# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十四条 (Article 44)

- 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: 第四十四条 (Article 44)（督促及び滞納処分） — address `art-44`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-44
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-44
- 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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### 第四十四条（督促及び滞納処分） — (Demand and disposition to collect arrears)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-44 · https://japanlaw.org/ja/elderly-medical-care-act/art-44 · https://japanlaw.org/l/357AC0000000080/art-44</sup>

**第一項**  機構は、保険者が、納付すべき期限までに前期高齢者納付金等を納付しないときは、期限を指定してこれを督促しなければならない。
<sup>art-44/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-1 · https://japanlaw.org/l/357AC0000000080/art-44/par-1</sup>
If an Insurer fails to pay young-old payments, etc. by the due date for payment, the Organization must demand payment, specifying a due date.
<sup>machine translation, not official</sup>

**第二項**  機構は、前項の規定により督促をするときは、当該保険者に対し、督促状を発する。この場合において、督促状により指定すべき期限は、督促状を発する日から起算して十日以上経過した日でなければならない。
<sup>art-44/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-2 · https://japanlaw.org/l/357AC0000000080/art-44/par-2</sup>
The Organization, when it makes a demand pursuant to the provisions of the preceding paragraph, must issue a written demand to the relevant Insurer. In this case, the due date to be designated in the written demand must be a day on which ten days or more have elapsed from the day on which the written demand is issued.
<sup>machine translation, not official</sup>

**第三項**  機構は、第一項の規定による督促を受けた保険者がその指定期限までにその督促状に係る前期高齢者納付金等及び次条の規定による延滞金を完納しないときは、政令で定めるところにより、その徴収を、厚生労働大臣又は都道府県知事に請求するものとする。
<sup>art-44/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-3 · https://japanlaw.org/l/357AC0000000080/art-44/par-3</sup>
The Organization, when an Insurer that has received a written demand pursuant to the provisions of paragraph (1) fails to pay in full, by the designated due date, the young-old payments, etc. pertaining to the written demand and the delinquent charge pursuant to the provisions of the following Article, is to request the Minister of Health, Labour and Welfare or the prefectural governor to collect them, pursuant to the provisions of Cabinet Order.
<sup>machine translation, not official</sup>

**第四項**  前項の規定による徴収の請求を受けたときは、厚生労働大臣又は都道府県知事は、国税滞納処分の例により処分することができる。
<sup>art-44/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-4 · https://japanlaw.org/l/357AC0000000080/art-44/par-4</sup>
When a request for collection under the provisions of the preceding paragraph is received, the Minister of Health, Labour and Welfare or the prefectural governor may make a disposition in accordance with the rules for a national tax disposition to collect arrears.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-44/par-2: 前項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-1 · https://japanlaw.org/l/357AC0000000080/art-44/par-1
- art-44/par-3: 第一項 → 高齢者の医療の確保に関する法律 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-1 · https://japanlaw.org/l/357AC0000000080/art-44/par-1
- art-44/par-3: 次条 → 高齢者の医療の確保に関する法律 第四十五条 (Article 45), art-45 — https://japanlaw.org/ja/elderly-medical-care-act/art-45 · https://japanlaw.org/l/357AC0000000080/art-45
- art-44/par-4: 前項 → 高齢者の医療の確保に関する法律 第四十四条第三項 (Article 44, paragraph (3)), art-44/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-3 · https://japanlaw.org/l/357AC0000000080/art-44/par-3

## Cited by

9 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 第四十四条第二項（督促及び滞納処分） — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-2 · https://japanlaw.org/l/357AC0000000080/art-44/par-2
- 高齢者の医療の確保に関する法律 第四十四条第三項（督促及び滞納処分） — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-3 · https://japanlaw.org/l/357AC0000000080/art-44/par-3
- 高齢者の医療の確保に関する法律 第四十四条第四項（督促及び滞納処分） — https://japanlaw.org/ja/elderly-medical-care-act/art-44/par-4 · https://japanlaw.org/l/357AC0000000080/art-44/par-4
- 高齢者の医療の確保に関する法律 第四十五条第一項（延滞金） — https://japanlaw.org/ja/elderly-medical-care-act/art-45/par-1 · https://japanlaw.org/l/357AC0000000080/art-45/par-1
- 高齢者の医療の確保に関する法律 第四十六条第三項（納付の猶予） — https://japanlaw.org/ja/elderly-medical-care-act/art-46/par-3 · https://japanlaw.org/l/357AC0000000080/art-46/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 第百六十五条第一項（事務の区分） — https://japanlaw.org/ja/elderly-medical-care-act/art-165/par-1 · https://japanlaw.org/l/357AC0000000080/art-165/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

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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-20261019T112331-002, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-003, translated 2026-10-20
- 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
