# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四十八条 (Article 48) - 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: 第四十八条 (Article 48)（広域連合の設立） — address `art-48` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-48 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-48 - 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. --- ### 第四十八条（広域連合の設立） — (Establishment of a Cross-Regional Federation) caption: Ministry of Justice translation — Japanese Law Translation Database System art-48 · https://japanlaw.org/ja/elderly-medical-care-act/art-48 · https://japanlaw.org/l/357AC0000000080/art-48 **第一項** 市町村は、後期高齢者医療の事務（保険料の徴収の事務及び被保険者の便益の増進に寄与するものとして政令で定める事務を除く。）を処理するため、都道府県の区域ごとに当該区域内のすべての市町村が加入する広域連合（以下「後期高齢者医療広域連合」という。）を設けるものとする。 art-48/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-48/par-1 · https://japanlaw.org/l/357AC0000000080/art-48/par-1 A Municipality, in order to administer affairs concerning Old-Old Healthcare (excluding affairs concerning the collection of insurance premiums and affairs specified by a Cabinet Order as contributing to the promotion of the benefits of the insured), is to establish, for each area of a prefecture, a cross-regional federation to which all Municipalities within the relevant area belong (hereinafter referred to as a "Association of Medical Care Systems for the Elderly Aged 75 and older"). Ministry of Justice translation — Japanese Law Translation Database System ## Cited by 8 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六項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-6 - 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 - 所得税法 第百二十条第四項第二号（確定所得申告） — https://japanlaw.org/ja/income-tax-act/art-120/par-4/item-2 · https://japanlaw.org/l/340AC0000000033/art-120/par-4/item-2 - 生活保護法 別表第一 — https://japanlaw.org/ja/public-assistance-act/appdx-1 · https://japanlaw.org/l/325AC0000000144/appdx-1 - 行政手続における特定の個人を識別するための番号の利用等に関する法律 別表第一 — https://japanlaw.org/ja/my-number-act/appdx-1 · https://japanlaw.org/l/425AC0000000027/appdx-1 - 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 附則第三十八条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-2 - 高齢者の医療の確保に関する法律 附則第十二条第一項（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-5071-87/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-5071-87/art-12/par-1 --- ## 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