# Development of Infrastructure for Long-Term Care Insurance

## Overview

## Development of Infrastructure

1. In order to develop long-term care service infrastructure systematically, municipalities and prefectures formulate the municipal insured long-term care service plans and prefectural insured long-term care service plans respectively in accordance with the basic guidelines formulated by the government.

2. Municipalities take required measures to reflect opinions of the insured at the time of formulating or revising the municipal insured long-term care service plans.

3. The government support municipalities in developing long-term care service infrastructure through providing grants for community care and welfare space developments, etc. In addition, support shall be provided using the temporary exceptional fund for urgent long-term care infrastructure establishment in prefectures (the implementation period of the fund was extended another year until FY2014) to promote the establishment of small-scale service bases for use in daily living areas within municipalities such as community-based services.

## Detailed Information Grant for Community Care and Welfare Space Development, etc

### 1. Purpose

To enable the people to continue living in the region where they have lived for a long time, subsidizing cities, towns and villages to support establishment of long-term care service centers on the basis of the local situation utilizing the discretion and independency, improvement work for preparation of private rooms and unitization in the existing urban-type moderate-fee home for the elderly, establishment of emergency short stay rooms and implementation of advanced plans

### 2. Contents

(1) Grant for promoting community care and welfare space development

Grant for expenses required for establishment of facilities and development of a system to introduce community-based services and promotion of co-existence services for elderly, people with disabilities, and children.

(2) Special grant for advanced services support

Grant for establishment of facilities in accordance with the sanatorium type medical care facilities conversion plan, etc., reform of existing urban-type moderate-fee home for the elderly into private/unit rooms, establishment of emergency short stay rooms, etc.

### 3. Implementing entities: Municipalities

4. Rate of grant: Fixed amount

### 5. FY2014 budget:

Grants for establishing facilities of community care and welfare space developments, etc.: ¥2.6 billion

Grants for promotion of community care and welfare space developments: ¥0.8 billion

Total: ¥3.4 billion

## Detailed Information Urgent Establishment of Infrastructure of Long-Term Care Facilities

### 1. Purpose

To support the establishment of long-term care service infrastructures by municipalities in order to promote the establishment of regional long-term care facilities and regional care centers. (Implementation period of the fund was extended one year until FY2014)

### 2. Contents of the projects

The fund established in each prefecture is used as capital to implement the following projects:

(1) The provisional and exceptional fund for an urgent establishment of long-term care infrastructure

a) The project of special measures for an urgent establishment of long-term care infrastructure

Support to establishments of small-scale service centers used for daily life in the entire areas of municipalities such as community-based service

b) The project of special measures for installment of sprinklers in the existing facilities

Support for expenses required for installing fire prevention and safety equipments, including sprinklers, etc., at long-term care related facilities, etc.

c) The project of special measures for repairing group homes for the elderly elderly with dementia, etc. for disaster prevention

Support for repairs of group homes for the elderly elderly with dementia, etc. for disaster prevention, including earthquakes

Support for repairs of the existing special nursing home for the elderly for making private room units, etc.

(2) The provisional and exceptional fund to improve the treatment of nursing care staff (the project of special measures for new facility preparation, etc.

Support to the expenses for preparation of new facilities and establishment of leasehold for acquisition of land for facilities in order to promote establishment of special nursing homes for the elderly, etc.

3. Organizations responsible for the operation: Cities, wards, towns and villages

4. Subsidy ratio: Fixed (part of the project of 2 (2) is 1/2)

5. Project scale:

Special temporary fund for developing bases for long-term care foundation development, etc.: Approx. ¥333.1 billion

Special temporary fund for improvement of the working conditions of long-term care workers, etc.: Approx. ¥91.6 billion

* “Grants for establishing facilities of community care and welfare space developments, etc.” ( $ ¥26.6 $ billion) and “Grants for promotion of community care and welfare space developments” ( $ ¥7.8 $ billion) of FY2013 supplementary budget were used for prefecture funded projects with shortage of fund balance.