、被保険者の数が第十一条第一項又は第二項の政令で定める数に満たなくなった健康保険組合その他事業運営基盤の安定が必要と認められる健康保険組合として厚生労働省令で定めるものを含むこと。

(ii)the merger includes a society specified by Order of the Ministry of Health, Labour and Welfare as a designated health insurance society prescribed in Article 28, paragraph (1), a health insurance society whose number of insured persons has become less than the number prescribed by Cabinet Order referred to in Article 11, paragraph (1) or (2), or another health insurance society which is found to require a stable operational foundation.

2前項の一般保険料率の決定は、厚生労働大臣の認可を受けなければならない。

(2)Authorization must be obtained from the Minister of Health, Labour and Welfare for the determination of the insurance premium rate referred to in the preceding paragraph.

3地域型健康保険組合の一般保険料率の認可の手続その他地域型健康保険組合に関して必要な事項は、政令で定める。

(3)The authorization procedure for the general insurance premium rate of a regional health insurance society and other necessary matters concerning a regional health insurance society are specified by Cabinet Order.

(協会が管掌する健康保険の被保険者に係る給付の事業)

(Benefits for Insured Persons Covered by Health Insurance Administered by JHIA)

第四条被保険者を使用する事業主(健康保険組合が組織されている事業所の事業主を除く。)及び当該被保険者で組織する法人その他の政令で定めるもの(次項において「法人等」という。)であって、政令で定める要件に該当するものとして厚生労働大臣の承認を受けたもの(以下この条において「承認法人等」という。)は、当該被保険者の療養に関して保険給付があった場合において、第七十四条第一項の規定により当該被保険者が支払った一部負担金に相当する額の範囲内において、当該被保険者に対し、給付をすることができる。

Article 4(1)A corporation organized by an employer of insured persons (excluding employers of a place of business at which a health insurance society is organized) and those insured persons or another organization specified by Cabinet Order (referred to as a "corporation") and approved by the Minister of Health, Labour and Welfare as one that meets the requirements prescribed by Cabinet Order (hereinafter referred to as an "approved corporation" in this Article) may provide payment to an insured person for insurance benefits relating to medical treatment for the insured person up to an amount equivalent to the amount of co-payment paid by the insured person pursuant to the provisions of Article 74, paragraph (1).

2前項の法人等が承認を受けようとするときは、あらかじめ、協会の同意を得なければならない。

(2)When a corporation referred to in the preceding paragraph intends to receive approval, it must obtain consent from JHIA in advance.

3承認法人等は、第一項の給付に要する費用に充てるため、厚生労働省令で定めるところにより、事業主又は被保険者から費用を徴収することができる。

(3)An approved corporation may collect expenses to allocate for payment referred to in paragraph (1) from employers or insured persons as specified by Order of the Ministry of Health, Labour and Welfare.

4承認法人等の事業に関して必要な事項は、厚生労働省令で定める。

(4)Necessary matters concerning the business of approved corporations are specified by Order of the Ministry of Health, Labour and Welfare.

第四条の二削除

Article 4-2Deleted

(退職者給付拠出金の経過措置)

(Transitional Measures for Retiree Benefit Contributions)

第四条の三国民健康保険法附則第十条第一項の規定により基金が同項に規定する拠出金を徴収する間、第七条の二第三項中「及び同法」とあるのは「、同法」と、「並びに介護保険法」とあるのは「及び国民健康保険法(昭和三十三年法律第百九十二号)附則第十条第一項に規定する拠出金(以下「退職者給付拠出金」という。)並びに介護保険法」と、第百五十一条中「及び第百七十三条の規定による拠出金」とあるのは「、第百七十三条の規定による拠出金及び退職者給付拠出金」と、第百五十五条第一項中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び退職者給付拠出金」と、第百六十条第三項第二号中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び退職者給付拠出金」と、同条第十四項中「国庫補助額を控除した額)」とあるのは「国庫補助額を控除した額)並びに退職者給付拠出金の額」と、附則第二条第一項中「日雇拠出金」とあるのは「日雇拠出金、退職者給付拠出金」とする。

Article 4-3While the Social Insurance Fund collects contributions pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions of the National Health Insurance Act, the phrase "and payments pursuant to the Long-Term Care Insurance Act" in Article 7-2, paragraph (3) is replaced with ", contributions pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions of the National Health Insurance Act (Act No. 192 of 1958) (hereinafter referred to as "retiree benefit contributions"), and payments pursuant to the Long-Term Care Insurance Act", "and contributions pursuant to the provisions of Article 173" in Article 151 is replaced with ", contributions pursuant to the provisions of Article 173, and retiree benefit contributions", "aid for the old-old" in Article 155, paragraph (1) is replaced with ", aid for the old-old, retiree benefit contributions", "and aid for the old-old" in Article 160, paragraph (3), item (ii) is replaced with "aid for the old-old, and retiree benefit contributions", "and of young-old payments" in paragraph (14) of the same Article is replaced with "of young-old payments, and of retiree benefit contributions", and "day laborer contributions" in Article 2, paragraph (1) of the Supplementary Provisions is replaced with "day laborer contributions, retiree benefit contributions".

