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Long-Term Care Insurance Act

介護保険法(かいごほけんほう)

Chapter VII Insured Long-Term Care Service Plans (Articles 118 to 118-2)

The law as Act Partially Amending the Medical Care Act, etc. (Act No. 87 of 2025) leaves it, with the words it changes marked.

The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.

Article 118第百十八条

Prefectural Insured Long-Term Care Service Plan(都道府県介護保険事業支援計画)
1 change in this article
Article 118, paragraph (1)(都道府県介護保険事業支援計画)

A prefecture, with regard to Basic Guidelines, is to provide a plan concerning efficient implementation of Insurance Benefits pertaining to an Insured Long-Term Care Project by specifying three years as one term (hereinafter referred to as "Prefectural Insured Long-Term Care Service Plan").

都道府県は、基本指針に即して、三年を一期とする介護保険事業に係る保険給付の円滑な実施の支援に関する計画(以下「都道府県介護保険事業支援計画」という。)を定めるものとする。

Article 118, paragraph (2)(都道府県介護保険事業支援計画)

A Prefectural Insured Long-Term Care Service Plan is to provide the matters listed as follows:

都道府県介護保険事業支援計画においては、次に掲げる事項を定めるものとする。

Article 118, paragraph (2), item (i)(都道府県介護保険事業支援計画)

the total necessary capacity of persons to utilize Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care in each fiscal year by each area provided by said prefecture, the total necessary capacity of persons that may be admitted to a facility by type of Facility Covered by Long-Term Care Insurance, and prospective quantity of other Service Covered by Long-Term Care Benefits, etc.;

当該都道府県が定める区域ごとに当該区域における各年度の介護専用型特定施設入居者生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護に係る必要利用定員総数、介護保険施設の種類ごとの必要入所定員総数その他の介護給付等対象サービスの量の見込み

Article 118, paragraph (2), item (ii)(都道府県介護保険事業支援計画)

matters concerning measures that the prefecture is to undertake regarding support for the initiatives of Municipalities within the prefecture for supporting independent daily life of their Insured Persons in the community, preventing them from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., and ensuring the appropriateness of the expenses required for Long-Term Care Benefit, etc.;

都道府県内の市町村によるその被保険者の地域における自立した日常生活の支援、要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止及び介護給付等に要する費用の適正化に関する取組への支援に関し、都道府県が取り組むべき施策に関する事項

Article 118, paragraph (2), item (iii)(都道府県介護保険事業支援計画)

matters concerning the targets for the matters listed in the preceding item.

前号に掲げる事項の目標に関する事項

Article 118, paragraph (3)(都道府県介護保険事業支援計画)

A Prefectural Insured Long-Term Care Service Plan is to endeavor to provide for the following matters, in addition to the matters listed in the items of the preceding paragraph:

都道府県介護保険事業支援計画においては、前項各号に掲げる事項のほか、次に掲げる事項について定めるよう努めるものとする。

Article 118, paragraph (3), item (i)(都道府県介護保険事業支援計画)

matters concerning a project to promote improvement of the living environment at a Facility Covered by Long-Term Care Insurance and other facilities that are to provide Service Covered by Long-Term Care Benefits, etc;

介護保険施設その他の介護給付等対象サービスを提供するための施設における生活環境の改善を図るための事業に関する事項

Article 118, paragraph (3), item (ii)(都道府県介護保険事業支援計画)

matters concerning publication of Long-Term Care Service information;

介護サービス情報の公表に関する事項

Article 118, paragraph (3), item (iii)(都道府県介護保険事業支援計画)

matters concerning projects that contribute to securing and improving the quality of Long-Term Care Support Specialists and other persons engaged in Service Covered by Long-Term Care Benefits, etc. and Community Support Projects;

