# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三十五条 (Article 35) - 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: 第三十五条 (Article 35)（確定前期高齢者交付金） — address `art-35` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-35 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-35 - 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. --- ### 第三十五条（確定前期高齢者交付金） — (Fixed Young-Old Subsidies) caption: Ministry of Justice translation — Japanese Law Translation Database System art-35 · https://japanlaw.org/en/elderly-medical-care-act/art-35 · https://japanlaw.org/l/357AC0000000080/art-35 **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。 art-35/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-1 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. Ministry of Justice translation — Japanese Law Translation Database System **一** 被用者保険等保険者　イ及びロに掲げる額の合計額 art-35/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1 insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b): Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-1 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): Ministry of Justice translation — Japanese Law Translation Database System **（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 art-35/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-1/sub2-1 the amount of benefit expenses subject to adjustment pertaining to the relevant Insurer in the fiscal year before the previous fiscal year; machine translation, not official **（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。） art-35/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-1/sub2-2 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"); machine translation, not official **（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。） art-35/par-1/item-1/sub-1/sub2-3 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-1/sub2-3 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-1/sub2-3 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"); machine translation, not official **（４）** 前々年度における確定調整対象基準額 art-35/par-1/item-1/sub-1/sub2-4 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-1/sub2-4 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-1/sub2-4 the fixed base amount subject to adjustment in the fiscal year before the previous fiscal year. machine translation, not official **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 art-35/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-1/sub-2 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); Ministry of Justice translation — Japanese Law Translation Database System **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。） art-35/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-1/item-2 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). 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 **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。 art-35/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-2 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. machine translation, not official **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。） art-35/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-2/item-1 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"); 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 **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 art-35/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-2/item-2 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: Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-2/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-2/item-2/sub-1 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; Ministry of Justice translation — Japanese Law Translation Database System **ロ** 一人平均前期高齢者給付費額 art-35/par-2/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-2/item-2/sub-2 the average per person young-old benefit cost. Ministry of Justice translation — Japanese Law Translation Database System **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。 art-35/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-3 · https://japanlaw.org/l/357AC0000000080/art-35/par-3 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. Ministry of Justice translation — Japanese Law Translation Database System **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。 art-35/par-4 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-4 · https://japanlaw.org/l/357AC0000000080/art-35/par-4 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. machine translation, not official **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 art-35/par-4/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-4/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-4/item-1 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; Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-4/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-4/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-4/item-2 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. 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 **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。 art-35/par-5 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5 · https://japanlaw.org/l/357AC0000000080/art-35/par-5 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): 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 **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 art-35/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-5/item-1 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; Ministry of Justice translation — Japanese Law Translation Database System **二** 前期高齢者に係る後期高齢者支援金の確定額 art-35/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-5/item-2 the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old; Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-5/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5/item-3 · https://japanlaw.org/l/357AC0000000080/art-35/par-5/item-3 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.; Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-5/item-4 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5/item-4 · https://japanlaw.org/l/357AC0000000080/art-35/par-5/item-4 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. Ministry of Justice translation — Japanese Law Translation Database System **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。 art-35/par-6 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6 · https://japanlaw.org/l/357AC0000000080/art-35/par-6 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): Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-6/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-6/item-1 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; Ministry of Justice translation — Japanese Law Translation Database System **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 art-35/par-6/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-6/item-2 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. Ministry of Justice translation — Japanese Law Translation Database System **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。 art-35/par-7 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-7 · https://japanlaw.org/l/357AC0000000080/art-35/par-7 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). 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 **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。 art-35/par-8 · https://japanlaw.org/en/elderly-medical-care-act/art-35/par-8 · https://japanlaw.org/l/357AC0000000080/art-35/par-8 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. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - 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/art-33/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-119/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-121/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-34/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-6/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-34/par-8 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-4/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-121/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-3 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-4 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-3 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-4 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-4 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-6/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-6/item-2 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-3 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-4 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-5/item-3 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-6 · https://japanlaw.org/l/357AC0000000080/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/art-35/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-2/item-2 ## Cited by 19 provisions cite this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 第三十四条第七項（概算前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-34/par-7 · https://japanlaw.org/l/357AC0000000080/art-34/par-7 - 高齢者の医療の確保に関する法律 第三十五条第二項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-2 - 高齢者の医療の確保に関する法律 第三十五条第三項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-3 · https://japanlaw.org/l/357AC0000000080/art-35/par-3 - 高齢者の医療の確保に関する法律 第三十五条第四項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-4 · https://japanlaw.org/l/357AC0000000080/art-35/par-4 - 高齢者の医療の確保に関する法律 第三十五条第四項第一号（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-4/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-4/item-1 - 高齢者の医療の確保に関する法律 第三十五条第五項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-5 · https://japanlaw.org/l/357AC0000000080/art-35/par-5 - 高齢者の医療の確保に関する法律 第三十五条第六項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6 · https://japanlaw.org/l/357AC0000000080/art-35/par-6 - 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（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6/item-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-6/item-1 - 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（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-6/item-2 · https://japanlaw.org/l/357AC0000000080/art-35/par-6/item-2 - 高齢者の医療の確保に関する法律 第三十五条第七項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-7 · https://japanlaw.org/l/357AC0000000080/art-35/par-7 - 高齢者の医療の確保に関する法律 第三十五条第八項（確定前期高齢者交付金） — https://japanlaw.org/en/elderly-medical-care-act/art-35/par-8 · https://japanlaw.org/l/357AC0000000080/art-35/par-8 - 高齢者の医療の確保に関する法律 第三十九条第二項第一号イ（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-2/item-1/sub-1 - 高齢者の医療の確保に関する法律 第三十九条第二項第一号ロ（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-2/item-1/sub-2 - 高齢者の医療の確保に関する法律 第三十九条第二項第二号（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-2/item-2 - 高齢者の医療の確保に関する法律 附則第十三条第一項（前期高齢者交付金及び前期高齢者納付金の額の算定の特例） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-13/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-13/par-1 - 高齢者の医療の確保に関する法律 附則第十二条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4221-35/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4221-35/art-12/par-1 - 高齢者の医療の確保に関する法律 附則第五十一条の三第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4241-62/art-51-3/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4241-62/art-51-3/par-1 - 高齢者の医療の確保に関する法律 附則第三十一条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-1 - 高齢者の医療の確保に関する法律 附則第九条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-9/par-1 --- ## 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 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 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-001, 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