# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三章 (Chapter 3)

- Law: 高齢者の医療の確保に関する法律 (Act on Assurance of Medical Care for Elderly People), 昭和五十七年法律第八十号
- English title "Act on Assurance of Medical Care for Elderly People": Ministry of Justice translation
- Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第三章 (Chapter 3) — address `ch-3`
- Text: the text as amended with effect from 2027-04-01, standing until 2027-05-19 — NOT yet in force (revision 20270401_507AC0000000087)
- URL (this text's page, at this provision): https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#ch-3
- The same address in the text in force (its wording there may differ): https://japanlaw.org/en/elderly-medical-care-act/ch-3
- Every provision below carries its address and its place on this text's page on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.
The Ministry's English is given only where this text's Japanese is a wording
the Ministry translated — the same as the text in force, or for a text not yet
in force, a wording it translated ahead; every other paragraph's English is
machine translation.

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## 第三章　前期高齢者に係る保険者間の費用負担の調整 — Chapter III Coordination of Sharing of Expenses between Insurers Pertaining to Young-Old Persons
<sup>heading: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>ch-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#ch-3</sup>

### 第三十二条（前期高齢者交付金） — (Young-Old Subsidies)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-32 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-32</sup>

**第一項**  機構は、各保険者（国民健康保険にあつては、都道府県。以下この章において同じ。）に係る加入者の数に占める前期高齢者である加入者（六十五歳に達する日の属する月の翌月（その日が月の初日であるときは、その日の属する月）以後である加入者であつて、七十五歳に達する日の属する月以前であるものその他厚生労働省令で定めるものをいう。以下同じ。）の数の割合に係る負担の不均衡を調整するため、政令で定めるところにより、保険者に対して、前期高齢者交付金を交付する。
<sup>art-32/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-32/par-1</sup>
The Organization is to provide Insurers with Young-Old Subsidies, pursuant to the provisions of Cabinet Order, in order to adjust the imbalances in the burden related to the proportion of participants who are young-old adults (meaning participants who are in or after the month following the month in which they reach 65 years of age (if that day is the first day of a month, the month in which that day falls) and in or before the month in which they reach 75 years of age, and other persons specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter) in the number of participants pertaining to each Insurer (in the case of National Health Insurance, the prefecture; the same applies hereinafter in this Chapter).
<sup>machine translation, not official</sup>

**第二項**  前項の前期高齢者交付金は、第三十六条第一項の規定により機構が徴収する前期高齢者納付金をもつて充てる。
<sup>art-32/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-32/par-2</sup>
The Young-Old Subsidies referred to in the preceding paragraph are to be covered by the young-old payments collected by the Organization pursuant to the provisions of Article 36, paragraph (1).
<sup>machine translation, not official</sup>

### 第三十三条（前期高齢者交付金の額） — (Amount of the Young-Old Subsidy)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-33 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33</sup>

**第一項**  前条第一項の規定により各保険者に対して交付される前期高齢者交付金の額は、当該年度の概算前期高齢者交付金の額とする。ただし、前々年度の概算前期高齢者交付金の額が同年度の確定前期高齢者交付金の額を超えるときは、当該年度の概算前期高齢者交付金の額からその超える額とその超える額に係る前期高齢者交付調整金額との合計額を控除して得た額とするものとし、前々年度の概算前期高齢者交付金の額が同年度の確定前期高齢者交付金の額に満たないときは、当該年度の概算前期高齢者交付金の額にその満たない額とその満たない額に係る前期高齢者交付調整金額との合計額を加算して得た額とする。
<sup>art-33/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33/par-1</sup>
The amount of the Young-Old Subsidy to be provided to each Insurer pursuant to the provisions of paragraph (1) of the preceding Article is to be the estimated amount of the Young-Old Subsidy for the relevant fiscal year; provided, however, that when the estimated amount of the Young-Old Subsidy for the fiscal year before the previous fiscal year exceeds the fixed amount of the Young-Old Subsidy for that fiscal year, it is to be the amount obtained by deducting from the estimated amount of the Young-Old Subsidy for the relevant fiscal year the sum total of the excess amount and the Young-Old Subsidy Adjustment Amount pertaining to the excess amount, and when the estimated amount of the Young-Old Subsidy for the fiscal year before the previous fiscal year is less than the fixed amount of the Young-Old Subsidy for that fiscal year, it is to be the amount obtained by adding to the estimated amount of the Young-Old Subsidy for the relevant fiscal year the sum total of the shortfall and the Young-Old Subsidy Adjustment Amount pertaining to the shortfall.
<sup>machine translation, not official</sup>

**第二項**  前項に規定する前期高齢者交付調整金額は、前々年度におけるすべての保険者に係る概算前期高齢者交付金の額と確定前期高齢者交付金の額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各保険者ごとに算定される額とする。
<sup>art-33/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33/par-2</sup>
The Young-Old Subsidy Adjustment Amount prescribed in the preceding paragraph is the amount calculated for each of the Insurers pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare by taking into consideration the interest arising from the difference between the estimated amount of the Young-Old Subsidy and the fixed amount of the Young-Old Subsidy pertaining to all of the Insurers in the fiscal year before the previous fiscal year and other circumstances.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十四条（概算前期高齢者交付金） — (Estimated Young-Old Subsidies)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-34 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34</sup>

**第一項**  前条第一項の概算前期高齢者交付金の額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-34/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1</sup>
The estimated amount of the Young-Old Subsidy referred to in paragraph (1) of the preceding Article is the amount specified in the following items in accordance with the category of Insurer set forth in each of those items:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  被用者保険等保険者　イ及びロに掲げる額の合計額
  <sup>art-34/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1</sup>
  insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b):
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  （１）及び（２）に掲げる額の合計額から（３）に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の二に相当する額
    <sup>art-34/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1/sub-1</sup>
    the amount equivalent to two-thirds of the amount obtained by subtracting the amount set forth in 3. from the sum of the amounts set forth in 1. and 2. (if the amount is less than zero, it is deemed to be zero):
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  当該年度における当該保険者に係る調整対象給付費見込額
      <sup>art-34/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1/sub-1/sub2-1</sup>
      the estimated amount of benefit expenses subject to adjustment pertaining to the relevant Insurer in the relevant fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  当該年度における当該保険者に係る第百十九条第一項の概算後期高齢者支援金の額を同年度における当該保険者に係る第百二十条第一項各号の概算後期高齢者支援金調整率で除して得た額に、同年度における当該保険者に係る加入者の見込数に対する前期高齢者である加入者の見込数の割合を基礎として保険者ごとに算定される率を乗じて得た額（以下「前期高齢者に係る後期高齢者支援金の概算額」という。）
      <sup>art-34/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1/sub-1/sub2-2</sup>
      the amount obtained by multiplying the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year, by a rate calculated for each Insurer on the basis of the ratio of the estimated number of participants who are young-old adults to the estimated number of participants pertaining to the relevant Insurer in the same fiscal year (hereinafter referred to as the "estimated amount of aid for the old-old pertaining to the young-old");
      <sup>machine translation, not official</sup>

      **（３）**  当該年度における概算調整対象基準額
      <sup>art-34/par-1/item-1/sub-1/sub2-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1/sub-1/sub2-3</sup>
      the estimated base amount subject to adjustment in the relevant fiscal year.
      <sup>machine translation, not official</sup>

    **ロ**  当該年度における当該保険者に係る調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額から同年度における概算報酬調整後調整対象基準額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の一に相当する額
    <sup>art-34/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1/sub-2</sup>
    the amount equivalent to one third of the amount obtained by deducting the estimated base amount for adjustment after adjustment of remunerations in the relevant fiscal year from the sum of the estimated amount of benefit expenses subject to adjustment pertaining to the insurer and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old in the relevant fiscal year (if the amount is less than zero, it is deemed to be zero);
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  被用者保険等保険者以外の保険者　当該年度における当該保険者に係る調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額から同年度における概算調整対象基準額を控除して得た額（当該額が零を下回る場合には、零とする。）
  <sup>art-34/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-2</sup>
  insurers other than insurers covered by employee insurance, etc.:the amount obtained by deducting the estimated base amount for adjustment in the relevant fiscal year from the sum of the estimated amount of benefit expenses subject to adjustment pertaining to the relevant insurers and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old in the relevant fiscal year (if the amount is less than zero, it is deemed to be zero).
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第二項**  前項各号の調整対象給付費見込額は、当該年度、当該年度の前年度及び当該年度の前々年度の各年度における当該保険者に係る一人平均調整対象給付費見込額（各年度における第一号に掲げる額から第二号に掲げる額を控除して得た額を、厚生労働省令で定めるところにより算定した各年度における当該保険者に係る前期高齢者である加入者の見込数で除して得た額をいう。）の平均額として厚生労働省令で定めるところにより算定される額に、厚生労働省令で定めるところにより算定した当該年度における当該保険者に係る前期高齢者である加入者の見込数を乗じて得た額とする。
<sup>art-34/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2</sup>
The estimated amount of benefits expenses subject to adjustment referred to in the items of the preceding paragraph is the amount obtained by multiplying the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the average of the estimated average per person amount of benefits expenses subject to adjustment (meaning the amount obtained by dividing the amount obtained by deducting the amount set forth in item (ii) from the amount set forth in item (i) in each fiscal year by the estimated number of subscribers who are young-old adults pertaining to the insurer in each fiscal year calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare) pertaining to the insurer in each fiscal year of the relevant fiscal year, the fiscal year preceding the relevant fiscal year, and the fiscal year before the fiscal year preceding the relevant fiscal year by the estimated number of subscribers who are young-old adults pertaining to the insurer in the relevant fiscal year calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  当該保険者の給付（国民健康保険にあつては、都道府県内の市町村の給付）であつて医療保険各法の規定による医療に関する給付（健康保険法第五十三条に規定するその他の給付及びこれに相当する給付を除く。）のうち厚生労働省令で定めるものに該当するものに要する費用（以下「保険者の給付に要する費用」という。）の見込額のうち前期高齢者である加入者に係るものとして厚生労働省令で定めるところにより算定される額（以下「前期高齢者給付費見込額」という。）
  <sup>art-34/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-1</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount pertaining to subscribers who are young-old among the prospective amount of expenses required for benefits of the relevant insurers (in the case of national health insurance, benefits of municipalities within a prefecture) which fall under those specified by Order of the Ministry of Health, Labour and Welfare among benefits concerning medical care pursuant to the provisions of medical insurance acts (excluding other benefits prescribed in Article 53 of the Health Insurance Act and benefits equivalent thereto) (hereinafter referred to as "expenses required for benefits by insurers") (hereinafter referred to as "prospective amount of young-old benefit expenses");
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  当該保険者が概算基準超過保険者（イに掲げる額をロに掲げる額で除して得た率が、全ての保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額の分布状況等を勘案して政令で定める率を超える保険者をいう。）である場合における当該保険者に係る前期高齢者給付費見込額のうち、ロに掲げる額に当該政令で定める率を乗じて得た額を超える部分として厚生労働省令で定めるところにより算定される額
  <sup>art-34/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the portion of the prospective Young-Old Benefit pertaining to the Insurers if the Insurers are Insurers in Excess of the Estimated Standard (meaning Insurers for which the rate obtained by dividing the amount set forth in (a) by the amount set forth in (b) exceeds the rate specified by Cabinet Order in consideration of the distribution, etc. of the prospective Young-Old Benefit per participant who is a Young-Old Person pertaining to all Insurers), which exceeds the amount obtained by multiplying the amount set forth in (b) by the rate specified by Cabinet Order:
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  一の保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額として厚生労働省令で定めるところにより算定される額
    <sup>art-34/par-2/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2/sub-1</sup>
    the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the prospective amount of young-old benefit expenses per Participant who is a young-old pertaining to a single Insurer;
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **ロ**  一人平均前期高齢者給付費見込額
    <sup>art-34/par-2/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2/sub-2</sup>
    the estimated average per person of young-old benefit expenses.
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第三項**  第一項各号の概算調整対象基準額は、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額（被用者保険等保険者にあつては、当該額に概算額補正率を乗じて得た額）の合計額に概算加入者調整率を乗じて得た額とする。
<sup>art-34/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-3</sup>
The estimated base amount subject to adjustment set forth in the items of paragraph (1) is the amount obtained by multiplying the sum of the estimated amount of benefit expenses subject to adjustment set forth in the items of the same paragraph pertaining to the relevant insurer and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old (in the case of an insurer of employee insurance, etc., the amount obtained by multiplying the relevant amount by the estimated amount adjustment rate) by the estimated participant adjustment rate.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第四項**  第一項第一号ロの概算報酬調整後調整対象基準額は、当該保険者に係る同項各号の調整対象給付費見込額に当該年度における第一号に掲げる額を第二号に掲げる額で除して得た率（第六項第一号において「概算報酬調整率」という。）及び概算給付費補正率を乗じて得た額並びに前期高齢者に係る後期高齢者支援金の概算額に概算額補正率を乗じて得た額の合計額に概算加入者調整率を乗じて得た額とする。
<sup>art-34/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4</sup>
The estimated base amount subject to adjustment after remuneration adjustment set forth in paragraph (1), item (i), (b) is the amount obtained by multiplying by the estimated participant adjustment rate the sum total of the amount obtained by multiplying the estimated amount of benefit expenses subject to adjustment set forth in the items of that paragraph pertaining to the relevant Insurer by the rate obtained by dividing the amount set forth in item (i) for the relevant fiscal year by the amount set forth in item (ii) (referred to as the "estimated remuneration adjustment rate" in paragraph (6), item (i)) and the estimated benefit expense correction rate, and the amount obtained by multiplying the estimated amount of aid for the old-old pertaining to the young-old by the estimated amount correction rate.
<sup>machine translation, not official</sup>

