# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第三十一条 (Supplementary Provisions, Article 31) - 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: 第三十一条 (Supplementary Provisions, Article 31) — address `suppl-4271-31/art-31` - 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-31 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31 - 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. --- ### 第三十一条 suppl-4271-31/art-31 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31 **第一項** 平成三十一年度の都道府県に係る前期高齢者交付金の額は、高齢者の医療の確保に関する法律第三十三条第一項の規定にかかわらず、同年度の概算前期高齢者交付金の額（以下この項において「平成三十一年度都道府県概算前期高齢者交付金額」という。）とする。ただし、平成二十九年度の当該都道府県の区域に属する市町村に係る概算前期高齢者交付金の額の合計額（以下この項において「平成二十九年度区域内市町村概算前期高齢者交付金合計額」という。）が同年度の当該都道府県の区域に属する市町村に係る確定前期高齢者交付金の額（当該市町村に同法第三十五条第一項の規定を適用するとしたならば、同項の規定により算定されることとなる額をいう。）の合計額（以下この項において「平成二十九年度区域内市町村確定前期高齢者交付金合計額」という。）を超えるときは、平成三十一年度都道府県概算前期高齢者交付金額からその超える額とその超える額に係る前期高齢者交付調整金額との合計額を控除して得た額とするものとし、平成二十九年度区域内市町村概算前期高齢者交付金合計額が平成二十九年度区域内市町村確定前期高齢者交付金合計額に満たないときは、平成三十一年度都道府県概算前期高齢者交付金額にその満たない額とその満たない額に係る前期高齢者交付調整金額との合計額を加算して得た額とする。 suppl-4271-31/art-31/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-1 The amount of the young-old subsidy for a prefecture for fiscal year 2019 is, notwithstanding Article 33, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, the amount of the estimated young-old subsidy for that fiscal year (hereinafter referred to in this paragraph as the "fiscal 2019 prefectural estimated young-old subsidy amount"); provided, however, that if the sum total of the amounts of the estimated young-old subsidies for the municipalities within the area of that prefecture for fiscal year 2017 (hereinafter referred to in this paragraph as the "total fiscal 2017 estimated young-old subsidies of municipalities in the area") exceeds the sum total of the amounts of the fixed young-old subsidies for the municipalities within the area of that prefecture for that fiscal year (meaning the amount that would be calculated pursuant to the provisions of Article 35, paragraph (1) of that Act if those provisions were applied to the municipality concerned) (hereinafter referred to in this paragraph as the "total fiscal 2017 fixed young-old subsidies of municipalities in the area"), the amount is to be the amount obtained by deducting from the fiscal 2019 prefectural estimated young-old subsidy amount the sum total of the excess amount and the Young-Old Subsidy Adjustment Amount pertaining to the excess amount, and if the total fiscal 2017 estimated young-old subsidies of municipalities in the area is less than the total fiscal 2017 fixed young-old subsidies of municipalities in the area, the amount is to be the amount obtained by adding to the fiscal 2019 prefectural estimated young-old subsidy amount the sum total of the shortfall amount and the Young-Old Subsidy Adjustment Amount pertaining to the shortfall amount. machine translation, not official **第二項** 平成三十一年度の都道府県に係る前期高齢者納付金の額は、高齢者の医療の確保に関する法律第三十七条第一項の規定にかかわらず、同年度の概算前期高齢者納付金の額（以下この項において「平成三十一年度都道府県概算前期高齢者納付金額」という。）とする。ただし、平成二十九年度の当該都道府県の区域に属する市町村に係る概算前期高齢者納付金の額の合計額（以下この項において「平成二十九年度区域内市町村概算前期高齢者納付金合計額」という。）が同年度の当該都道府県の区域に属する市町村に係る確定前期高齢者納付金の額（当該市町村に同法第三十九条第一項の規定を適用するとしたならば、同項の規定により算定されることとなる額をいう。）の合計額（以下この項において「平成二十九年度区域内市町村確定前期高齢者納付金合計額」という。）を超えるときは、平成三十一年度都道府県概算前期高齢者納付金額からその超える額とその超える額に係る前期高齢者納付調整金額との合計額を控除して得た額とするものとし、平成二十九年度区域内市町村概算前期高齢者納付金合計額が平成二十九年度区域内市町村確定前期高齢者納付金合計額に満たないときは、平成三十一年度都道府県概算前期高齢者納付金額にその満たない額とその満たない額に係る前期高齢者納付調整金額との合計額を加算して得た額とする。 