# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第二十五条 (Supplementary Provisions, Article 25) - 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: 第二十五条 (Supplementary Provisions, Article 25) — address `suppl-4271-31/art-25` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25 - 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. --- ### 第二十五条 suppl-4271-31/art-25 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25 **第一項** 都道府県は、第二号施行日以後、速やかに、第二号改正後高確法に基づく都道府県医療費適正化計画（以下「新都道府県計画」という。）を定めるものとする。 suppl-4271-31/art-25/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-1 Prefectures are to establish, promptly on or after the item (ii) Effective Date, the prefectural plan for the optimization of medical expenses under the item (ii) Amended Elderly Medical Care Assurance Act (hereinafter referred to as the "new prefectural plan"). machine translation, not official **第二項** 第二号改正前高確法に基づく都道府県医療費適正化計画（次項において「旧都道府県計画」という。）は、新都道府県計画が定められるまでの間、新都道府県計画とみなす。 suppl-4271-31/art-25/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-2 The prefectural plan for the optimization of medical expenses under the item (ii) Pre-amendment Elderly Medical Care Assurance Act (referred to as the "former prefectural plan" in the following paragraph) is deemed to be the new prefectural plan until the new prefectural plan is established. machine translation, not official **第三項** 前項の規定により新都道府県計画とみなされた旧都道府県計画については、第二号改正後高確法第九条、第十一条第一項から第五項まで、第十二条第一項及び第二項、第十三条第一項並びに第十五条の規定は適用せず、なお従前の例による。この場合において、新都道府県計画が定められた日の前日を旧都道府県計画の期間の終了の日とみなす。 suppl-4271-31/art-25/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-3 With regard to the former prefectural plan deemed to be the new prefectural plan pursuant to the provisions of the preceding paragraph, the provisions of Article 9, Article 11, paragraphs (1) through (5), Article 12, paragraphs (1) and (2), Article 13, paragraph (1) and Article 15 of the item (ii) Amended Elderly Medical Care Assurance Act do not apply, and the provisions then in force continue to govern. In this case, the day before the day on which the new prefectural plan is established is deemed to be the last day of the period of the former prefectural plan. machine translation, not official **第四項** 第二号施行日以後最初に定められる新都道府県計画に対する第二号改正後高確法第九条第一項の規定の適用については、同項中「六年ごとに、六年を一期として、」とあるのは、「令和六年三月三十一日までを計画期間とする」とする。 suppl-4271-31/art-25/par-4 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-4 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-4 With regard to the application of the provisions of Article 9, paragraph (1) of the item (ii) Amended Elderly Medical Care Assurance Act to the new prefectural plan first established on or after the item (ii) Effective Date, the phrase "every six years, with six years as one period," in that paragraph is deemed to be replaced with "with the plan period ending on March 31, 2024,". machine translation, not official --- ## Cites - suppl-4271-31/art-25/par-2: 次項 → 高齢者の医療の確保に関する法律 附則第二十五条第三項 (Supplementary Provisions, Article 25, paragraph (3)), suppl-4271-31/art-25/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-3 - suppl-4271-31/art-25/par-3: 前項 → 高齢者の医療の確保に関する法律 附則第二十五条第二項 (Supplementary Provisions, Article 25, paragraph (2)), suppl-4271-31/art-25/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-2 - suppl-4271-31/art-25/par-3: 第二号改正後高確法第九条 → 高齢者の医療の確保に関する法律 第九条 (Article 9), art-9 — https://japanlaw.org/ja/elderly-medical-care-act/art-9 · https://japanlaw.org/l/357AC0000000080/art-9 - suppl-4271-31/art-25/par-3: 第十一条第一項から第五項まで → 高齢者の医療の確保に関する法律 第十一条第一項 (Article 11, paragraph (1)), art-11/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-11/par-1 · https://japanlaw.org/l/357AC0000000080/art-11/par-1 - suppl-4271-31/art-25/par-3: 第十一条第一項から第五項まで → 高齢者の医療の確保に関する法律 第十一条第二項 (Article 11, paragraph (2)), art-11/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-11/par-2 · https://japanlaw.org/l/357AC0000000080/art-11/par-2 - suppl-4271-31/art-25/par-3: 第十一条第一項から第五項まで → 高齢者の医療の確保に関する法律 第十一条第三項 (Article 11, paragraph (3)), art-11/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/art-11/par-3 · https://japanlaw.org/l/357AC0000000080/art-11/par-3 - suppl-4271-31/art-25/par-3: 第十一条第一項から第五項まで → 高齢者の医療の確保に関する法律 第十一条第四項 (Article 11, paragraph (4)), art-11/par-4 — https://japanlaw.org/ja/elderly-medical-care-act/art-11/par-4 · https://japanlaw.org/l/357AC0000000080/art-11/par-4 - suppl-4271-31/art-25/par-3: 第十二条第一項 → 高齢者の医療の確保に関する法律 第十二条第一項 (Article 12, paragraph (1)), art-12/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-12/par-1 · https://japanlaw.org/l/357AC0000000080/art-12/par-1 - suppl-4271-31/art-25/par-3: 第二項 → 高齢者の医療の確保に関する法律 第十二条第二項 (Article 12, paragraph (2)), art-12/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-12/par-2 · https://japanlaw.org/l/357AC0000000080/art-12/par-2 - suppl-4271-31/art-25/par-3: 第十三条第一項 → 高齢者の医療の確保に関する法律 第十三条第一項 (Article 13, paragraph (1)), art-13/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-13/par-1 · https://japanlaw.org/l/357AC0000000080/art-13/par-1 - suppl-4271-31/art-25/par-3: 第十五条 → 高齢者の医療の確保に関する法律 第十五条 (Article 15), art-15 — https://japanlaw.org/ja/elderly-medical-care-act/art-15 · https://japanlaw.org/l/357AC0000000080/art-15 - suppl-4271-31/art-25/par-4: 第二号改正後高確法第九条第一項 → 高齢者の医療の確保に関する法律 第九条第一項 (Article 9, paragraph (1)), art-9/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/art-9/par-1 ## Cited by 4 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二号（施行期日） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-1/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-1/par-1/item-2 - 高齢者の医療の確保に関する法律 附則第二十四条第二項（高齢者の医療の確保に関する法律の一部改正に伴う経過措置） — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-24/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-24/par-2 - 高齢者の医療の確保に関する法律 附則第二十五条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-2 - 高齢者の医療の確保に関する法律 附則第二十五条第三項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-25/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-25/par-3 --- ## 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-20261019T112331-023, 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