# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 附　則 (Supplementary Provisions) - 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: 附　則 (Supplementary Provisions) — address `suppl-4031-89` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4031-89 - 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. --- ## 附　則 平成三年一〇月四日法律第八九号 suppl-4031-89 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4031-89/art-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1 **第一項** この法律は、平成四年一月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。 suppl-4031-89/art-1/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1 This Act comes into effect on January 1, 1992; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items: machine translation, not official **一** 第一条中老人保健法第四十六条の九及び第八十四条の二の改正規定並びに附則第十二条、第十四条及び第十五条の規定　公布の日 suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-1 the amending provisions of Articles 46-9 and 84-2 of the Act on Health and Medical Services for the Elderly in Article 1, and the provisions of Articles 12, 14 and 15 of the Supplementary Provisions: the date of promulgation; machine translation, not official **二** 第一条中老人保健法の目次の改正規定、同法第二条の改正規定、同法第六条に一項を加える改正規定、同法第七条の改正規定（「及び第四十六条の八第六項」を「、第四十六条の五の二第三項、第四十六条の八第六項及び第四十六条の十七の五第四項」に改める部分に限る。）、同法第三章の章名の改正規定、同法第十二条の改正規定、同法第十七条の三の次に一条を加える改正規定、同法第二十条、第三十三条及び第三十四条の改正規定、同法第三章中第四節の次に二節を加える改正規定、同法第三章の二の章名の改正規定、同法第三章の二中第四十六条の六の前に節名を付する改正規定、同法第四十六条の十七の改正規定、同法第三章の二中同条の次に一節を加える改正規定、同法第四十七条の改正規定、同法第四十八条の改正規定（「医療等」の下に「（医療（老人医療受給対象者が医療法第二十一条第一項ただし書の都道府県知事の許可を受けた病院その他のこれに準ずる病院であつて政令で定めるものの病床のうち、老人の心身の特性に応じた適切な看護が行われるもの（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）として政令で定めるもの（以下この項において「看護強化病床」という。）について受ける第十七条第四号に掲げる給付（当該給付に伴う同条第一号から第三号まで及び第七号に掲げる給付を含む。）に限る。）、特定療養費の支給（老人医療受給対象者が看護強化病床について受ける政令で定める療養に係るものに限る。）、老人保健施設療養費の支給及び老人訪問看護療養費の支給（以下「老人保健施設療養費等」という。）を除く。）」を加える部分のうち「（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）」に係る部分（附則第七条において「老健法第四十八条改正規定中痴呆性老人部分」という。）及び老人訪問看護療養費の支給に係る部分、「及び第四十六条の二第九項」を「、第四十六条の二第九項及び第四十六条の五の二第七項」に改める部分並びに「第四十六条の二第十項」の下に「（第四十六条の五の三において準用する場合を含む。）」を加える部分に限る。）、同法第五十二条の改正規定（「並びに」を「及び」に改める部分に限る。）並びに同法第五十七条、第八十二条及び第八十六条の改正規定、第二条の規定、第三条の規定（健康保険法附則に一条を加える改正規定を除く。）、第四条の規定（船員保険法附則に二項を加える改正規定を除く。）並びに第五条の規定（国民健康保険法附則に一項を加える改正規定を除く。）並びに附則第十六条の規定（国家公務員等共済組合法（昭和三十三年法律第百二十八号）附則第九条の次に一条を加える改正規定を除く。）、附則第十七条の規定（地方公務員等共済組合法（昭和三十七年法律第百五十二号）附則第十七条の次に一条を加える改正規定を除く。）並びに附則第十九条及び第二十条の規定　平成四年四月一日 suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-2 the amending provisions of the table of contents of the Act on Health and Medical Services for the Elderly in Article 1, the amending provisions of Article 2 of that Act, the amending provisions that add one paragraph to Article 6 of that Act, the amending provisions of Article 7 of that Act (limited to the part replacing "and Article 46-8, paragraph (6)" with ", Article 46-5-2, paragraph (3), Article 46-8, paragraph (6) and Article 46-17-5, paragraph (4)"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 12 of that Act, the amending provisions that add one Article after Article 17-3 of that Act, the amending provisions of Articles 20, 33 and 34 of that Act, the amending provisions that add two Sections after Section 4 of Chapter III of that Act, the amending provisions of the chapter title of Chapter III-2 of that Act, the amending provisions that add a section title before Article 46-6 in Chapter III-2 of that Act, the amending provisions of Article 46-17 of that Act, the amending provisions that add one Section after that Article in Chapter III-2 of that Act, the amending provisions of Article 47 of that Act, the amending provisions of Article 48 of that Act (limited to, of the part adding "(excluding medical care (limited to the benefits listed in Article 17, item (iv) (including the benefits listed in items (i) through (iii) and (vii) of that Article that accompany those benefits) that a person eligible to receive medical care for the aged receives in respect of the beds, among the beds of hospitals specified by Cabinet Order that are hospitals that have received the permission of the prefectural governor referred to in the proviso to Article 21, paragraph (1) of the Medical Care Act or other hospitals equivalent thereto, in which appropriate nursing suited to the physical and mental characteristics of the aged is provided (including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided), as specified by Cabinet Order (hereinafter in this paragraph referred to as "enhanced nursing beds")), payment of specified medical expenses (limited to that pertaining to medical treatment specified by Cabinet Order that a person eligible to receive medical care for the aged receives in respect of enhanced nursing beds), payment of medical expenses for health care facilities for the elderly, and payment of medical expenses for home-nursing for the elderly (hereinafter referred to as "medical expenses for health care facilities for the elderly, etc."))" after "medical care, etc.", the part pertaining to "(including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided)" (referred to as the "dementia-related part of