# 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-4071-53` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4071-53 - 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. --- ## 附　則 平成七年三月三一日法律第五三号 suppl-4071-53 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4071-53/art-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-1 **第一項** この法律は、平成七年四月一日から施行する。 suppl-4071-53/art-1/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-1/par-1 This Act comes into effect as of April 1, 1995. machine translation, not official ### 第四条 〔削除 / repealed〕 suppl-4071-53/art-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-4 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-4 **第一項** 削除 suppl-4071-53/art-4/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-4/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-4/par-1 no English for this paragraph ### 第五条（交付金に関する経過措置） — Transitional Measures Concerning Subsidies caption: machine translation, not official suppl-4071-53/art-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-5 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-5 **第一項** 第三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。）第四十八条の規定は、この法律の施行の日（以下「施行日」という。）以後に行われる新老健法の規定による医療（医療費の支給を含む。）、入院時食事療養費の支給（医療費の支給を含む。）及び特定療養費の支給（医療費の支給を含む。）に要する費用並びにこれらの事業に関する事務の執行に要する費用について適用し、施行日前に行われた第三条の規定による改正前の老人保健法の規定による医療（医療費の支給を含む。）、入院時食事療養費の支給（医療費の支給を含む。）及び特定療養費の支給（医療費の支給を含む。）に要する費用並びにこれらの事業に関する事務の執行に要する費用については、なお従前の例による。 suppl-4071-53/art-5/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-5/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-5/par-1 The provisions of Article 48 of the Act on Health and Medical Services for the Elderly as amended by the provisions of Article 3 (hereinafter referred to as the "New Elderly Health Act") apply to the expenses required for medical care (including payment of medical expenses), payment of dietary treatment expenses for inpatients (including payment of medical expenses) and payment of specified medical expenses (including payment of medical expenses) under the provisions of the New Elderly Health Act provided on or after the date of enforcement of this Act (hereinafter referred to as the "Effective Date") and the expenses required for the execution of affairs concerning those services, and the provisions then in force continue to govern the expenses required for medical care (including payment of medical expenses), payment of dietary treatment expenses for inpatients (including payment of medical expenses) and payment of specified medical expenses (including payment of medical expenses) under the provisions of the Act on Health and Medical Services for the Elderly as it stood before the amendment by the provisions of Article 3 provided before the Effective Date and the expenses required for the execution of affairs concerning those services. machine translation, not official ### 第六条（平成六年度以前の年度の医療費拠出金に関する経過措置） — Transitional Measures Concerning Medical Expense Contributions for Fiscal Years up to and including Fiscal Year 1994 caption: machine translation, not official suppl-4071-53/art-6 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-6 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-6 **第一項** 平成六年度以前の年度の概算医療費拠出金及び確定医療費拠出金については、なお従前の例による。 suppl-4071-53/art-6/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-6/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-6/par-1 With regard to the estimated medical expense contribution and the fixed medical expense contribution for fiscal years up to and including fiscal year 1994, the provisions then in force continue to govern. machine translation, not official ### 第七条（加入者調整率に関する特例） — Special Provisions Concerning the Participant Adjustment Rate caption: machine translation, not official suppl-4071-53/art-7 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-7 **第一項** 平成七年度の新老健法第五十五条第三項に規定する概算加入者調整率については、同項中「上限割合（当該割合を超える保険者の見込数がすべての保険者の数のおおむね百分の三となる割合として政令で定める割合をいう。以下この項及び次条第三項において同じ。）を超えるときは上限割合」とあるのは「百分の二十二を超えるときは百分の二十二」と、「百分の一・五」とあるのは「百分の一・四」と、同条第四項中「第一項第一号イ及び前項」とあるのは「第一項第一号イ」とし、同年度の新老健法第五十六条第三項に規定する確定加入者調整率については、同項中「前々年度における上限割合を超えるときは当該上限割合」とあるのは「百分の二十二を超えるときは百分の二十二」と、「百分の一・五」とあるのは「百分の一・四」とする。 