# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十五条 (Article 45) - 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: 第四十五条 (Article 45)（延滞金） — address `art-45` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-45 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-45 - 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. --- ### 第四十五条（延滞金） — (Delinquent Charges) caption: Ministry of Justice translation — Japanese Law Translation Database System art-45 · https://japanlaw.org/en/elderly-medical-care-act/art-45 · https://japanlaw.org/l/357AC0000000080/art-45 **第一項** 前条第一項の規定により前期高齢者納付金等の納付を督促したときは、機構は、その督促に係る前期高齢者納付金等の額につき年十四・五パーセントの割合で、納付期日の翌日からその完納又は財産差押えの日の前日までの日数により計算した延滞金を徴収する。ただし、督促に係る前期高齢者納付金等の額が千円未満であるときは、この限りでない。 art-45/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-1 When a demand for payment of young-old payments, etc. is made pursuant to the provisions of paragraph (1) of the preceding Article, the Organization collects a delinquent charge calculated based on the number of days from the day after the due date for payment until the day before the day of full payment or attachment of property, at a rate of 14.5 percent per annum on the amount of young-old payments, etc. pertaining to the demand; provided, however, that this does not apply when the amount of young-old payments, etc. pertaining to the demand is less than one thousand yen. machine translation, not official **第二項** 前項の場合において、前期高齢者納付金等の額の一部につき納付があつたときは、その納付の日以降の期間に係る延滞金の額の計算の基礎となる前期高齢者納付金等の額は、その納付のあつた前期高齢者納付金等の額を控除した額とする。 art-45/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-2 · https://japanlaw.org/l/357AC0000000080/art-45/par-2 In the case referred to in the preceding paragraph, if a part of the amount of the Young-Old Payments, etc. is paid, the amount of the Young-Old Payments, etc. to be used as the basis for calculating the amount of delinquent charge pertaining to the period after the date of the payment is the amount obtained by deducting the amount of the Young-Old Payments, etc. that was paid. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 延滞金の計算において、前二項の前期高齢者納付金等の額に千円未満の端数があるときは、その端数は、切り捨てる。 art-45/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-3 · https://japanlaw.org/l/357AC0000000080/art-45/par-3 In the calculation of delinquent charges, if the amount of the young-old payments, etc. set forth in the preceding two paragraphs includes a fraction of less than one thousand yen, the fraction is rounded down. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 前三項の規定によつて計算した延滞金の額に百円未満の端数があるときは、その端数は、切り捨てる。 art-45/par-4 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-4 · https://japanlaw.org/l/357AC0000000080/art-45/par-4 If the amount of delinquency calculated pursuant to the provisions of the preceding three paragraphs includes a fraction of less than one hundred yen, the fraction is rounded down. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 延滞金は、次の各号のいずれかに該当する場合には、徴収しない。ただし、第三号の場合には、その執行を停止し、又は猶予した期間に対応する部分の金額に限る。 art-45/par-5 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5 · https://japanlaw.org/l/357AC0000000080/art-45/par-5 A delinquent charge is not collected if any of the following items applies; provided, however, that in the case of item (iii), this is limited to the portion of the amount corresponding to the period during which the execution has been suspended or deferred: machine translation, not official **一** 督促状に指定した期限までに前期高齢者納付金等を完納したとき。 art-45/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-5/item-1 if the young-old payments, etc. are paid in full by the due date designated in the written demand; Ministry of Justice translation — Japanese Law Translation Database System **二** 延滞金の額が百円未満であるとき。 art-45/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5/item-2 · https://japanlaw.org/l/357AC0000000080/art-45/par-5/item-2 if the amount of the delinquency charge is less than 100 yen; Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if the amount of arrears is less than 100 yen;" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **三** 前期高齢者納付金等について滞納処分の執行を停止し、又は猶予したとき。 