# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第十四条 (Supplementary Provisions, Article 14) - 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: 第十四条 (Supplementary Provisions, Article 14) — address `suppl-4141-102/art-14` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14 - 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. --- ### 第十四条 suppl-4141-102/art-14 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14 **第一項** 平成十四年度の概算医療費拠出金の額は、新老健法第五十五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-4141-102/art-14/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1 The amount of the estimated medical expense contribution for fiscal year 2002 is, notwithstanding Article 55, paragraph (1) of the New Elderly Health Act, to be the sum total of the amounts set forth in the following items. machine translation, not official **一** 次のイ又はロに掲げる保険者の区分に応じ、それぞれイ又はロに掲げる額 suppl-4141-102/art-14/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1 The amount set forth in (a) or (b), in accordance with the category of Insurer set forth in (a) or (b), respectively; machine translation, not official **イ** 概算特別調整基準超過保険者（平成十四年度における旧老健法第五十五条第二項に規定する概算加入者調整率が一を超える保険者のうち、特別調整前概算医療費拠出金相当額（平成十四年度における同条第一項各号に掲げる額の合計額をいう。以下この項及び次項において同じ。）から（１）に掲げる額を控除して得た額が（２）に掲げる額を超えるものをいう。以下この項から第三項までにおいて同じ。）　特別調整前概算医療費拠出金相当額から特別調整対象見込額（特別調整前概算医療費拠出金相当額から（１）に掲げる額と（２）に掲げる額との合計額を控除して得た額をいう。次項において同じ。）を控除して得た額と、特別調整見込額との合計額の十二分の七に相当する額 suppl-4141-102/art-14/par-1/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1 An insurer exceeding the estimated special adjustment standard (meaning, among Insurers for which the estimated participant adjustment rate prescribed in Article 55, paragraph (2) of the Former Elderly Health Act for fiscal year 2002 exceeds one, an Insurer for which the amount obtained by deducting the amount set forth in (1) from the special pre-adjustment estimated medical expense contribution equivalent (meaning the sum total of the amounts set forth in the items of paragraph (1) of that Article for fiscal year 2002; the same applies hereinafter in this paragraph and the following paragraph) exceeds the amount set forth in (2); the same applies hereinafter in this paragraph through paragraph (3)): an amount equivalent to 7/12 of the sum of the amount obtained by deducting the estimated amount subject to special adjustment (meaning the amount obtained by deducting the sum of the amount set forth in (1) and the amount set forth in (2) from the special pre-adjustment estimated medical expense contribution equivalent; the same applies in the following paragraph) from the special pre-adjustment estimated medical expense contribution equivalent, and the estimated special adjustment amount; machine translation, not official **（１）** 当該保険者に係る平成十四年度における旧老健法第五十五条第一項第一号に規定する老人医療費見込額の十分の七に相当する額 suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-1 An amount equivalent to 7/10 of the estimated amount of medical expenses for the elderly prescribed in Article 55, paragraph (1), item (i) of the Former Elderly Health Act pertaining to the relevant Insurer for fiscal year 2002; machine translation, not official **（２）** 次に掲げる額の合計額に特別調整基準率を乗じて得た額 suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2 The amount obtained by multiplying the sum total of the following amounts by the special adjustment base rate. machine translation, not official **（ｉ）** 特別調整前概算医療費拠出金相当額 suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-1 The special pre-adjustment estimated medical expense contribution equivalent; machine translation, not official **（ｉｉ）** 当該保険者の給付であって旧老健法第六条第一項に規定する医療保険各法の規定による医療に関する給付（第一条の規定による改正前の健康保険法第六十九条ノ三に規定するその他の給付及びこれに相当する給付を除く。）のうち厚生労働省令で定めるものに該当するものに要する費用（同法第七十九条ノ九第二項に規定する日雇拠出金の納付に要する費用及び第四条の規定による改正前の国民健康保険法第八十一条の二第一項に規定する療養給付費拠出金の納付に要する費用を含む。第三項において「保険者の給付に要する費用」という。）