# 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-4181-83`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4181-83
- 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 平成一八年六月二一日法律第八三号
<sup>suppl-4181-83 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83</sup>

### 第一条（施行期日） — Effective Date
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1</sup>

**第一項**  この法律は、平成十八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、それぞれ当該各号に定める日から施行する。
<sup>suppl-4181-83/art-1/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1</sup>
This Act comes into effect on October 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:
<sup>machine translation, not official</sup>

  **一**  第十条並びに附則第四条、第三十三条から第三十六条まで、第五十二条第一項及び第二項、第百五条、第百二十四条並びに第百三十一条から第百三十三条までの規定　公布の日
  <sup>suppl-4181-83/art-1/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-1</sup>
  the provisions of Article 10, and Article 4, Articles 33 through 36, Article 52, paragraphs (1) and (2), Article 105, Article 124 and Articles 131 through 133 of the Supplementary Provisions: the date of promulgation;
  <sup>machine translation, not official</sup>

  **二及び三**  略
  <sup>suppl-4181-83/art-1/par-1/item-2-to-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-2-to-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-2-to-3</sup>
  Omitted
  <sup>machine translation, not official</sup>

  **四**  第三条、第七条、第十三条、第十六条、第十九条及び第二十四条並びに附則第二条第二項、第三十七条から第三十九条まで、第四十一条、第四十二条、第四十四条、第五十七条、第六十六条、第七十五条、第七十六条、第七十八条、第七十九条、第八十一条、第八十四条、第八十五条、第八十七条、第八十九条、第九十三条から第九十五条まで、第九十七条から第百条まで、第百三条、第百九条、第百十四条、第百十七条、第百二十条、第百二十三条、第百二十六条、第百二十八条及び第百三十条の規定　平成二十年四月一日
  <sup>suppl-4181-83/art-1/par-1/item-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-4</sup>
  the provisions of Articles 3, 7, 13, 16, 19 and 24, and Article 2, paragraph (2), Articles 37 through 39, Articles 41, 42, 44, 57, 66, 75, 76, 78, 79, 81, 84, 85, 87 and 89, Articles 93 through 95, Articles 97 through 100, and Articles 103, 109, 114, 117, 120, 123, 126, 128 and 130 of the Supplementary Provisions: April 1, 2008;
  <sup>machine translation, not official</sup>

  **五**  第四条、第八条及び第二十五条並びに附則第十六条、第十七条、第十八条第一項及び第二項、第十九条から第三十一条まで、第八十条、第八十二条、第八十八条、第九十二条、第百一条、第百四条、第百七条、第百八条、第百十五条、第百十六条、第百十八条、第百二十一条並びに第百二十九条の規定　平成二十年十月一日
  <sup>suppl-4181-83/art-1/par-1/item-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-5 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-5</sup>
  the provisions of Articles 4, 8 and 25, and Articles 16 and 17, Article 18, paragraphs (1) and (2), Articles 19 through 31, and Articles 80, 82, 88, 92, 101, 104, 107, 108, 115, 116, 118, 121 and 129 of the Supplementary Provisions: October 1, 2008;
  <sup>machine translation, not official</sup>

  **六**  第五条、第九条、第十四条、第二十条及び第二十六条並びに附則第五十三条、第五十八条、第六十七条、第九十条、第九十一条、第九十六条、第百十一条、第百十一条の二及び第百三十条の二の規定　平成二十四年四月一日
  <sup>suppl-4181-83/art-1/par-1/item-6 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-6 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-6</sup>
  the provisions of Articles 5, 9, 14, 20 and 26, and Articles 53, 58, 67, 90, 91, 96, 111, 111-2 and 130-2 of the Supplementary Provisions: April 1, 2012.
  <sup>machine translation, not official</sup>

### 第二条（検討） — Review
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-2</sup>

**第一項**  政府は、この法律の施行後五年を目途として、この法律の施行の状況等を勘案し、この法律により改正された医療保険各法及び第七条の規定による改正後の高齢者の医療の確保に関する法律（以下「高齢者医療確保法」という。）の規定に基づく規制の在り方について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
<sup>suppl-4181-83/art-2/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-2/par-1</sup>
Aiming at five years after the enforcement of this Act, the government is to take into account the status of the enforcement of this Act, etc., review how the regulations based on the provisions of the Medical Insurance Acts amended by this Act and the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 7 (hereinafter referred to as the "Elderly Medical Care Assurance Act") should be, and, if it finds it necessary, take required measures based on the results.
<sup>machine translation, not official</sup>

**第二項**  高齢者医療確保法による高齢者医療制度については、制度の実施状況、保険給付に要する費用の状況、社会経済の情勢の推移等を勘案し、第七条の規定の施行後五年を目途としてその全般に関して検討が加えられ、必要があると認めるときは、その結果に基づいて所要の措置が講ぜられるべきものとする。
<sup>suppl-4181-83/art-2/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-2/par-2</sup>
With regard to the medical insurance system for the elderly under the Elderly Medical Care Assurance Act, taking into account the status of implementation of the system, the status of the expenses required for insurance benefits, changes in socioeconomic conditions, etc., a review of the whole of it is to be conducted with a target of five years after the enforcement of the provisions of Article 7, and, if it is found necessary, required measures are to be taken based on the results.
<sup>machine translation, not official</sup>

### 第三十二条（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
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-32 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-32 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-32</sup>

