# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十二条 (Article 42) - 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: 第四十二条 (Article 42)（前期高齢者交付金の額の決定、通知等） — address `art-42` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-42 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-42 - 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. --- ### 第四十二条（前期高齢者交付金の額の決定、通知等） — (Determination and Notification of the Amount of the Young-Old Subsidy) caption: Ministry of Justice translation — Japanese Law Translation Database System art-42 · https://japanlaw.org/ja/elderly-medical-care-act/art-42 · https://japanlaw.org/l/357AC0000000080/art-42 **第一項** 機構は、各年度につき、各保険者に対し交付すべき前期高齢者交付金の額を決定し、当該各保険者に対し、その者に対し交付すべき前期高齢者交付金の額、交付の方法その他必要な事項を通知しなければならない。 art-42/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-1 · https://japanlaw.org/l/357AC0000000080/art-42/par-1 The Organization must determine the amount of the Young-Old Subsidy to be granted to each Insurer for each fiscal year and notify each relevant Insurer of the amount of the Young-Old Subsidy to be granted to it, the method of grant, and other necessary matters. machine translation, not official **第二項** 前項の規定により前期高齢者交付金の額が定められた後、前期高齢者交付金の額を変更する必要が生じたときは、機構は、当該各保険者に対し交付すべき前期高齢者交付金の額を変更し、当該各保険者に対し、変更後の前期高齢者交付金の額を通知しなければならない。 art-42/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-2 · https://japanlaw.org/l/357AC0000000080/art-42/par-2 If it becomes necessary to change the amount of the Young-Old Subsidy after the amount of the Young-Old Subsidy has been determined pursuant to the provisions of the preceding paragraph, the Organization must change the amount of the Young-Old Subsidy to be granted to each of the relevant Insurers and notify each of the relevant Insurers of the changed amount of the Young-Old Subsidy. machine translation, not official **第三項** 機構は、保険者に対し交付した前期高齢者交付金の額が、前項の規定による変更後の前期高齢者交付金の額に満たない場合には、その不足する額について、同項の規定による通知とともに交付の方法その他必要な事項を通知し、同項の規定による変更後の前期高齢者交付金の額を超える場合には、その超える額について、未払の前期高齢者交付金があるときはこれに充当し、なお残余があれば返還させ、未払の交付金がないときはこれを返還させなければならない。 art-42/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-3 · https://japanlaw.org/l/357AC0000000080/art-42/par-3 The Organization, in the case where the amount of the Young-Old Subsidy granted to an Insurer is less than the amount of the Young-Old Subsidy after the change pursuant to the provisions of the preceding paragraph, must notify the Insurer of the method of grant and other necessary matters, along with the notice pursuant to the provisions of the same paragraph, with regard to the shortfall; and in the case where the amount of the Young-Old Subsidy exceeds the amount of the Young-Old Subsidy after the change pursuant to the provisions of the same paragraph, the Organization must appropriate the excess amount to the unpaid Young-Old Subsidy, if any, and have the Insurer return the balance, if any, or have the Insurer return the excess amount if there is no unpaid subsidy. machine translation, not official --- ## Cites - art-42/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-1 · https://japanlaw.org/l/357AC0000000080/art-42/par-1 - art-42/par-3: 前項 → 高齢者の医療の確保に関する法律 第四十二条第二項 (Article 42, paragraph (2)), art-42/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-2 · https://japanlaw.org/l/357AC0000000080/art-42/par-2 ## Cited by 5 provisions cite this one. No official source publishes this direction. - 健康保険法 第百五十二条の六第一項（準用） — https://japanlaw.org/ja/health-insurance-act/art-152-6/par-1 · https://japanlaw.org/l/211AC0000000070/art-152-6/par-1 - 国民健康保険法 第七十三条の二第二項（出産育児交付金） — https://japanlaw.org/ja/national-health-insurance-act/art-73-2/par-2 · https://japanlaw.org/l/333AC0000000192/art-73-2/par-2 - 高齢者の医療の確保に関する法律 第四十二条第二項（前期高齢者交付金の額の決定、通知等） — https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-2 · https://japanlaw.org/l/357AC0000000080/art-42/par-2 - 高齢者の医療の確保に関する法律 第四十二条第三項（前期高齢者交付金の額の決定、通知等） — https://japanlaw.org/ja/elderly-medical-care-act/art-42/par-3 · https://japanlaw.org/l/357AC0000000080/art-42/par-3 - 高齢者の医療の確保に関する法律 附則第十七条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4221-35/art-17/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4221-35/art-17/par-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-20261019T112331-002, 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