# 介護保険法 / Long-Term Care Insurance Act — 第四十九条の二 (Article 49-2)

- 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: 第四十九条の二 (Article 49-2)（一定以上の所得を有する要介護被保険者に係る居宅介護サービス費等の額） — address `art-49-2`
- 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-49-2
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-49-2
- 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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### 第四十九条の二（一定以上の所得を有する要介護被保険者に係る居宅介護サービス費等の額） — Amount of Allowance for In-Home Long-Term Care Service, etc. for an Insured Person Requiring Long-Term Care with Income at or above a Certain Level
<sup>caption: machine translation, not official</sup>
<sup>art-49-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2 · https://japanlaw.org/l/409AC0000000123/art-49-2</sup>

  **第一項**  第一号被保険者であって政令で定めるところにより算定した所得の額が政令で定める額以上である要介護被保険者（次項に規定する要介護被保険者を除く。）が受ける次の各号に掲げる介護給付について当該各号に定める規定を適用する場合においては、これらの規定中「百分の九十」とあるのは、「百分の八十」とする。
  <sup>art-49-2/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1</sup>
  In the case of applying the provisions specified in the items below to the Long-Term Care Benefit listed in each of those items that is received by an Insured Person Requiring Long-Term Care who is a Primary Insured Person and whose amount of income calculated as specified by Cabinet Order is the amount specified by Cabinet Order or more (excluding an Insured Person Requiring Long-Term Care prescribed in the following paragraph), the term "90 percent" in those provisions is deemed to be replaced with "80 percent".
  <sup>machine translation, not official</sup>

    **一**  居宅介護サービス費の支給　第四十一条第四項第一号及び第二号並びに第四十三条第一項、第四項及び第六項
    <sup>art-49-2/par-1/item-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-1</sup>
    payment of an Allowance for In-Home Long-Term Care Service:Article 41, paragraph (4), item (i) and item (ii), and Article 43, paragraph (1), paragraph (4) and paragraph (6);
    <sup>machine translation, not official</sup>

    **二**  特例居宅介護サービス費の支給　第四十二条第三項並びに第四十三条第一項、第四項及び第六項
    <sup>art-49-2/par-1/item-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-2</sup>
    payment of an Exceptional Allowance for In-Home Long-Term Care Service:Article 42, paragraph (3), and Article 43, paragraph (1), paragraph (4) and paragraph (6);
    <sup>machine translation, not official</sup>

    **三**  地域密着型介護サービス費の支給　第四十二条の二第二項各号並びに第四十三条第一項、第四項及び第六項
    <sup>art-49-2/par-1/item-3 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-3</sup>
    payment of an Allowance for Community-Based Long-Term Care Service:each item of Article 42-2, paragraph (2), and Article 43, paragraph (1), paragraph (4) and paragraph (6);
    <sup>machine translation, not official</sup>

    **四**  特例地域密着型介護サービス費の支給　第四十二条の三第二項並びに第四十三条第一項、第四項及び第六項
    <sup>art-49-2/par-1/item-4 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-4</sup>
    payment of an Exceptional Allowance for Community-Based Long-Term Care Service:Article 42-3, paragraph (2) and Article 43, paragraph (1), paragraph (4), and paragraph (6);
    <sup>machine translation, not official</sup>

    **五**  施設介護サービス費の支給　第四十八条第二項
    <sup>art-49-2/par-1/item-5 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-5 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-5</sup>
    payment of an Allowance for Long-Term Care Facility Service:Article 48, paragraph (2);
    <sup>machine translation, not official</sup>

    **六**  特例施設介護サービス費の支給　前条第二項
    <sup>art-49-2/par-1/item-6 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-6 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-6</sup>
    payment of an Exceptional Allowance for Long-Term Care Facility Service:paragraph (2) of the preceding Article;
    <sup>machine translation, not official</sup>

    **七**  居宅介護福祉用具購入費の支給　第四十四条第三項、第四項及び第七項
    <sup>art-49-2/par-1/item-7 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-7 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-7</sup>
    payment of an Allowance for Purchasing Equipment for In-Home Long-Term Care Covered by Public Aid:Article 44, paragraph (3), paragraph (4), and paragraph (7);
    <sup>machine translation, not official</sup>

