# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三十八条 (Article 38) - 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: 第三十八条 (Article 38)（概算前期高齢者納付金） — address `art-38` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-38 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-38 - 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. --- ### 第三十八条（概算前期高齢者納付金） — (Estimated Young-Old Payments) caption: Ministry of Justice translation — Japanese Law Translation Database System art-38 · https://japanlaw.org/en/elderly-medical-care-act/art-38 · https://japanlaw.org/l/357AC0000000080/art-38 **第一項** 前条第一項の概算前期高齢者納付金の額は、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-38/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1 The estimated amount of Young-Old Payments referred to in paragraph (1) of the preceding Article is the amount specified in each of the following items in accordance with the category of Insurer set forth in the relevant item: Ministry of Justice translation — Japanese Law Translation Database System **一** 概算負担調整基準超過保険者（当該年度における負担調整前概算前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者（次号の特別概算負担調整基準超過保険者を除く。）をいう。以下この条において同じ。）　負担調整前概算前期高齢者納付金相当額から負担調整対象見込額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前概算前期高齢者納付金相当額を上回るときは、負担調整前概算前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整見込額との合計額 art-38/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1 an insurer exceeding the estimated burden adjustment standard (meaning, among Insurers for which the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) (excluding an insurer exceeding the special estimated burden adjustment standard in the following item); the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the estimated amount subject to burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the estimated young-old payment before burden adjustment, the amount equivalent to the estimated young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the estimated young-old payment before burden adjustment, and the estimated amount of burden adjustment; machine translation, not official **イ** 次に掲げる額の合計額 art-38/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-1 the sum total of the following amounts: Ministry of Justice translation — Japanese Law Translation Database System **（１）** 当該年度における負担調整前概算前期高齢者納付金相当額 art-38/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-1/sub2-1 the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year; machine translation, not official **（２）** 当該年度における当該保険者に係る第百十九条第一項の概算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条第一項各号の概算後期高齢者支援金調整率で除して得た額 art-38/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-1/sub2-2 the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year; machine translation, not official **ロ** 次に掲げる額の合計額に当該年度の負担調整基準率を乗じて得た額 art-38/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-2 the amount arrived at when the sum total of the following amounts is multiplied by the base rate for burden adjustment for the relevant fiscal year: Ministry of Justice translation — Japanese Law Translation Database System **（１）** イに掲げる合計額 art-38/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-2/sub2-1 the sum total set forth in (a); machine translation, not official **（２）** 当該年度における当該保険者の給付に要する費用（健康保険法第百七十三条第二項に規定する日雇拠出金の納付に要する費用を含む。次号ロ（２）、次条第一項第一号ロ（２）及び第二号ロ（２）において「保険者の給付に要する費用等」という。）の見込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-38/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-2/sub2-2 the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses required for benefits by insurers in the relevant fiscal year (including the expenses required for the payment of the day laborer contribution prescribed in Article 173, paragraph (2) of the Health Insurance Act; referred to as "expenses required for benefits by insurers, etc." in the following item, (b), (2) and Article 39, paragraph (1), item (i), (b), (2) and item (ii), (b), (2)); machine translation, not official **二** 特別概算負担調整基準超過保険者（当該年度における負担調整前概算前期高齢者納付金相当額が零を超える保険者のうち、イに掲げる合計額がロに掲げる額を超える者であつて、政令で定めるところにより算定した同年度における当該保険者の財政力の見込みが政令で定める基準に満たないものをいう。以下この条において同じ。）　負担調整前概算前期高齢者納付金相当額から特別負担調整対象見込額（イに掲げる合計額からロに掲げる額を控除して得た額（当該額が負担調整前概算前期高齢者納付金相当額を上回るときは、負担調整前概算前期高齢者納付金相当額とする。）をいう。第三項において同じ。）