# 介護保険法 / Long-Term Care Insurance Act — 第百五十三条 (Article 153)

- Law: 介護保険法 (Long-Term Care Insurance Act), 平成九年法律第百二十三号
- English title "Long-Term Care Insurance Act": 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: 第百五十三条 (Article 153)（確定納付金） — address `art-153`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/long-term-care-insurance-act/art-153
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-153
- 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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### 第百五十三条（確定納付金） — (Fixed Levy)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-153 · https://japanlaw.org/en/long-term-care-insurance-act/art-153 · https://japanlaw.org/l/409AC0000000123/art-153</sup>

  **第一項**  第百五十一条第一項ただし書の確定納付金の額は、次の各号に掲げる医療保険者の区分に応じ、当該各号に定める額とする。
  <sup>art-153/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-153/par-1 · https://japanlaw.org/l/409AC0000000123/art-153/par-1</sup>
  The amount of fixed Levy as set forth in the proviso of Article 151, paragraph (1) is to be the amount specified in each of the following items, according to the categories of medical insurers listed in those items.
  <sup>machine translation, not official</sup>

    **一**  被用者保険等保険者　前々年度における全ての市町村の医療保険納付対象額及び介護予防・日常生活支援総合事業医療保険納付対象額の総額を厚生労働省令で定めるところにより算定した同年度における全ての医療保険者に係る第二号被保険者の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における全ての被用者保険等保険者に係る第二号被保険者の総数を乗じて得た額を同年度におけるイに掲げる額で除して得た数に、同年度におけるロに掲げる額を乗じて得た額
    <sup>art-153/par-1/item-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-153/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-153/par-1/item-1</sup>
    insurer of employee insurance, etc.: the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the amount obtained by dividing the total amount of the Amount Subject to Medical Insurance Premium Payment and the Amount Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support in all Municipalities in the year prior to the first preceding fiscal year by the total number of Secondary Insured Persons pertaining to all medical insurers in the same year that is calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the total number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in the same year that is calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the amount set forth in (a) for the same year, by the amount set forth in (b) for the same year:
    <sup>machine translation, not official</sup>

      **イ**  全ての被用者保険等保険者に係る第二号被保険者標準報酬総額（前条第二項に規定する第二号被保険者標準報酬総額をいう。ロにおいて同じ。）の合計額
      <sup>art-153/par-1/item-1/sub-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-153/par-1/item-1/sub-1 · https://japanlaw.org/l/409AC0000000123/art-153/par-1/item-1/sub-1</sup>
      the total of the total standard remuneration of Secondary Insured Persons (meaning the total standard remuneration of Secondary Insured Persons prescribed in paragraph (2) of the preceding Article; the same applies in (b)) pertaining to all insurers of employee insurance, etc.;
      <sup>machine translation, not official</sup>

      **ロ**  当該被用者保険等保険者に係る第二号被保険者標準報酬総額
      <sup>art-153/par-1/item-1/sub-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-153/par-1/item-1/sub-2 · https://japanlaw.org/l/409AC0000000123/art-153/par-1/item-1/sub-2</sup>
      the total standard remuneration of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc.;
      <sup>machine translation, not official</sup>

    **二**  被用者保険等保険者以外の医療保険者　前々年度における全ての市町村の医療保険納付対象額及び介護予防・日常生活支援総合事業医療保険納付対象額の総額を厚生労働省令で定めるところにより算定した同年度における全ての医療保険者に係る第二号被保険者の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該医療保険者に係る第二号被保険者の数を乗じて得た額
    <sup>art-153/par-1/item-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-153/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-153/par-1/item-2</sup>
    medical insurers other than insurers of employee insurance, etc.: the amount obtained by multiplying the amount obtained by dividing the total amount of the Amount Subject to Medical Insurance Premium Payment and Amount Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support in all Municipalities in the year prior to the first preceding fiscal year by the total number of Secondary Insured Persons pertaining to all medical insurers in the same year that is calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the number of Secondary Insured Persons pertaining to said medical insurer in the same year that is calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.
    <sup>machine translation, not official</sup>

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## Cites
- art-153/par-1: 第百五十一条第一項 → 介護保険法 第百五十一条第一項 (Article 151, paragraph (1)), art-151/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-151/par-1 · https://japanlaw.org/l/409AC0000000123/art-151/par-1
- art-153/par-1/item-1/sub-1: 前条第二項 → 介護保険法 第百五十二条第二項 (Article 152, paragraph (2)), art-152/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-152/par-2 · https://japanlaw.org/l/409AC0000000123/art-152/par-2

## Cited by

7 provisions cite this one. No official source publishes this direction.

- 介護保険法 附則第十三条第一項（平成二十九年度及び平成三十年度の各年度の被用者保険等保険者に係る確定納付金の額の算定の特例） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4091-123/art-13/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4091-123/art-13/par-1
- 介護保険法 附則第十五条第一項（令和元年度の被用者保険等保険者に係る確定納付金の額の算定の特例） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4091-123/art-15/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4091-123/art-15/par-1
- 介護保険法 附則第五十二条の三第一項 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4241-62/art-52-3/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4241-62/art-52-3/par-1
- 介護保険法 附則第十四条第一項 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-14/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-14/par-1
- 介護保険法 附則第五十五条第一項 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4271-31/art-55/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4271-31/art-55/par-1
- 介護保険法 附則第五条第一項 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4291-52/art-5/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4291-52/art-5/par-1
- 介護保険法 附則第五条第二項 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4291-52/art-5/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4291-52/art-5/par-2

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## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 介護保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/409AC0000000123/20261001_507AC0000000087), retrieved 2026-10-18
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18
- claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T212610-030, translated 2026-10-19
- This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18