# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三十九条 (Article 39) - 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: 第三十九条 (Article 39)（確定前期高齢者納付金） — address `art-39` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-39 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-39 - 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. --- ### 第三十九条（確定前期高齢者納付金） — (Fixed Young-Old Payments) caption: Ministry of Justice translation — Japanese Law Translation Database System art-39 · https://japanlaw.org/en/elderly-medical-care-act/art-39 · https://japanlaw.org/l/357AC0000000080/art-39 **第一項** 第三十七条第一項の確定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-39/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1 The amount of the final and binding young-old payments referred to in Article 37, paragraph (1) is the amount specified in the following items in accordance with the category of the insurer set forth in each of those items: Ministry of Justice translation — Japanese Law Translation Database System **一** 確定負担調整基準超過保険者（前々年度における負担調整前確定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（次号の特別確定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。）　負担調整前確定前期高齢者納付金相当額から負担調整対象額（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確定前期高齢者納付金相当額を上回るときは、負担調整前確定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額との合計額 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 an insurer exceeding the fixed burden adjustment standard (meaning, among Insurers for which the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous 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 fixed burden adjustment standard in the following item); the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the 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 fixed young-old payment before burden adjustment, the amount equivalent to the fixed young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the fixed young-old payment before burden adjustment, and the burden adjustment amount; machine translation, not official **イ** 次に掲げる額の合計額 art-39/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-1 the sum total of the following amounts: Ministry of Justice translation — Japanese Law Translation Database System **（１）** 前々年度における負担調整前確定前期高齢者納付金相当額 art-39/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-1/sub2-1 the amount equivalent to the fixed young-old payment before burden adjustment for 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 art-39/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-1/sub2-2 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; machine translation, not official **ロ** 次に掲げる額の合計額に前々年度の前条第一項第一号ロの負担調整基準率を乗じて得た額 art-39/par-1/item-1/sub-2 · 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 the amount arrived at when the sum total of the following amounts is multiplied by the base rate for burden adjustment referred to in paragraph (1), item (i), (b) of the preceding Article for the fiscal year before the previous fiscal year; Ministry of Justice translation — Japanese Law Translation Database System **（１）** イに掲げる合計額 art-39/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-2/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-2/sub2-1 the sum total set forth in (a); machine translation, not official **（２）** 前々年度における当該保険者の給付に要する費用等の額及び流行初期医療確保拠出金の額 art-39/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-1/sub-2/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-1/sub-2/sub2-2 the amount of the expenses required for benefits by insurers, etc. of the relevant Insurer and the amount of the contribution for securing medical care in the early phase of an epidemic, in the fiscal year before the previous fiscal year; machine translation, not official **二** 特別確定負担調整基準超過保険者（前々年度における負担調整前確定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。）　負担調整前確定前期高齢者納付金相当額から特別負担調整対象額（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確定前期高齢者納付金相当額を上回るときは、負担調整前確定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額との合計額 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 an insurer exceeding the special fixed burden adjustment standard (meaning, among Insurers for which the amount equivalent to the fixed young-old payment before burden adjustment for the fiscal year before the previous 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 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 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 fixed young-old payment before burden adjustment, the amount equivalent to the fixed young-old payment before burden adjustment); the same applies in paragraph (3)) from the amount equivalent to the fixed young-old payment before burden adjustment, and the burden adjustment amount; machine translation, not official **イ** 次に掲げる額の合計額 art-39/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-1 the sum total of the following amounts: Ministry of Justice translation — Japanese Law Translation Database System **（１）** 前々年度における負担調整前確定前期高齢者納付金相当額 art-39/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-1/sub2-1 the amount equivalent to the fixed young-old payment before burden adjustment for 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 art-39/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-1/sub2-2 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; machine translation, not