# 介護保険法 / Long-Term Care Insurance Act — 第五十一条の四 (Article 51-4) - 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: 第五十一条の四 (Article 51-4)（特例特定入所者介護サービス費の支給） — address `art-51-4` - 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-51-4 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-51-4 - 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. --- ### 第五十一条の四（特例特定入所者介護サービス費の支給） — (Payment of an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility) caption: Ministry of Justice translation — Japanese Law Translation Database System art-51-4 · https://japanlaw.org/en/long-term-care-insurance-act/art-51-4 · https://japanlaw.org/l/409AC0000000123/art-51-4 **第一項** 市町村は、次に掲げる場合には、特定入所者に対し、特例特定入所者介護サービス費を支給する。 art-51-4/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-51-4/par-1 · https://japanlaw.org/l/409AC0000000123/art-51-4/par-1 A Municipality, in the following cases, pay an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility: Ministry of Justice translation — Japanese Law Translation Database System **一** 特定入所者が、当該要介護認定の効力が生じた日前に、緊急その他やむを得ない理由により特定介護サービスを受けた場合において、必要があると認めるとき。 art-51-4/par-1/item-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-51-4/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-51-4/par-1/item-1 when the Municipality determines it necessary in a case when a Specified Person Admitted to a Facility receives Specified Long-Term Care Service prior to the date said Certification of Needed Long-Term Care becomes effective due to an emergency or other compelling reason; Ministry of Justice translation — Japanese Law Translation Database System **二** その他政令で定めるとき。 art-51-4/par-1/item-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-51-4/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-51-4/par-1/item-2 when otherwise specified by Cabinet Order. machine translation, not official **第二項** 特例特定入所者介護サービス費の額は、当該食事の提供に要した費用について食費の基準費用額から食費の負担限度額を控除した額及び当該居住等に要した費用について居住費の基準費用額から居住費の負担限度額を控除した額の合計額を基準として、市町村が定める。 art-51-4/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-51-4/par-2 · https://japanlaw.org/l/409AC0000000123/art-51-4/par-2 The amount of an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility is established by a Municipality based on the total sum of the amounts remaining after the amount of Base Cost for Meal Expense is deducted from the Maximum Allowance for Meal Expense with regard to the expense required to provide said meal and the amount of Base Costs for Residence is deducted from the amount of Maximum Allowance for Residence Expenses with regard to the expense required for said Residence, etc.. Ministry of Justice translation — Japanese Law Translation Database System ## Cited by 5 provisions cite this one. No official source publishes this direction. - 介護保険法 第二十二条第一項（不正利得の徴収等） — https://japanlaw.org/en/long-term-care-insurance-act/art-22/par-1 · https://japanlaw.org/l/409AC0000000123/art-22/par-1 - 介護保険法 第五十一条の三第一項（特定入所者介護サービス費の支給） — https://japanlaw.org/en/long-term-care-insurance-act/art-51-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-1 - 介護保険法 第五十一条の三第二項第一号（特定入所者介護サービス費の支給） — https://japanlaw.org/en/long-term-care-insurance-act/art-51-3/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-2/item-1 - 介護保険法 第五十一条の三第二項第二号（特定入所者介護サービス費の支給） — https://japanlaw.org/en/long-term-care-insurance-act/art-51-3/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-2/item-2 - 介護保険法 第六十九条第六項（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-6 · https://japanlaw.org/l/409AC0000000123/art-69/par-6 --- ## 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