# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第六章 (Chapter 6) - 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: 第六章 (Chapter 6) — address `ch-6` - Text: the text as amended with effect from 2028-06-24 (On a day set by Cabinet Order, no later than 24 June 2028 — the amending law allows up to two years from promulgation. The exact day is not fixed yet.), standing until 2028-12-10 as now scheduled, since the next amendment's day is not fixed — NOT yet in force (revision 20280624_508AC0000000051) - URL (this text's page, at this provision): https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6 - The same address in the text in force (its wording there may differ): https://japanlaw.org/en/elderly-medical-care-act/ch-6 - 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. --- ## 第六章　国民健康保険団体連合会の高齢者医療関係業務 — Chapter VI Medical Services for the Elderly by the National Health Insurance Federation heading: Ministry of Justice translation — Japanese Law Translation Database System ch-6 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6 ### 第百五十五条（国保連合会の業務） — (Operations of NHI Federations) caption: Ministry of Justice translation — Japanese Law Translation Database System art-155 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155 **第一項** 国保連合会は、国民健康保険法の規定による業務のほか、第七十条第四項（第七十四条第十項、第七十五条第七項、第七十六条第七項及び第七十八条第八項において準用する場合を含む。）の規定により後期高齢者医療広域連合から委託を受けて行う療養の給付に要する費用並びに入院時食事療養費、入院時生活療養費、保険外併用療養費及び訪問看護療養費の請求に関する審査及び支払の業務を行う。 art-155/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-1 In addition to the operations under the provisions of the National Health Insurance Act, an NHI federation performs the operations of examination and payment of claims for expenses required for benefits for medical treatment provided based on entrustment from an Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 70, paragraph (4) (including as applied mutatis mutandis pursuant to Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (7), and Article 78, paragraph (8)), as well as dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, and medical expenses for home-nursing. machine translation, not official **第二項** 国保連合会は、前項に規定する業務のほか、後期高齢者医療の円滑な運営に資するため、次に掲げる業務を行うことができる。 art-155/par-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-2 In addition to the operations prescribed in the preceding paragraph, a NHI federation may conduct the following operations in order to contribute to the smooth operation of medical care for elderly persons: Ministry of Justice translation — Japanese Law Translation Database System **一** 第五十八条第三項の規定により後期高齢者医療広域連合から委託を受けて行う第三者に対する損害賠償金の徴収又は収納の事務 art-155/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-2/item-1 affairs of collecting or receiving compensation for damage from a third party, conducted upon entrustment from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 58, paragraph (3); machine translation, not official **二** 前号に掲げるもののほか、後期高齢者医療の円滑な運営に資する事業 art-155/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-2/item-2 beyond what is set forth in the preceding item, a project that contributes to the smooth operation of Old-Old Healthcare. Ministry of Justice translation — Japanese Law Translation Database System ### 第百五十六条（議決権の特例） — (Special Provisions for Voting Rights) caption: Ministry of Justice translation — Japanese Law Translation Database System art-156 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-156 **第一項** 国保連合会が前条の規定により行う業務（以下「高齢者医療関係業務」という。）については、国民健康保険法第八十六条において準用する同法第二十九条の規定にかかわらず、厚生労働省令で定めるところにより、規約をもつて議決権に関する特別の定めをすることができる。 art-156/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-156/par-1 With regard to the business conducted by NHI federations pursuant to the provisions of the preceding Article (hereinafter referred to as "medical services for the elderly"), notwithstanding the provisions of Article 29 of the National Health Insurance Act as applied mutatis mutandis pursuant to Article 86 of the same Act, as specified by Order of the Ministry of Health, Labour and Welfare, special provisions concerning voting rights may be established by the constitution. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "With regard to the business conducted by NHI federations pursuant to the provisions of the preceding Article (hereinafter referred to as "medical services for the elderly"), notwithstanding the provisions of Article 29 of the National Health Insurance Act as applied mutatis mutandis pursuant to Article 86 of the same Act, as specified by Order of Order of the Ministry of Health, Labour and Welfare, special provisions concerning voting rights may be established by the constitution." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb ### 第百五十七条（区分経理） — (Separate Accounting) caption: Ministry of Justice translation — Japanese Law Translation Database System art-157 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-157 **第一項** 国保連合会は、高齢者医療関係業務に係る経理については、その他の経理と区分して整理しなければならない。 art-157/par-1 · https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-157/par-1 A NHI federation must separate its accounting for medical services for the elderly from its other accounting. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-155/par-1: 第七十条第四項 → 高齢者の医療の確保に関する法律 第七十条第四項 (Article 70, paragraph (4)), art-70/par-4 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-64#art-70/par-4 - art-155/par-1: 第七十四条第十項 → 高齢者の医療の確保に関する法律 第七十四条第十項 (Article 74, paragraph (10)), art-74/par-10 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-71#art-74/par-10 - art-155/par-1: 第七十五条第七項 → 高齢者の医療の確保に関する法律 第七十五条第七項 (Article 75, paragraph (7)), art-75/par-7 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-71#art-75/par-7 - art-155/par-1: 第七十六条第七項 → 高齢者の医療の確保に関する法律 第七十六条第七項 (Article 76, paragraph (7)), art-76/par-7 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-76#art-76/par-7 - art-155/par-1: 第七十八条第八項 → 高齢者の医療の確保に関する法律 第七十八条第八項 (Article 78, paragraph (8)), art-78/par-8 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-76#art-78/par-8 - art-155/par-2: 前項 → 高齢者の医療の確保に関する法律 第百五十五条第一項 (Article 155, paragraph (1)), art-155/par-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-1 - art-155/par-2/item-1: 第五十八条第三項 → 高齢者の医療の確保に関する法律 第五十八条第三項 (Article 58, paragraph (3)), art-58/par-3 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-4/from-art-56#art-58/par-3 - art-155/par-2/item-2: 前号 → 高齢者の医療の確保に関する法律 第百五十五条第二項第一号 (Article 155, paragraph (2), item (i)), art-155/par-2/item-1 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155/par-2/item-1 - art-156/par-1: 前条 → 高齢者の医療の確保に関する法律 第百五十五条 (Article 155), art-155 — https://japanlaw.org/en/elderly-medical-care-act/amendments/20280624_508AC0000000051/text/ch-6#art-155 - art-156/par-1: 国民健康保険法第八十六条 → 国民健康保険法 第八十六条 (Article 86), art-86 — https://japanlaw.org/en/national-health-insurance-act/art-86 · https://japanlaw.org/l/333AC0000000192/art-86 - art-156/par-1: 同法第二十九条 → 国民健康保険法 第二十九条 (Article 29), art-29 — https://japanlaw.org/en/national-health-insurance-act/art-29 · https://japanlaw.org/l/333AC0000000192/art-29 --- ## 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 令和八年法律第五十一号 leaves it, from a date not yet fixed (https://laws.e-gov.go.jp/law/357AC0000000080/20280624_508AC0000000051), 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 156, paragraph (1) — 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-20261019T112331-005, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation of amended wording, batch elderly-medical-care-act-amendments-20261019T112331-002, translated 2026-10-19 - 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