**第一項**  第六条又は第七条の規定の施行の日前に行われた診療、薬剤の支給若しくは手当又は老人訪問看護に係るこれらの条の規定による改正前の老人保健法の規定による医療等については、それぞれなお従前の例による。
<sup>suppl-4181-83/art-32/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-32/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-32/par-1</sup>
With regard to medical care, etc. under the provisions of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of those Articles, pertaining to medical care, provision of drugs or medical treatment, or home-nursing for the elderly, provided before the date on which the provisions of Article 6 or Article 7 come into effect, the provisions then in force continue to govern, respectively.
<sup>machine translation, not official</sup>

### 第三十三条
<sup>suppl-4181-83/art-33 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-33 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33</sup>

**第一項**  厚生労働大臣は、第六条の規定による改正後の老人保健法第十七条第二項第三号及び第四号の定め（同項第三号の定めのうち高度の医療技術に係るものを除く。）、同法第三十一条の二の二第二項及び第四項の基準並びに同法第三十一条の三第二項第一号及び第三項の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。
<sup>suppl-4181-83/art-33/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-33/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33/par-1</sup>
The Minister of Health, Labour and Welfare may, when intending to establish the specifications in Article 17, paragraph (2), items (iii) and (iv) of the Act on Health and Medical Services for the Elderly as amended by the provisions of Article 6 (excluding, from the specifications in item (iii) of that paragraph, those pertaining to advanced medical care techniques), the standards in Article 31-2-2, paragraphs (2) and (4) of that Act, and the standards in Article 31-3, paragraph (2), item (i) and paragraph (3) of that Act, hear the opinions of the Central Social Insurance Medical Council even before the Effective Date.
<sup>machine translation, not official</sup>

**第二項**  厚生労働大臣は、高齢者医療確保法第六十四条第二項第三号及び第四号の定め（同項第三号の定めのうち高度の医療技術に関するものを除く。）、高齢者医療確保法第七十一条第一項の基準、高齢者医療確保法第七十四条第二項及び第四項の基準、高齢者医療確保法第七十五条第二項及び第四項の基準、高齢者医療確保法第七十六条第二項第一号及び第三項の基準並びに高齢者医療確保法第七十八条第四項及び第七十九条第一項の基準（指定訪問看護の取扱いに関する部分に限る。）を定めようとするときは、第七条の規定の施行の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。
<sup>suppl-4181-83/art-33/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-33/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33/par-2</sup>
The Minister of Health, Labour and Welfare may, when intending to establish the specifications in Article 64, paragraph (2), items (iii) and (iv) of the Elderly Medical Care Assurance Act (excluding, from the specifications in item (iii) of that paragraph, those pertaining to advanced medical care techniques), the standards in Article 71, paragraph (1) of the Elderly Medical Care Assurance Act, the standards in Article 74, paragraphs (2) and (4) of the Elderly Medical Care Assurance Act, the standards in Article 75, paragraphs (2) and (4) of the Elderly Medical Care Assurance Act, the standards in Article 76, paragraph (2), item (i) and paragraph (3) of the Elderly Medical Care Assurance Act, and the standards in Article 78, paragraph (4) and Article 79, paragraph (1) of the Elderly Medical Care Assurance Act (limited to the part concerning the treatment of designated home-nursing), hear the opinions of the Central Social Insurance Medical Council even before the date on which the provisions of Article 7 come into effect.
<sup>machine translation, not official</sup>

### 第三十四条
<sup>suppl-4181-83/art-34 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-34 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34</sup>

**第一項**  厚生労働大臣及び都道府県知事は、高齢者医療確保法第八条第一項の医療費適正化基本方針及び全国医療費適正化計画並びに高齢者医療確保法第九条第一項の都道府県医療費適正化計画の作成のため、第七条の規定の施行の日前においても、関係行政機関の長又は関係市町村（特別区を含む。以下同じ。）との協議その他の必要な準備行為をすることができる。
<sup>suppl-4181-83/art-34/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-34/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34/par-1</sup>
The Minister of Health, Labour and Welfare and Prefectural Governors may, for the preparation of the basic policies for the optimization of medical expenses and the national plan for the optimization of medical expenses under Article 8, paragraph (1) of the Elderly Medical Care Assurance Act and the prefectural plan for the optimization of medical expenses under Article 9, paragraph (1) of the Elderly Medical Care Assurance Act, engage in consultation with the heads of relevant administrative organs or relevant municipalities (including special wards; the same applies hereinafter) and other necessary preparatory acts, even before the date on which the provisions of Article 7 come into effect.
<sup>machine translation, not official</sup>

**第二項**  厚生労働大臣及び保険者は、高齢者医療確保法第十八条第一項の特定健康診査等基本指針及び高齢者医療確保法第十九条第一項の特定健康診査等実施計画の作成のため、第七条の規定の施行の日前においても、関係行政機関の長との協議その他の必要な準備行為をすることができる。
<sup>suppl-4181-83/art-34/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-34/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34/par-2</sup>
The Minister of Health, Labour and Welfare and Insurers may, for the preparation of the basic guidelines for Special health examinations, etc. under Article 18, paragraph (1) of the Elderly Medical Care Assurance Act and the Implementation Plan for Special health examinations, etc. under Article 19, paragraph (1) of the Elderly Medical Care Assurance Act, engage in consultation with the heads of relevant administrative organs and other necessary preparatory acts, even before the date on which the provisions of Article 7 come into effect.
<sup>machine translation, not official</sup>

