# 介護保険法 / Long-Term Care Insurance Act — 第百十五条の四十五 (Article 115-45)

- Law: 介護保険法 (Long-Term Care Insurance Act), 平成九年法律第百二十三号
- English title "Long-Term Care Insurance Act": 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: 第百十五条の四十五 (Article 115-45)（地域支援事業） — address `art-115-45`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-115-45
- 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.

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### 第百十五条の四十五（地域支援事業） — (Community Support Projects)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-115-45 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45 · https://japanlaw.org/l/409AC0000000123/art-115-45</sup>

**第一項**  市町村は、被保険者（当該市町村が行う介護保険の住所地特例適用被保険者を除き、当該市町村の区域内に所在する住所地特例対象施設に入所等をしている住所地特例適用被保険者を含む。次項第七号、第三項第三号、第百十五条の四十七第十項及び第百十五条の四十九を除き、以下この章において同じ。）の要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止及び地域における自立した日常生活の支援のための施策を総合的かつ一体的に行うため、厚生労働省令で定める基準に従って、地域支援事業として、次に掲げる事業（以下「介護予防・日常生活支援総合事業」という。）を行うものとする。
<sup>art-115-45/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1</sup>
A Municipality is to conduct, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, the following projects (hereinafter referred to as "Comprehensive Project for Long-Term Care Prevention and Daily Life Support") as a Community Support Project, in order to comprehensively and integrally implement measures for preventing Insured Persons (excluding Insured Persons to Whom the Domicile Exception Applies by Long-Term Care Insurance provided by said Municipality, and including Insured Persons to Whom the Domicile Exception Applies who are undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality; the same applies hereinafter in this Chapter, except for item (vii) of the following paragraph, item (iii) of paragraph (3), Article 115-47, paragraph (10) and Article 115-49) from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., and for supporting independent daily life in the community.
<sup>machine translation, not official</sup>

  **一**  居宅要支援被保険者その他の厚生労働省令で定める被保険者（以下「居宅要支援被保険者等」という。）に対して、次に掲げる事業を行う事業（以下「第一号事業」という。）
  <sup>art-115-45/par-1/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1</sup>
  a project to conduct the following projects for Insured In-Home Persons Requiring Support and other Insured Persons specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "Insured In-Home Person Requiring Support, etc.") (hereinafter referred to as "category 1 project"):
  <sup>machine translation, not official</sup>

    **イ**  居宅要支援被保険者等の介護予防を目的として、当該居宅要支援被保険者等の居宅において、厚生労働省令で定める基準に従って、厚生労働省令で定める期間にわたり日常生活上の支援を行う事業（以下この項において「第一号訪問事業」という。）
    <sup>art-115-45/par-1/item-1/sub-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-1</sup>
    a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc., to provide support for daily life at the residences of said Insured In-Home Persons Requiring Support, etc. over a period specified by Order of the Ministry of Health, Labour and Welfare, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "category 1 home-visit project" in this paragraph);
    <sup>machine translation, not official</sup>

    **ロ**  居宅要支援被保険者等の介護予防を目的として、厚生労働省令で定める施設において、厚生労働省令で定める基準に従って、厚生労働省令で定める期間にわたり日常生活上の支援又は機能訓練を行う事業（以下この項において「第一号通所事業」という。）
    <sup>art-115-45/par-1/item-1/sub-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-2</sup>
    a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc., to provide support for daily life or functional training at a facility specified by Order of the Ministry of Health, Labour and Welfare, over a period specified by Order of the Ministry of Health, Labour and Welfare, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "category 1 day service project" in this paragraph);
    <sup>machine translation, not official</sup>

    **ハ**  厚生労働省令で定める基準に従って、介護予防サービス事業若しくは地域密着型介護予防サービス事業又は第一号訪問事業若しくは第一号通所事業と一体的に行われる場合に効果があると認められる居宅要支援被保険者等の地域における自立した日常生活の支援として厚生労働省令で定めるものを行う事業（ニにおいて「第一号生活支援事業」という。）
    <sup>art-115-45/par-1/item-1/sub-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-3</sup>
    a project to provide, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, support for the independent daily life in the community of Insured In-Home Persons Requiring Support, etc. that is specified by Order of the Ministry of Health, Labour and Welfare as being found to be effective when provided integrally with the Preventive Long-Term Care Service Business, the Community-Based Preventive Long-Term Care Business, the category 1 home-visit project, or the category 1 day service project (referred to as "category 1 daily life support project" in (d));
    <sup>machine translation, not official</sup>

