# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百十六条 (Article 116) - 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: 第百十六条 (Article 116) — address `art-116` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-116 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-116 - 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. --- ### 第百十六条 art-116 · https://japanlaw.org/ja/elderly-medical-care-act/art-116 · https://japanlaw.org/l/357AC0000000080/art-116 **第一項** 都道府県は、後期高齢者医療の財政の安定化に資するため財政安定化基金を設け、次に掲げる事業に必要な費用に充てるものとする。 art-116/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-1 A prefecture, in order to contribute to the financial stability of medical care for the elderly, is to establish a financial stability fund to cover the expenses necessary for the following projects: Ministry of Justice translation — Japanese Law Translation Database System **一** 実績保険料収納額が予定保険料収納額に不足すると見込まれ、かつ、基金事業対象収入額が基金事業対象費用額に不足すると見込まれる後期高齢者医療広域連合に対し、政令で定めるところにより、イに掲げる額（イに掲げる額がロに掲げる額を超えるときは、ロに掲げる額）の二分の一に相当する額を基礎として、当該後期高齢者医療広域連合を組織する市町村における保険料の収納状況等を勘案して政令で定めるところにより算定した額を交付する事業 art-116/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-1/item-1 a project to provide a Association of Medical Care Systems for the Elderly Aged 75 and older whose actual amount of insurance premiums received is expected to fall short of the estimated amount of insurance premiums received and whose amount of revenue subject to a fund project is expected to fall short of the amount of expenses subject to a fund project with an amount calculated pursuant to the provisions of Cabinet Order based on an amount equivalent to half of the amount listed in (a) below (if the amount listed in (a) below exceeds the amount listed in (b) below, the amount listed in (b) below) by taking into consideration the status of receipt of insurance premiums, etc. in the municipality that organizes the Association of Medical Care Systems for the Elderly Aged 75 and older, pursuant to the provisions of Cabinet Order: Ministry of Justice translation — Japanese Law Translation Database System **イ** 実績保険料収納額が予定保険料収納額に不足すると見込まれる額 art-116/par-1/item-1/sub-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-1/item-1/sub-1 the amount of insurance premiums actually received that is expected to be less than the amount of insurance premiums scheduled to be received; Ministry of Justice translation — Japanese Law Translation Database System **ロ** 基金事業対象収入額が基金事業対象費用額に不足すると見込まれる額 art-116/par-1/item-1/sub-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-1/item-1/sub-2 the amount by which the Amount of Revenue Covered by the Fund Project is expected to be short of the Amount of Cost Covered by the Fund Project; Ministry of Justice translation — Japanese Law Translation Database System **二** 基金事業対象収入額及び基金事業交付額の合計額が、基金事業対象費用額に不足すると見込まれる後期高齢者医療広域連合に対し、政令で定めるところにより、当該不足すると見込まれる額を基礎として、当該後期高齢者医療広域連合を組織する市町村における保険料の収納状況等を勘案して政令で定めるところにより算定した額の範囲内の額を貸し付ける事業 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 a project to provide a Association of Medical Care Systems for the Elderly Aged 75 and older whose total of the Revenue Subject to a Fund Project and the Amount Delivered by a Fund Project is expected to fall short of the Amount of Expenses Subject to a Fund Project with a loan, pursuant to the provisions of Cabinet Order, in an amount not exceeding the amount calculated pursuant to the provisions of Cabinet Order, based on the expected shortfall, by taking into consideration the status of collection of insurance premiums, etc. in the Municipality that organizes the Association of Medical Care Systems for the Elderly Aged 75 and older. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項における用語のうち次の各号に掲げるものの意義は、当該各号に定めるところによる。 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 Among the terms used in the preceding paragraph, the meanings of those set forth in the following items are as prescribed respectively in those items: Ministry of Justice translation — Japanese Law Translation Database System **一** 予定保険料収納額　後期高齢者医療広域連合において特定期間（平成二十年度を初年度とする同年度以降の二年度ごとの期間をいう。以下この項において同じ。）中に当該後期高齢者医療広域連合を組織する市町村において収納が見込まれた保険料の額の合計額のうち、療養の給付等に要する費用の額、財政安定化基金拠出金、次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額並びに前項第二号の規定による都道府県からの借入金（以下この項において「基金事業借入金」という。）