official **ロ** 次に掲げる額の合計額に前々年度の前条第一項第二号ロの特別負担調整基準率を乗じて得た額 art-39/par-1/item-2/sub-2 · 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 the amount arrived at when the sum total of the following amounts is multiplied by the base rate for special burden adjustment referred to in paragraph (1), item (ii), (b) of the preceding Article for the fiscal year before the previous fiscal year: Ministry of Justice translation — Japanese Law Translation Database System **（１）** イに掲げる合計額 art-39/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-2/sub2-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-2/sub2-1 the sum total set forth in (a); machine translation, not official **（２）** 前々年度における当該保険者の給付に要する費用等の額及び流行初期医療確保拠出金の額 art-39/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-2/sub-2/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-2/sub-2/sub2-2 the amount of the expenses required for benefits by insurers, etc. of the relevant Insurer and the amount of the contribution for securing medical care in the early phase of an epidemic, in the fiscal year before the previous fiscal year. machine translation, not official **三** 確定負担調整基準超過保険者及び特別確定負担調整基準超過保険者以外の保険者　負担調整前確定前期高齢者納付金相当額と負担調整額との合計額 art-39/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-1/item-3 an insurer other than an insurer in excess of the fixed burden adjustment standard and a special insurer in excess of the fixed burden adjustment standard:the sum of the amount equivalent to the determined young-old payments before burden adjustment and the burden adjustment amount. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項各号の負担調整前確定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-39/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-2 The amount equivalent to the confirmed young-old payments before burden adjustment referred to in the items of the preceding paragraph 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-39/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-39/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** 第三十五条第一項各号の確定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-39/par-2/item-1/sub-1 · 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 the amount equivalent to two-thirds of the amount obtained by subtracting the sum of the amount of benefits expenses subject to adjustment set forth in the items of Article 35, paragraph (1) 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 to ensure medical care in the early stage of an epidemic pertaining to the young-old (if the amount is less than zero, it is deemed to be zero) from the fixed base amount subject to adjustment set forth in the items of the same paragraph; Ministry of Justice translation — Japanese Law Translation Database System **ロ** 第三十五条第一項第一号ロの確定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-39/par-2/item-1/sub-2 · 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 the amount equivalent to one third of the amount obtained by deducting, from the base amount for adjustment after adjustment of fixed compensation set forth in Article 35, paragraph (1), item (i), (b), the sum of the amount of benefit expenses subject to adjustment set forth in the items of the same paragraph 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 to ensure medical care in the early stage of an epidemic pertaining to the young-old (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　第三十五条第一項各号の確定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-39/par-2/item-2 · 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 insurers other than insurers of employee insurance, etc.:the amount obtained by subtracting the sum of the amount of benefit expenses subject to adjustment set forth in the items of Article 35, paragraph (1) pertaining to the relevant insurers, the fixed amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old, and the amount of contributions to ensure medical care in the early stage of an epidemic pertaining to the young-old from the fixed base amount subject to adjustment set forth in the items of the same paragraph (if the amount is less than zero, it is deemed to be zero). Ministry of Justice translation — Japanese Law Translation Database System **第三項** 第一項各号の負担調整額は、前々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数を乗じて得た額に確定負担調整額調整率を乗じて得た額とする。 art-39/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3 The burden adjustment amount set forth 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 fiscal year before the previous fiscal year by the total number of subscribers for all insurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the number of subscribers for the relevant insurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the fixed burden adjustment adjustment rate: Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The burden adjustment amount set forth 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 fiscal year before the previous fiscal year by the total number of subscribers for all insurers in the same fiscal year calculated as specified by Order of Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the number of subscribers for the relevant insurers in the same fiscal year calculated as specified by Order of Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the fixed burden adjustment adjustment rate:" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **一** 