(病床転換支援金の経過措置)

(Transitional Measures for Ward Transfer Aid)

第四条の四高齢者の医療の確保に関する法律附則第二条に規定する政令で定める日までの間、前条の規定により読み替えられた第七条の二第三項中「及び国民健康保険法」とあるのは「、同法附則第七条第一項に規定する病床転換支援金等(以下「病床転換支援金等」という。)及び国民健康保険法」と、前条の規定により読み替えられた第百五十一条中「第百七十三条」とあるのは「病床転換支援金等、第百七十三条」と、次条の規定により読み替えられた第百五十三条第二項中「介護納付金」とあるのは「高齢者の医療の確保に関する法律附則第七条第一項に規定する病床転換支援金(日雇特例被保険者に係るものを除く。)及び介護納付金」と、「額に」とあるのは「額の合算額に」と、次条の規定により読み替えられた第百五十四条第二項中「介護納付金」とあるのは「高齢者の医療の確保に関する法律附則第七条第一項に規定する病床転換支援金及び介護納付金」と、「費用の額」とあるのは「費用の額の合算額」と、前条の規定により読み替えられた第百五十五条第一項中「及び退職者給付拠出金」とあるのは「、病床転換支援金等及び退職者給付拠出金」と、前条の規定により読み替えられた第百六十条第三項第二号中「及び退職者給付拠出金」とあるのは「、病床転換支援金等及び退職者給付拠出金」と、前条の規定により読み替えられた第百六十条第十四項中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等の額及び病床転換支援金等」と、第百七十三条第一項及び第百七十六条中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び病床転換支援金等」と、前条の規定により読み替えられた附則第二条第一項中「後期高齢者支援金等」とあるのは「後期高齢者支援金等、病床転換支援金等」とする。

Article 4-4Up to a date specified by Cabinet Order prescribed in Article 2 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People, the phrase "contributions pursuant" in Article 7-2, paragraph (3) after replacement pursuant to the provisions of the preceding Article is replaced with "ward transfer aid, etc., prescribed in Article 7, paragraph (1) of the Supplementary Provisions of the same Act (hereinafter referred to as "ward transfer aid"), contributions pursuant" the phrase "contributions pursuant" in Article 151 after replacement pursuant to the provisions of the preceding Article is replaced with "ward transfer aid, contributions pursuant", the phrase "long-term care payments" in Article 153, paragraph (2) after replacement pursuant to the provisions of the following Article is replaced with "ward transfer aid pursuant to the provisions of Article 7, paragraph (1) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People (excluding that pertaining to specially-insured day laborers) and long-term care payments", the phrase "multiplying the amount" in the same paragraph is replaced with "multiplying the total sum of the amounts", the phrase "long-term care payments" in Article 154, paragraph (2) after replacement pursuant to the provisions of the following Article is replaced with "ward transfer aid pursuant to the provisions of Article 7, paragraph (1) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People and long-term care payments", the phrase "the amount of expenses" in the same paragraph is replaced with "the total sum of the amounts of expenses", the phrase "retiree benefit contributions" in Article 155, paragraph (1) after replacement pursuant to the provisions of the preceding Article is replaced with "ward transfer aid, retiree benefit contributions", the phrase "and retiree benefit contributions" in Article 160, paragraph (3), item (ii) after replacement pursuant to the provisions of the preceding Article is replaced with "ward transfer aid, and retiree benefit contributions", the phrase "aid for the old-old," in Article 160, paragraph (14), item (xiv) after replacement pursuant to the provisions of the preceding Article is replaced with "aid for the old-old and ward transfer aid", the phrase "aid for the old-old," in Article 173, paragraph (1) and Article 176 is replaced with "aid for the old-old, ward transfer aid", and the phrase "aid for the old-old aid" in Article 2, paragraph (1) of the Supplementary Provisions after replacement pursuant to the provisions of the preceding Article is replaced with "aid for the old-old, ward transfer aid".