    **ニ**  居宅要支援被保険者等（指定介護予防支援又は特例介護予防サービス計画費に係る介護予防支援を受けている者を除く。）の介護予防を目的として、厚生労働省令で定める基準に従って、その心身の状況、その置かれている環境その他の状況に応じて、その選択に基づき、第一号訪問事業、第一号通所事業又は第一号生活支援事業その他の適切な事業が包括的かつ効率的に提供されるよう必要な援助を行う事業（以下「第一号介護予防支援事業」という。）
    <sup>art-115-45/par-1/item-1/sub-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-4 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-4</sup>
    a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc. (excluding those who receive Designated Preventive Long-Term Care Support or Preventive Long-Term Care Support pertaining to an Exceptional Allowance for Preventive Long-Term Care Service Plan), to provide necessary assistance, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, according to their mental and physical condition, the environment in which they are placed, and other circumstances, and based on their choice, so that the category 1 home-visit project, the category 1 day service project, the category 1 daily life support project, or other appropriate projects are provided comprehensively and effectively (hereinafter referred to as "category 1 Preventive Long-Term Care Support project");
    <sup>machine translation, not official</sup>

  **二**  被保険者（第一号被保険者に限る。）の要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止のため必要な事業（介護予防サービス事業及び地域密着型介護予防サービス事業並びに第一号訪問事業及び第一号通所事業を除く。）
  <sup>art-115-45/par-1/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-2</sup>
  a project necessary for preventing an Insured Person (limited to a Primary Insured Person) from falling into a Condition of Need for Long-Term Care, etc., or for reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc. (excluding the Preventive Long-Term Care Service Business and the Community-Based Preventive Long-Term Care Business, and the category 1 home-visit project and the category 1 day service project).
  <sup>machine translation, not official</sup>

**第二項**  市町村は、介護予防・日常生活支援総合事業のほか、被保険者が要介護状態等となることを予防するとともに、要介護状態等となった場合においても、可能な限り、地域において自立した日常生活を営むことができるよう支援するため、地域支援事業として、次に掲げる事業を行うものとする。
<sup>art-115-45/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2</sup>
A Municipality is to implement, in addition to the Comprehensive Project for Long-Term Care Prevention and Daily Life Support, the following projects as Community Support Projects in order to prevent an Insured Person from falling into a Condition of Need for Long-Term Care, etc., and to support said person to be able to live an independent daily life in the community as much as possible even if said person falls into a Condition of Need for Long-Term Care, etc.:
<sup>machine translation, not official</sup>

  **一**  被保険者の心身の状況、その居宅における生活の実態その他の必要な実情の把握、保健医療、公衆衛生、社会福祉その他の関連施策に関する総合的な情報の提供、関係機関との連絡調整その他の被保険者の保健医療の向上及び福祉の増進を図るための総合的な支援を行う事業
  <sup>art-115-45/par-2/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-1</sup>
  a project to understand the mental and physical conditions of an Insured Person, the actual living status in his or her home, and other necessary actual conditions, to provide comprehensive information concerning health and medical care, public health, social public aid service and other relevant measures, to coordinate with relevant facilities, and to provide comprehensive support in order to improve health and medical care of Insured Person and to promote public aid service;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **二**  被保険者に対する虐待の防止及びその早期発見のための事業その他の被保険者の権利擁護のため必要な援助を行う事業
  <sup>art-115-45/par-2/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-2</sup>
  a project to provide the necessary assistance for prevention of abuse of an Insured Person, a business for early detection of said abuse and other advocacy for an Insured Person;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  保健医療及び福祉に関する専門的知識を有する者による被保険者の居宅サービス計画、施設サービス計画及び介護予防サービス計画の検証、その心身の状況、介護給付等対象サービスの利用状況その他の状況に関する定期的な協議その他の取組を通じ、当該被保険者が地域において自立した日常生活を営むことができるよう、包括的かつ継続的な支援を行う事業
  <sup>art-115-45/par-2/item-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-3</sup>
  a project to provide comprehensive and continuous support, through verification by persons with expert knowledge concerning health and medical care and public aid of the In-Home Service Plan, Facility Service Plan, and Preventive Long-Term Care Service Plan of an Insured Person, periodical consultation concerning the mental and physical condition of said Insured Person, the status of use of Services Covered by Long-Term Care Benefits, etc., and other circumstances, and other efforts, so that said Insured Person can live an independent daily life in the community;
  <sup>machine translation, not official</sup>

