# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十三条 (Article 43) - 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: 第四十三条 (Article 43)（前期高齢者納付金等の額の決定、通知等） — address `art-43` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-43 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-43 - 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. --- ### 第四十三条（前期高齢者納付金等の額の決定、通知等） — (Determination and Notification of the Amount of Young-Old Payments) caption: Ministry of Justice translation — Japanese Law Translation Database System art-43 · https://japanlaw.org/ja/elderly-medical-care-act/art-43 · https://japanlaw.org/l/357AC0000000080/art-43 **第一項** 機構は、各年度につき、各保険者が納付すべき前期高齢者納付金等の額を決定し、当該各保険者に対し、その者が納付すべき前期高齢者納付金等の額、納付の方法及び納付すべき期限その他必要な事項を通知しなければならない。 art-43/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-1 · https://japanlaw.org/l/357AC0000000080/art-43/par-1 The Organization must determine the amount of young-old payments, etc. to be paid by each Insurer for each fiscal year, and notify each relevant Insurer of the amount of young-old payments, etc. to be paid by it, the method of payment, the due date of payment, and other necessary matters. machine translation, not official **第二項** 前項の規定により前期高齢者納付金等の額が定められた後、前期高齢者納付金等の額を変更する必要が生じたときは、機構は、当該各保険者が納付すべき前期高齢者納付金等の額を変更し、当該各保険者に対し、変更後の前期高齢者納付金等の額を通知しなければならない。 art-43/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-2 · https://japanlaw.org/l/357AC0000000080/art-43/par-2 If it becomes necessary to change the amount of young-old payments, etc. after the amount of young-old payments, etc. has been determined pursuant to the provisions of the preceding paragraph, the Organization must change the amount of young-old payments, etc. to be paid by each relevant Insurer and notify each relevant Insurer of the changed amount of young-old payments, etc. machine translation, not official **第三項** 機構は、保険者が納付した前期高齢者納付金等の額が、前項の規定による変更後の前期高齢者納付金等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納付の方法及び納付すべき期限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納付金等の額を超える場合には、その超える額について、未納の前期高齢者納付金等その他この章の規定による機構の徴収金があるときはこれに充当し、なお残余があれば還付し、未納の徴収金がないときはこれを還付しなければならない。 art-43/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-3 · https://japanlaw.org/l/357AC0000000080/art-43/par-3 If the amount of young-old payments, etc. paid by an Insurer is less than the amount of young-old payments, etc. after the change pursuant to the provisions of the preceding paragraph, the Organization must give notice of the method of payment, due date for payment, and other necessary matters with regard to the shortfall, together with the notice pursuant to the provisions of the same paragraph; and if the amount of young-old payments, etc. exceeds the amount of young-old payments, etc. after the change pursuant to the provisions of the same paragraph, the Organization must appropriate the excess amount to any unpaid young-old payments, etc. or any other money to be collected by the Organization pursuant to the provisions of this Chapter, and return the balance if any, or return the excess amount if there is no unpaid money to be collected. machine translation, not official --- ## Cites - art-43/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-1 · https://japanlaw.org/l/357AC0000000080/art-43/par-1 - art-43/par-3: 前項 → 高齢者の医療の確保に関する法律 第四十三条第二項 (Article 43, paragraph (2)), art-43/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-2 · https://japanlaw.org/l/357AC0000000080/art-43/par-2 ## Cited by 6 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 第四十三条第二項（前期高齢者納付金等の額の決定、通知等） — https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-2 · https://japanlaw.org/l/357AC0000000080/art-43/par-2 - 高齢者の医療の確保に関する法律 第四十三条第三項（前期高齢者納付金等の額の決定、通知等） — https://japanlaw.org/ja/elderly-medical-care-act/art-43/par-3 · https://japanlaw.org/l/357AC0000000080/art-43/par-3 - 高齢者の医療の確保に関する法律 第百二十四条第一項（準用） — https://japanlaw.org/ja/elderly-medical-care-act/art-124/par-1 · https://japanlaw.org/l/357AC0000000080/art-124/par-1 - 高齢者の医療の確保に関する法律 第百二十四条の八第一項（準用） — https://japanlaw.org/ja/elderly-medical-care-act/art-124-8/par-1 · https://japanlaw.org/l/357AC0000000080/art-124-8/par-1 - 高齢者の医療の確保に関する法律 附則第十条第一項（準用） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-3571-80/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3571-80/art-10/par-1 - 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