介護支援専門員その他の介護給付等対象サービス及び地域支援事業に従事する者の確保及び資質の向上に資する事業に関する事項

Article 118, paragraph (3), item (iv)(都道府県介護保険事業支援計画)

matters concerning projects that contribute to improving productivity, such as improving the efficiency of operations at Business Offices or facilities for the provision of Service Covered by Long-Term Care Benefits, etc. or the implementation of a Community Support Project, and improving the quality of Long-Term Care Service;

介護給付等対象サービスの提供又は地域支援事業の実施のための事業所又は施設における業務の効率化、介護サービスの質の向上その他の生産性の向上に資する事業に関する事項

Article 118, paragraph (3), item (v)(都道府県介護保険事業支援計画)

matters concerning a project ensuring cooperation among organizations that are a Facility Covered by Long-Term Care Insurance and other projects for promoting the efficient provision of Service Covered by Long-Term Care Benefits, etc.;

介護保険施設相互間の連携の確保に関する事業その他の介護給付等対象サービスの円滑な提供を図るための事業に関する事項

Article 118, paragraph (3), item (vi)(都道府県介護保険事業支援計画)

matters concerning projects to conduct coordination among Municipalities regarding the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the projects listed in the items of Article 115-45, paragraph (2);

介護予防・日常生活支援総合事業及び第百十五条の四十五第二項各号に掲げる事業に関する市町村相互間の連絡調整を行う事業に関する事項

Article 118, paragraph (3), item (vii)(都道府県介護保険事業支援計画)

total capacity of residents of each of the Fee-Based Homes for the Elderly for which notification has been made pursuant to the provisions of Article 29, paragraph (1) of the Act on Social Welfare for the Elderly and the registered housing, in each area referred to in item (i) of the preceding paragraph.

前項第一号の区域ごとの当該区域における老人福祉法第二十九条第一項の規定による届出が行われている有料老人ホーム及び登録住宅のそれぞれの入居定員総数

Article 118, paragraph (4)(都道府県介護保険事業支援計画)

A Prefectural Insured Long-Term Care Service Plan, in addition to matters listed in each item of paragraph (2) and matters listed in each item of the preceding paragraph, may provide the total necessary capacity of persons who utilize Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility in each fiscal year by area specified by said prefecture pursuant to the provisions of paragraph (2), item (i).

都道府県介護保険事業支援計画においては、第二項各号に掲げる事項及び前項各号に掲げる事項のほか、第二項第一号の規定により当該都道府県が定める区域ごとに当該区域における各年度の混合型特定施設入居者生活介護に係る必要利用定員総数を定めることができる。

Article 118, paragraph (5)(都道府県介護保険事業支援計画)

A prefecture is to endeavor to prepare a Prefectural Insured Long-Term Care Service Plan, after analyzing information on the status of implementation of the Insured Long-Term Care Project, such as the results published pursuant to the provisions of paragraph (1) of the following Article, taking into account the results of that analysis.

都道府県は、次条第一項の規定により公表された結果その他の介護保険事業の実施の状況に関する情報を分析した上で、当該分析の結果を勘案して、都道府県介護保険事業支援計画を作成するよう努めるものとする。

Article 118, paragraph (6)(都道府県介護保険事業支援計画)

A prefecture, in preparing a Prefectural Insured Long-Term Care Service Plan, is to pay attention to the importance of effective and efficient provision of medical care and long-term care, taking into account the physical, mental and social characteristics accompanying the aging of residents.

都道府県は、都道府県介護保険事業支援計画の作成に当たっては、住民の加齢に伴う身体的、精神的及び社会的な特性を踏まえた医療及び介護の効果的かつ効率的な提供の重要性に留意するものとする。

Article 118, paragraph (7)(都道府県介護保険事業支援計画)

A Prefectural Insured Long-Term Care Service Plan must be prepared in conjunction with a Prefectural Welfare Plan for Elderly as prescribed in Article 20-9, paragraph (1) of the Act on Social Welfare for the Elderly.

