# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第九十三条 (Article 93) - 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: 第九十三条 (Article 93)（国の負担） — address `art-93` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/art-93 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-93 - 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. --- ### 第九十三条（国の負担） — (Expenses Borne by the State) caption: Ministry of Justice translation — Japanese Law Translation Database System art-93 · https://japanlaw.org/en/elderly-medical-care-act/art-93 · https://japanlaw.org/l/357AC0000000080/art-93 **第一項** 国は、政令で定めるところにより、後期高齢者医療広域連合に対し、被保険者に係る療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費、移送費、高額療養費及び高額介護合算療養費の支給に要する費用の額の合計額（以下「療養の給付等に要する費用の額」という。）から第六十七条第一項第三号に掲げる場合に該当する者に係る療養の給付等に要する費用の額（以下「特定費用の額」という。）を控除した額（次項第一号及び第百条第一項において「負担対象額」という。）並びに流行初期医療確保拠出金の額から当該流行初期医療確保拠出金の額に療養の給付等に要する費用の額に占める特定費用の額の割合を乗じて得た額（第百条第一項において「特定流行初期医療確保拠出金の額」という。）を控除した額（第百条第一項において「負担対象拠出金額」という。）の合計額（以下「負担対象総額」という。）の十二分の三に相当する額を負担する。 art-93/par-1 · https://japanlaw.org/en/elderly-medical-care-act/art-93/par-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-1 The national government, pursuant to the provisions of Cabinet Order, bears, with respect to the Association of Medical Care Systems for the Elderly Aged 75 and older, an amount equivalent to 3/12 of the sum total (hereinafter referred to as the "total Amount Subject to Sharing") of the amount obtained by deducting the amount of expenses incurred in providing benefits for medical treatment, etc. pertaining to persons falling under the case listed in Article 67, paragraph (1), item (iii) (hereinafter referred to as the "amount of specified expenses") from the sum total (hereinafter referred to as the "amount of expenses incurred in providing benefits for medical treatment, etc.") of the amount obtained by deducting the amount equivalent to the co-payment for the benefits from the amount of expenses required for the benefits for medical treatment pertaining to insured and the amount of expenses required for payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses, high-cost medical expenses and sizable medical and nursing expenses (referred to as the "Amount Subject to Sharing" in item (i) of the following paragraph and Article 100, paragraph (1)), and the amount obtained by deducting, from the amount of the contribution for securing medical care in the early phase of an epidemic, the amount obtained by multiplying that amount by the ratio of the amount of specified expenses to the amount of expenses incurred in providing benefits for medical treatment, etc. (referred to as the "amount of specified contribution for securing medical care in the early phase of an epidemic" in Article 100, paragraph (1)) (referred to as the "contribution Amount Subject to Sharing" in Article 100, paragraph (1)). machine translation, not official **第二項** 国は、前項に掲げるもののほか、政令で定めるところにより、後期高齢者医療広域連合に対し、後期高齢者医療の財政の安定化を図るため、被保険者に係る全ての医療に関する給付に要する費用の額に対する高額な医療に関する給付の割合等を勘案して、高額な医療に関する給付の発生による後期高齢者医療の財政に与える影響が著しいものとして政令で定めるところにより算定する額以上の高額な医療に関する給付に要する費用の合計額に次に掲げる率の合計を乗じて得た額（第九十六条第二項において「高額医療費負担対象額」という。）の四分の一に相当する額を負担する。 art-93/par-2 · https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2 · https://japanlaw.org/l/357AC0000000080/art-93/par-2 The national government, beyond what is listed in the preceding paragraph, pursuant to the provisions of Cabinet Order, in order to achieve the financial stability of old-old medical care, bears, with respect to the Association of Medical Care Systems for the Elderly Aged 75 and older, an amount equivalent to 1/4 of the amount obtained by multiplying the sum total of the expenses required for benefits related to extremely expensive medical care that are not less than the amount calculated as specified by Cabinet Order as having a significant impact on the finances of old-old medical care due to the occurrence of benefits related to extremely expensive medical care, taking into consideration the ratio of benefits related to extremely expensive medical care to the amount of expenses required for all benefits related to medical care pertaining to insured and other factors, by the sum of the following rates (referred to as the "amount of high-cost medical expenses subject to sharing" in Article 96, paragraph (2)). machine translation, not official **一** 負担対象額の十二分の一に相当する額を療養の給付等に要する費用の額で除して得た率 art-93/par-2/item-1 · https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-2/item-1 the rate obtained by dividing the amount equivalent to one twelfth of the Amount Subject to Sharing by the amount of expenses required for Benefits for Medical Treatment, etc.; Ministry of Justice translation — Japanese Law Translation Database System **二** 第百条第一項の後期高齢者負担率 art-93/par-2/item-2 · https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-93/par-2/item-2 the contribution rate for the old-old in Article 100, paragraph (1). Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the co-payment rate for the old-old in Article 100, paragraph (1)." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第三項** 国は、前二項に定めるもののほか、政令で定めるところにより、年度ごとに、機構に対して当該年度の特別負担調整見込額の総額等の三分の二を交付する。ただし、前々年度の特別負担調整見込額の総額等が同年度の特別負担調整額の総額等を超えるときは、当該年度の特別負担調整見込額の総額等からその超える額を控除して得た額の三分の二を交付するものとし、前々年度の特別負担調整見込額の総額等が同年度の特別負担調整額の総額等に満たないときは、当該年度の特別負担調整見込額の総額等にその満たない額を加算して得た額の三分の二を交付するものとする。 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 Beyond what is provided for in the preceding two paragraphs, pursuant to the provisions of Cabinet Order, the national government is to grant two-thirds of the estimated total amount of special burden adjustment, etc. for the relevant fiscal year to the Organization each fiscal year; provided, however, that if the estimated total amount of special burden adjustment, etc. for the fiscal year before the previous fiscal year exceeds the total amount of special burden adjustment, etc. for the same fiscal year, the national government is to grant two-thirds of the amount obtained by subtracting the excess amount from the estimated total amount of special burden adjustment, etc. for the relevant fiscal year, and if the estimated total amount of special burden adjustment, etc. for the fiscal year before the previous fiscal year is less than the total amount of special burden adjustment, etc. for the same fiscal year, the national government is to grant two-thirds of the amount obtained by adding the less amount to the estimated total amount of special burden adjustment, etc. for the relevant fiscal year. machine translation, not official --- ## Cites - art-93/par-1: 第六十七条第一項第三号 → 高齢者の医療の確保に関する法律 第六十七条第一項第三号 (Article 67, paragraph (1), item (iii)), art-67/par-1/item-3 — https://japanlaw.org/en/elderly-medical-care-act/art-67/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-67/par-1/item-3 - art-93/par-1: 次項第一号 → 高齢者の医療の確保に関する法律 第九十三条第二項第一号 (Article 93, paragraph (2), item (i)), art-93/par-2/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-2/item-1 - art-93/par-1: 第百条第一項 → 高齢者の医療の確保に関する法律 第百条第一項 (Article 100, paragraph (1)), art-100/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-100/par-1 · https://japanlaw.org/l/357AC0000000080/art-100/par-1 - art-93/par-2: 前項 → 高齢者の医療の確保に関する法律 第九十三条第一項 (Article 93, paragraph (1)), art-93/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-1 - art-93/par-2: 第九十六条第二項 → 高齢者の医療の確保に関する法律 第九十六条第二項 (Article 96, paragraph (2)), art-96/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-96/par-2 · https://japanlaw.org/l/357AC0000000080/art-96/par-2 - art-93/par-2/item-2: 第百条第一項 → 高齢者の医療の確保に関する法律 第百条第一項 (Article 100, paragraph (1)), art-100/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-100/par-1 · https://japanlaw.org/l/357AC0000000080/art-100/par-1 - art-93/par-3: 前二項 → 高齢者の医療の確保に関する法律 第九十三条第一項 (Article 93, paragraph (1)), art-93/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-1 - art-93/par-3: 前二項 → 高齢者の医療の確保に関する法律 第九十三条第二項 (Article 93, paragraph (2)), art-93/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2 · https://japanlaw.org/l/357AC0000000080/art-93/par-2 ## Cited by 9 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 第三十八条第三項第三号（概算前期高齢者納付金） — https://japanlaw.org/en/elderly-medical-care-act/art-38/par-3/item-3 · https://japanlaw.org/l/357AC0000000080/art-38/par-3/item-3 - 高齢者の医療の確保に関する法律 第三十九条第三項第三号（確定前期高齢者納付金） — 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 - 高齢者の医療の確保に関する法律 第九十三条第一項（国の負担） — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-1 · https://japanlaw.org/l/357AC0000000080/art-93/par-1 - 高齢者の医療の確保に関する法律 第九十三条第二項（国の負担） — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-2 · https://japanlaw.org/l/357AC0000000080/art-93/par-2 - 高齢者の医療の確保に関する法律 第九十三条第三項（国の負担） — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-3 · https://japanlaw.org/l/357AC0000000080/art-93/par-3 - 高齢者の医療の確保に関する法律 第九十四条第一項（国庫負担金の減額） — https://japanlaw.org/en/elderly-medical-care-act/art-94/par-1 · https://japanlaw.org/l/357AC0000000080/art-94/par-1 - 高齢者の医療の確保に関する法律 第百二条第一項（国の補助） — https://japanlaw.org/en/elderly-medical-care-act/art-102/par-1 · https://japanlaw.org/l/357AC0000000080/art-102/par-1 - 高齢者の医療の確保に関する法律 附則第七条第二項（高齢者の医療の確保に関する法律の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-5031-66/art-7/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-5031-66/art-7/par-2 - 高齢者の医療の確保に関する法律 附則第十条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-10/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 93, paragraph (2), item (ii) — 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-20261019T112331-004, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T115100-001, 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