### 第三十五条
<sup>suppl-4181-83/art-35 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-35 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-35</sup>

**第一項**  都道府県及び市町村は、第七条の規定の施行の日前においても、後期高齢者医療の事務の実施に必要な準備行為をすることができる。
<sup>suppl-4181-83/art-35/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-35/par-1</sup>
Prefectures and municipalities may, even before the date on which the provisions of Article 7 come into effect, engage in preparatory acts necessary for the implementation of the affairs of Old-old Medical Care.
<sup>machine translation, not official</sup>

### 第三十六条
<sup>suppl-4181-83/art-36 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36</sup>

**第一項**  この法律の公布の日に現に存する市町村（この法律の公布の日後この項の規定により広域連合を設ける日までの間に廃置分合により消滅した市町村を除く。以下この条において「現存市町村」という。）は、高齢者医療確保法の施行の準備のため、平成十八年度の末日までに、都道府県の区域ごとに当該区域内のすべての現存市町村が加入する広域連合を設けるものとする。
<sup>suppl-4181-83/art-36/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-1</sup>
Municipalities existing on the date of promulgation of this Act (excluding municipalities that cease to exist due to the creation, abolition, division or merger of municipalities during the period after the date of promulgation of this Act until the date on which a cross-regional federation is established pursuant to the provisions of this paragraph; hereinafter in this Article referred to as "existing municipalities") are to establish, in order to prepare for the enforcement of the Elderly Medical Care Assurance Act, by the last day of fiscal year 2006, for each area of a prefecture, a cross-regional federation that all existing municipalities within that area join.
<sup>machine translation, not official</sup>

**第二項**  平成十八年度の末日までに前項の広域連合に加入していない現存市町村以外の市町村は、同日後速やかに同項の広域連合に加入するものとする。
<sup>suppl-4181-83/art-36/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-2</sup>
Municipalities, other than existing municipalities, that have not joined the cross-regional federation referred to in the preceding paragraph by the last day of fiscal year 2006 are to join the cross-regional federation referred to in that paragraph promptly after that day.
<sup>machine translation, not official</sup>

### 第三十七条
<sup>suppl-4181-83/art-37 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-37 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-37</sup>

**第一項**  第七条の規定の施行の際現にされている同条の規定による改正前の老人保健法（以下「平成二十年四月改正前老健法」という。）第二十五条の二の規定による市町村長に対する届出（高齢者医療確保法第五十一条各号のいずれかに該当する者に係るものを除く。）は、高齢者医療確保法第五十四条第一項の規定によりされた後期高齢者医療広域連合に対する届出とみなす。
<sup>suppl-4181-83/art-37/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-37/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-37/par-1</sup>
A notification to the mayor of a municipality under the provisions of Article 25-2 of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 7 (hereinafter referred to as the "Pre-April 2008 Elderly Health Act") that has actually been made at the time of enforcement of the provisions of that Article (excluding one pertaining to a person who falls under any of the items of Article 51 of the Elderly Medical Care Assurance Act) is deemed to be a notification to the Association of Medical Care Systems for the Elderly Aged 75 and older made pursuant to the provisions of Article 54, paragraph (1) of the Elderly Medical Care Assurance Act.
<sup>machine translation, not official</sup>

**第二項**  第七条の規定の施行の際現に受けている平成二十年四月改正前老健法第二十五条第一項第二号の規定による市町村長の認定（高齢者医療確保法第五十一条各号のいずれかに該当する者に係るものを除く。）は、高齢者医療確保法第五十条第二号の規定により後期高齢者医療広域連合から受けた認定とみなす。
<sup>suppl-4181-83/art-37/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-37/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-37/par-2</sup>
A certification by the mayor of a municipality under the provisions of Article 25, paragraph (1), item (ii) of the Pre-April 2008 Elderly Health Act that has actually been received at the time of enforcement of the provisions of Article 7 (excluding one pertaining to a person who falls under any of the items of Article 51 of the Elderly Medical Care Assurance Act) is deemed to be a certification received from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 50, item (ii) of the Elderly Medical Care Assurance Act.
<sup>machine translation, not official</sup>

### 第三十八条
<sup>suppl-4181-83/art-38 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38</sup>

**第一項**  第七条の規定の施行の日前に平成二十年四月改正前老健法の規定により行われた診療、薬剤の支給若しくは手当又は老人訪問看護に係る医療等に要する費用（以下この条において「平成二十年四月前の医療等に要する費用」という。）のうち平成二十七年度以前に請求されたものの支弁及び負担並びにこれらの事務の執行に要する費用については、平成二十年四月改正前老健法第四章（第五十一条及び第五十二条を除く。）、第五章及び第六章（第七十九条第一項及び第二項を除く。）の規定（これらの規定に基づく命令を含む。）は、なおその効力を有する。この場合において、これらの規定の適用に関し必要な技術的読替えその他これらの規定の適用に関し必要な事項は、政令で定める。
<sup>suppl-4181-83/art-38/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1</sup>
With regard to the defrayal and burden of those of the costs required for medical care, etc. pertaining to medical care, provision of drugs or medical treatment, or home-nursing for the elderly provided before the date of enforcement of the provisions of Article 7 pursuant to the provisions of the Pre-April 2008 Elderly Health Act (hereinafter in this Article referred to as the "costs of medical care, etc. before April 2008") that were claimed in fiscal year 2015 or earlier, and the expenses required for the execution of those affairs, the provisions of Chapter IV (excluding Articles 51 and 52), Chapter V and Chapter VI (excluding Article 79, paragraphs (1) and (2)) of the Pre-April 2008 Elderly Health Act (including orders based on these provisions) remain in force. In this case, the necessary technical replacement of terms in applying these provisions and other matters necessary for applying these provisions are specified by Cabinet Order.
<sup>machine translation, not official</sup>

