# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第七十条 (Article 70) - 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: 第七十条 (Article 70)（保険医療機関等の診療報酬） — address `art-70` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-70 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-70 - 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. --- ### 第七十条（保険医療機関等の診療報酬） — (Medical Fees of Medical Institutions Providing Services Covered by Health Insurance) caption: Ministry of Justice translation — Japanese Law Translation Database System art-70 · https://japanlaw.org/ja/elderly-medical-care-act/art-70 · https://japanlaw.org/l/357AC0000000080/art-70 **第一項** 後期高齢者医療広域連合は、療養の給付に関する費用を保険医療機関等に支払うものとし、保険医療機関等が療養の給付に関し後期高齢者医療広域連合に請求することができる費用の額は、次条第一項の療養の給付に要する費用の額の算定に関する基準により算定した療養の給付に要する費用の額から、当該療養の給付に関して当該保険医療機関等に支払われるべき一部負担金に相当する額を控除した額とする。 art-70/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-1 · https://japanlaw.org/l/357AC0000000080/art-70/par-1 A Association of Medical Care Systems for the Elderly Aged 75 and older is to pay expenses related to benefits for medical treatment to medical institutions providing services covered by health insurance, etc., and the amount of expenses which a medical institution providing services covered by health insurance, etc. may claim from a Association of Medical Care Systems for the Elderly Aged 75 and older related to benefits for medical treatment is the amount calculated by deducting the amount of co-payment to be paid to the relevant medical institution providing services covered by health insurance, etc. with respect to the relevant benefits for medical treatment from the amount of expenses required for benefits for medical treatment calculated in accordance with the standards for calculation of the amount of expenses required for benefits for medical treatment set forth in paragraph (1) of the following Article. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 後期高齢者医療広域連合は、都道府県知事の認可を受け、保険医療機関等との契約により、当該保険医療機関等において行われる療養の給付に関する前項の療養の給付に要する費用につき、同項の規定により算定される額の範囲内において、別段の定めをすることができる。 art-70/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-2 · https://japanlaw.org/l/357AC0000000080/art-70/par-2 A Association of Medical Care Systems for the Elderly Aged 75 and older may, with the authorization of the prefectural governor, specify otherwise in a contract with a medical institution providing services covered by health insurance, etc. with regard to the expenses required for the benefits for medical treatment set forth in the preceding paragraph pertaining to the benefits for medical treatment provided at the medical institution providing services covered by health insurance, etc., within the scope of the amount calculated pursuant to the provisions of the same paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 後期高齢者医療広域連合は、保険医療機関等から療養の給付に関する費用の請求があつたときは、次条第一項の療養の給付の取扱い及び担当に関する基準並びに療養の給付に要する費用の額の算定に関する基準及び前項の定めに照らして審査した上、支払うものとする。 art-70/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-3 · https://japanlaw.org/l/357AC0000000080/art-70/par-3 When a medical institution providing services covered by health insurance, etc. requests payment of expenses related to benefits for medical treatment, the Association of Medical Care Systems for the Elderly Aged 75 and older is to make payment after conducting an examination in light of the standards for treatment and responsibility for benefits for medical treatment as set forth in paragraph (1) of the following Article, the standards for calculation of the amount of expenses required for benefits for medical treatment, and the provisions of the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 後期高齢者医療広域連合は、前項の規定による審査及び支払に関する事務を機構又は国保連合会に委託することができる。 art-70/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-4 · https://japanlaw.org/l/357AC0000000080/art-70/par-4 The Association of Medical Care Systems for the Elderly Aged 75 and older may entrust affairs concerning the examination and payment under the provisions of the preceding paragraph to the Organization or the NHI federation. machine translation, not official **第五項** 前項の規定による委託を受けた国保連合会は、当該委託を受けた審査に関する事務のうち厚生労働大臣の定める診療報酬請求書の審査に係るものを、国民健康保険法第四十五条第六項に規定する厚生労働大臣が指定する法人（以下「指定法人」という。）