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帯における国民健康保険の世帯主等でなくなつた場合（当該国民健康保険の世帯主等が基準日世帯主等又は基準日世帯員である場合を除く。）における第二十九条の二の三の規定による高額療養費の支給については、当該国民健康保険の世帯主等が当該世帯における国民健康保険の世帯主等でなくなつた日（計算期間において当該世帯における国民健康保険の世帯主等でなくなつた日が複数ある場合にあつては、当該世帯における国民健康保険の世帯主等でなくなつた日のうち最も遅い日。以下この条において同じ。）の前日を基準日とみなして、第二十九条の二の三並びに前条第十二項及び第十四項の規定を適用する。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"children":["ただし、当該国民健康保険の世帯主等が計算期間の末日以外の日において法第六条第一号から第八号までのいずれかに該当し、その翌日から国民健康保険の被保険者の資格を喪失することにより、当該世帯における国民健康保険の世帯主等でなくなつた場合については、当該国民健康保険の世帯主等が当該世帯における国民健康保険の世帯主等でなくなつた日の前々日を基準日とみなす。"]}]}]},{"tag":"Paragraph","attr":{"Num":"11"},"children":[{"tag":"ParagraphNum","attr":{},"children":["１１"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["高額療養費の支給に関する手続について必要な事項は、厚生労働省令で定める。"]}]}]}]},{"tag":"Article","attr":{"Num":"29_4_2"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（高額介護合算療養費の支給要件及び支給額）"]},{"tag":"ArticleTitle","attr":{},"children":["第二十九条の四の二"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Function":"main","Num":"1","WritingMode":"vertical"},"children":["高額介護合算療養費は、次に掲げる額を合算した額から七十歳以上介護合算支給総額（次項に規定する七十歳以上介護合算一部負担金等世帯合算額から同項の七十歳以上介護合算算定基準額を控除した額（当該額が健康保険法施行令第四十三条の二第一項に規定する支給基準額（以下この条において「支給基準額」という。）以下である場合又は当該七十歳以上介護合算一部負担金等世帯合算額の算定につき次項ただし書に該当する場合には、零とする。）をいう。）を控除した額（以下この項において「介護合算一部負担金等世帯合算額」という。）が介護合算算定基準額に支給基準額を加えた額を超える場合に基準日世帯主等に支給するものとし、その額は、介護合算一部負担金等世帯合算額から介護合算算定基準額を控除した額に介護合算按分率（第一号に掲げる額から次項の規定により支給される高額介護合算療養費の額を控除した額を、介護合算一部負担金等世帯合算額で除して得た率をいう。）を乗じて得た額とする。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"children":["ただし、同号から第五号までに掲げる額を合算した額又は第六号及び第七号に掲げる額を合算した額が零であるときは、この限りでない。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["計算期間において、基準日世帯主等又は当該基準日世帯主等が国民健康保険の世帯主等であつた間に当該基準日世帯主等と同一の世帯に属する世帯員であつた者がそれぞれ当該市町村又は組合の国民健康保険の世帯主等又は当該世帯員である者として受けた療養（被保険者として受けた療養に限り、継続給付に係る療養を含む。）に係る次に掲げる額の合算額（第二十九条の二第一項から第五項まで、第二十九条の二の二又は第二十九条の二の三の規定により高額療養費が支給される場合にあつては、当該支給額を控除した額とする。）"]}]},{"tag":"Subitem1","attr":{"Num":"1"},"children":[{"tag":"Subitem1Title","attr":{},"children":["イ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["当該療養（特定給付対象療養を除く。）に係る第二十九条の二第一項第一号イからヌまでに掲げる額（七十歳に達する日の属する月以前の当該療養に係るものにあつては、同一の月にそれぞれ一の病院等から受けた当該療養について二万千円（七十五歳到達時特例対象療養に係るものにあつては、一万五百円）以上のものに限る。）を合算した額"]}]}]},{"tag":"Subitem1","attr":{"Num":"2"},"children":[{"tag":"Subitem1Title","attr":{},"children":["ロ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["当該療養（特定給付対象療養に限る。）について、当該療養を受けた者がなお負担すべき額（七十歳に達する日の属する月以前の特定給付対象療養に係るものにあつては、当該特定給付対象療養に係る第二十九条の二第一項第一号イからヌまでに掲げる額が同一の月にそれぞれ一の病院等から受けた当該特定給付対象療養について二万千円（七十五歳到達時特例対象療養に係るものにあつては、一万五百円）以上のものに限る。）