(国庫補助の経過措置)

(Transitional Measures for National Subsidies)

第五条当分の間、第百五十三条第一項中「千分の百三十から千分の二百までの範囲内において政令で定める割合」とあり、同条第二項中「同項の政令で定める割合」とあり、第百五十四条第一項中「前条第一項に規定する政令で定める割合」とあり、及び同条第二項中「同条第一項に規定する政令で定める割合」とあるのは、「千分の百六十四」とする。

Article 5Until otherwise provided by law, the rates referred to as "a rate specified by Cabinet Order within a range from 0.13 to 0.20 " in Article 153, paragraph (1), "the rate specified by Cabinet Order referred to in the same paragraph" in paragraph (2) of the same Article, "the rate specified by Cabinet Order prescribed in paragraph (1) of the preceding Article" in Article 154, paragraph (1), and "the rate specified by Cabinet Order prescribed in paragraph (1) of the preceding Article" in paragraph (2) of the same Article are "0.164".

(国庫補助の特例)

(Special Provisions for National Subsidies)

第五条の二平成二十九年度以降の一の事業年度においては、第百五十三条及び第百五十四条並びに附則第四条の四及び前条の規定にかかわらず、国庫は、同条の規定により読み替えて適用される第百五十三条第一項、附則第四条の四の規定により読み替えて適用される前条の規定により読み替えられた第百五十三条第二項、前条の規定により読み替えて適用される第百五十四条第一項及び附則第四条の四の規定により読み替えて適用される前条の規定により読み替えられた第百五十四条第二項の規定により算定される額から、第一号に掲げる額(第三号に掲げる額がある場合には、第一号に掲げる額から第三号に掲げる額を控除して得た額)から第二号に掲げる額を控除して得た額(当該額が零を下回る場合には、零とする。)に千分の百六十四を乗じて得た額を控除して得た額を補助する。

Article 5-2Notwithstanding the provisions of Articles 153 and 154 as well as Article 4-4 of the Supplementary Provisions and the preceding Article, in and after fiscal year 2017, the national treasury provides assistance in the amount obtained by deducting the amount listed in item (ii) below from the amount listed in item (i) in the relevant single business year (in the case where there is the amount listed in item (iii), the amount obtained by deducting the amount listed in item (iii) from the amount listed in item (i)) (if the amount is less than zero, it will be zero), multiplying the result by 0.164, and then deducting the resulting amount from the amount calculated pursuant to the provisions of Article 153, paragraph (1) as applied by replacing terms pursuant to the provisions of the preceding Article, Article 153, paragraph (2) in which terms are replaced pursuant to the provisions of the preceding Article as applied by replacing terms pursuant to the provisions of Article 4-4 of the Supplementary Provisions, and Article 154, paragraph (2) in which terms are replaced pursuant to the provisions of the preceding Article as applied by replacing terms pursuant to Article 154, paragraph (1) as applied by replacing terms pursuant to the preceding Article and Article 4-4 of the Supplementary Provisions:

一平成二十七年度から当該一の事業年度の前事業年度までの間において毎年度継続して協会の一般保険料率を千分の百とし、かつ、持続可能な医療保険制度を構築するための国民健康保険法等の一部を改正する法律(平成二十七年法律第三十一号。次号ロにおいて「国保法等一部改正法」という。)第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用しないとしたならば積み立てられることとなる当該一の事業年度の前事業年度末における協会の準備金の額

(i)the expected amount of JHIA's reserve fund at the end of the business year before the relevant business year if the general insurance premium rate of JHIA were set to 0.10 per year continuously in the period from fiscal year 2015 to the business year before the relevant business year and the provisions of Articles 5-4 to 5-6 of the Supplementary Provisions before amendment pursuant to the provisions of Article 6 of the Act Partially Amending the National Health Insurance Act for Establishing a Sustainable Medical Insurance System (Act No. 31 of 2015; referred to as "the Act Partially Amending the NHIA, etc." in sub-item (b) below) did not apply:

二次に掲げる額のうちいずれか高い額

(ii)whichever is the higher of the amounts listed below:

イ平成二十六年度末における協会の準備金の額及び平成二十六年度において独立行政法人年金・健康保険福祉施設整理機構法の一部を改正する法律(平成二十三年法律第七十三号)附則第五条の規定によりなお従前の例によることとされた同法による改正前の独立行政法人年金・健康保険福祉施設整理機構法(平成十七年法律第七十一号)第十五条第一項の規定により年金特別会計の健康勘定に納付された額を原資として平成二十七年度中に協会に対して交付された額の合算額

