# 介護保険法 / Long-Term Care Insurance Act — 第四条 (Article 4) - 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: 第四条 (Article 4)（国民の努力及び義務） — address `art-4` - 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-4 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-4 - 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. --- ### 第四条（国民の努力及び義務） — (Citizen's Efforts and Obligations) caption: Ministry of Justice translation — Japanese Law Translation Database System art-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-4 · https://japanlaw.org/l/409AC0000000123/art-4 **第一項** 国民は、自ら要介護状態となることを予防するため、加齢に伴って生ずる心身の変化を自覚して常に健康の保持増進に努めるとともに、要介護状態となった場合においても、進んでリハビリテーションその他の適切な保健医療サービス及び福祉サービスを利用することにより、その有する能力の維持向上に努めるものとする。 art-4/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-4/par-1 · https://japanlaw.org/l/409AC0000000123/art-4/par-1 A citizen must be aware of his or her physical and mental changes due to aging and shall always strive to maintain and enhance good health in order to prevent becoming in a Condition of Need for Long-Term Care. In a case of becoming in a Condition of Need for Long-Term Care, a citizen is to strive to maintain and improve his or her existing abilities through the willing use of rehabilitation and other appropriate health and medical services and public aid services. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 国民は、共同連帯の理念に基づき、介護保険事業に要する費用を公平に負担するものとする。 art-4/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-4/par-2 · https://japanlaw.org/l/409AC0000000123/art-4/par-2 Citizens are to be equally subjected to the expenses necessary for an Insured Long-Term Care Project, based on the principle of cooperation and solidarity. Ministry of Justice translation — Japanese Law Translation Database System --- ## 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 - This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18