    **八**  居宅介護住宅改修費の支給　第四十五条第三項、第四項及び第七項
    <sup>art-49-2/par-1/item-8 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1/item-8 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-8</sup>
    payment of an Allowance for Home Modification for In-Home Long-Term Care:Article 45, paragraph (3), paragraph (4) and paragraph (7).
    <sup>machine translation, not official</sup>

  **第二項**  第一号被保険者であって政令で定めるところにより算定した所得の額が前項の政令で定める額を超える政令で定める額以上である要介護被保険者が受ける同項各号に掲げる介護給付について当該各号に定める規定を適用する場合においては、これらの規定中「百分の九十」とあるのは、「百分の七十」とする。
  <sup>art-49-2/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-2</sup>
  In the case of applying the provisions specified in the items of the preceding paragraph to the Long-Term Care Benefit listed in those items that is received by an Insured Person Requiring Long-Term Care who is a Primary Insured Person and whose amount of income calculated as specified by Cabinet Order is the amount specified by Cabinet Order, which exceeds the amount specified by Cabinet Order in the preceding paragraph, or more, the term "90 percent" in those provisions is deemed to be replaced with "70 percent".
  <sup>machine translation, not official</sup>

---

## Cites
- art-49-2/par-1: 次項 → 介護保険法 第四十九条の二第二項 (Article 49-2, paragraph (2)), art-49-2/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-2
- art-49-2/par-1/item-1: 第四十一条第四項第一号 → 介護保険法 第四十一条第四項第一号 (Article 41, paragraph (4), item (i)), art-41/par-4/item-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-41/par-4/item-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-4/item-1
- art-49-2/par-1/item-1: 第二号 → 介護保険法 第四十一条第四項第二号 (Article 41, paragraph (4), item (ii)), art-41/par-4/item-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-41/par-4/item-2 · https://japanlaw.org/l/409AC0000000123/art-41/par-4/item-2
- art-49-2/par-1/item-1: 第四十三条第一項 → 介護保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-1 · https://japanlaw.org/l/409AC0000000123/art-43/par-1
- art-49-2/par-1/item-1: 第四項 → 介護保険法 第四十三条第四項 (Article 43, paragraph (4)), art-43/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-4 · https://japanlaw.org/l/409AC0000000123/art-43/par-4
- art-49-2/par-1/item-1: 第六項 → 介護保険法 第四十三条第六項 (Article 43, paragraph (6)), art-43/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-6 · https://japanlaw.org/l/409AC0000000123/art-43/par-6
- art-49-2/par-1/item-2: 第四十二条第三項 → 介護保険法 第四十二条第三項 (Article 42, paragraph (3)), art-42/par-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-42/par-3 · https://japanlaw.org/l/409AC0000000123/art-42/par-3
- art-49-2/par-1/item-2: 第四十三条第一項 → 介護保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-1 · https://japanlaw.org/l/409AC0000000123/art-43/par-1
- art-49-2/par-1/item-2: 第四項 → 介護保険法 第四十三条第四項 (Article 43, paragraph (4)), art-43/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-4 · https://japanlaw.org/l/409AC0000000123/art-43/par-4
- art-49-2/par-1/item-2: 第六項 → 介護保険法 第四十三条第六項 (Article 43, paragraph (6)), art-43/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-6 · https://japanlaw.org/l/409AC0000000123/art-43/par-6
- art-49-2/par-1/item-3: 第四十二条の二第二項 → 介護保険法 第四十二条の二第二項 (Article 42-2, paragraph (2)), art-42-2/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-42-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-2
- art-49-2/par-1/item-3: 第四十三条第一項 → 介護保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-1 · https://japanlaw.org/l/409AC0000000123/art-43/par-1
- art-49-2/par-1/item-3: 第四項 → 介護保険法 第四十三条第四項 (Article 43, paragraph (4)), art-43/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-4 · https://japanlaw.org/l/409AC0000000123/art-43/par-4
- art-49-2/par-1/item-3: 第六項 → 介護保険法 第四十三条第六項 (Article 43, paragraph (6)), art-43/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-6 · https://japanlaw.org/l/409AC0000000123/art-43/par-6
- art-49-2/par-1/item-4: 第四十二条の三第二項 → 介護保険法 第四十二条の三第二項 (Article 42-3, paragraph (2)), art-42-3/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-42-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-2
- art-49-2/par-1/item-4: 第四十三条第一項 → 介護保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-1 · https://japanlaw.org/l/409AC0000000123/art-43/par-1
- art-49-2/par-1/item-4: 第四項 → 介護保険法 第四十三条第四項 (Article 43, paragraph (4)), art-43/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-4 · https://japanlaw.org/l/409AC0000000123/art-43/par-4
- art-49-2/par-1/item-4: 第六項 → 介護保険法 第四十三条第六項 (Article 43, paragraph (6)), art-43/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-43/par-6 · https://japanlaw.org/l/409AC0000000123/art-43/par-6
- art-49-2/par-1/item-5: 第四十八条第二項 → 介護保険法 第四十八条第二項 (Article 48, paragraph (2)), art-48/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-48/par-2 · https://japanlaw.org/l/409AC0000000123/art-48/par-2
- art-49-2/par-1/item-6: 前条第二項 → 介護保険法 第四十九条第二項 (Article 49, paragraph (2)), art-49/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-49/par-2 · https://japanlaw.org/l/409AC0000000123/art-49/par-2
- art-49-2/par-1/item-7: 第四十四条第三項 → 介護保険法 第四十四条第三項 (Article 44, paragraph (3)), art-44/par-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-44/par-3 · https://japanlaw.org/l/409AC0000000123/art-44/par-3
- art-49-2/par-1/item-7: 第四項 → 介護保険法 第四十四条第四項 (Article 44, paragraph (4)), art-44/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-44/par-4 · https://japanlaw.org/l/409AC0000000123/art-44/par-4
- art-49-2/par-1/item-7: 第七項 → 介護保険法 第四十四条第七項 (Article 44, paragraph (7)), art-44/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-44/par-7 · https://japanlaw.org/l/409AC0000000123/art-44/par-7
- art-49-2/par-1/item-8: 第四十五条第三項 → 介護保険法 第四十五条第三項 (Article 45, paragraph (3)), art-45/par-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-45/par-3 · https://japanlaw.org/l/409AC0000000123/art-45/par-3
- art-49-2/par-1/item-8: 第四項 → 介護保険法 第四十五条第四項 (Article 45, paragraph (4)), art-45/par-4 — https://japanlaw.org/en/long-term-care-insurance-act/art-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-45/par-4
- art-49-2/par-1/item-8: 第七項 → 介護保険法 第四十五条第七項 (Article 45, paragraph (7)), art-45/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-45/par-7
- art-49-2/par-2: 前項 → 介護保険法 第四十九条の二第一項 (Article 49-2, paragraph (1)), art-49-2/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1