都道府県介護保険事業支援計画は、老人福祉法第二十条の九第一項に規定する都道府県老人福祉計画と一体のものとして作成されなければならない。

Article 118, paragraph (8)(都道府県介護保険事業支援計画)

A prefecture is to conduct investigation and analysis regarding the status of implementation of the measures prescribed in paragraph (2), item (ii) and the status of achievement of the targets prescribed in item (iii) of the same paragraph, and to evaluate the performance of the Prefectural Insured Long-Term Care Service Plan.

都道府県は、第二項第二号に規定する施策の実施状況及び同項第三号に規定する目標の達成状況に関する調査及び分析を行い、都道府県介護保険事業支援計画の実績に関する評価を行うものとする。

Article 118, paragraph (9)(都道府県介護保険事業支援計画)

A prefecture is to endeavor to publish the results of the evaluation under the preceding paragraph, and is to report said results and the results of the evaluation under paragraph (8) of the preceding Article by the Municipalities within the prefecture to the Minister of Health, Labour and Welfare.

都道府県は、前項の評価の結果を公表するよう努めるとともに、当該結果及び都道府県内の市町村の前条第八項の評価の結果を厚生労働大臣に報告するものとする。

Article 118, paragraph (10)(都道府県介護保険事業支援計画)(Prefectural Insured Long-Term Care Service Plan)Changed

A Prefectural Insured Long-Term Care Service Plan must be one for which consistency has been ensured with the prefectural plan prescribed in Article 4, paragraph (1) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities, and with the medical care plancommunity healthcare vision prescribed in Article 30-430-3-3, paragraph (1) of the Medical Care Act and the medical care plan prescribed in Article 30-4, paragraph (1) of that Act.

都道府県介護保険事業支援計画は、地域における医療及び介護の総合的な確保の促進に関する法律第四条第一項に規定する都道府県計画及び医療並びに医療法第三十条の三の三第一項に規定する地域医療構想及び同法第三十条の四第一項に規定する医療計画との整合性の確保が図られたものでなければならない。

Article 118, paragraph (11)(都道府県介護保険事業支援計画)

A Prefectural Insured Long-Term Care Service Plan must maintain a harmonious balance with a Prefectural Community Welfare Support Plan as prescribed in Article 108, paragraph (1) of the Social Welfare Act, a Prefectural Plan for Securement of Stable Supply of Elderly Persons' Housing as prescribed in Article 4, paragraph (1) of the Act on Securement of Stable Supply of Elderly Persons' Housing, and plans pursuant to the provisions of other Acts that provide matters concerning health, medical care, welfare, or housing of Persons Requiring Long-Term Care, etc.

都道府県介護保険事業支援計画は、社会福祉法第百八条第一項に規定する都道府県地域福祉支援計画、高齢者の居住の安定確保に関する法律第四条第一項に規定する都道府県高齢者居住安定確保計画その他の法律の規定による計画であって要介護者等の保健、医療、福祉又は居住に関する事項を定めるものと調和が保たれたものでなければならない。

Article 118, paragraph (12)(都道府県介護保険事業支援計画)

A prefecture, when providing or changing a Prefectural Insured Long-Term Care Service Plan, submit said plan to the Minister of Health, Labour, and Welfare without delay.

都道府県は、都道府県介護保険事業支援計画を定め、又は変更したときは、遅滞なく、これを厚生労働大臣に提出しなければならない。

Article 118-2第百十八条の二

Investigation and Analysis for the Preparation, etc. of Municipal Insured Long-Term Care Service Plans, etc.(市町村介護保険事業計画の作成等のための調査及び分析等)
Article 118-2, paragraph (1)

The Minister of Health, Labour and Welfare, in order to contribute to the preparation, implementation and evaluation of Municipal Insured Long-Term Care Service Plans and Prefectural Insured Long-Term Care Service Plans, and to the maintenance and enhancement of the health of citizens and the maintenance and improvement of their abilities, is to conduct investigation and analysis of, and publish the results regarding, the matters listed in items (i) and (ii) out of the information concerning the following matters (hereinafter referred to as "long-term care insurance-related information"), and is to endeavor to conduct investigation and analysis of, and publish the results regarding, the matters listed in items (iii) and (iv).

