Summary of 2018 reform
The last update date:
Expansion of bailout of country accompanied with National Health Insurance law revision
From 2015, we utilized consumption tax increase resources, and expansion of bailout of about 170 billion yen was carried out as every reinforcement of low-income person countermeasures in the year.
In addition, in addition to this, we utilize public funds to occur with conduct of full-scale total reward percent of money of elderly aged 75 or over support in elderly person medical care with precedence, and injection of public funds for financial stabilization fund creation to cope with lack of resources of municipalities and the prefecture is performed progressively.
After 2018, degree will be further performed bailout of about 170 billion yen in addition to about 170 billion yen from 2015 every year.
<we carry out from 2015>
- For reinforcement of low-income person countermeasures, we expand bailout to the municipalities National Health Insurance depending on the number of the low-income people targeted for reduction of premium (tax) <about 170 billion yen>
<we carry out from 2015 through 2018>
- For lack of resources by growth of sudden medical expenses, loan issues fund to municipalities and the prefecture <about 200 billion yen>
- The prefecture issues to municipalities for the purpose of violent change relaxation of insurance tax <about 30 billion yen>
<we carry out from 2018>
- Reinforcement (substantial increase of financial adjustment grant) of financial adjustment function, correspondence (mental disease, the number of the people insured of child, person of involuntary unemployment) to medical expenses increase, burden by factor not to depend on torture on local government <about 80 billion yen>
- Support <about 84 billion yen> for approaches for adequacy of insurer effort support system ... medical expenses
- Dispersion, reduction policy (correspondence to large amount of medical expenses) of financial risk <about 6 billion yen>
About role allotment of the prefecture and municipalities
From 2018, the prefecture is made up mainly of responsibility of financial administration and carries central role on stable financial administration and National Health Insurance administration such as securing of effective business and will stabilize system.
It is decided and shows payment amount of money that municipalities in the prefecture pay to the prefecture to municipalities to perform financial administration in the prefecture.
(municipalities levy on National Health Insurance family nurturer, and they will collect insurance tax to be necessary to cover payment to pay to the prefecture.)
- The total amount, the prefecture issue expense necessary for payment costs to municipalities
- The prefecture presents standard insurance tax rate every municipalities to push forward ka with a view of standard inhabitants burden
- The prefecture establishes National Health Insurance administration policy, and efficiency, wide area of desk work of municipalities propels becoming
<role of the prefecture>
- The responsibility main constituent of financial administration
- Payment decision (considering medical expenses standard, income level every municipalities basics) every municipalities
- The presentation such as standard insurance tax rates every municipalities
We announce calculation result of Saga National Health Insurance standard insurance tax rate in 2019 (H31.1.25 press release)
- Check of insurance benefit that municipalities performed, subsequent adjustment
- Equalization, efficiency, wide area of desk work that municipalities take promote becoming
Municipalities will carry smooth business in area such as qualification management, insurance benefit, determination of insurance tax rate, levy, the collection, health business in relations with a view of face with local resident sequentially directly.
<role of municipalities>
- Qualification management (issuance of identifications of person insured)
- Determination of insurance tax rate, levy, the collection
- Insurance benefit
- Health business
About calculation result of National Health Insurance operating cost payment and standard insurance tax rate
Following the fact that the prefecture was made up mainly of responsibility of financial administration of National Health Insurance from 2018, in the prefecture, we calculated payment of 2020 and standard insurance tax rate.
There are three kinds to standard insurance tax rate, and there are the following roles.
- The metropolis and districts standard insurance tax rate (a)…We calculated to perform comparison between the metropolis and districts
- The municipalities standard insurance tax rate (i)…We calculated to perform comparison between municipalities
- The municipalities standard insurance tax rate (cormorant) based on calculation method of each municipality…On municipalities deciding tax rate; calculated to refer to
(reference) With standard insurance tax rate (PDF: 110.8 kilobytes)
As each municipality decides real insurance tax rate in consideration for each situation, standard insurance tax rate and real insurance tax rate may be different.
For details, please see the following attached files.
The municipalities standard insurance tax rate (cormorant) based on calculation method of each municipality (PDF: 95.4 kilobytes)