  **一**  当該保険者に係る標準報酬総額の見込額として厚生労働省令で定めるところにより算定される額（次号並びに第百二十条第一項第一号イ及びロにおいて「標準報酬総額の見込額」という。）を厚生労働省令で定めるところにより算定した当該保険者に係る加入者の見込数で除して得た額
  <sup>art-34/par-4/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4/item-1</sup>
  the amount obtained by dividing the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the prospective amount of the total amount of standardized remunerations pertaining to the insurer (referred to as the "prospective amount of the total amount of standardized remunerations" in the following item and Article 120, paragraph (1), item (i), (a) and (b)) by the prospective number of subscribers pertaining to the insurer calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  全ての被用者保険等保険者に係る標準報酬総額の見込額の合計額を全ての被用者保険等保険者に係る加入者の見込総数で除して得た額として厚生労働省令で定めるところにより算定した額
  <sup>art-34/par-4/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4/item-2</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount obtained by dividing the sum of the prospective amounts of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc. by the prospective total number of subscribers pertaining to all Insurers of employee insurance, etc.
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the amount calculated pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare as the amount obtained by dividing the sum of the prospective amounts of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc. by the prospective total number of subscribers pertaining to all Insurers of employee insurance, etc." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第五項**  前二項の概算額補正率は、各被用者保険等保険者に係る第一号に掲げる額から第二号に掲げる額を控除して得た額の合計額が第三号に掲げる額から第四号に掲げる額を控除して得た額の合計額に等しくなるよう厚生労働省令で定めるところにより算定した率とする。
<sup>art-34/par-5 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5</sup>
The estimated amount correction rate referred to in the preceding two paragraphs is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the sum of the amounts obtained by subtracting the amount set forth in item (ii) from the amount set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the sum of the amounts obtained by subtracting the amount set forth in item (iv) from the amount set forth in item (iii):
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The estimated amount correction rate referred to in the preceding two paragraphs is the rate calculated pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare so that the sum of the amounts obtained by subtracting the amount set forth in item (ii) from the amount set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the sum of the amounts obtained by subtracting the amount set forth in item (iv) from the amount set forth in item (iii):" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **一**  前期高齢者に係る後期高齢者支援金の概算額に概算加入者調整率を乗じて得た額
  <sup>art-34/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-1</sup>
  the amount obtained by multiplying the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old by the estimated participant adjustment rate;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  前期高齢者に係る後期高齢者支援金の概算額
  <sup>art-34/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-2</sup>
  the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の概算額に概算加入者調整率を乗じて得た額
  <sup>art-34/par-5/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-3</sup>
  the amount obtained by multiplying the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old, when an Insurer of employee insurance, etc. is deemed to be an Insurer other than an Insurer of employee insurance, etc., by the estimated participant adjustment rate;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **四**  被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の概算額
  <sup>art-34/par-5/item-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-4</sup>
  the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old when Insurers of employee insurance, etc. are deemed to be insurers other than Insurers of employee insurance, etc.
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old Act when Insurers of employee insurance, etc. are deemed to be insurers other than Insurers of employee insurance, etc." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第六項**  第四項の概算給付費補正率は、各被用者保険等保険者に係る第一号に掲げる額の合計額が第二号に掲げる額の合計額に等しくなるよう厚生労働省令で定めるところにより算定した率とする。
<sup>art-34/par-6 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6</sup>
The estimated benefit expense adjustment rate referred to in paragraph (4) is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the total of the amounts set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the total of the amounts set forth in item (ii):
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The estimated premium adjustment rate referred to in paragraph (4) is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the total of the amounts set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the total of the amounts set forth in item (ii):" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **一**  第一項各号の調整対象給付費見込額に概算報酬調整率及び概算加入者調整率を乗じて得た額
  <sup>art-34/par-6/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6/item-1</sup>
  the amount arrived at when the estimated amount of the covered benefit expenses referred to in the items of paragraph (1) is multiplied by the estimated remuneration adjustment rate and the estimated participant adjustment rate;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  第一項各号の調整対象給付費見込額に概算加入者調整率を乗じて得た額
  <sup>art-34/par-6/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6/item-2</sup>
  the amount arrived at when the estimated amount of the covered benefit expenses referred to in the items of paragraph (1) is multiplied by the estimated participant adjustment rate.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第七項**  第三項、第四項、第五項第一号及び第三号並びに前項各号の概算加入者調整率は、厚生労働省令で定めるところにより、当該年度における全ての保険者に係る加入者の見込総数に対する前期高齢者である加入者の見込総数の割合を同年度における当該保険者に係る加入者の見込数に対する前期高齢者である加入者の見込数の割合（その割合が同年度における下限割合（同年度における全ての保険者に係る加入者の見込総数に対する前期高齢者である加入者の見込総数の割合の動向を勘案して政令で定める割合をいう。以下この項及び次条第七項において同じ。）に満たないときは、下限割合とする。）で除して得た率を基礎として保険者ごとに算定される率とする。
<sup>art-34/par-7 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-7</sup>
The estimated participant adjustment rate referred to in paragraph (3), paragraph (4), paragraph (5), items (i) and (iii), and the items of the preceding paragraph is the rate calculated for each insurer based on the rate arrived at when the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for all insurers in the relevant fiscal year is divided by the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for the relevant insurers in the same fiscal year (or, if that rate is less than the minimum rate in the same fiscal year (meaning the rate specified by Cabinet Order in consideration of trends in the rate of the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for all insurers in the same fiscal year; hereinafter the same applies in this paragraph and paragraph (7) of the following Article), the minimum rate), pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第八項**  第四項第一号の標準報酬総額は、次の各号に掲げる保険者の区分に応じ、各年度の当該各号に定める額の合計額の総額を、それぞれ政令で定めるところにより補正して得た額とする。
<sup>art-34/par-8 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8</sup>
The total standardized amount of remuneration referred to in paragraph (4), item (i) is the amount obtained by correcting, pursuant to the provisions of Cabinet Order, the total sum of the amounts specified in the following items for each fiscal year in accordance with the category of insurer set forth in each of those items:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  全国健康保険協会及び健康保険組合　被保険者ごとの健康保険法又は船員保険法に規定する標準報酬（標準報酬月額及び標準賞与額をいう。）
  <sup>art-34/par-8/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-1</sup>
  a Japan Health Insurance Association or health insurance society:the standard remuneration (meaning the standard monthly remuneration amount and the Bonus Amount) prescribed in the Health Insurance Act or the Mariners Insurance Act for each insured;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  共済組合　組合員ごとの国家公務員共済組合法又は地方公務員等共済組合法に規定する標準報酬の月額及び標準期末手当等の額
  <sup>art-34/par-8/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-2</sup>
  Mutual aid association: the standard monthly remuneration amount and the standard amount of end-of-term allowances, etc. prescribed in the National Public Officers Mutual Aid Association Act or the Local Public Officers, etc. Mutual Aid Association Act for each member;
  <sup>machine translation, not official</sup>

  **三**  日本私立学校振興・共済事業団　加入者ごとの私立学校教職員共済法に規定する標準報酬月額及び標準賞与額
  <sup>art-34/par-8/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-3</sup>
  the standard monthly remuneration amount and the Bonus Amount prescribed in the Private School Teachers Mutual Aid Act for each member of the Promotion and Mutual Aid Corporation for Private Schools of Japan;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **四**  国民健康保険組合（被用者保険等保険者であるものに限る。）　組合員ごとの前三号に定める額に相当するものとして厚生労働省令で定める額
  <sup>art-34/par-8/item-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-4</sup>
  national health insurance societies (limited to those who are insurers of employee insurance, etc.):the amount specified by Order of the Ministry of Health, Labour and Welfare as equivalent to the amounts specified in the preceding three items for each member.
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "national health insurance societies (limited to those who are insurers of employee insurance, etc.):the amount specified by Prefectural Order of the Ministry of Health, Labour and Welfare as equivalent to the amounts specified in the preceding three items for each member." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第九項**  第二項第二号ロの一人平均前期高齢者給付費見込額は、全ての保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額の平均額として厚生労働省令で定めるところにより算定される額とする。
<sup>art-34/par-9 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-9</sup>
The per capita average estimated amount of young-old benefit expenses referred to in paragraph (2), item (ii), (b) is the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the average of the estimated amount of young-old benefit expenses per Participant who is a young-old pertaining to all Insurers.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十五条（確定前期高齢者交付金） — (Fixed Young-Old Subsidies)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-35 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35</sup>

**第一項**  第三十三条第一項の確定前期高齢者交付金の額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-35/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1</sup>
The amount of the fixed Young-Old Subsidy referred to in Article 33, paragraph (1) is the amount specified in the following items in accordance with the category of Insurer set forth in each of those items.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  被用者保険等保険者　イ及びロに掲げる額の合計額
  <sup>art-35/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1</sup>
  insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b):
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  （１）から（３）までに掲げる額の合計額から（４）に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の二に相当する額
    <sup>art-35/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-1</sup>
    the amount equivalent to two-thirds of the amount obtained by subtracting the amount set forth in 4. from the sum of the amounts set forth in 1. through 3. (if the amount is less than zero, it is deemed to be zero):
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  前々年度における当該保険者に係る調整対象給付費額
      <sup>art-35/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-1/sub2-1</sup>
      the amount of benefit expenses subject to adjustment pertaining to the relevant Insurer in the fiscal year before the previous fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  前々年度における当該保険者に係る第百十九条第一項の確定後期高齢者支援金の額を同年度における当該保険者に係る第百二十一条第一項各号の確定後期高齢者支援金調整率で除して得た額に、同年度における当該保険者に係る加入者の数に対する前期高齢者である加入者の数の割合を基礎として保険者ごとに算定される率を乗じて得た額（以下「前期高齢者に係る後期高齢者支援金の確定額」という。）
      <sup>art-35/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-1/sub2-2</sup>
      the amount obtained by multiplying the amount obtained by dividing the fixed amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the fiscal year before the previous fiscal year by the fixed old-old aid adjustment rate set forth in the items of Article 121, paragraph (1) pertaining to the relevant Insurer in the same fiscal year, by a rate calculated for each Insurer on the basis of the ratio of the number of participants who are young-old adults to the number of participants pertaining to the relevant Insurer in the same fiscal year (hereinafter referred to as the "fixed amount of aid for the old-old pertaining to the young-old");
      <sup>machine translation, not official</sup>

