# 介護保険法 / Long-Term Care Insurance Act — 第十章 (Chapter 10)

- 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: 第十章 (Chapter 10) — address `ch-10`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/long-term-care-insurance-act/ch-10
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/ch-10
- 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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## 第十章　国民健康保険団体連合会の介護保険事業関係業務 — Chapter X Business Related to a Long-Term Care Insurance Project from the Federation of National Health Insurance Associations
<sup>heading: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>ch-10 · https://japanlaw.org/en/long-term-care-insurance-act/ch-10 · https://japanlaw.org/l/409AC0000000123/ch-10</sup>

### 第百七十六条（連合会の業務） — (Operation of an Association)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-176 · https://japanlaw.org/en/long-term-care-insurance-act/art-176 · https://japanlaw.org/l/409AC0000000123/art-176</sup>

**第一項**  連合会は、国民健康保険法の規定による業務のほか、次に掲げる業務を行う。
<sup>art-176/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-1</sup>
An Association conducts the following business in addition to the business pursuant to the provisions of the National Health Insurance Act:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  第四十一条第十項（第四十二条の二第九項、第四十六条第七項、第四十八条第七項、第五十一条の三第八項、第五十三条第七項、第五十四条の二第九項、第五十八条第七項及び第六十一条の三第八項において準用する場合を含む。）の規定により市町村から委託を受けて行う居宅介護サービス費、地域密着型介護サービス費、居宅介護サービス計画費、施設介護サービス費、特定入所者介護サービス費、介護予防サービス費、地域密着型介護予防サービス費、介護予防サービス計画費及び特定入所者介護予防サービス費の請求に関する審査及び支払
  <sup>art-176/par-1/item-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-1</sup>
  pursuant to the provisions of Article 41, paragraph (10) (including a case applied mutatis mutandis pursuant to Article 42-2, paragraph (9), Article 46, paragraph (7), Article 48, paragraph (7), Article 51-3, paragraph (8), Article 53, paragraph (7), Article 54-2, paragraph (9), Article 58, paragraph (7) and Article 61-3, paragraph (8)), examination and payment concerning a demand of Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to A Person Admitted to A Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Service Plan for Long-Term Care, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility that are entrusted by a Municipality;
  <sup>machine translation, not official</sup>

  **二**  第百十五条の四十五の三第六項の規定により市町村から委託を受けて行う第一号事業支給費の請求に関する審査及び支払並びに第百十五条の四十七第七項の規定により市町村から委託を受けて行う介護予防・日常生活支援総合事業の実施に必要な費用の支払決定に係る審査及び支払であって、前号に掲げる業務の内容との共通性その他の事情を勘案して厚生労働省令で定めるもの
  <sup>art-176/par-1/item-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-2</sup>
  examination and payment concerning a demand for category 1 project payment entrusted by a Municipality pursuant to the provisions of Article 115-45-3, paragraph (6), and such examination and payment concerning decisions on payment of expenses necessary for the implementation of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support entrusted by a Municipality pursuant to the provisions of Article 115-47, paragraph (7) as is specified by Order of the Ministry of Health, Labour and Welfare in consideration of commonality with the content of the business listed in the preceding item and other circumstances;
  <sup>machine translation, not official</sup>

  **三**  指定居宅サービス、指定地域密着型サービス、指定居宅介護支援、指定施設サービス等、指定介護予防サービス、指定地域密着型介護予防サービス及び指定介護予防支援の質の向上に関する調査並びに指定居宅サービス事業者、指定地域密着型サービス事業者、指定居宅介護支援事業者、介護保険施設、指定介護予防サービス事業者、指定地域密着型介護予防サービス事業者及び指定介護予防支援事業者に対する必要な指導及び助言
  <sup>art-176/par-1/item-3 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-3</sup>
  investigation of the improvement of quality of Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Preventive Long-Term Care Service, and Designated Support for Prevention of Long-Term Care, and the necessary instruction and advice to a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Long-Term Care Insurance Facility, Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Preventive Service of Long-Term Care, and Designated Provider of Support for Prevention of Long-Term Care.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **四**  第百十五条の五十第二項の規定により都道府県から委託を受けて行う補助金の交付に関する事務
  <sup>art-176/par-1/item-4 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-4</sup>
  affairs concerning the disbursement of subsidies entrusted by a prefecture pursuant to the provisions of Article 115-50, paragraph (2).
  <sup>machine translation, not official</sup>