(a)the total sum of the amount of JHIA's reserve fund at the end of 2014 and the amounts delivered to JHIA during fiscal year 2015, sourced from the amount paid to the Health Account of Special Pension Account pursuant to the provisions of Article 15, paragraph (1) of the Readjustment of Facilities for Insured Persons and Beneficiaries Organization Act (Act No. 71 of 2005) that remain in force in fiscal year 2006 pursuant to the provisions of Article 5 of the Supplementary Provisions of the Act Partially Amending the Readjustment of Facilities for Insured Persons and Beneficiaries Organization Act (Act No. 73 of 2011); or

ロ平成二十七年度から当該一の事業年度の前々事業年度までの間において毎年度継続して協会の一般保険料率を千分の百とし、かつ、国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から当該一の事業年度の前々事業年度までの間の各事業年度の事業年度末における協会の準備金の額(平成二十七年度から当該各事業年度までの間において独立行政法人通則法(平成十一年法律第百三号)第四十六条の二第一項から第三項まで及び独立行政法人地域医療機能推進機構法(平成十七年法律第七十一号)第十六条第二項の規定により年金特別会計の健康勘定に納付された額(次号において「納付額」という。)を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額)のうち最も高い額

(b)the highest of the expected amounts of JHIA's reserve fund at the end of each business year in the period from fiscal year 2015 to the business year before the business year before the relevant business year if the general insurance premium rate of JHIA were set to 0.10 per year in that period and the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions before amendment pursuant to the provisions of Article 6 of the Act Partially Amending the NHIA (the amount obtained by deducting the cumulative amount of the amounts delivered between fiscal year 2015 and each of the relevant business years from the amount of JHIA's reserve fund at the end of each of the relevant business years if there is any amount delivered to JHIA sourced from the amount paid to the Health Account of the Annual Special Account between fiscal year 2015 and each of the relevant business years pursuant to the provisions of Article 46-2, paragraphs (1) through (3) of the Independent Administrative Agencies General Rules Act (Act No. 103 of 2009) and Article 16, paragraph (2) of the Independent Administrative Agencies Regional Medical Function Promotion Organization Act (Act No. 71 of 2005) (referred to as "amount for payment" in the following item)); and

三平成二十七年度から当該一の事業年度の前事業年度までの間における納付額を原資として、協会に対して交付された額の累計額

(iii)the cumulative amount of the amounts delivered to JHIA, sourced from the amount for payment from fiscal 2015 to the business year before the relevant business year.

(検討)

(Examination)

第五条の三政府は、協会が作成する第百六十条第五項に規定する健康保険事業の収支の見通しを踏まえ、その財政の均衡を保つために協会の一般保険料率を引き上げる必要があると見込まれる場合において、協会以外の保険者の一般保険料率の動向、国の財政状況その他の社会経済情勢の変化等を勘案し、第百五十三条及び第百五十四条並びに附則第五条の規定について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。

Article 5-3When it is expected to be necessary to raise JHIA's general insurance premium rate in order to maintain its financial balance taking into account the prospects for JHIA's revenues and expenditures for health insurance business prescribed in Article 160, paragraph (5), the government is to examine the provisions of Articles 153 and 154 as well as Article 5 of the Supplementary Provisions in consideration of trends in general insurance premium rates of insurers other than JHIA, the national financial status, and other changes in social and economic circumstances, and take necessary measures based on the results when it finds it necessary.

(日本私立学校振興・共済事業団等の適用)

(Application Concerning the Promotion and Mutual Aid Corporation for Private Schools of Japan)

第六条この法律の適用については、日本私立学校振興・共済事業団は共済組合と、私立学校教職員共済法の規定による私立学校教職員共済制度の加入者は共済組合の組合員とみなす。

Article 6With regard to the application of this Act, the Promotion and Mutual Aid Corporation for Private Schools of Japan is deemed to be a mutual aid association, and subscribers to the Private School Personnel Mutual Aid System pursuant to the provisions of the Private School Personnel Mutual Aid Association Act are deemed to be members of the mutual aid association.