the Article 48 amendment" in Article 7 of the Supplementary Provisions) and the part pertaining to the payment of medical expenses for home-nursing for the elderly, the part replacing "and Article 46-2, paragraph (9)" with ", Article 46-2, paragraph (9) and Article 46-5-2, paragraph (7)", and the part adding "(including the case where it applies mutatis mutandis pursuant to Article 46-5-3)" after "Article 46-2, paragraph (10)"), the amending provisions of Article 52 of that Act (limited to the part replacing "並びに" (and, joining larger groups) with "及び" (and, joining smaller groups)), and the amending provisions of Articles 57, 82 and 86 of that Act, the provisions of Article 2, the provisions of Article 3 (excluding the amending provisions that add one Article to the Supplementary Provisions of the Health Insurance Act), the provisions of Article 4 (excluding the amending provisions that add two paragraphs to the Supplementary Provisions of the Mariners Insurance Act), and the provisions of Article 5 (excluding the amending provisions that add one paragraph to the Supplementary Provisions of the National Health Insurance Act), and the provisions of Article 16 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 9 of the Supplementary Provisions of the National Public Officers, etc. Mutual Aid Association Act (Act No. 128 of 1958)), the provisions of Article 17 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 17 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962)), and the provisions of Articles 19 and 20 of the Supplementary Provisions: April 1, 1992. machine translation, not official ### 第二条（検討等） — Review, Etc. caption: machine translation, not official suppl-4031-89/art-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-2 **第一項** 第一条の規定による改正後の老人保健法（以下「新老健法」という。）第二十八条の二の規定の適用に当たって、一部負担金の額が老人の負担能力等を考慮して過大な負担になるおそれが生ずる場合においては、一部負担金の額の改定措置の在り方について総合的に検討が加えられ、その結果に基づき、必要な措置が講ぜられるべきものとする。 suppl-4031-89/art-2/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-2/par-1 In the application of the provisions of Article 28-2 of the Act on Health and Medical Services for the Elderly as amended by Article 1 (hereinafter referred to as the "New Elderly Health Act"), in the case where there is a risk that the amount of the co-payment will become an excessive burden in consideration of the ability of the elderly to bear it, etc., the way in which the amount of the co-payment is to be revised is to be reviewed comprehensively, and necessary measures are to be taken based on the results. machine translation, not official **第二項** 前項に規定するもののほか、老人保健法による老人保健制度については、老人保健制度の目的を踏まえ、この法律の施行後の老人保健制度の実施状況、老人医療費の動向、社会経済情勢の推移等を勘案し、給付及び費用の負担の在り方について検討が加えられるべきものとする。 suppl-4031-89/art-2/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-2/par-2 In addition to what is prescribed in the preceding paragraph, with regard to the system of health and medical services for the elderly under the Act on Health and Medical Services for the Elderly, the way in which benefits and the bearing of expenses should be arranged is to be reviewed in light of the purpose of that system, taking into consideration the status of implementation of the system after the enforcement of this Act, trends in medical expenses for the elderly, changes in socioeconomic conditions, etc. machine translation, not official ### 第三条 suppl-4031-89/art-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-3 **第一項** 政府は、老人の心身の特性に応じた適切な医療が行われるよう、老人が老人保健法第二十五条第三項に規定する保険医療機関等及び同法第六条第四項に規定する老人保健施設について受ける医療その他のサービスの質に関する評価方法の研究に努めるとともに、同法第二十五条の規定により行われる医療に要する費用の額の包括的な算定等当該費用の額の算定の在り方について検討を行い、その結果に基づいて所要の措置を講ずるものとする。 suppl-4031-89/art-3/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-3/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-3/par-1 The government is to strive to research methods of evaluating the quality of medical care and other services that the elderly receive at medical institutions providing services covered by health insurance, etc. prescribed in Article 25, paragraph (3) of the Act on Health and Medical Services for the Elderly and at health care facilities for the elderly prescribed in Article 6, paragraph (4) of that Act, so that appropriate medical care suited to the physical and mental characteristics of the elderly is provided, and is to review the way in which the amount of expenses is calculated, such as the comprehensive calculation of the amount of expenses required for medical care provided pursuant to the provisions of Article 25 of that Act, and take required measures based on the results. machine translation, not official ### 第四条 suppl-4031-89/art-4 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-4 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-4 **第一項** 政府は、病院又は診療所において行われる付添看護その他の看護に関し、老人がその心身の特性に応じこれらの看護とその他の医療を一体的な管理の下に適切に受けることができるよう、必要な施策の推進に努めるものとする。 