の平成十四年度における見込額として厚生労働省令で定めるところにより算定される額 suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2 The amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount for fiscal year 2002 of the expenses required for those benefits of the relevant Insurer that are benefits concerning medical care under the provisions of the Medical Insurance Acts prescribed in Article 6, paragraph (1) of the Former Elderly Health Act (excluding other benefits prescribed in Article 69-3 of the Health Insurance Act before amendment by the provisions of Article 1 and benefits equivalent thereto) and fall under those specified by Order of the Ministry of Health, Labour and Welfare (including the expenses required for payment of the day laborer contribution prescribed in Article 79-9, paragraph (2) of that Act and the expenses required for payment of the contribution for medical care benefit expenses prescribed in Article 81-2, paragraph (1) of the National Health Insurance Act before amendment by the provisions of Article 4; referred to as "expenses required for benefits by insurers" in paragraph (3)). machine translation, not official **ロ** 概算特別調整基準超過保険者以外の保険者　特別調整前概算医療費拠出金相当額と特別調整見込額との合計額の十二分の七に相当する額 suppl-4141-102/art-14/par-1/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-2 Insurers other than Insurers exceeding the estimated special adjustment standard: an amount equivalent to 7/12 of the sum total of the special pre-adjustment estimated medical expense contribution equivalent and the estimated special adjustment amount. machine translation, not official **二** 次のイ又はロに掲げる保険者の区分に応じ、それぞれイ又はロに掲げる額 suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 The amount set forth in (a) or (b), in accordance with the category of Insurer set forth in (a) or (b), respectively. machine translation, not official **イ** 施行日以後概算負担調整基準超過保険者（施行日以後概算加入者調整率が一を超える保険者のうち、施行日以後負担調整前概算医療費拠出金相当額から（１）に掲げる額を控除して得た額が（２）に掲げる額を超えるものをいう。以下この条において同じ。）　施行日以後負担調整前概算医療費拠出金相当額から施行日以後負担調整対象見込額（施行日以後負担調整前概算医療費拠出金相当額から（１）に掲げる額と（２）に掲げる額との合計額を控除して得た額をいう。第六項において同じ。）を控除して得た額と、施行日以後負担調整見込額との合計額 suppl-4141-102/art-14/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1 An insurer exceeding the post-commencement estimated burden adjustment standard (meaning, among Insurers for which the post-commencement estimated participant adjustment rate exceeds one, an Insurer for which the amount obtained by deducting the amount set forth in (1) from the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment exceeds the amount set forth in (2); the same applies hereinafter in this Article): the sum total of the amount obtained by deducting the post-commencement estimated amount subject to burden adjustment (meaning the amount obtained by deducting the sum of the amount set forth in (1) and the amount set forth in (2) from the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment; the same applies in paragraph (6)) from the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment, and the post-commencement estimated burden adjustment amount; machine translation, not official **（１）** 当該保険者に係る施行日以後老人医療費見込額（市町村が平成十四年度において支弁する一の保険者に係る新老健法第二十五条第一項に規定する七十五歳以上の加入者等（附則第九条の規定により七十五歳以上の者とみなされる者であって加入者であるものを含む。以下この条から附則第十七条までにおいて単に「七十五歳以上の加入者等」という。）に対する施行日以後に行われる医療（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。）、特定療養費の支給（医療費の支給を含む。）、老人訪問看護療養費の支給、移送費の支給及び高額医療費の支給（以下この条から附則第十七条までにおいて「医療等」という。）に要する費用の見込額として厚生労働省令で定めるところにより算定される額をいう。以下この条において同じ。）に、一から施行日以後特定費用概算率を控除して得た率を乗じて得た額の百分の六十六に相当する額と、施行日以後老人医療費見込額に施行日以後特定費用概算率を乗じて得た額との合計額 suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1 The sum total of an amount equivalent to 66 percent of the amount obtained by multiplying the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer (meaning the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses, borne by municipalities in fiscal year 2002, required for medical care (including payment of medical expenses), payment of dietary treatment expenses for inpatients (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), payment of medical expenses for home-nursing for the elderly, payment of transport expenses and payment of high-cost medical expenses (hereinafter in this Article through Article 17 of the Supplementary Provisions referred to as "medical care, etc.") provided on or after the Effective Date for the participants aged 75 or over, etc. pertaining to one Insurer, as prescribed in Article 25, paragraph (1) of the New Elderly Health Act (including persons who are deemed to be persons aged 75 or more under the provisions of Article 9 of the Supplementary Provisions and are participants; hereinafter in this Article through Article 17 of the Supplementary Provisions simply referred to as "participants aged 75 or over, etc."); the same applies hereinafter in this Article) by the rate obtained by deducting the post-commencement estimated specified expense rate from one, and the amount obtained by multiplying the post-commencement estimated elderly medical expenses by the post-commencement estimated specified expense rate; machine translation, not official **（２）** 次に掲げる額の合計額に施行日以後負担調整基準率を乗じて得た額 suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2 The amount obtained by multiplying the sum total of the following amounts by the post-commencement burden adjustment base rate. machine translation, not official **（ｉ）** 施行日以後負担調整前概算医療費拠出金相当額 suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-1 The post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment; machine translation, not official **（ｉｉ）** 当該保険者の給付であって新老健法第六条第一項の医療保険各法の規定による医療に関する給付（健康保険法第五十三条に規定するその他の給付及びこれに相当する給付を除く。