# 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-4101-109` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4101-109 - 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 平成一〇年六月一七日法律第一〇九号 suppl-4101-109 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4101-109/art-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1 **第一項** この法律は、公布の日から施行する。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-4101-109/art-1/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-1/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1/par-1 This Act comes into effect on the date of promulgation; 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** 第一条中国民健康保険法第二十七条及び第六十五条第三項の改正規定並びに第二条、第四条及び第五条の規定並びに次条から附則第四条まで、第九条、第十三条から第二十四条まで及び第三十条の規定　公布の日から起算して三月を超えない範囲内において政令で定める日 suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1/par-1/item-1 the amending provisions of Article 27 and Article 65, paragraph (3) of the National Health Insurance Act in Article 1, the provisions of Articles 2, 4 and 5, and the provisions of the following Article through Article 4, Article 9, Articles 13 through 24 and Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation. machine translation, not official **二** 第一条中国民健康保険法附則第六項及び第七項の改正規定並びに同法附則に四項を加える改正規定、第三条中国民健康保険法等の一部を改正する法律附則第九条を附則第十条とし、附則第八条の次に一条を加える改正規定並びに附則第六条から第八条まで、第二十七条及び第二十八条の規定　平成十年七月一日 suppl-4101-109/art-1/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1/par-1/item-2 the amending provisions of paragraphs (6) and (7) of the Supplementary Provisions of the National Health Insurance Act in Article 1, and the amending provisions that add four paragraphs to the Supplementary Provisions of that Act, the amending provisions in Article 3 that make Article 9 of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. Article 10 of the Supplementary Provisions and insert one Article after Article 8 of the Supplementary Provisions, and the provisions of Articles 6 through 8, Article 27 and Article 28 of the Supplementary Provisions: July 1, 1998. machine translation, not official ### 第九条（老人保健法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Act on Health and Medical Services for the Elderly caption: machine translation, not official suppl-4101-109/art-9 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-9 **第一項** 老人保健法第六条第四項に規定する老人保健施設、同法第二十五条第三項に規定する保険医療機関等、同法第三十一条の三第一項第一号に規定する特定承認保険医療機関又は同法第四十六条の五の二第一項に規定する指定老人訪問看護事業者が附則第一条第一号に掲げる規定の施行の日前にした偽りその他不正の行為により支払われた医療又は入院時食事療養費、特定療養費、老人保健施設療養費若しくは老人訪問看護療養費の支給に関する費用の返還については、第二条の規定による改正後の老人保健法第四十二条第三項（同法第四十六条の五及び第四十六条の五の三において準用する場合を含む。）の規定にかかわらず、なお従前の例による。 suppl-4101-109/art-9/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-9/par-1 With regard to the repayment of expenses for medical care paid, or for the payment of dietary treatment expenses for inpatients, specified medical expenses, medical expenses for health care facilities for the elderly or medical expenses for home-nursing for the elderly, by reason of a false or other wrongful act committed, before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, by a health care facility for the elderly prescribed in Article 6, paragraph (4) of the Act on Health and Medical Services for the Elderly, a medical institution providing services covered by health insurance, etc. prescribed in Article 25, paragraph (3) of that Act, a specially approved medical institution providing services covered by health insurance prescribed in Article 31-3, paragraph (1), item (i) of that Act or a business operator of designated home-nursing for the elderly prescribed in Article 46-5-2, paragraph (1) of that Act, the provisions then in force continue to govern, notwithstanding the provisions of Article 42, paragraph (3) of the Act on Health and Medical Services for the Elderly as amended by the provisions of Article 2 (including as applied mutatis mutandis pursuant to Articles 46-5 and 46-5-3 of that Act). machine translation, not official ### 第十条（国民健康保険法等の一部を改正する法律の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Act Partially Amending the National Health Insurance Act, etc. caption: machine translation, not official suppl-4101-109/art-10 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-10 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-10 **第一項** 平成十年度の概算医療費拠出金の額は、老人保健法第五十五条第一項及び第三条の規定による改正後の国民健康保険法等の一部を改正する法律（以下「新平成七年改正法」という。）