suppl-4271-31/art-31/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-2 The amount of the young-old payment for a prefecture for fiscal year 2019 is, notwithstanding Article 37, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, the amount of the estimated young-old payment for that fiscal year (hereinafter referred to in this paragraph as the "fiscal 2019 prefectural estimated young-old payment amount"); provided, however, that if the sum total of the amounts of the estimated young-old payments for the municipalities within the area of that prefecture for fiscal year 2017 (hereinafter referred to in this paragraph as the "total fiscal 2017 estimated young-old payments of municipalities in the area") exceeds the sum total of the amounts of the fixed young-old payments for the municipalities within the area of that prefecture for that fiscal year (meaning the amount that would be calculated pursuant to the provisions of Article 39, paragraph (1) of that Act if those provisions were applied to the municipality concerned) (hereinafter referred to in this paragraph as the "total fiscal 2017 fixed young-old payments of municipalities in the area"), the amount is to be the amount obtained by deducting from the fiscal 2019 prefectural estimated young-old payment amount the sum total of the excess amount and the Young-Old Payment Adjustment Amount pertaining to the excess amount, and if the total fiscal 2017 estimated young-old payments of municipalities in the area is less than the total fiscal 2017 fixed young-old payments of municipalities in the area, the amount is to be the amount obtained by adding to the fiscal 2019 prefectural estimated young-old payment amount the sum total of the shortfall amount and the Young-Old Payment Adjustment Amount pertaining to the shortfall amount. machine translation, not official **第三項** 平成三十一年度の都道府県に係る後期高齢者支援金の額は、高齢者の医療の確保に関する法律第百十九条第一項の規定にかかわらず、同年度の概算後期高齢者支援金の額（以下この項において「平成三十一年度都道府県概算後期高齢者支援金額」という。）とする。ただし、平成二十九年度の当該都道府県の区域に属する市町村に係る概算後期高齢者支援金の額の合計額（以下この項において「平成二十九年度区域内市町村概算後期高齢者支援金合計額」という。）が同年度の当該都道府県の区域に属する市町村に係る確定後期高齢者支援金の額（当該市町村に同法第百二十一条第一項第二号の規定を適用するとしたならば、同号の規定により算定されることとなる額をいう。）の合計額（以下この項において「平成二十九年度区域内市町村確定後期高齢者支援金合計額」という。）を超えるときは、平成三十一年度都道府県概算後期高齢者支援金額からその超える額とその超える額に係る後期高齢者調整金額との合計額を控除して得た額とするものとし、平成二十九年度区域内市町村概算後期高齢者支援金合計額が平成二十九年度区域内市町村確定後期高齢者支援金合計額に満たないときは、平成三十一年度都道府県概算後期高齢者支援金額にその満たない額とその満たない額に係る後期高齢者調整金額との合計額を加算して得た額とする。 suppl-4271-31/art-31/par-3 · https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-3 The amount of the aid for the old-old for a prefecture for fiscal year 2019 is, notwithstanding Article 119, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, the amount of the estimated aid for the old-old for that fiscal year (hereinafter referred to in this paragraph as the "fiscal 2019 prefectural estimated old-old aid amount"); provided, however, that if the sum total of the amounts of the estimated aid for the old-old for the municipalities within the area of that prefecture for fiscal year 2017 (hereinafter referred to in this paragraph as the "total fiscal 2017 estimated old-old aid of municipalities in the area") exceeds the sum total of the amounts of the fixed aid for the old-old for the municipalities within the area of that prefecture for that fiscal year (meaning the amount that would be calculated pursuant to the provisions of Article 121, paragraph (1), item (ii) of that Act if those provisions were applied to the municipality concerned) (hereinafter referred to in this paragraph as the "total fiscal 2017 fixed old-old aid of municipalities in the area"), the amount is to be the amount obtained by deducting