# 介護保険法 / Long-Term Care Insurance Act — 第三十三条の三 (Article 33-3)

- 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: 第三十三条の三 (Article 33-3) — address `art-33-3`
- 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-33-3
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-33-3
- 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.

---

### 第三十三条の三
<sup>art-33-3 · https://japanlaw.org/en/long-term-care-insurance-act/art-33-3 · https://japanlaw.org/l/409AC0000000123/art-33-3</sup>

  **第一項**  市町村は、要支援認定を受けた被保険者について、その支援の必要の程度が低下したことにより当該要支援認定に係る要支援状態区分以外の要支援状態区分に該当するに至ったと認めるときは、要支援状態区分の変更の認定をすることができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該変更の認定に係る被保険者に対しその被保険者証の提出を求め、これに当該変更の認定に係る要支援状態区分及び次項において準用する第三十二条第四項後段の規定による認定審査会の意見（同項第二号に掲げる事項に係るものに限る。）を記載し、これを返付するものとする。
  <sup>art-33-3/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-1</sup>
  A Municipality, when it is determined that an Insured Person that has been issued a Certification of Needed Support qualifies for a Category of Needed Support Condition other than the Category of Needed Support Condition pertaining to said Certification of Needed Support due to a lowering of the degree of Needed Support Condition, may certify a change of Category of Needed Support Condition. In this case, the Municipality is to request the Insured Person pertaining to said change of certification to submit said Certificate of Insured Person, shall enter the Category of Needed Support Condition pertaining to said change of certification and the opinion of the Certification Committee pursuant to the provisions of the second sentence of Article 32, paragraph (4) as applied mutatis mutandis pursuant to the following paragraph (limited to those pertaining to matters listed in item (ii) of the same paragraph), and then return the Certificate of Insured Person to the Insured Person.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第二項**  第二十八条第五項から第八項まで並びに第三十二条第二項から第五項まで及び第六項前段の規定は、前項の要支援状態区分の変更の認定について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。
  <sup>art-33-3/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-2</sup>
  The provisions of Article 28, paragraph (5) to paragraph (8), Article 32, paragraph (2) to paragraph (5), and the first sentence of paragraph (6), apply mutatis mutandis to a certification of Change of Category of Needed Support Condition as prescribed in the preceding paragraph. In this case, the necessary technical replacement of terms of these provisions is specified by a Cabinet Order.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

---

## Cites
- art-33-3/par-1: 次項 → 介護保険法 第三十三条の三第二項 (Article 33-3, paragraph (2)), art-33-3/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-2
- art-33-3/par-1: 第三十二条第四項 → 介護保険法 第三十二条第四項 (Article 32, paragraph (4)), art-32/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-4 · https://japanlaw.org/l/409AC0000000123/art-32/par-4
- art-33-3/par-1: 同項第二号 → 介護保険法 第三十二条第四項第二号 (Article 32, paragraph (4), item (ii)), art-32/par-4/item-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-4/item-2 · https://japanlaw.org/l/409AC0000000123/art-32/par-4/item-2
- art-33-3/par-2: 第二十八条第五項から第八項まで → 介護保険法 第二十八条第五項 (Article 28, paragraph (5)), art-28/par-5 — https://japanlaw.org/en/long-term-care-insurance-act/art-28/par-5 · https://japanlaw.org/l/409AC0000000123/art-28/par-5
- art-33-3/par-2: 第二十八条第五項から第八項まで → 介護保険法 第二十八条第六項 (Article 28, paragraph (6)), art-28/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-28/par-6 · https://japanlaw.org/l/409AC0000000123/art-28/par-6
- art-33-3/par-2: 第二十八条第五項から第八項まで → 介護保険法 第二十八条第七項 (Article 28, paragraph (7)), art-28/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-28/par-7 · https://japanlaw.org/l/409AC0000000123/art-28/par-7
- art-33-3/par-2: 第二十八条第五項から第八項まで → 介護保険法 第二十八条第八項 (Article 28, paragraph (8)), art-28/par-8 — https://japanlaw.org/en/long-term-care-insurance-act/art-28/par-8 · https://japanlaw.org/l/409AC0000000123/art-28/par-8
- art-33-3/par-2: 第三十二条第二項から第五項まで → 介護保険法 第三十二条第二項 (Article 32, paragraph (2)), art-32/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-2 · https://japanlaw.org/l/409AC0000000123/art-32/par-2
- art-33-3/par-2: 第三十二条第二項から第五項まで → 介護保険法 第三十二条第三項 (Article 32, paragraph (3)), art-32/par-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-3 · https://japanlaw.org/l/409AC0000000123/art-32/par-3
- art-33-3/par-2: 第三十二条第二項から第五項まで → 介護保険法 第三十二条第四項 (Article 32, paragraph (4)), art-32/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-4 · https://japanlaw.org/l/409AC0000000123/art-32/par-4
- art-33-3/par-2: 第三十二条第二項から第五項まで → 介護保険法 第三十二条第五項 (Article 32, paragraph (5)), art-32/par-5 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-5 · https://japanlaw.org/l/409AC0000000123/art-32/par-5
- art-33-3/par-2: 第六項 → 介護保険法 第三十二条第六項 (Article 32, paragraph (6)), art-32/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-32/par-6 · https://japanlaw.org/l/409AC0000000123/art-32/par-6
- art-33-3/par-2: 前項 → 介護保険法 第三十三条の三第一項 (Article 33-3, paragraph (1)), art-33-3/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-1