suppl-4031-89/art-4/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-4/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-4/par-1 The government is to strive to promote necessary measures concerning attendant nursing care and other nursing care provided at hospitals or clinics so that the elderly can appropriately receive such nursing care and other medical care under integrated management in accordance with their physical and mental characteristics. machine translation, not official ### 第五条（一部負担金に関する経過措置） — Transitional Measures Concerning Co-Payments caption: machine translation, not official suppl-4031-89/art-5 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-5 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-5 **第一項** この法律の施行の日（以下「施行日」という。）から平成五年三月三十一日までの間は、新老健法第二十八条第一項第一号中「千円（次条第一項の規定により当該一部負担金の額が改定されたときは、直近の同項の規定による改定後の当該一部負担金の額とする。）」とあるのは「九百円」と、同項第二号中「七百円（次条第二項の規定により当該一部負担金の額が改定されたときは、直近の同項の規定による改定後の当該一部負担金の額とする。）」とあるのは「六百円」とする。 suppl-4031-89/art-5/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-5/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-5/par-1 From the date of enforcement of this Act (hereinafter referred to as the "Effective Date") to March 31, 1993, in Article 28, paragraph (1), item (i) of the New Elderly Health Act, the phrase "1,000 yen (when the amount of the relevant co-payment has been revised pursuant to the provisions of paragraph (1) of the following Article, the amount of the relevant co-payment after the most recent revision pursuant to that paragraph)" is deemed to be replaced with "900 yen", and in item (ii) of that paragraph, the phrase "700 yen (when the amount of the relevant co-payment has been revised pursuant to the provisions of paragraph (2) of the following Article, the amount of the relevant co-payment after the most recent revision pursuant to that paragraph)" is deemed to be replaced with "600 yen". machine translation, not official ### 第六条（医療費に関する経過措置） — Transitional Measures Concerning Medical Expenses caption: machine translation, not official suppl-4031-89/art-6 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-6 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-6 **第一項** 施行日前に行われた診療、薬剤の支給又は手当に係る第一条の規定による改正前の老人保健法（以下「旧老健法」という。）の規定による医療費の額については、なお従前の例による。 suppl-4031-89/art-6/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-6/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-6/par-1 With regard to the amount of medical expenses under the provisions of the Act on Health and Medical Services for the Elderly as it stood before the amendment by Article 1 (hereinafter referred to as the "Former Elderly Health Act") pertaining to medical care, provision of drugs, or medical treatment provided before the Effective Date, the provisions then in force continue to govern. machine translation, not official **第二項** 施行日から平成五年三月三十一日までの間に行われた診療、薬剤の支給又は手当に係る新老健法の規定による医療費の額については、新老健法第三十二条第二項中「第二十八条」とあるのは「老人保健法等の一部を改正する法律（平成三年法律第八十九号）附則第五条の規定により読み替えられた第二十八条」と、同条第四項中「同条第一項第二号」とあり、及び同条第五項中「第二十八条第一項第二号」とあるのは「老人保健法等の一部を改正する法律附則第五条の規定により読み替えられた第二十八条第一項第二号」とする。 suppl-4031-89/art-6/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-6/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-6/par-2 With regard to the amount of medical expenses under the provisions of the New Elderly Health Act pertaining to medical care, provision of drugs, or medical treatment provided during the period from the Effective Date to March 31, 1993, in Article 32, paragraph (2) of the New Elderly Health Act, the phrase "Article 28" is deemed to be replaced with "Article 28 as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Act Partially Amending the Act on Health and Medical Services for the Elderly, etc. (Act No. 89 of 1991)", and the phrase "paragraph (1), item (ii) of that Article" in paragraph (4) of that Article and the phrase "Article 28, paragraph (1), item (ii)" in paragraph (5) of that Article are deemed to be replaced with "Article 28, paragraph (1), item (ii) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Act Partially Amending the Act on Health and Medical Services for the Elderly, etc.". machine translation, not official ### 第七条（交付金等に関する経過措置） — Transitional Measures Concerning Grants, Etc. caption: machine translation, not official suppl-4031-89/art-7 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-7 **第一項** 新老健法第四十七条から第五十条までの規定は、施行日（老健法第四十八条改正規定中痴呆性老人部分にあっては、平成四年四月一日。以下この条において同じ。）以後に行われる新老健法の規定による医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）及び老人保健施設療養費の支給に要する費用並びにこれらの事業に関する事務の執行に要する費用について適用し、施行日前に行われた旧老健法の規定による医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）及び老人保健施設療養費の支給に要する費用並びにこれらの事業に関する事務の執行に要する費用については、なお従前の例による。 