  **四**  医療に関する専門的知識を有する者が、介護サービス事業者、居宅における医療を提供する医療機関その他の関係者の連携を推進するものとして厚生労働省令で定める事業（前号に掲げる事業を除く。）
  <sup>art-115-45/par-2/item-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-4 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-4</sup>
  a project specified by Order of the Ministry of Health, Labour and Welfare under which persons with expert knowledge concerning medical care promote cooperation among Long-Term Care Service Providers, medical institutions that provide medical care at home, and other relevant persons (excluding the project listed in the preceding item);
  <sup>machine translation, not official</sup>

  **五**  被保険者の地域における自立した日常生活の支援及び要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止に係る体制の整備その他のこれらを促進する事業
  <sup>art-115-45/par-2/item-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-5 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-5</sup>
  a project to promote the support of the independent daily life of Insured Persons in the community and the prevention of falling into a Condition of Need for Long-Term Care, etc. or the reduction or prevention of deterioration of a Condition of Need for Long-Term Care, etc., such as the development of a system pertaining thereto;
  <sup>machine translation, not official</sup>

  **六**  保健医療及び福祉に関する専門的知識を有する者による認知症の早期における症状の悪化の防止のための支援その他の認知症である又はその疑いのある被保険者に対する総合的な支援を行う事業
  <sup>art-115-45/par-2/item-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-6</sup>
  a project to provide comprehensive support, by persons with expert knowledge concerning health and medical care and public aid, to Insured Persons who have Dementia or are suspected of having it, such as support for preventing deterioration of the symptoms of Dementia at an early stage;
  <sup>machine translation, not official</sup>

  **七**  被保険者の保健医療の向上及び福祉の増進を図るため、被保険者、介護サービス事業者その他の関係者が被保険者に係る情報を共有し、及び活用することを促進する事業
  <sup>art-115-45/par-2/item-7 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-7</sup>
  a project to promote the sharing and utilization of information concerning Insured Persons by Insured Persons, Long-Term Care Service Providers, and other relevant persons, in order to improve health and medical care of Insured Persons and to promote public aid service.
  <sup>machine translation, not official</sup>

**第三項**  市町村は、介護予防・日常生活支援総合事業及び前項各号に掲げる事業のほか、厚生労働省令で定めるところにより、地域支援事業として、次に掲げる事業を行うことができる。
<sup>art-115-45/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3</sup>
A Municipality may, in addition to the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the projects listed in the items of the preceding paragraph, conduct the following projects as Community Support Projects, as provided by Order of the Ministry of Health, Labour and Welfare:
<sup>machine translation, not official</sup>

  **一**  介護給付等に要する費用の適正化のための事業
  <sup>art-115-45/par-3/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3/item-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3/item-1</sup>
  a project to ensure the appropriateness of allowances necessary for Long-Term Care Benefit, etc.;
  <sup>Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "a project to appropriate allowances necessary for Long-Term Care Benefit, etc.;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb</sup>

  **二**  介護方法の指導その他の要介護被保険者を現に介護する者の支援のため必要な事業
  <sup>art-115-45/par-3/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3/item-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3/item-2</sup>
  a project necessary for supporting the guidance of long-term care method and for supporting personnel that are actually providing care to the Insured Persons Requiring Long-Term Care;
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **三**  その他介護保険事業の運営の安定化及び被保険者（当該市町村の区域内に所在する住所地特例対象施設に入所等をしている住所地特例適用被保険者を含む。）の地域における自立した日常生活の支援のため必要な事業
  <sup>art-115-45/par-3/item-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3/item-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3/item-3</sup>
  any other project necessary for stabilizing the operation of the Long-Term Care Insurance business and for supporting the independent daily life in the community of Insured Persons (including Insured Persons to Whom the Domicile Exception Applies who are undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality).
  <sup>machine translation, not official</sup>