## Cited by

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

- 介護保険法 第二十四条の二第一項第二号（指定市町村事務受託法人） — https://japanlaw.org/en/long-term-care-insurance-act/art-24-2/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-24-2/par-1/item-2
- 介護保険法 第三十三条の三第一項 — https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-1
- 介護保険法 第三十三条の三第二項 — https://japanlaw.org/en/long-term-care-insurance-act/art-33-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-33-3/par-2
- 介護保険法 第三十四条第一項第二号（要支援認定の取消し） — https://japanlaw.org/en/long-term-care-insurance-act/art-34/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-34/par-1/item-2
- 介護保険法 第三十七条第一項（介護給付等対象サービスの種類の指定） — https://japanlaw.org/en/long-term-care-insurance-act/art-37/par-1 · https://japanlaw.org/l/409AC0000000123/art-37/par-1
- 介護保険法 第三十八条第一項（都道府県の援助等） — https://japanlaw.org/en/long-term-care-insurance-act/art-38/par-1 · https://japanlaw.org/l/409AC0000000123/art-38/par-1
- 介護保険法 第三十八条第二項（都道府県の援助等） — https://japanlaw.org/en/long-term-care-insurance-act/art-38/par-2 · https://japanlaw.org/l/409AC0000000123/art-38/par-2
- 介護保険法 第三十八条第四項（都道府県の援助等） — https://japanlaw.org/en/long-term-care-insurance-act/art-38/par-4 · https://japanlaw.org/l/409AC0000000123/art-38/par-4
- 介護保険法 第六十九条第一項（保険料を徴収する権利が消滅した場合の保険給付の特例） — https://japanlaw.org/en/long-term-care-insurance-act/art-69/par-1 · https://japanlaw.org/l/409AC0000000123/art-69/par-1
- 介護保険法 第七十三条第二項（指定居宅サービスの事業の基準） — https://japanlaw.org/en/long-term-care-insurance-act/art-73/par-2 · https://japanlaw.org/l/409AC0000000123/art-73/par-2
- 介護保険法 第七十八条の十第一項第七号（指定の取消し等） — https://japanlaw.org/en/long-term-care-insurance-act/art-78-10/par-1/item-7 · https://japanlaw.org/l/409AC0000000123/art-78-10/par-1/item-7
- 介護保険法 第二百五条第二項 — https://japanlaw.org/en/long-term-care-insurance-act/art-205/par-2 · https://japanlaw.org/l/409AC0000000123/art-205/par-2
- 介護保険法 第二百十四条第二項 — https://japanlaw.org/en/long-term-care-insurance-act/art-214/par-2 · https://japanlaw.org/l/409AC0000000123/art-214/par-2
- 介護保険法 附則第三条第一項（介護保険法の一部改正に伴う経過措置） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4171-77/art-3/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4171-77/art-3/par-1

---

## 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
- This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18