      **（３）**  前々年度における当該保険者に係る感染症の予防及び感染症の患者に対する医療に関する法律（平成十年法律第百十四号）の規定による流行初期医療確保拠出金（以下「流行初期医療確保拠出金」という。）の額のうち前期高齢者である加入者に係るものとして厚生労働省令で定めるところにより算定される額（以下「前期高齢者に係る流行初期医療確保拠出金の額」という。）
      <sup>art-35/par-1/item-1/sub-1/sub2-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-1/sub2-3</sup>
      the portion of the amount of the contribution for securing medical care in the early phase of an epidemic under the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (Act No. 114 of 1998) (hereinafter referred to as the "contribution for securing medical care in the early phase of an epidemic") pertaining to the relevant Insurer in the fiscal year before the previous fiscal year that is calculated, as pertaining to participants who are young-old adults, as specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as the "amount of contribution for securing medical care in the early phase of an epidemic pertaining to the young-old");
      <sup>machine translation, not official</sup>

      **（４）**  前々年度における確定調整対象基準額
      <sup>art-35/par-1/item-1/sub-1/sub2-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-1/sub2-4</sup>
      the fixed base amount subject to adjustment in the fiscal year before the previous fiscal year.
      <sup>machine translation, not official</sup>

    **ロ**  前々年度における当該保険者に係る調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額から同年度における確定報酬調整後調整対象基準額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の一に相当する額
    <sup>art-35/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1/sub-2</sup>
    the amount equivalent to one third of the amount obtained by subtracting the base amount subject to adjustment after the adjustment of fixed remunerations in the fiscal year before the previous fiscal year from the sum of the amount of benefit expenses subject to adjustment pertaining to the insurer, the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions for securing medical care in the early stage of an epidemic pertaining to the young-old in the same fiscal year (if the amount is less than zero, it is deemed to be zero);
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  被用者保険等保険者以外の保険者　前々年度における当該保険者に係る調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額から同年度における確定調整対象基準額を控除して得た額（当該額が零を下回る場合には、零とする。）
  <sup>art-35/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-2</sup>
  insurers other than insurers of employee insurance, etc.:the amount obtained by subtracting the final base amount for adjustment in the fiscal year before the previous fiscal year from the sum of the amount of benefit expenses subject to adjustment pertaining to the relevant insurers, the final amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions for securing medical care in the early stage of an epidemic pertaining to the young-old in the same fiscal year (if the amount is less than zero, it is deemed to be zero).
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "insurers other than insurers of employee insurance, etc.:the amount obtained by subtracting the final base amount for adjustment in the fiscal year before the relevant fiscal year from the sum of the amount of benefit expenses subject to adjustment pertaining to the relevant insurers, the final amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions for securing medical care in the early stage of an epidemic pertaining to the young-old in the same fiscal year (if the amount is less than zero, it is deemed to be zero)." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第二項**  前項各号の調整対象給付費額は、前々年度、前々年度の初日の属する年の前年の四月一日の属する年度及び前々年度の初日の属する年の前々年の四月一日の属する年度の各年度における当該保険者に係る一人平均調整対象給付費額（各年度における第一号に掲げる額から第二号に掲げる額を控除して得た額を、厚生労働省令で定めるところにより算定した各年度における当該保険者に係る前期高齢者である加入者の数で除して得た額をいう。）の平均額として厚生労働省令で定めるところにより算定される額に、厚生労働省令で定めるところにより算定した前々年度における当該保険者に係る前期高齢者である加入者の数を乗じて得た額とする。
<sup>art-35/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2</sup>
The amount of benefit expenses subject to adjustment set forth in the items of the preceding paragraph is the amount obtained by multiplying the amount calculated, as specified by Order of the Ministry of Health, Labour and Welfare, as the average of the average amount of benefit expenses subject to adjustment per person pertaining to the relevant Insurer (meaning the amount obtained by dividing the amount obtained by deducting the amount set forth in item (ii) from the amount set forth in item (i) in each fiscal year by the number of participants who are young-old adults pertaining to the relevant Insurer in each fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare) in each of the fiscal year before the previous fiscal year, the fiscal year that includes April 1 of the year preceding the year in which the first day of the fiscal year before the previous fiscal year falls, and the fiscal year that includes April 1 of the year two years before the year in which the first day of the fiscal year before the previous fiscal year falls, by the number of participants who are young-old adults pertaining to the relevant Insurer in the fiscal year before the previous fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

  **一**  当該保険者の給付に要する費用の額のうち前期高齢者である加入者に係るものとして厚生労働省令で定めるところにより算定される額（以下「前期高齢者給付費額」という。）
  <sup>art-35/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-1</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount of expenses required for benefits by the insurer which pertain to subscribers who are young-old (hereinafter referred to as the "amount of young-old benefit expenses");
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the amount calculated pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare as the amount of expenses required for benefits by the insurer which pertain to subscribers who are young-old (hereinafter referred to as the "amount of young-old benefit expenses");" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **二**  当該保険者が確定基準超過保険者（イに掲げる額をロに掲げる額で除して得た率が、前条第二項第二号の政令で定める率を超える保険者をいう。）である場合における当該保険者に係る前期高齢者給付費額のうち、ロに掲げる額に当該政令で定める率を乗じて得た額を超える部分として厚生労働省令で定めるところにより算定される額
  <sup>art-35/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-2</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the portion of the amount of young-old benefit expenses pertaining to the insurers if the insurers are the insurers in excess of the fixed standards (meaning the insurers for which the rate obtained by dividing the amount listed in (a) by the amount listed in (b) exceeds the rate specified by Cabinet Order set forth in paragraph (2), item (ii) of the preceding Article), which exceeds the amount obtained by multiplying the amount listed in (b) by the rate specified by the Cabinet Order:
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  一の保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費額として厚生労働省令で定めるところにより算定される額
    <sup>art-35/par-2/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-2/sub-1</sup>
    the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount of young-old benefit expenses per member who is a young-old pertaining to a single insurer;
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **ロ**  一人平均前期高齢者給付費額
    <sup>art-35/par-2/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-2/sub-2</sup>
    the average per person young-old benefit cost.
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第三項**  第一項各号の確定調整対象基準額は、当該保険者に係る同項各号の調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額（被用者保険等保険者にあつては、当該額に確定額補正率を乗じて得た額）及び前期高齢者に係る流行初期医療確保拠出金の額の合計額に確定加入者調整率を乗じて得た額とする。
<sup>art-35/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-3</sup>
The final base amount for adjustment set forth in the items of paragraph (1) is the amount obtained by multiplying the total of the amount of benefit expenses subject to adjustment set forth in the items of the same paragraph pertaining to the insurer, the final amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old (in the case of Insurers of employee insurance, etc., the amount obtained by multiplying the amount by the final amount adjustment rate), and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old, by the final participant adjustment rate.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第四項**  第一項第一号ロの確定報酬調整後調整対象基準額は、当該保険者に係る同項各号の調整対象給付費額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額に前々年度における第一号に掲げる額を第二号に掲げる額で除して得た率（第六項第一号において「確定報酬調整率」という。）及び確定給付費等補正率を乗じて得た額並びに前期高齢者に係る後期高齢者支援金の確定額に確定額補正率を乗じて得た額の合計額に確定加入者調整率を乗じて得た額とする。
<sup>art-35/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4</sup>
The fixed base amount subject to adjustment after remuneration adjustment set forth in paragraph (1), item (i), (b) is the amount obtained by multiplying by the fixed participant adjustment rate the sum total of the amount obtained by multiplying the sum total of the amount of benefit expenses subject to adjustment set forth in the items of that paragraph pertaining to the relevant Insurer and the amount of contribution for securing medical care in the early phase of an epidemic pertaining to the young-old by the rate obtained by dividing the amount set forth in item (i) by the amount set forth in item (ii) for the fiscal year before the previous fiscal year (referred to as the "fixed remuneration adjustment rate" in paragraph (6), item (i)) and the correction rate for fixed benefit expenses, etc., and the amount obtained by multiplying the fixed amount of aid for the old-old pertaining to the young-old by the fixed amount correction rate.
<sup>machine translation, not official</sup>

  **一**  当該保険者に係る標準報酬総額（前条第八項に規定する標準報酬総額をいう。次号並びに第百二十一条第一項第一号イ及びロにおいて同じ。）を厚生労働省令で定めるところにより算定した当該保険者に係る加入者の数で除して得た額
  <sup>art-35/par-4/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4/item-1</sup>
  the amount arrived at when the insurer's total standardized amount of compensation (meaning the total standardized amount of compensation as prescribed in paragraph (8) of the preceding Article; the same applies in the following item and in Article 121, paragraph (1), item (i), (a) and (b)) is divided by the number of participants associated with that insurer, as calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  全ての被用者保険等保険者に係る標準報酬総額の合計額を全ての被用者保険等保険者に係る加入者の総数で除して得た額として厚生労働省令で定めるところにより算定した額
  <sup>art-35/par-4/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4/item-2</sup>
  the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount obtained by dividing the sum of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc. by the total number of subscribers pertaining to all Insurers of employee insurance, etc.
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the amount calculated pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare as the amount obtained by dividing the sum of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc. by the total number of subscribers pertaining to all Insurers of employee insurance, etc." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第五項**  前二項の確定額補正率は、各被用者保険等保険者に係る第一号に掲げる額から第二号に掲げる額を控除して得た額の合計額が第三号に掲げる額から第四号に掲げる額を控除して得た額の合計額に等しくなるよう厚生労働省令で定めるところにより算定した率とする。
<sup>art-35/par-5 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5</sup>
The fixed amount adjustment rate referred to in the preceding two paragraphs is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the sum of the amounts obtained by subtracting the amount set forth in item (ii) from the amount set forth in item (i) pertaining to each of the insurers of employee insurance, etc. is equal to the sum of the amounts obtained by subtracting the amount set forth in item (iv) from the amount set forth in item (iii):
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The fixed amount adjustment rate referred to in the preceding two paragraphs is the rate calculated pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare so that the sum of the amounts obtained by subtracting the amount set forth in item (ii) from the amount set forth in item (i) pertaining to each of the insurers of employee insurance, etc. is equal to the sum of the amounts obtained by subtracting the amount set forth in item (iv) from the amount set forth in item (iii):" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **一**  前期高齢者に係る後期高齢者支援金の確定額に確定加入者調整率を乗じて得た額
  <sup>art-35/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-1</sup>
  the amount arrived at when the final amount of the Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old is multiplied by the final participant adjustment rate;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  前期高齢者に係る後期高齢者支援金の確定額
  <sup>art-35/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-2</sup>
  the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の確定額に確定加入者調整率を乗じて得た額
  <sup>art-35/par-5/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-3</sup>
  the amount obtained by multiplying the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old by the Fixed Participant Adjustment Rate when an Insurer of employee insurance, etc. is deemed to be an Insurer other than an Insurer of employee insurance, etc.;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **四**  被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の確定額
  <sup>art-35/par-5/item-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-4</sup>
  the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old when an Insurer of employee insurance, etc. is deemed to be an Insurer other than an Insurer of employee insurance, etc.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第六項**  第四項の確定給付費等補正率は、各被用者保険等保険者に係る第一号に掲げる額の合計額が第二号に掲げる額の合計額に等しくなるよう厚生労働省令で定めるところにより算定した率とする。
<sup>art-35/par-6 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6</sup>
The adjustment rate for fixed benefit expenses, etc. set forth in paragraph (4) is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the total of the amounts listed in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the total of the amounts listed in item (ii):
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  第一項各号の調整対象給付費額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額に確定報酬調整率及び確定加入者調整率を乗じて得た額
  <sup>art-35/par-6/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6/item-1</sup>
  the amount obtained by multiplying the sum of the amount of payment expenses subject to adjustment and the amount of contributions for ensuring medical care in the early stage of an epidemic pertaining to young-old persons set forth in the items of paragraph (1) by the fixed remuneration adjustment rate and the fixed participant adjustment rate;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  第一項各号の調整対象給付費額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額に確定加入者調整率を乗じて得た額
  <sup>art-35/par-6/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6/item-2</sup>
  the amount obtained by multiplying the sum of the amount of payment expenses subject to adjustment set forth in the items of paragraph (1) and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old by the fixed participant adjustment rate.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第七項**  第三項、第四項、第五項第一号及び第三号並びに前項各号の確定加入者調整率は、厚生労働省令で定めるところにより、前々年度における全ての保険者に係る加入者の総数に対する前期高齢者である加入者の総数の割合を同年度における当該保険者に係る加入者の数に対する前期高齢者である加入者の数の割合（その割合が同年度における下限割合に満たないときは、下限割合とする。）で除して得た率を基礎として保険者ごとに算定される率とする。
<sup>art-35/par-7 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-7</sup>
The fixed participant adjustment rate referred to in paragraph (3), paragraph (4), paragraph (5), items (i) and (iii), and the items of the preceding paragraph is the rate calculated for each of the insurers pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on the rate arrived at when the percentage of the total number of participants who are young-old to the total number of participants for all insurers in the fiscal year before the previous fiscal year is divided by the percentage of the number of participants who are young-old to the number of participants for the relevant insurers in the same fiscal year (if that percentage is less than the minimum percentage in the same fiscal year, the minimum percentage).
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The fixed participant adjustment rate referred to in paragraph (3), paragraph (4), paragraph (5), items (i) and (iii), and the items of the preceding paragraph is the rate calculated for each of the insurers pursuant to the provisions of Order of Order of the Ministry of Health, Labour and Welfare, based on the rate arrived at when the percentage of the total number of participants who are young-old to the total number of participants for all insurers in the fiscal year before the previous fiscal year is divided by the percentage of the number of participants who are young-old to the number of participants for the relevant insurers in the same fiscal year (if that percentage is less than the minimum percentage in the same fiscal year, the minimum percentage)." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

