# 介護保険法 / Long-Term Care Insurance Act — 第二十条 (Supplementary Provisions, Article 20) - 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: 第二十条 (Supplementary Provisions, Article 20)（地域密着型通所介護に関する経過措置） — address `suppl-4261-83/art-20` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20 - 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. --- ### 第二十条（地域密着型通所介護に関する経過措置） — Transitional Measures concerning Community-Based Outpatient Day Long-Term Care caption: machine translation, not official suppl-4261-83/art-20 · https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20 **第一項** 附則第一条第六号に掲げる規定の施行の際現に介護保険法第四十一条第一項本文の指定を受けている通所介護（利用定員が第六条の規定（同号に掲げる改正規定に限る。）による改正後の介護保険法（以下「第六号新介護保険法」という。）第八条第七項の厚生労働省令で定める数未満であるものに限る。次項において同じ。）の事業を行う者は、同号に掲げる規定の施行の日（以下「第六号施行日」という。）において当該事業を行う事業所の所在地の市町村（第六号施行日の前日において当該市町村以外の市町村（以下この項において「他の市町村」という。）が行う介護保険の被保険者が当該事業を行う者が行う通所介護を利用していた場合にあっては、当該他の市町村を含む。）の長から第六号新介護保険法第八条第十七項に規定する地域密着型通所介護に係る第六号新介護保険法第四十二条の二第一項本文の指定を受けたものとみなす。ただし、当該事業を行う者が第六号施行日の前日までに、厚生労働省令で定めるところにより別段の申出をしたときは、この限りでない。 suppl-4261-83/art-20/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-1 A person who, at the time of enforcement of the provisions listed in Article 1, item (vi) of the Supplementary Provisions, is conducting the business of Outpatient Day Long-Term Care for which the person has already received the designation under the main clause of Article 41, paragraph (1) of the Long-Term Care Insurance Act (limited to that whose maximum number of users is less than the number specified by Order of the Ministry of Health, Labour and Welfare under Article 8, paragraph (7) of the Long-Term Care Insurance Act as amended by the provisions of Article 6 (limited to the amending provisions listed in that item) (hereinafter referred to as the "item (vi) New Long-Term Care Insurance Act"); the same applies in the following paragraph) is deemed to have received, on the date of enforcement of the provisions listed in that item (hereinafter referred to as the "item (vi) Effective Date"), from the mayor of the Municipality where the Business Office conducting that business is located (including, where, on the day before the item (vi) Effective Date, an Insured Person of Long-Term Care Insurance covered by a Municipality other than that Municipality (hereinafter in this paragraph referred to as "other Municipality") was using the Outpatient Day Long-Term Care provided by the person conducting that business, that other Municipality), the designation under the main clause of Article 42-2, paragraph (1) of the item (vi) New Long-Term Care Insurance Act pertaining to Community-Based Outpatient Day Long-Term Care prescribed in Article 8, paragraph (17) of the item (vi) New Long-Term Care Insurance Act; provided, however, that this does not apply if the person conducting that business has made a different notification, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the day before the item (vi) Effective Date. machine translation, not official **第二項** 前項の規定により第六号新介護保険法第八条第十七項に規定する地域密着型通所介護に係る第六号新介護保険法第四十二条の二第一項本文の指定を受けたものとみなされる通所介護の事業を行う者については、介護保険法第四十一条第一項本文の指定は、第六号施行日にその効力を失う。 suppl-4261-83/art-20/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-2 With regard to a person conducting the business of Outpatient Day Long-Term Care who is deemed under the preceding paragraph to have received the designation under the main clause of Article 42-2, paragraph (1) of the item (vi) New Long-Term Care Insurance Act pertaining to Community-Based Outpatient Day Long-Term Care prescribed in Article 8, paragraph (17) of the item (vi) New Long-Term Care Insurance Act, the designation under the main clause of Article 41, paragraph (1) of the Long-Term Care Insurance Act ceases to be effective on the item (vi) Effective Date. machine translation, not official --- ## Cites - suppl-4261-83/art-20/par-1: 附則第一条第六号 → 介護保険法 附則第一条第一項第六号 (Supplementary Provisions, Article 1, paragraph (1), item (vi)), suppl-4261-83/art-1/par-1/item-6 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-1/par-1/item-6 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-1/par-1/item-6 - suppl-4261-83/art-20/par-1: 介護保険法第四十一条第一項 → 介護保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-41/par-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-1 - suppl-4261-83/art-20/par-1: 第八条第七項 → 介護保険法 第八条第七項 (Article 8, paragraph (7)), art-8/par-7 — https://japanlaw.org/en/long-term-care-insurance-act/art-8/par-7 · https://japanlaw.org/l/409AC0000000123/art-8/par-7 - suppl-4261-83/art-20/par-1: 次項 → 介護保険法 附則第二十条第二項 (Supplementary Provisions, Article 20, paragraph (2)), suppl-4261-83/art-20/par-2 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-2 - suppl-4261-83/art-20/par-1: この項 → 介護保険法 附則第二十条第一項 (Supplementary Provisions, Article 20, paragraph (1)), suppl-4261-83/art-20/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-1 - suppl-4261-83/art-20/par-1: 第六号新介護保険法第八条第十七項 → 介護保険法 第八条第十七項 (Article 8, paragraph (17)), art-8/par-17 — https://japanlaw.org/en/long-term-care-insurance-act/art-8/par-17 · https://japanlaw.org/l/409AC0000000123/art-8/par-17 - suppl-4261-83/art-20/par-1: 第六号新介護保険法第四十二条の二第一項 → 介護保険法 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-42-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-1 - suppl-4261-83/art-20/par-2: 前項 → 介護保険法 附則第二十条第一項 (Supplementary Provisions, Article 20, paragraph (1)), suppl-4261-83/art-20/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-1 - suppl-4261-83/art-20/par-2: 第六号新介護保険法第八条第十七項 → 介護保険法 第八条第十七項 (Article 8, paragraph (17)), art-8/par-17 — https://japanlaw.org/en/long-term-care-insurance-act/art-8/par-17 · https://japanlaw.org/l/409AC0000000123/art-8/par-17 - suppl-4261-83/art-20/par-2: 第六号新介護保険法第四十二条の二第一項 → 介護保険法 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-42-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-1 - suppl-4261-83/art-20/par-2: 介護保険法第四十一条第一項 → 介護保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-41/par-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-1 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 介護保険法 附則第一条第一項第一号（施行期日） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-1/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-1/par-1/item-1 - 介護保険法 附則第一条第一項第六号（施行期日） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-1/par-1/item-6 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-1/par-1/item-6 - 介護保険法 附則第二十条第一項（地域密着型通所介護に関する経過措置） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-1 - 介護保険法 附則第二十条第二項（地域密着型通所介護に関する経過措置） — https://japanlaw.org/en/long-term-care-insurance-act/suppl-4261-83/art-20/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-20/par-2 --- ## 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-20261018T212610-047, 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