全ての確定負担調整基準超過保険者に係る負担調整対象額の総額 art-39/par-3/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3/item-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-3/item-1 the total amount subject to burden adjustment pertaining to all insurers in excess of the fixed burden adjustment standards; Ministry of Justice translation — Japanese Law Translation Database System **二** 全ての特別確定負担調整基準超過保険者に係る負担調整対象額の総額 art-39/par-3/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3/item-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-3/item-2 the total amount subject to burden adjustment pertaining to all insurers in excess of the special standards for burden adjustment; Ministry of Justice translation — Japanese Law Translation Database System **三** 全ての特別確定負担調整基準超過保険者に係る特別負担調整対象額から負担調整対象額を控除した額の総額（第九十三条第三項において「特別負担調整額の総額等」という。）の三分の一 art-39/par-3/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3/item-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3/item-3 one third of the total amount (referred to as the "total amount of special burden adjustment, etc." in Article 93, paragraph (3)) arrived at when the amount subject to burden adjustment is deducted from the amount subject to special burden adjustment pertaining to all insurers in excess of the special established standard for burden adjustment. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 前項の確定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-39/par-4 · https://japanlaw.org/en/elderly-medical-care-act/art-39/par-4 · https://japanlaw.org/l/357AC0000000080/art-39/par-4 The adjustment rate for the amount of settled burden adjustment referred to in the preceding paragraph is calculated pursuant to the provisions of Cabinet Order within the range of 90 percent to 110 percent, taking into consideration the amount of young-old benefit expenses per participant who is a young-old. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-39/par-1: 第三十七条第一項 → 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-39/par-1/item-1: 次号 → 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-39/par-1/item-1: この条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/art-39 · https://japanlaw.org/l/357AC0000000080/art-39 - art-39/par-1/item-1: 第三項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3 - art-39/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-39/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-39/par-1/item-1/sub-2: 前条第一項第一号 → 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-39/par-1/item-2: この条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/art-39 · https://japanlaw.org/l/357AC0000000080/art-39 - art-39/par-1/item-2: 第三項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3 - art-39/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-39/par-1/item-2/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-39/par-1/item-2/sub-2: 前条第一項第二号 → 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-39/par-2: 前項 → 高齢者の医療の確保に関する法律 第三十九条第一項 (Article 39, paragraph (1)), art-39/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1 - art-39/par-2/item-1/sub-1: 第三十五条第一項 → 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-39/par-2/item-1/sub-2: 第三十五条第一項第一号 → 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-39/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-39/par-2/item-2: 第三十五条第一項 → 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-39/par-3: 第一項 → 高齢者の医療の確保に関する法律 第三十九条第一項 (Article 39, paragraph (1)), art-39/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1 - art-39/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-39/par-4: 前項 → 高齢者の医療の確保に関する法律 第三十九条第三項 (Article 39, paragraph (3)), art-39/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3 ## Cited by 13 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第五条第六項 — https://japanlaw.org/en/national-health-insurance-act/suppl-5051-31/art-5/par-6 · https://japanlaw.org/l/333AC0000000192/suppl-5051-31/art-5/par-6 - 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 第三十九条第一項第一号（確定前期高齢者納付金） — 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 - 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（確定前期高齢者納付金） — 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 - 高齢者の医療の確保に関する法律 第三十九条第二項（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-2 · https://japanlaw.org/l/357AC0000000080/art-39/par-2 - 高齢者の医療の確保に関する法律 第三十九条第三項（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-3 · https://japanlaw.org/l/357AC0000000080/art-39/par-3 - 高齢者の医療の確保に関する法律 第三十九条第四項（確定前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-39/par-4 · https://japanlaw.org/l/357AC0000000080/art-39/par-4 - 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 附則第十四条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4221-35/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4221-35/art-14/par-1 - 高齢者の医療の確保に関する法律 附則第五十一条の五第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4241-62/art-51-5/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4241-62/art-51-5/par-1 - 高齢者の医療の確保に関する法律 附則第三十一条第二項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-31/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-2 - 高齢者の医療の確保に関する法律 附則第五条第六項（国民健康保険法等の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-6 - 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 39, 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