# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三十八条 (Supplementary Provisions, Article 38) - 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: 第三十八条 (Supplementary Provisions, Article 38) — address `suppl-4181-83/art-38` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38 - 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. --- ### 第三十八条 suppl-4181-83/art-38 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38 **第一項** 第七条の規定の施行の日前に平成二十年四月改正前老健法の規定により行われた診療、薬剤の支給若しくは手当又は老人訪問看護に係る医療等に要する費用（以下この条において「平成二十年四月前の医療等に要する費用」という。）のうち平成二十七年度以前に請求されたものの支弁及び負担並びにこれらの事務の執行に要する費用については、平成二十年四月改正前老健法第四章（第五十一条及び第五十二条を除く。）、第五章及び第六章（第七十九条第一項及び第二項を除く。）の規定（これらの規定に基づく命令を含む。）は、なおその効力を有する。この場合において、これらの規定の適用に関し必要な技術的読替えその他これらの規定の適用に関し必要な事項は、政令で定める。 suppl-4181-83/art-38/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1 With regard to the defrayal and burden of those of the costs required for medical care, etc. pertaining to medical care, provision of drugs or medical treatment, or home-nursing for the elderly provided before the date of enforcement of the provisions of Article 7 pursuant to the provisions of the Pre-April 2008 Elderly Health Act (hereinafter in this Article referred to as the "costs of medical care, etc. before April 2008") that were claimed in fiscal year 2015 or earlier, and the expenses required for the execution of those affairs, the provisions of Chapter IV (excluding Articles 51 and 52), Chapter V and Chapter VI (excluding Article 79, paragraphs (1) and (2)) of the Pre-April 2008 Elderly Health Act (including orders based on these provisions) remain in force. In this case, the necessary technical replacement of terms in applying these provisions and other matters necessary for applying these provisions are specified by Cabinet Order. machine translation, not official **第二項** 平成二十年四月前の医療等に要する費用のうち平成二十八年度以後に請求されるものについては、平成二十年四月改正前老健法の規定により当該費用を負担することとされた市町村が加入する高齢者の医療の確保に関する法律第四十八条に規定する後期高齢者医療広域連合が負担する療養の給付に要する費用とみなして、同法第四章第四節及び第五章の規定を適用する。 suppl-4181-83/art-38/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-2 With regard to the costs of medical care, etc. before April 2008 that are claimed in or after fiscal year 2016, the provisions of Chapter IV, Section 4 and Chapter V of the Act on Assurance of Medical Care for Elderly People apply by deeming them to be the expenses required for benefits for medical treatment borne by the Association of Medical Care Systems for the Elderly Aged 75 and older prescribed in Article 48 of that Act, which municipalities designated pursuant to the provisions of the Pre-April 2008 Elderly Health Act as bearing those costs have joined. machine translation, not official **第三項** 平成三十年度以後の各年度における、平成二十年四月前の医療等に要する費用のうち平成二十七年度以前に請求されたものの支弁及び負担に係る事務の執行に要する費用（医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）による医療情報基盤・診療報酬審査支払機構（以下この項において「機構」という。）の事務に係るものに限る。）については、第一項の規定によりなおその効力を有するものとされた平成二十年四月改正前老健法第五十三条の規定を適用せず、当該各年度における高齢者の医療の確保に関する法律第百三十九条第一項第二号に掲げる機構の業務に関する事務の処理に要する費用とみなして、同法第百二十二条の規定を適用する。 suppl-4181-83/art-38/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3 For each fiscal year from fiscal year 2018, with regard to the expenses required for the execution of the affairs pertaining to the defrayal and burden of those of the costs of medical care, etc. before April 2008 that were claimed in or before fiscal year 2015 (limited to those pertaining to the affairs of the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (hereinafter in this paragraph referred to as the "Organization") under the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948)), the provisions of Article 53 of the Pre-April 2008 Elderly Health Act that are to remain in force pursuant to the provisions of paragraph (1) do not apply, and the provisions of Article 122 of the Act on Assurance of Medical Care for Elderly People apply by deeming those expenses to be expenses required for the processing of the affairs pertaining to the services of the Organization set forth in Article 139, paragraph (1), item (ii) of that Act for the relevant fiscal year. machine translation, not official **第四項** 平成三十年四月一日において現に第一項の規定によりなおその効力を有するものとされた平成二十年四月改正前老健法第六十八条に規定する特別の会計に所属する権利及び義務は、政令で定めるところにより、同日において高齢者の医療の確保に関する法律第百四十三条に規定する同法第百三十九条第一項第二号の業務に係る特別の会計に帰属するものとする。 