# 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-5051-31` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-5051-31 - Every provision below carries its address and both URLs on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ## 附　則 令和五年五月一九日法律第三一号 suppl-5051-31 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-5051-31/art-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1 **第一項** この法律は、令和六年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。 suppl-5051-31/art-1/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1 This Act comes into effect as of April 1, 2024; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items. machine translation, not official **一** 第三条中国民健康保険法第七十二条第三項、第八十二条の二第三項第一号及び第四項、第八十五条の二、第八十五条の三第三項並びに第百十三条の二第一項の改正規定、第六条中高齢者の医療の確保に関する法律第四条に一項を加える改正規定、同法第六条、第七条第二項及び第八条第四項の改正規定、同条第五項の改正規定（第四号に掲げる改正規定を除く。）、同法第九条第二項及び第三項の改正規定、同条第四項の改正規定（第四号に掲げる改正規定を除く。）、同条第五項、第七項及び第十項並びに同法第十一条、第十二条第一項、第十三条第一項、第十四条第一項、第十五条、第十六条第三項、第百三十八条第一項及び第百五十七条の二の改正規定、第七条の規定並びに第十二条の規定並びに次条第一項並びに附則第四条、第七条、第八条、第十二条、第十五条、第十七条及び第十八条の規定　公布の日 suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-1 the provisions amending Article 72, paragraph (3), Article 82-2, paragraph (3), item (i) and paragraph (4), Article 85-2, Article 85-3, paragraph (3), and Article 113-2, paragraph (1) of the National Health Insurance Act in Article 3, the provision adding one paragraph to Article 4 of the Act on Assurance of Medical Care for Elderly People in Article 6, the provisions amending Article 6, Article 7, paragraph (2), and Article 8, paragraph (4) of that Act, the provision amending paragraph (5) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending Article 9, paragraphs (2) and (3) of that Act, the provision amending paragraph (4) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending paragraphs (5), (7) and (10) of that Article and Article 11, Article 12, paragraph (1), Article 13, paragraph (1), Article 14, paragraph (1), Article 15, Article 16, paragraph (3), Article 138, paragraph (1) and Article 157-2 of that Act, the provisions of Article 7 and the provisions of Article 12, and the provisions of paragraph (1) of the following Article and Articles 4, 7, 8, 12, 15, 17 and 18 of the Supplementary Provisions: the date of promulgation machine translation, not official **二及び三** 略 suppl-5051-31/art-1/par-1/item-2-to-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-2-to-3 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-2-to-3 Omitted machine translation, not official **四** 第四条中国民健康保険法第六十四条及び第八十五条の三第二項第二号の改正規定、第六条中高齢者の医療の確保に関する法律第八条第五項の改正規定（「推進」の下に「、医療法第六条の三第一項に規定するかかりつけ医機能（次条第四項において「かかりつけ医機能」という。）の確保」を加える部分に限る。）及び同法第九条第四項の改正規定（「推進」の下に「、かかりつけ医機能の確保」を加える部分に限る。）、第八条中医療法の目次の改正規定（第二号に掲げる改正規定を除く。）、同法第五条第一項及び第六条の三第一項の改正規定、同法第二章第一節中第六条の四の三を第六条の四の四とし、第六条の四の二を第六条の四の三とし、第六条の四の次に一条を加える改正規定、同法第十六条の二第一項第三号、第二十九条第三項第三号及び第四項第三号並びに第三十条の三第二項の改正規定、同法第三十条の三の二に一項を加える改正規定、同法第三十条の四第二項第十号の次に一号を加える改正規定、同法第三十条の五、第三十条の六第一項、第三十条の十四第一項及び第三十条の十八の四の改正規定、同法第五章第四節中第三十条の十八の四を第三十条の十八の五とし、第三十条の十八の三の次に一条を加える改正規定並びに同法第七十条第一項第二号、第九十二条及び第百六条の改正規定、第十条の規定並びに第十三条中介護保険法第百十七条第五項の改正規定並びに附則第十四条の規定　令和七年四月一日 suppl-5051-31/art-1/par-1/item-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-4 the provisions amending Article 64 and Article 85-3, paragraph (2), item (ii) of the National Health Insurance Act in Article 4, the provision amending Article 8, paragraph (5) of the Act on Assurance of Medical Care for Elderly People in Article 6 (limited to the part adding ", ensuring of family doctor functions prescribed in Article 6-3, paragraph (1) of the Medical Care Act (referred to as "family doctor functions" in paragraph (4) of the following Article)" after "promotion") and the provision amending Article 9, paragraph (4) of that Act (limited to the part adding ", ensuring of family doctor functions" after "promotion"), the provision amending the table of contents of the Medical Care Act in Article 8 (excluding the amending provision set forth in item (ii)), the