を控除して得た額と負担調整見込額との合計額 art-38/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2 an insurer exceeding the special estimated burden adjustment standard (meaning, among Insurers for which the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year exceeds zero, an Insurer for which the sum total set forth in (a) exceeds the amount set forth in (b) and for which the estimated financial capacity in the same fiscal year, calculated as specified by Cabinet Order, falls short of the standard specified by Cabinet Order; the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the estimated amount subject to special burden adjustment (meaning the amount obtained by deducting the amount set forth in (b) from the sum total set forth in (a) (if that amount exceeds the amount equivalent to the estimated young-old payment before burden adjustment, the amount equivalent to the estimated young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the estimated young-old payment before burden adjustment, and the estimated amount of burden adjustment; machine translation, not official **イ** 次に掲げる額の合計額 art-38/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-1 the sum total of the following amounts: Ministry of Justice translation — Japanese Law Translation Database System **（１）** 当該年度における負担調整前概算前期高齢者納付金相当額 art-38/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-1/sub2-1 the amount equivalent to the estimated young-old payment before burden adjustment for the relevant fiscal year; machine translation, not official **（２）** 当該年度における当該保険者に係る第百十九条第一項の概算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条第一項各号の概算後期高齢者支援金調整率で除して得た額 art-38/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-1/sub2-2 the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year; machine translation, not official **ロ** 次に掲げる額の合計額に当該年度の特別負担調整基準率を乗じて得た額 art-38/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-2 the amount arrived at when the sum total of the following amounts is multiplied by the base rate for special burden adjustment for the relevant fiscal year; Ministry of Justice translation — Japanese Law Translation Database System **（１）** イに掲げる合計額 art-38/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-2/sub2-1 the sum total set forth in (a); machine translation, not official **（２）** 当該年度における当該保険者の給付に要する費用等の見込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-38/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-2/sub2-2 the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses required for benefits by insurers, etc. in the relevant fiscal year. machine translation, not official **三** 概算負担調整基準超過保険者及び特別概算負担調整基準超過保険者以外の保険者　負担調整前概算前期高齢者納付金相当額と負担調整見込額との合計額 art-38/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-3 an insurer other than an insurer in excess of the standard for estimated burden adjustment and an insurer in excess of the special standard for estimated burden adjustment:the sum of the amount equivalent to estimated young-old payments before burden adjustment and the estimated amount of burden adjustment. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項各号の負担調整前概算前期高齢者納付金相当額は、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-38/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-2 The estimated amount equivalent to Young-Old Payments before burden adjustment referred to in the items of the preceding paragraph is the amount specified in the following items according to the categories of Insurers set forth in the respective 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-38/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-2/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** 第三十四条第一項各号の概算調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計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-38/par-2/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-2/item-1/sub-1 the amount equivalent to two-thirds of the amount obtained by deducting the sum total of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant Insurer and the estimated amount of aid for the old-old pertaining to the young-old from the estimated base amount subject to adjustment set forth in the items of Article 34, paragraph (1) (if the amount is less than zero, it is deemed to be zero); machine translation, not official **ロ** 第三十四条第一項第一号ロの概算報酬調整後調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計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-38/par-2/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-2/item-1/sub-2 the amount equivalent to one third of the amount obtained by deducting the sum total of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant Insurer and the estimated amount of aid for the old-old pertaining to the young-old from the estimated base amount subject to adjustment after remuneration adjustment set forth in Article 34, paragraph (1), item (i), (b) (if the amount is less than zero, it is deemed to be zero). machine translation, not official **二** 被用者保険等保険者以外の保険者　第三十四条第一項各号の概算調整対象基準額から、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計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-38/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-2/item-2 insurers other than insurers covered by employee insurance, etc.:the amount obtained by deducting the sum of the estimated amount of benefit expenses subject to adjustment set forth in the items of Article 34, paragraph (1) pertaining to the relevant insurers and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old (if the relevant amount is less than zero, it is deemed to be zero) from the estimated base amount subject to adjustment set forth in the items of the same paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 第一項各号の負担調整見込額は、当該年度における次の各号に掲げる額の合計額を、厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の見込総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の見込数を乗じて得た額に概算負担調整額調整率を乗じて得た額とする。 