**第二項**  平成二十年四月前の医療等に要する費用のうち平成二十八年度以後に請求されるものについては、平成二十年四月改正前老健法の規定により当該費用を負担することとされた市町村が加入する高齢者の医療の確保に関する法律第四十八条に規定する後期高齢者医療広域連合が負担する療養の給付に要する費用とみなして、同法第四章第四節及び第五章の規定を適用する。
<sup>suppl-4181-83/art-38/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-2</sup>
With regard to the costs of medical care, etc. before April 2008 that are claimed in or after fiscal year 2016, the provisions of Chapter IV, Section 4 and Chapter V of the Act on Assurance of Medical Care for Elderly People apply by deeming them to be the expenses required for benefits for medical treatment borne by the Association of Medical Care Systems for the Elderly Aged 75 and older prescribed in Article 48 of that Act, which municipalities designated pursuant to the provisions of the Pre-April 2008 Elderly Health Act as bearing those costs have joined.
<sup>machine translation, not official</sup>

**第三項**  平成三十年度以後の各年度における、平成二十年四月前の医療等に要する費用のうち平成二十七年度以前に請求されたものの支弁及び負担に係る事務の執行に要する費用（医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）による医療情報基盤・診療報酬審査支払機構（以下この項において「機構」という。）の事務に係るものに限る。）については、第一項の規定によりなおその効力を有するものとされた平成二十年四月改正前老健法第五十三条の規定を適用せず、当該各年度における高齢者の医療の確保に関する法律第百三十九条第一項第二号に掲げる機構の業務に関する事務の処理に要する費用とみなして、同法第百二十二条の規定を適用する。
<sup>suppl-4181-83/art-38/par-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3</sup>
For each fiscal year from fiscal year 2018, with regard to the expenses required for the execution of the affairs pertaining to the defrayal and burden of those of the costs of medical care, etc. before April 2008 that were claimed in or before fiscal year 2015 (limited to those pertaining to the affairs of the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (hereinafter in this paragraph referred to as the "Organization") under the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948)), the provisions of Article 53 of the Pre-April 2008 Elderly Health Act that are to remain in force pursuant to the provisions of paragraph (1) do not apply, and the provisions of Article 122 of the Act on Assurance of Medical Care for Elderly People apply by deeming those expenses to be expenses required for the processing of the affairs pertaining to the services of the Organization set forth in Article 139, paragraph (1), item (ii) of that Act for the relevant fiscal year.
<sup>machine translation, not official</sup>

**第四項**  平成三十年四月一日において現に第一項の規定によりなおその効力を有するものとされた平成二十年四月改正前老健法第六十八条に規定する特別の会計に所属する権利及び義務は、政令で定めるところにより、同日において高齢者の医療の確保に関する法律第百四十三条に規定する同法第百三十九条第一項第二号の業務に係る特別の会計に帰属するものとする。
<sup>suppl-4181-83/art-38/par-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-4</sup>
The rights and obligations that actually belong, as of April 1, 2018, to the special account prescribed in Article 68 of the Pre-April 2008 Elderly Health Act that is to remain in force pursuant to the provisions of paragraph (1) are to, as specified by Cabinet Order, vest on that day in the special account prescribed in Article 143 of the Act on Assurance of Medical Care for Elderly People for the services under Article 139, paragraph (1), item (ii) of that Act.
<sup>machine translation, not official</sup>

### 第三十九条
<sup>suppl-4181-83/art-39 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-39 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-39</sup>

**第一項**  市町村は、第七条の規定の施行後三年間は、附則第三十二条の規定によりなお従前の例によることとされた平成二十年四月改正前老健法の規定による医療等に関する収入及び支出について、特別会計を設けるものとする。
<sup>suppl-4181-83/art-39/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-39/par-1</sup>
Municipalities are to establish a special account for revenue and expenditure pertaining to the medical care, etc. under the provisions of the Pre-April 2008 Elderly Health Act as to which the provisions then in force continue to govern pursuant to the provisions of Article 32 of the Supplementary Provisions, for three years after the provisions of Article 7 come into effect.
<sup>machine translation, not official</sup>

### 第百三十条の二（健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act, etc.
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-130-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2</sup>