を合算した額"]}]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["基準日において被保険者である基準日世帯主等が計算期間における他の市町村又は組合の国民健康保険の世帯主等であつた間に、当該国民健康保険の世帯主等が被保険者として受けた療養又はその世帯員であつた者がその世帯員であつた間に受けた療養に係る前号に規定する合算額"]}]}]},{"tag":"Item","attr":{"Num":"3"},"children":[{"tag":"ItemTitle","attr":{},"children":["三"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["基準日世帯員が計算期間における当該市町村又は組合の国民健康保険の世帯主等であつた間に、当該国民健康保険の世帯主等が被保険者として受けた療養（継続給付に係る療養を含む。）又はその世帯員であつた者がその世帯員であつた間に受けた療養（継続給付に係る療養を含む。）に係る第一号に規定する合算額"]}]}]},{"tag":"Item","attr":{"Num":"4"},"children":[{"tag":"ItemTitle","attr":{},"children":["四"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["基準日世帯員が計算期間における他の市町村又は組合の国民健康保険の世帯主等であつた間に、当該国民健康保険の世帯主等が被保険者として受けた療養又はその世帯員であつた者がその世帯員であつた間に受けた療養に係る第一号に規定する合算額"]}]}]},{"tag":"Item","attr":{"Num":"5"},"children":[{"tag":"ItemTitle","attr":{},"children":["五"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["基準日において被保険者である基準日世帯主等又は基準日世帯員が計算期間における被用者保険被保険者等であつた間に、当該被用者保険被保険者等が受けた療養又はその被扶養者であつた者がその被扶養者であつた間に受けた療養について第一号に規定する合算額に相当する額として厚生労働省令で定めるところにより算定した額"]}]}]},{"tag":"Item","attr":{"Num":"6"},"children":[{"tag":"ItemTitle","attr":{},"children":["六"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["基準日において被保険者である基準日世帯主等又は基準日世帯員が計算期間に受けた居宅サービス等（介護保険法施行令（平成十年政令第四百十二号）第二十二条の二の二第一項に規定する居宅サービス等をいう。次項において同じ。）に係る同条第二項第一号及び第二号に掲げる額の合算額（同項の規定により高額介護サービス費が支給される場合にあつては、当該支給額を控除した額とする。）"]}]}]},{"tag":"Item","attr":{"Num":"7"},"children":[{"tag":"ItemTitle","attr":{},"chil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二の六第八項又は第十一項の規定の適用がある場合には、その適用後の金額）、同法附則第三十三条の三第五項に規定する土地等に係る事業所得等の金額、同法附則第三十四条第四項に規定する長期譲渡所得の金額、同法附則第三十五条第五項に規定する短期譲渡所得の金額、同法附則第三十五条の二第五項に規定する一般株式等に係る譲渡所得等の金額（同法附則第三十五条の三第十五項の規定の適用がある場合には、その適用後の金額）、同法附則第三十五条の二の二第五項に規定する上場株式等に係る譲渡所得等の金額（同法附則第三十五条の二の六第十一項又は第三十五条の三第十三項若しくは第十五項の規定の適用がある場合には、その適用後の金額）、同法附則第三十五条の四第四項に規定する先物取引に係る雑所得等の金額（同法附則第三十五条の四の二第七項の規定の適用がある場合には、その適用後の金額）、外国居住者等の所得に対する相互主義による所得税等の非課税等に関する法律第八条第二項に規定する特例適用利子等の額、同条第四項に規定する特例適用配当等の額、租税条約等実施特例法第三条の二の二第十項に規定する条約適用利子等の額及び同条第十二項に規定する条約適用配当等の額をいう。以下この項において同じ。）の合算額が地方税法第三百十四条の二第二項第一号に定める金額（世帯主並びに当該世帯主の世帯に属する被保険者及び特定同一世帯所属者（以下この号及び第三号において「世帯主等」という。）のうち給与所得を有する者（前年中に同条第一項に規定する総所得金額に係る所得税法第二十八条第一項に規定する給与所得について同条第三項に規定する給与所得控除額の控除を受けた者（同条第一項に規定する給与等の収入金額が五十五万円を超える者に限る。）をいう。以下この号において同じ。）の数及び公的年金等に係る所得を有する者（前年中に地方税法第三百十四条の二第一項に規定する総所得金額に係る所得税法第三十五条第三項に規定する公的年金等に係る所得について同条第四項に規定する公的年金等控除額の控除を受けた者（年齢六十五歳未満の者にあつては当該公的年金等の収入金額が六十万円を超える者に限り、年齢六十五歳以上の者にあつては当該公的年金等の収入金額が百十万円を超える者に限る。）をいい、給与所得を有する者を除く。）の数の合計数（以下この号及び第三号において「給与所得者等の数」という。）が二以上の場合にあつては、地方税法第三百十四条の二第二項第一号に定める金額に当該給与所得者等の数から一を減じた数に十万円を乗じて得た金額を加えた金額）に当該世帯に属する被保険者の数と特定同一世帯所属者の数の合計数に五十七万円を乗じて得た金額を加算した金額（第四号又は第五号の規定による減額を行う場合には、同項第一号に定める金額（世帯主等のうち給与所得者等の数が二以上の場合にあつては、同号に定める金額に当該給与所得者等の数から一を減じた数に十万円を乗じて得た金額を加えた金額）に当該世帯に属する被保険者の数と特定同一世帯所属者の数の合計数に三十一万円を乗じて得た金額を加算した金額）を超えない場合においては、当該世帯主に対して賦課する被保険者均等割額及び十八歳以上被保険者均等割額並びに世帯別平等割額（世帯別平等割額を賦課しない市町村においては、被保険者均等割額及び十八歳以上被保険者均等割額）を減額するものであること。"