from the fiscal 2019 prefectural estimated old-old aid amount the sum total of the excess amount and the old-old aid adjustment amount pertaining to the excess amount, and if the total fiscal 2017 estimated old-old aid of municipalities in the area is less than the total fiscal 2017 fixed old-old aid of municipalities in the area, the amount is to be the amount obtained by adding to the fiscal 2019 prefectural estimated old-old aid amount the sum total of the shortfall amount and the old-old aid adjustment amount pertaining to the shortfall amount. machine translation, not official --- ## Cites - suppl-4271-31/art-31/par-1: 高齢者の医療の確保に関する法律第三十三条第一項 → 高齢者の医療の確保に関する法律 第三十三条第一項 (Article 33, paragraph (1)), art-33/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-33/par-1 · https://japanlaw.org/l/357AC0000000080/art-33/par-1 - suppl-4271-31/art-31/par-1: この項 → 高齢者の医療の確保に関する法律 附則第三十一条第一項 (Supplementary Provisions, Article 31, paragraph (1)), suppl-4271-31/art-31/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-1 - suppl-4271-31/art-31/par-1: 同法第三十五条第一項 → 高齢者の医療の確保に関する法律 第三十五条第一項 (Article 35, paragraph (1)), art-35/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-35/par-1 · https://japanlaw.org/l/357AC0000000080/art-35/par-1 - suppl-4271-31/art-31/par-2: 高齢者の医療の確保に関する法律第三十七条第一項 → 高齢者の医療の確保に関する法律 第三十七条第一項 (Article 37, paragraph (1)), art-37/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-37/par-1 · https://japanlaw.org/l/357AC0000000080/art-37/par-1 - suppl-4271-31/art-31/par-2: この項 → 高齢者の医療の確保に関する法律 附則第三十一条第二項 (Supplementary Provisions, Article 31, paragraph (2)), suppl-4271-31/art-31/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-2 - suppl-4271-31/art-31/par-2: 同法第三十九条第一項 → 高齢者の医療の確保に関する法律 第三十九条第一項 (Article 39, paragraph (1)), art-39/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-39/par-1 · https://japanlaw.org/l/357AC0000000080/art-39/par-1 - suppl-4271-31/art-31/par-3: 高齢者の医療の確保に関する法律第百十九条第一項 → 高齢者の医療の確保に関する法律 第百十九条第一項 (Article 119, paragraph (1)), art-119/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-119/par-1 · https://japanlaw.org/l/357AC0000000080/art-119/par-1 - suppl-4271-31/art-31/par-3: この項 → 高齢者の医療の確保に関する法律 附則第三十一条第三項 (Supplementary Provisions, Article 31, paragraph (3)), suppl-4271-31/art-31/par-3 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-3 - suppl-4271-31/art-31/par-3: 同法第百二十一条第一項第二号 → 高齢者の医療の確保に関する法律 第百二十一条第一項第二号 (Article 121, paragraph (1), item (ii)), art-121/par-1/item-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-121/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/art-121/par-1/item-2 ## Cited by 6 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 附則第三十条第一項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-30/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-30/par-1 - 高齢者の医療の確保に関する法律 附則第三十条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-30/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-30/par-2 - 高齢者の医療の確保に関する法律 附則第三十条第三項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-30/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-30/par-3 - 高齢者の医療の確保に関する法律 附則第三十一条第一項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-1 - 高齢者の医療の確保に関する法律 附則第三十一条第二項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/par-2 - 高齢者の医療の確保に関する法律 附則第三十一条第三項 — https://japanlaw.org/ja/elderly-medical-care-act/suppl-4271-31/art-31/par-3 · https://japanlaw.org/l/357AC0000000080/suppl-4271-31/art-31/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-20261019T112331-024, 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