**第一項**  第二十六条の規定の施行の際現に同条の規定による改正前の介護保険法（以下この条において「旧介護保険法」という。）第四十八条第一項第三号の指定を受けている旧介護保険法第八条第二十六項に規定する介護療養型医療施設については、第五条の規定による改正前の健康保険法の規定、第九条の規定による改正前の高齢者の医療の確保に関する法律の規定、第十四条の規定による改正前の国民健康保険法の規定、第二十条の規定による改正前の船員保険法の規定、旧介護保険法の規定、附則第五十八条の規定による改正前の国家公務員共済組合法の規定、附則第六十七条の規定による改正前の地方公務員等共済組合法の規定、附則第九十条の規定による改正前の船員職業安定法の規定、附則第九十一条の規定による改正前の生活保護法の規定、附則第九十六条の規定による改正前の船員の雇用の促進に関する特別措置法の規定、附則第百十一条の規定による改正前の高齢者虐待の防止、高齢者の養護者に対する支援等に関する法律の規定及び附則第百十一条の二の規定による改正前の道州制特別区域における広域行政の推進に関する法律の規定（これらの規定に基づく命令の規定を含む。）は、令和六年三月三十一日までの間、なおその効力を有する。
<sup>suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-1</sup>
With regard to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Long-Term Care Insurance Act before the amendment by the provisions of Article 26 (hereinafter in this Article referred to as the "Former Long-Term Care Insurance Act") that, at the time of enforcement of the provisions of Article 26, has actually received the designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act, the provisions of the Health Insurance Act before the amendment by the provisions of Article 5, the provisions of the Act on Assurance of Medical Care for Elderly People before the amendment by the provisions of Article 9, the provisions of the National Health Insurance Act before the amendment by the provisions of Article 14, the provisions of the Mariners Insurance Act before the amendment by the provisions of Article 20, the provisions of the Former Long-Term Care Insurance Act, the provisions of the National Public Officers Mutual Aid Association Act before the amendment by the provisions of Article 58 of the Supplementary Provisions, the provisions of the Local Public Officers, etc. Mutual Aid Association Act before the amendment by the provisions of Article 67 of the Supplementary Provisions, the provisions of the Mariners' Employment Security Act before the amendment by the provisions of Article 90 of the Supplementary Provisions, the provisions of the Public Assistance Act before the amendment by the provisions of Article 91 of the Supplementary Provisions, the provisions of the Act on Special Measures concerning Employment Promotion of Mariners before the amendment by the provisions of Article 96 of the Supplementary Provisions, the provisions of the Act on the Prevention of Elder Abuse and Support for Caregivers of Elderly Persons before the amendment by the provisions of Article 111 of the Supplementary Provisions, and the provisions of the Act on Promotion of Wide-Area Administration in Special Zones of the Doshu System before the amendment by the provisions of Article 111-2 of the Supplementary Provisions (including the provisions of orders based on these provisions) remain in force until March 31, 2024.
<sup>machine translation, not official</sup>

**第二項**  前項の規定によりなおその効力を有するものとされた旧介護保険法第四十八条第一項第三号の規定により令和六年三月三十一日までに行われた指定介護療養施設サービスに係る保険給付については、同日後も、なお従前の例による。
<sup>suppl-4181-83/art-130-2/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-2</sup>
With regard to insurance benefits pertaining to designated long-term care sanatorium facility services provided by March 31, 2024 pursuant to Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act that is to remain in force pursuant to the provisions of the preceding paragraph, the provisions then in force continue to govern even after that date.
<sup>machine translation, not official</sup>

**第三項**  第二十六条の規定の施行の日前にされた旧介護保険法第百七条第一項の指定の申請であって、第二十六条の規定の施行の際、指定をするかどうかの処分がなされていないものについての当該処分については、なお従前の例による。この場合において、同条の規定の施行の日以後に旧介護保険法第八条第二十六項に規定する介護療養型医療施設について旧介護保険法第四十八条第一項第三号の指定があったときは、第一項の介護療養型医療施設とみなして、同項の規定によりなおその効力を有するものとされた規定を適用する。
<sup>suppl-4181-83/art-130-2/par-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-3</sup>
With regard to the disposition on whether or not to grant designation on an application for designation under Article 107, paragraph (1) of the Former Long-Term Care Insurance Act that was filed before the date of enforcement of the provisions of Article 26 and for which no such disposition has been made at the time of enforcement of the provisions of Article 26, the provisions then in force continue to govern. In this case, if, on or after the date of enforcement of the provisions of that Article, designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act is granted to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Former Long-Term Care Insurance Act, it is deemed to be the long-term care sanatorium-type medical facility referred to in paragraph (1), and the provisions that are to remain in force pursuant to that paragraph apply.
<sup>machine translation, not official</sup>

### 第百三十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-131 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-131 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-131</sup>

**第一項**  この法律（附則第一条各号に掲げる規定については、当該各規定。以下同じ。）の施行前にした行為、この附則の規定によりなお従前の例によることとされる場合及びこの附則の規定によりなおその効力を有することとされる場合におけるこの法律の施行後にした行為並びにこの法律の施行後前条第一項の規定によりなおその効力を有するものとされる同項に規定する法律の規定の失効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。
<sup>suppl-4181-83/art-131/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-131/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-131/par-1</sup>
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, each of those provisions; the same applies hereinafter) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions and in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect but before the provisions of the Acts prescribed in paragraph (1) of the preceding Article, which are to remain in force pursuant to the provisions of that paragraph, cease to be effective, the provisions then in force continue to govern.
<sup>machine translation, not official</sup>

### 第百三十二条（処分、手続等に関する経過措置） — Transitional Measures for Dispositions, Procedures, etc.
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-132 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132</sup>

**第一項**  この法律の施行前に改正前のそれぞれの法律（これに基づく命令を含む。以下この条において同じ。）の規定によってした処分、手続その他の行為であって、改正後のそれぞれの法律の規定に相当の規定があるものは、この附則に別段の定めがあるものを除き、改正後のそれぞれの法律の相当の規定によってしたものとみなす。
<sup>suppl-4181-83/art-132/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132/par-1</sup>
Dispositions, procedures and other acts carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment (including orders based on it; the same applies hereinafter in this Article), for which there are equivalent provisions in each Act as amended, are deemed, unless otherwise provided for in these Supplementary Provisions, to have been carried out pursuant to the equivalent provisions of each Act as amended.
<sup>machine translation, not official</sup>