art-38/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3 The estimated amount of burden adjustment referred to in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the relevant fiscal year by the estimated total number of subscribers for all insurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated number of subscribers for the relevant insurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated adjustment rate for the burden adjustment: Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The estimated amount of burden adjustment referred to in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the sum of the amounts set forth in the following items for the relevant fiscal year by the estimated total number of subscribers for all insurers in the relevant fiscal year calculated as specified by Order of the Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated number of subscribers for the relevant insurers in the relevant fiscal year calculated as specified by Order of the Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated adjustment rate for the burden adjustment:" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **一** 全ての概算負担調整基準超過保険者に係る負担調整対象見込額の総額 art-38/par-3/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3/item-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-3/item-1 the total estimated amount subject to burden adjustment pertaining to all insurers in excess of the standard for estimated burden adjustment; Ministry of Justice translation — Japanese Law Translation Database System **二** 全ての特別概算負担調整基準超過保険者に係る負担調整対象見込額の総額 art-38/par-3/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-3/item-2 the total of the prospective amounts subject to burden adjustment pertaining to all insurers in excess of the special estimated burden adjustment standards; Ministry of Justice translation — Japanese Law Translation Database System **三** 全ての特別概算負担調整基準超過保険者に係る特別負担調整対象見込額から負担調整対象見込額を控除した額の総額（第九十三条第三項において「特別負担調整見込額の総額等」という。）の三分の一 art-38/par-3/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3/item-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3/item-3 one third of the total amount calculated by deducting the prospective amount subject to burden adjustment from the prospective amount subject to special burden adjustment pertaining to all insurers exceeding the special estimated burden adjustment standards (referred to as the "total amount, etc. of the prospective amount of special burden adjustment" in Article 93, paragraph (3)). Ministry of Justice translation — Japanese Law Translation Database System **第四項** 第一項第一号ロの負担調整基準率は、全ての保険者に占める概算負担調整基準超過保険者の割合が著しく少ないものとして政令で定める割合となるよう、年度ごとに政令で定める率とする。 art-38/par-4 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/art-38/par-4 The base rate for burden adjustment referred to in paragraph (1), item (i), (b) is the rate specified by Cabinet Order for each fiscal year so that the ratio of insurers in excess of the estimated burden adjustment standard to all insurers is the ratio specified by Cabinet Order as being extremely small. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 第一項第二号ロの特別負担調整基準率は、全ての保険者に占める特別概算負担調整基準超過保険者の割合が少ないものとして政令で定める割合となるよう、年度ごとに政令で定める率とする。 art-38/par-5 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-5 · https://japanlaw.org/l/357AC0000000080/art-38/par-5 The standard rate for special burden adjustment referred to in paragraph (1), item (ii), (b) is a rate specified by Cabinet Order for each fiscal year so that the percentage of insurers exceeding the special estimated burden adjustment standard among all insurers is the percentage specified by Cabinet Order as being small. Ministry of Justice translation — Japanese Law Translation Database System **第六項** 第三項の概算負担調整額調整率は、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見込額を勘案し、百分の九十から百分の百十の範囲内で政令で定めるところにより算定する。 art-38/par-6 · https://japanlaw.org/en/elderly-medical-care-act/art-38/par-6 · https://japanlaw.org/l/357AC0000000080/art-38/par-6 The estimated burden adjustment adjustment rate referred to in paragraph (3) is calculated pursuant to the provisions of Cabinet Order within the range of 90 percent to 110 percent, taking into consideration the estimated amount of young-old benefit expenses per participant who is a young-old. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-38/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第三十七条第一項 (Article 37, paragraph (1)), art-37/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-37/par-1 · https://japanlaw.org/l/357AC0000000080/art-37/par-1 - art-38/par-1/item-1: 次号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2 - art-38/par-1/item-1: この条 → 高齢者の医療の確保に関する法律 第三十八条 (Article 38), art-38 — https://japanlaw.org/en/elderly-medical-care-act/art-38 · https://japanlaw.org/l/357AC0000000080/art-38 - art-38/par-1/item-1: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3 - art-38/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-38/par-1/item-1/sub-1/sub2-2: 第百二十条第一項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-120/par-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1 - art-38/par-1/item-1/sub-2/sub2-2: 健康保険法第百七十三条第二項 → 健康保険法 第百七十三条第二項 (Article 173, paragraph (2)), art-173/par-2 — https://japanlaw.org/en/health-insurance-act/art-173/par-2 · https://japanlaw.org/l/211AC0000000070/art-173/par-2 - art-38/par-1/item-1/sub-2/sub2-2: 次号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2 - art-38/par-1/item-1/sub-2/sub2-2: 次条第一項第一号 → 高齢者の医療の確保に関する法律 第三十九条第一項第一号 (Article 39, paragraph (1), item (i)), art-39/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1 - art-38/par-1/item-1/sub-2/sub2-2: 第二号 → 高齢者の医療の確保に関する法律 第三十九条第一項第二号 (Article 39, paragraph (1), item (ii)), art-39/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2 - art-38/par-1/item-2: この条 → 高齢者の医療の確保に関する法律 第三十八条 (Article 38), art-38 — https://japanlaw.org/en/elderly-medical-care-act/art-38 · https://japanlaw.org/l/357AC0000000080/art-38 - art-38/par-1/item-2: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3 - art-38/par-1/item-2/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-38/par-1/item-2/sub-1/sub2-2: 第百二十条第一項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-120/par-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1 - art-38/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十八条第一項 (Article 38, paragraph (1)), art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1 - art-38/par-2/item-1/sub-1: 第三十四条第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-34/par-1 · https://japanlaw.org/l/357AC0000000080/art-34/par-1 - art-38/par-2/item-1/sub-2: 第三十四条第一項第一号 → 高齢者の医療の確保に関する法律 第三十四条第一項第一号 (Article 34, paragraph (1), item (i)), art-34/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-34/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-34/par-1/item-1 - art-38/par-2/item-1/sub-2: 同項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-34/par-1 · https://japanlaw.org/l/357AC0000000080/art-34/par-1 - art-38/par-2/item-2: 第三十四条第一項 → 高齢者の医療の確保に関する法律 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-34/par-1 · https://japanlaw.org/l/357AC0000000080/art-34/par-1 - art-38/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十八条第一項 (Article 38, paragraph (1)), art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1 - art-38/par-3/item-3: 第九十三条第三項 → 高齢者の医療の確保に関する法律 第九十三条第三項 (Article 93, paragraph (3)), art-93/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-3 · https://japanlaw.org/l/357AC0000000080/art-93/par-3 - art-38/par-4: 第一項第一号 → 高齢者の医療の確保に関する法律 第三十八条第一項第一号 (Article 38, paragraph (1), item (i)), art-38/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1 - art-38/par-5: 第一項第二号 → 高齢者の医療の確保に関する法律 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2 - art-38/par-6: 第三項 → 高齢者の医療の確保に関する法律 第三十八条第三項 (Article 38, paragraph (3)), art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3 ## Cited by 15 provisions cite this one. No official source publishes this direction. - 健康保険法 第百五十三条第一項第二号（国庫補助） — https://japanlaw.org/en/health-insurance-act/art-153/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/art-153/par-1/item-2 - 高齢者の医療の確保に関する法律 第三十八条第一項第一号（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1 - 高齢者の医療の確保に関する法律 第三十八条第一項第一号ロ（２）（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-2/sub2-2 - 高齢者の医療の確保に関する法律 第三十八条第一項第二号（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2 - 高齢者の医療の確保に関する法律 第三十八条第二項（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-2 - 高齢者の医療の確保に関する法律 第三十八条第三項（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3 - 高齢者の医療の確保に関する法律 第三十八条第四項（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/art-38/par-4 - 高齢者の医療の確保に関する法律 第三十八条第五項（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-5 · https://japanlaw.org/l/357AC0000000080/art-38/par-5 - 高齢者の医療の確保に関する法律 第三十八条第六項（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-6 · https://japanlaw.org/l/357AC0000000080/art-38/par-6 - 高齢者の医療の確保に関する法律 第三十九条第一項第一号ロ（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-2 - 高齢者の医療の確保に関する法律 第三十九条第一項第二号ロ（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-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 附則第十三条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4221-35/art-13/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4221-35/art-13/par-1 - 高齢者の医療の確保に関する法律 附則第五十一条の四第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4241-62/art-51-4/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4241-62/art-51-4/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 38, paragraph (3) — 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-20261019T112331-002, 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