# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 附 則 (Supplementary Provisions)
- 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: 附 則 (Supplementary Provisions) — address `suppl-4061-56`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4061-56
- 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.
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## 附 則 平成六年六月二九日法律第五六号
suppl-4061-56 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56
### 第一条（施行期日） — Effective Date
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suppl-4061-56/art-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-1
**第一項** この法律は、平成六年十月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4061-56/art-1/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-1/par-1
This Act comes into effect on October 1, 1994; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第一条中健康保険法第二十三条の改正規定、同法第二十三条ノ二の改正規定、同法第三十七条ノ二の改正規定、同法第七十一条ノ三の改正規定、同法第七十一条ノ四の改正規定及び同法第七十六条の改正規定（同法附則第三条、第五条、第八条及び第九条第六項の改正規定を含む。）並びに第二条中船員保険法の目次の改正規定（「福祉施設」を「福祉事業」に改める部分に限る。）、同法第三章の章名の改正規定、同法第二十三条第二項の改正規定、同法第五十条ノ四の改正規定、同法第三章第九節の節名の改正規定、同法第五十七条ノ二の改正規定、同法第五十九条ノ二第一項の改正規定及び同法第六十条の次に一条を加える改正規定並びに第三条中国民健康保険法の目次の改正規定（「保健施設」を「保健事業」に改める部分に限る。）、同法第六章の章名の改正規定、同法第八十二条の改正規定及び同法第百十六条の次に一条を加える改正規定並びに第四条中老人保健法第五条の改正規定、同法第二十二条の改正規定及び同法第二十五条に一項を加える改正規定並びに附則第二十九条の規定並びに附則第三十条の規定並びに附則第五十六条の規定並びに附則第六十一条の規定 平成七年四月一日
suppl-4061-56/art-1/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-1/par-1/item-1
the amending provisions of Article 23 of the Health Insurance Act in Article 1, the amending provisions of Article 23-2 of that Act, the amending provisions of Article 37-2 of that Act, the amending provisions of Article 71-3 of that Act, the amending provisions of Article 71-4 of that Act, and the amending provisions of Article 76 of that Act (including the amending provisions of Articles 3, 5 and 8 and Article 9, paragraph (6) of the Supplementary Provisions of that Act), and the amending provisions of the table of contents of the Mariners Insurance Act in Article 2 (limited to the part replacing "Welfare Facilities" with "Welfare Services"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 23, paragraph (2) of that Act, the amending provisions of Article 50-4 of that Act, the amending provisions of the section title of Section 9 of Chapter III of that Act, the amending provisions of Article 57-2 of that Act, the amending provisions of Article 59-2, paragraph (1) of that Act, and the amending provisions that insert one Article after Article 60 of that Act, and the amending provisions of the table of contents of the National Health Insurance Act in Article 3 (limited to the part replacing "Healthcare Facilities" with "Healthcare Services"), the amending provisions of the chapter title of Chapter VI of that Act, the amending provisions of Article 82 of that Act, and the amending provisions that insert one Article after Article 116 of that Act, and the amending provisions of Article 5 of the Act on Health and Medical Services for the Elderly in Article 4, the amending provisions of Article 22 of that Act, and the amending provisions that add one paragraph to Article 25 of that Act, and the provisions of Article 29 of the Supplementary Provisions, the provisions of Article 30 of the Supplementary Provisions, the provisions of Article 56 of the Supplementary Provisions, and the provisions of Article 61 of the Supplementary Provisions: April 1, 1995;
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**二** 略
suppl-4061-56/art-1/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-1/par-1/item-2
Omitted;
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**三** 第四条中老人保健法第四十一条に一項を加える改正規定、同法第四十六条の八第四項の改正規定並びに同法第四十六条の十七の三の改正規定並びに第五条中老人福祉法の目次の改正規定（第二十条の七に係る部分に限る。）、同法第五条の三の改正規定、同法第五条の四第二項第二号の改正規定、同法第六条の二の改正規定、同法第十五条第二項の改正規定、同法第十六条第一項の改正規定、同法第十八条第一項の改正規定、同法第十八条の二第一項及び第三項の改正規定、同法第十九条第一項の改正規定、同法第二十条の二を同法第二十条の二の二とし、同法第二十条の次に一条を加える改正規定、同法第二十条の七の次に一条を加える改正規定並びに同法第三十一条の二第一項第二号の改正規定並びに附則第三十一条中社会福祉事業法第二条第三項第二号の三の改正規定 公布の日
suppl-4061-56/art-1/par-1/item-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-1/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-1/par-1/item-3
