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A.D. 1926.

and by the Treasury. 14 & 15

Geo. 5. c. 38.

66

Provisions).

"the case of women as to four-fifths thereof, from
"contributions made by or in respect of the contributors
by themselves or their employers and as to the balance
"thereof from moneys provided by Parliament," and
for the purpose of determining the amount to be derived 5
from moneys provided by Parliament in respect of the
cost of additional benefits administered by a society,
other than additional benefits consisting of increases of
sickness, disablement or maternity benefit, the amount
of that cost shall be apportioned between men and 10
women in such manner as may be prescribed by regu-
lations made by the Minister of Health (in this Part of
this Act referred to as "the Minister ") with the consent
of the Treasury.

(2) Nothing in this section shall affect the amount 15
of the sums which are to be credited to societies out
of moneys provided by Parliament under the proviso to
subsection (3) of section one of the National Health
Geo. 5. c. 38. Insurance Act, 1922, (which makes provision as to the
cost of medical benefit and administration expenses).

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2. (1) Subject to the provisions of section eighty-
three of the principal Act there may, out of the funds
out of which benefits are payable under the principal
Act, be applied for the purpose of meeting the cost
of medical benefit, the administration expenses of in- 25
surance committees and any expenses incurred by the
Minister in connection with the administration of bene-
fits a sum at such yearly rate as may be prescribed,
but not exceeding thirteen shillings per year in respect
of each of the total number (calculated in the prescribed 30
manner) of the persons who are entitled to medical
benefit as being or having been members of an approved
society, and there shall be paid for each year to insurance
committees on account of the cost of medical benefit and
their administration expenses, and to the Minister on 35
account of expenses incurred by him in respect of the
administration of benefits, sums not exceeding in the
aggregate the sum applicable as aforesaid, and not
exceeding as respects the administration expenses of
insurance committees the sum of sixpence, and as 40
respects the expenses of the Minister the sum of three-
pence, in respect of each of the total number aforesaid:

Provided that if the aggregate sum paid for any year
to insurance committees and the Minister under this

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Provisions).

section in respect of each of the total number aforesaid A.D. 1926. is less than the sum applicable as aforesaid in respect of each of the said total number, the balance shall be carried forward and be treated as being applicable as 5 aforesaid in any subsequent year.

(2) For the purpose of meeting any additional expenditure which may be incurred in the provision of medical benefit in Wales by reason of sparsity of population or difficulty of means of communication, 10 provision may be made by regulations for the payment out of the National Health Insurance Fund to the Welsh National Health Insurance Fund of such sum as may be prescribed.

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(3) This section in its application to Scotland shall 15 have effect subject to the following modifications— (a) in addition to the payments to be made under subsection (1) of this section out of the sum applicable as provided by that subsection, there may be paid thereout any expenses of the Scottish Board of Health in connection with the provision of a medical service for insured persons in such districts of Scotland (other than the highlands and islands within the meaning of the Highlands and Islands (Medical Service) 3 & 4 Geo. 5. Grant Act, 1913) as may be determined by the c. 26. Board to be necessitous, and references in the said subsection (1) as applied to Scotland to expenses incurred by the Board shall be construed as including the expenses aforesaid; and (b) the maximum sums as respects the administration expenses of insurance committees and the expenses of the Board shall be such sums as may respectively be prescribed.

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(4) This section shall come into operation on the 35 first day of January, nineteen hundred and twenty

seven.

Fund and

3.-(1) If on the valuation of an approved society Application or of a branch of an approved society it appears to the of Reserve valuer that a deficiency will be disclosed, he shall forth- Suspense 40 with report the case to the Government Actuary, and Central on receiving any such report the Government Actuary Fund shall proceed to estimate the amount by which the towards financial position of the society or branch has been made making

A.D. 1926. good

defici ncies

Provisions).

worse in consequence of the provisions of this Part of this Act and shall, as soon as he has estimated that amount, issue a certificate specifying what that amount is or, if that amount is greater than the amount of the apprehended deficiency, what the amount of that 5 this Part of deficiency is, and shall transmit the certificate to the Minister.

due to provisions of

this Act.

(2) The Minister on receiving a certificate under this section may, if he thinks proper so to do having regard to all the circumstances of the case, cause a sum equal to 10 the amount specified in the certificate to be credited to the society or branch out of any balance standing to the credit of the Reserve Suspense Fund, after due provision has been made for the payment of any sum charged on that Fund under or by virtue of any enact- 15 ment, and if there is no such balance standing to the credit of that Fund or the balance is insufficient for the purpose of providing the whole amount specified in the certificate, the Minister may transmit the certificate with a statement as to the amount which cannot be provided 20 out of the said Fund, to the Joint Committee, and that Committee shall thereupon cause that amount to be credited to the society out of the Central Fund.