provisions amending Article 5, paragraph (1) and Article 6-3, paragraph (1) of that Act, the provisions in Section 1 of Chapter II of that Act renumbering Article 6-4-3 as Article 6-4-4 and Article 6-4-2 as Article 6-4-3 and adding one Article after Article 6-4, the provisions amending Article 16-2, paragraph (1), item (iii), Article 29, paragraph (3), item (iii) and paragraph (4), item (iii), and Article 30-3, paragraph (2) of that Act, the provision adding one paragraph to Article 30-3-2 of that Act, the provision adding one item after Article 30-4, paragraph (2), item (x) of that Act, the provisions amending Article 30-5, Article 30-6, paragraph (1), Article 30-14, paragraph (1) and Article 30-18-4 of that Act, the provisions in Section 4 of Chapter V of that Act renumbering Article 30-18-4 as Article 30-18-5 and adding one Article after Article 30-18-3, and the provisions amending Article 70, paragraph (1), item (ii), Article 92 and Article 106 of that Act, the provisions of Article 10, the provision amending Article 117, paragraph (5) of the Long-Term Care Insurance Act in Article 13, and the provisions of Article 14 of the Supplementary Provisions: April 1, 2025; machine translation, not official **五** 略 suppl-5051-31/art-1/par-1/item-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-5 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-5 Omitted machine translation, not official **六** 第一条中健康保険法第二百五条の四第二項の改正規定、第二条中船員保険法第百五十三条の十第二項の改正規定、第四条中国民健康保険法第百十三条の三第二項の改正規定、第六条中高齢者の医療の確保に関する法律第百六十五条の二第二項の改正規定及び第十四条の規定並びに附則第十九条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第四十七条の三第二項の改正規定、附則第二十条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第百十四条の二第二項の改正規定、附則第二十一条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百四十四条の三十三第二項の改正規定、附則第二十四条（第二号に係る部分に限る。）の規定、附則第二十六条中生活保護法（昭和二十五年法律第百四十四号）第八十条の四第二項の改正規定及び附則第二十九条の規定　公布の日から起算して四年を超えない範囲内において政令で定める日 suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-6 The provision amending Article 205-4, paragraph (2) of the Health Insurance Act in Article 1, the provision amending Article 153-10, paragraph (2) of the Mariners Insurance Act in Article 2, the provision amending Article 113-3, paragraph (2) of the National Health Insurance Act in Article 4, the provision amending Article 165-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People in Article 6, and the provisions of Article 14, and the provision amending Article 47-3, paragraph (2) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) in Article 19 of the Supplementary Provisions, the provision amending Article 114-2, paragraph (2) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) in Article 20 of the Supplementary Provisions, the provision amending Article 144-33, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) in Article 21 of the Supplementary Provisions, the provisions of Article 24 of the Supplementary Provisions (limited to the part pertaining to item (ii)), the provision amending Article 80-4, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) in Article 26 of the Supplementary Provisions, and the provisions of Article 29 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding four years from the date of promulgation machine translation, not official ### 第二条（検討） — Review caption: machine translation, not official suppl-5051-31/art-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2 **第一項** 政府は、この法律の公布後、全世代対応型の持続可能な社会保障制度を構築するため、経済社会情勢の変化と社会の要請に対応し、受益と負担の均衡がとれた社会保障制度の確立を図るための更なる改革について速やかに検討を加え、その結果に基づいて所要の措置を講ずるものとする。 suppl-5051-31/art-2/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2/par-1 After the promulgation of this Act, in order to build a sustainable social security system that serves all generations, the government is to promptly examine further reforms to establish a social security system in which benefits and burdens are balanced, in response to changes in economic and social conditions and the needs of society, and take required measures based on the results. machine translation, not official **第二項** 政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。 