the amending provisions that add one paragraph to Article 41 of the Act on Health and Medical Services for the Elderly in Article 4, the amending provisions of Article 46-8, paragraph (4) of that Act, and the amending provisions of Article 46-17-3 of that Act, and the amending provisions of the table of contents of the Act on Social Welfare for the Elderly in Article 5 (limited to the part pertaining to Article 20-7), the amending provisions of Article 5-3 of that Act, the amending provisions of Article 5-4, paragraph (2), item (ii) of that Act, the amending provisions of Article 6-2 of that Act, the amending provisions of Article 15, paragraph (2) of that Act, the amending provisions of Article 16, paragraph (1) of that Act, the amending provisions of Article 18, paragraph (1) of that Act, the amending provisions of Article 18-2, paragraphs (1) and (3) of that Act, the amending provisions of Article 19, paragraph (1) of that Act, the amending provisions that make Article 20-2 of that Act Article 20-2-2 and insert one Article after Article 20 of that Act, the amending provisions that insert one Article after Article 20-7 of that Act, and the amending provisions of Article 31-2, paragraph (1), item (ii) of that Act, and the amending provisions of Article 2, paragraph (3), item (ii)-3 of the Social Welfare Service Act in Article 31 of the Supplementary Provisions: the date of promulgation.
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### 第二十一条（老人保健法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Act on Health and Medical Services for the Elderly
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suppl-4061-56/art-21 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-21 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-21
**第一項** 施行日前に行われた食事の提供、看護又は移送に係る老人保健法の規定による給付については、なお従前の例による。
suppl-4061-56/art-21/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-21/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-21/par-1
With regard to benefits under the provisions of the Act on Health and Medical Services for the Elderly pertaining to the provision of meals, nursing or transportation provided before the Effective Date, the provisions then in force continue to govern.
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### 第二十二条
suppl-4061-56/art-22 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-22 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-22
**第一項** 厚生大臣の定める病院又は診療所（新健保法第四十四条第一項第一号に規定する特定承認保険医療機関を除く。）において、第四条の規定による改正後の老人保健法（以下「新老健法」という。）第十七条第一項第五号に掲げる給付を受ける老人医療受給対象者（厚生大臣の定める状態にある者に限る。）が、当該病院又は診療所の従業者以外の者が提供する看護（以下この条において「付添看護」という。）を受けたときは、平成八年三月三十一日（付添看護の状況その他の事情を勘案し、厚生省令で定める要件に該当する病院又は診療所として都道府県知事の承認を受けたものにおける付添看護については、その日後厚生省令で定める日）までの間、当該付添看護を新老健法第三十二条第一項に規定する医療とみなして同項の規定を適用する。
suppl-4061-56/art-22/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-22/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-22/par-1
At a hospital or clinic specified by the Minister of Health and Welfare (excluding a specially approved medical institution providing services covered by health insurance prescribed in Article 44, paragraph (1), item (i) of the New Health Insurance Act), when a person eligible for medical care for the elderly (limited to a person in a condition specified by the Minister of Health and Welfare) who receives the benefits set forth in Article 17, paragraph (1), item (v) of the Act on Health and Medical Services for the Elderly as amended by the provisions of Article 4 (hereinafter referred to as the "New Elderly Health Act") receives nursing provided by a person other than an employee of that hospital or clinic (hereinafter in this Article referred to as "attendant nursing"), the provisions of Article 32, paragraph (1) of the New Elderly Health Act are applied, until March 31, 1996 (for attendant nursing at a hospital or clinic that has obtained the approval of the prefectural governor as one falling under the requirements specified by Ministry of Health and Welfare Order in consideration of the state of attendant nursing and other circumstances, until the date specified by Ministry of Health and Welfare Order that comes after that date), by deeming that attendant nursing to be the medical care prescribed in that paragraph.
