# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第百二十条 (Article 120)

- 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: 第百二十条 (Article 120)（概算後期高齢者支援金） — address `art-120`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-120
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-120
- 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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### 第百二十条（概算後期高齢者支援金） — (Estimated Medical Care Assistance for the Elderly Aged 75 and over)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-120 · https://japanlaw.org/ja/elderly-medical-care-act/art-120 · https://japanlaw.org/l/357AC0000000080/art-120</sup>

    **第一項**  前条第一項の概算後期高齢者支援金の額は、次の各号に掲げる保険者の区分に応じ、当該各号に定める額とする。
    <sup>art-120/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1</sup>
    The estimated amount of Medical Care Assistance for the Elderly Aged 75 and over referred to in paragraph (1) of the preceding Article is the amount specified in the relevant of the following items for the category of insurers set forth in that item:
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **一**  被用者保険等保険者　当該年度における全ての後期高齢者医療広域連合の保険納付対象額の見込額の総額を厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の見込総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における全ての被用者保険等保険者に係る加入者数の見込数を乗じて得た額に、同年度におけるイに掲げる額をロに掲げる額で除して得た率及び概算後期高齢者支援金調整率を乗じて得た額
      <sup>art-120/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1/item-1</sup>
      Insurers of employee insurance, etc.: the amount obtained by multiplying the amount obtained by multiplying the amount obtained by dividing the total of the estimated amounts of the amounts subject to insurance payment of all Associations of Medical Care Systems for the Elderly Aged 75 and older in the relevant fiscal year by the estimated total number of participants pertaining to all Insurers in the same fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare, by the estimated number of participants pertaining to all Insurers of employee insurance, etc. in the same fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare, by the rate obtained by dividing the amount set forth in (a) by the amount set forth in (b) for the same fiscal year and the estimated old-old aid adjustment rate;
      <sup>machine translation, not official</sup>

        **イ**  当該被用者保険等保険者に係る標準報酬総額の見込額
        <sup>art-120/par-1/item-1/sub-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1/item-1/sub-1</sup>
        the estimated amount of the Total Amount of Standard Fees pertaining to the Insurer of employee insurance, etc.;
        <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

        **ロ**  全ての被用者保険等保険者に係る標準報酬総額の見込額の合計額
        <sup>art-120/par-1/item-1/sub-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/art-120/par-1/item-1/sub-2</sup>
        the sum of the estimated amounts of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc.;
        <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

      **二**  被用者保険等保険者以外の保険者　当該年度における全ての後期高齢者医療広域連合の保険納付対象額の見込額の総額を厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の見込総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の見込数を乗じて得た額に、概算後期高齢者支援金調整率を乗じて得た額
      <sup>art-120/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-120/par-1/item-2</sup>
      Insurers other than Insurers of employee insurance, etc.: the amount obtained by multiplying the amount obtained by multiplying the amount obtained by dividing the total of the estimated amounts of the amounts subject to insurance payment of all Associations of Medical Care Systems for the Elderly Aged 75 and older in the relevant fiscal year by the estimated total number of participants pertaining to all Insurers in the same fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare, by the estimated number of participants pertaining to the relevant Insurer in the same fiscal year, calculated as specified by Order of the Ministry of Health, Labour and Welfare, by the estimated old-old aid adjustment rate.
      <sup>machine translation, not official</sup>

    **第二項**  前項各号の概算後期高齢者支援金調整率は、第十八条第二項第二号及び第十九条第二項第二号に掲げる事項についての達成状況、保険者に係る加入者の見込数等を勘案し、百分の九十から百分の百十の範囲内で政令で定めるところにより算定する。
    <sup>art-120/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-2 · https://japanlaw.org/l/357AC0000000080/art-120/par-2</sup>
    The estimated Medical Care Assistance for the Elderly Aged 75 and over adjustment rate referred to in the items of the preceding paragraph is calculated pursuant to the provisions of Cabinet Order within the range of 90 percent to 110 percent by taking into consideration the degree of achievement of the particulars set forth in Article 18, paragraph (2), item (ii) and Article 19, paragraph (2), item (ii), the expected number of subscribers pertaining to the insurers, and other factors.
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-120/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-119/par-1 · https://japanlaw.org/l/357AC0000000080/art-119/par-1
- art-120/par-2: 前項 → 高齢者の医療の確保に関する法律 第百二十条第一項 (Article 120, paragraph (1)), art-120/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-1 · https://japanlaw.org/l/357AC0000000080/art-120/par-1
- art-120/par-2: 第十八条第二項第二号 → 高齢者の医療の確保に関する法律 第十八条第二項第二号 (Article 18, paragraph (2), item (ii)), art-18/par-2/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-18/par-2/item-2
- art-120/par-2: 第十九条第二項第二号 → 高齢者の医療の確保に関する法律 第十九条第二項第二号 (Article 19, paragraph (2), item (ii)), art-19/par-2/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-19/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-19/par-2/item-2

## Cited by

7 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 第三十四条第一項第一号イ（２）（概算前期高齢者交付金） — https://japanlaw.org/ja/elderly-medical-care-act/art-34/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-34/par-1/item-1/sub-1/sub2-2
- 高齢者の医療の確保に関する法律 第三十四条第四項第一号（概算前期高齢者交付金） — https://japanlaw.org/ja/elderly-medical-care-act/art-34/par-4/item-1 · https://japanlaw.org/l/357AC0000000080/art-34/par-4/item-1
- 高齢者の医療の確保に関する法律 第三十八条第一項第一号イ（２）（概算前期高齢者納付金） — https://japanlaw.org/ja/elderly-medical-care-act/art-38/par-1/item-1/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-1/sub-1/sub2-2
- 高齢者の医療の確保に関する法律 第三十八条第一項第二号イ（２）（概算前期高齢者納付金） — https://japanlaw.org/ja/elderly-medical-care-act/art-38/par-1/item-2/sub-1/sub2-2 · https://japanlaw.org/l/357AC0000000080/art-38/par-1/item-2/sub-1/sub2-2
- 高齢者の医療の確保に関する法律 第百二十条第二項（概算後期高齢者支援金） — https://japanlaw.org/ja/elderly-medical-care-act/art-120/par-2 · https://japanlaw.org/l/357AC0000000080/art-120/par-2
- 高齢者の医療の確保に関する法律 附則第十五条第一項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4221-35/art-15/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4221-35/art-15/par-1
- 高齢者の医療の確保に関する法律 附則第五十一条の六第一項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4241-62/art-51-6/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4241-62/art-51-6/par-1

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## 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
- 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
