# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百五十七条 (Article 157)

- 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: 第百五十七条 (Article 157)（区分経理） — address `art-157`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-157
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-157
- Every provision below carries its address and both URLs 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.

---

### 第百五十七条（区分経理） — (Separate Accounting)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-157 · https://japanlaw.org/en/elderly-medical-care-act/art-157 · https://japanlaw.org/l/357AC0000000080/art-157</sup>

**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。
<sup>art-157/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-157/par-1 · https://japanlaw.org/l/357AC0000000080/art-157/par-1</sup>
A NHI federation must separate its accounting for medical services for the elderly from its other accounting.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

---

## Sources

- 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 in force from 2026-10-01 (https://laws.e-gov.go.jp/law/357AC0000000080/20261001_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
- 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