(3) The Minister may, instead of proceeding as aforesaid, transmit to the Joint Committee any certificate 25 received by him under this section, and the Committee, if satisfied that the apprehended deficiency is attributable in whole or in part to the provisions of this Part of this Act, shall award to the society or branch such relief as might have been granted under the preceding subsection, 30 or such part of that relief as the Joint Committee, having regard to all the circumstances of the case, think proper, and the Minister and Committee shall thereupon take the necessary steps for causing the proper amount to be credited to the society or branch.

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(4) Subsection (2) of section seventy-seven of the principal Act (which provides for the investigation by an independent body of claims for relief out of the Central Fund), shall, subject to the necessary modifications, apply for the purpose of determining whether, and to 40 what extent, relief ought to be granted under this section.

(5) Any amount to be credited under this section to a society or branch of a society shall be treated as having

Provisions).

formed part of the assets of the society or branch at the A.D. 1926. date of the valuation.

Act.

4.—(1) As from the first day of January, nineteen Amendment hundred and twenty-seven, such part of any sums falling of s. 68 of 5 to be dealt with under subsection (2) of section sixty- principal eight of the principal Act as represents interest shall, instead of being so dealt with, be applied from time to time in defraying the amount, as estimated by the Treasury, of such part of the cost incurred by Govern10 ment Departments in connection with the provision of insurance stamps and cards and the sale of insurance stamps as may be attributable to national health insurance.

(2) Such part of the sums which under the said 15 subsection (2) are to be carried to the Central Fund as may be required for the purposes specified in this subsection, instead of being carried to that Fund, shall, after deducting therefrom the sums applied under the preceding subsection, be applied for those purposes as 20 follows:

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(a) There shall, out of the said sums, in the first
place, be credited to approved societies in
accordance with a scheme to be made by the
National Health Insurance Joint Committee
with the approval of the Treasury, such part
of those sums as the Committee may direct,
and any sums so credited shall be applied
by the society, in such manner as the scheme
may provide, for the purpose of preventing
such members of the society as are in arrears
from being or continuing to be suspended from
benefit:

(b) The said sums shall, in the second place, be applied
in defraying such proportion as is not derived
from moneys provided by Parliament of any
liability outstanding on the thirty-first day of
December, nineteen hundred and twenty-six
(after exhausting all sums applicable thereto
under section one of the National Health
Insurance (Cost of Medical Benefit) Act, 1924),
in respect of the cost of drugs, medicines and
appliances supplied as part of medical benefit:

A.D. 1926.

Transfer

from Navy,
Army and
Air Force
Insurance

Fund to
Exchequer.

Consequential amend ments of enactments relating to national health

insurance,

and variation of reserve

values.

Provisions).

(c) In the third place, in the event of the interest mentioned in subsection (1) of this section being insufficient to meet the costs to be defrayed therefrom in accordance with the provisions of that subsection, the said sums shall be applied 5 in payment of the deficiency.

5.-(1) There shall, in accordance with directions of the Treasury, be transferred to the Exchequer from the Navy, Army and Air Force Insurance Fund constituted under the principal Act the sum of one million one hundred 10 thousand pounds.

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(2) Section fifty-nine of the principal Act shall have effect as though the words "other than additional benefits' in paragraph (e) of subsection (1) thereof were omitted therefrom, and, subject to the approval of the Treasury, 15 provision may be made by regulations for granting out of the Fund to men of the forces to whom the said paragraph (e) applies such additional benefits as may from time to time be prescribed having regard to the liabilities and assets of the Fund, as though the Fund were an approved 20 society and the discharged men had been members of the society since the date of their entry or enlistment.

(3) Provision may be made by regulations for entitling men of the forces who before the commencement of this Act joined or thereafter join approved 25 societies either during service or within the prescribed period after discharge to participate (subject to such conditions as may be prescribed), in additional benefits provided by those societies, and for prescribing special transfer values applicable to such men.

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6.-(1) The amendments specified in the second column of the First Schedule to this Act, which are consequential on other provisions contained in this Part of this Act, shall be made in the provisions of the principal Act and the other enactments relating to 35 national health insurance which are set out in the first column of that Schedule.

(2) The amendments specified in Part I. of the said First Schedule shall be deemed to have had effect as from the first day of January, nineteen hundred and 40 twenty-six, and the amendments specified in Part II. of the said Schedule shall have effect as from the first day of January, nineteen hundred and twenty-seven.

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