# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第九条の二 (Supplementary Provisions, Article 9-2)

- 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: 第九条の二 (Supplementary Provisions, Article 9-2)（機構の納付等） — address `suppl-3571-80/art-9-2`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2
- 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.

---

### 第九条の二（機構の納付等） — Payments, etc. by the Organization
<sup>caption: machine translation, not official</sup>
<sup>suppl-3571-80/art-9-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2</sup>

**第一項**  機構は、政令で定める年度（以下この条において「対象年度」という。）の翌年度の末日までの間において、厚生労働大臣が、機構が平成二十年度から対象年度までの間（以下この条において「対象期間」という。）において附則第七条第一項の規定により保険者から徴収した病床転換支援金等の額（以下この条において「病床転換支援金等徴収額」という。）から対象期間において附則第十一条第一項に規定する業務に要した費用の額を控除して得た額（第三項において「国庫納付等算定対象額」という。）の範囲内において、対象期間における健康保険法の規定による病床転換支援金の納付に要する費用についての補助金並びに国民健康保険法の規定による病床転換支援金の納付に要する費用についての国庫負担金、調整交付金及び補助金の額の病床転換支援金等徴収額に対する割合並びに病床転換支援金等徴収額に係る利子を勘案して機構が国庫に納付すべき額を定めたときは、政令で定めるところにより、当該額を国庫に納付しなければならない。
<sup>suppl-3571-80/art-9-2/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-1</sup>
When, by the last day of the fiscal year following the fiscal year specified by Cabinet Order (hereinafter referred to as the "covered fiscal year" in this Article), the Minister of Health, Labour and Welfare has determined the amount that the Organization is to pay to the national treasury, within the limit of the amount obtained by deducting the amount of expenses required for the services prescribed in Article 11, paragraph (1) of the Supplementary Provisions during the applicable period from the amount of bed conversion support payment, etc. collected by the Organization from Insurers pursuant to the provisions of Article 7, paragraph (1) of the Supplementary Provisions during the period from fiscal year 2008 to the covered fiscal year (hereinafter referred to as "the applicable period" in this Article) (hereinafter referred to as the "amount of bed conversion support payments, etc. collected" in this Article) (referred to as the "amount subject to calculation of payment to the national treasury, etc." in paragraph (3)), taking into consideration the ratio to the amount of bed conversion support payments, etc. collected of the amount of subsidies for the expenses required for payment of bed conversion support payments under the provisions of the Health Insurance Act and of the amounts of the treasury share, adjustment grants and subsidies for the expenses required for payment of bed conversion support payments under the provisions of the National Health Insurance Act during the applicable period, and the interest on the amount of bed conversion support payments, etc. collected, the Organization must pay that amount to the national treasury, pursuant to the provisions of Cabinet Order.
<sup>machine translation, not official</sup>

**第二項**  厚生労働大臣は、前項の規定により機構が国庫に納付すべき額を定めようとするときは、あらかじめ、財務大臣に協議しなければならない。
<sup>suppl-3571-80/art-9-2/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-2</sup>
When the Minister of Health, Labour and Welfare intends to determine the amount that the Organization is to pay to the national treasury pursuant to the provisions of the preceding paragraph, the Minister must consult with the Minister of Finance in advance.
<sup>machine translation, not official</sup>

**第三項**  機構は、対象年度の翌年度の末日までの間において、厚生労働大臣が、国庫納付等算定対象額の範囲内において、対象期間における国民健康保険法の規定による病床転換支援金の納付に要する費用についての都道府県調整交付金の額の病床転換支援金等徴収額に対する割合及び病床転換支援金等徴収額に係る利子を勘案して機構が都道府県に交付すべき額を定めたときは、政令で定めるところにより、当該額を都道府県に交付しなければならない。
<sup>suppl-3571-80/art-9-2/par-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-3</sup>
When, by the last day of the fiscal year following the covered fiscal year, the Minister of Health, Labour and Welfare has determined the amount that the Organization is to grant to prefectures, within the limit of the amount subject to calculation of payment to the national treasury, etc., taking into consideration the ratio of the amount of the prefectural adjustment grants for the expenses required for payment of bed conversion support payments under the provisions of the National Health Insurance Act during the applicable period to the amount of bed conversion support payments, etc. collected, and the interest on the amount of bed conversion support payments, etc. collected, the Organization must grant that amount to the prefectures, pursuant to the provisions of Cabinet Order.
<sup>machine translation, not official</sup>