**第八項**  第二項第二号ロの一人平均前期高齢者給付費額は、全ての保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費額の平均額として厚生労働省令で定めるところにより算定される額とする。
<sup>art-35/par-8 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-8</sup>
The per capita average amount of young-old benefit expenses referred to in paragraph (2), item (ii), (b) is the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the average amount of young-old benefit expenses per one member who is a young-old pertaining to all insurers.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十六条（前期高齢者納付金等の徴収及び納付義務） — (Collection and Payment Obligation of Young-Old Payments)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-36 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36</sup>

**第一項**  機構は、第百三十九条第一項第一号に掲げる業務及び当該業務に関する事務の処理に要する費用に充てるため、年度ごとに、保険者から、前期高齢者納付金及び前期高齢者関係事務費拠出金（以下「前期高齢者納付金等」という。）を徴収する。
<sup>art-36/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36/par-1</sup>
The Organization collects young-old payments and contributions for administrative expenses related to the young-old (hereinafter referred to as "young-old payments, etc.") from Insurers each fiscal year in order to cover the expenses required for the services listed in Article 139, paragraph (1), item (i) and the handling of affairs relating to the services.
<sup>machine translation, not official</sup>

**第二項**  保険者は、前期高齢者納付金等を納付する義務を負う。
<sup>art-36/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36/par-2</sup>
An insurer is liable to pay young-old payments.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十七条（前期高齢者納付金の額） — (Amount of Young-Old Payments)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-37 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37</sup>

**第一項**  前条第一項の規定により各保険者から徴収する前期高齢者納付金の額は、当該年度の概算前期高齢者納付金の額とする。ただし、前々年度の概算前期高齢者納付金の額が同年度の確定前期高齢者納付金の額を超えるときは、当該年度の概算前期高齢者納付金の額からその超える額とその超える額に係る前期高齢者納付調整金額との合計額を控除して得た額とするものとし、前々年度の概算前期高齢者納付金の額が同年度の確定前期高齢者納付金の額に満たないときは、当該年度の概算前期高齢者納付金の額にその満たない額とその満たない額に係る前期高齢者納付調整金額との合計額を加算して得た額とする。
<sup>art-37/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37/par-1</sup>
The amount of young-old payments to be collected from each Insurer pursuant to the provisions of paragraph (1) of the preceding Article is to be the estimated amount of young-old payments for the relevant fiscal year; provided, however, that when the estimated amount of young-old payments for the fiscal year before the previous fiscal year exceeds the fixed amount of young-old payments for that fiscal year, it is to be the amount obtained by deducting from the estimated amount of young-old payments for the relevant fiscal year the sum total of the excess amount and the young-old payment adjustment amount pertaining to the excess amount, and when the estimated amount of young-old payments for the fiscal year before the previous fiscal year is less than the fixed amount of young-old payments for that fiscal year, it is to be the amount obtained by adding to the estimated amount of young-old payments for the relevant fiscal year the sum total of the shortfall and the young-old payment adjustment amount pertaining to the shortfall.
<sup>machine translation, not official</sup>

**第二項**  前項に規定する前期高齢者納付調整金額は、前々年度におけるすべての保険者に係る概算前期高齢者納付金の額と確定前期高齢者納付金の額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各保険者ごとに算定される額とする。
<sup>art-37/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37/par-2</sup>
The Young-Old Payment Adjustment Amount prescribed in the preceding paragraph is the amount calculated for each of the Insurers pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare by taking into consideration the interest arising from the excess or deficiency between the estimated Young-Old Payments and the fixed Young-Old Payments pertaining to all of the Insurers in the fiscal year before the previous fiscal year and other circumstances.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十八条（概算前期高齢者納付金） — (Estimated Young-Old Payments)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-38 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38</sup>

**第一項**  前条第一項の概算前期高齢者納付金の額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-38/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1</sup>
The estimated amount of Young-Old Payments referred to in paragraph (1) of the preceding Article is the amount specified in each of the following items in accordance with the category of Insurer set forth in the relevant item:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  概算負担調整基準超過保険者（当該年度における負担調整前概算前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者（次号の特別概算負担調整基準超過保険者を除く。）をいう。以下この条において同じ。）　負担調整前概算前期高齢者納付金相当額から負担調整対象見込額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前概算前期高齢者納付金相当額を上回るときは、負担調整前概算前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整見込額との合計額
  <sup>art-38/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1</sup>
  an insurer exceeding the estimated burden adjustment standard (meaning, among Insurers for which the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) (excluding an insurer exceeding the special estimated burden adjustment standard in the following item); the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the estimated amount subject to burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the estimated young-old payment before burden adjustment, the amount equivalent to the estimated young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the estimated young-old payment before burden adjustment, and the estimated amount of burden adjustment;
  <sup>machine translation, not official</sup>

    **イ**  次に掲げる額の合計額
    <sup>art-38/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-1</sup>
    the sum total of the following amounts:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  当該年度における負担調整前概算前期高齢者納付金相当額
      <sup>art-38/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-1/sub2-1</sup>
      the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  当該年度における当該保険者に係る第百十九条第一項の概算後期高齢者支援金の額を同年度における当該保険者に係る第百二十条第一項各号の概算後期高齢者支援金調整率で除して得た額
      <sup>art-38/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-1/sub2-2</sup>
      the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year;
      <sup>machine translation, not official</sup>

    **ロ**  次に掲げる額の合計額に当該年度の負担調整基準率を乗じて得た額
    <sup>art-38/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-2</sup>
    the amount arrived at when the sum total of the following amounts is multiplied by the base rate for burden adjustment for the relevant fiscal year:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  イに掲げる合計額
      <sup>art-38/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-2/sub2-1</sup>
      the sum total set forth in (a);
      <sup>machine translation, not official</sup>

      **（２）**  当該年度における当該保険者の給付に要する費用（健康保険法第百七十三条第二項に規定する日雇拠出金の納付に要する費用を含む。次号ロ（２）、次条第一項第一号ロ（２）及び第二号ロ（２）において「保険者の給付に要する費用等」という。）の見込額として厚生労働省令で定めるところにより算定される額
      <sup>art-38/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1/sub-2/sub2-2</sup>
      the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses required for benefits by insurers in the relevant fiscal year (including the expenses required for the payment of the day laborer contribution prescribed in Article 173, paragraph (2) of the Health Insurance Act; referred to as "expenses required for benefits by insurers, etc." in the following item, (b), (2) and Article 39, paragraph (1), item (i), (b), (2) and item (ii), (b), (2));
      <sup>machine translation, not official</sup>

  **二**  特別概算負担調整基準超過保険者（当該年度における負担調整前概算前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者であつて、政令で定めるところにより算定した同年度における当該保険者の財政力の見込みが政令で定める基準に満たないものをいう。以下この条において同じ。）　負担調整前概算前期高齢者納付金相当額から特別負担調整対象見込額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前概算前期高齢者納付金相当額を上回るときは、負担調整前概算前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整見込額との合計額
  <sup>art-38/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2</sup>
  an insurer exceeding the special estimated burden adjustment standard (meaning, among Insurers for which the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) and for which the estimated financial capacity in the same fiscal year, calculated as specified by Cabinet Order, falls short of the standard specified by Cabinet Order; the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the estimated amount subject to special burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the estimated young-old payment before burden adjustment, the amount equivalent to the estimated young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the estimated young-old payment before burden adjustment, and the estimated amount of burden adjustment;
  <sup>machine translation, not official</sup>

    **イ**  次に掲げる額の合計額
    <sup>art-38/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-1</sup>
    the sum total of the following amounts:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  当該年度における負担調整前概算前期高齢者納付金相当額
      <sup>art-38/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-1/sub2-1</sup>
      the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  当該年度における当該保険者に係る第百十九条第一項の概算後期高齢者支援金の額を同年度における当該保険者に係る第百二十条第一項各号の概算後期高齢者支援金調整率で除して得た額
      <sup>art-38/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-1/sub2-2</sup>
      the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year;
      <sup>machine translation, not official</sup>

    **ロ**  次に掲げる額の合計額に当該年度の特別負担調整基準率を乗じて得た額
    <sup>art-38/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-2</sup>
    the amount arrived at when the sum total of the following amounts is multiplied by the base rate for special burden adjustment for the relevant fiscal year;
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  イに掲げる合計額
      <sup>art-38/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-2/sub2-1</sup>
      the sum total set forth in (a);
      <sup>machine translation, not official</sup>

      **（２）**  当該年度における当該保険者の給付に要する費用等の見込額として厚生労働省令で定めるところにより算定される額
      <sup>art-38/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2/sub-2/sub2-2</sup>
      the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses required for benefits by insurers, etc. in the relevant fiscal year.
      <sup>machine translation, not official</sup>

  **三**  概算負担調整基準超過保険者及び特別概算負担調整基準超過保険者以外の保険者　負担調整前概算前期高齢者納付金相当額と負担調整見込額との合計額
  <sup>art-38/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-3</sup>
  an insurer other than an insurer in excess of the standard for estimated burden adjustment and an insurer in excess of the special standard for estimated burden adjustment:the sum of the amount equivalent to estimated young-old payments before burden adjustment and the estimated amount of burden adjustment.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第二項**  前項各号の負担調整前概算前期高齢者納付金相当額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-38/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-2</sup>
The estimated amount equivalent to Young-Old Payments before burden adjustment referred to in the items of the preceding paragraph is the amount specified in the following items according to the categories of Insurers set forth in the respective items.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  被用者保険等保険者　イ及びロに掲げる額の合計額
  <sup>art-38/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-2/item-1</sup>
  insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b):
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  第三十四条第一項各号の概算調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の二に相当する額
    <sup>art-38/par-2/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-2/item-1/sub-1</sup>
    the amount equivalent to two-thirds of the amount obtained by deducting the sum total of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant Insurer and the estimated amount of aid for the old-old pertaining to the young-old from the estimated base amount subject to adjustment set forth in the items of Article 34, paragraph (1) (if the amount is less than zero, it is deemed to be zero);
    <sup>machine translation, not official</sup>

    **ロ**  第三十四条第一項第一号ロの概算報酬調整後調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の一に相当する額
    <sup>art-38/par-2/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-2/item-1/sub-2</sup>
    the amount equivalent to one third of the amount obtained by deducting the sum total of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant Insurer and the estimated amount of aid for the old-old pertaining to the young-old from the estimated base amount subject to adjustment after remuneration adjustment set forth in Article 34, paragraph (1), item (i), (b) (if the amount is less than zero, it is deemed to be zero).
    <sup>machine translation, not official</sup>