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**第二項** 新老健法第三十一条の二第二項に規定する標準負担額は、同項の規定にかかわらず、平成八年九月三十日までの間、六百円（同項の厚生省令で定める者については、厚生大臣が別に定める額）とする。
suppl-4061-56/art-22/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-22/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-22/par-2
Notwithstanding the provisions of Article 31-2, paragraph (2) of the New Elderly Health Act, the standard co-payment amount prescribed in that paragraph is, until September 30, 1996, 600 yen (for persons specified by Ministry of Health and Welfare Order referred to in that paragraph, the amount separately specified by the Minister of Health and Welfare).
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### 第二十三条（入院時食事療養費に関する規定の施行前の準備） — Preparations before Enforcement of Provisions Concerning Dietary Treatment Expenses for Inpatients
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suppl-4061-56/art-23 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-23 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-23
**第一項** 厚生大臣は、新老健法第三十一条の二第二項に規定する標準負担額を定めようとするときは、施行日前において老人保健審議会に諮問することができる。この場合において、当該諮問に係る老人保健審議会からの答申は、新老健法第七条に規定する政令で定める審議会からの答申とみなす。
suppl-4061-56/art-23/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-23/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-23/par-1
When the Minister of Health and Welfare intends to specify the standard co-payment amount prescribed in Article 31-2, paragraph (2) of the New Elderly Health Act, the Minister may consult the Elderly Health Council before the Effective Date. In this case, the report from the Elderly Health Council in response to that consultation is deemed to be a report from the council specified by Cabinet Order prescribed in Article 7 of the New Elderly Health Act.
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**第二項** 厚生大臣は、新老健法第三十一条の二第二項に規定する基準並びに同条第四項に規定する入院時食事療養費に係る療養の取扱い及び担当に関する基準を定めようとするときは、施行日前においても中央社会保険医療協議会の意見を聴くことができる。
suppl-4061-56/art-23/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-23/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-23/par-2
When the Minister of Health and Welfare intends to specify the standards prescribed in Article 31-2, paragraph (2) of the New Elderly Health Act and the standards concerning the treatment and taking charge of medical treatment pertaining to dietary treatment expenses for inpatients prescribed in paragraph (4) of that Article, the Minister may hear the opinion of the Central Social Insurance Medical Council even before the Effective Date.
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### 第二十四条（事業費拠出金等に関する規定の施行前の準備） — Preparations before Enforcement of Provisions Concerning Contributions for Business Expenses, Etc.
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suppl-4061-56/art-24 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-24 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-24
**第一項** 厚生大臣は、新老健法附則第三条第一項の政令を定めようとするとき、及び新老健法附則第四条第一項の政令を定めようとするときは、施行日前において老人保健審議会の意見を聴くことができる。この場合において、老人保健審議会が述べた意見は、新老健法第七条に規定する政令で定める審議会が述べた意見とみなす。
suppl-4061-56/art-24/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-24/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-24/par-1
When the Minister of Health and Welfare intends to specify the Cabinet Order referred to in Article 3, paragraph (1) of the Supplementary Provisions of the New Elderly Health Act, and when the Minister intends to specify the Cabinet Order referred to in Article 4, paragraph (1) of the Supplementary Provisions of the New Elderly Health Act, the Minister may hear the opinion of the Elderly Health Council before the Effective Date. In this case, the opinion stated by the Elderly Health Council is deemed to be the opinion stated by the council specified by Cabinet Order prescribed in Article 7 of the New Elderly Health Act.