art-45/par-5/item-3 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5/item-3 · https://japanlaw.org/l/357AC0000000080/art-45/par-5/item-3 when the execution of disposition to collect arrears for Young-Old Payments, etc. is suspended or stayed; Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "when the execution of disposition to collect arrears for Young-Old Payments, etc. is suspended or suspended;" — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **四** 前期高齢者納付金等を納付しないことについてやむを得ない理由があると認められるとき。 art-45/par-5/item-4 · https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5/item-4 · https://japanlaw.org/l/357AC0000000080/art-45/par-5/item-4 if it is found that there is a compelling reason for not paying Young-Old Payments, etc. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if it is found that there is a compelling reason for not paying Young-Old Payments." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb --- ## Cites - art-45/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-44/par-1 · https://japanlaw.org/l/357AC0000000080/art-44/par-1 - art-45/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-1 - art-45/par-3: 前二項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-1 - art-45/par-3: 前二項 → 高齢者の医療の確保に関する法律 第四十五条第二項 (Article 45, paragraph (2)), art-45/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-2 · https://japanlaw.org/l/357AC0000000080/art-45/par-2 - art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第一項 (Article 45, paragraph (1)), art-45/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-1 - art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第二項 (Article 45, paragraph (2)), art-45/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-2 · https://japanlaw.org/l/357AC0000000080/art-45/par-2 - art-45/par-4: 前三項 → 高齢者の医療の確保に関する法律 第四十五条第三項 (Article 45, paragraph (3)), art-45/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-3 · https://japanlaw.org/l/357AC0000000080/art-45/par-3 - art-45/par-5: 第三号 → 高齢者の医療の確保に関する法律 第四十五条第五項第三号 (Article 45, paragraph (5), item (iii)), art-45/par-5/item-3 — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5/item-3 · https://japanlaw.org/l/357AC0000000080/art-45/par-5/item-3 ## Cited by 12 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第三十五条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4261-83/art-35/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4261-83/art-35/par-1 - 高齢者の医療の確保に関する法律 第四十四条第三項（督促及び滞納処分） — https://japanlaw.org/en/elderly-medical-care-act/art-44/par-3 · https://japanlaw.org/l/357AC0000000080/art-44/par-3 - 高齢者の医療の確保に関する法律 第四十五条第二項（延滞金） — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-2 · https://japanlaw.org/l/357AC0000000080/art-45/par-2 - 高齢者の医療の確保に関する法律 第四十五条第三項（延滞金） — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-3 · https://japanlaw.org/l/357AC0000000080/art-45/par-3 - 高齢者の医療の確保に関する法律 第四十五条第四項（延滞金） — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-4 · https://japanlaw.org/l/357AC0000000080/art-45/par-4 - 高齢者の医療の確保に関する法律 第四十五条第五項（延滞金） — https://japanlaw.org/en/elderly-medical-care-act/art-45/par-5 · https://japanlaw.org/l/357AC0000000080/art-45/par-5 - 高齢者の医療の確保に関する法律 第百二十四条第一項（準用） — https://japanlaw.org/en/elderly-medical-care-act/art-124/par-1 · https://japanlaw.org/l/357AC0000000080/art-124/par-1 - 高齢者の医療の確保に関する法律 第百二十四条の八第一項（準用） — https://japanlaw.org/en/elderly-medical-care-act/art-124-8/par-1 · https://japanlaw.org/l/357AC0000000080/art-124-8/par-1 - 高齢者の医療の確保に関する法律 附則第十条第一項（準用） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-10/par-1 - 高齢者の医療の確保に関する法律 附則第十三条の二第一項（延滞金の割合の特例） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-13-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-13-2/par-1 - 高齢者の医療の確保に関する法律 附則第三十五条第一項（国民健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4261-83/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4261-83/art-35/par-1 - 高齢者の医療の確保に関する法律 附則第三十八条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4261-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4261-83/art-38/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 45, paragraph (5), 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 45, paragraph (5), item (iii) — 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 45, paragraph (5), item (iv) — 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-20261019T112331-003, translated 2026-10-20 - 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