# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第七十五条 (Article 75) - 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: 第七十五条 (Article 75)（入院時生活療養費） — address `art-75` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-75 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-75 - 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. --- ### 第七十五条（入院時生活療養費） — (Living Support Expenses for Inpatients) caption: Ministry of Justice translation — Japanese Law Translation Database System art-75 · https://japanlaw.org/ja/elderly-medical-care-act/art-75 · https://japanlaw.org/l/357AC0000000080/art-75 **第一項** 後期高齢者医療広域連合は、長期入院被保険者が、保険医療機関等のうち自己の選定するものについて第六十四条第一項第五号に掲げる療養の給付と併せて受けた生活療養に要した費用について、当該長期入院被保険者に対し、入院時生活療養費を支給する。ただし、当該長期入院被保険者が第八十二条第一項又は第二項本文の規定の適用を受けている間は、この限りでない。 art-75/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-1 · https://japanlaw.org/l/357AC0000000080/art-75/par-1 With respect to expenses required for living support received by a long-term inpatient insured in combination with benefits for medical treatment listed in Article 64, paragraph (1), item (v) at or from a medical institution providing services covered by health insurance, etc. selected by the long-term inpatient insured, the Association of Medical Care Systems for the Elderly Aged 75 and older pays living support expenses for inpatients to the long-term inpatient insured; provided, however, that this does not apply during any period to which the provisions of Article 82, paragraph (1) or the main clause of paragraph (2) of the same Article apply to the long-term inpatient insured. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "With respect to expenses required for living support received by a long-term inpatient insured in combination with benefits for medical treatment listed in Article 64, paragraph (1), item (v) at or from a medical institution providing services covered by health insurance, etc. selected by the long-term inpatient insured, the Association of Medical Care Systems for the Elderly Aged 75 and older pays living support expenses for inpatients to the long-term inpatient insured; provided, however, that this does not apply during any period to which the provisions of Article 82, paragraph (1) or the main clause of paragraph (2) of the same Article apply to the long-term inpatient inpatient ward." — https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb **第二項** 入院時生活療養費の額は、当該生活療養につき生活療養に要する平均的な費用の額を勘案して厚生労働大臣が定める基準により算定した費用の額（その額が現に当該生活療養に要した費用の額を超えるときは、当該現に生活療養に要した費用の額）から、平均的な家計における食費及び光熱水費の状況並びに病院及び診療所における生活療養に要する費用について介護保険法第五十一条の三第二項第一号に規定する食費の基準費用額及び同項第二号に規定する居住費の基準費用額に相当する費用の額を勘案して厚生労働大臣が定める額（所得の状況、病状の程度、治療の内容その他の事情をしん酌して厚生労働省令で定める者については、別に定める額。以下「生活療養標準負担額」という。）を控除した額とする。 art-75/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-2 · https://japanlaw.org/l/357AC0000000080/art-75/par-2 The amount of living support expenses for inpatients is the amount calculated by deducting the amount specified by the Minister of Health, Labour and Welfare in consideration of the amount equivalent to the base cost for food expenses prescribed in Article 51-3, paragraph (2), item (i) of the Long-Term Care Insurance Act and the base cost for residence expenses prescribed in item (ii) of the same paragraph with regard to the status of food expenses and light, heating and water utility costs for an average household budget and the expenses required for living support at hospitals and clinics (for a person specified by the Order of the Ministry of Health, Labour and Welfare in consideration of the status of income, the degree of pathological condition, the content of treatment and other circumstances, a separately specified amount; hereinafter referred to as the "standard co-payment for living support") from the amount calculated based on the standards specified by the Minister of Health, Labour and Welfare in consideration of the average expenses required for the living support (when the calculated amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred in the living support). Ministry of Justice translation — Japanese Law Translation Database System **第三項** 厚生労働大臣は、生活療養標準負担額を定めた後に勘案又はしん酌すべき事項に係る事情が著しく変動したときは、速やかにその額を改定しなければならない。 