# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百四条 (Article 104) - Law: 高齢者の医療の確保に関する法律 (Act on Assurance of Medical Care for Elderly People), 昭和五十七年法律第八十号 - English title "Act on Assurance of Medical Care for Elderly People": 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: 第百四条 (Article 104)（保険料） — address `art-104` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-104 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-104 - 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. --- ### 第百四条（保険料） — (Insurance Premiums) caption: Ministry of Justice translation — Japanese Law Translation Database System art-104 · https://japanlaw.org/ja/elderly-medical-care-act/art-104 · https://japanlaw.org/l/357AC0000000080/art-104 **第一項** 市町村は、後期高齢者医療に要する費用（財政安定化基金拠出金、第百十七条第二項の規定による拠出金及び出産育児支援金、感染症の予防及び感染症の患者に対する医療に関する法律の規定による流行初期医療確保拠出金等（第三項及び第百十六条第二項において「流行初期医療確保拠出金等」という。）並びに子ども・子育て支援納付金の納付に要する費用を含む。）に充てるため、保険料を徴収しなければならない。 art-104/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-1 · https://japanlaw.org/l/357AC0000000080/art-104/par-1 A municipality must collect insurance premiums to cover the expenses required for old-old medical care (including expenses required for payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of Article 117, paragraph (2), the contribution for securing medical care in the early phase of an epidemic, etc. pursuant to the provisions of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (referred to as the "contribution for securing medical care in the early phase of an epidemic, etc." in paragraph (3) and Article 116, paragraph (2)), and the children and child-rearing support levy). machine translation, not official **第二項** 前項の保険料は、後期高齢者医療広域連合が被保険者に対し、後期高齢者医療広域連合の全区域にわたつて均一の保険料率であることその他の政令で定める基準に従い後期高齢者医療広域連合の条例で定めるところにより算定された保険料率によつて算定された保険料額によつて課する。ただし、当該後期高齢者医療広域連合の区域のうち、離島その他の医療の確保が著しく困難である地域であつて厚生労働大臣が定める基準に該当するものに住所を有する被保険者の保険料については、政令で定める基準に従い別に後期高齢者医療広域連合の条例で定めるところにより算定された保険料率によつて算定された保険料額によつて課することができる。 art-104/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-2 · https://japanlaw.org/l/357AC0000000080/art-104/par-2 The insurance premiums referred to in the preceding paragraph are imposed by the Association of Medical Care Systems for the Elderly Aged 75 and older on an insured in the amount of insurance premiums calculated using the insurance premium rate calculated as provided by Ordinance of the Association of Medical Care Systems for the Elderly Aged 75 and older in accordance with the standards specified by Cabinet Order, such as the insurance premium rate being uniform throughout the entire area of the Association of Medical Care Systems for the Elderly Aged 75 and older; provided, however, that the insurance premiums of an insured who has an address in an area, within the area of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older, such as a remote island, where securing medical care is extremely difficult and which falls under the standards specified by the Minister of Health, Labour and Welfare, may be imposed in the amount of insurance premiums calculated using an insurance premium rate separately calculated as provided by Ordinance of the Association of Medical Care Systems for the Elderly Aged 75 and older in accordance with the standards specified by Cabinet Order. machine translation, not official **第三項** 前項の保険料率は、療養の給付等に要する費用の額の予想額、財政安定化基金拠出金、第百十七条第二項の規定による拠出金及び出産育児支援金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金の納付に要する費用の予想額、第百十六条第一項第二号の規定による都道府県からの借入金の償還に要する費用の予定額、第百二十五条第一項に規定する高齢者保健事業及び同条第五項に規定する事業に要する費用の予定額、被保険者の所得の分布状況及びその見通し、国庫負担並びに第百条第一項の後期高齢者交付金等の額等に照らし、おおむね二年を通じ財政の均衡を保つことができるものでなければならない。 