**第二項**  この法律の施行前に改正前のそれぞれの法律の規定により届出その他の手続をしなければならない事項で、この法律の施行の日前にその手続がされていないものについては、この法律及びこれに基づく命令に別段の定めがあるものを除き、これを、改正後のそれぞれの法律中の相当の規定により手続がされていないものとみなして、改正後のそれぞれの法律の規定を適用する。
<sup>suppl-4181-83/art-132/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132/par-2</sup>
With regard to matters for which a notification or other procedure must be carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment and for which that procedure has not been carried out before the date on which this Act comes into effect, the provisions of each Act as amended apply by deeming the procedure not to have been carried out pursuant to the equivalent provisions of each Act as amended, unless otherwise provided for in this Act or orders based on it.
<sup>machine translation, not official</sup>

### 第百三十三条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
<sup>caption: machine translation, not official</sup>
<sup>suppl-4181-83/art-133 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-133 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-133</sup>

**第一項**  附則第三条から前条まで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。
<sup>suppl-4181-83/art-133/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-133/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-133/par-1</sup>
Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
<sup>machine translation, not official</sup>

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## Cites
- suppl-4181-83/art-1/par-1/item-1: 第三十三条から第三十六条まで → 高齢者の医療の確保に関する法律 附則第三十三条 (Supplementary Provisions, Article 33), suppl-4181-83/art-33 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-33 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33
- suppl-4181-83/art-1/par-1/item-1: 第三十三条から第三十六条まで → 高齢者の医療の確保に関する法律 附則第三十四条 (Supplementary Provisions, Article 34), suppl-4181-83/art-34 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-34 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34
- suppl-4181-83/art-1/par-1/item-1: 第三十三条から第三十六条まで → 高齢者の医療の確保に関する法律 附則第三十五条 (Supplementary Provisions, Article 35), suppl-4181-83/art-35 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-35 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-35
- suppl-4181-83/art-1/par-1/item-1: 第三十三条から第三十六条まで → 高齢者の医療の確保に関する法律 附則第三十六条 (Supplementary Provisions, Article 36), suppl-4181-83/art-36 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36
- suppl-4181-83/art-1/par-1/item-1: 第百三十一条から第百三十三条まで → 高齢者の医療の確保に関する法律 附則第百三十一条 (Supplementary Provisions, Article 131), suppl-4181-83/art-131 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-131 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-131
- suppl-4181-83/art-1/par-1/item-1: 第百三十一条から第百三十三条まで → 高齢者の医療の確保に関する法律 附則第百三十二条 (Supplementary Provisions, Article 132), suppl-4181-83/art-132 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132
- suppl-4181-83/art-1/par-1/item-1: 第百三十一条から第百三十三条まで → 高齢者の医療の確保に関する法律 附則第百三十三条 (Supplementary Provisions, Article 133), suppl-4181-83/art-133 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-133 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-133
- suppl-4181-83/art-1/par-1/item-4: 附則第二条第二項 → 高齢者の医療の確保に関する法律 附則第二条第二項 (Supplementary Provisions, Article 2, paragraph (2)), suppl-4181-83/art-2/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-2/par-2
- suppl-4181-83/art-1/par-1/item-4: 第三十七条から第三十九条まで → 高齢者の医療の確保に関する法律 附則第三十七条 (Supplementary Provisions, Article 37), suppl-4181-83/art-37 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-37 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-37
- suppl-4181-83/art-1/par-1/item-4: 第三十七条から第三十九条まで → 高齢者の医療の確保に関する法律 附則第三十八条 (Supplementary Provisions, Article 38), suppl-4181-83/art-38 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38
- suppl-4181-83/art-1/par-1/item-4: 第三十七条から第三十九条まで → 高齢者の医療の確保に関する法律 附則第三十九条 (Supplementary Provisions, Article 39), suppl-4181-83/art-39 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-39 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-39
- suppl-4181-83/art-1/par-1/item-6: 第百三十条の二 → 高齢者の医療の確保に関する法律 附則第百三十条の二 (Supplementary Provisions, Article 130-2), suppl-4181-83/art-130-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第六十四条第二項第三号 → 高齢者の医療の確保に関する法律 第六十四条第二項第三号 (Article 64, paragraph (2), item (iii)), art-64/par-2/item-3 — https://japanlaw.org/en/elderly-medical-care-act/art-64/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-64/par-2/item-3
- suppl-4181-83/art-33/par-2: 第四号 → 高齢者の医療の確保に関する法律 第六十四条第二項第四号 (Article 64, paragraph (2), item (iv)), art-64/par-2/item-4 — https://japanlaw.org/en/elderly-medical-care-act/art-64/par-2/item-4 · https://japanlaw.org/l/357AC0000000080/art-64/par-2/item-4
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第七十一条第一項 → 高齢者の医療の確保に関する法律 第七十一条第一項 (Article 71, paragraph (1)), art-71/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-71/par-1 · https://japanlaw.org/l/357AC0000000080/art-71/par-1
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第七十四条第二項 → 高齢者の医療の確保に関する法律 第七十四条第二項 (Article 74, paragraph (2)), art-74/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-74/par-2 · https://japanlaw.org/l/357AC0000000080/art-74/par-2
- suppl-4181-83/art-33/par-2: 第四項 → 高齢者の医療の確保に関する法律 第七十四条第四項 (Article 74, paragraph (4)), art-74/par-4 — https://japanlaw.org/en/elderly-medical-care-act/art-74/par-4 · https://japanlaw.org/l/357AC0000000080/art-74/par-4
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第七十五条第二項 → 高齢者の医療の確保に関する法律 第七十五条第二項 (Article 75, paragraph (2)), art-75/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-75/par-2 · https://japanlaw.org/l/357AC0000000080/art-75/par-2
- suppl-4181-83/art-33/par-2: 第四項 → 高齢者の医療の確保に関する法律 第七十五条第四項 (Article 75, paragraph (4)), art-75/par-4 — https://japanlaw.org/en/elderly-medical-care-act/art-75/par-4 · https://japanlaw.org/l/357AC0000000080/art-75/par-4
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第七十六条第二項第一号 → 高齢者の医療の確保に関する法律 第七十六条第二項第一号 (Article 76, paragraph (2), item (i)), art-76/par-2/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-76/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-76/par-2/item-1
- suppl-4181-83/art-33/par-2: 第三項 → 高齢者の医療の確保に関する法律 第七十六条第三項 (Article 76, paragraph (3)), art-76/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-76/par-3 · https://japanlaw.org/l/357AC0000000080/art-76/par-3
- suppl-4181-83/art-33/par-2: 高齢者医療確保法第七十八条第四項 → 高齢者の医療の確保に関する法律 第七十八条第四項 (Article 78, paragraph (4)), art-78/par-4 — https://japanlaw.org/en/elderly-medical-care-act/art-78/par-4 · https://japanlaw.org/l/357AC0000000080/art-78/par-4
- suppl-4181-83/art-33/par-2: 第七十九条第一項 → 高齢者の医療の確保に関する法律 第七十九条第一項 (Article 79, paragraph (1)), art-79/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-79/par-1 · https://japanlaw.org/l/357AC0000000080/art-79/par-1
- suppl-4181-83/art-34/par-1: 高齢者医療確保法第八条第一項 → 高齢者の医療の確保に関する法律 第八条第一項 (Article 8, paragraph (1)), art-8/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/art-8/par-1
- suppl-4181-83/art-34/par-1: 高齢者医療確保法第九条第一項 → 高齢者の医療の確保に関する法律 第九条第一項 (Article 9, paragraph (1)), art-9/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/art-9/par-1