以下この条、次条第一項、附則第十六条第一項及び附則第十七条第一項において「医療関連給付」という。）のうち厚生労働省令で定めるものに該当するものに要する費用（同法第百七十三条第二項に規定する日雇拠出金の納付に要する費用及び国民健康保険法第八十一条の二第一項に規定する療養給付費等拠出金の納付に要する費用を含む。次条第一項、附則第十六条第一項及び附則第十七条第一項において「保険者の給付に要する費用」という。）の平成十四年度における見込額のうち施行日以後に行われる医療関連給付に要する費用の見込額として厚生労働省令で定めるところにより算定される額 suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2 The amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the estimated amount of the expenses required for medical-related benefits provided on or after the Effective Date, out of the estimated amount for fiscal year 2002 of the expenses required for those benefits of the relevant Insurer that are benefits concerning medical care under the provisions of the Medical Insurance Acts in Article 6, paragraph (1) of the New Elderly Health Act (excluding other benefits prescribed in Article 53 of the Health Insurance Act and benefits equivalent thereto; hereinafter in this Article, paragraph (1) of the following Article, Article 16, paragraph (1) and Article 17, paragraph (1) of the Supplementary Provisions referred to as "medical-related benefits") and fall under those specified by Order of the Ministry of Health, Labour and Welfare (including the expenses required for payment of the day laborer contribution prescribed in Article 173, paragraph (2) of that Act and the expenses required for payment of the contribution for medical care benefit expenses, etc. prescribed in Article 81-2, paragraph (1) of the National Health Insurance Act; referred to as "expenses required for benefits by insurers" in paragraph (1) of the following Article, Article 16, paragraph (1) and Article 17, paragraph (1) of the Supplementary Provisions). machine translation, not official **ロ** 施行日以後概算負担調整基準超過保険者以外の保険者　施行日以後負担調整前概算医療費拠出金相当額と施行日以後負担調整見込額との合計額 suppl-4141-102/art-14/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-2 Insurers other than Insurers exceeding the post-commencement estimated burden adjustment standard: the sum total of the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment and the post-commencement estimated burden adjustment amount. machine translation, not official **第二項** 前項第一号イの特別調整見込額は、当該保険者に係る特別調整前概算医療費拠出金相当額（概算特別調整基準超過保険者にあっては、特別調整前概算医療費拠出金相当額から特別調整対象見込額を控除して得た額）に概算特別調整加算率（すべての概算特別調整基準超過保険者に係る特別調整対象見込額の総額を、すべての保険者に係る特別調整前概算医療費拠出金相当額の総額からすべての概算特別調整基準超過保険者に係る特別調整対象見込額の総額を控除して得た額で除して得た率を基礎として厚生労働大臣が定める率をいう。）を乗じて得た額とする。 suppl-4141-102/art-14/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-2 The estimated special adjustment amount set forth in item (i), (a) of the preceding paragraph is the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent pertaining to the relevant Insurer (for an insurer exceeding the estimated special adjustment standard, the amount obtained by deducting the estimated amount subject to special adjustment from the special pre-adjustment estimated medical expense contribution equivalent) by the estimated special adjustment addition rate (meaning the rate determined by the Minister of Health, Labour and Welfare on the basis of the rate obtained by dividing the total amount of the estimated amounts subject to special adjustment pertaining to all Insurers exceeding the estimated special adjustment standard by the amount obtained by deducting the total amount of the estimated amounts subject to special adjustment pertaining to all Insurers exceeding the estimated special adjustment standard from the total amount of the special pre-adjustment estimated medical expense contribution equivalents pertaining to all Insurers). machine translation, not official **第三項** 第一項第一号イ（２）の特別調整基準率は、一人当たりの老人医療費の動向、旧老健法第二十五条第一項に規定する七十歳以上の加入者等（同項に規定する七十歳以上の加入者等をいう。次条において単に「七十歳以上の加入者等」という。）の増加の状況、保険者の給付に要する費用の動向及び概算特別調整基準超過保険者の数の動向を勘案し、百分の二十五以上において政令で定める率とする。 