art-104/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-3 · https://japanlaw.org/l/357AC0000000080/art-104/par-3 The insurance premiums rate referred to in the preceding paragraph must be able to maintain a balanced budget in general throughout two years in light of the estimated amount of expenses incurred in providing benefits for medical treatment, etc., the estimated amount of expenses required for payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of Article 117, paragraph (2), the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, the estimated amount of expenses required for redemption of borrowings from the prefecture pursuant to the provisions of Article 116, paragraph (1), item (ii), the estimated amount of expenses required for health services for the elderly provided for in Article 125, paragraph (1) and for the services provided for in paragraph (5) of the same Article, the status of distribution of income of insured and its prospects, the national treasury burden, and the amount of the Old-Old Subsidy, etc. in Article 100, paragraph (1). machine translation, not official --- ## Cites - art-104/par-1: 第百十七条第二項 → 高齢者の医療の確保に関する法律 第百十七条第二項 (Article 117, paragraph (2)), art-117/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-117/par-2 · https://japanlaw.org/l/357AC0000000080/art-117/par-2 - art-104/par-1: 第三項 → 高齢者の医療の確保に関する法律 第百四条第三項 (Article 104, paragraph (3)), art-104/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-3 · https://japanlaw.org/l/357AC0000000080/art-104/par-3 - art-104/par-1: 第百十六条第二項 → 高齢者の医療の確保に関する法律 第百十六条第二項 (Article 116, paragraph (2)), art-116/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-2 - art-104/par-2: 前項 → 高齢者の医療の確保に関する法律 第百四条第一項 (Article 104, paragraph (1)), art-104/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-1 · https://japanlaw.org/l/357AC0000000080/art-104/par-1 - art-104/par-3: 前項 → 高齢者の医療の確保に関する法律 第百四条第二項 (Article 104, paragraph (2)), art-104/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-2 · https://japanlaw.org/l/357AC0000000080/art-104/par-2 - art-104/par-3: 第百十七条第二項 → 高齢者の医療の確保に関する法律 第百十七条第二項 (Article 117, paragraph (2)), art-117/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-117/par-2 · https://japanlaw.org/l/357AC0000000080/art-117/par-2 - art-104/par-3: 第百十六条第一項第二号 → 高齢者の医療の確保に関する法律 第百十六条第一項第二号 (Article 116, paragraph (1), item (ii)), art-116/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-1/item-2 - art-104/par-3: 第百二十五条第一項 → 高齢者の医療の確保に関する法律 第百二十五条第一項 (Article 125, paragraph (1)), art-125/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-125/par-1 · https://japanlaw.org/l/357AC0000000080/art-125/par-1 - art-104/par-3: 同条第五項 → 高齢者の医療の確保に関する法律 第百二十五条第五項 (Article 125, paragraph (5)), art-125/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-125/par-5 · https://japanlaw.org/l/357AC0000000080/art-125/par-5 - art-104/par-3: 第百条第一項 → 高齢者の医療の確保に関する法律 第百条第一項 (Article 100, paragraph (1)), art-100/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-100/par-1 · https://japanlaw.org/l/357AC0000000080/art-100/par-1 ## Cited by 8 provisions cite this one. No official source publishes this direction. - 住民基本台帳法 別表第二 — https://japanlaw.org/ja/residential-basic-book-act/appdx-2 · https://japanlaw.org/l/342AC0000000081/appdx-2 - 住民基本台帳法 別表第四 — https://japanlaw.org/ja/residential-basic-book-act/appdx-4 · https://japanlaw.org/l/342AC0000000081/appdx-4 - 高齢者の医療の確保に関する法律 第百四条第一項（保険料） — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-1 · https://japanlaw.org/l/357AC0000000080/art-104/par-1 - 高齢者の医療の確保に関する法律 第百四条第二項（保険料） — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-2 · https://japanlaw.org/l/357AC0000000080/art-104/par-2 - 高齢者の医療の確保に関する法律 第百四条第三項（保険料） — https://japanlaw.org/ja/elderly-medical-care-act/art-104/par-3 · https://japanlaw.org/l/357AC0000000080/art-104/par-3 - 高齢者の医療の確保に関する法律 第百七条第一項（保険料の徴収の方法） — https://japanlaw.org/ja/elderly-medical-care-act/art-107/par-1 · https://japanlaw.org/l/357AC0000000080/art-107/par-1 - 高齢者の医療の確保に関する法律 第百六十五条の二第一項第一号（機構等への事務の委託） — https://japanlaw.org/ja/elderly-medical-care-act/art-165-2/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1/item-1 - 高齢者の医療の確保に関する法律 第百六十五条の二第一項第二号（機構等への事務の委託） — https://japanlaw.org/ja/elderly-medical-care-act/art-165-2/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1/item-2 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 高齢者の医療の確保に関する法律 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/357AC0000000080/20261001_507AC0000000087), retrieved 2026-10-19 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-004, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T115100-001, translated 2026-10-19 - This site's parser, version 209 — 高齢者の医療の確保に関する法律 — structure, counts, cross-references and defined terms, computed 2026-10-19