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### 第二十五条（老人保健法の一部改正に伴う国家公務員共済組合の業務等の特例） — Special Provisions on the Operations, Etc. of National Public Servants Mutual Aid Associations Accompanying the Partial Amendment of the Act on Health and Medical Services for the Elderly
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suppl-4061-56/art-25 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-25 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-25
**第一項** 新老健法附則第三条第一項の規定により拠出金の徴収が行われる場合における国家公務員共済組合法（昭和三十三年法律第百二十八号）の規定の適用については、同法第三条第四項中「第五十三条第一項」とあるのは、「第五十三条第一項及び同法附則第三条第一項」とする。
suppl-4061-56/art-25/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-25/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-25/par-1
With regard to the application of the provisions of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) in the case where contributions are collected pursuant to the provisions of Article 3, paragraph (1) of the Supplementary Provisions of the New Elderly Health Act, the phrase "Article 53, paragraph (1)" in Article 3, paragraph (4) of that Act is deemed to be replaced with "Article 53, paragraph (1) and Article 3, paragraph (1) of the Supplementary Provisions of that Act".
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**第二項** 新老健法附則第三条第一項の規定により拠出金の徴収が行われる場合における地方公務員等共済組合法（昭和三十七年法律第百五十二号）の規定の適用については、同法第百十三条第一項中「第五十三条第一項」とあるのは、「第五十三条第一項及び同法附則第三条第一項」とする。
suppl-4061-56/art-25/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-25/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-25/par-2
With regard to the application of the provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) in the case where contributions are collected pursuant to the provisions of Article 3, paragraph (1) of the Supplementary Provisions of the New Elderly Health Act, the phrase "Article 53, paragraph (1)" in Article 113, paragraph (1) of that Act is deemed to be replaced with "Article 53, paragraph (1) and Article 3, paragraph (1) of the Supplementary Provisions of that Act".
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### 第六十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4061-56/art-65 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-65 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-65
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4061-56/art-65/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-65/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-65/par-1
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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### 第六十六条（検討） — Review
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suppl-4061-56/art-66 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-66 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-66
**第一項** 医療保険各法による医療保険制度及び老人保健法による老人保健制度については、この法律の施行後三年を目途として、これらの制度の目的を踏まえ、この法律の施行後におけるこれらの制度の実施状況、国民医療費の動向、社会経済情勢の推移等を勘案し、入院時食事療養費に係る患者負担の在り方を含め、給付及び費用負担の在り方等に関して検討が加えられるべきものとする。
suppl-4061-56/art-66/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-66/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-66/par-1
With regard to the medical insurance system under the Medical Insurance Acts and the health service system for the elderly under the Act on Health and Medical Services for the Elderly, a review is to be made, with a view to doing so within three years after this Act comes into effect, in light of the purposes of those systems and taking into account the status of the implementation of those systems after this Act comes into effect, trends in national medical expenses, changes in the socioeconomic situation, etc., concerning the manner of benefits and sharing of expenses, etc., including the manner of patient burden pertaining to dietary treatment expenses for inpatients.
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### 第六十七条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4061-56/art-67 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-67 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-67
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4061-56/art-67/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-67/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-67/par-1
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## Cites
- suppl-4061-56/art-22/par-1: この条 → 高齢者の医療の確保に関する法律 附則第二十二条 (Supplementary Provisions, Article 22), suppl-4061-56/art-22 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-22 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-22
- suppl-4061-56/art-25/par-1: 同法第三条第四項 → e-Gov law 333AC0000000128, 第三条第四項 (Article 3, paragraph (4)), art-3/par-4 — not held in this collection
- suppl-4061-56/art-25/par-2: 同法第百十三条第一項 → e-Gov law 337AC0000000152, 第百十三条第一項 (Article 113, paragraph (1)), art-113/par-1 — not held in this collection
## Cited by
1 provision cites this one. No official source publishes this direction.
- 高齢者の医療の確保に関する法律 附則第二十二条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4061-56/art-22/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4061-56/art-22/par-1
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## 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-20261019T112331-010, 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