  **二**  被用者保険等保険者以外の保険者　第三十四条第一項各号の概算調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）
  <sup>art-38/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-2/item-2</sup>
  insurers other than insurers covered by employee insurance, etc.:the amount obtained by deducting the sum of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant insurers and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old (if the relevant amount is less than zero, it is deemed to be zero) from the estimated base amount subject to adjustment set forth in the items of the same paragraph.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第三項**  第一項各号の負担調整見込額は、当該年度における次の各号に掲げる額の合計額を、厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の見込総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の見込数を乗じて得た額に概算負担調整額調整率を乗じて得た額とする。
<sup>art-38/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3</sup>
The estimated amount of burden adjustment referred to in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the relevant fiscal year by the estimated total number of subscribers for all insurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated number of subscribers for the relevant insurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated adjustment rate for the burden adjustment:
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The estimated amount of burden adjustment referred to in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the relevant fiscal year by the estimated total number of subscribers for all insurers in the relevant fiscal year calculated as specified by Order of the Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated number of subscribers for the relevant insurers in the relevant fiscal year calculated as specified by Order of the Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated adjustment rate for the burden adjustment:" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **一**  全ての概算負担調整基準超過保険者に係る負担調整対象見込額の総額
  <sup>art-38/par-3/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3/item-1</sup>
  the total estimated amount subject to burden adjustment pertaining to all insurers in excess of the standard for estimated burden adjustment;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  全ての特別概算負担調整基準超過保険者に係る負担調整対象見込額の総額
  <sup>art-38/par-3/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3/item-2</sup>
  the total of the prospective amounts subject to burden adjustment pertaining to all insurers in excess of the special estimated burden adjustment standards;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  全ての特別概算負担調整基準超過保険者に係る特別負担調整対象見込額から負担調整対象見込額を控除した額の総額（第九十三条第三項において「特別負担調整見込額の総額等」という。）の三分の一
  <sup>art-38/par-3/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3/item-3</sup>
  one third of the total amount calculated by deducting the prospective amount subject to burden adjustment from the prospective amount subject to special burden adjustment pertaining to all insurers exceeding the special estimated burden adjustment standards (referred to as the "total amount, etc. of the prospective amount of special burden adjustment" in Article 93, paragraph (3)).
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第四項**  第一項第一号ロの負担調整基準率は、全ての保険者に占める概算負担調整基準超過保険者の割合が著しく少ないものとして政令で定める割合となるよう、年度ごとに政令で定める率とする。
<sup>art-38/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-4</sup>
The base rate for burden adjustment referred to in paragraph (1), item (i), (b) is the rate specified by Cabinet Order for each fiscal year so that the ratio of insurers in excess of the estimated burden adjustment standard to all insurers is the ratio specified by Cabinet Order as being extremely small.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第五項**  第一項第二号ロの特別負担調整基準率は、全ての保険者に占める特別概算負担調整基準超過保険者の割合が少ないものとして政令で定める割合となるよう、年度ごとに政令で定める率とする。
<sup>art-38/par-5 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-5</sup>
The standard rate for special burden adjustment referred to in paragraph (1), item (ii), (b) is a rate specified by Cabinet Order for each fiscal year so that the percentage of insurers exceeding the special estimated burden adjustment standard among all insurers is the percentage specified by Cabinet Order as being small.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第六項**  第三項の概算負担調整額調整率は、前期高齢者である加入者一人当たりの前期高齢者給付費見込額を勘案し、百分の九十から百分の百十の範囲内で政令で定めるところにより算定する。
<sup>art-38/par-6 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-6</sup>
The estimated burden adjustment adjustment rate referred to in paragraph (3) is calculated pursuant to the provisions of Cabinet Order within the range of 90 percent to 110 percent, taking into consideration the estimated amount of young-old benefit expenses per participant who is a young-old.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第三十九条（確定前期高齢者納付金） — (Fixed Young-Old Payments)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-39 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39</sup>

**第一項**  第三十七条第一項の確定前期高齢者納付金の額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-39/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1</sup>
The amount of the final and binding young-old payments referred to in Article 37, paragraph (1) is the amount specified in the following items in accordance with the category of the insurer set forth in each of those items:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  確定負担調整基準超過保険者（前々年度における負担調整前確定前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者（次号の特別確定負担調整基準超過保険者を除く。）をいう。以下この条において同じ。）　負担調整前確定前期高齢者納付金相当額から負担調整対象額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前確定前期高齢者納付金相当額を上回るときは、負担調整前確定前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整額との合計額
  <sup>art-39/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1</sup>
  an insurer exceeding the fixed burden adjustment standard (meaning, among Insurers for which the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) (excluding an insurer exceeding the special fixed burden adjustment standard in the following item); the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the amount subject to burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the fixed young-old payment before burden adjustment, the amount equivalent to the fixed young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the fixed young-old payment before burden adjustment, and the burden adjustment amount;
  <sup>machine translation, not official</sup>

    **イ**  次に掲げる額の合計額
    <sup>art-39/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-1</sup>
    the sum total of the following amounts:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  前々年度における負担調整前確定前期高齢者納付金相当額
      <sup>art-39/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-1/sub2-1</sup>
      the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  前々年度における当該保険者に係る第百十九条第一項の確定後期高齢者支援金の額を同年度における当該保険者に係る第百二十一条第一項各号の確定後期高齢者支援金調整率で除して得た額
      <sup>art-39/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-1/sub2-2</sup>
      the amount obtained by dividing the fixed amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the fiscal year before the previous fiscal year by the fixed old-old aid adjustment rate set forth in the items of Article 121, paragraph (1) pertaining to the relevant Insurer in the same fiscal year;
      <sup>machine translation, not official</sup>

    **ロ**  次に掲げる額の合計額に前々年度の前条第一項第一号ロの負担調整基準率を乗じて得た額
    <sup>art-39/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-2</sup>
    the amount arrived at when the sum total of the following amounts is multiplied by the base rate for burden adjustment referred to in paragraph (1), item (i), (b) of the preceding Article for the fiscal year before the previous fiscal year;
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  イに掲げる合計額
      <sup>art-39/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-2/sub2-1</sup>
      the sum total set forth in (a);
      <sup>machine translation, not official</sup>

      **（２）**  前々年度における当該保険者の給付に要する費用等の額及び流行初期医療確保拠出金の額
      <sup>art-39/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1/sub-2/sub2-2</sup>
      the amount of the expenses required for benefits by insurers, etc. of the relevant Insurer and the amount of the contribution for securing medical care in the early phase of an epidemic, in the fiscal year before the previous fiscal year;
      <sup>machine translation, not official</sup>

  **二**  特別確定負担調整基準超過保険者（前々年度における負担調整前確定前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者であつて、政令で定めるところにより算定した同年度における当該保険者の財政力が政令で定める基準に満たないものをいう。以下この条において同じ。）　負担調整前確定前期高齢者納付金相当額から特別負担調整対象額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前確定前期高齢者納付金相当額を上回るときは、負担調整前確定前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整額との合計額
  <sup>art-39/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2</sup>
  an insurer exceeding the special fixed burden adjustment standard (meaning, among Insurers for which the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) and for which the financial capacity in the same fiscal year, calculated as specified by Cabinet Order, falls short of the standard specified by Cabinet Order; the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the amount subject to special burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the fixed young-old payment before burden adjustment, the amount equivalent to the fixed young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the fixed young-old payment before burden adjustment, and the burden adjustment amount;
  <sup>machine translation, not official</sup>

    **イ**  次に掲げる額の合計額
    <sup>art-39/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-1</sup>
    the sum total of the following amounts:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  前々年度における負担調整前確定前期高齢者納付金相当額
      <sup>art-39/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-1/sub2-1</sup>
      the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous fiscal year;
      <sup>machine translation, not official</sup>

      **（２）**  前々年度における当該保険者に係る第百十九条第一項の確定後期高齢者支援金の額を同年度における当該保険者に係る第百二十一条第一項各号の確定後期高齢者支援金調整率で除して得た額
      <sup>art-39/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-1/sub2-2</sup>
      the amount obtained by dividing the fixed amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the fiscal year before the previous fiscal year by the fixed old-old aid adjustment rate set forth in the items of Article 121, paragraph (1) pertaining to the relevant Insurer in the same fiscal year;
      <sup>machine translation, not official</sup>

    **ロ**  次に掲げる額の合計額に前々年度の前条第一項第二号ロの特別負担調整基準率を乗じて得た額
    <sup>art-39/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-2</sup>
    the amount arrived at when the sum total of the following amounts is multiplied by the base rate for special burden adjustment referred to in paragraph (1), item (ii), (b) of the preceding Article for the fiscal year before the previous fiscal year:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **（１）**  イに掲げる合計額
      <sup>art-39/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-2/sub2-1</sup>
      the sum total set forth in (a);
      <sup>machine translation, not official</sup>

      **（２）**  前々年度における当該保険者の給付に要する費用等の額及び流行初期医療確保拠出金の額
      <sup>art-39/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2/sub-2/sub2-2</sup>
      the amount of the expenses required for benefits by insurers, etc. of the relevant Insurer and the amount of the contribution for securing medical care in the early phase of an epidemic, in the fiscal year before the previous fiscal year.
      <sup>machine translation, not official</sup>

  **三**  確定負担調整基準超過保険者及び特別確定負担調整基準超過保険者以外の保険者　負担調整前確定前期高齢者納付金相当額と負担調整額との合計額
  <sup>art-39/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-3</sup>
  an insurer other than an insurer in excess of the fixed burden adjustment standard and a special insurer in excess of the fixed burden adjustment standard:the sum of the amount equivalent to the determined young-old payments before burden adjustment and the burden adjustment amount.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第二項**  前項各号の負担調整前確定前期高齢者納付金相当額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
<sup>art-39/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-2</sup>
The amount equivalent to the confirmed young-old payments before burden adjustment referred to in the items of the preceding paragraph is the amount specified in the following items in accordance with the category of insurer set forth in each of those items.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  被用者保険等保険者　イ及びロに掲げる額の合計額
  <sup>art-39/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-2/item-1</sup>
  insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b):
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **イ**  第三十五条第一項各号の確定調整対象基準額から、当該保険者に係る同項各号の調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の二に相当する額
    <sup>art-39/par-2/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-2/item-1/sub-1</sup>
    the amount equivalent to two-thirds of the amount obtained by subtracting the sum of the amount of benefits expenses subject to adjustment set forth in the items of Article 35, paragraph (1) pertaining to the insurer, the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old (if the amount is less than zero, it is deemed to be zero) from the fixed base amount subject to adjustment set forth in the items of the same paragraph;
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **ロ**  第三十五条第一項第一号ロの確定報酬調整後調整対象基準額から、当該保険者に係る同項各号の調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）の三分の一に相当する額
    <sup>art-39/par-2/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-2/item-1/sub-2</sup>
    the amount equivalent to one third of the amount obtained by deducting, from the base amount for adjustment after adjustment of fixed compensation set forth in Article 35, paragraph (1), item (i), (b), the sum of the amount of benefit expenses subject to adjustment set forth in the items of the same paragraph pertaining to the insurer, the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old (if the amount is less than zero, it is deemed to be zero);
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  被用者保険等保険者以外の保険者　第三十五条第一項各号の確定調整対象基準額から、当該保険者に係る同項各号の調整対象給付費額、前期高齢者に係る後期高齢者支援金の確定額及び前期高齢者に係る流行初期医療確保拠出金の額の合計額を控除して得た額（当該額が零を下回る場合には、零とする。）
  <sup>art-39/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-2/item-2</sup>
  insurers other than insurers of employee insurance, etc.:the amount obtained by subtracting the sum of the amount of benefit expenses subject to adjustment set forth in the items of Article 35, paragraph (1) pertaining to the relevant insurers, the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old from the fixed base amount subject to adjustment set forth in the items of the same paragraph (if the amount is less than zero, it is deemed to be zero).
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第三項**  第一項各号の負担調整額は、前々年度における次の各号に掲げる額の合計額を、厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の数を乗じて得た額に確定負担調整額調整率を乗じて得た額とする。
<sup>art-39/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3</sup>
The burden adjustment amount set forth in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the fiscal year before the previous fiscal year by the total number of subscribers for all insurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the number of subscribers for the relevant insurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the fixed burden adjustment adjustment rate:
<sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The burden adjustment amount set forth in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the fiscal year before the previous fiscal year by the total number of subscribers for all insurers in the same fiscal year calculated as specified by Order of Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the number of subscribers for the relevant insurers in the same fiscal year calculated as specified by Order of Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the fixed burden adjustment adjustment rate:" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **一**  全ての確定負担調整基準超過保険者に係る負担調整対象額の総額
  <sup>art-39/par-3/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3/item-1</sup>
  the total amount subject to burden adjustment pertaining to all insurers in excess of the fixed burden adjustment standards;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  全ての特別確定負担調整基準超過保険者に係る負担調整対象額の総額
  <sup>art-39/par-3/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3/item-2</sup>
  the total amount subject to burden adjustment pertaining to all insurers in excess of the special standards for burden adjustment;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  全ての特別確定負担調整基準超過保険者に係る特別負担調整対象額から負担調整対象額を控除した額の総額（第九十三条第三項において「特別負担調整額の総額等」という。）の三分の一
  <sup>art-39/par-3/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3/item-3</sup>
  one third of the total amount (referred to as the "total amount of special burden adjustment, etc." in Article 93, paragraph (3)) arrived at when the amount subject to burden adjustment is deducted from the amount subject to special burden adjustment pertaining to all insurers in excess of the special established standard for burden adjustment.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第四項**  前項の確定負担調整額調整率は、前期高齢者である加入者一人当たりの前期高齢者給付費額を勘案し、百分の九十から百分の百十の範囲内で政令で定めるところにより算定する。
<sup>art-39/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-4</sup>
The adjustment rate for the amount of settled burden adjustment referred to in the preceding paragraph is calculated pursuant to the provisions of Cabinet Order within the range of 90 percent to 110 percent, taking into consideration the amount of young-old benefit expenses per participant who is a young-old.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第四十条（前期高齢者関係事務費拠出金の額） — (Amount of Contributions for Office Expenses Related to the Young-Old)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-40 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-40</sup>