- suppl-4181-83/art-34/par-2: 高齢者医療確保法第十八条第一項 → 高齢者の医療の確保に関する法律 第十八条第一項 (Article 18, paragraph (1)), art-18/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-18/par-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-1
- suppl-4181-83/art-34/par-2: 高齢者医療確保法第十九条第一項 → 高齢者の医療の確保に関する法律 第十九条第一項 (Article 19, paragraph (1)), art-19/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-19/par-1 · https://japanlaw.org/l/357AC0000000080/art-19/par-1
- suppl-4181-83/art-36/par-1: この項 → 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 (Supplementary Provisions, Article 36, paragraph (1)), suppl-4181-83/art-36/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-1
- suppl-4181-83/art-36/par-1: この条 → 高齢者の医療の確保に関する法律 附則第三十六条 (Supplementary Provisions, Article 36), suppl-4181-83/art-36 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36
- suppl-4181-83/art-36/par-2: 前項 → 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 (Supplementary Provisions, Article 36, paragraph (1)), suppl-4181-83/art-36/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-1
- suppl-4181-83/art-37/par-1: 高齢者医療確保法第五十一条 → 高齢者の医療の確保に関する法律 第五十一条 (Article 51), art-51 — https://japanlaw.org/en/elderly-medical-care-act/art-51 · https://japanlaw.org/l/357AC0000000080/art-51
- suppl-4181-83/art-37/par-1: 高齢者医療確保法第五十四条第一項 → 高齢者の医療の確保に関する法律 第五十四条第一項 (Article 54, paragraph (1)), art-54/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-54/par-1 · https://japanlaw.org/l/357AC0000000080/art-54/par-1
- suppl-4181-83/art-37/par-2: 高齢者医療確保法第五十一条 → 高齢者の医療の確保に関する法律 第五十一条 (Article 51), art-51 — https://japanlaw.org/en/elderly-medical-care-act/art-51 · https://japanlaw.org/l/357AC0000000080/art-51
- suppl-4181-83/art-37/par-2: 高齢者医療確保法第五十条第二号 → 高齢者の医療の確保に関する法律 第五十条第一項第二号 (Article 50, paragraph (1), item (ii)), art-50/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-50/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-50/par-1/item-2
- suppl-4181-83/art-38/par-1: この条 → 高齢者の医療の確保に関する法律 附則第三十八条 (Supplementary Provisions, Article 38), suppl-4181-83/art-38 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38
- suppl-4181-83/art-38/par-2: 高齢者の医療の確保に関する法律第四十八条 → 高齢者の医療の確保に関する法律 第四十八条 (Article 48), art-48 — https://japanlaw.org/en/elderly-medical-care-act/art-48 · https://japanlaw.org/l/357AC0000000080/art-48
- suppl-4181-83/art-38/par-3: この項 → 高齢者の医療の確保に関する法律 附則第三十八条第三項 (Supplementary Provisions, Article 38, paragraph (3)), suppl-4181-83/art-38/par-3 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3
- suppl-4181-83/art-38/par-3: 第一項 → 高齢者の医療の確保に関する法律 附則第三十八条第一項 (Supplementary Provisions, Article 38, paragraph (1)), suppl-4181-83/art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1
- suppl-4181-83/art-38/par-3: 高齢者の医療の確保に関する法律第百三十九条第一項第二号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第二号 (Article 139, paragraph (1), item (ii)), art-139/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-139/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-2
- suppl-4181-83/art-38/par-3: 同法第百二十二条 → 高齢者の医療の確保に関する法律 第百二十二条 (Article 122), art-122 — https://japanlaw.org/en/elderly-medical-care-act/art-122 · https://japanlaw.org/l/357AC0000000080/art-122
- suppl-4181-83/art-38/par-4: 第一項 → 高齢者の医療の確保に関する法律 附則第三十八条第一項 (Supplementary Provisions, Article 38, paragraph (1)), suppl-4181-83/art-38/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1
- suppl-4181-83/art-38/par-4: 高齢者の医療の確保に関する法律第百四十三条 → 高齢者の医療の確保に関する法律 第百四十三条 (Article 143), art-143 — https://japanlaw.org/en/elderly-medical-care-act/art-143 · https://japanlaw.org/l/357AC0000000080/art-143
- suppl-4181-83/art-38/par-4: 同法第百三十九条第一項第二号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第二号 (Article 139, paragraph (1), item (ii)), art-139/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/art-139/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-2
- suppl-4181-83/art-39/par-1: 附則第三十二条 → 高齢者の医療の確保に関する法律 附則第三十二条 (Supplementary Provisions, Article 32), suppl-4181-83/art-32 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-32 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-32
- suppl-4181-83/art-130-2/par-1: この条 → 高齢者の医療の確保に関する法律 附則第百三十条の二 (Supplementary Provisions, Article 130-2), suppl-4181-83/art-130-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2
- suppl-4181-83/art-130-2/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第百三十条の二第一項 (Supplementary Provisions, Article 130-2, paragraph (1)), suppl-4181-83/art-130-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-1
- suppl-4181-83/art-130-2/par-3: 第一項 → 高齢者の医療の確保に関する法律 附則第百三十条の二第一項 (Supplementary Provisions, Article 130-2, paragraph (1)), suppl-4181-83/art-130-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-1
- suppl-4181-83/art-131/par-1: 附則第一条 → 高齢者の医療の確保に関する法律 附則第一条 (Supplementary Provisions, Article 1), suppl-4181-83/art-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1
- suppl-4181-83/art-131/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 附則第百三十条の二第一項 (Supplementary Provisions, Article 130-2, paragraph (1)), suppl-4181-83/art-130-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-1
- suppl-4181-83/art-132/par-1: この条 → 高齢者の医療の確保に関する法律 附則第百三十二条 (Supplementary Provisions, Article 132), suppl-4181-83/art-132 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第百三十条の二 (Supplementary Provisions, Article 130-2), suppl-4181-83/art-130-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第百三十一条 (Supplementary Provisions, Article 131), suppl-4181-83/art-131 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-131 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-131
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第百三十二条 (Supplementary Provisions, Article 132), suppl-4181-83/art-132 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十二条 (Supplementary Provisions, Article 32), suppl-4181-83/art-32 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-32 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-32
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十三条 (Supplementary Provisions, Article 33), suppl-4181-83/art-33 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-33 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十四条 (Supplementary Provisions, Article 34), suppl-4181-83/art-34 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-34 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十五条 (Supplementary Provisions, Article 35), suppl-4181-83/art-35 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-35 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-35
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十六条 (Supplementary Provisions, Article 36), suppl-4181-83/art-36 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十七条 (Supplementary Provisions, Article 37), suppl-4181-83/art-37 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-37 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-37
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十八条 (Supplementary Provisions, Article 38), suppl-4181-83/art-38 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38
- suppl-4181-83/art-133/par-1: 附則第三条から前条まで → 高齢者の医療の確保に関する法律 附則第三十九条 (Supplementary Provisions, Article 39), suppl-4181-83/art-39 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-39 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-39