に委託することができる。 art-70/par-5 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-5 · https://japanlaw.org/l/357AC0000000080/art-70/par-5 A federation of national health insurance associations that is entrusted pursuant to the provisions of the preceding paragraph may entrust the affairs concerning the examination entrusted thereto, which pertain to the examination of medical bills specified by the Minister of Health, Labour and Welfare, to a corporation designated by the Minister of Health, Labour and Welfare as prescribed in Article 45, paragraph (6) of the National Health Insurance Act (hereinafter referred to as a "designated corporation"). Ministry of Justice translation — Japanese Law Translation Database System **第六項** 前項の規定により厚生労働大臣の定める診療報酬請求書の審査に係る事務の委託を受けた指定法人は、当該診療報酬請求書の審査を厚生労働省令で定める要件に該当する者に行わせなければならない。 art-70/par-6 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-6 · https://japanlaw.org/l/357AC0000000080/art-70/par-6 A designated corporation that has been entrusted with the affairs concerning the review of medical bills specified by the Minister of Health, Labour and Welfare pursuant to the provisions of the preceding paragraph must have the review of the medical bills conducted by a person who satisfies the requirements specified by Order of the Ministry of Health, Labour and Welfare. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "A designated corporation that has been entrusted with the affairs concerning the review of medical bills specified by the Minister of Health, Labour and Welfare pursuant to the provisions of the preceding paragraph must have the review of the medical bills conducted by a person who satisfies the requirements specified by Order of the Order of the Ministry of Health, Labour and Welfare." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第七項** 前各項に規定するもののほか、保険医療機関等の療養の給付に関する費用の請求に関して必要な事項は、厚生労働省令で定める。 art-70/par-7 · https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-7 · https://japanlaw.org/l/357AC0000000080/art-70/par-7 Beyond what is provided for in each of the preceding paragraphs, necessary matters concerning claims for expenses incurred in providing medical treatment at medical institutions providing services covered by health insurance, etc. are specified by Order of the Ministry of Health, Labour and Welfare. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Beyond what is provided for in each of the preceding paragraphs, necessary matters concerning claims for expenses incurred in providing medical treatment at medical institutions providing services covered by health insurance, etc. are specified by Order of the Order of the Ministry of Health, Labour and Welfare." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb --- ## Cites - art-70/par-1: 次条第一項 → 高齢者の医療の確保に関する法律 第七十一条第一項 (Article 71, paragraph (1)), art-71/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-71/par-1 · https://japanlaw.org/l/357AC0000000080/art-71/par-1 - art-70/par-2: 前項 → 高齢者の医療の確保に関する法律 第七十条第一項 (Article 70, paragraph (1)), art-70/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-1 · https://japanlaw.org/l/357AC0000000080/art-70/par-1 - art-70/par-3: 次条第一項 → 高齢者の医療の確保に関する法律 第七十一条第一項 (Article 71, paragraph (1)), art-71/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-71/par-1 · https://japanlaw.org/l/357AC0000000080/art-71/par-1 - art-70/par-3: 前項 → 高齢者の医療の確保に関する法律 第七十条第二項 (Article 70, paragraph (2)), art-70/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-2 · https://japanlaw.org/l/357AC0000000080/art-70/par-2 - art-70/par-4: 前項 → 高齢者の医療の確保に関する法律 第七十条第三項 (Article 70, paragraph (3)), art-70/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-3 · https://japanlaw.org/l/357AC0000000080/art-70/par-3 - art-70/par-5: 前項 → 高齢者の医療の確保に関する法律 第七十条第四項 (Article 70, paragraph (4)), art-70/par-4 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-4 · https://japanlaw.org/l/357AC0000000080/art-70/par-4 - art-70/par-5: 国民健康保険法第四十五条第六項 → 国民健康保険法 第四十五条第六項 (Article 45, paragraph (6)), art-45/par-6 — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-6 · https://japanlaw.org/l/333AC0000000192/art-45/par-6 - art-70/par-6: 前項 → 高齢者の医療の確保に関する法律 第七十条第五項 (Article 70, paragraph (5)), art-70/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-5 · https://japanlaw.org/l/357AC0000000080/art-70/par-5 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第一項 (Article 70, paragraph (1)), art-70/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-1 · https://japanlaw.org/l/357AC0000000080/art-70/par-1 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第二項 (Article 70, paragraph (2)), art-70/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-2 · https://japanlaw.org/l/357AC0000000080/art-70/par-2 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第三項 (Article 70, paragraph (3)), art-70/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-3 · https://japanlaw.org/l/357AC0000000080/art-70/par-3 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第四項 (Article 70, paragraph (4)), art-70/par-4 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-4 · https://japanlaw.org/l/357AC0000000080/art-70/par-4 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第五項 (Article 70, paragraph (5)), art-70/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-5 · https://japanlaw.org/l/357AC0000000080/art-70/par-5 - art-70/par-7: 前各項 → 高齢者の医療の確保に関する法律 第七十条第六項 (Article 70, paragraph (6)), art-70/par-6 — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-6 · https://japanlaw.org/l/357AC0000000080/art-70/par-6 ## Cited by 18 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 第六十七条第一項（一部負担金） — https://japanlaw.org/ja/elderly-medical-care-act/art-67/par-1 · https://japanlaw.org/l/357AC0000000080/art-67/par-1 - 高齢者の医療の確保に関する法律 第七十条第二項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-2 · https://japanlaw.org/l/357AC0000000080/art-70/par-2 - 高齢者の医療の確保に関する法律 第七十条第三項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-3 · https://japanlaw.org/l/357AC0000000080/art-70/par-3 - 高齢者の医療の確保に関する法律 第七十条第四項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-4 · https://japanlaw.org/l/357AC0000000080/art-70/par-4 - 高齢者の医療の確保に関する法律 第七十条第五項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-5 · https://japanlaw.org/l/357AC0000000080/art-70/par-5 - 高齢者の医療の確保に関する法律 第七十条第六項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-6 · https://japanlaw.org/l/357AC0000000080/art-70/par-6 - 高齢者の医療の確保に関する法律 第七十条第七項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/elderly-medical-care-act/art-70/par-7 · https://japanlaw.org/l/357AC0000000080/art-70/par-7 - 高齢者の医療の確保に関する法律 第七十四条第十項（入院時食事療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-10 · https://japanlaw.org/l/357AC0000000080/art-74/par-10 - 高齢者の医療の確保に関する法律 第七十五条第七項（入院時生活療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-7 · https://japanlaw.org/l/357AC0000000080/art-75/par-7 - 高齢者の医療の確保に関する法律 第七十六条第六項（保険外併用療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-76/par-6 · https://japanlaw.org/l/357AC0000000080/art-76/par-6 - 高齢者の医療の確保に関する法律 第七十八条第八項（訪問看護療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-78/par-8 · https://japanlaw.org/l/357AC0000000080/art-78/par-8 - 高齢者の医療の確保に関する法律 第八十二条第六項 — https://japanlaw.org/ja/elderly-medical-care-act/art-82/par-6 · https://japanlaw.org/l/357AC0000000080/art-82/par-6 - 高齢者の医療の確保に関する法律 第百二十六条第一項（審査委員会） — https://japanlaw.org/ja/elderly-medical-care-act/art-126/par-1 · https://japanlaw.org/l/357AC0000000080/art-126/par-1 - 高齢者の医療の確保に関する法律 第百五十五条第一項（国保連合会の業務） — https://japanlaw.org/ja/elderly-medical-care-act/art-155/par-1 · https://japanlaw.org/l/357AC0000000080/art-155/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 第百六十五条の二第一項（機構等への事務の委託） — https://japanlaw.org/ja/elderly-medical-care-act/art-165-2/par-1 · https://japanlaw.org/l/357AC0000000080/art-165-2/par-1 - 高齢者の医療の確保に関する法律 第百六十七条第二項第三号 — https://japanlaw.org/ja/elderly-medical-care-act/art-167/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-167/par-2/item-3 - 高齢者の医療の確保に関する法律 第百六十七条第二項第四号 — https://japanlaw.org/ja/elderly-medical-care-act/art-167/par-2/item-4 · https://japanlaw.org/l/357AC0000000080/art-167/par-2/item-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 70, paragraph (6) — the Ministry of Justice's English as printed (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 70, paragraph (7) — 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