suppl-5051-31/art-2/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2/par-2 The government is to, with a target of five years after the enforcement of this Act, taking into account the condition of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results. machine translation, not official ### 第五条（国民健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act, etc. caption: machine translation, not official suppl-5051-31/art-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5 **第一項** suppl-5051-31/art-5/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-1 **第四項** 前項の規定によりなおその効力を有するものとされた第四条改正前国保法附則第十条第一項の規定により支払基金が令和六年度における拠出金（同項に規定する拠出金をいう。）を徴収する間、第一条の規定による改正前の健康保険法附則第四条の三の規定、第二条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の船員保険法附則第七条の規定、第六条の規定（附則第一条第一号、第四号及び第六号に掲げる改正規定を除く。第六項において同じ。）による改正前の高齢者の医療の確保に関する法律（次項及び第六項において「旧高確法」という。）附則第十三条第二項の規定、附則第十九条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の私立学校教職員共済法附則第二十五項の規定、附則第二十条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の国家公務員共済組合法附則第十一条の三の規定、附則第二十一条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の地方公務員等共済組合法附則第四十条の三の二の規定及び附則第二十二条の規定による改正前の日本私立学校振興・共済事業団法（平成九年法律第四十八号）附則第十三条の二第一項の規定は、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に関し必要な事項は、政令で定める。 suppl-5051-31/art-5/par-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-4 While the Payment Fund collects the contributions (meaning the contributions prescribed in that paragraph) for fiscal year 2024 pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions of the Pre-Article 4 Amendment National Health Insurance Act that remain in force pursuant to the provisions of the preceding paragraph, the provisions of Article 4-3 of the Supplementary Provisions of the Health Insurance Act before amendment by the provisions of Article 1, the provisions of Article 7 of the Supplementary Provisions of the Mariners Insurance Act before amendment by the provisions of Article 2 (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 13, paragraph (2) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People before amendment by the provisions of Article 6 (excluding the amending provisions set forth in Article 1, items (i), (iv) and (vi) of the Supplementary Provisions; the same applies in paragraph (6)) (referred to as the "Former Elderly Medical Care Assurance Act" in the following paragraph and paragraph (6)), the provisions of paragraph (25) of the Supplementary Provisions of the Private School Personnel Mutual Aid Association Act before amendment by the provisions of Article 19 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 11-3 of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act before amendment by the provisions of Article 20 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 40-3-2 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act before amendment by the provisions of Article 21 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), and the provisions of Article 13-2, paragraph (1) of the Supplementary Provisions of the Act on the Promotion and Mutual Aid Corporation for Private Schools of Japan (Act No. 48 of 1997) before amendment by the provisions of Article 22 of the Supplementary Provisions remain in force. In this case, necessary technical replacement of terms in applying those provisions and other necessary matters concerning those provisions are specified by Cabinet Order. machine translation, not official **第五項** 令和七年四月一日において現に第三項の規定によりなおその効力を有するものとされた第四条改正前国保法附則第十九条において準用する旧高確法第百四十三条の規定の適用を受ける退職者医療関係業務に係る特別の会計に所属する権利及び義務については、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百三十九条第一項第一号に掲げる業務に係る特別の会計に帰属するものとする。 