# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第十条 (Supplementary Provisions, Article 10) - 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: 第十条 (Supplementary Provisions, Article 10) — address `suppl-4031-89/art-10` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 - 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. --- ### 第十条 suppl-4031-89/art-10 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 **第一項** 平成三年度の確定医療費拠出金の額は、新老健法第五十六条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。 suppl-4031-89/art-10/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1 The amount of the fixed medical expense contribution for fiscal year 1991 is, notwithstanding the provisions of Article 56, paragraph (1) of the New Elderly Health Act, the sum total of the amounts set forth in the following items. machine translation, not official **一** 次に掲げる額の合計額の十分の七に相当する額 suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1 an amount equivalent to 7/10 of the sum total of the following amounts: machine translation, not official **イ** 当該保険者に係る施行日前老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日前に行われた医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）及び老人保健施設療養費の支給に要する費用の額をいう。以下この号において同じ。）から施行日前調整対象外医療費額（当該保険者が確定施行日前基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、旧老健法第五十五条第一項第一号の政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日前老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る旧老健法第五十六条第二項の確定加入者調整率を乗じて得た額 suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-1 the amount obtained by multiplying the amount obtained by deducting the pre-commencement medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the fixed pre-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average amount of the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by Cabinet Order in Article 55, paragraph (1), item (i) of the Former Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the pre-commencement elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by the rate specified by Cabinet Order; the same applies in (b)) from the pre-commencement elderly medical expenses pertaining to the relevant Insurer (meaning the amount of expenses, defrayed by Municipalities in fiscal year 1991, required for medical care (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), and payment of medical expenses for health care facilities for the elderly provided before the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer; the same applies hereinafter in this item) by the fixed participant adjustment rate under Article 56, paragraph (2) of the Former Elderly Health Act for fiscal year 1991; machine translation, not official **ロ** 施行日前調整対象外医療費額 suppl-4031-89/art-10/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-2 the pre-commencement medical expenses outside adjustment; machine translation, not official **二** 次に掲げる額の合計額（次号において「施行日以後調整後老人医療費額」という。）に、一から施行日以後老人保健施設療養費等確定率を控除して得た率を乗じて得た額の十分の七に相当する額 suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 an amount equivalent to 7/10 of the amount obtained by multiplying the sum total of the following amounts (referred to as "post-commencement adjusted elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. from 1; machine translation, not official **イ** 当該保険者に係る施行日以後老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた医療等に要する費用の額をいう。以下この条において同じ。）から施行日以後調整対象外医療費額（当該保険者が確定施行日以後基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、新老健法第五十五条第一項第一号イの政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日以後老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る新老健法第五十六条第三項の確定加入者調整率を乗じて得た額 suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-1 the amount obtained by multiplying the amount obtained by deducting the post-commencement medical expenses outside adjustment (meaning, in the case where the Insurer concerned is an insurer exceeding the fixed post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average of the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by the Cabinet Order referred to in Article 55, paragraph (1), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the post-commencement elderly medical expenses pertaining to that Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by that rate specified by Cabinet Order; the same applies in (b)) from the post-commencement elderly medical expenses pertaining to the Insurer concerned (meaning the amount of expenses required for medical care, etc. provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991; the same applies hereinafter in this Article) by the fixed participant adjustment rate under Article 56, paragraph (3) of the New Elderly Health Act for fiscal year 1991; machine translation, not official **ロ** 施行日以後調整対象外医療費額 suppl-4031-89/art-10/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-2 the post-commencement medical expenses outside adjustment. machine translation, not official **三** 施行日以後調整後老人医療費額に施行日以後老人保健施設療養費等確定率を乗じて得た額の十二分の六に相当する額 suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-3 an amount equivalent to 6/12 of the amount obtained by multiplying the post-commencement adjusted elderly medical expenses by the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. machine translation, not official **第二項** 前項の施行日以後老人保健施設療養費等確定率は、各保険者に係る施行日以後老人保健施設療養費等額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた新老健法第四十八条第一項に規定する老人保健施設療養費等に要する費用の額をいう。）の総額を、各保険者に係る施行日以後老人医療費額の総額で除して得た率とする。 suppl-4031-89/art-10/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-2 The post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. referred to in the preceding paragraph is the rate obtained by dividing the total amount of the post-commencement medical expenses for health care facilities for the elderly, etc. pertaining to each Insurer (meaning the amount of expenses required for the medical expenses for health care facilities for the elderly, etc. prescribed in Article 48, paragraph (1) of the New Elderly Health Act provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991) by the total amount of the post-commencement elderly medical expenses pertaining to each Insurer. machine translation, not official --- ## Cites - suppl-4031-89/art-10/par-1/item-1/sub-1: この号 → 高齢者の医療の確保に関する法律 附則第十条第一項第一号 (Supplementary Provisions, Article 10, paragraph (1), item (i)), suppl-4031-89/art-10/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1 - suppl-4031-89/art-10/par-1/item-2: 次号 → 高齢者の医療の確保に関する法律 附則第十条第一項第三号 (Supplementary Provisions, Article 10, paragraph (1), item (iii)), suppl-4031-89/art-10/par-1/item-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-3 - suppl-4031-89/art-10/par-1/item-2/sub-1: この条 → 高齢者の医療の確保に関する法律 附則第十条 (Supplementary Provisions, Article 10), suppl-4031-89/art-10 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 - suppl-4031-89/art-10/par-1/item-2/sub-1: この号 → 高齢者の医療の確保に関する法律 附則第十条第一項第二号 (Supplementary Provisions, Article 10, paragraph (1), item (ii)), suppl-4031-89/art-10/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 - suppl-4031-89/art-10/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第十条第一項 (Supplementary Provisions, Article 10, paragraph (1)), suppl-4031-89/art-10/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1 ## 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 附則第九条第一項第二号イ — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2/sub-1 - 高齢者の医療の確保に関する法律 附則第十条第一項第一号イ — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-1 - 高齢者の医療の確保に関する法律 附則第十条第一項第二号 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 - 高齢者の医療の確保に関する法律 附則第十条第一項第二号イ — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-1 - 高齢者の医療の確保に関する法律 附則第十条第二項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4031-89/art-10/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/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 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T105826-010, translated 2026-10-19 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch elderly-medical-care-act-20261019T105826-010, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-009, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T120156-001, 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