# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第二十七条 (Supplementary Provisions, Article 27) - 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: 第二十七条 (Supplementary Provisions, Article 27) — address `suppl-4271-31/art-27` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27 - 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. --- ### 第二十七条 suppl-4271-31/art-27 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27 **第一項** 平成二十八年度以前の各年度の保険者（第十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（以下この条及び附則第三十条において「第三号改正前高確法」という。）第七条第二項に規定する保険者をいい、被用者保険等保険者（第三号改正前国保法附則第十条第一項に規定する被用者保険等保険者をいう。次条において同じ。）を除く。以下この条において同じ。）に係る概算前期高齢者交付金及び概算前期高齢者納付金並びに概算後期高齢者支援金並びに平成二十六年度以前の各年度の保険者に係る確定前期高齢者交付金及び確定前期高齢者納付金並びに確定後期高齢者支援金については、なお従前の例による。 suppl-4271-31/art-27/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27/par-1 With regard to the estimated young-old subsidy, the estimated young-old payment and the estimated aid for the old-old pertaining to the Insurers (meaning the Insurers prescribed in Article 7, paragraph (2) of the Act on Assurance of Medical Care for Elderly People as it stood before the amendment by the provisions of Article 10 (hereinafter referred to in this Article and Article 30 of the Supplementary Provisions as the "item (iii) Pre-amendment Elderly Medical Care Assurance Act"), and excluding Insurers of employee insurance, etc. (meaning Insurers of employee insurance, etc. prescribed in Article 10, paragraph (1) of the Supplementary Provisions of the item (iii) Pre-amendment National Health Insurance Act; the same applies in the following Article); the same applies hereinafter in this Article) for each fiscal year up to and including fiscal year 2016, and the fixed young-old subsidy, the fixed young-old payment and the fixed aid for the old-old pertaining to the Insurers for each fiscal year up to and including fiscal year 2014, the provisions then in force continue to govern. machine translation, not official **第二項** 平成二十七年度及び平成二十八年度の各年度の保険者に係る確定前期高齢者交付金の額は、第三号改正後高確法第三十五条第一項の規定にかかわらず、第三号改正前高確法第三十五条第一項の規定により算定される額とする。 suppl-4271-31/art-27/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27/par-2 The amount of the fixed young-old subsidy pertaining to the Insurers for each of fiscal year 2015 and fiscal year 2016 is, notwithstanding Article 35, paragraph (1) of the item (iii) amended Elderly Medical Care Assurance Act, the amount calculated pursuant to the provisions of Article 35, paragraph (1) of the item (iii) Pre-amendment Elderly Medical Care Assurance Act. machine translation, not official **第三項** 平成二十七年度及び平成二十八年度の各年度の保険者に係る確定前期高齢者納付金の額は、第三号改正後高確法第三十九条第一項の規定にかかわらず、第三号改正前高確法第三十九条第一項の規定により算定される額とする。 suppl-4271-31/art-27/par-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27/par-3 The amount of the fixed young-old payment pertaining to the Insurers for each of fiscal year 2015 and fiscal year 2016 is, notwithstanding Article 39, paragraph (1) of the item (iii) amended Elderly Medical Care Assurance Act, the amount calculated pursuant to the provisions of Article 39, paragraph (1) of the item (iii) Pre-amendment Elderly Medical Care Assurance Act. machine translation, not official **第四項** 平成二十七年度及び平成二十八年度の各年度の保険者に係る確定後期高齢者支援金の額は、第三号改正後高確法第百二十一条第一項第二号の規定にかかわらず、第三号改正前高確法第百二十一条第一項の規定により算定される額とする。 suppl-4271-31/art-27/par-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27/par-4 The amount of the fixed aid for the old-old pertaining to the Insurers for each of fiscal year 2015 and fiscal year 2016 is, notwithstanding Article 121, paragraph (1), item (ii) of the item (iii) amended Elderly Medical Care Assurance Act, the amount calculated pursuant to the provisions of Article 121, paragraph (1) of the item (iii) Pre-amendment Elderly Medical Care Assurance Act. machine translation, not official --- ## Cites - suppl-4271-31/art-27/par-1: この条 → 高齢者の医療の確保に関する法律 附則第二十七条 (Supplementary Provisions, Article 27), suppl-4271-31/art-27 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27 - suppl-4271-31/art-27/par-1: 附則第三十条 → 高齢者の医療の確保に関する法律 附則第三十条 (Supplementary Provisions, Article 30), suppl-4271-31/art-30 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-30 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-30 - suppl-4271-31/art-27/par-1: 次条 → 高齢者の医療の確保に関する法律 附則第二十八条 (Supplementary Provisions, Article 28), suppl-4271-31/art-28 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-28 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-28 ## Cited by 2 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三号（施行期日） — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-1/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-1/par-1/item-3 - 高齢者の医療の確保に関する法律 附則第二十七条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-4271-31/art-27/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-27/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-20261019T112331-023, 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