**第四項**  地域支援事業は、当該市町村における介護予防に関する事業の実施状況、介護保険の運営の状況、七十五歳以上の被保険者の数その他の状況を勘案して政令で定める額の範囲内で行うものとする。
<sup>art-115-45/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-4</sup>
A Community Support Project is to be implemented within the scope of an amount specified by Cabinet Order, taking into consideration the current conditions of projects concerning Prevention of Long-Term Care in said Municipality, the operating conditions of Long-Term Care Insurance, the number of Insured Persons aged 75 or older, and other conditions.
<sup>machine translation, not official</sup>

**第五項**  市町村は、地域支援事業を行うに当たっては、第百十八条の二第一項に規定する介護保険等関連情報その他必要な情報を活用し、適切かつ有効に実施するよう努めるものとする。
<sup>art-115-45/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-5 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-5</sup>
A Municipality is to endeavor, in conducting Community Support Projects, to implement them appropriately and effectively by utilizing the long-term care insurance-related information prescribed in Article 118-2, paragraph (1) and other necessary information.
<sup>machine translation, not official</sup>

**第六項**  市町村は、地域支援事業を行うに当たっては、高齢者保健事業（高齢者の医療の確保に関する法律第百二十五条第一項に規定する高齢者保健事業をいう。以下この条及び第百十七条第三項第十号において同じ。）を行う後期高齢者医療広域連合（同法第四十八条に規定する後期高齢者医療広域連合をいう。以下この条において同じ。）との連携を図るとともに、高齢者の身体的、精神的及び社会的な特性を踏まえ、地域支援事業を効果的かつ効率的で被保険者の状況に応じたきめ細かなものとするため、高齢者保健事業及び国民健康保険法第八十二条第五項に規定する高齢者の心身の特性に応じた事業（同号において「国民健康保険保健事業」という。）と一体的に実施するよう努めるものとする。
<sup>art-115-45/par-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-6</sup>
A Municipality is to endeavor, in conducting Community Support Projects, to cooperate with the Association of Medical Care Systems for the Elderly Aged 75 and older (meaning the Association of Medical Care Systems for the Elderly Aged 75 and older prescribed in Article 48 of that Act; the same applies hereinafter in this Article) that conducts health services for the elderly (meaning the health services for the elderly prescribed in Article 125, paragraph (1) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article and in Article 117, paragraph (3), item (x)), and, taking into account the physical, mental, and social characteristics of the elderly, to implement Community Support Projects integrally with health services for the elderly and the projects tailored to the physical and mental characteristics of the elderly prescribed in Article 82, paragraph (5) of the National Health Insurance Act (referred to as "National Health Insurance health services" in Article 117, paragraph (3), item (x)), in order to make Community Support Projects effective, efficient, and finely tailored to the circumstances of Insured Persons.
<sup>machine translation, not official</sup>

**第七項**  市町村は、前項の規定により地域支援事業を行うに当たって必要があると認めるときは、他の市町村及び後期高齢者医療広域連合に対し、被保険者に係る保健医療サービス若しくは福祉サービスに関する情報、高齢者の医療の確保に関する法律の規定による療養に関する情報若しくは同法第百二十五条第一項に規定する健康診査若しくは保健指導に関する記録の写し若しくは同法第十八条第一項に規定する特定健康診査若しくは特定保健指導に関する記録の写し又は国民健康保険法の規定による療養に関する情報その他地域支援事業を効果的かつ効率的に実施するために必要な情報として厚生労働省令で定めるものの提供を求めることができる。
<sup>art-115-45/par-7 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-7</sup>
A Municipality may, when deeming it necessary in conducting Community Support Projects pursuant to the provisions of the preceding paragraph, request other Municipalities and Associations of Medical Care Systems for the Elderly Aged 75 and older to provide information concerning health and medical services or welfare services pertaining to Insured Persons, information concerning medical treatment under the provisions of the Act on Assurance of Medical Care for Elderly People, copies of records concerning health examinations or health guidance prescribed in Article 125, paragraph (1) of that Act, or copies of records concerning specified health examinations or specified health guidance prescribed in Article 18, paragraph (1) of that Act, or information concerning medical treatment under the provisions of the National Health Insurance Act, and other information specified by Order of the Ministry of Health, Labour and Welfare as necessary for implementing Community Support Projects effectively and efficiently.
<sup>machine translation, not official</sup>