**第四項**  機構は、対象年度の翌年度の末日までの間において、厚生労働大臣が、病床転換支援金等徴収額から対象期間において附則第十一条第一項に規定する業務及び当該業務に関する事務の処理に要した費用の額並びに第一項の規定により機構が国庫に納付する額及び前項の規定により機構が都道府県に交付する額を控除して得た額の範囲内において、対象期間における各保険者（国民健康保険にあつては、市町村。以下この項において同じ。）の負担の額の病床転換支援金等徴収額に対する割合として厚生労働省令で定めるところにより算定した割合及び病床転換支援金等徴収額に係る利子を勘案して機構が各保険者に対し交付すべき額を定めたときは、政令で定めるところにより、当該額を各保険者に交付しなければならない。
<sup>suppl-3571-80/art-9-2/par-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-4</sup>
When, by the last day of the fiscal year following the covered fiscal year, the Minister of Health, Labour and Welfare has determined the amount that the Organization is to grant to each Insurer (in the case of National Health Insurance, the municipality; the same applies hereinafter in this paragraph), within the limit of the amount obtained by deducting from the amount of bed conversion support payments, etc. collected the amount of expenses required during the applicable period for the services prescribed in Article 11, paragraph (1) of the Supplementary Provisions and for the handling of affairs relating to those services, the amount paid to the national treasury by the Organization pursuant to the provisions of paragraph (1), and the amount granted to prefectures by the Organization pursuant to the provisions of the preceding paragraph, taking into consideration the ratio, calculated as specified by Order of the Ministry of Health, Labour and Welfare, of the amount of the burden of each Insurer during the applicable period to the amount of bed conversion support payments, etc. collected, and the interest on the amount of bed conversion support payments, etc. collected, the Organization must grant that amount to each Insurer, pursuant to the provisions of Cabinet Order.
<sup>machine translation, not official</sup>

---

## Cites
- suppl-3571-80/art-9-2/par-1: この条 → 高齢者の医療の確保に関する法律 附則第九条の二 (Supplementary Provisions, Article 9-2), suppl-3571-80/art-9-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2
- suppl-3571-80/art-9-2/par-1: 附則第七条第一項 → 高齢者の医療の確保に関する法律 附則第七条第一項 (Supplementary Provisions, Article 7, paragraph (1)), suppl-3571-80/art-7/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-7/par-1
- suppl-3571-80/art-9-2/par-1: 附則第十一条第一項 → 高齢者の医療の確保に関する法律 附則第十一条第一項 (Supplementary Provisions, Article 11, paragraph (1)), suppl-3571-80/art-11/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-11/par-1
- suppl-3571-80/art-9-2/par-1: 第三項 → 高齢者の医療の確保に関する法律 附則第九条の二第三項 (Supplementary Provisions, Article 9-2, paragraph (3)), suppl-3571-80/art-9-2/par-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-3
- suppl-3571-80/art-9-2/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第九条の二第一項 (Supplementary Provisions, Article 9-2, paragraph (1)), suppl-3571-80/art-9-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-1
- suppl-3571-80/art-9-2/par-4: 附則第十一条第一項 → 高齢者の医療の確保に関する法律 附則第十一条第一項 (Supplementary Provisions, Article 11, paragraph (1)), suppl-3571-80/art-11/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-11/par-1
- suppl-3571-80/art-9-2/par-4: 第一項 → 高齢者の医療の確保に関する法律 附則第九条の二第一項 (Supplementary Provisions, Article 9-2, paragraph (1)), suppl-3571-80/art-9-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-1
- suppl-3571-80/art-9-2/par-4: 前項 → 高齢者の医療の確保に関する法律 附則第九条の二第三項 (Supplementary Provisions, Article 9-2, paragraph (3)), suppl-3571-80/art-9-2/par-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-3
- suppl-3571-80/art-9-2/par-4: この項 → 高齢者の医療の確保に関する法律 附則第九条の二第四項 (Supplementary Provisions, Article 9-2, paragraph (4)), suppl-3571-80/art-9-2/par-4 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-4

## 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 附則第七条第一項（病床転換支援金の徴収及び納付義務） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-7/par-1
- 高齢者の医療の確保に関する法律 附則第九条の二第一項（機構の納付等） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-1
- 高齢者の医療の確保に関する法律 附則第九条の二第二項（機構の納付等） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-2
- 高齢者の医療の確保に関する法律 附則第九条の二第四項（機構の納付等） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-9-2/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-9-2/par-4
- 高齢者の医療の確保に関する法律 附則第十二条第一項（厚生労働省令への委任） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3571-80/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-12/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-20261019T112331-006, 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