(特定被保険者)

(Specified Insured Person)

第七条健康保険組合は、第百五十六条第一項第二号及び第百五十七条第二項の規定にかかわらず、規約で定めるところにより、介護保険第二号被保険者である被保険者以外の被保険者(介護保険第二号被保険者である被扶養者があるものに限る。以下この条及び次条において「特定被保険者」という。)に関する保険料額を一般保険料額と介護保険料額との合算額とすることができる。

Article 7(1)Notwithstanding the provisions of Article 156, paragraph (1), item (ii) and Article 157, paragraph (2), a health insurance society may, as prescribed in its constitution, set the insurance premium amount for insured persons (limited to those with a dependent who is an item (ii) insured person; hereinafter referred to as a "specified insured person" in this and the following Article) other than item (ii) insured persons as the sum of the general insurance premium amount and long-term care insurance premium amount.

2前項の規定によりその保険料額を一般保険料額と介護保険料額との合算額とされた特定被保険者に対する第百五十六条第三項の規定の適用については、同項中「前二項」とあるのは、「附則第七条第一項及び第三項」とする。

(2)Regarding the application of the provisions of Article 156, paragraph (3) to a specified insured person whose amount of insurance premiums is the total sum of general insurance premiums and long-term care insurance premiums pursuant to the provisions of the preceding paragraph, the phrase "the preceding two paragraphs" in that paragraph is replaced with "Article 7, paragraphs (1) and (3) of the Supplementary Provisions".

3第百五十六条第二項の規定は、介護保険第二号被保険者である被扶養者(第一項の規定によりその保険料額を一般保険料額と介護保険料額との合算額とされた特定被保険者の被扶養者に限る。)が介護保険第二号被保険者に該当しなくなった場合について準用する。

(3)The provisions of Article 156, paragraph (2) apply mutatis mutandis when a dependent who is an item (ii) insured person (limited to a dependent of a specified insured person whose insurance premiums are the total sum of the amounts of the dependent's general insurance premiums and long-term care insurance premiums pursuant to the provisions of paragraph (1)) becomes no longer eligible to be an item (ii) insured person.

4第一項の規定により特定被保険者に関する保険料額を一般保険料額と介護保険料額との合算額とした健康保険組合の介護保険料率の算定の特例に関して必要な事項は、政令で定める。

(4)Necessary matters concerning the special case of calculating the long-term care insurance premium rate for a health insurance society which sets the insurance premium amount for a specified insured person as the total sum of the general insurance premium amount and the long-term care insurance premium amount pursuant to the provisions of paragraph (1) are specified by Cabinet Order.

(承認健康保険組合)

(Approved Health Insurance Society)

第八条政令で定める要件に該当するものとして厚生労働大臣の承認を受けた健康保険組合(以下この条において「承認健康保険組合」という。)は、第百五十六条第一項第一号、第百五十七条第二項、第百六十条第十六項及び前条第一項の規定にかかわらず、介護保険第二号被保険者である被保険者(同項の規定によりその保険料額を一般保険料額と介護保険料額との合算額とされた特定被保険者を含む。第四項において同じ。)に関する保険料額を一般保険料額と特別介護保険料額との合算額とすることができる。

Article 8(1)A health insurance society which is approved by the Minister of Health, Labour and Welfare as meeting the requirements specified by Cabinet Order (hereinafter referred to as "approved health insurance society") may set the amount of insurance premiums for an insured person who is an item (ii) insured person (including a specified insured person whose amount of insurance premiums is the total sum of general insurance premiums and long-term care insurance premiums pursuant to the provisions of paragraph (1) of the preceding Article; the same applies in paragraph (4)) as the total sum of the amount of general insurance premiums and the amount of special long-term care insurance premiums, notwithstanding the provisions of Article 156, paragraph (1), item (i), Article 157, paragraph (2), Article 160, paragraph (16), and paragraph (1) of the preceding Article.

2前項の特別介護保険料額の算定方法は、政令で定める基準に従い、各年度における当該承認健康保険組合の特別介護保険料額の総額と当該承認健康保険組合が納付すべき介護納付金の額とが等しくなるように規約で定めるものとする。

(2)The method for calculating the amount of special long-term care insurance premiums referred to in the preceding paragraph is to be specified in the constitution in accordance with standards specified by Cabinet Order so that the total amount of special long-term care insurance premiums of an approved health insurance society each fiscal year and the amount of long-term care payments to be paid by the approved health insurance society are equal.

3前項の政令は、介護保険法第百二十九条第二項に規定する政令で定める基準を勘案して定める。

(3)Cabinet Order referred to in the preceding paragraph is specified in consideration of standards specified by Cabinet Order prescribed in Article 129, paragraph (2) of the Long-Term Care Insurance Act.