suppl-4031-89/art-7/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-7/par-1 The provisions of Articles 47 through 50 of the New Elderly Health Act apply to the expenses required for medical care (including payment of medical expenses) under the provisions of the New Elderly Health Act, payment of specified medical expenses (including payment of medical expenses), and payment of medical expenses for health care facilities for the elderly that are provided on or after the Effective Date (in the case of the dementia-related part of the Article 48 amendment, April 1, 1992; the same applies hereinafter in this Article), and to the expenses required for the execution of affairs concerning those services, and the provisions then in force continue to govern the expenses required for medical care (including payment of medical expenses) under the provisions of the Former Elderly Health Act, payment of specified medical expenses (including payment of medical expenses), and payment of medical expenses for health care facilities for the elderly that were provided before the Effective Date, and the expenses required for the execution of affairs concerning those services. machine translation, not official ### 第八条（医療費拠出金に関する経過措置） — Transitional Measures Concerning Medical Expense Contributions caption: machine translation, not official suppl-4031-89/art-8 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-8 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-8 **第一項** 平成二年度以前の年度の概算医療費拠出金及び確定医療費拠出金については、なお従前の例による。 suppl-4031-89/art-8/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-8/par-1 With regard to estimated medical expense contributions and fixed medical expense contributions for fiscal years up to and including fiscal year 1990, the provisions then in force continue to govern. machine translation, not official ### 第九条 suppl-4031-89/art-9 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9 **第一項** 平成三年度の概算医療費拠出金の額は、新老健法第五十五条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。 suppl-4031-89/art-9/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1 The amount of the estimated medical expense contribution for fiscal year 1991 is, notwithstanding the provisions of Article 55, paragraph (1) of the New Elderly Health Act, the sum total of the amounts set forth in the following items. machine translation, not official **一** 旧老健法の規定に基づき算定された平成三年度の概算医療費拠出金の額の十二分の十に相当する額 suppl-4031-89/art-9/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-1 an amount equivalent to 10/12 of the amount of the estimated medical expense contribution for fiscal year 1991 calculated based on the provisions of the Former Elderly Health Act; machine translation, not official **二** 次に掲げる額の合計額（次号において「施行日以後調整後老人医療費見込額」という。）に、一から施行日以後老人保健施設療養費等概算率を控除して得た率を乗じて得た額の十分の七に相当する額 suppl-4031-89/art-9/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2 an amount equivalent to 7/10 of the amount obtained by multiplying the sum total of the following amounts (referred to as the "post-commencement adjusted estimated elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc. from 1: machine translation, not official **イ** 当該保険者に係る施行日以後老人医療費見込額（市町村が平成三年度において支弁する一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われる医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）、老人保健施設療養費の支給及び老人訪問看護療養費の支給（次条において「医療等」という。）に要する費用の見込額として厚生省令で定めるところにより算定される額をいう。以下この条において同じ。）から施行日以後調整対象外医療費見込額（当該保険者が概算施行日以後基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費見込額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費見込額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費見込額」という。）で除して得た率が、新老健法第五十五条第一項第一号イの政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日以後老人医療費見込額のうち、一人平均老人医療費見込額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る新老健法第五十五条第四項の概算加入者調整率を乗じて得た額 suppl-4031-89/art-9/par-1/item-2/sub-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2/sub-1 the amount obtained by multiplying the amount obtained by deducting the post-commencement estimated medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the estimated post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement estimated elderly medical expenses per participant aged 70 or over, etc. pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average amount of the post-commencement estimated elderly medical expenses per participant aged 70 or over, etc. pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of estimated elderly medical expenses") exceeds the rate specified by Cabinet Order in Article 55, paragraph (1), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of estimated elderly medical expenses by the rate specified by Cabinet Order; the same applies in (b)) from the post-commencement estimated elderly medical expenses pertaining to the relevant Insurer (meaning the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses, defrayed by Municipalities in fiscal year 1991, required for medical care (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), payment of medical expenses for health care facilities for the elderly, and payment of medical expenses for home-nursing for the elderly (referred to as "medical care, etc." in the following Article) provided on or after the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer; the same applies hereinafter in this Article) by the estimated participant adjustment rate under Article 55, paragraph (4) of the New Elderly Health Act for fiscal year 1991; machine translation, not official **ロ** 施行日以後調整対象外医療費見込額 suppl-4031-89/art-9/par-1/item-2/sub-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2/sub-2 the post-commencement estimated medical expenses outside adjustment; machine translation, not official **三** 施行日以後調整後老人医療費見込額に施行日以後老人保健施設療養費等概算率を乗じて得た額の十二分の六に相当する額 suppl-4031-89/art-9/par-1/item-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-3 an amount equivalent to 6/12 of the amount obtained by multiplying the post-commencement adjusted estimated elderly medical expenses by the post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc. machine translation, not official **第二項** 前項の施行日以後老人保健施設療養費等概算率は、各保険者に係る施行日以後老人保健施設療養費等見込額（市町村が平成三年度において支弁する一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われる新老健法第四十八条第一項に規定する老人保健施設療養費等に要する費用の見込額として厚生省令で定めるところにより算定される額をいう。）