の償還に要する費用の額に充てるものとして政令で定めるところにより算定した額 art-116/par-2/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-1 the estimated amount of insurance premiums received: the amount calculated pursuant to the provisions of Cabinet Order as the amount to be allocated to the amount of expenses incurred in providing benefits for medical treatment, etc., the 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 paragraph (2) of the following Article, the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, and the amount of expenses required for redemption of borrowings from the prefecture pursuant to the provisions of item (ii) of the preceding paragraph (hereinafter referred to as "Borrowings for Fund Project" in this paragraph), out of the total amount of insurance premiums that are expected to be received, during the specified period (meaning every two-fiscal-year period from fiscal year 2008, which is the first year; the same applies hereinafter in this paragraph), by the municipalities that organize the Association of Medical Care Systems for the Elderly Aged 75 and older in that Association; machine translation, not official **二** 実績保険料収納額　後期高齢者医療広域連合を組織する市町村において特定期間中に収納した保険料の額の合計額のうち、療養の給付に要した費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費、移送費、高額療養費及び高額介護合算療養費の支給に要した費用の額の合計額（以下この項において「療養の給付等に要した費用の額」という。）、財政安定化基金拠出金、次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した費用の額並びに基金事業借入金の償還に要した費用の額に充てるものとして政令で定めるところにより算定した額 art-116/par-2/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-2 the actual amount of insurance premiums received: the amount calculated pursuant to the provisions of Cabinet Order as the amount to be allocated to the sum total of the amount obtained by deducting the amount equivalent to the co-payment for the benefits from the amount of expenses spent on benefits for medical treatment and the amount of expenses spent on payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses, high-cost medical expenses and sizable medical and nursing expenses (hereinafter referred to as the "amount of costs spent on benefits for medical treatment, etc." in this paragraph), the amount of expenses spent on payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of paragraph (2) of the following Article, the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, and the amount of expenses spent on redemption of Borrowings for Fund Project, out of the total amount of insurance premiums received during the specified period by the municipalities that organize the Association of Medical Care Systems for the Elderly Aged 75 and older; machine translation, not official **三** 基金事業対象収入額　後期高齢者医療広域連合の後期高齢者医療に関する特別会計において特定期間中に収入した金額（第五号の基金事業交付額及び基金事業借入金の額を除く。）の合計額のうち、療養の給付等に要した費用の額、財政安定化基金拠出金、次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した費用の額並びに基金事業借入金の償還に要した費用の額に充てるものとして政令で定めるところにより算定した額 art-116/par-2/item-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-3 the amount of revenue subject to fund projects: the amount calculated pursuant to the provisions of Cabinet Order as the amount to be allocated to the amount of costs spent on benefits for medical treatment, etc., the amount of expenses spent on payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of paragraph (2) of the following Article, the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, and the amount of expenses spent on redemption of Borrowings for Fund Project, out of the total of the amounts received during the specified period in the special account for old-old medical care of the Association of Medical Care Systems for the Elderly Aged 75 and older (excluding the amount of grants for fund business set forth in item (v) and the amount of Borrowings for Fund Project); machine translation, not official **四** 基金事業対象費用額　後期高齢者医療広域連合において特定期間中に療養の給付等に要した費用の額、財政安定化基金拠出金、次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した費用の額並びに基金事業借入金の償還に要した費用の額の合計額として政令で定めるところにより算定した額 art-116/par-2/item-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-4 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-4 the amount of expenses subject to fund projects: the amount calculated pursuant to the provisions of Cabinet Order as the sum total of the amount of costs spent on benefits for medical treatment, etc., the amount of expenses spent on payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of paragraph (2) of the following Article, the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, and the amount of expenses spent on redemption of Borrowings for Fund Project, during the specified period at the Association of Medical Care Systems for the Elderly Aged 75 and older; machine translation, not official **五** 基金事業交付額　後期高齢者医療広域連合が特定期間中に前項第一号の規定により交付を受けた額 art-116/par-2/item-5 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-5 the amount of grants for fund business:the amount that a Association of Medical Care Systems for the Elderly Aged 75 and older has received pursuant to the provisions of item (i) of the preceding paragraph during the specified period. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 都道府県は、財政安定化基金に充てるため、政令で定めるところにより、後期高齢者医療広域連合から財政安定化基金拠出金を徴収するものとする。 art-116/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-3 · https://japanlaw.org/l/357AC0000000080/art-116/par-3 A prefecture, pursuant to the provisions of Cabinet Order, is to collect Fiscal Stability Fund contributions from the Association of Medical Care Systems for the Elderly Aged 75 and older in order to allocate them to the Fiscal Stability Fund. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 後期高齢者医療広域連合は、前項の規定による財政安定化基金拠出金を納付する義務を負う。 art-116/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-4 · https://japanlaw.org/l/357AC0000000080/art-116/par-4 The Association of Medical Care Systems for the Elderly Aged 75 and older is obliged to pay the Fiscal Stability Fund contribution pursuant to the provisions of the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 都道府県は、政令で定めるところにより、第三項の規定により後期高齢者医療広域連合から徴収した財政安定化基金拠出金の総額の三倍に相当する額を財政安定化基金に繰り入れなければならない。 art-116/par-5 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-5 A prefecture, pursuant to the provisions of Cabinet Order, must transfer an amount equivalent to three times the total amount of Fiscal Stability Fund contributions collected from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of paragraph (3) to the Fiscal Stability Fund. Ministry of Justice translation — Japanese Law Translation Database System **第六項** 国は、政令で定めるところにより、前項の規定により都道府県が繰り入れた額の三分の一に相当する額を負担する。 art-116/par-6 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-6 · https://japanlaw.org/l/357AC0000000080/art-116/par-6 Pursuant to the provisions of Cabinet Order, the national government bears an amount equivalent to one third of the amount transferred by a prefecture pursuant to the provisions of the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第七項** 財政安定化基金から生ずる収入は、全て財政安定化基金に充てなければならない。 art-116/par-7 · https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-7 · https://japanlaw.org/l/357AC0000000080/art-116/par-7 All revenues arising from the Fiscal Stability Fund must be appropriated to the Fiscal Stability Fund. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-116/par-2: 前項 → 高齢者の医療の確保に関する法律 第百十六条第一項 (Article 116, paragraph (1)), art-116/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-1 - art-116/par-2/item-1: この項 → 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-116/par-2/item-1: 次条第二項 → 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-116/par-2/item-1: 前項第二号 → 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-116/par-2/item-2: この項 → 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-116/par-2/item-2: 次条第二項 → 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-116/par-2/item-3: 第五号 → 高齢者の医療の確保に関する法律 第百十六条第二項第五号 (Article 116, paragraph (2), item (v)), art-116/par-2/item-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-5 - art-116/par-2/item-3: 次条第二項 → 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-116/par-2/item-4: 次条第二項 → 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-116/par-2/item-5: 前項第一号 → 高齢者の医療の確保に関する法律 第百十六条第一項第一号 (Article 116, paragraph (1), item (i)), art-116/par-1/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-1/item-1 - art-116/par-4: 前項 → 高齢者の医療の確保に関する法律 第百十六条第三項 (Article 116, paragraph (3)), art-116/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-3 · https://japanlaw.org/l/357AC0000000080/art-116/par-3 - art-116/par-5: 第三項 → 高齢者の医療の確保に関する法律 第百十六条第三項 (Article 116, paragraph (3)), art-116/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-3 · https://japanlaw.org/l/357AC0000000080/art-116/par-3 - art-116/par-6: 前項 → 高齢者の医療の確保に関する法律 第百十六条第五項 (Article 116, paragraph (5)), art-116/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-5 ## Cited by 13 provisions cite this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 第百二条第一項（国の補助） — https://japanlaw.org/ja/elderly-medical-care-act/art-102/par-1 · https://japanlaw.org/l/357AC0000000080/art-102/par-1 - 高齢者の医療の確保に関する法律 第百三条第一項（都道府県、市町村及び後期高齢者医療広域連合の補助及び貸付け） — https://japanlaw.org/ja/elderly-medical-care-act/art-103/par-1 · https://japanlaw.org/l/357AC0000000080/art-103/par-1 - 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 第百十六条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-2 - 高齢者の医療の確保に関する法律 第百十六条第二項第一号 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-1 - 高齢者の医療の確保に関する法律 第百十六条第二項第二号 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-2 - 高齢者の医療の確保に関する法律 第百十六条第二項第三号 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-3 - 高齢者の医療の確保に関する法律 第百十六条第二項第五号 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-2/item-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-2/item-5 - 高齢者の医療の確保に関する法律 第百十六条第四項 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-4 · https://japanlaw.org/l/357AC0000000080/art-116/par-4 - 高齢者の医療の確保に関する法律 第百十六条第五項 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-5 · https://japanlaw.org/l/357AC0000000080/art-116/par-5 - 高齢者の医療の確保に関する法律 第百十六条第六項 — https://japanlaw.org/ja/elderly-medical-care-act/art-116/par-6 · https://japanlaw.org/l/357AC0000000080/art-116/par-6 - 高齢者の医療の確保に関する法律 附則第十四条第一項（財政安定化基金の特例） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-3571-80/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-14/par-1 --- ## 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