**第一項**  第三十六条第一項の規定により各保険者から徴収する前期高齢者関係事務費拠出金の額は、厚生労働省令で定めるところにより、当該年度における第百三十九条第一項第一号に掲げる機構の業務に関する事務の処理に要する費用の見込額を基礎として、各保険者に係る加入者の見込数に応じ、厚生労働省令で定めるところにより算定した額とする。
<sup>art-40/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-40/par-1</sup>
The amount of contributions for administrative expenses related to the young-old to be collected from each Insurer pursuant to the provisions of Article 36, paragraph (1) is, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on the estimated amount of expenses required for the handling of affairs concerning the services of the Organization set forth in Article 139, paragraph (1), item (i) in the relevant fiscal year, in accordance with the estimated number of participants pertaining to each Insurer.
<sup>machine translation, not official</sup>

### 第四十一条（保険者の合併等の場合における前期高齢者交付金等の額の特例） — (Special Provisions for the Amount of the Young-Old Subsidy in the Case of a Merger of Insurers)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-41 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-41</sup>

**第一項**  合併又は分割により成立した保険者、合併又は分割後存続する保険者及び解散をした保険者の権利義務を承継した保険者に係る前期高齢者交付金及び前期高齢者納付金等の額の算定の特例については、政令で定める。
<sup>art-41/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-41/par-1</sup>
Cabinet Order provides for special provisions for the calculation of the amount of Young-Old Subsidies and Young-Old Payments pertaining to an Insurer incorporated as a result of a merger or split, an Insurer surviving a merger or split, or an Insurer succeeding to the rights and obligations of a dissolved Insurer.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第四十二条（前期高齢者交付金の額の決定、通知等） — (Determination and Notification of the Amount of the Young-Old Subsidy)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-42 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42</sup>

**第一項**  機構は、各年度につき、各保険者に対し交付すべき前期高齢者交付金の額を決定し、当該各保険者に対し、その者に対し交付すべき前期高齢者交付金の額、交付の方法その他必要な事項を通知しなければならない。
<sup>art-42/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42/par-1</sup>
The Organization must determine the amount of the Young-Old Subsidy to be granted to each Insurer for each fiscal year and notify each relevant Insurer of the amount of the Young-Old Subsidy to be granted to it, the method of grant, and other necessary matters.
<sup>machine translation, not official</sup>

**第二項**  前項の規定により前期高齢者交付金の額が定められた後、前期高齢者交付金の額を変更する必要が生じたときは、機構は、当該各保険者に対し交付すべき前期高齢者交付金の額を変更し、当該各保険者に対し、変更後の前期高齢者交付金の額を通知しなければならない。
<sup>art-42/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42/par-2</sup>
If it becomes necessary to change the amount of the Young-Old Subsidy after the amount of the Young-Old Subsidy has been determined pursuant to the provisions of the preceding paragraph, the Organization must change the amount of the Young-Old Subsidy to be granted to each of the relevant Insurers and notify each of the relevant Insurers of the changed amount of the Young-Old Subsidy.
<sup>machine translation, not official</sup>

**第三項**  機構は、保険者に対し交付した前期高齢者交付金の額が、前項の規定による変更後の前期高齢者交付金の額に満たない場合には、その不足する額について、同項の規定による通知とともに交付の方法その他必要な事項を通知し、同項の規定による変更後の前期高齢者交付金の額を超える場合には、その超える額について、未払の前期高齢者交付金があるときはこれに充当し、なお残余があれば返還させ、未払の交付金がないときはこれを返還させなければならない。
<sup>art-42/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42/par-3</sup>
The Organization, in the case where the amount of the Young-Old Subsidy granted to an Insurer is less than the amount of the Young-Old Subsidy after the change pursuant to the provisions of the preceding paragraph, must notify the Insurer of the method of grant and other necessary matters, along with the notice pursuant to the provisions of the same paragraph, with regard to the shortfall; and in the case where the amount of the Young-Old Subsidy exceeds the amount of the Young-Old Subsidy after the change pursuant to the provisions of the same paragraph, the Organization must appropriate the excess amount to the unpaid Young-Old Subsidy, if any, and have the Insurer return the balance, if any, or have the Insurer return the excess amount if there is no unpaid subsidy.
<sup>machine translation, not official</sup>

### 第四十三条（前期高齢者納付金等の額の決定、通知等） — (Determination and Notification of the Amount of Young-Old Payments)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-43 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43</sup>

**第一項**  機構は、各年度につき、各保険者が納付すべき前期高齢者納付金等の額を決定し、当該各保険者に対し、その者が納付すべき前期高齢者納付金等の額、納付の方法及び納付すべき期限その他必要な事項を通知しなければならない。
<sup>art-43/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43/par-1</sup>
The Organization must determine the amount of young-old payments, etc. to be paid by each Insurer for each fiscal year, and notify each relevant Insurer of the amount of young-old payments, etc. to be paid by it, the method of payment, the due date of payment, and other necessary matters.
<sup>machine translation, not official</sup>

**第二項**  前項の規定により前期高齢者納付金等の額が定められた後、前期高齢者納付金等の額を変更する必要が生じたときは、機構は、当該各保険者が納付すべき前期高齢者納付金等の額を変更し、当該各保険者に対し、変更後の前期高齢者納付金等の額を通知しなければならない。
<sup>art-43/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43/par-2</sup>
If it becomes necessary to change the amount of young-old payments, etc. after the amount of young-old payments, etc. has been determined pursuant to the provisions of the preceding paragraph, the Organization must change the amount of young-old payments, etc. to be paid by each relevant Insurer and notify each relevant Insurer of the changed amount of young-old payments, etc.
<sup>machine translation, not official</sup>

**第三項**  機構は、保険者が納付した前期高齢者納付金等の額が、前項の規定による変更後の前期高齢者納付金等の額に満たない場合には、その不足する額について、同項の規定による通知とともに納付の方法及び納付すべき期限その他必要な事項を通知し、同項の規定による変更後の前期高齢者納付金等の額を超える場合には、その超える額について、未納の前期高齢者納付金等その他この章の規定による機構の徴収金があるときはこれに充当し、なお残余があれば還付し、未納の徴収金がないときはこれを還付しなければならない。
<sup>art-43/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43/par-3</sup>
If the amount of young-old payments, etc. paid by an Insurer is less than the amount of young-old payments, etc. after the change pursuant to the provisions of the preceding paragraph, the Organization must give notice of the method of payment, due date for payment, and other necessary matters with regard to the shortfall, together with the notice pursuant to the provisions of the same paragraph; and if the amount of young-old payments, etc. exceeds the amount of young-old payments, etc. after the change pursuant to the provisions of the same paragraph, the Organization must appropriate the excess amount to any unpaid young-old payments, etc. or any other money to be collected by the Organization pursuant to the provisions of this Chapter, and return the balance if any, or return the excess amount if there is no unpaid money to be collected.
<sup>machine translation, not official</sup>

### 第四十四条（督促及び滞納処分） — (Demand and disposition to collect arrears)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-44 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44</sup>

**第一項**  機構は、保険者が、納付すべき期限までに前期高齢者納付金等を納付しないときは、期限を指定してこれを督促しなければならない。
<sup>art-44/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-1</sup>
If an Insurer fails to pay young-old payments, etc. by the due date for payment, the Organization must demand payment, specifying a due date.
<sup>machine translation, not official</sup>

**第二項**  機構は、前項の規定により督促をするときは、当該保険者に対し、督促状を発する。この場合において、督促状により指定すべき期限は、督促状を発する日から起算して十日以上経過した日でなければならない。
<sup>art-44/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-2</sup>
The Organization, when it makes a demand pursuant to the provisions of the preceding paragraph, must issue a written demand to the relevant Insurer. In this case, the due date to be designated in the written demand must be a day on which ten days or more have elapsed from the day on which the written demand is issued.
<sup>machine translation, not official</sup>

**第三項**  機構は、第一項の規定による督促を受けた保険者がその指定期限までにその督促状に係る前期高齢者納付金等及び次条の規定による延滞金を完納しないときは、政令で定めるところにより、その徴収を、厚生労働大臣又は都道府県知事に請求するものとする。
<sup>art-44/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-3</sup>
The Organization, when an Insurer that has received a written demand pursuant to the provisions of paragraph (1) fails to pay in full, by the designated due date, the young-old payments, etc. pertaining to the written demand and the delinquent charge pursuant to the provisions of the following Article, is to request the Minister of Health, Labour and Welfare or the prefectural governor to collect them, pursuant to the provisions of Cabinet Order.
<sup>machine translation, not official</sup>

**第四項**  前項の規定による徴収の請求を受けたときは、厚生労働大臣又は都道府県知事は、国税滞納処分の例により処分することができる。
<sup>art-44/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-4</sup>
When a request for collection under the provisions of the preceding paragraph is received, the Minister of Health, Labour and Welfare or the prefectural governor may make a disposition in accordance with the rules for a national tax disposition to collect arrears.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第四十五条（延滞金） — (Delinquent Charges)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-45 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45</sup>

**第一項**  前条第一項の規定により前期高齢者納付金等の納付を督促したときは、機構は、その督促に係る前期高齢者納付金等の額につき年十四・五パーセントの割合で、納付期日の翌日からその完納又は財産差押えの日の前日までの日数により計算した延滞金を徴収する。ただし、督促に係る前期高齢者納付金等の額が千円未満であるときは、この限りでない。
<sup>art-45/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-1</sup>
When a demand for payment of young-old payments, etc. is made pursuant to the provisions of paragraph (1) of the preceding Article, the Organization collects a delinquent charge calculated based on the number of days from the day after the due date for payment until the day before the day of full payment or attachment of property, at a rate of 14.5 percent per annum on the amount of young-old payments, etc. pertaining to the demand; provided, however, that this does not apply when the amount of young-old payments, etc. pertaining to the demand is less than one thousand yen.
<sup>machine translation, not official</sup>

