# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第十四条 (Article 14) - 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: 第十四条 (Article 14)（診療報酬の特例） — address `art-14` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-14 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-14 - 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. --- ### 第十四条（診療報酬の特例） — (Special Provisions for Medical Fees) caption: Ministry of Justice translation — Japanese Law Translation Database System art-14 · https://japanlaw.org/ja/elderly-medical-care-act/art-14 · https://japanlaw.org/l/357AC0000000080/art-14 **第一項** 厚生労働大臣は、第十二条第三項の評価の結果、第八条第四項第二号及び各都道府県における第九条第二項第二号の目標を達成し、医療費適正化を推進するために必要があると認めるときは、一の都道府県の区域内における診療報酬について、地域の実情を踏まえつつ、適切な医療を各都道府県間において公平に提供する観点から見て合理的であると認められる範囲内において、他の都道府県の区域内における診療報酬と異なる定めをすることができる。 art-14/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/art-14/par-1 If, as a result of the evaluation referred to in Article 12, paragraph (3), the Minister of Health, Labour and Welfare finds it necessary for achieving the goals set forth in Article 8, paragraph (4), item (ii) and in Article 9, paragraph (2), item (ii) in each prefecture and for promoting the optimization of medical expenses, the Minister may specify medical fees in the areas of one prefecture that are different from those in the areas of other prefectures, within a scope that is found to be reasonable from the viewpoint of providing appropriate medical care fairly among the prefectures, while taking into account the actual conditions of the area. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 厚生労働大臣は、前項の定めをするに当たつては、あらかじめ、関係都道府県知事に協議するものとする。 art-14/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-14/par-2 · https://japanlaw.org/l/357AC0000000080/art-14/par-2 In establishing the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare is to consult with the relevant prefectural governors in advance. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-14/par-1: 第十二条第三項 → 高齢者の医療の確保に関する法律 第十二条第三項 (Article 12, paragraph (3)), art-12/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-12/par-3 · https://japanlaw.org/l/357AC0000000080/art-12/par-3 - art-14/par-1: 第八条第四項第二号 → 高齢者の医療の確保に関する法律 第八条第四項第二号 (Article 8, paragraph (4), item (ii)), art-8/par-4/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-8/par-4/item-2 · https://japanlaw.org/l/357AC0000000080/art-8/par-4/item-2 - art-14/par-1: 第九条第二項第二号 → 高齢者の医療の確保に関する法律 第九条第二項第二号 (Article 9, paragraph (2), item (ii)), art-9/par-2/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-9/par-2/item-2 · https://japanlaw.org/l/357AC0000000080/art-9/par-2/item-2 - art-14/par-2: 前項 → 高齢者の医療の確保に関する法律 第十四条第一項 (Article 14, paragraph (1)), art-14/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/art-14/par-1 ## Cited by 4 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 第四条第二項（地方公共団体の責務） — https://japanlaw.org/ja/elderly-medical-care-act/art-4/par-2 · https://japanlaw.org/l/357AC0000000080/art-4/par-2 - 高齢者の医療の確保に関する法律 第十三条第一項（診療報酬に係る意見の提出等） — https://japanlaw.org/ja/elderly-medical-care-act/art-13/par-1 · https://japanlaw.org/l/357AC0000000080/art-13/par-1 - 高齢者の医療の確保に関する法律 第十四条第二項（診療報酬の特例） — https://japanlaw.org/ja/elderly-medical-care-act/art-14/par-2 · https://japanlaw.org/l/357AC0000000080/art-14/par-2 - 高齢者の医療の確保に関する法律 附則第二十四条第三項（高齢者の医療の確保に関する法律の一部改正に伴う経過措置） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-24/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-24/par-3 --- ## 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 - 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