# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第六十九条 (Article 69) - 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: 第六十九条 (Article 69) — address `art-69` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-69 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-69 - 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. --- ### 第六十九条 art-69 · https://japanlaw.org/ja/elderly-medical-care-act/art-69 · https://japanlaw.org/l/357AC0000000080/art-69 **第一項** 後期高齢者医療広域連合は、災害その他の厚生労働省令で定める特別の事情がある被保険者であつて、保険医療機関等に第六十七条第一項の規定による一部負担金を支払うことが困難であると認められるものに対し、次の措置を採ることができる。 art-69/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1 · https://japanlaw.org/l/357AC0000000080/art-69/par-1 The Association of Medical Care Systems for the Elderly Aged 75 and older may take the following measures with respect to an insured who has special circumstances, such as a disaster, specified by Order of the Ministry of Health, Labour and Welfare and who is found to have difficulty paying the co-payment under Article 67, paragraph (1) to a medical institution providing services covered by health insurance, etc.: machine translation, not official **一** 一部負担金を減額すること。 art-69/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-1 to reduce the amount of co-payment; Ministry of Justice translation — Japanese Law Translation Database System **二** 一部負担金の支払を免除すること。 art-69/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-2 exemption from co-payment; Ministry of Justice translation — Japanese Law Translation Database System **三** 保険医療機関等に対する支払に代えて、一部負担金を直接に徴収することとし、その徴収を猶予すること。 art-69/par-1/item-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-3 to decide to collect co-payment directly from the insured person in lieu of co-payment to the medical institution providing services covered by health insurance, etc., and to suspend such collection. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項の措置を受けた被保険者は、第六十七条第一項の規定にかかわらず、前項第一号の措置を受けた被保険者にあつてはその減額された一部負担金を保険医療機関等に支払うことをもつて足り、同項第二号又は第三号の措置を受けた被保険者にあつては一部負担金を保険医療機関等に支払うことを要しない。 art-69/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-2 · https://japanlaw.org/l/357AC0000000080/art-69/par-2 Notwithstanding the provisions of Article 67, paragraph (1), in the case of an insured that has received the measures set forth in item (i) of the preceding paragraph, it is sufficient for the insured to pay the reduced amount of co-payment to the medical institution providing services covered by health insurance, etc., and in the case of an insured that has received the measures set forth in item (ii) or item (iii) of the preceding paragraph, it is not required to pay the co-payment to the medical institution providing services covered by health insurance, etc. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Notwithstanding the provisions of Article 67, paragraph (1), in the case of an insured that has received the measures set forth in the preceding paragraph, it is sufficient for the insured to pay the reduced amount of co-payment to the medical institution providing services covered by health insurance, etc., and in the case of an insured that has received the measures set forth in item (ii) or item (iii) of the preceding paragraph, it is not required to pay the co-payment to the medical institution providing services covered by health insurance, etc." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第三項** 前条の規定は、前項の場合における一部負担金の支払について準用する。 art-69/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-3 · https://japanlaw.org/l/357AC0000000080/art-69/par-3 The provisions of the preceding Article apply mutatis mutandis to the payment of co-payment in the case referred to in the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-69/par-1: 第六十七条第一項 → 高齢者の医療の確保に関する法律 第六十七条第一項 (Article 67, paragraph (1)), art-67/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-67/par-1 · https://japanlaw.org/l/357AC0000000080/art-67/par-1 - art-69/par-2: 前項 → 高齢者の医療の確保に関する法律 第六十九条第一項 (Article 69, paragraph (1)), art-69/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1 · https://japanlaw.org/l/357AC0000000080/art-69/par-1 - art-69/par-2: 第六十七条第一項 → 高齢者の医療の確保に関する法律 第六十七条第一項 (Article 67, paragraph (1)), art-67/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-67/par-1 · https://japanlaw.org/l/357AC0000000080/art-67/par-1 - art-69/par-2: 前項第一号 → 高齢者の医療の確保に関する法律 第六十九条第一項第一号 (Article 69, paragraph (1), item (i)), art-69/par-1/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-1 - art-69/par-2: 同項第二号 → 高齢者の医療の確保に関する法律 第六十九条第一項第二号 (Article 69, paragraph (1), item (ii)), art-69/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-2 - art-69/par-2: 第三号 → 高齢者の医療の確保に関する法律 第六十九条第一項第三号 (Article 69, paragraph (1), item (iii)), art-69/par-1/item-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/art-69/par-1/item-3 - art-69/par-3: 前条 → 高齢者の医療の確保に関する法律 第六十八条 (Article 68), art-68 — https://japanlaw.org/ja/elderly-medical-care-act/art-68 · https://japanlaw.org/l/357AC0000000080/art-68 - art-69/par-3: 前項 → 高齢者の医療の確保に関する法律 第六十九条第二項 (Article 69, paragraph (2)), art-69/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-2 · https://japanlaw.org/l/357AC0000000080/art-69/par-2 ## Cited by 5 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 第六十七条第二項（一部負担金） — https://japanlaw.org/ja/elderly-medical-care-act/art-67/par-2 · https://japanlaw.org/l/357AC0000000080/art-67/par-2 - 高齢者の医療の確保に関する法律 第六十九条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-2 · https://japanlaw.org/l/357AC0000000080/art-69/par-2 - 高齢者の医療の確保に関する法律 第六十九条第三項 — https://japanlaw.org/ja/elderly-medical-care-act/art-69/par-3 · https://japanlaw.org/l/357AC0000000080/art-69/par-3 - 高齢者の医療の確保に関する法律 第七十六条第二項第一号（保険外併用療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-76/par-2/item-1 · https://japanlaw.org/l/357AC0000000080/art-76/par-2/item-1 - 高齢者の医療の確保に関する法律 第七十八条第四項（訪問看護療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-78/par-4 · https://japanlaw.org/l/357AC0000000080/art-78/par-4 --- ## 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 69, paragraph (2) — the Ministry of Justice's English as printed (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-20261019T112331-003, 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