suppl-4181-83/art-38/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-4 The rights and obligations that actually belong, as of April 1, 2018, to the special account prescribed in Article 68 of the Pre-April 2008 Elderly Health Act that is to remain in force pursuant to the provisions of paragraph (1) are to, as specified by Cabinet Order, vest on that day in the special account prescribed in Article 143 of the Act on Assurance of Medical Care for Elderly People for the services under Article 139, paragraph (1), item (ii) of that Act. machine translation, not official --- ## Cites - suppl-4181-83/art-38/par-1: この条 → 高齢者の医療の確保に関する法律 附則第三十八条 (Supplementary Provisions, Article 38), suppl-4181-83/art-38 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38 - suppl-4181-83/art-38/par-2: 高齢者の医療の確保に関する法律第四十八条 → 高齢者の医療の確保に関する法律 第四十八条 (Article 48), art-48 — https://japanlaw.org/ja/elderly-medical-care-act/art-48 · https://japanlaw.org/l/357AC0000000080/art-48 - suppl-4181-83/art-38/par-3: この項 → 高齢者の医療の確保に関する法律 附則第三十八条第三項 (Supplementary Provisions, Article 38, paragraph (3)), suppl-4181-83/art-38/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3 - suppl-4181-83/art-38/par-3: 第一項 → 高齢者の医療の確保に関する法律 附則第三十八条第一項 (Supplementary Provisions, Article 38, paragraph (1)), suppl-4181-83/art-38/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1 - suppl-4181-83/art-38/par-3: 高齢者の医療の確保に関する法律第百三十九条第一項第二号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第二号 (Article 139, paragraph (1), item (ii)), art-139/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-139/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-2 - suppl-4181-83/art-38/par-3: 同法第百二十二条 → 高齢者の医療の確保に関する法律 第百二十二条 (Article 122), art-122 — https://japanlaw.org/ja/elderly-medical-care-act/art-122 · https://japanlaw.org/l/357AC0000000080/art-122 - suppl-4181-83/art-38/par-4: 第一項 → 高齢者の医療の確保に関する法律 附則第三十八条第一項 (Supplementary Provisions, Article 38, paragraph (1)), suppl-4181-83/art-38/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1 - suppl-4181-83/art-38/par-4: 高齢者の医療の確保に関する法律第百四十三条 → 高齢者の医療の確保に関する法律 第百四十三条 (Article 143), art-143 — https://japanlaw.org/ja/elderly-medical-care-act/art-143 · https://japanlaw.org/l/357AC0000000080/art-143 - suppl-4181-83/art-38/par-4: 同法第百三十九条第一項第二号 → 高齢者の医療の確保に関する法律 第百三十九条第一項第二号 (Article 139, paragraph (1), item (ii)), art-139/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-139/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-139/par-1/item-2 ## Cited by 5 provisions cite this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 附則第一条第一項第四号（施行期日） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-1/par-1/item-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-1/par-1/item-4 - 高齢者の医療の確保に関する法律 附則第三十八条第一項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-1 - 高齢者の医療の確保に関する法律 附則第三十八条第三項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-3 - 高齢者の医療の確保に関する法律 附則第三十八条第四項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-38/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-38/par-4 - 高齢者の医療の確保に関する法律 附則第百三十三条第一項（その他の経過措置の政令への委任） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4181-83/art-133/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4181-83/art-133/par-1 --- ## 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-20261019T112331-018, 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