## Cited by

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

- 介護保険法 第四十九条の二第一項（一定以上の所得を有する要介護被保険者に係る居宅介護サービス費等の額） — https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1
- 介護保険法 第四十九条の二第二項（一定以上の所得を有する要介護被保険者に係る居宅介護サービス費等の額） — https://japanlaw.org/en/long-term-care-insurance-act/art-49-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-2
- 介護保険法 第五十条第一項（居宅介護サービス費等の額の特例） — https://japanlaw.org/en/long-term-care-insurance-act/art-50/par-1 · https://japanlaw.org/l/409AC0000000123/art-50/par-1
- 介護保険法 第五十条第二項（居宅介護サービス費等の額の特例） — https://japanlaw.org/en/long-term-care-insurance-act/art-50/par-2 · https://japanlaw.org/l/409AC0000000123/art-50/par-2
- 介護保険法 第五十条第三項（居宅介護サービス費等の額の特例） — https://japanlaw.org/en/long-term-care-insurance-act/art-50/par-3 · https://japanlaw.org/l/409AC0000000123/art-50/par-3
- 介護保険法 第六十九条第三項（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-3 · https://japanlaw.org/l/409AC0000000123/art-69/par-3
- 介護保険法 第六十九条第四項（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-4 · https://japanlaw.org/l/409AC0000000123/art-69/par-4
- 介護保険法 第六十九条第五項（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-5 · https://japanlaw.org/l/409AC0000000123/art-69/par-5

---

## 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-20261018T212610-004, 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