## Overview

## Changes in Social Security-Related Expenditure in National Budget

(Unit: ¥100 million, %)

Category	FY1980	FY1985	FY1990	FY1995	FY2000	FY2005	FY2008	Category	FY2009	FY2010	FY2011	FY2012
Social security-related	82,124	(100.0)	95,740	(100.0)	139,244	(100.0)	167,666	(100.0)	203,808	(100.0)	217,824	(100.0)
Public assistance	9,559	(11.6)	10,816	(11.3)	11,087	(9.5)	10,532	(7.6)	12,306	(7.3)	19,230	(9.4)
Social welfare	13,698	(16.7)	20,042	(20.9)	24,056	(20.7)	34,728	(24.9)	36,580	(21.8)	16,443	(8.1)
Social insurance	51,095	(62.2)	56,587	(59.1)	71,953	(61.9)	84,700	(60.8)	109,551	(65.3)	158,638	(77.8)
Public health services	3,981	(4.8)	4,621	(4.8)	5,587	(4.8)	6,348	(4.6)	5,434	(3.2)	4,832	(2.4)
Unemployment rmeasures	3,791	(4.6)	3,674	(3.8)	3,471	(3.0)	2,936	(2.1)	3,795	(2.3)	4,664	(2.3)
MHLW budget	86,416	(7.5)	99,920	(2.6)	120,521	(6.4)	144,766	(2.9)	174,251	(3.9)	208,178	(3.1)
General expenditures	307,332	(10.3)	325,854	(0.0)	353,731	(3.8)	421,417	(3.1)	480,914	(2.6)	472,829	(0.7)

Source: Finance Division, Minister's Secretariat, MHLW

(Note) 1. The sums in the breakdown may not equal the total due to rounding.

2. The figures in parentheses indicate the percentage distribution, except for figures for the MHLW budget and general expenditures that indicate the rate of increase from the previous year. $ \Delta $ indicates a decrease.

3. The figures for MHLW budget up to FY2001 were calculated as the sum of the budget of the former Ministry of Health and Welfare and that of the Ministry of Labour.

4. Categories of social security-related expenses were reviewed in FY2009 budget.

5. 50% (1/2) of the FY2012 state subsidy for the Basic Pension was secured via use of the expenditure budget (36.5%) and “government bonds for pension funds” (the difference $ (*) $ ), and which will then be redeemed by appropriating financial resources secured through the fundamental tax system reform.

The amount of “government bonds for pension funds” issued was the sum of the amount of the pension difference and the amount of the equivalent operating income.

(*) The difference between the state subsidy for pensions and the budget was ¥2,588.2 billion (of which ¥2,504.4 billion was for social security related expenses (¥2,487.9 billion for the M HLW))

* Refer to the Detailed Information for more details on the difference in the MHLW budget between FY2012 and the previous fiscal year (up 7.9%).

Detailed Data Changes in the General Account Expenditure Budget Classified by Expense Item Allocated for MHLW