**第二項**  前項の場合において、前期高齢者納付金等の額の一部につき納付があつたときは、その納付の日以降の期間に係る延滞金の額の計算の基礎となる前期高齢者納付金等の額は、その納付のあつた前期高齢者納付金等の額を控除した額とする。
<sup>art-45/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-2</sup>
In the case referred to in the preceding paragraph, if a part of the amount of the Young-Old Payments, etc. is paid, the amount of the Young-Old Payments, etc. to be used as the basis for calculating the amount of delinquent charge pertaining to the period after the date of the payment is the amount obtained by deducting the amount of the Young-Old Payments, etc. that was paid.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第三項**  延滞金の計算において、前二項の前期高齢者納付金等の額に千円未満の端数があるときは、その端数は、切り捨てる。
<sup>art-45/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-3</sup>
In the calculation of delinquent charges, if the amount of the young-old payments, etc. set forth in the preceding two paragraphs includes a fraction of less than one thousand yen, the fraction is rounded down.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第四項**  前三項の規定によつて計算した延滞金の額に百円未満の端数があるときは、その端数は、切り捨てる。
<sup>art-45/par-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-4</sup>
If the amount of delinquency calculated pursuant to the provisions of the preceding three paragraphs includes a fraction of less than one hundred yen, the fraction is rounded down.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第五項**  延滞金は、次の各号のいずれかに該当する場合には、徴収しない。ただし、第三号の場合には、その執行を停止し、又は猶予した期間に対応する部分の金額に限る。
<sup>art-45/par-5 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5</sup>
A delinquent charge is not collected if any of the following items applies; provided, however, that in the case of item (iii), this is limited to the portion of the amount corresponding to the period during which the execution has been suspended or deferred:
<sup>machine translation, not official</sup>

  **一**  督促状に指定した期限までに前期高齢者納付金等を完納したとき。
  <sup>art-45/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5/item-1</sup>
  if the young-old payments, etc. are paid in full by the due date designated in the written demand;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  延滞金の額が百円未満であるとき。
  <sup>art-45/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5/item-2</sup>
  if the amount of the delinquency charge is less than 100 yen;
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if the amount of arrears is less than 100 yen;" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **三**  前期高齢者納付金等について滞納処分の執行を停止し、又は猶予したとき。
  <sup>art-45/par-5/item-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5/item-3</sup>
  when the execution of disposition to collect arrears for Young-Old Payments, etc. is suspended or stayed;
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "when the execution of disposition to collect arrears for Young-Old Payments, etc. is suspended or suspended;" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

  **四**  前期高齢者納付金等を納付しないことについてやむを得ない理由があると認められるとき。
  <sup>art-45/par-5/item-4 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5/item-4</sup>
  if it is found that there is a compelling reason for not paying Young-Old Payments, etc.
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if it is found that there is a compelling reason for not paying Young-Old Payments." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb</sup>

### 第四十六条（納付の猶予） — (Payment Grace Period)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-46 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46</sup>

**第一項**  機構は、やむを得ない事情により、保険者が前期高齢者納付金等を納付することが著しく困難であると認められるときは、厚生労働省令で定めるところにより、当該保険者の申請に基づき、厚生労働大臣の承認を受けて、その納付すべき期限から一年以内の期間を限り、その一部の納付を猶予することができる。
<sup>art-46/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46/par-1</sup>
The Organization, when it is found to be extremely difficult for an Insurer to pay young-old payments, etc. due to unavoidable circumstances, may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on an application by the relevant Insurer and with the approval of the Minister of Health, Labour and Welfare, grant a grace period for a part of the payment for a period not exceeding one year from the due date for the payment.
<sup>machine translation, not official</sup>

**第二項**  機構は、前項の規定による猶予をしたときは、その旨、猶予に係る前期高齢者納付金等の額、猶予期間その他必要な事項を保険者に通知しなければならない。
<sup>art-46/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46/par-2</sup>
The Organization, when having granted a grace period pursuant to the provisions of the preceding paragraph, must notify the Insurer of that fact, the amount of the young-old payments, etc. pertaining to the grace period, the grace period, and other necessary matters.
<sup>machine translation, not official</sup>

**第三項**  機構は、第一項の規定による猶予をしたときは、その猶予期間内は、その猶予に係る前期高齢者納付金等につき新たに第四十四条第一項の規定による督促及び同条第三項の規定による徴収の請求をすることができない。
<sup>art-46/par-3 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46/par-3</sup>
If the Organization has granted a grace period pursuant to the provisions of paragraph (1), the Organization may not newly make a demand pursuant to the provisions of Article 44, paragraph (1) or request collection pursuant to the provisions of paragraph (3) of the same Article with respect to the young-old payments, etc. pertaining to the grace period during the grace period.
<sup>machine translation, not official</sup>

