# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第六十六条 (Article 66) - 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: 第六十六条 (Article 66)（厚生労働大臣又は都道府県知事の指導） — address `art-66` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-66 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-66 - 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. --- ### 第六十六条（厚生労働大臣又は都道府県知事の指導） — (Guidance by the Minister of Health, Labour and Welfare or Prefectural Governors) caption: Ministry of Justice translation — Japanese Law Translation Database System art-66 · https://japanlaw.org/en/elderly-medical-care-act/art-66 · https://japanlaw.org/l/357AC0000000080/art-66 **第一項** 保険医療機関等は療養の給付に関し、保険医等は後期高齢者医療の診療又は調剤に関し、厚生労働大臣又は都道府県知事の指導を受けなければならない。 art-66/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-66/par-1 · https://japanlaw.org/l/357AC0000000080/art-66/par-1 Guidance by the Minister of Health, Labour and Welfare or the prefectural governor must be received by Health Insurance-Covered Medical Institutions, etc. with regard to benefits for medical treatment, and by Health Insurance-Covered Physicians, etc. with regard to medical care or prescription of Old-Old Healthcare. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 厚生労働大臣又は都道府県知事は、前項の指導をする場合において、必要があると認めるときは、診療又は調剤に関する学識経験者をその関係団体の指定により立ち会わせるものとする。ただし、関係団体が指定を行わない場合又は指定された者が立ち会わない場合は、この限りでない。 art-66/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-66/par-2 · https://japanlaw.org/l/357AC0000000080/art-66/par-2 The Minister of Health, Labour and Welfare or the prefectural governor, when providing the guidance prescribed in the preceding paragraph and finding it necessary, is to have a person with relevant expertise related to medical care or prescription services attend in accordance with the designation by the relevant organization; provided, however, that this does not apply when the relevant organization makes no designation or when the designated person does not attend. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-66/par-2: 前項 → 高齢者の医療の確保に関する法律 第六十六条第一項 (Article 66, paragraph (1)), art-66/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-66/par-1 · https://japanlaw.org/l/357AC0000000080/art-66/par-1 ## Cited by 7 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 第六十六条第二項（厚生労働大臣又は都道府県知事の指導） — https://japanlaw.org/en/elderly-medical-care-act/art-66/par-2 · https://japanlaw.org/l/357AC0000000080/art-66/par-2 - 高齢者の医療の確保に関する法律 第七十二条第二項（保険医療機関等の報告等） — https://japanlaw.org/en/elderly-medical-care-act/art-72/par-2 · https://japanlaw.org/l/357AC0000000080/art-72/par-2 - 高齢者の医療の確保に関する法律 第七十四条第十項（入院時食事療養費） — https://japanlaw.org/en/elderly-medical-care-act/art-74/par-10 · https://japanlaw.org/l/357AC0000000080/art-74/par-10 - 高齢者の医療の確保に関する法律 第七十五条第七項（入院時生活療養費） — https://japanlaw.org/en/elderly-medical-care-act/art-75/par-7 · https://japanlaw.org/l/357AC0000000080/art-75/par-7 - 高齢者の医療の確保に関する法律 第七十六条第六項（保険外併用療養費） — https://japanlaw.org/en/elderly-medical-care-act/art-76/par-6 · https://japanlaw.org/l/357AC0000000080/art-76/par-6 - 高齢者の医療の確保に関する法律 第八十二条第六項 — https://japanlaw.org/en/elderly-medical-care-act/art-82/par-6 · https://japanlaw.org/l/357AC0000000080/art-82/par-6 - 高齢者の医療の確保に関する法律 第百六十五条第一項（事務の区分） — https://japanlaw.org/en/elderly-medical-care-act/art-165/par-1 · https://japanlaw.org/l/357AC0000000080/art-165/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 - 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