# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第五十九条 (Article 59) - 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: 第五十九条 (Article 59)（不正利得の徴収等） — address `art-59` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-59 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-59 - 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. --- ### 第五十九条（不正利得の徴収等） — (Collection of Fraudulent Gains) caption: Ministry of Justice translation — Japanese Law Translation Database System art-59 · https://japanlaw.org/en/elderly-medical-care-act/art-59 · https://japanlaw.org/l/357AC0000000080/art-59 **第一項** 偽りその他不正の行為によつて後期高齢者医療給付を受けた者があるときは、後期高齢者医療広域連合は、その者からその後期高齢者医療給付の価額の全部又は一部を徴収することができる。 art-59/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-59/par-1 · https://japanlaw.org/l/357AC0000000080/art-59/par-1 If a person receives an old-old medical care benefit by deception or other wrongful acts, the Association of Medical Care Systems for the Elderly Aged 75 and older may collect all or part of the value of the old-old medical care benefit from that person. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項の場合において、保険医療機関において診療に従事する保険医又は第七十八条第一項に規定する主治の医師が、後期高齢者医療広域連合に提出されるべき診断書に虚偽の記載をしたため、その後期高齢者医療給付が行われたものであるときは、後期高齢者医療広域連合は、当該保険医又は主治の医師に対し、後期高齢者医療給付を受けた者に連帯して前項の徴収金を納付すべきことを命ずることができる。 art-59/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-59/par-2 · https://japanlaw.org/l/357AC0000000080/art-59/par-2 In the case referred to in the preceding paragraph, when a physician providing health insurance treatment at a medical institution providing services covered by health insurance or an attending physician as prescribed in Article 78, paragraph (1) has made a false entry on a written diagnosis to be submitted to the Association of Medical Care Systems for the Elderly Aged 75 and older, and as a result, the late-stage elderly medical care benefit has been provided, the Association of Medical Care Systems for the Elderly Aged 75 and older may order the physician providing health insurance treatment or the attending physician to pay the money to be collected pursuant to the preceding paragraph jointly and severally with the person who has received the late-stage elderly medical care benefit. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 後期高齢者医療広域連合は、保険医療機関等又は指定訪問看護事業者（健康保険法第八十八条第一項に規定する指定訪問看護事業者をいう。以下同じ。）が偽りその他不正の行為によつて療養の給付に関する費用の支払又は第七十四条第五項（第七十五条第七項、第七十六条第六項及び第七十八条第八項において準用する場合を含む。）の規定による支払を受けたときは、当該保険医療機関等又は指定訪問看護事業者に対し、その支払つた額につき返還させるほか、その返還させる額に百分の四十を乗じて得た額を支払わせることができる。 art-59/par-3 · https://japanlaw.org/en/elderly-medical-care-act/art-59/par-3 · https://japanlaw.org/l/357AC0000000080/art-59/par-3 When a medical institution providing services covered by health insurance, etc. or a designated home-nursing provider (meaning the designated home-nursing provider prescribed in Article 88, paragraph (1) of the Health Insurance Act; the same applies hereinafter) has received, by deception or other wrongful acts, any payment of expenses relating to benefits for medical treatment or any payment pursuant to the provisions of Article 74, paragraph (5) (including as applied mutatis mutandis pursuant to Article 75, paragraph (7), Article 76, paragraph (6), and Article 78, paragraph (8)), the Association of Medical Care Systems for the Elderly Aged 75 and older may have the medical institution providing services covered by health insurance, etc. or the designated home-nursing provider return the amount so paid and, in addition, pay the amount obtained by multiplying the amount to be returned by forty one hundredth (40 / 100). Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-59/par-2: 前項 → 高齢者の医療の確保に関する法律 第五十九条第一項 (Article 59, paragraph (1)), art-59/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-59/par-1 · https://japanlaw.org/l/357AC0000000080/art-59/par-1 - art-59/par-2: 第七十八条第一項 → 高齢者の医療の確保に関する法律 第七十八条第一項 (Article 78, paragraph (1)), art-78/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-78/par-1 · https://japanlaw.org/l/357AC0000000080/art-78/par-1 - art-59/par-3: 健康保険法第八十八条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-59/par-3: 第七十四条第五項 → 高齢者の医療の確保に関する法律 第七十四条第五項 (Article 74, paragraph (5)), art-74/par-5 — https://japanlaw.org/en/elderly-medical-care-act/art-74/par-5 · https://japanlaw.org/l/357AC0000000080/art-74/par-5 - art-59/par-3: 第七十五条第七項 → 高齢者の医療の確保に関する法律 第七十五条第七項 (Article 75, paragraph (7)), art-75/par-7 — https://japanlaw.org/en/elderly-medical-care-act/art-75/par-7 · https://japanlaw.org/l/357AC0000000080/art-75/par-7 - art-59/par-3: 第七十六条第六項 → 高齢者の医療の確保に関する法律 第七十六条第六項 (Article 76, paragraph (6)), art-76/par-6 — https://japanlaw.org/en/elderly-medical-care-act/art-76/par-6 · https://japanlaw.org/l/357AC0000000080/art-76/par-6 - art-59/par-3: 第七十八条第八項 → 高齢者の医療の確保に関する法律 第七十八条第八項 (Article 78, paragraph (8)), art-78/par-8 — https://japanlaw.org/en/elderly-medical-care-act/art-78/par-8 · https://japanlaw.org/l/357AC0000000080/art-78/par-8 ## Cited by 2 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 第五十八条第一項（損害賠償請求権） — https://japanlaw.org/en/elderly-medical-care-act/art-58/par-1 · https://japanlaw.org/l/357AC0000000080/art-58/par-1 - 高齢者の医療の確保に関する法律 第五十九条第二項（不正利得の徴収等） — https://japanlaw.org/en/elderly-medical-care-act/art-59/par-2 · https://japanlaw.org/l/357AC0000000080/art-59/par-2 --- ## 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 - 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