# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第五条 (Supplementary Provisions, Article 5) - 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: 第五条 (Supplementary Provisions, Article 5)（国民健康保険法等の一部改正に伴う経過措置） — address `suppl-5051-31/art-5` - 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/art-5 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-5051-31/art-5 - 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 --- ## Cites - 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 ## Cited by 1 provision cites this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 附則第五条第四項（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 --- ## 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-20261019T112331-027, 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