の総額を、各保険者に係る施行日以後老人医療費見込額の総額で除して得た率とする。 suppl-4031-89/art-9/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-2 The post-commencement estimated rate of medical expenses for health care facilities for the elderly, etc. in the preceding paragraph is the rate obtained by dividing the total amount of the post-commencement estimated medical expenses for health care facilities for the elderly, etc. pertaining to each Insurer (meaning the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses, defrayed by Municipalities in fiscal year 1991, required for the medical expenses for health care facilities for the elderly, etc. prescribed in Article 48, paragraph (1) of the New Elderly Health Act that are provided on or after the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer) by the total amount of the post-commencement estimated elderly medical expenses pertaining to each Insurer. machine translation, not official ### 第十条 suppl-4031-89/art-10 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 **第一項** 平成三年度の確定医療費拠出金の額は、新老健法第五十六条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。 suppl-4031-89/art-10/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1 The amount of the fixed medical expense contribution for fiscal year 1991 is, notwithstanding the provisions of Article 56, paragraph (1) of the New Elderly Health Act, the sum total of the amounts set forth in the following items. machine translation, not official **一** 次に掲げる額の合計額の十分の七に相当する額 suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1 an amount equivalent to 7/10 of the sum total of the following amounts: machine translation, not official **イ** 当該保険者に係る施行日前老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日前に行われた医療（医療費の支給を含む。）、特定療養費の支給（医療費の支給を含む。）及び老人保健施設療養費の支給に要する費用の額をいう。以下この号において同じ。）から施行日前調整対象外医療費額（当該保険者が確定施行日前基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日前老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、旧老健法第五十五条第一項第一号の政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日前老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る旧老健法第五十六条第二項の確定加入者調整率を乗じて得た額 suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-1 the amount obtained by multiplying the amount obtained by deducting the pre-commencement medical expenses outside adjustment (meaning, where the relevant Insurer is an insurer exceeding the fixed pre-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average amount of the pre-commencement elderly medical expenses per participant aged 70 or over, etc. pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by Cabinet Order in Article 55, paragraph (1), item (i) of the Former Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the pre-commencement elderly medical expenses pertaining to the relevant Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by the rate specified by Cabinet Order; the same applies in (b)) from the pre-commencement elderly medical expenses pertaining to the relevant Insurer (meaning the amount of expenses, defrayed by Municipalities in fiscal year 1991, required for medical care (including payment of medical expenses), payment of specified medical expenses (including payment of medical expenses), and payment of medical expenses for health care facilities for the elderly provided before the Effective Date to participants aged 70 or over, etc. pertaining to one Insurer; the same applies hereinafter in this item) by the fixed participant adjustment rate under Article 56, paragraph (2) of the Former Elderly Health Act for fiscal year 1991; machine translation, not official **ロ** 施行日前調整対象外医療費額 suppl-4031-89/art-10/par-1/item-1/sub-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-2 the pre-commencement medical expenses outside adjustment; machine translation, not official **二** 次に掲げる額の合計額（次号において「施行日以後調整後老人医療費額」という。）に、一から施行日以後老人保健施設療養費等確定率を控除して得た率を乗じて得た額の十分の七に相当する額 suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 an amount equivalent to 7/10 of the amount obtained by multiplying the sum total of the following amounts (referred to as "post-commencement adjusted elderly medical expenses" in the following item) by the rate obtained by deducting the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. from 1; machine translation, not official **イ** 当該保険者に係る施行日以後老人医療費額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた医療等に要する費用の額をいう。以下この条において同じ。）から施行日以後調整対象外医療費額（当該保険者が確定施行日以後基準超過保険者（一の保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後老人医療費額の平均額として厚生省令で定めるところにより算定される額（以下この号において「一人平均老人医療費額」という。）で除して得た率が、新老健法第五十五条第一項第一号イの政令で定める率を超える保険者をいう。）である場合における当該保険者に係る施行日以後老人医療費額のうち、一人平均老人医療費額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額をいう。ロにおいて同じ。）