suppl-5051-31/art-5/par-5 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-5 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-5 With respect to the rights and obligations that belong, as of April 1, 2025, to the special account pertaining to the retiree medical care operations that is actually subject to the provisions of Article 143 of the Former Elderly Medical Care Assurance Act as applied mutatis mutandis in Article 19 of the Supplementary Provisions of the National Health Insurance Act Before the Article 4 Amendment that remains in force pursuant to the provisions of paragraph (3), they are to, as specified by Cabinet Order, vest as of that day in the special account pertaining to the operations listed in Article 139, paragraph (1), item (i) of the Act on Assurance of Medical Care for Elderly People. machine translation, not official **第六項** 令和七年度において、第六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「新高確法」という。）第三十九条の規定により令和五年度の保険者（高齢者の医療の確保に関する法律第七条第二項に規定する保険者をいう。附則第九条において同じ。）に係る確定前期高齢者納付金の額を算定する場合については、旧高確法附則第十三条第二項の規定は、なおその効力を有する。この場合において、同項中「及び国民健康保険法」とあるのは、「及び全世代対応型の持続可能な社会保障制度を構築するための健康保険法等の一部を改正する法律（令和五年法律第三十一号）第四条の規定による改正前の国民健康保険法」とする。 suppl-5051-31/art-5/par-6 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-6 In the case of calculating, in fiscal year 2025, the amount of the fixed young-old payment for an Insurer for fiscal year 2023 (meaning an Insurer prescribed in Article 7, paragraph (2) of the Act on Assurance of Medical Care for Elderly People; the same applies in Article 9 of the Supplementary Provisions) pursuant to the provisions of Article 39 of the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 6 (hereinafter referred to as the "Revised Elderly Medical Care Assurance Act"), the provisions of Article 13, paragraph (2) of the Supplementary Provisions of the Former Elderly Medical Care Assurance Act remain in force. In this case, the phrase "and the National Health Insurance Act" in that paragraph is deemed to be replaced with "and the National Health Insurance Act as it stood before the amendment by the provisions of Article 4 of the Act Partially Amending the Health Insurance Act, etc. to Establish a Sustainable Social Security System for All Generations (Act No. 31 of 2023)". machine translation, not official ### 第七条（高齢者の医療の確保に関する法律の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Act on Assurance of Medical Care for Elderly People caption: machine translation, not official suppl-5051-31/art-7 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-7 **第一項** 附則第一条第一号に掲げる規定の施行の日（以下この条及び次条において「第一号施行日」という。）前に第六条の規定（同号に掲げる改正規定に限る。以下この条において同じ。）による改正前の高齢者の医療の確保に関する法律（次条において「第一号改正前高確法」という。）第八条の規定により定められた全国医療費適正化計画（高齢者の医療の確保に関する法律第八条第一項に規定する全国医療費適正化計画をいう。以下この条において同じ。）は、第一号施行日から令和六年三月三十一日までの間は、第六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（次条において「第一号改正後高確法」という。）第八条の規定により定められた全国医療費適正化計画とみなす。 suppl-5051-31/art-7/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-7/par-1 A national plan for the optimization of medical expenses (meaning the national plan for the optimization of medical expenses prescribed in Article 8, paragraph (1) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article) established pursuant to the provisions of Article 8 of the Act on Assurance of Medical Care for Elderly People as it stood before the amendment by the provisions of Article 6 (limited to the amending provisions set forth in that item; the same applies hereinafter in this Article) (referred to as the "item (i) Pre-amendment Elderly Medical Care Assurance Act" in the following Article) before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions (hereinafter referred to in this Article and the following Article as the "item (i) Effective Date") is deemed, during the period from the item (i) Effective Date until March 31, 2024, to be a national plan for the optimization of medical expenses established pursuant to the provisions of Article 8 of the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 6 (referred to as the "item (i) Amended Elderly Medical Care Assurance Act" in the following Article). machine translation, not official ### 第八条 suppl-5051-31/art-8 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8 **第一項** 第一号施行日前に第一号改正前高確法第九条の規定により定められた都道府県医療費適正化計画（高齢者の医療の確保に関する法律第九条第一項に規定する都道府県医療費適正化計画をいう。