# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第十八条 (Article 18) - 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: 第十八条 (Article 18)（特定健康診査等基本指針） — address `art-18` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-18 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-18 - 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. --- ### 第十八条（特定健康診査等基本指針） — (Basic Guidelines for Special health examinations) caption: Ministry of Justice translation — Japanese Law Translation Database System art-18 · https://japanlaw.org/ja/elderly-medical-care-act/art-18 · https://japanlaw.org/l/357AC0000000080/art-18 **第一項** 厚生労働大臣は、特定健康診査（糖尿病その他の政令で定める生活習慣病に関する健康診査をいう。以下同じ。）及び特定保健指導（特定健康診査の結果により健康の保持に努める必要がある者として厚生労働省令で定めるものに対し、保健指導に関する専門的知識及び技術を有する者として厚生労働省令で定めるものが行う保健指導をいう。以下同じ。）の適切かつ有効な実施を図るための基本的な指針（以下「特定健康診査等基本指針」という。）を定めるものとする。 art-18/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-1 The Minister of Health, Labour and Welfare is to establish basic guidelines for the appropriate and effective implementation of Special health examinations (meaning health checkups for diabetes and other lifestyle diseases specified by Cabinet Order; the same applies hereinafter) and specified health guidance (meaning health guidance given to a person specified by Order of the Ministry of Health, Labour and Welfare as one who needs to endeavor to maintain their health based on the results of a Special health examinations by a person specified by Order of the Ministry of Health, Labour and Welfare as one who has expert knowledge and skills concerning health guidance; the same applies hereinafter) (hereinafter referred to as the "basic guidelines for Special health examinations, etc."). Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The Minister of Health, Labour and Welfare is to establish basic guidelines for the appropriate and effective implementation of Special health examinations (meaning health checkups for diabetes and other lifestyle diseases specified by Cabinet Order; the same applies hereinafter) and specified health guidance (meaning health guidance given to a person specified by Order of the Order of the Ministry of Health, Labour and Welfare as one who needs to endeavor to maintain their health based on the results of a Special health examinations by a person specified by Order of the Order of the Ministry of Health, Labour and Welfare as one who has expert knowledge and skills concerning health guidance; the same applies hereinafter) (hereinafter referred to as the "basic guidelines for Special health examinations, etc.")." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第二項** 特定健康診査等基本指針においては、次に掲げる事項を定めるものとする。 art-18/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2 · https://japanlaw.org/l/357AC0000000080/art-18/par-2 The Basic Guidelines on Special health examinations, etc. are to provide for the following matters: Ministry of Justice translation — Japanese Law Translation Database System **一** 特定健康診査及び特定保健指導（以下「特定健康診査等」という。）の実施方法に関する基本的な事項 art-18/par-2/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-2/item-1 basic matters concerning the implementation method of Special health examinations and specified health guidance (hereinafter referred to as "Special health examinations, etc."); Ministry of Justice translation — Japanese Law Translation Database System **二** 特定健康診査等の実施及びその成果に係る目標に関する基本的な事項 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 basic matters concerning the goals pertaining to the implementation of a Special health examinations, etc. and the results thereof; Ministry of Justice translation — Japanese Law Translation Database System **三** 前二号に掲げるもののほか、次条第一項に規定する特定健康診査等実施計画の作成に関する重要事項 art-18/par-2/item-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-18/par-2/item-3 beyond what is set forth in the preceding two items, important matters concerning the preparation of a Special health examinations plan provided in paragraph (1) of the following Article. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 特定健康診査等基本指針は、健康増進法第九条第一項に規定する健康診査等指針と調和が保たれたものでなければならない。 art-18/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-3 · https://japanlaw.org/l/357AC0000000080/art-18/par-3 The Basic Guidelines on Special health examinations, etc. must be harmonized with the Guidelines on Health Checkups, etc. provided for in Article 9, paragraph (1) of the Health Promotion Act. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 厚生労働大臣は、特定健康診査等基本指針を定め、又はこれを変更しようとするときは、あらかじめ、関係行政機関の長に協議するものとする。 art-18/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-4 · https://japanlaw.org/l/357AC0000000080/art-18/par-4 When the Minister of Health, Labour and Welfare intends to establish or change the basic guidelines for Special health examinations, etc., the Minister is to consult with the head of the relevant administrative organ in advance. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 厚生労働大臣は、特定健康診査等基本指針を定め、又はこれを変更したときは、遅滞なく、これを公表するものとする。 art-18/par-5 · https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-5 · https://japanlaw.org/l/357AC0000000080/art-18/par-5 When the Minister of Health, Labour and Welfare has established or changed the basic guidelines for Special health examinations, etc., the Minister is to publicize the established or changed guidelines without delay. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-18/par-2/item-3: 前二号 → 高齢者の医療の確保に関する法律 第十八条第二項第一号 (Article 18, paragraph (2), item (i)), art-18/par-2/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-2/item-1 - art-18/par-2/item-3: 前二号 → 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-18/par-2/item-3: 次条第一項 → 高齢者の医療の確保に関する法律 第十九条第一項 (Article 19, paragraph (1)), art-19/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-19/par-1 · https://japanlaw.org/l/357AC0000000080/art-19/par-1 - art-18/par-3: 健康増進法第九条第一項 → e-Gov law 414AC0000000103, 第九条第一項 (Article 9, paragraph (1)), art-9/par-1 — not held in this collection ## Cited by 11 provisions cite this one. No official source publishes this direction. - 介護保険法 第百十五条の四十五第七項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-7 - 介護保険法 第百十五条の四十五第九項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-9 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-9 - 国民健康保険法 第八十二条第六項 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-6 · https://japanlaw.org/l/333AC0000000192/art-82/par-6 - 国民健康保険法 第八十二条第八項 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-8 · https://japanlaw.org/l/333AC0000000192/art-82/par-8 - 国民健康保険法 第八十二条第十四項第二号 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-14/item-2 · https://japanlaw.org/l/333AC0000000192/art-82/par-14/item-2 - 国民健康保険法 第八十五条の三第三項（業務） — https://japanlaw.org/ja/national-health-insurance-act/art-85-3/par-3 · https://japanlaw.org/l/333AC0000000192/art-85-3/par-3 - 高齢者の医療の確保に関する法律 第十八条第二項第三号（特定健康診査等基本指針） — https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-18/par-2/item-3 - 高齢者の医療の確保に関する法律 第三十一条第一項（健康診査等指針との調和） — https://japanlaw.org/ja/elderly-medical-care-act/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/art-31/par-1 - 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 第百二十一条第二項（確定後期高齢者支援金） — https://japanlaw.org/ja/elderly-medical-care-act/art-121/par-2 · https://japanlaw.org/l/357AC0000000080/art-121/par-2 - 高齢者の医療の確保に関する法律 附則第三十四条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-34/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-34/par-2 --- ## Sources - claude-opus-5-5 — Corrections to the Ministry of Justice's English of 高齢者の医療の確保に関する法律, written 2026-10-19 - 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 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People (高齢者の医療の確保に関する法律), Article 18, paragraph (1) — the Ministry of Justice's English as printed (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