suppl-4141-102/art-14/par-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-3 The special adjustment base rate referred to in paragraph (1), item (i), (a), (2) is to be a rate of 25 percent or more specified by Cabinet Order, taking into account trends in medical expenses for the elderly per person, the status of increase in participants aged 70 or over, etc. prescribed in Article 25, paragraph (1) of the Former Elderly Health Act (meaning participants aged 70 or over, etc. prescribed in that paragraph; referred to simply as "participants aged 70 or over, etc." in the following Article), trends in the expenses required for benefits by insurers, and trends in the number of Insurers exceeding the estimated special adjustment standard. machine translation, not official **第四項** 第一項第二号イの施行日以後概算加入者調整率は、厚生労働省令で定めるところにより、施行日以後平成十五年三月三十一日までの期間におけるすべての保険者に係る加入者の見込総数に対する七十五歳以上の加入者等の見込総数の割合を当該期間における当該保険者に係る加入者の見込数に対する七十五歳以上の加入者等の見込数の割合（その割合が当該期間における下限割合（新老健法第五十五条第二項の政令で定める割合をいう。次条第五項、附則第十六条第二項及び第七項並びに附則第十七条第二項及び第六項において同じ。）に満たないときは、下限割合とする。）で除して得た率を基礎として保険者ごとに算定される率とする。 suppl-4141-102/art-14/par-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-4 The post-commencement estimated participant adjustment rate referred to in paragraph (1), item (ii), (a) is to be a rate calculated for each Insurer, as specified by Order of the Ministry of Health, Labour and Welfare, on the basis of the rate obtained by dividing the ratio of the estimated total number of participants aged 75 or over, etc. to the estimated total number of participants for all Insurers during the period from the Effective Date through March 31, 2003 by the ratio of the estimated number of participants aged 75 or over, etc. to the estimated number of participants for the relevant Insurer during that period (if that ratio is less than the minimum rate for that period (meaning the rate specified by Cabinet Order referred to in Article 55, paragraph (2) of the New Elderly Health Act; the same applies in paragraph (5) of the following Article, Article 16, paragraphs (2) and (7) and Article 17, paragraphs (2) and (6) of the Supplementary Provisions), the minimum rate). machine translation, not official **第五項** 第一項第二号イの施行日以後負担調整前概算医療費拠出金相当額は、次の各号に掲げる額の合計額とする。 suppl-4141-102/art-14/par-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5 The post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment referred to in paragraph (1), item (ii), (a) is to be 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（次号において「施行日以後調整後老人医療費見込額」という。）に、一から施行日以後特定費用概算率を控除して得た率を乗じて得た額の百分の六十六に相当する額 suppl-4141-102/art-14/par-5/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-1 An amount equivalent to 66 percent of the amount obtained by multiplying the sum total of the following amounts (referred to as "post-commencement adjusted estimated elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement estimated specified expense rate from one; machine translation, not official **イ** 当該保険者に係る施行日以後老人医療費見込額から施行日以後調整対象外医療費見込額（当該保険者が概算施行日以後基準超過保険者（一の保険者に係る七十五歳以上の加入者等一人当たりの施行日以後老人医療費見込額として厚生労働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七十五歳以上の加入者等一人当たりの施行日以後老人医療費見込額の平均額として厚生労働省令で定めるところにより算定される額（イにおいて「一人平均老人医療費見込額」という。）で除して得た率が、新老健法第五十五条第三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見込額のうち、一人平均老人医療費見込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労働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施行日以後概算加入者調整率を乗じて得た額 suppl-4141-102/art-14/par-5/item-1/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-1/sub-1 The amount obtained by multiplying the amount obtained by deducting the post-commencement estimated medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the estimated post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the post-commencement estimated elderly medical expenses per participant aged 75 or over, etc. pertaining to one Insurer by the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the average amount of the post-commencement estimated elderly medical expenses per participant aged 75 or over, etc. pertaining to all Insurers (referred to as "per-person average of estimated elderly medical expenses" in (a)) exceeds the rate specified by the Cabinet Order referred to in Article 55, paragraph (3), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the portion of the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of