art-75/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-3 · https://japanlaw.org/l/357AC0000000080/art-75/par-3 When the circumstances pertaining to the matters to be taken into consideration have significantly changed after the Minister of Health, Labour and Welfare has determined the standard co-payment amount for living support, the Minister must promptly revise the amount. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 保険医療機関等及び保険医等は、厚生労働大臣が定める入院時生活療養費に係る療養の取扱い及び担当に関する基準に従い、入院時生活療養費に係る療養を取り扱い、又は担当しなければならない。 art-75/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-4 · https://japanlaw.org/l/357AC0000000080/art-75/par-4 Medical institutions providing services covered by health insurance, etc. and physicians providing services covered by health insurance, etc. must handle or take charge of medical treatment pertaining to living support expenses for inpatients in accordance with the standards for handling and taking charge of medical treatment pertaining to living support expenses for inpatients specified by the Minister of Health, Labour and Welfare. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 厚生労働大臣は、第二項の規定による基準及び前項に規定する入院時生活療養費に係る療養の取扱い及び担当に関する基準を定めようとするときは、あらかじめ中央社会保険医療協議会の意見を聴かなければならない。 art-75/par-5 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-5 · https://japanlaw.org/l/357AC0000000080/art-75/par-5 The Minister of Health, Labour and Welfare must hear the opinions of the Central Social Insurance Medical Council in advance, when the Minister intends to establish standards under the provisions of paragraph (2) and standards concerning the treatment and assignment of medical treatment pertaining to living support expenses for inpatients prescribed in the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第六項** 第七十一条第二項の規定は、前項に規定する事項に関する中央社会保険医療協議会の権限について準用する。 art-75/par-6 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-6 · https://japanlaw.org/l/357AC0000000080/art-75/par-6 The provisions of Article 71, paragraph (2) apply mutatis mutandis to the authority of the Central Social Insurance Medical Council concerning the particulars prescribed in the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第七項** 健康保険法第六十四条並びに本法第六十四条第三項、第六十六条、第七十条第二項から第七項まで、第七十二条及び前条第五項から第七項までの規定は、保険医療機関等について受けた生活療養及びこれに伴う入院時生活療養費の支給について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。 art-75/par-7 · https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-7 · https://japanlaw.org/l/357AC0000000080/art-75/par-7 The provisions of Article 64 of the Health Insurance Act and Article 64, paragraph (3), Article 66, Article 70, paragraphs (2) through (7), Article 72, and paragraphs (5) through (7) of the preceding Article of this Act apply mutatis mutandis to living support received at or from a medical institution providing services covered by health insurance and to the payment of living support expenses for inpatients associated with the living support. In such a case, Cabinet Order provides for the necessary technical replacement of terms in connection with these provisions. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-75/par-1: 第六十四条第一項第五号 → 高齢者の医療の確保に関する法律 第六十四条第一項第五号 (Article 64, paragraph (1), item (v)), art-64/par-1/item-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-64/par-1/item-5 · https://japanlaw.org/l/357AC0000000080/art-64/par-1/item-5 - art-75/par-1: 第八十二条第一項 → 高齢者の医療の確保に関する法律 第八十二条第一項 (Article 82, paragraph (1)), art-82/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-82/par-1 · https://japanlaw.org/l/357AC0000000080/art-82/par-1 - art-75/par-1: 第二項 → 高齢者の医療の確保に関する法律 第八十二条第二項 (Article 82, paragraph (2)), art-82/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-82/par-2 · https://japanlaw.org/l/357AC0000000080/art-82/par-2 - art-75/par-2: 介護保険法第五十一条の三第二項第一号 → 介護保険法 第五十一条の三第二項第一号 (Article 51-3, paragraph (2), item (i)), art-51-3/par-2/item-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-51-3/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-2/item-1 - art-75/par-2: 同項第二号 → 介護保険法 第五十一条の三第二項第二号 (Article 51-3, paragraph (2), item (ii)), art-51-3/par-2/item-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-51-3/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-51-3/par-2/item-2 - art-75/par-5: 第二項 → 高齢者の医療の確保に関する法律 第七十五条第二項 (Article 75, paragraph (2)), art-75/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-2 · https://japanlaw.org/l/357AC0000000080/art-75/par-2 - art-75/par-5: 前項 → 高齢者の医療の確保に関する法律 第七十五条第四項 (Article 75, paragraph (4)), art-75/par-4 — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-4 · https://japanlaw.org/l/357AC0000000080/art-75/par-4 - art-75/par-6: 第七十一条第二項 → 高齢者の医療の確保に関する法律 第七十一条第二項 (Article 71, paragraph (2)), art-71/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-71/par-2 · https://japanlaw.org/l/357AC0000000080/art-71/par-2 - art-75/par-6: 前項 → 高齢者の医療の確保に関する法律 第七十五条第五項 (Article 75, paragraph (5)), art-75/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-5 · https://japanlaw.org/l/357AC0000000080/art-75/par-5 - art-75/par-7: 健康保険法第六十四条 → 健康保険法 第六十四条 (Article 64), art-64 — https://japanlaw.org/ja/health-insurance-act/art-64 · https://japanlaw.org/l/211AC0000000070/art-64 - art-75/par-7: 第六十四条第三項 → 高齢者の医療の確保に関する法律 第六十四条第三項 (Article 64, paragraph (3)), art-64/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-64/par-3 · https://japanlaw.org/l/357AC0000000080/art-64/par-3 - art-75/par-7: 第六十六条 → 高齢者の医療の確保に関する法律 第六十六条 (Article 66), art-66 — https://japanlaw.org/ja/elderly-medical-care-act/art-66 · https://japanlaw.org/l/357AC0000000080/art-66 - art-75/par-7: 第七十条第二項から第七項まで → 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-75/par-7: 第七十条第二項から第七項まで → 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-75/par-7: 第七十条第二項から第七項まで → 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-75/par-7: 第七十条第二項から第七項まで → 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-75/par-7: 第七十条第二項から第七項まで → 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 - art-75/par-7: 第七十条第二項から第七項まで → 高齢者の医療の確保に関する法律 第七十条第七項 (Article 70, paragraph (7)), 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 - art-75/par-7: 第七十二条 → 高齢者の医療の確保に関する法律 第七十二条 (Article 72), art-72 — https://japanlaw.org/ja/elderly-medical-care-act/art-72 · https://japanlaw.org/l/357AC0000000080/art-72 - art-75/par-7: 前条第五項から第七項まで → 高齢者の医療の確保に関する法律 第七十四条第五項 (Article 74, paragraph (5)), art-74/par-5 — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-5 · https://japanlaw.org/l/357AC0000000080/art-74/par-5 - art-75/par-7: 前条第五項から第七項まで → 高齢者の医療の確保に関する法律 第七十四条第六項 (Article 74, paragraph (6)), art-74/par-6 — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-6 · https://japanlaw.org/l/357AC0000000080/art-74/par-6 - art-75/par-7: 前条第五項から第七項まで → 高齢者の医療の確保に関する法律 第七十四条第七項 (Article 74, paragraph (7)), art-74/par-7 — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-7 · https://japanlaw.org/l/357AC0000000080/art-74/par-7 ## Cited by 14 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 第五十四条第四項（届出等） — https://japanlaw.org/ja/elderly-medical-care-act/art-54/par-4 · https://japanlaw.org/l/357AC0000000080/art-54/par-4 - 高齢者の医療の確保に関する法律 第五十九条第三項（不正利得の徴収等） — https://japanlaw.org/ja/elderly-medical-care-act/art-59/par-3 · https://japanlaw.org/l/357AC0000000080/art-59/par-3 - 高齢者の医療の確保に関する法律 第七十四条第一項（入院時食事療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-1 · https://japanlaw.org/l/357AC0000000080/art-74/par-1 - 高齢者の医療の確保に関する法律 第七十四条第四項（入院時食事療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-74/par-4 · https://japanlaw.org/l/357AC0000000080/art-74/par-4 - 高齢者の医療の確保に関する法律 第七十五条第五項（入院時生活療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-5 · https://japanlaw.org/l/357AC0000000080/art-75/par-5 - 高齢者の医療の確保に関する法律 第七十五条第六項（入院時生活療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-75/par-6 · https://japanlaw.org/l/357AC0000000080/art-75/par-6 - 高齢者の医療の確保に関する法律 第七十六条第二項第三号（保険外併用療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-76/par-2/item-3 · https://japanlaw.org/l/357AC0000000080/art-76/par-2/item-3 - 高齢者の医療の確保に関する法律 第七十七条第四項（療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-77/par-4 · https://japanlaw.org/l/357AC0000000080/art-77/par-4 - 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 - 高齢者の医療の確保に関する法律 附則第三十三条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-33/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-33/par-2 --- ## 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 75, paragraph (1) — the Ministry of Justice's English as printed (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