4承認健康保険組合の介護保険第二号被保険者である被保険者に対する第百六十二条の規定の適用については、同条中「介護保険料額」とあるのは、「特別介護保険料額」とする。

(4)Regarding the application of the provisions of Article 162 to an insured person who is an item 2 insured person of an approved health insurance society, the phrase "long-term care insurance premiums" in the same Article is replaced with "special long-term care insurance premiums".

(平成二十二年度等における子ども手当の支給に関する法律により適用される旧児童手当法の特例)

(Special Provisions for the Old Child Allowance Act Applied Pursuant to the Act on Child Allowance Payments in Fiscal Year 2010)

第八条の二平成二十二年度等における子ども手当の支給に関する法律(平成二十二年法律第十九号)第二十条第一項の規定により適用される児童手当法の一部を改正する法律(平成二十四年法律第二十四号)附則第十一条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法(昭和四十六年法律第七十三号。以下「旧児童手当法」という。)第二十条の拠出金に関しては、第百五十九条の二の規定を準用する。

Article 8-2(1)With regard to contributions referred to in Article 20 of the Child Allowance Act (Act No. 73 of 1971) before its amendment pursuant to the provisions of Article 1 of the Act for Amending Part of the Child Allowance Act (Act No. 24 of 2012) that remains in force pursuant to the provisions of Article 11 of the Supplementary Provisions of the same Act as applied pursuant to the provisions of Article 20, paragraph (1) of the Act on Child Allowance Payments in Fiscal Year 2010 (Act No. 19 of 2010; hereinafter referred to as "Old Child Allowance Act"), the provisions of Article 159-2 apply mutatis mutandis.

この場合において、同条中「子ども・子育て支援法(平成二十四年法律第六十五号)第六十九条」とあるのは「平成二十二年度等における子ども手当の支給に関する法律(平成二十二年法律第十九号)第二十条第一項の規定により適用される児童手当法の一部を改正する法律(平成二十四年法律第二十四号)附則第十一条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法(昭和四十六年法律第七十三号)第二十条」と、「子ども・子育て拠出金」とあるのは「子ども手当拠出金」と読み替えるものとする。

In this case, the phrase "Article 69 of the Child and Childcare Support Act (Act No. 65 of 2012)" in Article 159-2 is deemed to be replaced with "Article 20 of the Child Allowance Act (Act No. 73 of 1971) before its amendment pursuant to the provisions of Article 1 of the Act for Amending Part of the Child Allowance Act (Act No. 24 of 2012) that remains in force pursuant to the provisions of Article 11 of the Supplementary Provisions of the same Act as applied pursuant to the provisions of Article 20, paragraph (1) of the Act on Child Allowance Payments in Fiscal Year 2010 (Act No. 19 of 2010)" and "child and childcare contributions" with "child allowance contributions".

(平成二十三年度における子ども手当の支給等に関する特別措置法により適用される旧児童手当法の特例)

(Special Provisions for the Old Child Allowance Act Applied Pursuant to the Act on Special Measures for Child Allowance Payments in Fiscal Year 2011)

第八条の三平成二十三年度における子ども手当の支給等に関する特別措置法(平成二十三年法律第百七号)第二十条第一項、第三項及び第五項の規定により適用される児童手当法の一部を改正する法律附則第十二条の規定によりなおその効力を有するものとされた旧児童手当法第二十条の拠出金に関しては、第百五十九条の二の規定を準用する。

Article 8-3(1)With regard to the contributions referred to in Article 20 of the Old Child Allowance Act that remains in force pursuant to the provisions of Article 12 of the Supplementary Provisions of the Act for Amending Part of the Child Allowance Act as applied pursuant to the provisions of Article 20, paragraphs (1), (3) and (5) of the Act on Special Measures for Child Allowance Payments in Fiscal Year 2011 (Act No. 107 of 2011), the provisions of Article 159-2 apply mutatis mutandis.

この場合において、同条中「及び子ども・子育て支援法(平成二十四年法律第六十五号)第六十九条」とあるのは「並びに平成二十三年度における子ども手当の支給等に関する特別措置法(平成二十三年法律第百七号)第二十条第一項、第三項及び第五項の規定により適用される児童手当法の一部を改正する法律(平成二十四年法律第二十四号)附則第十二条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法(昭和四十六年法律第七十三号)第二十条」と、「子ども・子育て拠出金」とあるのは「子ども手当拠出金」と読み替えるものとする。

In this case, the phrase "Article 69 of the Child and Childcare Support Act (Act No. 65 of 2012)" in Article 159-2 is deemed to be replaced with "Article 20 of the Child Allowance Act (Act No. 73 of 1971) before its amendment pursuant to the provisions of Article 1 of the Act for Amending Part of the Child Allowance Act (Act No. 24 of 2012) that remains in force pursuant to the provisions of Article 12 of the same Act as applied pursuant to the provisions of Article 20, paragraphs (1), (3) and (5) of the Act on Special Measures for Child Allowance Payments in Fiscal Year 2011 (Act No. 107 of 2011)", and "child and childcare contributions" with "child allowance contributions".