**第八項**  前項の規定により、情報又は記録の写しの提供を求められた市町村及び後期高齢者医療広域連合は、厚生労働省令で定めるところにより、当該情報又は記録の写しを提供しなければならない。
<sup>art-115-45/par-8 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-8</sup>
Municipalities and Associations of Medical Care Systems for the Elderly Aged 75 and older that have been requested pursuant to the provisions of the preceding paragraph to provide information or copies of records must provide that information or those copies of records as provided by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第九項**  市町村は、第六項の規定により地域支援事業を実施するため、前項の規定により提供を受けた情報又は記録の写しに加え、自らが保有する当該被保険者に係る保健医療サービス若しくは福祉サービスに関する情報、高齢者の医療の確保に関する法律第十八条第一項に規定する特定健康診査若しくは特定保健指導に関する記録又は国民健康保険法の規定による療養に関する情報を併せて活用することができる。
<sup>art-115-45/par-9 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-9 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-9</sup>
A Municipality may, in order to implement Community Support Projects pursuant to the provisions of paragraph (6), utilize, in addition to the information or copies of records provided pursuant to the provisions of the preceding paragraph, information it holds concerning health and medical services or welfare services pertaining to the relevant Insured Persons, records concerning specified health examinations or specified health guidance prescribed in Article 18, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, or information concerning medical treatment under the provisions of the National Health Insurance Act.
<sup>machine translation, not official</sup>

**第十項**  市町村は、地域支援事業の利用者に対し、厚生労働省令で定めるところにより、利用料を請求することができる。
<sup>art-115-45/par-10 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-10 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-10</sup>
A Municipality may request a fee to user of a Community Support Project pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.
<sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

---

## Cites
- art-115-45/par-1: 次項第七号 → 介護保険法 第百十五条の四十五第二項第七号 (Article 115-45, paragraph (2), item (vii)), art-115-45/par-2/item-7 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-7
- art-115-45/par-1: 第三項第三号 → 介護保険法 第百十五条の四十五第三項第三号 (Article 115-45, paragraph (3), item (iii)), art-115-45/par-3/item-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3/item-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3/item-3
- art-115-45/par-1: 第百十五条の四十七第十項 → 介護保険法 第百十五条の四十七第十項 (Article 115-47, paragraph (10)), art-115-47/par-10 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-47/par-10 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-10
- art-115-45/par-1: 第百十五条の四十九 → 介護保険法 第百十五条の四十九 (Article 115-49), art-115-49 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-49 · https://japanlaw.org/l/409AC0000000123/art-115-49
- art-115-45/par-1/item-1/sub-1: この項 → 介護保険法 第百十五条の四十五第一項 (Article 115-45, paragraph (1)), art-115-45/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1
- art-115-45/par-1/item-1/sub-2: この項 → 介護保険法 第百十五条の四十五第一項 (Article 115-45, paragraph (1)), art-115-45/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1
- art-115-45/par-2/item-4: 前号 → 介護保険法 第百十五条の四十五第二項第三号 (Article 115-45, paragraph (2), item (iii)), art-115-45/par-2/item-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-3
- art-115-45/par-3: 前項 → 介護保険法 第百十五条の四十五第二項 (Article 115-45, paragraph (2)), art-115-45/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2
- art-115-45/par-5: 第百十八条の二第一項 → 介護保険法 第百十八条の二第一項 (Article 118-2, paragraph (1)), art-118-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-118-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-118-2/par-1
- art-115-45/par-6: 高齢者の医療の確保に関する法律第百二十五条第一項 → 高齢者の医療の確保に関する法律 第百二十五条第一項 (Article 125, paragraph (1)), art-125/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-125/par-1 · https://japanlaw.org/l/357AC0000000080/art-125/par-1
- art-115-45/par-6: この条 → 介護保険法 第百十五条の四十五 (Article 115-45), art-115-45 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45 · https://japanlaw.org/l/409AC0000000123/art-115-45
- art-115-45/par-6: 第百十七条第三項第十号 → 介護保険法 第百十七条第三項第十号 (Article 117, paragraph (3), item (x)), art-117/par-3/item-10 — https://japanlaw.org/ja/long-term-care-insurance-act/art-117/par-3/item-10 · https://japanlaw.org/l/409AC0000000123/art-117/par-3/item-10
- art-115-45/par-6: 同法第四十八条 → 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
- art-115-45/par-6: 国民健康保険法第八十二条第五項 → 国民健康保険法 第八十二条第五項 (Article 82, paragraph (5)), art-82/par-5 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-5 · https://japanlaw.org/l/333AC0000000192/art-82/par-5
- art-115-45/par-7: 前項 → 介護保険法 第百十五条の四十五第六項 (Article 115-45, paragraph (6)), art-115-45/par-6 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-6
- art-115-45/par-7: 同法第百二十五条第一項 → 高齢者の医療の確保に関する法律 第百二十五条第一項 (Article 125, paragraph (1)), art-125/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-125/par-1 · https://japanlaw.org/l/357AC0000000080/art-125/par-1
- art-115-45/par-7: 同法第十八条第一項 → 高齢者の医療の確保に関する法律 第十八条第一項 (Article 18, paragraph (1)), art-18/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-1
- art-115-45/par-8: 前項 → 介護保険法 第百十五条の四十五第七項 (Article 115-45, paragraph (7)), art-115-45/par-7 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-7
- art-115-45/par-9: 第六項 → 介護保険法 第百十五条の四十五第六項 (Article 115-45, paragraph (6)), art-115-45/par-6 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-6
- art-115-45/par-9: 前項 → 介護保険法 第百十五条の四十五第八項 (Article 115-45, paragraph (8)), art-115-45/par-8 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-8
- art-115-45/par-9: 高齢者の医療の確保に関する法律第十八条第一項 → 高齢者の医療の確保に関する法律 第十八条第一項 (Article 18, paragraph (1)), art-18/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-18/par-1 · https://japanlaw.org/l/357AC0000000080/art-18/par-1