を控除して得た額に平成三年度に係る新老健法第五十六条第三項の確定加入者調整率を乗じて得た額 suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-1 the amount obtained by multiplying the amount obtained by deducting the post-commencement medical expenses outside adjustment (meaning, in the case where the Insurer concerned is an insurer exceeding the fixed post-commencement standard (meaning an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to one Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average of the post-commencement elderly medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "per-person average of elderly medical expenses") exceeds the rate specified by the Cabinet Order referred to in Article 55, paragraph (1), item (i), (a) of the New Elderly Health Act), the amount calculated as specified by Ministry of Health and Welfare Order as the portion of the post-commencement elderly medical expenses pertaining to that Insurer that exceeds the amount obtained by multiplying the per-person average of elderly medical expenses by that rate specified by Cabinet Order; the same applies in (b)) from the post-commencement elderly medical expenses pertaining to the Insurer concerned (meaning the amount of expenses required for medical care, etc. provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991; the same applies hereinafter in this Article) by the fixed participant adjustment rate under Article 56, paragraph (3) of the New Elderly Health Act for fiscal year 1991; machine translation, not official **ロ** 施行日以後調整対象外医療費額 suppl-4031-89/art-10/par-1/item-2/sub-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-2 the post-commencement medical expenses outside adjustment. machine translation, not official **三** 施行日以後調整後老人医療費額に施行日以後老人保健施設療養費等確定率を乗じて得た額の十二分の六に相当する額 suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-3 an amount equivalent to 6/12 of the amount obtained by multiplying the post-commencement adjusted elderly medical expenses by the post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. machine translation, not official **第二項** 前項の施行日以後老人保健施設療養費等確定率は、各保険者に係る施行日以後老人保健施設療養費等額（市町村が平成三年度において支弁した一の保険者に係る七十歳以上の加入者等に対する施行日以後に行われた新老健法第四十八条第一項に規定する老人保健施設療養費等に要する費用の額をいう。）の総額を、各保険者に係る施行日以後老人医療費額の総額で除して得た率とする。 suppl-4031-89/art-10/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-2 The post-commencement fixed rate of medical expenses for health care facilities for the elderly, etc. referred to in the preceding paragraph is the rate obtained by dividing the total amount of the post-commencement medical expenses for health care facilities for the elderly, etc. pertaining to each Insurer (meaning the amount of expenses required for the medical expenses for health care facilities for the elderly, etc. prescribed in Article 48, paragraph (1) of the New Elderly Health Act provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to one Insurer, which a municipality bore in fiscal year 1991) by the total amount of the post-commencement elderly medical expenses pertaining to each Insurer. machine translation, not official ### 第十一条（平成三年度の拠出金の額の変更等） — Change in the Amount of Contributions for Fiscal Year 1991, Etc. caption: machine translation, not official suppl-4031-89/art-11 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-11 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-11 **第一項** 社会保険診療報酬支払基金法（昭和二十三年法律第百二十九号）による社会保険診療報酬支払基金は、この法律の施行後遅滞なく、各保険者が平成三年度に納付すべき拠出金の額を変更し、当該各保険者に対し、変更後の拠出金の額を通知しなければならない。 suppl-4031-89/art-11/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-11/par-1 The Social Insurance Medical Fee Payment Fund under the Act on Social Insurance Medical Fee Payment Fund (Act No. 129 of 1948) must, without delay after the enforcement of this Act, change the amount of the contribution each Insurer is to pay for fiscal year 1991, and notify each Insurer concerned of the amount of the contribution after the change. machine translation, not official **第二項** 新老健法第五十九条第三項の規定は、前項の場合に準用する。 suppl-4031-89/art-11/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-11/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-11/par-2 The provisions of Article 59, paragraph (3) of the New Elderly Health Act apply mutatis mutandis to the case referred to in the preceding paragraph. machine translation, not official ### 第十二条（老人訪問看護療養費の支給等に関する規定の施行前の準備） — Preparations before Enforcement of Provisions on Payment of Medical Expenses for Home-Nursing for the Elderly, Etc. caption: machine translation, not official suppl-4031-89/art-12 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12 **第一項** 厚生大臣は、新老健法第四十六条の十七の五第一項の厚生省令を定めようとするとき、及び同条第二項に規定する指定老人訪問看護の事業の運営に関する基準（指定老人訪問看護の取扱いに関する部分を除く。）を定めようとするときは、附則第一条第二号に掲げる規定の施行の日前においても老人保健審議会の意見を聴くことができる。 suppl-4031-89/art-12/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12/par-1 When the Minister of Health and Welfare intends to specify the Ministry of Health and Welfare Order referred to in Article 46-17-5, paragraph (1) of the New Elderly Health Act, and when the Minister intends to specify the standards for the operation of the business of designated home-nursing for the elderly prescribed in paragraph (2) of that Article (excluding the part concerning the handling of designated home-nursing for the elderly), the Minister may hear the opinion of the Elderly Health Council even before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions. machine translation, not official **第二項** 厚生大臣は、新老健法第四十六条の五の二第二項の基準及び新老健法第四十六条の十七の五第二項に規定する指定老人訪問看護の事業の運営に関する基準（指定老人訪問看護の取扱いに関する部分に限る。）