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号の場合における地方税法第三百十四条の二第一項に規定する総所得金額若しくは山林所得金額又は他の所得と区分して計算される所得の金額は、同法第三百十三条第三項、第四項又は第五項の規定を適用せず、所得税法第五十七条第一項、第三項又は第四項の規定の例によらないものとして計算するものであること。"]}]}]},{"tag":"Item","attr":{"Num":"3"},"children":[{"tag":"ItemTitle","attr":{},"children":["三"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前二号の規定に基づき減額する額は、当該市町村の当該年度分の保険料に係る当該被保険者均等割額及び十八歳以上被保険者均等割額又は世帯別平等割額にイからハまでに掲げる世帯の区分に応じ、それぞれイからハまでに定める割合を乗じて得た額であること。"]}]},{"tag":"Subitem1","attr":{"Num":"1"},"children":[{"tag":"Subitem1Title","attr":{},"children":["イ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号の規定を適用して計算した第一号に規定する総所得金額及び山林所得金額並びに他の所得と区分して計算される所得の金額の合算額が地方税法第三百十四条の二第二項第一号に定める金額（世帯主等のうち給与所得者等の数が二以上の場合にあつては、同号に定める金額に当該給与所得者等の数から一を減じた数に十万円を乗じて得た金額を加えた金額）を超えない世帯"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十分の七"]}]}]}]},{"tag":"Subitem1","attr":{"Num":"2"},"children":[{"tag":"Subitem1Title","attr":{},"children":["ロ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号の規定を適用して計算した第一号に規定する総所得金額及び山林所得金額並びに他の所得と区分して計算される所得の金額の合算額が地方税法第三百十四条の二第二項第一号に定める金額（世帯主等のうち給与所得者等の数が二以上の場合にあつては、同号に定める金額に当該給与所得者等の数から一を減じた数に十万円を乗じて得た金額を加えた金額）に当該世帯に属する被保険者の数と特定同一世帯所属者の数の合計数に三十一万円を乗じて得た金額を加算した金額を超えない世帯（イに掲げる世帯を除く。）"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十分の五"]}]}]}]},{"tag":"Subitem1","attr":{"Num":"3"},"children":[{"tag":"Subitem1Title","attr":{},"children":["ハ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号の規定を適用して計算した第一号に規定する総所得金額及び山林所得金額並びに他の所得と区分して計算される所得の金額の合算額が地方税法第三百十四条の二第二項第一号に定める金額（世帯主等のうち給与所得者等の数が二以上の場合にあつては、同号に定める金額に当該給与所得者等の数から一を減じた数に十万円を乗じて得た金額を加えた金額）に当該世帯に属する被保険者の数と特定同一世帯所属者の数の合計数に五十七万円を乗じて得た金額を加算した金額を超えない世帯（イ又はロに掲げる世帯を除く。）"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十分の二"]}]}]}]}]},{"tag":"Item","attr":{"Num":"4"},"children":[{"tag":"ItemTitle","attr":{},"children":["四"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号の規定による減額を行うことが困難であると認める市町村においては、同号の規定にかかわらず、当該市町村の当該年度分の保険料に係る当該被保険者均等割額及び十八歳以上被保険者均等割額又は世帯別平等割額にイ又はロに掲げる世帯の区分に応じ、それぞれイ又はロに定める割合を乗じて得た額の減額を行うことができること。"]}]},{"tag":"Subitem1","attr":{"Num":"1"},"children":[{"tag":"Subitem1Title","attr":{},"children":["イ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前号イに掲げる世帯"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十分の六"]}]}]}]},{"tag":"Subitem1","attr":{"Num":"2"},"children":[{"tag":"Subitem1Title","attr":{},"children":["ロ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Nu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