# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百七十一条 (Article 171) - 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: 第百七十一条 (Article 171) — address `art-171` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-171 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-171 - 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. --- ### 第百七十一条 art-171 · https://japanlaw.org/en/elderly-medical-care-act/art-171 · https://japanlaw.org/l/357AC0000000080/art-171 **第一項** 後期高齢者医療広域連合は、条例で、被保険者が第五十四条第一項の規定による届出をしないとき（同条第二項の規定により当該被保険者の属する世帯の世帯主から届出がなされたときを除く。）又は虚偽の届出をしたときは、十万円以下の過料を科する規定を設けることができる。 art-171/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-1 · https://japanlaw.org/l/357AC0000000080/art-171/par-1 The Association of Medical Care Systems for the Elderly Aged 75 and older may, by its Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen when a insured fails to make a notification under the provisions of Article 54, paragraph (1) (excluding cases where the notification has been made by the householder of the household to which the insured belongs pursuant to the provisions of paragraph (2) of the same Article) or makes a false notification. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The Association of Medical Care Systems for the Elderly Aged 75 and older may, by Prefectural Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen when a insured fails to make a notification under the provisions of Article 54, paragraph (1) (excluding cases where the notification has been made by the householder of the household to which the insured belongs pursuant to the provisions of paragraph (2) of the same Article) or makes a false notification." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第二項** 後期高齢者医療広域連合は、条例で、被保険者、被保険者の配偶者若しくは被保険者の属する世帯の世帯主その他その世帯に属する者又はこれらであつた者が正当な理由がなく第百三十七条第一項の規定により文書その他の物件の提出若しくは提示を命ぜられてこれに従わず、又は同項の規定による当該職員の質問に対して答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料を科する規定を設けることができる。 art-171/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-2 · https://japanlaw.org/l/357AC0000000080/art-171/par-2 If a person who is or was a insured, the spouse of a insured, the householder of a household to which a insured belongs, or any other member of the household fails to comply with an order to submit or present a document or any other article issued pursuant to the provisions of the Article 137, paragraph (1) without justifiable grounds, or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph, the Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinances to impose a civil fine of not more than 100,000 yen. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If a person who is or was a insured, the spouse of a insured, the householder of a household to which a insured belongs, or any other member of the household fails to comply with an order to submit or present a document or any other article issued pursuant to the provisions of the Article 137, paragraph (1) without justifiable grounds, or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph, the Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Prefectural Ordinances to impose a civil fine of not more than 100,000 yen." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第三項** 市町村は、条例で、被保険者、被保険者の配偶者若しくは被保険者の属する世帯の世帯主その他その世帯に属する者又はこれらであつた者が正当な理由がなく第百三十七条第二項の規定により文書その他の物件の提出若しくは提示を命ぜられてこれに従わず、又は同項の規定による当該職員の質問に対して答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料を科する規定を設けることができる。 art-171/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-3 · https://japanlaw.org/l/357AC0000000080/art-171/par-3 A municipality may, by Municipal Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen if an insured, the spouse of an insured, the head of the household to which an insured belongs or any other member of that household, or a person who was any of these, fails without justifiable grounds to comply with an order to submit or present a document or any other article under the provisions of Article 137, paragraph (2), or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph. machine translation, not official **第四項** 後期高齢者医療広域連合は、条例で、偽りその他不正の行為により徴収猶予した一部負担金に係る徴収金その他第四章の規定による徴収金（後期高齢者医療広域連合が徴収するものに限る。）の徴収を免れた者に対し、その徴収を免れた金額の五倍に相当する金額以下の過料を科する規定を設けることができる。 art-171/par-4 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-4 · https://japanlaw.org/l/357AC0000000080/art-171/par-4 A Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinance to impose a civil fine on a person who has evaded the collection of money to be collected related to co-payment whose collection has been suspended and other money to be collected pursuant to the provisions of Chapter IV (limited to money to be collected by the Association of Medical Care Systems for the Elderly Aged 75 and older) by deception or other wrongful acts, in an amount not exceeding the amount equivalent to five times the amount evaded. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "A Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Prefectural Ordinance to impose a civil fine on a person who has evaded the collection of money to be collected related to co-payment whose collection has been suspended and other money to be collected pursuant to the provisions of Chapter IV (limited to money to be collected by the Association of Medical Care Systems for the Elderly Aged 75 and older) by deception or other wrongful acts, in an amount not exceeding the amount equivalent to five times the amount evaded." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第五項** 市町村は、条例で、偽りその他不正の行為により保険料その他第四章の規定による徴収金（市町村が徴収するものに限る。）の徴収を免れた者に対し、その徴収を免れた金額の五倍に相当する金額以下の過料を科する規定を設けることができる。 art-171/par-5 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-5 · https://japanlaw.org/l/357AC0000000080/art-171/par-5 A Municipality may, in its Municipal Ordinance, establish provisions to impose on a person who has evaded the collection of insurance premiums or any other money to be collected pursuant to the provisions of Chapter IV (limited to those collected by the Municipality) by deception or other wrongful acts, a civil fine of not more than the amount equivalent to five times the amount evaded. Ministry of Justice translation — Japanese Law Translation Database System **第六項** 地方自治法第二百五十五条の三の規定は、前各項の規定による過料の処分について準用する。 art-171/par-6 · https://japanlaw.org/en/elderly-medical-care-act/art-171/par-6 · https://japanlaw.org/l/357AC0000000080/art-171/par-6 The provisions of Article 255-3 of the Local Autonomy Act apply mutatis mutandis to the disposition of a civil fine under the provisions of the preceding paragraphs. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-171/par-1: 第五十四条第一項 → 高齢者の医療の確保に関する法律 第五十四条第一項 (Article 54, paragraph (1)), art-54/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-54/par-1 · https://japanlaw.org/l/357AC0000000080/art-54/par-1 - art-171/par-1: 同条第二項 → 高齢者の医療の確保に関する法律 第五十四条第二項 (Article 54, paragraph (2)), art-54/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-54/par-2 · https://japanlaw.org/l/357AC0000000080/art-54/par-2 - art-171/par-2: 第百三十七条第一項 → 高齢者の医療の確保に関する法律 第百三十七条第一項 (Article 137, paragraph (1)), art-137/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-137/par-1 · https://japanlaw.org/l/357AC0000000080/art-137/par-1 - art-171/par-3: 第百三十七条第二項 → 高齢者の医療の確保に関する法律 第百三十七条第二項 (Article 137, paragraph (2)), art-137/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-137/par-2 · https://japanlaw.org/l/357AC0000000080/art-137/par-2 - art-171/par-6: 地方自治法第二百五十五条の三 → e-Gov law 322AC0000000067, 第二百五十五条の三 (Article 255-3), art-255-3 — not held in this collection - art-171/par-6: 前各項 → 高齢者の医療の確保に関する法律 第百七十一条第一項 (Article 171, paragraph (1)), art-171/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-1 · https://japanlaw.org/l/357AC0000000080/art-171/par-1 - art-171/par-6: 前各項 → 高齢者の医療の確保に関する法律 第百七十一条第二項 (Article 171, paragraph (2)), art-171/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-2 · https://japanlaw.org/l/357AC0000000080/art-171/par-2 - art-171/par-6: 前各項 → 高齢者の医療の確保に関する法律 第百七十一条第三項 (Article 171, paragraph (3)), art-171/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-3 · https://japanlaw.org/l/357AC0000000080/art-171/par-3 - art-171/par-6: 前各項 → 高齢者の医療の確保に関する法律 第百七十一条第四項 (Article 171, paragraph (4)), art-171/par-4 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-4 · https://japanlaw.org/l/357AC0000000080/art-171/par-4 - art-171/par-6: 前各項 → 高齢者の医療の確保に関する法律 第百七十一条第五項 (Article 171, paragraph (5)), art-171/par-5 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-5 · https://japanlaw.org/l/357AC0000000080/art-171/par-5 ## Cited by 1 provision cites this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 第百七十一条第六項 — https://japanlaw.org/en/elderly-medical-care-act/art-171/par-6 · https://japanlaw.org/l/357AC0000000080/art-171/par-6 --- ## 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 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 - 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 171, paragraph (1) — 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 171, paragraph (2) — 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 171, paragraph (4) — 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 - 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