を定めようとするときは、附則第一条第二号に掲げる規定の施行の日前においても中央社会保険医療協議会の意見を聴くことができる。 suppl-4031-89/art-12/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12/par-2 When the Minister of Health and Welfare intends to specify the standards referred to in Article 46-5-2, paragraph (2) of the New Elderly Health Act and the standards for the operation of the business of designated home-nursing for the elderly prescribed in Article 46-17-5, paragraph (2) of the New Elderly Health Act (limited to the part concerning the handling of designated home-nursing for the elderly), the Minister may hear the opinion of the Central Social Insurance Medical Council even before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions. machine translation, not official ### 第十三条（老人保健施設に関する経過措置） — Transitional Measures Concerning Health Care Facilities for the Elderly caption: machine translation, not official suppl-4031-89/art-13 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-13 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-13 **第一項** 旧老健法第四十六条の六第一項の許可に係る旧老健法第六条第四項に規定する老人保健施設は、新老健法第四十六条の六第一項の許可に係る新老健法附則第一条の二の規定により読み替えられた新老健法第六条第四項に規定する老人保健施設とみなす。 suppl-4031-89/art-13/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-13/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-13/par-1 A health care facility for the elderly prescribed in Article 6, paragraph (4) of the Former Elderly Health Act pertaining to the permission under Article 46-6, paragraph (1) of the Former Elderly Health Act is deemed to be a health care facility for the elderly prescribed in Article 6, paragraph (4) of the New Elderly Health Act, as replaced pursuant to Article 1-2 of the Supplementary Provisions of the New Elderly Health Act, pertaining to the permission under Article 46-6, paragraph (1) of the New Elderly Health Act. machine translation, not official ### 第十四条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions caption: machine translation, not official suppl-4031-89/art-14 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-14 **第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。 suppl-4031-89/art-14/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-14/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-14/par-1 With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern. machine translation, not official ### 第十五条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order caption: machine translation, not official suppl-4031-89/art-15 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-15 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-15 **第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。 suppl-4031-89/art-15/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-15/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-15/par-1 Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order. machine translation, not official --- ## Cites - suppl-4031-89/art-1/par-1/item-1: 附則第十二条 → 高齢者の医療の確保に関する法律 附則第十二条 (Supplementary Provisions, Article 12), suppl-4031-89/art-12 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12 - suppl-4031-89/art-1/par-1/item-1: 第十四条 → 高齢者の医療の確保に関する法律 附則第十四条 (Supplementary Provisions, Article 14), suppl-4031-89/art-14 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-14 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-14 - suppl-4031-89/art-1/par-1/item-1: 第十五条 → 高齢者の医療の確保に関する法律 附則第十五条 (Supplementary Provisions, Article 15), suppl-4031-89/art-15 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-15 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-15 - suppl-4031-89/art-1/par-1/item-2: 医療法第二十一条第一項 → 医療法 第二十一条第一項 (Article 21, paragraph (1)), art-21/par-1 — https://japanlaw.org/ja/medical-care-act/art-21/par-1 · https://japanlaw.org/l/323AC0000000205/art-21/par-1 - suppl-4031-89/art-1/par-1/item-2: 附則第七条 → 高齢者の医療の確保に関する法律 附則第七条 (Supplementary Provisions, Article 7), suppl-4031-89/art-7 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-7 - suppl-4031-89/art-2/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第二条第一項 (Supplementary Provisions, Article 2, paragraph (1)), suppl-4031-89/art-2/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-2/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-2/par-1 - suppl-4031-89/art-6/par-2: 老人保健法等の一部を改正する法律（平成三年法律第八十九号）附則第五条 → 高齢者の医療の確保に関する法律 附則第五条 (Supplementary Provisions, Article 5), suppl-4031-89/art-5 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-5 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-5 - suppl-4031-89/art-7/par-1: この条 → 高齢者の医療の確保に関する法律 附則第七条 (Supplementary Provisions, Article 7), suppl-4031-89/art-7 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-7 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-7 - suppl-4031-89/art-9/par-1/item-2: 次号 → 高齢者の医療の確保に関する法律 