estimated elderly medical expenses by the rate specified by that Cabinet Order; the same applies in (b)) from the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer by the post-commencement estimated participant adjustment rate; machine translation, not official **ロ** 施行日以後調整対象外医療費見込額 suppl-4141-102/art-14/par-5/item-1/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-1/sub-2 The post-commencement estimated medical expenses outside adjustment; machine translation, not official **二** 施行日以後調整後老人医療費見込額に施行日以後特定費用概算率を乗じて得た額 suppl-4141-102/art-14/par-5/item-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-2 The amount obtained by multiplying the post-commencement adjusted estimated elderly medical expenses by the post-commencement estimated specified expense rate. machine translation, not official **第六項** 第一項第二号イの施行日以後負担調整見込額は、当該保険者に係る施行日以後負担調整前概算医療費拠出金相当額（施行日以後概算負担調整基準超過保険者にあっては、施行日以後負担調整前概算医療費拠出金相当額から施行日以後負担調整対象見込額を控除して得た額）に施行日以後概算負担調整加算率（すべての施行日以後概算負担調整基準超過保険者に係る施行日以後負担調整対象見込額の総額を、すべての保険者に係る施行日以後負担調整前概算医療費拠出金相当額の総額からすべての施行日以後概算負担調整基準超過保険者に係る施行日以後負担調整対象見込額の総額を控除して得た額で除して得た率を基礎として厚生労働大臣が定める率をいう。）を乗じて得た額とする。 suppl-4141-102/art-14/par-6 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-6 The post-commencement estimated burden adjustment amount referred to in paragraph (1), item (ii), (a) is the amount obtained by multiplying the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment pertaining to the relevant Insurer (for an insurer exceeding the post-commencement estimated burden adjustment standard, the amount obtained by deducting the post-commencement estimated amount subject to burden adjustment from the post-commencement amount equivalent to the estimated medical expense contribution before burden adjustment) by the post-commencement estimated burden adjustment addition rate (meaning the rate determined by the Minister of Health, Labour and Welfare on the basis of the rate obtained by dividing the total amount of the post-commencement estimated amounts subject to burden adjustment pertaining to all Insurers exceeding the post-commencement estimated burden adjustment standard by the amount obtained by deducting the total amount of the post-commencement estimated amounts subject to burden adjustment pertaining to all Insurers exceeding the post-commencement estimated burden adjustment standard from the total amount of the post-commencement pre-burden-adjustment estimated medical expense contribution equivalents pertaining to all Insurers). machine translation, not official **第七項** 第一項第二号イ（１）の施行日以後特定費用概算率は、施行日以後平成十五年三月三十一日までの期間におけるすべての保険者に係る七十五歳以上の加入者等の見込総数に対する新老健法第二十八条第一項第二号に掲げる場合に該当する者の見込総数の割合及び同項各号に掲げる割合を勘案し、厚生労働大臣が定める率とする。 suppl-4141-102/art-14/par-7 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-7 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-7 The post-commencement estimated specified expense rate referred to in paragraph (1), item (ii), (a), (1) is to be a rate determined by the Minister of Health, Labour and Welfare, taking into account the ratio of the estimated total number of persons falling under the case set forth in Article 28, paragraph (1), item (ii) of the New Elderly Health Act to the estimated total number of participants aged 75 or over, etc. pertaining to all Insurers during the period from the Effective Date through March 31, 2003 and the ratios set forth in the items of that paragraph. machine translation, not official **第八項** 第一項第二号イ（２）の施行日以後負担調整基準率は、一人当たりの老人医療費の動向、七十五歳以上の加入者等の増加の状況、保険者の給付に要する費用の動向及び施行日以後概算負担調整基準超過保険者の数の動向を勘案し、百分の二十五以上において政令で定める率とする。 suppl-4141-102/art-14/par-8 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-8 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-8 The post-commencement burden adjustment base rate referred to in paragraph (1), item (ii), (a), (2) is to be a rate of 25 percent or more specified by Cabinet Order, taking into account trends in medical expenses for the elderly per person, the status of increase in participants aged 75 or over, etc., trends in the expenses required for benefits by insurers, and trends in the number of Insurers exceeding the post-commencement estimated burden adjustment standard. machine translation, not official --- ## Cites - suppl-4141-102/art-14/par-1/item-1/sub-1: この項 → 高齢者の医療の確保に関する法律 附則第十四条第一項 (Supplementary Provisions, Article 14, paragraph (1)), suppl-4141-102/art-14/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1 - suppl-4141-102/art-14/par-1/item-1/sub-1: 次項 → 高齢者の医療の確保に関する法律 附則第十四条第二項 (Supplementary Provisions, Article 14, paragraph (2)), suppl-4141-102/art-14/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-2 - suppl-4141-102/art-14/par-1/item-1/sub-1: 第三項 → 高齢者の医療の確保に関する法律 附則第十四条第三項 (Supplementary Provisions, Article 14, paragraph (3)), suppl-4141-102/art-14/par-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-3 - suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2: 第三項 → 高齢者の医療の確保に関する法律 附則第十四条第三項 (Supplementary Provisions, Article 14, paragraph (3)), suppl-4141-102/art-14/par-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-3 - suppl-4141-102/art-14/par-1/item-2/sub-1: この条 → 高齢者の医療の確保に関する法律 附則第十四条 (Supplementary Provisions, Article 14), suppl-4141-102/art-14 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14 - suppl-4141-102/art-14/par-1/item-2/sub-1: 第六項 → 高齢者の医療の確保に関する法律 附則第十四条第六項 (Supplementary Provisions, Article 14, paragraph (6)), suppl-4141-102/art-14/par-6 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-6 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1: 附則第九条 → 高齢者の医療の確保に関する法律 附則第九条 (Supplementary Provisions, Article 9), suppl-4141-102/art-9 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-9 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1: この条 → 高齢者の医療の確保に関する法律 附則第十四条 (Supplementary Provisions, Article 14), suppl-4141-102/art-14 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1: 附則第十七条 → 高齢者の医療の確保に関する法律 附則第十七条 (Supplementary Provisions, Article 17), suppl-4141-102/art-17 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-17 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-17 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: 健康保険法第五十三条 → 健康保険法 第五十三条 (Article 53), art-53 — https://japanlaw.org/en/health-insurance-act/art-53 · https://japanlaw.org/l/211AC0000000070/art-53 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: この条 → 高齢者の医療の確保に関する法律 附則第十四条 (Supplementary Provisions, Article 14), suppl-4141-102/art-14 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: 次条第一項 → 高齢者の医療の確保に関する法律 附則第十五条第一項 (Supplementary Provisions, Article 15, paragraph (1)), suppl-4141-102/art-15/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-15/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-15/par-1 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: 附則第十六条第一項 → 高齢者の医療の確保に関する法律 附則第十六条第一項 (Supplementary Provisions, Article 16, paragraph (1)), suppl-4141-102/art-16/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-16/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-16/par-1 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: 附則第十七条第一項 → 高齢者の医療の確保に関する法律 附則第十七条第一項 (Supplementary Provisions, Article 17, paragraph (1)), suppl-4141-102/art-17/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-17/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-17/par-1 - suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2: 同法第百七十三条第二項 → 健康保険法 第百七十三条第二項 (Article 173, paragraph (2)), art-173/par-2 — https://japanlaw.org/en/health-insurance-act/art-173/par-2 · https://japanlaw.org/l/211AC0000000070/art-173/par-2 - suppl-4141-102/art-14/par-2: 前項第一号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第一号 (Supplementary Provisions, Article 14, paragraph (1), item (i)), suppl-4141-102/art-14/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1 - suppl-4141-102/art-14/par-3: 第一項第一号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第一号 (Supplementary Provisions, Article 14, paragraph (1), item (i)), suppl-4141-102/art-14/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1 - suppl-4141-102/art-14/par-3: 次条 → 高齢者の医療の確保に関する法律 附則第十五条 (Supplementary Provisions, Article 15), suppl-4141-102/art-15 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-15 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-15 - suppl-4141-102/art-14/par-4: 第一項第二号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第二号 (Supplementary Provisions, Article 14, paragraph (1), item (ii)), suppl-4141-102/art-14/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 - suppl-4141-102/art-14/par-4: 次条第五項 → 高齢者の医療の確保に関する法律 附則第十五条第五項 (Supplementary Provisions, Article 15, paragraph (5)), suppl-4141-102/art-15/par-5 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-15/par-5 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-15/par-5 - suppl-4141-102/art-14/par-4: 附則第十六条第二項 → 高齢者の医療の確保に関する法律 附則第十六条第二項 (Supplementary Provisions, Article 16, paragraph (2)), suppl-4141-102/art-16/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-16/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-16/par-2 - suppl-4141-102/art-14/par-4: 第七項 → 高齢者の医療の確保に関する法律 附則第十六条第七項 (Supplementary Provisions, Article 16, paragraph (7)), suppl-4141-102/art-16/par-7 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-16/par-7 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-16/par-7 - suppl-4141-102/art-14/par-4: 附則第十七条第二項 → 高齢者の医療の確保に関する法律 附則第十七条第二項 (Supplementary Provisions, Article 17, paragraph (2)), suppl-4141-102/art-17/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-17/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-17/par-2 - suppl-4141-102/art-14/par-4: 第六項 → 高齢者の医療の確保に関する法律 附則第十七条第六項 (Supplementary Provisions, Article 17, paragraph (6)), suppl-4141-102/art-17/par-6 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-17/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-17/par-6 - suppl-4141-102/art-14/par-5: 第一項第二号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第二号 (Supplementary Provisions, Article 14, paragraph (1), item (ii)), suppl-4141-102/art-14/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 - suppl-4141-102/art-14/par-5/item-1: 次号 → 高齢者の医療の確保に関する法律 附則第十四条第五項第二号 (Supplementary Provisions, Article 14, paragraph (5), item (ii)), suppl-4141-102/art-14/par-5/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-2 - suppl-4141-102/art-14/par-6: 第一項第二号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第二号 (Supplementary Provisions, Article 14, paragraph (1), item (ii)), suppl-4141-102/art-14/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 - suppl-4141-102/art-14/par-7: 第一項第二号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第二号 (Supplementary Provisions, Article 14, paragraph (1), item (ii)), suppl-4141-102/art-14/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 - suppl-4141-102/art-14/par-8: 第一項第二号 → 高齢者の医療の確保に関する法律 附則第十四条第一項第二号 (Supplementary Provisions, Article 14, paragraph (1), item (ii)), suppl-4141-102/art-14/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2 ## Cited by 16 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 附則第十四条第一項第一号イ — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1 - 高齢者の医療の確保に関する法律 附則第十四条第一項第一号イ（２）（ｉｉ） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-1/sub-1/sub2-2/sub3-2 - 高齢者の医療の確保に関する法律 附則第十四条第一項第二号イ — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1 - 高齢者の医療の確保に関する法律 附則第十四条第一項第二号イ（１） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-1 - 高齢者の医療の確保に関する法律 附則第十四条第一項第二号イ（２）（ｉｉ） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-1/item-2/sub-1/sub2-2/sub3-2 - 高齢者の医療の確保に関する法律 附則第十四条第二項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-2 - 高齢者の医療の確保に関する法律 附則第十四条第三項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-3 - 高齢者の医療の確保に関する法律 附則第十四条第四項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-4 - 高齢者の医療の確保に関する法律 附則第十四条第五項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5 - 高齢者の医療の確保に関する法律 附則第十四条第五項第一号 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-5/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-5/item-1 - 高齢者の医療の確保に関する法律 附則第十四条第六項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-6 - 高齢者の医療の確保に関する法律 附則第十四条第七項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-7 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-7 - 高齢者の医療の確保に関する法律 附則第十四条第八項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-14/par-8 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-14/par-8 - 高齢者の医療の確保に関する法律 附則第十五条第一項第一号イ（２） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-15/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-15/par-1/item-1/sub-1/sub2-2 - 高齢者の医療の確保に関する法律 附則第十五条第一項第二号イ（２） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-15/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-15/par-1/item-2/sub-1/sub2-2 - 高齢者の医療の確保に関する法律 附則第三十六条第一項（政令への委任） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4141-102/art-36/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4141-102/art-36/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-20261019T102707-017, 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-20261019T102707-017, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-014, 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