以下この条において同じ。）は、第一号施行日から令和六年三月三十一日までの間は、第一号改正後高確法第九条の規定により定められた都道府県医療費適正化計画とみなす。 suppl-5051-31/art-8/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8/par-1 A prefectural plan for the optimization of medical expenses (meaning the prefectural plan for the optimization of medical expenses prescribed in Article 9, paragraph (1) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article) established pursuant to the provisions of Article 9 of the item (i) Pre-amendment Elderly Medical Care Assurance Act before the item (i) Effective Date is deemed, during the period from the item (i) Effective Date until March 31, 2024, to be a prefectural plan for the optimization of medical expenses established pursuant to the provisions of Article 9 of the item (i) Amended Elderly Medical Care Assurance Act. machine translation, not official ### 第九条 suppl-5051-31/art-9 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-9 **第一項** 新高確法第三十四条、第三十五条、第三十八条及び第三十九条の規定は、令和六年度以降の各年度の保険者に係る概算前期高齢者交付金及び確定前期高齢者交付金並びに概算前期高齢者納付金及び確定前期高齢者納付金について適用し、令和五年度以前の各年度の保険者に係る概算前期高齢者交付金及び確定前期高齢者交付金並びに概算前期高齢者納付金及び確定前期高齢者納付金については、なお従前の例による。 suppl-5051-31/art-9/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-9/par-1 The provisions of Articles 34, 35, 38 and 39 of the Revised Elderly Medical Care Assurance Act apply to the estimated young-old subsidy and fixed young-old subsidy, and the estimated young-old payment and fixed young-old payment, pertaining to Insurers for each fiscal year from fiscal year 2024 or later, and the provisions then in force continue to govern the estimated young-old subsidy and fixed young-old subsidy, and the estimated young-old payment and fixed young-old payment, pertaining to Insurers for each fiscal year of fiscal year 2023 or earlier. machine translation, not official ### 第十条 suppl-5051-31/art-10 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-10 **第一項** 新高確法第九十三条第三項の規定は、令和六年度以後の各年度における支払基金に対する交付の額について適用し、令和五年度以前の各年度における支払基金に対する交付の額については、なお従前の例による。 suppl-5051-31/art-10/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-10/par-1 The provisions of Article 93, paragraph (3) of the Revised Elderly Medical Care Assurance Act apply to the amount of the grant to the Payment Fund for each fiscal year from fiscal year 2024 or later, and the provisions then in force continue to govern the amount of the grant to the Payment Fund for each fiscal year of fiscal year 2023 or earlier. machine translation, not official ### 第十一条 suppl-5051-31/art-11 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-11 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-11 **第一項** 新高確法第百条第二項の規定は、令和六年度以後の各年度における後期高齢者負担率について適用し、令和五年度以前の各年度における後期高齢者負担率については、なお従前の例による。 suppl-5051-31/art-11/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-11/par-1 The provisions of Article 100, paragraph (2) of the Revised Elderly Medical Care Assurance Act apply to the contribution rate for the old-old for each fiscal year from fiscal year 2024 or later, and the provisions then in force continue to govern the contribution rate for the old-old for each fiscal year of fiscal year 2023 or earlier. machine translation, not official ### 第十二条 suppl-5051-31/art-12 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-12 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-12 **第一項** 支払基金は、施行日前においても、新高確法第百三十九条第一項第三号に掲げる業務の実施に必要な準備行為をすることができる。 suppl-5051-31/art-12/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-12/par-1 The Payment Fund may, even before the Effective Date, carry out preparatory acts necessary for the implementation of the operations set forth in Article 139, paragraph (1), item (iii) of the Revised Elderly Medical Care Assurance Act. machine translation, not official ### 第十八条（政令への委任） — Delegation to Cabinet Order caption: machine translation, not official suppl-5051-31/art-18 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-18 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-18 **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（罰則に関する経過措置を含む。）