# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百六十五条の二 (Article 165-2)

- 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: 第百六十五条の二 (Article 165-2)（機構等への事務の委託） — address `art-165-2`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-165-2
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-165-2
- 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.

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### 第百六十五条の二（機構等への事務の委託） — Entrustment of Affairs to the Organization, etc.
<sup>caption: machine translation, not official</sup>
<sup>art-165-2 · https://japanlaw.org/en/elderly-medical-care-act/art-165-2 · https://japanlaw.org/l/357AC0000000080/art-165-2</sup>

**第一項**  後期高齢者医療広域連合は、第七十条第四項（第七十四条第十項、第七十五条第七項、第七十六条第六項及び第七十八条第八項において準用する場合を含む。）に規定する事務のほか、次に掲げる事務を機構又は国保連合会に委託することができる。
<sup>art-165-2/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-1 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1</sup>
In addition to the affairs prescribed in Article 70, paragraph (4) (including as applied mutatis mutandis pursuant to Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (6) and Article 78, paragraph (8)), the Association of Medical Care Systems for the Elderly Aged 75 and older may entrust the following affairs to the Organization or the NHI federation:
<sup>machine translation, not official</sup>

  **一**  第五十六条に規定する後期高齢者医療給付の実施、第百四条第一項の規定による保険料の徴収、第百二十五条第一項の規定による高齢者保健事業の実施その他の厚生労働省令で定める事務に係る情報の収集又は整理に関する事務
  <sup>art-165-2/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1/item-1</sup>
  affairs pertaining to the collection or organization of information pertaining to the implementation of an old-old medical care benefit provided for in Article 56, the collection of insurance premiums pursuant to the provisions of Article 104, paragraph (1), the implementation of health services for the elderly pursuant to the provisions of Article 125, paragraph (1), and other affairs specified by Order of the Ministry of Health, Labour and Welfare;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  第五十六条に規定する後期高齢者医療給付の実施、第百四条第一項の規定による保険料の徴収、第百二十五条第一項の規定による高齢者保健事業の実施その他の厚生労働省令で定める事務に係る情報の利用又は提供に関する事務
  <sup>art-165-2/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1/item-2</sup>
  affairs pertaining to the use or provision of information pertaining to the implementation of an old-old medical care benefit provided for in Article 56, the collection of insurance premiums pursuant to the provisions of Article 104, paragraph (1), the implementation of health services for the elderly pursuant to the provisions of Article 125, paragraph (1), and other affairs specified by Order of the Ministry of Health, Labour and Welfare.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

**第二項**  後期高齢者医療広域連合は、前項の規定により同項各号に掲げる事務を委託する場合は、他の後期高齢者医療広域連合及び保険者、法令の規定により医療に関する給付その他の事務を行う者であつて厚生労働省令で定めるもの並びに介護保険法第三条の規定により介護保険を行う市町村と共同して委託するものとする。
<sup>art-165-2/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-2 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-2</sup>
The Association of Medical Care Systems for the Elderly Aged 75 and older, when entrusting the affairs listed in the items of the preceding paragraph pursuant to the provisions of the same paragraph, is to entrust them jointly with other Associations of Medical Care Systems for the Elderly Aged 75 and older and Insurers, persons specified by Order of the Ministry of Health, Labour and Welfare who provide benefits related to medical care or conduct other affairs pursuant to the provisions of laws and regulations, and municipalities that operate long-term care insurance pursuant to the provisions of Article 3 of the Long-Term Care Insurance Act.
<sup>machine translation, not official</sup>

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## Cites
- art-165-2/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/art-70/par-4 · https://japanlaw.org/l/357AC0000000080/art-70/par-4
- art-165-2/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/art-74/par-10 · https://japanlaw.org/l/357AC0000000080/art-74/par-10
- art-165-2/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/art-75/par-7 · https://japanlaw.org/l/357AC0000000080/art-75/par-7
- art-165-2/par-1: 第七十六条第六項 → 高齢者の医療の確保に関する法律 第七十六条第六項 (Article 76, paragraph (6)), art-76/par-6 — https://japanlaw.org/en/elderly-medical-care-act/art-76/par-6 · https://japanlaw.org/l/357AC0000000080/art-76/par-6
- art-165-2/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/art-78/par-8 · https://japanlaw.org/l/357AC0000000080/art-78/par-8
- art-165-2/par-1/item-1: 第五十六条 → 高齢者の医療の確保に関する法律 第五十六条 (Article 56), art-56 — https://japanlaw.org/en/elderly-medical-care-act/art-56 · https://japanlaw.org/l/357AC0000000080/art-56
- art-165-2/par-1/item-1: 第百四条第一項 → 高齢者の医療の確保に関する法律 第百四条第一項 (Article 104, paragraph (1)), art-104/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-104/par-1 · https://japanlaw.org/l/357AC0000000080/art-104/par-1
- art-165-2/par-1/item-1: 第百二十五条第一項 → 高齢者の医療の確保に関する法律 第百二十五条第一項 (Article 125, paragraph (1)), art-125/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-125/par-1 · https://japanlaw.org/l/357AC0000000080/art-125/par-1
- art-165-2/par-1/item-2: 第五十六条 → 高齢者の医療の確保に関する法律 第五十六条 (Article 56), art-56 — https://japanlaw.org/en/elderly-medical-care-act/art-56 · https://japanlaw.org/l/357AC0000000080/art-56
- art-165-2/par-1/item-2: 第百四条第一項 → 高齢者の医療の確保に関する法律 第百四条第一項 (Article 104, paragraph (1)), art-104/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-104/par-1 · https://japanlaw.org/l/357AC0000000080/art-104/par-1
- art-165-2/par-1/item-2: 第百二十五条第一項 → 高齢者の医療の確保に関する法律 第百二十五条第一項 (Article 125, paragraph (1)), art-125/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-125/par-1 · https://japanlaw.org/l/357AC0000000080/art-125/par-1
- art-165-2/par-2: 前項 → 高齢者の医療の確保に関する法律 第百六十五条の二第一項 (Article 165-2, paragraph (1)), art-165-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-1 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1
- art-165-2/par-2: 介護保険法第三条 → 介護保険法 第三条 (Article 3), art-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-3 · https://japanlaw.org/l/409AC0000000123/art-3

## Cited by

2 provisions cite this one. No official source publishes this direction.

- 住民基本台帳法 別表第一 — https://japanlaw.org/en/residential-basic-book-act/appdx-1 · https://japanlaw.org/l/342AC0000000081/appdx-1
- 高齢者の医療の確保に関する法律 第百六十五条の二第二項（機構等への事務の委託） — https://japanlaw.org/en/elderly-medical-care-act/art-165-2/par-2 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-2

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## 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
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-005, 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