## Cited by

43 provisions cite this one. No official source publishes this direction.

- 介護保険法 第七条第五項（定義） — https://japanlaw.org/ja/long-term-care-insurance-act/art-7/par-5 · https://japanlaw.org/l/409AC0000000123/art-7/par-5
- 介護保険法 第八条第二十四項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8/par-24 · https://japanlaw.org/l/409AC0000000123/art-8/par-24
- 介護保険法 第八条の二第十六項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8-2/par-16 · https://japanlaw.org/l/409AC0000000123/art-8-2/par-16
- 介護保険法 第百十五条の三十の二第一項（介護予防支援事業に関する情報提供の求め等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-30-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-30-2/par-1
- 介護保険法 第百十五条の四十五第一項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1
- 介護保険法 第百十五条の四十五第一項第一号イ（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-1 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-1
- 介護保険法 第百十五条の四十五第一項第一号ロ（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-1/item-1/sub-2 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-1/item-1/sub-2
- 介護保険法 第百十五条の四十五第二項第四号（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-2/item-4 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-2/item-4
- 介護保険法 第百十五条の四十五第三項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-3
- 介護保険法 第百十五条の四十五第六項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-6
- 介護保険法 第百十五条の四十五第七項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-7
- 介護保険法 第百十五条の四十五第八項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-8
- 介護保険法 第百十五条の四十五第九項（地域支援事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45/par-9 · https://japanlaw.org/l/409AC0000000123/art-115-45/par-9
- 介護保険法 第百十五条の四十五の八第一項（勧告、命令等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-8/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-8/par-1
- 介護保険法 第百十五条の四十五の九第一項第一号（指定事業者の指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-9/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-9/par-1/item-1
- 介護保険法 第百十五条の四十五の十第一項（市町村の連絡調整等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-10/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-10/par-1
- 介護保険法 第百十五条の四十五の十第二項（市町村の連絡調整等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-10/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-45-10/par-2
- 介護保険法 第百十五条の四十五の十第三項（市町村の連絡調整等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-10/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-45-10/par-3
- 介護保険法 第百十五条の四十五の十一第一項（政令への委任） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-11/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-11/par-1
- 介護保険法 第百十五条の四十六第一項（地域包括支援センター） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-46/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-46/par-1
- 介護保険法 第百十五条の四十六第三項（地域包括支援センター） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-46/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-46/par-3
- 介護保険法 第百十五条の四十七第二項（実施の委託） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-47/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-2
- 介護保険法 第百十五条の四十七第四項（実施の委託） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-47/par-4 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-4
- 介護保険法 第百十五条の四十七第十項（実施の委託） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-47/par-10 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-10
- 介護保険法 第百十五条の四十七第十二項（実施の委託） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-47/par-12 · https://japanlaw.org/l/409AC0000000123/art-115-47/par-12