**第二項**  連合会は、前項各号に掲げる業務のほか、介護保険事業の円滑な運営に資するため、次に掲げる業務を行うことができる。
<sup>art-176/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-2</sup>
An Association, in addition to those operations listed in each item of the preceding paragraph, may conduct the businesses listed in the following items, in order to contribute to efficient operation of an Insured Long-Term Care Project:
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **一**  第二十一条第三項の規定により市町村から委託を受けて行う第三者に対する損害賠償金の徴収又は収納の事務
  <sup>art-176/par-2/item-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-1</sup>
  affairs of collection or payment of compensation for damages to a third party that is conducted based on the entrustment of a Municipality pursuant to the provisions of Article 21, paragraph (3);
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  指定居宅サービス、指定地域密着型サービス、指定居宅介護支援、指定介護予防サービス及び指定地域密着型介護予防サービスの事業並びに介護保険施設の運営
  <sup>art-176/par-2/item-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-2</sup>
  operation of the business of Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Preventive Service of Long-Term Care, Designated Community-Based Preventive Long-Term Care Service, and a Long-Term Care Insurance Facility;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  第百十五条の四十七第七項の規定により市町村から委託を受けて行う介護予防・日常生活支援総合事業の実施に必要な費用の支払決定に係る審査及び支払（前項第二号に掲げるものを除く。）
  <sup>art-176/par-2/item-3 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-3 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-3</sup>
  examination and payment concerning decisions on payment of expenses necessary for the implementation of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support entrusted by a Municipality pursuant to the provisions of Article 115-47, paragraph (7) (excluding that listed in item (ii) of the preceding paragraph);
  <sup>machine translation, not official</sup>

  **四**  前三号に掲げるもののほか、介護保険事業の円滑な運営に資する事業
  <sup>art-176/par-2/item-4 · https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-4 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-4</sup>
  in addition to the operations listed in the preceding three items, business that contributes to the efficient operation of an Insured Long-Term Care Project.
  <sup>machine translation, not official</sup>

### 第百七十七条（議決権の特例） — (Exception of Voting Rights)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-177 · https://japanlaw.org/en/long-term-care-insurance-act/art-177 · https://japanlaw.org/l/409AC0000000123/art-177</sup>

**第一項**  連合会が前条の規定により行う業務（以下「介護保険事業関係業務」という。）については、国民健康保険法第八十六条において準用する同法第二十九条の規定にかかわらず、厚生労働省令で定めるところにより、規約をもって議決権に関する特段の定めをすることができる。
<sup>art-177/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-177/par-1 · https://japanlaw.org/l/409AC0000000123/art-177/par-1</sup>
With regard to business that an Association conducts pursuant to the provisions of the preceding Article (hereinafter referred to as "Business Relevant to A Long-Term Care Insurance Project"), notwithstanding the provisions of Article 29 of the National Health Insurance Act as applied mutatis mutandis pursuant to Article 86 of the same Act, a special provision concerning voting rights may be provided by the constitution.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

### 第百七十八条（区分経理） — (Separate Accounting)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-178 · https://japanlaw.org/en/long-term-care-insurance-act/art-178 · https://japanlaw.org/l/409AC0000000123/art-178</sup>

**第一項**  連合会は、介護保険事業関係業務に係る経理については、その他の経理と区分して整理しなければならない。
<sup>art-178/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-178/par-1 · https://japanlaw.org/l/409AC0000000123/art-178/par-1</sup>
An Association, with regard to accounting procedures pertaining to Business Related to A Long-Term Care Insurance Project, must separate said records from other accounting records.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