附則第八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-4101-109/art-10/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-10/par-1 The amount of the estimated medical expense contribution for fiscal year 1998 is, notwithstanding Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly and Article 8, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. as amended by the provisions of Article 3 (hereinafter referred to as the "New 1995 Amendment Act"), to be the sum total of the amounts set forth in the following items. machine translation, not official **一** 第三条の規定による改正前の国民健康保険法等の一部を改正する法律（以下「旧平成七年改正法」という。）の規定に基づき平成十年度の概算医療費拠出金の額として算定された額に、平成十年四月からこの法律の施行の日（以下「施行日」という。）の属する月までの月数を十二で除して得た率を乗じて得た額 suppl-4101-109/art-10/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-10/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-10/par-1/item-1 the amount obtained by multiplying the amount calculated as the amount of the estimated medical expense contribution for fiscal year 1998 based on the provisions of the Act Partially Amending the National Health Insurance Act, etc. as it stood before the amendment by the provisions of Article 3 (hereinafter referred to as the "Former 1995 Amendment Act") by the rate obtained by dividing by 12 the number of months from April 1998 through the month in which the date of enforcement of this Act (hereinafter referred to as the "Effective Date") falls; machine translation, not official **二** 新平成七年改正法の規定に基づき算定するものとした場合において平成十年度の概算医療費拠出金の額とされる額に相当する額に、施行日の属する月の翌月から平成十一年三月までの月数を十二で除して得た率を乗じて得た額 suppl-4101-109/art-10/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-10/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-10/par-1/item-2 the amount obtained by multiplying the amount equivalent to the amount that would be the amount of the estimated medical expense contribution for fiscal year 1998 if calculated based on the provisions of the New 1995 Amendment Act by the rate obtained by dividing by 12 the number of months from the month following the month in which the Effective Date falls through March 1999. machine translation, not official ### 第十一条 suppl-4101-109/art-11 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11 **第一項** 平成十年度の確定医療費拠出金の額は、老人保健法第五十六条第一項及び新平成七年改正法附則第八条第五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-4101-109/art-11/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/par-1 The amount of the fixed medical expense contribution for fiscal year 1998 is, notwithstanding Article 56, paragraph (1) of the Act on Health and Medical Services for the Elderly and Article 8, paragraph (5) of the Supplementary Provisions of the New 1995 Amendment Act, to be the sum total of the amounts set forth in the following items. machine translation, not official **一** 平成十年改正前確定加入者調整率を老人保健法第五十六条第三項の確定加入者調整率として新平成七年改正法の規定に基づき算定するものとした場合において平成十年度の確定医療費拠出金の額とされる額に相当する額に、平成十年四月から施行日の属する月までの月数を十二で除して得た率を乗じて得た額 suppl-4101-109/art-11/par-1/item-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/par-1/item-1 the amount obtained by multiplying the amount equivalent to the amount that would be the amount of the fixed medical expense contribution for fiscal year 1998 if calculated based on the provisions of the New 1995 Amendment Act, using the fixed participant adjustment rate before the 1998 amendment as the fixed participant adjustment rate under Article 56, paragraph (3) of the Act on Health and Medical Services for the Elderly, by the rate obtained by dividing by 12 the number of months from April 1998 through the month in which the Effective Date falls; machine translation, not official **二** 新平成七年改正法の規定に基づき算定するものとした場合において平成十年度の確定医療費拠出金の額とされる額に相当する額に、施行日の属する月の翌月から平成十一年三月までの月数を十二で除して得た率を乗じて得た額 suppl-4101-109/art-11/par-1/item-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/par-1/item-2 the amount obtained by multiplying the amount equivalent to the amount that would be the amount of the fixed medical expense contribution for fiscal year 1998 if calculated based on the provisions of the New 1995 Amendment Act by the rate obtained by dividing by 12 the number of months from the month following the month in which the Effective Date falls through March 1999. machine translation, not official **第二項** 前項第一号の平成十年改正前確定加入者調整率は、厚生省令で定めるところにより、平成十年度におけるすべての保険者（老人保健法第六条第二項に規定する保険者をいう。