# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十六条 (Article 46) - 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: 第四十六条 (Article 46)（納付の猶予） — address `art-46` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-46 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-46 - 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. --- ### 第四十六条（納付の猶予） — (Payment Grace Period) caption: Ministry of Justice translation — Japanese Law Translation Database System art-46 · https://japanlaw.org/en/elderly-medical-care-act/art-46 · https://japanlaw.org/l/357AC0000000080/art-46 **第一項** 機構は、やむを得ない事情により、保険者が前期高齢者納付金等を納付することが著しく困難であると認められるときは、厚生労働省令で定めるところにより、当該保険者の申請に基づき、厚生労働大臣の承認を受けて、その納付すべき期限から一年以内の期間を限り、その一部の納付を猶予することができる。 art-46/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-46/par-1 · https://japanlaw.org/l/357AC0000000080/art-46/par-1 The Organization, when it is found to be extremely difficult for an Insurer to pay young-old payments, etc. due to unavoidable circumstances, may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on an application by the relevant Insurer and with the approval of the Minister of Health, Labour and Welfare, grant a grace period for a part of the payment for a period not exceeding one year from the due date for the payment. machine translation, not official **第二項** 機構は、前項の規定による猶予をしたときは、その旨、猶予に係る前期高齢者納付金等の額、猶予期間その他必要な事項を保険者に通知しなければならない。 art-46/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-46/par-2 · https://japanlaw.org/l/357AC0000000080/art-46/par-2 The Organization, when having granted a grace period pursuant to the provisions of the preceding paragraph, must notify the Insurer of that fact, the amount of the young-old payments, etc. pertaining to the grace period, the grace period, and other necessary matters. machine translation, not official **第三項** 機構は、第一項の規定による猶予をしたときは、その猶予期間内は、その猶予に係る前期高齢者納付金等につき新たに第四十四条第一項の規定による督促及び同条第三項の規定による徴収の請求をすることができない。 art-46/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-46/par-3 · https://japanlaw.org/l/357AC0000000080/art-46/par-3 If the Organization has granted a grace period pursuant to the provisions of paragraph (1), the Organization may not newly make a demand pursuant to the provisions of Article 44, paragraph (1) or request collection pursuant to the provisions of paragraph (3) of the same Article with respect to the young-old payments, etc. pertaining to the grace period during the grace period. machine translation, not official --- ## Cites - art-46/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十六条第一項 (Article 46, paragraph (1)), art-46/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-46/par-1 · https://japanlaw.org/l/357AC0000000080/art-46/par-1 - art-46/par-3: 第一項 → 高齢者の医療の確保に関する法律 第四十六条第一項 (Article 46, paragraph (1)), art-46/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-46/par-1 · https://japanlaw.org/l/357AC0000000080/art-46/par-1 - art-46/par-3: 第四十四条第一項 → 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-46/par-3: 同条第三項 → 高齢者の医療の確保に関する法律 第四十四条第三項 (Article 44, paragraph (3)), art-44/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-44/par-3 · https://japanlaw.org/l/357AC0000000080/art-44/par-3 ## Cited by 5 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 第四十六条第二項（納付の猶予） — https://japanlaw.org/en/elderly-medical-care-act/art-46/par-2 · https://japanlaw.org/l/357AC0000000080/art-46/par-2 - 高齢者の医療の確保に関する法律 第四十六条第三項（納付の猶予） — https://japanlaw.org/en/elderly-medical-care-act/art-46/par-3 · https://japanlaw.org/l/357AC0000000080/art-46/par-3 - 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 --- ## Sources - 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 - 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