---

## Cites
- art-176/par-1/item-1: 第四十一条第十項 → 介護保険法 第四十一条第十項 (Article 41, paragraph (10)), art-41/par-10 — https://japanlaw.org/en/long-term-care-insurance-act/art-41/par-10 · https://japanlaw.org/l/409AC0000000123/art-41/par-10
- art-176/par-1/item-1: 第四十二条の二第九項 → 介護保険法 第四十二条の二第九項 (Article 42-2, paragraph (9)), art-42-2/par-9 — https://japanlaw.org/en/long-term-care-insurance-act/art-42-2/par-9 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-9
- art-176/par-1/item-1: 第四十六条第七項 → 介護保険法 第四十六条第七項 (Article 46, paragraph (7)), art-46/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-46/par-7 · https://japanlaw.org/l/409AC0000000123/art-46/par-7
- art-176/par-1/item-1: 第四十八条第七項 → 介護保険法 第四十八条第七項 (Article 48, paragraph (7)), art-48/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-48/par-7 · https://japanlaw.org/l/409AC0000000123/art-48/par-7
- art-176/par-1/item-1: 第五十一条の三第八項 → 介護保険法 第五十一条の三第八項 (Article 51-3, paragraph (8)), art-51-3/par-8 — https://japanlaw.org/en/long-term-care-insurance-act/art-51-3/par-8 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-8
- art-176/par-1/item-1: 第五十三条第七項 → 介護保険法 第五十三条第七項 (Article 53, paragraph (7)), art-53/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-53/par-7 · https://japanlaw.org/l/409AC0000000123/art-53/par-7
- art-176/par-1/item-1: 第五十四条の二第九項 → 介護保険法 第五十四条の二第九項 (Article 54-2, paragraph (9)), art-54-2/par-9 — https://japanlaw.org/en/long-term-care-insurance-act/art-54-2/par-9 · https://japanlaw.org/l/409AC0000000123/art-54-2/par-9
- art-176/par-1/item-1: 第五十八条第七項 → 介護保険法 第五十八条第七項 (Article 58, paragraph (7)), art-58/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-58/par-7 · https://japanlaw.org/l/409AC0000000123/art-58/par-7
- art-176/par-1/item-1: 第六十一条の三第八項 → 介護保険法 第六十一条の三第八項 (Article 61-3, paragraph (8)), art-61-3/par-8 — https://japanlaw.org/en/long-term-care-insurance-act/art-61-3/par-8 · https://japanlaw.org/l/409AC0000000123/art-61-3/par-8
- art-176/par-1/item-2: 第百十五条の四十五の三第六項 → 介護保険法 第百十五条の四十五の三第六項 (Article 115-45-3, paragraph (6)), art-115-45-3/par-6 — https://japanlaw.org/en/long-term-care-insurance-act/art-115-45-3/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-6
- art-176/par-1/item-2: 第百十五条の四十七第七項 → 介護保険法 第百十五条の四十七第七項 (Article 115-47, paragraph (7)), art-115-47/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-115-47/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-7
- art-176/par-1/item-2: 前号 → 介護保険法 第百七十六条第一項第一号 (Article 176, paragraph (1), item (i)), art-176/par-1/item-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-1
- art-176/par-1/item-4: 第百十五条の五十第二項 → 介護保険法 第百十五条の五十第二項 (Article 115-50, paragraph (2)), art-115-50/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-115-50/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-50/par-2
- art-176/par-2: 前項 → 介護保険法 第百七十六条第一項 (Article 176, paragraph (1)), art-176/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-1
- art-176/par-2/item-1: 第二十一条第三項 → 介護保険法 第二十一条第三項 (Article 21, paragraph (3)), art-21/par-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-21/par-3 · https://japanlaw.org/l/409AC0000000123/art-21/par-3
- art-176/par-2/item-3: 第百十五条の四十七第七項 → 介護保険法 第百十五条の四十七第七項 (Article 115-47, paragraph (7)), art-115-47/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-115-47/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-7
- art-176/par-2/item-3: 前項第二号 → 介護保険法 第百七十六条第一項第二号 (Article 176, paragraph (1), item (ii)), art-176/par-1/item-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-2
- art-176/par-2/item-4: 前三号 → 介護保険法 第百七十六条第二項第一号 (Article 176, paragraph (2), item (i)), art-176/par-2/item-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-1
- art-176/par-2/item-4: 前三号 → 介護保険法 第百七十六条第二項第二号 (Article 176, paragraph (2), item (ii)), art-176/par-2/item-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-2
- art-176/par-2/item-4: 前三号 → 介護保険法 第百七十六条第二項第三号 (Article 176, paragraph (2), item (iii)), art-176/par-2/item-3 — https://japanlaw.org/en/long-term-care-insurance-act/art-176/par-2/item-3 · https://japanlaw.org/l/409AC0000000123/art-176/par-2/item-3
- art-177/par-1: 前条 → 介護保険法 第百七十六条 (Article 176), art-176 — https://japanlaw.org/en/long-term-care-insurance-act/art-176 · https://japanlaw.org/l/409AC0000000123/art-176
- art-177/par-1: 国民健康保険法第八十六条 → 国民健康保険法 第八十六条 (Article 86), art-86 — https://japanlaw.org/en/national-health-insurance-act/art-86 · https://japanlaw.org/l/333AC0000000192/art-86
- art-177/par-1: 同法第二十九条 → 国民健康保険法 第二十九条 (Article 29), art-29 — https://japanlaw.org/en/national-health-insurance-act/art-29 · https://japanlaw.org/l/333AC0000000192/art-29

---

## 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-20261018T203319-040, translated 2026-10-19
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch long-term-care-insurance-act-20261018T203319-040, 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