# 介護保険法 / Long-Term Care Insurance Act — 第四十二条の三 (Article 42-3) - 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: 第四十二条の三 (Article 42-3)（特例地域密着型介護サービス費の支給） — address `art-42-3` - 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-42-3 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-42-3 - 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. --- ### 第四十二条の三（特例地域密着型介護サービス費の支給） — (Payment of an Exceptional Allowance for Community-Based Long-Term Care Service) caption: Ministry of Justice translation — Japanese Law Translation Database System art-42-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3 · https://japanlaw.org/l/409AC0000000123/art-42-3 **第一項** 市町村は、次に掲げる場合には、要介護被保険者に対し、特例地域密着型介護サービス費を支給する。 art-42-3/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1 A Municipality, in the following cases, pay an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person Requiring Long-Term Care: Ministry of Justice translation — Japanese Law Translation Database System **一** 要介護被保険者が、当該要介護認定の効力が生じた日前に、緊急その他やむを得ない理由により指定地域密着型サービスを受けた場合において、必要があると認めるとき。 art-42-3/par-1/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1/item-1 when the Municipality determines it necessary in a case when an Insured Person Requiring Long-Term Care receives a Designated Community-Based Service prior to the date said Certification of Needed Long-Term Care becomes effective due to an emergency or other compelling reason; Ministry of Justice translation — Japanese Law Translation Database System **二** 指定地域密着型サービス（地域密着型介護老人福祉施設入所者生活介護を除く。以下この号において同じ。）の確保が著しく困難である離島その他の地域であって厚生労働大臣が定める基準に該当するものに住所を有する要介護被保険者が、指定地域密着型サービス以外の地域密着型サービス（地域密着型介護老人福祉施設入所者生活介護を除く。）又はこれに相当するサービスを受けた場合において、必要があると認めるとき。 art-42-3/par-1/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1/item-2 when the Municipality determines it necessary in a case when an Insured Person Requiring Long-Term Care has a domicile on an isolated island or other area where it is significantly difficult to secure Designated Community-Based Service (except for Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid; the same applies hereinafter in this item) and in a location that qualifies with standards as determined by the Minister of Health, Labour, and Welfare, and an Insured Person receives Community-Based Service other than Designated Community-Based Service (except for Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid) or an equivalent service to said services; Ministry of Justice translation — Japanese Law Translation Database System **三** その他政令で定めるとき。 art-42-3/par-1/item-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1/item-3 when provided by a Cabinet Order. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 特例地域密着型介護サービス費の額は、当該地域密着型サービス又はこれに相当するサービスについて前条第二項各号の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該地域密着型サービス又はこれに相当するサービスに要した費用（地域密着型通所介護、認知症対応型通所介護、小規模多機能型居宅介護、認知症対応型共同生活介護、地域密着型特定施設入居者生活介護、地域密着型介護老人福祉施設入所者生活介護及び複合型サービス並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、居住に要する費用その他の日常生活に要する費用として厚生労働省令で定める費用を除く。）の額を超えるときは、当該現に地域密着型サービス又はこれに相当するサービスに要した費用の額とする。）の百分の九十に相当する額又は同条第四項の規定により市町村（施設所在市町村の長が同条第一項本文の指定をした指定地域密着型サービス事業者から指定地域密着型サービスを受けた住所地特例適用要介護被保険者その他の厚生労働省令で定める者に係る特例地域密着型介護サービス費（特定地域密着型サービスに係るものに限る。）の額にあっては、施設所在市町村）が定めた額を基準として、市町村が定める。 art-42-3/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-2 The amount of an Exceptional Allowance for Community-Based Long-Term Care Service is to be specified by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated, for said Community-Based Service or equivalent service, by the standards determined by the Minister of Health, Labour and Welfare under each item of paragraph (2) of the preceding Article (when said calculated amount exceeds the amount of the actual expenses required for said Community-Based Service or equivalent service (excluding, with regard to the expenses required for Community-Based Outpatient Day Long-Term Care, outpatient long-term care for a Dementia patient, Multifunctional Long-Term Care in a Small Group Home, Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, and combined service, and services equivalent to these, the expenses necessary to provide meals, residence and other expenses necessary for daily life as determined by Order of the Ministry of Health, Labour and Welfare), said amount is to be the amount of the actual expenses required for said Community-Based Service or equivalent service), or the amount specified by the Municipality pursuant to the provisions of paragraph (4) of the same Article (in the case of