FY1980	FY1985	FY1990	FY1995	FY2000	FY2005	FY2006	FY2007
Expenditure for public assistance	955,926	1,081,537	1,108,748	1,053,180	1,230,558	1,922,972	2,046,077	1,982,011
Expenditure for social welfare	1,369,775	2,004,211	2,405,589	3,472,812	3,657,991	1,644,326	1,511,720	1,622,252
Miscellaneous social welfare expenses	24,282	33,908	78,263	204,096	209,719	165,895	75,226	70,422
Development of social welfare facilities	122,196	82,298	112,702	166,044	155,674	115,425	69,710	65,757
Protection for children	482,936	484,079	439,994	589,129	763,606	724,410	623,219	510,727
Miscellaneous expenses for child rearing allowance	149,021	265,189	219,851	231,040	262,889	325,244	154,593	155,842
Welfare for fatherless families	3,950	4,800	3,600	3,400	5,490	5,110	5,070	5,040
Rehabilitation protective care for women	2,181	1,565	1,285	1,552	1,617	2,082	2,087	2,121
Protection for persons disabilities	38,844	51,732	52,470	79,135	108,360	117,693	59,504	1,771
Miscellaneous expenses for benefits, including special child rearing allowance	63,580	90,250	86,883	102,173	110,949	123,963	126,690	125,726
Welfare for elderly	476,119	984,113	1,402,738	2,085,439	2,028,696	3,887	4,887	4,887
Operation of the Welfare And Medical Service Agency	-	-	-	-	-	4,765	4,562	4,443
Operation of the National Center for Persons with Severe Intellectual Disabilities, Nozominosono	-	-	-	-	-	2,701	2,620	2,553
Development of the National Center for Persons with Severe Intellectual Disabilities, Nozominosono	-	-	-	-	-	101	50	68
Miscellaneous expenses for services and supports for persons with disabilities	-	-	-	-	-	41,923	373,349	662,694
National rehabilitation facilities	6,126	6,275	7,802	10,804	10,992	11,127	10,153	10,202
Expenditure for social insurance	5,060,215	5,569,386	7,090,824	8,312,699	10,863,311	15,708,833	16,007,411	16,725,553
State subsidy for child allowance	79,771	64,750	28,485	14,391	128,453	317,475	227,086	255,993
Promotion for Long-Term Care Insurance	-	-	-	-	-	11,442	19,140	14,521
Miscellaneous expenses for medical care for elderly and Long-Term Care Insurance	-	-	-	-	-	4,286,754	4,399,354	4,650,131
Long-Term Care Insurance subsidies	-	-	-	-	1,010,482	-	-	-
Health Insurance Society subsidies	5,188	5,431	9,739	23,479	26,785	13,339	10,060	9,492
National Health Insurance subsidies	2,123,107	2,018,870	2,549,031	2,819,398	3,354,675	3,739,112	3,617,257	3,655,510
Implementation of Farmers Pension	776	1,020	1,245	1,616	1,173	-	-	-
Pension Fund Association subsidies	-	-	-	-	-	-	-	495
National Pension Fund subsidies, etc.	-	-	-	1,420	3,319	1,802	1,812	1,840
State subsidy for social insurance	1,157,085	681,774	934,626	1,103,844	1,070,755	989,220	996,229	1,107,022
State subsidy for Employees' Pension Insurance	-	913,528	2,144,172	2,829,544	3,720,886	4,539,450	4,832,300	5,165,882
State subsidy for National Pension	1,689,611	1,868,721	1,422,989	1,518,306	1,546,105	1,799,637	1,890,393	1,852,783
State subsidy for special disability benefits	-	-	-	-	-	10,101	13,281	11,883
Expenditure for public health services	396,968	461,207	557,679	634,187	542,101	481,909	421,060	414,778
Miscellaneous expenses for public health services	66,303	99,885	122,432	109,620	81,414	78,999	69,881	82,429
Development of public health facilities	10,036	8,670	18,891	34,922	46,372	19,986	13,678	13,366
Measures for atomic bomb casualties	82,317	100,995	121,535	145,602	156,035	152,417	152,327	149,438
Facilities of National Peace Memorial Hall for the Atomic Bomb Victims	-	-	-	33	1,993	-	-	-
Medical care for tuberculosis	50,683	33,138	26,298	16,135	8,411	6,864	6,356	-
Management of national hospitals and clinics	71,370	118,358	173,979	233,780	130,785	-	-	-
Facilities of national hospitals and clinics	5,527	3,755	7,650	14,825	9,591	-	-	-
Management of National Centers for Advanced and Specialized Medical Care	-	-	-	-	-	46,922	47,451	40,372
Facilities of National Centers for Advanced and Specialized Medical Care	-	-	-	-	-	673	658	5,191
Operation of the National Hospital Organization	-	-	-	-	-	51,353	50,609	49,848
Development of the National Hospital Organization facilities	-	-	-	-	-	3,658	3,511	3,458
Facilities of the National Hansen's Disease Museum	-	-	-	-	-	925	1,363	-
Mental health care	83,499	63,796	48,717	31,771	57,659	62,896	13,072	7,250
Implementation of medical care and treatment, etc.	-	-	-	-	-	7,798	13,359	14,848
Quarantine stations	3,822	4,440	5,303	7,799	8,369	8,624	8,693	8,959
National Hansen's Disease Sanatoria	23,411	28,170	32,874	39,702	41,470	40,794	40,102	39,619
Expenditure for unemployment measures	377,106	367,139	345,867	293,434	378,661	465,959	432,459	221,328
Projects for employment in specialized area development	6,933	6,063	6,158	6,798	6,985	5,373	5,038	-
Projects for job conversion measures	102,297	67,954	45,384	31,627	35,397	34,447	32,691	36,758
State subsidy for employment insurance	267,876	293,122	294,325	255,009	336,279	426,139	394,730	184,570
Others	481,585	508,506	534,428	710,246	752,480	593,827	523,009	510,974
Total amount of the General Account budget allocated for MHLW	8,641,575	9,991,987	12,052,135	14,476,558	17,425,100	20,817,827	20,941,736	21,476,894
Total amount of the General Account budget	42,588,843	52,499,643	66,236,791	70,987,120	84,987,053	82,182,918	79,686,024	82,908,808