# 介護保険法 / Long-Term Care Insurance Act — 第百十五条の四十五の三 (Article 115-45-3)

- 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の三 (Article 115-45-3)（指定事業者による第一号事業の実施） — address `art-115-45-3`
- 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-115-45-3
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-115-45-3
- 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の三（指定事業者による第一号事業の実施） — Implementation of Category 1 Projects by Designated Providers
<sup>caption: machine translation, not official</sup>
<sup>art-115-45-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3 · https://japanlaw.org/l/409AC0000000123/art-115-45-3</sup>

**第一項**  市町村は、第一号事業（第一号介護予防支援事業にあっては、居宅要支援被保険者に係るものに限る。）については、居宅要支援被保険者等が、当該市町村の長が指定する者（以下「指定事業者」という。）の当該指定に係る第一号事業を行う事業所により行われる当該第一号事業を利用した場合において、当該居宅要支援被保険者等に対し、当該第一号事業に要した費用について、第一号事業支給費を支給することにより行うことができる。
<sup>art-115-45-3/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-1</sup>
A Municipality may conduct the category 1 project (limited, for the category 1 Preventive Long-Term Care Support project, to that pertaining to Insured In-Home Persons Requiring Support) by paying a category 1 project payment to an Insured In-Home Person Requiring Support, etc. for the expenses required for the category 1 project, in the case where said Insured In-Home Person Requiring Support, etc. has used the category 1 project provided by a Business Office conducting the category 1 project pertaining to the designation of a person designated by the head of said Municipality (hereinafter referred to as a "Designated Provider").
<sup>machine translation, not official</sup>

**第二項**  前項の第一号事業支給費（以下「第一号事業支給費」という。）の額は、第一号事業に要する費用の額を勘案して、厚生労働省令で定めるところにより算定する額とする。
<sup>art-115-45-3/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-2</sup>
The amount of the category 1 project payment under the preceding paragraph (hereinafter referred to as "category 1 project payment") is to be the amount calculated, as provided by Order of the Ministry of Health, Labour and Welfare, in consideration of the amount of the expenses required for the category 1 project.
<sup>machine translation, not official</sup>

**第三項**  居宅要支援被保険者等が、指定事業者の当該指定に係る第一号事業を行う事業所により行われる当該第一号事業を利用したときは、市町村は、当該居宅要支援被保険者等が当該指定事業者に支払うべき当該第一号事業に要した費用について、第一号事業支給費として当該居宅要支援被保険者等に対し支給すべき額の限度において、当該居宅要支援被保険者等に代わり、当該指定事業者に支払うことができる。
<sup>art-115-45-3/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-3</sup>
When an Insured In-Home Person Requiring Support, etc. has used the category 1 project provided by a Business Office conducting the category 1 project pertaining to the designation of a Designated Provider, the Municipality may, on behalf of said Insured In-Home Person Requiring Support, etc., pay to said Designated Provider the expenses required for said category 1 project that said Insured In-Home Person Requiring Support, etc. is to pay to said Designated Provider, up to the amount to be paid to said Insured In-Home Person Requiring Support, etc. as the category 1 project payment.
<sup>machine translation, not official</sup>

**第四項**  前項の規定による支払があったときは、居宅要支援被保険者等に対し第一号事業支給費の支給があったものとみなす。
<sup>art-115-45-3/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-4</sup>
When payment has been made pursuant to the provisions of the preceding paragraph, the category 1 project payment is deemed to have been paid to the Insured In-Home Person Requiring Support, etc.
<sup>machine translation, not official</sup>

**第五項**  市町村は、指定事業者から第一号事業支給費の請求があったときは、厚生労働省令で定めるところにより審査した上、支払うものとする。
<sup>art-115-45-3/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-5 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-5</sup>
A Municipality, when a Designated Provider requests the category 1 project payment, is to make payment after conducting an examination as provided by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第六項**  市町村は、前項の規定による審査及び支払に関する事務を連合会に委託することができる。
<sup>art-115-45-3/par-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-6</sup>
A Municipality may entrust an examination and payment affairs prescribed in the preceding paragraph to an Association.
<sup>machine translation, not official</sup>

**第七項**  前項の規定による委託を受けた連合会は、当該委託をした市町村の同意を得て、厚生労働省令で定めるところにより、当該委託を受けた事務の一部を、営利を目的としない法人であって厚生労働省令で定める要件に該当するものに委託することができる。
<sup>art-115-45-3/par-7 · https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-7</sup>
An Association that undertakes entrustment pursuant to the provisions of the preceding paragraph, after obtaining the consent of the Municipality that delegated said entrustment and pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, may entrust a part of the affairs that are under said entrustment to a not-for-profit juridical person that qualifies with requirements as determined by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

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## Cites
- art-115-45-3/par-2: 前項 → 介護保険法 第百十五条の四十五の三第一項 (Article 115-45-3, paragraph (1)), art-115-45-3/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-1
- art-115-45-3/par-4: 前項 → 介護保険法 第百十五条の四十五の三第三項 (Article 115-45-3, paragraph (3)), art-115-45-3/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-3
- art-115-45-3/par-6: 前項 → 介護保険法 第百十五条の四十五の三第五項 (Article 115-45-3, paragraph (5)), art-115-45-3/par-5 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-5 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-5
- art-115-45-3/par-7: 前項 → 介護保険法 第百十五条の四十五の三第六項 (Article 115-45-3, paragraph (6)), art-115-45-3/par-6 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-6

## Cited by

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

- 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 第百十五条の四十五の三第二項（指定事業者による第一号事業の実施） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-2
- 介護保険法 第百十五条の四十五の三第四項（指定事業者による第一号事業の実施） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-4
- 介護保険法 第百十五条の四十五の三第六項（指定事業者による第一号事業の実施） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-6
- 介護保険法 第百十五条の四十五の三第七項（指定事業者による第一号事業の実施） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-3/par-7 · https://japanlaw.org/l/409AC0000000123/art-115-45-3/par-7
- 介護保険法 第百十五条の四十五の五第一項（指定事業者の指定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-5/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-5/par-1
- 介護保険法 第百十五条の四十五の七第一項（報告等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-45-7/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-45-7/par-1
- 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 第百七十六条第一項第二号（連合会の業務） — https://japanlaw.org/ja/long-term-care-insurance-act/art-176/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-2
- 介護保険法 第百七十九条第一項（給付費等審査委員会） — https://japanlaw.org/ja/long-term-care-insurance-act/art-179/par-1 · https://japanlaw.org/l/409AC0000000123/art-179/par-1
- 介護保険法 第二百三条第二項（資料の提供等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-203/par-2 · https://japanlaw.org/l/409AC0000000123/art-203/par-2
- 介護保険法 第二百五条第一項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-205/par-1 · https://japanlaw.org/l/409AC0000000123/art-205/par-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
- 生活保護法 別表第二 — https://japanlaw.org/ja/public-assistance-act/appdx-2 · https://japanlaw.org/l/325AC0000000144/appdx-2

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## Sources

- 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
- claude-sonnet-5-5 — Machine translation, 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