## Cited by

15 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 附則第一条第一項第一号（施行期日） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-1
- 高齢者の医療の確保に関する法律 附則第一条第一項第四号（施行期日） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-4
- 高齢者の医療の確保に関する法律 附則第一条第一項第六号（施行期日） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-6 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-6
- 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 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-1
- 高齢者の医療の確保に関する法律 附則第三十六条第二項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-36/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-36/par-2
- 高齢者の医療の確保に関する法律 附則第三十八条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1
- 高齢者の医療の確保に関する法律 附則第三十八条第三項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3
- 高齢者の医療の確保に関する法律 附則第三十八条第四項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-4
- 高齢者の医療の確保に関する法律 附則第三十九条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-39/par-1
- 高齢者の医療の確保に関する法律 附則第百三十条の二第一項（健康保険法等の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-1
- 高齢者の医療の確保に関する法律 附則第百三十条の二第二項（健康保険法等の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-2
- 高齢者の医療の確保に関する法律 附則第百三十条の二第三項（健康保険法等の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-130-2/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-130-2/par-3
- 高齢者の医療の確保に関する法律 附則第百三十一条第一項（罰則に関する経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-131/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-131/par-1
- 高齢者の医療の確保に関する法律 附則第百三十二条第一項（処分、手続等に関する経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-132/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-132/par-1
- 高齢者の医療の確保に関する法律 附則第百三十三条第一項（その他の経過措置の政令への委任） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4181-83/art-133/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-133/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-20261019T112331-017, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-018, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T115100-001, 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