---

## Cites
- art-32/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十二条第一項 (Article 32, paragraph (1)), art-32/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-32/par-1
- art-32/par-2: 第三十六条第一項 → 高齢者の医療の確保に関する法律 第三十六条第一項 (Article 36, paragraph (1)), art-36/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36/par-1
- art-33/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第三十二条第一項 (Article 32, paragraph (1)), art-32/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-32/par-1
- art-33/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十三条第一項 (Article 33, paragraph (1)), art-33/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33/par-1
- art-34/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第三十三条第一項 (Article 33, paragraph (1)), art-33/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33/par-1
- art-34/par-1/item-1/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-34/par-1/item-1/sub-1/sub2-2: 第百二十条第一項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-120/par-1
- art-34/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-34/par-2: 第一号 → 高齢者の医療の確保に関する法律 第三十四条第二項第一号 (Article 34, paragraph (2), item (i)), art-34/par-2/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-1
- art-34/par-2: 第二号 → 高齢者の医療の確保に関する法律 第三十四条第二項第二号 (Article 34, paragraph (2), item (ii)), art-34/par-2/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2
- art-34/par-2/item-1: 健康保険法第五十三条 → 健康保険法 第五十三条 (Article 53), art-53 — https://japanlaw.org/en/health-insurance-act/art-53 · https://japanlaw.org/l/211AC0000000070/art-53
- art-34/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-34/par-4: 第一項第一号 → 高齢者の医療の確保に関する法律 第三十四条第一項第一号 (Article 34, paragraph (1), item (i)), art-34/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1
- art-34/par-4: 同項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-34/par-4: 第二号 → 高齢者の医療の確保に関する法律 第三十四条第一項第二号 (Article 34, paragraph (1), item (ii)), art-34/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-2
- art-34/par-4: 第六項第一号 → 高齢者の医療の確保に関する法律 第三十四条第六項第一号 (Article 34, paragraph (6), item (i)), art-34/par-6/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6/item-1
- art-34/par-4/item-1: 次号 → 高齢者の医療の確保に関する法律 第三十四条第四項第二号 (Article 34, paragraph (4), item (ii)), art-34/par-4/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4/item-2
- art-34/par-4/item-1: 第百二十条第一項第一号 → 高齢者の医療の確保に関する法律 第百二十条第一項第一号 (Article 120, paragraph (1), item (i)), art-120/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-120/par-1/item-1
- art-34/par-5: 前二項 → 高齢者の医療の確保に関する法律 第三十四条第三項 (Article 34, paragraph (3)), art-34/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-3
- art-34/par-5: 前二項 → 高齢者の医療の確保に関する法律 第三十四条第四項 (Article 34, paragraph (4)), art-34/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4
- art-34/par-5: 第一号 → 高齢者の医療の確保に関する法律 第三十四条第五項第一号 (Article 34, paragraph (5), item (i)), art-34/par-5/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-1
- art-34/par-5: 第二号 → 高齢者の医療の確保に関する法律 第三十四条第五項第二号 (Article 34, paragraph (5), item (ii)), art-34/par-5/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-2
- art-34/par-5: 第三号 → 高齢者の医療の確保に関する法律 第三十四条第五項第三号 (Article 34, paragraph (5), item (iii)), art-34/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-3
- art-34/par-5: 第四号 → 高齢者の医療の確保に関する法律 第三十四条第五項第四号 (Article 34, paragraph (5), item (iv)), art-34/par-5/item-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-4
- art-34/par-6: 第四項 → 高齢者の医療の確保に関する法律 第三十四条第四項 (Article 34, paragraph (4)), art-34/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4
- art-34/par-6: 第一号 → 高齢者の医療の確保に関する法律 第三十四条第六項第一号 (Article 34, paragraph (6), item (i)), art-34/par-6/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6/item-1
- art-34/par-6: 第二号 → 高齢者の医療の確保に関する法律 第三十四条第六項第二号 (Article 34, paragraph (6), item (ii)), art-34/par-6/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6/item-2
- art-34/par-6/item-1: 第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-34/par-6/item-2: 第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-34/par-7: 第三項 → 高齢者の医療の確保に関する法律 第三十四条第三項 (Article 34, paragraph (3)), art-34/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-3
- art-34/par-7: 第四項 → 高齢者の医療の確保に関する法律 第三十四条第四項 (Article 34, paragraph (4)), art-34/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4
- art-34/par-7: 第五項第一号 → 高齢者の医療の確保に関する法律 第三十四条第五項第一号 (Article 34, paragraph (5), item (i)), art-34/par-5/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-1
- art-34/par-7: 第三号 → 高齢者の医療の確保に関する法律 第三十四条第五項第三号 (Article 34, paragraph (5), item (iii)), art-34/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-5/item-3
- art-34/par-7: 前項 → 高齢者の医療の確保に関する法律 第三十四条第六項 (Article 34, paragraph (6)), art-34/par-6 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-6
- art-34/par-7: この項 → 高齢者の医療の確保に関する法律 第三十四条第七項 (Article 34, paragraph (7)), art-34/par-7 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-7
- art-34/par-7: 次条第七項 → 高齢者の医療の確保に関する法律 第三十五条第七項 (Article 35, paragraph (7)), art-35/par-7 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-7
- art-34/par-8: 第四項第一号 → 高齢者の医療の確保に関する法律 第三十四条第四項第一号 (Article 34, paragraph (4), item (i)), art-34/par-4/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-4/item-1
- art-34/par-8/item-4: 前三号 → 高齢者の医療の確保に関する法律 第三十四条第八項第一号 (Article 34, paragraph (8), item (i)), art-34/par-8/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-1
- art-34/par-8/item-4: 前三号 → 高齢者の医療の確保に関する法律 第三十四条第八項第二号 (Article 34, paragraph (8), item (ii)), art-34/par-8/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-2
- art-34/par-8/item-4: 前三号 → 高齢者の医療の確保に関する法律 第三十四条第八項第三号 (Article 34, paragraph (8), item (iii)), art-34/par-8/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8/item-3
- art-34/par-9: 第二項第二号 → 高齢者の医療の確保に関する法律 第三十四条第二項第二号 (Article 34, paragraph (2), item (ii)), art-34/par-2/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2
- art-35/par-1: 第三十三条第一項 → 高齢者の医療の確保に関する法律 第三十三条第一項 (Article 33, paragraph (1)), art-33/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-33/par-1
- art-35/par-1/item-1/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-35/par-1/item-1/sub-1/sub2-2: 第百二十一条第一項 → 高齢者の医療の確保に関する法律 第百二十一条第一項 (Article 121, paragraph (1)), art-121/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-121/par-1
- art-35/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-35/par-2: 第一号 → 高齢者の医療の確保に関する法律 第三十五条第二項第一号 (Article 35, paragraph (2), item (i)), art-35/par-2/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-1
- art-35/par-2: 第二号 → 高齢者の医療の確保に関する法律 第三十五条第二項第二号 (Article 35, paragraph (2), item (ii)), art-35/par-2/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-2
- art-35/par-2/item-2: 前条第二項第二号 → 高齢者の医療の確保に関する法律 第三十四条第二項第二号 (Article 34, paragraph (2), item (ii)), art-34/par-2/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-2/item-2
- art-35/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-35/par-4: 第一項第一号 → 高齢者の医療の確保に関する法律 第三十五条第一項第一号 (Article 35, paragraph (1), item (i)), art-35/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1
- art-35/par-4: 同項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-35/par-4: 第二号 → 高齢者の医療の確保に関する法律 第三十五条第一項第二号 (Article 35, paragraph (1), item (ii)), art-35/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-2
- art-35/par-4: 第六項第一号 → 高齢者の医療の確保に関する法律 第三十五条第六項第一号 (Article 35, paragraph (6), item (i)), art-35/par-6/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6/item-1
- art-35/par-4/item-1: 前条第八項 → 高齢者の医療の確保に関する法律 第三十四条第八項 (Article 34, paragraph (8)), art-34/par-8 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-8
- art-35/par-4/item-1: 次号 → 高齢者の医療の確保に関する法律 第三十五条第四項第二号 (Article 35, paragraph (4), item (ii)), art-35/par-4/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4/item-2
- art-35/par-4/item-1: 第百二十一条第一項第一号 → 高齢者の医療の確保に関する法律 第百二十一条第一項第一号 (Article 121, paragraph (1), item (i)), art-121/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-121/par-1/item-1
- art-35/par-5: 前二項 → 高齢者の医療の確保に関する法律 第三十五条第三項 (Article 35, paragraph (3)), art-35/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-3
- art-35/par-5: 前二項 → 高齢者の医療の確保に関する法律 第三十五条第四項 (Article 35, paragraph (4)), art-35/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4
- art-35/par-5: 第一号 → 高齢者の医療の確保に関する法律 第三十五条第五項第一号 (Article 35, paragraph (5), item (i)), art-35/par-5/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-1
- art-35/par-5: 第二号 → 高齢者の医療の確保に関する法律 第三十五条第五項第二号 (Article 35, paragraph (5), item (ii)), art-35/par-5/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-2
- art-35/par-5: 第三号 → 高齢者の医療の確保に関する法律 第三十五条第五項第三号 (Article 35, paragraph (5), item (iii)), art-35/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-3
- art-35/par-5: 第四号 → 高齢者の医療の確保に関する法律 第三十五条第五項第四号 (Article 35, paragraph (5), item (iv)), art-35/par-5/item-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-4
- art-35/par-6: 第四項 → 高齢者の医療の確保に関する法律 第三十五条第四項 (Article 35, paragraph (4)), art-35/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4
- art-35/par-6: 第一号 → 高齢者の医療の確保に関する法律 第三十五条第六項第一号 (Article 35, paragraph (6), item (i)), art-35/par-6/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6/item-1
- art-35/par-6: 第二号 → 高齢者の医療の確保に関する法律 第三十五条第六項第二号 (Article 35, paragraph (6), item (ii)), art-35/par-6/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6/item-2
- art-35/par-6/item-1: 第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-35/par-6/item-2: 第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-35/par-7: 第三項 → 高齢者の医療の確保に関する法律 第三十五条第三項 (Article 35, paragraph (3)), art-35/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-3
- art-35/par-7: 第四項 → 高齢者の医療の確保に関する法律 第三十五条第四項 (Article 35, paragraph (4)), art-35/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-4
- art-35/par-7: 第五項第一号 → 高齢者の医療の確保に関する法律 第三十五条第五項第一号 (Article 35, paragraph (5), item (i)), art-35/par-5/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-1
- art-35/par-7: 第三号 → 高齢者の医療の確保に関する法律 第三十五条第五項第三号 (Article 35, paragraph (5), item (iii)), art-35/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-5/item-3
- art-35/par-7: 前項 → 高齢者の医療の確保に関する法律 第三十五条第六項 (Article 35, paragraph (6)), art-35/par-6 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-6
- art-35/par-8: 第二項第二号 → 高齢者の医療の確保に関する法律 第三十五条第二項第二号 (Article 35, paragraph (2), item (ii)), art-35/par-2/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-2/item-2
- art-36/par-1: 第百三十九条第一項第一号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第一号 (Article 139, paragraph (1), item (i)), art-139/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-5#art-139/par-1/item-1
- art-37/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第三十六条第一項 (Article 36, paragraph (1)), art-36/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36/par-1
- art-37/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十七条第一項 (Article 37, paragraph (1)), art-37/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37/par-1
- art-38/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第三十七条第一項 (Article 37, paragraph (1)), art-37/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37/par-1
- art-38/par-1/item-1: 次号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2
- art-38/par-1/item-1: この条 → 高齢者の医療の確保に関する法律 第三十八条 (Article 38), art-38 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38
- art-38/par-1/item-1: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3
- art-38/par-1/item-1/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-38/par-1/item-1/sub-1/sub2-2: 第百二十条第一項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-120/par-1
- art-38/par-1/item-1/sub-2/sub2-2: 健康保険法第百七十三条第二項 → 健康保険法 第百七十三条第二項 (Article 173, paragraph (2)), art-173/par-2 — https://japanlaw.org/en/health-insurance-act/art-173/par-2 · https://japanlaw.org/l/211AC0000000070/art-173/par-2
- art-38/par-1/item-1/sub-2/sub2-2: 次号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2
- art-38/par-1/item-1/sub-2/sub2-2: 次条第一項第一号 → 高齢者の医療の確保に関する法律 第三十九条第一項第一号 (Article 39, paragraph (1), item (i)), art-39/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-1
- art-38/par-1/item-1/sub-2/sub2-2: 第二号 → 高齢者の医療の確保に関する法律 第三十九条第一項第二号 (Article 39, paragraph (1), item (ii)), art-39/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2
- art-38/par-1/item-2: この条 → 高齢者の医療の確保に関する法律 第三十八条 (Article 38), art-38 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38
- art-38/par-1/item-2: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3
- art-38/par-1/item-2/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-38/par-1/item-2/sub-1/sub2-2: 第百二十条第一項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-120/par-1
- art-38/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十八条第一項 (Article 38, paragraph (1)), art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1
- art-38/par-2/item-1/sub-1: 第三十四条第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-38/par-2/item-1/sub-2: 第三十四条第一項第一号 → 高齢者の医療の確保に関する法律 第三十四条第一項第一号 (Article 34, paragraph (1), item (i)), art-34/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1/item-1
- art-38/par-2/item-1/sub-2: 同項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-38/par-2/item-2: 第三十四条第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-32#art-34/par-1
- art-38/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十八条第一項 (Article 38, paragraph (1)), art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1
- art-38/par-3/item-3: 第九十三条第三項 → 高齢者の医療の確保に関する法律 第九十三条第三項 (Article 93, paragraph (3)), art-93/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-85#art-93/par-3
- art-38/par-4: 第一項第一号 → 高齢者の医療の確保に関する法律 第三十八条第一項第一号 (Article 38, paragraph (1), item (i)), art-38/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1
- art-38/par-5: 第一項第二号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2
- art-38/par-6: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-3
- art-39/par-1: 第三十七条第一項 → 高齢者の医療の確保に関する法律 第三十七条第一項 (Article 37, paragraph (1)), art-37/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-37/par-1
- art-39/par-1/item-1: 次号 → 高齢者の医療の確保に関する法律 第三十九条第一項第二号 (Article 39, paragraph (1), item (ii)), art-39/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1/item-2
- art-39/par-1/item-1: この条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39
- art-39/par-1/item-1: 第三項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3
- art-39/par-1/item-1/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-39/par-1/item-1/sub-1/sub2-2: 第百二十一条第一項 → 高齢者の医療の確保に関する法律 第百二十一条第一項 (Article 121, paragraph (1)), art-121/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-121/par-1
- art-39/par-1/item-1/sub-2: 前条第一項第一号 → 高齢者の医療の確保に関する法律 第三十八条第一項第一号 (Article 38, paragraph (1), item (i)), art-38/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-1
- art-39/par-1/item-2: この条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39
- art-39/par-1/item-2: 第三項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3
- art-39/par-1/item-2/sub-1/sub2-2: 第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-119/par-1
- art-39/par-1/item-2/sub-1/sub2-2: 第百二十一条第一項 → 高齢者の医療の確保に関する法律 第百二十一条第一項 (Article 121, paragraph (1)), art-121/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-116#art-121/par-1
- art-39/par-1/item-2/sub-2: 前条第一項第二号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-38/par-1/item-2
- art-39/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十九条第一項 (Article 39, paragraph (1)), art-39/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1
- art-39/par-2/item-1/sub-1: 第三十五条第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-39/par-2/item-1/sub-2: 第三十五条第一項第一号 → 高齢者の医療の確保に関する法律 第三十五条第一項第一号 (Article 35, paragraph (1), item (i)), art-35/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1/item-1
- art-39/par-2/item-1/sub-2: 同項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-39/par-2/item-2: 第三十五条第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-35/par-1
- art-39/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十九条第一項 (Article 39, paragraph (1)), art-39/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-1
- art-39/par-3/item-3: 第九十三条第三項 → 高齢者の医療の確保に関する法律 第九十三条第三項 (Article 93, paragraph (3)), art-93/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-4/from-art-85#art-93/par-3
- art-39/par-4: 前項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-38#art-39/par-3
- art-40/par-1: 第三十六条第一項 → 高齢者の医療の確保に関する法律 第三十六条第一項 (Article 36, paragraph (1)), art-36/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-35#art-36/par-1
- art-40/par-1: 第百三十九条第一項第一号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第一号 (Article 139, paragraph (1), item (i)), art-139/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-5#art-139/par-1/item-1
- art-42/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42/par-1
- art-42/par-3: 前項 → 高齢者の医療の確保に関する法律 第四十二条第二項 (Article 42, paragraph (2)), art-42/par-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-42/par-2
- art-43/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43/par-1
- art-43/par-3: 前項 → 高齢者の医療の確保に関する法律 第四十三条第二項 (Article 43, paragraph (2)), art-43/par-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-43/par-2
- art-44/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-1
- art-44/par-3: 第一項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-1
- art-44/par-3: 次条 → 高齢者の医療の確保に関する法律 第四十五条 (Article 45), art-45 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45
- art-44/par-4: 前項 → 高齢者の医療の確保に関する法律 第四十四条第三項 (Article 44, paragraph (3)), art-44/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-3
- art-45/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-1
- art-45/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-1
- art-45/par-3: 前二項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-1
- art-45/par-3: 前二項 → 高齢者の医療の確保に関する法律 第四十五条第二項 (Article 45, paragraph (2)), art-45/par-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-2
- art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-1
- art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第二項 (Article 45, paragraph (2)), art-45/par-2 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-2
- art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第三項 (Article 45, paragraph (3)), art-45/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-3
- art-45/par-5: 第三号 → 高齢者の医療の確保に関する法律 第四十五条第五項第三号 (Article 45, paragraph (5), item (iii)), art-45/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-45/par-5/item-3
- art-46/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十六条第一項 (Article 46, paragraph (1)), art-46/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46/par-1
- art-46/par-3: 第一項 → 高齢者の医療の確保に関する法律 第四十六条第一項 (Article 46, paragraph (1)), art-46/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-46/par-1
- art-46/par-3: 第四十四条第一項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-1
- art-46/par-3: 同条第三項 → 高齢者の医療の確保に関する法律 第四十四条第三項 (Article 44, paragraph (3)), art-44/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20270401_507AC0000000087/text/ch-3/from-art-40#art-44/par-3

---

## Sources

- claude-opus-5-5 — Corrections to the Ministry of Justice's English of 高齢者の医療の確保に関する法律, written 2026-10-19
- e-Gov 法令検索, Digital Agency (デジタル庁) — 高齢者の医療の確保に関する法律 — the text as 令和七年法律第八十七号 leaves it, from 2027-04-01 (https://laws.e-gov.go.jp/law/357AC0000000080/20270401_507AC0000000087), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 34, paragraph (4), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 34, paragraph (5) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 34, paragraph (5), item (iv) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 34, paragraph (6) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 34, paragraph (8), item (iv) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 35, paragraph (1), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 35, paragraph (2), item (i) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 35, paragraph (4), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 35, paragraph (5) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 35, paragraph (7) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 38, paragraph (3) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 39, paragraph (3) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 45, paragraph (5), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 45, paragraph (5), item (iii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 45, paragraph (5), item (iv) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-001, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-002, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-003, translated 2026-10-20
- This site's parser, version 209 — 高齢者の医療の確保に関する法律 — structure, counts, cross-references and defined terms, computed 2026-10-19