an Exceptional Allowance for Community-Based Long-Term Care Service (limited to that pertaining to Specified Community-Based Service) for an Insured Person Requiring Long-Term Care to Whom the Domicile Exception Applies who received Designated Community-Based Service from a Designated Community-Based Service Provider for which the mayor of the Municipality Where the Facility Is Located made the designation in the main clause of paragraph (1) of the same Article, or another person specified by Order of the Ministry of Health, Labour and Welfare, the Municipality Where the Facility Is Located). machine translation, not official **第三項** 市町村長は、特例地域密着型介護サービス費の支給に関して必要があると認めるときは、当該支給に係る地域密着型サービス若しくはこれに相当するサービスを担当する者若しくは担当した者（以下この項において「地域密着型サービス等を担当する者等」という。）に対し、報告若しくは帳簿書類の提出若しくは提示を命じ、若しくは出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該地域密着型サービス等を担当する者等の当該支給に係る事業所に立ち入り、その設備若しくは帳簿書類その他の物件を検査させることができる。 art-42-3/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-3 The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Community-Based Long-Term Care Service, orders a person that has been in charge of said Community-Based Service pertaining to said payment or in charge of an equivalent service (herein referred to as "Person, etc., in Charge of Community-Based Service, etc." in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question the relevant person or enter the Business Office of the provider of said Person, etc., in Charge of Community-Based Service, etc., pertaining to said payment in order to inspect said equipment, record books and documents, and other items. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 第二十四条第三項の規定は前項の規定による質問又は検査について、同条第四項の規定は前項の規定による権限について準用する。 art-42-3/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-4 The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-42-3/par-1/item-2: この号 → 介護保険法 第四十二条の三第一項第二号 (Article 42-3, paragraph (1), item (ii)), art-42-3/par-1/item-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1/item-2 - art-42-3/par-2: 前条第二項 → 介護保険法 第四十二条の二第二項 (Article 42-2, paragraph (2)), art-42-2/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-2 - art-42-3/par-2: 同条第四項 → 介護保険法 第四十二条の二第四項 (Article 42-2, paragraph (4)), art-42-2/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-4 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-4 - art-42-3/par-2: 同条第一項 → 介護保険法 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-1 - art-42-3/par-3: この項 → 介護保険法 第四十二条の三第三項 (Article 42-3, paragraph (3)), art-42-3/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-3 - art-42-3/par-4: 第二十四条第三項 → 介護保険法 第二十四条第三項 (Article 24, paragraph (3)), art-24/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-24/par-3 · https://japanlaw.org/l/409AC0000000123/art-24/par-3 - art-42-3/par-4: 前項 → 介護保険法 第四十二条の三第三項 (Article 42-3, paragraph (3)), art-42-3/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-3 - art-42-3/par-4: 同条第四項 → 介護保険法 第二十四条第四項 (Article 24, paragraph (4)), art-24/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-24/par-4 · https://japanlaw.org/l/409AC0000000123/art-24/par-4 ## Cited by 9 provisions cite this one. No official source publishes this direction. - 介護保険法 第四十二条の二第二項第一号（地域密着型介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-2/item-1 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-2/item-1 - 介護保険法 第四十二条の三第一項第二号（特例地域密着型介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-1/item-2 - 介護保険法 第四十二条の三第三項（特例地域密着型介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-3 - 介護保険法 第四十二条の三第四項（特例地域密着型介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-42-3/par-4 - 介護保険法 第四十三条第六項（居宅介護サービス費等に係る支給限度額） — https://japanlaw.org/ja/long-term-care-insurance-act/art-43/par-6 · https://japanlaw.org/l/409AC0000000123/art-43/par-6 - 介護保険法 第四十九条の二第一項第四号（一定以上の所得を有する要介護被保険者に係る居宅介護サービス費等の額） — https://japanlaw.org/ja/long-term-care-insurance-act/art-49-2/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-4 - 介護保険法 第六十九条第三項第四号（保険料を徴収する権利が消滅した場合の保険給付の特例） — https://japanlaw.org/ja/long-term-care-insurance-act/art-69/par-3/item-4 · https://japanlaw.org/l/409AC0000000123/art-69/par-3/item-4 - 介護保険法 第二百九条第一項第一号 — https://japanlaw.org/ja/long-term-care-insurance-act/art-209/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-209/par-1/item-1 - 介護保険法 附則第三条第二項（介護保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4171-77/art-3/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4171-77/art-3/par-2 --- ## 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-20261018T212610-003, 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