厚生労働大臣は、市町村介護保険事業計画及び都道府県介護保険事業支援計画の作成、実施及び評価並びに国民の健康の保持増進及びその有する能力の維持向上に資するため、次に掲げる事項に関する情報(以下「介護保険等関連情報」という。)のうち、第一号及び第二号に掲げる事項について調査及び分析を行い、その結果を公表するものとするとともに、第三号及び第四号に掲げる事項について調査及び分析を行い、その結果を公表するよう努めるものとする。

Article 118-2, paragraph (1), item (i)

status by region, by age, or by Certification of Needed Long-Term Care and Certification of Needed Support concerning the amount of expenses required for Long-Term Care Benefit, etc., and other matters specified by Order of the Ministry of Health, Labour and Welfare;

介護給付等に要する費用の額に関する地域別、年齢別又は要介護認定及び要支援認定別の状況その他の厚生労働省令で定める事項

Article 118-2, paragraph (1), item (ii)

status of investigation in the Certification of Needed Long-Term Care and Certification of Needed Support of Insured Persons, and other matters specified by Order of the Ministry of Health, Labour and Welfare;

被保険者の要介護認定及び要支援認定における調査に関する状況その他の厚生労働省令で定める事項

Article 118-2, paragraph (1), item (iii)

mental and physical conditions, etc. of Persons Requiring Long-Term Care, etc. who use services specified by Order of the Ministry of Health, Labour and Welfare, such as Home-Visit Long-Term Care and Home-Visit Bathing Long-Term Care, the content of said services provided to said Persons Requiring Long-Term Care, etc., and other matters specified by Order of the Ministry of Health, Labour and Welfare;

訪問介護、訪問入浴介護その他の厚生労働省令で定めるサービスを利用する要介護者等の心身の状況等、当該要介護者等に提供される当該サービスの内容その他の厚生労働省令で定める事項

Article 118-2, paragraph (1), item (iv)

status of implementation of Community Support Projects and other matters specified by Order of the Ministry of Health, Labour and Welfare.

地域支援事業の実施の状況その他の厚生労働省令で定める事項

Article 118-2, paragraph (2)

A Municipality must provide the Minister of Health, Labour and Welfare with the information on the matters listed in items (i) and (ii) of the preceding paragraph by the method specified by Order of the Ministry of Health, Labour and Welfare.

市町村は、厚生労働大臣に対し、前項第一号及び第二号に掲げる事項に関する情報を、厚生労働省令で定める方法により提供しなければならない。

Article 118-2, paragraph (3)

The Minister of Health, Labour and Welfare, when deeming it necessary, may request prefectures, Municipalities, Long-Term Care Service Providers and persons that conduct a Specified Comprehensive Project for Long-Term Care Prevention and Daily Life Support to provide long-term care insurance-related information by the method specified by Order of the Ministry of Health, Labour and Welfare.

厚生労働大臣は、必要があると認めるときは、都道府県、市町村、介護サービス事業者及び特定介護予防・日常生活支援総合事業を行う者に対し、介護保険等関連情報を、厚生労働省令で定める方法により提供するよう求めることができる。

Article 118-2, paragraph (4)

A Municipality may request Long-Term Care Service Providers and persons that conduct a Specified Comprehensive Project for Long-Term Care Prevention and Daily Life Support to provide information on the matters listed in paragraph (1), item (iii) by the method specified by Order of the Ministry of Health, Labour and Welfare.

市町村は、介護サービス事業者及び特定介護予防・日常生活支援総合事業を行う者に対し、第一項第三号に掲げる事項に関する情報を、厚生労働省令で定める方法により提供するよう求めることができる。

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