suppl-4071-53/art-7/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-7/par-1 With regard to the estimated participant adjustment rate prescribed in Article 55, paragraph (3) of the New Elderly Health Act for fiscal year 1995, the phrase "exceeds the upper limit ratio (meaning the ratio specified by Cabinet Order as the ratio at which the estimated number of Insurers exceeding that ratio is approximately 3/100 of the number of all Insurers; the same applies hereinafter in this paragraph and paragraph (3) of the following Article), the upper limit ratio" in that paragraph is deemed to be replaced with "exceeds 22 percent, 22 percent", the phrase "1.5 percent" with "1.4 percent", and the phrase "paragraph (1), item (i), (a) and the preceding paragraph" in paragraph (4) of that Article with "paragraph (1), item (i), (a)"; and with regard to the fixed participant adjustment rate prescribed in Article 56, paragraph (3) of the New Elderly Health Act for the same fiscal year, the phrase "exceeds the upper limit ratio for the fiscal year before the previous fiscal year, that upper limit ratio" in that paragraph is deemed to be replaced with "exceeds 22 percent, 22 percent", and the phrase "1.5 percent" with "1.4 percent". machine translation, not official **第二項** 平成八年度及び平成九年度の新老健法第五十五条第三項に規定する概算加入者調整率については、同項中「（当該割合を超える保険者の見込数がすべての保険者の数のおおむね百分の三となる割合として政令で定める割合をいう。以下この項及び次条第三項において同じ。）」とあるのは「（各医療保険の運営の状況等を勘案し、百分の二十四以上百分の二十六以下において各年度ごとに政令で定める割合をいう。以下この項及び国民健康保険法等の一部を改正する法律（平成七年法律第五十三号）附則第七条第二項の規定により読み替えて適用される次条第三項において同じ。）」と、「百分の一・五」とあるのは「百分の一・四」と、同条第四項中「前項」とあるのは「国民健康保険法等の一部を改正する法律附則第七条第二項の規定により読み替えて適用される前項」とし、平成八年度及び平成九年度の新老健法第五十六条第三項に規定する確定加入者調整率については、同項中「百分の一・五」とあるのは、「百分の一・四」とする。 suppl-4071-53/art-7/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-7/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-7/par-2 With regard to the estimated participant adjustment rate prescribed in Article 55, paragraph (3) of the New Elderly Health Act for fiscal year 1996 and fiscal year 1997, the phrase "(meaning the ratio specified by Cabinet Order as the ratio at which the estimated number of Insurers exceeding that ratio is approximately 3/100 of the number of all Insurers; the same applies hereinafter in this paragraph and paragraph (3) of the following Article)" in that paragraph is deemed to be replaced with "(meaning the ratio specified by Cabinet Order for each fiscal year within the range of 24 percent or more and 26 percent or less, taking into consideration the state of operation of each medical insurance, etc.; the same applies hereinafter in this paragraph and paragraph (3) of the following Article as applied with the replacement of terms pursuant to Article 7, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. (Act No. 53 of 1995))", the phrase "1.5 percent" with "1.4 percent", and the phrase "the preceding paragraph" in paragraph (4) of that Article with "the preceding paragraph as applied with the replacement of terms pursuant to Article 7, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc."; and with regard to the fixed participant adjustment rate prescribed in Article 56, paragraph (3) of the New Elderly Health Act for fiscal year 1996 and fiscal year 1997, the phrase "1.5 percent" in that paragraph is deemed to be replaced with "1.4 percent". machine translation, not official ### 第八条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order caption: machine translation, not official suppl-4071-53/art-8 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-8 **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-4071-53/art-8/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-8/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. machine translation, not official --- ## Cites - suppl-4071-53/art-7/par-2: 国民健康保険法等の一部を改正する法律（平成七年法律第五十三号）附則第七条第二項 → 高齢者の医療の確保に関する法律 附則第七条第二項 (Supplementary Provisions, Article 7, paragraph (2)), suppl-4071-53/art-7/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-7/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-7/par-2 ## 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 附則第七条第二項（加入者調整率に関する特例） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4071-53/art-7/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4071-53/art-7/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-20261019T112331-011, 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