は、政令で定める。 suppl-5051-31/art-18/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-18/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-18/par-1 Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order. machine translation, not official --- ## Cites - suppl-5051-31/art-1/par-1/item-1: 第四号 → 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 (Supplementary Provisions, Article 1, paragraph (1), item (iv)), suppl-5051-31/art-1/par-1/item-4 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-4 - suppl-5051-31/art-1/par-1/item-1: 次条第一項 → 高齢者の医療の確保に関する法律 附則第二条第一項 (Supplementary Provisions, Article 2, paragraph (1)), suppl-5051-31/art-2/par-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2/par-1 - suppl-5051-31/art-1/par-1/item-1: 第七条 → 高齢者の医療の確保に関する法律 附則第七条 (Supplementary Provisions, Article 7), suppl-5051-31/art-7 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-7 - suppl-5051-31/art-1/par-1/item-1: 第八条 → 高齢者の医療の確保に関する法律 附則第八条 (Supplementary Provisions, Article 8), suppl-5051-31/art-8 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8 - suppl-5051-31/art-1/par-1/item-1: 第十二条 → 高齢者の医療の確保に関する法律 附則第十二条 (Supplementary Provisions, Article 12), suppl-5051-31/art-12 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-12 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-12 - suppl-5051-31/art-1/par-1/item-1: 第十八条 → 高齢者の医療の確保に関する法律 附則第十八条 (Supplementary Provisions, Article 18), suppl-5051-31/art-18 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-18 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-18 - suppl-5051-31/art-1/par-1/item-4: 医療法第六条の三第一項 → 医療法 第六条の三第一項 (Article 6-3, paragraph (1)), art-6-3/par-1 — https://japanlaw.org/en/medical-care-act/art-6-3/par-1 · https://japanlaw.org/l/323AC0000000205/art-6-3/par-1 - suppl-5051-31/art-2/par-2: この項 → 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-5051-31/art-2/par-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2/par-2 - suppl-5051-31/art-5/par-4: 附則第一条第六号 → 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 (Supplementary Provisions, Article 1, paragraph (1), item (vi)), suppl-5051-31/art-1/par-1/item-6 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-6 - suppl-5051-31/art-5/par-4: 附則第一条第一号 → 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 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-5051-31/art-1/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-1 - suppl-5051-31/art-5/par-4: 第四号 → 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 (Supplementary Provisions, Article 1, paragraph (1), item (iv)), suppl-5051-31/art-1/par-1/item-4 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-4 - suppl-5051-31/art-5/par-4: 第六項 → 高齢者の医療の確保に関する法律 附則第五条第六項 (Supplementary Provisions, Article 5, paragraph (6)), suppl-5051-31/art-5/par-6 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-6 - suppl-5051-31/art-5/par-4: 次項 → 高齢者の医療の確保に関する法律 附則第五条第五項 (Supplementary Provisions, Article 5, paragraph (5)), suppl-5051-31/art-5/par-5 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-5/par-5 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-5 - suppl-5051-31/art-5/par-5: 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一号 → 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一号 (Article 139, paragraph (1), item (i)), art-139/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/art-139/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-1 - suppl-5051-31/art-5/par-6: 第三十九条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/art-39 · https://japanlaw.org/l/357AC0000000080/art-39 - suppl-5051-31/art-5/par-6: 高齢者の医療の確保に関する法律第七条第二項 → 高齢者の医療の確保に関する法律 第七条第二項 (Article 7, paragraph (2)), art-7/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-7/par-2 · https://japanlaw.org/l/357AC0000000080/art-7/par-2 - suppl-5051-31/art-5/par-6: 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-5051-31/art-9 