- 介護保険法 第百十五条の四十八第一項（会議） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-48/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-48/par-1
- 介護保険法 第百十八条第三項第六号（都道府県介護保険事業支援計画） — https://japanlaw.org/ja/long-term-care-insurance-act/art-118/par-3/item-6 · https://japanlaw.org/l/409AC0000000123/art-118/par-3/item-6
- 介護保険法 第百六十条第二項第一号（機構の業務） — https://japanlaw.org/ja/long-term-care-insurance-act/art-160/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-160/par-2/item-1
- 介護保険法 附則第十三条第一項（介護予防・日常生活支援総合事業等に関する経過措置） — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4261-83/art-13/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-13/par-1
- 介護保険法 附則第十四条第一項 — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4261-83/art-14/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-14/par-1
- 介護保険法 附則第十四条第三項 — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4261-83/art-14/par-3 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-14/par-3
- 介護保険法 附則第十四条第四項 — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4261-83/art-14/par-4 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-14/par-4
- 介護保険法 附則第十四条第五項 — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4261-83/art-14/par-5 · https://japanlaw.org/l/409AC0000000123/suppl-4261-83/art-14/par-5
- 住民基本台帳法 別表第一 — https://japanlaw.org/ja/residential-basic-book-act/appdx-1 · https://japanlaw.org/l/342AC0000000081/appdx-1
- 住民基本台帳法 別表第二 — https://japanlaw.org/ja/residential-basic-book-act/appdx-2 · https://japanlaw.org/l/342AC0000000081/appdx-2
- 住民基本台帳法 別表第四 — https://japanlaw.org/ja/residential-basic-book-act/appdx-4 · https://japanlaw.org/l/342AC0000000081/appdx-4
- 国民健康保険法 第八十二条第五項 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-5 · https://japanlaw.org/l/333AC0000000192/art-82/par-5
- 生活保護法 第十五条の二第一項（介護扶助） — https://japanlaw.org/ja/public-assistance-act/art-15-2/par-1 · https://japanlaw.org/l/325AC0000000144/art-15-2/par-1
- 生活保護法 第十五条の二第一項第八号（介護扶助） — https://japanlaw.org/ja/public-assistance-act/art-15-2/par-1/item-8 · https://japanlaw.org/l/325AC0000000144/art-15-2/par-1/item-8
- 生活保護法 第十五条の二第七項（介護扶助） — https://japanlaw.org/ja/public-assistance-act/art-15-2/par-7 · https://japanlaw.org/l/325AC0000000144/art-15-2/par-7
- 生活保護法 第三十四条の二第二項（介護扶助の方法） — https://japanlaw.org/ja/public-assistance-act/art-34-2/par-2 · https://japanlaw.org/l/325AC0000000144/art-34-2/par-2
- 高齢者の医療の確保に関する法律 第二十九条第一項（関係者との連携） — https://japanlaw.org/ja/elderly-medical-care-act/art-29/par-1 · https://japanlaw.org/l/357AC0000000080/art-29/par-1
- 高齢者の医療の確保に関する法律 第百二十五条第三項（高齢者保健事業） — https://japanlaw.org/ja/elderly-medical-care-act/art-125/par-3 · https://japanlaw.org/l/357AC0000000080/art-125/par-3

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## Sources

- claude-opus-5-5 — Corrections to the Ministry of Justice's English of paragraphs, written 2026-10-19
- e-Gov 法令検索, Digital Agency (デジタル庁) — 介護保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/409AC0000000123/20261001_507AC0000000087), retrieved 2026-10-18
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act (介護保険法), Article 115-45, paragraph (3), item (i) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18
- claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T203319-030, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T212610-024, translated 2026-10-19
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch long-term-care-insurance-act-20261018T212610-024, translated 2026-10-19
- This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18