(都道府県単位保険料率の算定の特例等)

(Special Provisions for Calculation of Insurance Premium Rate for Each Prefecture)

第八条の四平成二十二年度から平成二十四年度までの間は、第百六十条第三項第三号中「並びに健康保険事業の事務の執行に要する費用及び次条の規定による準備金の積立ての予定額(第百五十一条の規定による国庫負担金の額を除く。)」とあるのは「、健康保険事業の事務の執行に要する費用及び次条の規定による準備金の積立ての予定額(第百五十一条の規定による国庫負担金の額を除く。)並びに第七条の三十一の規定による短期借入金の償還に要する費用の額に充てるものとして政令で定める額」と、同条第五項中「二年ごとに、翌事業年度以降の五年間」とあるのは「平成二十二年度から平成二十四年度までの間、毎事業年度の開始前に(平成二十二年度にあっては、当該年度開始後速やかに)、当該事業年度から平成二十四年度までの間(当該事業年度が平成二十四年度の場合にあっては、当該事業年度)」とする。

Article 8-4During the period from fiscal 2000 through fiscal 2002, the phrase "as well as expenses required for the execution of affairs concerning health insurance business and the estimated amount of reserve funds pursuant to the provisions of the following Article (excluding the amount of the national treasury benefits pursuant to the provisions of Article 151)" in Article 160, paragraph (3), item (iii) is replaced with ", expenses required for the execution of affairs concerning health insurance business and the estimated amount of reserve funds pursuant to the provisions of the following Article (excluding the amount of the national treasury benefits pursuant to the provisions of Article 151), as well as the amount specified by Cabinet Order to be allocated for the amount of funding necessary to provide for the redemption of short-term debt pursuant to the provisions of Article 7-31", and the phrase "every two years for five years starting from the following business year" in paragraph (5) of the same Article is replaced with "during the period from fiscal 2010 to fiscal 2012, before starting each business year (in fiscal 2010, immediately after starting the relevant business year), and during the period from the relevant business year to fiscal 2012 (in fiscal 2014 if that is the relevant business year)".

第八条の五平成二十五年度及び平成二十六年度においては、第百六十条第三項第三号中「並びに健康保険事業」とあるのは「、健康保険事業」と、「及び次条の規定による準備金の積立ての予定額(第百五十一条の規定による国庫負担金の額を除く。)」とあるのは「(第百五十一条の規定による国庫負担金の額を除く。)並びに第七条の三十一の規定による短期借入金の償還に要する費用の額に充てるものとして政令で定める額」と、同条第五項中「二年ごとに、翌事業年度以降の五年間」とあるのは「平成二十五年度にあっては当該年度開始後速やかに、同年度及び平成二十六年度の各事業年度についての、平成二十六年度にあっては当該年度開始前に、当該事業年度」とする。

Article 8-5(1)In fiscal 2013 and 2014, the phrase "as well expenses" in Article 160, paragraph (3), item (iii) is replaced with ", expenses", the phrase "and the estimated amount of reserve funds pursuant to the provisions of the following Article (excluding the amount of national treasury benefits pursuant to the provisions of Article 151)" in the same item is replaced with "(excluding the amount of national treasury benefits pursuant to the provisions of Article 151) as well as the amount specified by Cabinet Order to be allocated for the amount of funding necessary to provide for redemption of short-term debt pursuant to the provisions of Article 7-31", and the phrase "every two years for five years starting from the following business year" in paragraph (5) of the same Article is replaced with "immediately after the beginning of fiscal year 2013, for the business years in that fiscal year and in fiscal 2014, and before the beginning of fiscal 2014, for the business year in that fiscal year".

2協会については、平成二十五年度及び平成二十六年度においては、第百六十条の二の規定は適用しない。

(2)In fiscal 2013 and 2014, the provisions of Article 160-2 do not apply to JHIA.