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-9 - suppl-5051-31/art-5/par-6: 全世代対応型の持続可能な社会保障制度を構築するための健康保険法等の一部を改正する法律（令和五年法律第三十一号）第四条 → e-Gov law 505AC0000000031, 第四条 (Article 4), art-4 — not held in this collection - suppl-5051-31/art-7/par-1: 附則第一条第一号 → 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 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-5051-31/art-1/par-1/item-1 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-1 - suppl-5051-31/art-7/par-1: この条 → 高齢者の医療の確保に関する法律 附則第七条 (Supplementary Provisions, Article 7), suppl-5051-31/art-7 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-7 - suppl-5051-31/art-7/par-1: 次条 → 高齢者の医療の確保に関する法律 附則第八条 (Supplementary Provisions, Article 8), suppl-5051-31/art-8 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8 - suppl-5051-31/art-7/par-1: 高齢者の医療の確保に関する法律第八条第一項 → 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-5051-31/art-7/par-1: 第八条 → 高齢者の医療の確保に関する法律 第八条 (Article 8), art-8 — https://japanlaw.org/en/elderly-medical-care-act/art-8 · https://japanlaw.org/l/357AC0000000080/art-8 - suppl-5051-31/art-8/par-1: 高齢者の医療の確保に関する法律第九条第一項 → 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-5051-31/art-8/par-1: この条 → 高齢者の医療の確保に関する法律 附則第八条 (Supplementary Provisions, Article 8), suppl-5051-31/art-8 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8 - suppl-5051-31/art-8/par-1: 第一号改正後高確法第九条 → 高齢者の医療の確保に関する法律 第九条 (Article 9), art-9 — https://japanlaw.org/en/elderly-medical-care-act/art-9 · https://japanlaw.org/l/357AC0000000080/art-9 - suppl-5051-31/art-9/par-1: 新高確法第三十四条 → 高齢者の医療の確保に関する法律 第三十四条 (Article 34), art-34 — https://japanlaw.org/en/elderly-medical-care-act/art-34 · https://japanlaw.org/l/357AC0000000080/art-34 - suppl-5051-31/art-9/par-1: 第三十五条 → 高齢者の医療の確保に関する法律 第三十五条 (Article 35), art-35 — https://japanlaw.org/en/elderly-medical-care-act/art-35 · https://japanlaw.org/l/357AC0000000080/art-35 - suppl-5051-31/art-9/par-1: 第三十八条 → 高齢者の医療の確保に関する法律 第三十八条 (Article 38), art-38 — https://japanlaw.org/en/elderly-medical-care-act/art-38 · https://japanlaw.org/l/357AC0000000080/art-38 - suppl-5051-31/art-9/par-1: 第三十九条 → 高齢者の医療の確保に関する法律 第三十九条 (Article 39), art-39 — https://japanlaw.org/en/elderly-medical-care-act/art-39 · https://japanlaw.org/l/357AC0000000080/art-39 - suppl-5051-31/art-10/par-1: 新高確法第九十三条第三項 → 高齢者の医療の確保に関する法律 第九十三条第三項 (Article 93, paragraph (3)), art-93/par-3 — https://japanlaw.org/en/elderly-medical-care-act/art-93/par-3 · https://japanlaw.org/l/357AC0000000080/art-93/par-3 - suppl-5051-31/art-11/par-1: 新高確法第百条第二項 → 高齢者の医療の確保に関する法律 第百条第二項 (Article 100, paragraph (2)), art-100/par-2 — https://japanlaw.org/en/elderly-medical-care-act/art-100/par-2 · https://japanlaw.org/l/357AC0000000080/art-100/par-2 - suppl-5051-31/art-12/par-1: 新高確法第百三十九条第一項第三号 → 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三号 (Article 139, paragraph (1), item (iii)), art-139/par-1/item-3 — https://japanlaw.org/en/elderly-medical-care-act/art-139/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-3 ## Cited by 6 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-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-1/par-1/item-1 - 高齢者の医療の確保に関する法律 附則第二条第二項（検討） — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-2/par-2 - 高齢者の医療の確保に関する法律 附則第五条第四項（国民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-5051-31/art-5/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-4 - 高齢者の医療の確保に関する法律 附則第五条第六項（国民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-5051-31/art-5/par-6 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5/par-6 - 高齢者の医療の確保に関する法律 附則第七条第一項（高齢者の医療の確保に関する法律の一部改正に伴う経過措置） — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-7/par-1 - 高齢者の医療の確保に関する法律 附則第八条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-5051-31/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-8/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-20261019T112331-026, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-027, 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