以下同じ。）に係る加入者（同条第三項に規定する加入者をいう。以下同じ。）の総数に対する同法第二十五条第一項に規定する七十歳以上の加入者等の総数の割合を同年度における当該保険者に係る加入者の数に対する同項に規定する七十歳以上の加入者等の数の割合（その割合が旧平成七年改正法附則第七条第二項の規定により読み替えて適用された老人保健法第五十五条第三項に規定する上限割合を超えるときは当該上限割合とし、百分の一・四に満たないときは百分の一・四とする。）で除して得た率を基礎として保険者ごとに算定される率とする。 suppl-4101-109/art-11/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/par-2 The fixed participant adjustment rate before the 1998 amendment referred to in item (i) of the preceding paragraph is the rate calculated for each Insurer, as specified by Ministry of Health and Welfare Order, on the basis of the rate obtained by dividing the ratio of the total number of participants, etc. aged 70 or older prescribed in Article 25, paragraph (1) of that Act to the total number of participants (meaning the participants prescribed in paragraph (3) of that Article; the same applies hereinafter) pertaining to all Insurers (meaning the Insurers prescribed in Article 6, paragraph (2) of the Act on Health and Medical Services for the Elderly; the same applies hereinafter) in fiscal year 1998 by the ratio of the number of participants, etc. aged 70 or older prescribed in that paragraph to the number of participants pertaining to that Insurer in the same fiscal year (where that ratio exceeds the upper limit ratio prescribed in Article 55, paragraph (3) of the Act on Health and Medical Services for the Elderly as applied with the replacement of terms pursuant to Article 7, paragraph (2) of the Supplementary Provisions of the Former 1995 Amendment Act, that upper limit ratio, and where it is less than 1.4 percent, 1.4 percent). machine translation, not official ### 第十二条（平成十年度の拠出金の額の変更等） — Change in the Amount of Contributions for Fiscal Year 1998, Etc. caption: machine translation, not official suppl-4101-109/art-12 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-12 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-12 **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、老人保健法第五十九条（国民健康保険法第八十一条の八において準用する場合を含む。）の規定の例により、平成十年度に係る納付すべき拠出金の額を変更し、変更後の拠出金の額を通知しなければならない。 suppl-4101-109/art-12/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-12/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 to be paid for fiscal year 1998 in the same manner as under the provisions of Article 59 of the Act on Health and Medical Services for the Elderly (including as applied mutatis mutandis pursuant to Article 81-8 of the National Health Insurance Act), and notify the amount of the contribution after the change. machine translation, not official ### 第三十一条（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-4101-109/art-31 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-31 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-31 **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-4101-109/art-31/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-31/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-4101-109/art-1/par-1/item-1: 第九条 → 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-4101-109/art-9 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-9 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-9 - suppl-4101-109/art-9/par-1: 附則第一条第一号 → 高齢者の医療の確保に関する法律 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-11/par-2: 前項第一号 → 高齢者の医療の確保に関する法律 附則第十一条第一項第一号 (Supplementary Provisions, Article 11, paragraph (1), item (i)), suppl-4101-109/art-11/par-1/item-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/par-1/item-1 ## Cited by 3 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-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-1/par-1/item-1 - 高齢者の医療の確保に関する法律 附則第九条第一項（老人保健法の一部改正に伴う経過措置） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-9/par-1 - 高齢者の医療の確保に関する法律 附則第十一条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4101-109/art-11/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4101-109/art-11/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-20261019T112331-012, 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