(延滞金の割合の特例)

(Special Provisions for Delinquent Charges Rate)

第九条第百八十一条第一項に規定する延滞金の年十四・六パーセントの割合及び年七・三パーセントの割合は、当分の間、同項の規定にかかわらず、各年の特例基準割合(租税特別措置法(昭和三十二年法律第二十六号)第九十三条第二項に規定する特例基準割合をいう。以下この条において同じ。)が年七・三パーセントの割合に満たない場合には、その年中においては、年十四・六パーセントの割合にあっては当該特例基準割合に年七・三パーセントの割合を加算した割合とし、年七・三パーセントの割合にあっては当該特例基準割合に年一パーセントの割合を加算した割合(当該加算した割合が年七・三パーセントの割合を超える場合には、年七・三パーセントの割合)とする。

Article 9Regarding the rates of 14.6% per year and 7.3% per year for delinquent charges as prescribed in Article 81, paragraph (1), until otherwise provided by law and notwithstanding the provisions of the same paragraph, if the special standard rate (meaning the special standard rate prescribed in the provisions of Article 93, paragraph (2) of the Act on Special Measures Concerning Taxation (Act No. 26 of 1957); hereinafter the same applies in this Article) in a year is below 7.3% per year, the respective rates for the year are calculated by adding 7.3% to the special standard rate in the case of the 14.6% rate and by adding 1% to the special standard rate in the case of the 7.3% rate (if that rate after addition exceeds 7.3% per year, the rate is set as 7.3% per year).

(郵政会社等に関する経過措置)

(Transitional Measures Concerning Japan Post Holdings)

第十条国家公務員共済組合法附則第二十条の二第二項に規定する郵政会社等が保険医療機関、保険薬局又は指定訪問看護事業者の指定の申請を行う場合におけるこの法律の適用については、次の表の上欄に掲げる規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。

Article 10With regard to the application of this Act when Japan Post Holdings, etc. as prescribed in Article 20-2, paragraph (2) of the Supplementary Provisions of the National Public Employees Mutual Aid Association Act applies for designation as a medical institution providing services covered by health insurance, a pharmacy providing services covered by health insurance, or a designated home-nursing provider, the phrases listed in the middle column of the following table pursuant to the provisions listed in the right column of the same table are replaced with the phrases listed in the left columns of the table.

第六十五条第三項第五号 Article 65, paragraph (3), item (v)	高齢者の医療の確保に関する法律 The Act on Assurance of Medical Care for Elderly People	高齢者の医療の確保に関する法律、国家公務員共済組合法(昭和三十三年法律第百二十八号) The Act on Assurance of Medical Care for Elderly People, the National Public Employees Mutual Aid Association Act (Act No. 128 of 1958)
第七十条第二項 Article 70, paragraph (2)	国家公務員共済組合法(昭和三十三年法律第百二十八号。 National Public Employees Mutual Aid Association Act (Act No. 128 of 1958	国家公務員共済組合法( National Public Employees Mutual Aid Association Act (

(機構への厚生労働大臣の権限に係る事務の委任等)

(Delegation of Affairs Pertaining to Authority of the Minister of Health, Labour and Welfare to JPS)

第十一条改正法附則第二十五条その他この法律の改正に伴う経過措置を定める規定であって厚生労働省令で定めるものによる厚生労働大臣の権限については、日本年金機構法(平成十九年法律第百九号)附則第二十三条の規定による改正後の健康保険法(次項において「新健康保険法」という。)第二百四条から第二百五条の三までの規定の例により、当該権限に係る事務を機構に行わせるものとする。

Article 11(1)With regard to the authority of the Minister of Health, Labour and Welfare pursuant to the provisions of Article 25 of the Supplementary Provisions of the Amending Act and other provisions that specify transitional measures and that are specified by Order of the Ministry of Health, Labour and Welfare, the affairs to which the authority pertains are to be implemented by JPS, pursuant to the provisions of Articles 204 through 205-3 of Health Insurance Act (referred to as "New Health Insurance Act" in the following paragraph) after amendment pursuant to the provisions of Article 23 of the Supplementary Provisions of the Japan Pension Service Act (Act No. 109 of 2007).

2前項の場合において、新健康保険法第二百四条から第二百五条の三までの規定の適用についての技術的読替えその他これらの規定の適用に関し必要な事項は、厚生労働省令で定める。

(2)In the case of the preceding paragraph, necessary matters concerning technical replacement of terms regarding the application of the provisions of Article 204 through Article 205-3 of the New Health Insurance Act and other matters necessary for the application of those provisions are specified by Order of the Ministry of Health, Labour and Welfare.