附則第九条第一項第三号 (Supplementary Provisions, Article 9, paragraph (1), item (iii)), suppl-4031-89/art-9/par-1/item-3 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-3 - suppl-4031-89/art-9/par-1/item-2/sub-1: 次条 → 高齢者の医療の確保に関する法律 附則第十条 (Supplementary Provisions, Article 10), suppl-4031-89/art-10 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 - suppl-4031-89/art-9/par-1/item-2/sub-1: この条 → 高齢者の医療の確保に関する法律 附則第九条 (Supplementary Provisions, Article 9), suppl-4031-89/art-9 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9 - suppl-4031-89/art-9/par-1/item-2/sub-1: この号 → 高齢者の医療の確保に関する法律 附則第九条第一項第二号 (Supplementary Provisions, Article 9, paragraph (1), item (ii)), suppl-4031-89/art-9/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2 - suppl-4031-89/art-9/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第九条第一項 (Supplementary Provisions, Article 9, paragraph (1)), suppl-4031-89/art-9/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1 - suppl-4031-89/art-10/par-1/item-1/sub-1: この号 → 高齢者の医療の確保に関する法律 附則第十条第一項第一号 (Supplementary Provisions, Article 10, paragraph (1), item (i)), suppl-4031-89/art-10/par-1/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1 - suppl-4031-89/art-10/par-1/item-2: 次号 → 高齢者の医療の確保に関する法律 附則第十条第一項第三号 (Supplementary Provisions, Article 10, paragraph (1), item (iii)), suppl-4031-89/art-10/par-1/item-3 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-3 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-3 - suppl-4031-89/art-10/par-1/item-2/sub-1: この条 → 高齢者の医療の確保に関する法律 附則第十条 (Supplementary Provisions, Article 10), suppl-4031-89/art-10 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10 - suppl-4031-89/art-10/par-1/item-2/sub-1: この号 → 高齢者の医療の確保に関する法律 附則第十条第一項第二号 (Supplementary Provisions, Article 10, paragraph (1), item (ii)), suppl-4031-89/art-10/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 - suppl-4031-89/art-10/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第十条第一項 (Supplementary Provisions, Article 10, paragraph (1)), suppl-4031-89/art-10/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1 - suppl-4031-89/art-11/par-2: 前項 → 高齢者の医療の確保に関する法律 附則第十一条第一項 (Supplementary Provisions, Article 11, paragraph (1)), suppl-4031-89/art-11/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-11/par-1 - suppl-4031-89/art-12/par-1: 附則第一条第二号 → 高齢者の医療の確保に関する法律 附則第一条第一項第二号 (Supplementary Provisions, Article 1, paragraph (1), item (ii)), suppl-4031-89/art-1/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-2 - suppl-4031-89/art-12/par-2: 附則第一条第二号 → 高齢者の医療の確保に関する法律 附則第一条第一項第二号 (Supplementary Provisions, Article 1, paragraph (1), item (ii)), suppl-4031-89/art-1/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-2 ## Cited by 15 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 附則第一条第一項第一号（施行期日） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-1 - 高齢者の医療の確保に関する法律 附則第一条第一項第二号（施行期日） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-1/par-1/item-2 - 高齢者の医療の確保に関する法律 附則第二条第二項（検討等） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-2/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-2/par-2 - 高齢者の医療の確保に関する法律 附則第六条第二項（医療費に関する経過措置） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-6/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-6/par-2 - 高齢者の医療の確保に関する法律 附則第七条第一項（交付金等に関する経過措置） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-7/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-7/par-1 - 高齢者の医療の確保に関する法律 附則第九条第一項第二号 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2 - 高齢者の医療の確保に関する法律 附則第九条第一項第二号イ — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-1/item-2/sub-1 - 高齢者の医療の確保に関する法律 附則第九条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-9/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-9/par-2 - 高齢者の医療の確保に関する法律 附則第十条第一項第一号イ — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-1/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-1/sub-1 - 高齢者の医療の確保に関する法律 附則第十条第一項第二号 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2 - 高齢者の医療の確保に関する法律 附則第十条第一項第二号イ — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-1/item-2/sub-1 - 高齢者の医療の確保に関する法律 附則第十条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-10/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-10/par-2 - 高齢者の医療の確保に関する法律 附則第十一条第二項（平成三年度の拠出金の額の変更等） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-11/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-11/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（老人訪問看護療養費の支給等に関する規定の施行前の準備） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12/par-1 - 高齢者の医療の確保に関する法律 附則第十二条第二項（老人訪問看護療養費の支給等に関する規定の施行前の準備） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4031-89/art-12/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4031-89/art-12/par-2 --- ## 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-20261019T105826-010, translated 2026-10-19 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch elderly-medical-care-act-20261019T105826-010, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-009, translated 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T120156-001, translated 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