# 介護保険法 / Long-Term Care Insurance Act — 第四十五条 (Article 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: 第四十五条 (Article 45)（居宅介護住宅改修費の支給） — address `art-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-45 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-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. --- ### 第四十五条（居宅介護住宅改修費の支給） — (Payment of an Allowance for Home Modification for In-Home Long-Term Care) caption: Ministry of Justice translation — Japanese Law Translation Database System art-45 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45 · https://japanlaw.org/l/409AC0000000123/art-45 **第一項** 市町村は、居宅要介護被保険者が、手すりの取付けその他の厚生労働大臣が定める種類の住宅の改修（以下「住宅改修」という。）を行ったときは、当該居宅要介護被保険者に対し、居宅介護住宅改修費を支給する。 art-45/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-1 · https://japanlaw.org/l/409AC0000000123/art-45/par-1 A Municipality, when an Insured In-Home Person Requiring Long-Term Care implements a type of modification determined by the Minister of Health, Labour, and Welfare, such as installing handrails or other fixtures (herein referred to as "Home Modification"), pays an Allowance for Home Modification for In-Home Long-Term Care to said Insured In-Home Person Requiring Long-Term Care. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 居宅介護住宅改修費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。 art-45/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-2 · https://japanlaw.org/l/409AC0000000123/art-45/par-2 An Allowance for Home Modification for In-Home Long-Term Care is to be paid pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare limited to a case when the Municipality determines it necessary. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 居宅介護住宅改修費の額は、現に当該住宅改修に要した費用の額の百分の九十に相当する額とする。 art-45/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-3 · https://japanlaw.org/l/409AC0000000123/art-45/par-3 The amount of Allowance for Home Modification for In-Home Long-Term Care is to be the amount equivalent to 90 percent of the actual expenses required for said Home Modification. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 居宅要介護被保険者が行った一の種類の住宅改修につき支給する居宅介護住宅改修費の額の総額は、居宅介護住宅改修費支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。 art-45/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-45/par-4 The total amount of Allowance for Home Modification for In-Home Long-Term Care that is paid for a single type of modifying house for in-home care undertaken by an Insured In-Home Person Requiring Long-Term Care may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 前項の居宅介護住宅改修費支給限度基準額は、住宅改修の種類ごとに、通常要する費用を勘案して厚生労働大臣が定める額とする。 art-45/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-5 · https://japanlaw.org/l/409AC0000000123/art-45/par-5 The base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care as prescribed in the preceding paragraph is to be the amount specified by the Minister of Health, Labour, and Welfare by type of Home Modification after considering the average expenses required. Ministry of Justice translation — Japanese Law Translation Database System **第六項** 市町村は、前項の規定にかかわらず、条例で定めるところにより、第四項の居宅介護住宅改修費支給限度基準額に代えて、その額を超える額を、当該市町村における居宅介護住宅改修費支給限度基準額とすることができる。 art-45/par-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-45/par-6 A Municipality, notwithstanding the provision of the preceding paragraph, pursuant to the provisions of a municipal ordinance, and in lieu of the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care as set forth in paragraph (4), may determine an amount that exceeds said base amount as the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care in said Municipality. Ministry of Justice translation — Japanese Law Translation Database System **第七項** 居宅介護住宅改修費を支給することにより第四項に規定する総額が同項に規定する百分の九十に相当する額を超える場合における当該居宅介護住宅改修費の額は、第三項の規定にかかわらず、政令で定めるところにより算定した額とする。 art-45/par-7 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-45/par-7 In a case when the total amount as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph due to payment of said Allowance for Home Modification for In-Home Long-Term Care, the amount of said Allowance for Home Modification for In-Home Long-Term Care is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provision of paragraph (3). Ministry of Justice translation — Japanese Law Translation Database System **第八項** 市町村長は、居宅介護住宅改修費の支給に関して必要があると認めるときは、当該支給に係る住宅改修を行う者若しくは住宅改修を行った者（以下この項において「住宅改修を行う者等」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、若しくは当該住宅改修を行う者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。 art-45/par-8 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-45/par-8 A Municipality, when it determines the necessity for payment of an Allowance for Home Modification for In-Home Long-Term Care, may order a person that implements or implemented the Home Modification pertaining to said payment (herein referred to as "Person, etc., that Implements the Home Modification" in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question said relevant Person or enter the Business Office of the provider of said Person, etc., that Implements the Home Modification in order to inspect said books, documents, and other items. Ministry of Justice translation — Japanese Law Translation Database System **第九項** 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-45/par-9 · https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-9 · https://japanlaw.org/l/409AC0000000123/art-45/par-9 The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and 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-45/par-5: 前項 → 介護保険法 第四十五条第四項 (Article 45, paragraph (4)), art-45/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-45/par-4 - art-45/par-6: 前項 → 介護保険法 第四十五条第五項 (Article 45, paragraph (5)), art-45/par-5 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-5 · https://japanlaw.org/l/409AC0000000123/art-45/par-5 - art-45/par-6: 第四項 → 介護保険法 第四十五条第四項 (Article 45, paragraph (4)), art-45/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-45/par-4 - art-45/par-7: 第四項 → 介護保険法 第四十五条第四項 (Article 45, paragraph (4)), art-45/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-4 · https://japanlaw.org/l/409AC0000000123/art-45/par-4 - art-45/par-7: 第三項 → 介護保険法 第四十五条第三項 (Article 45, paragraph (3)), art-45/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-3 · https://japanlaw.org/l/409AC0000000123/art-45/par-3 - art-45/par-8: この項 → 介護保険法 第四十五条第八項 (Article 45, paragraph (8)), art-45/par-8 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-45/par-8 - art-45/par-9: 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-45/par-9: 前項 → 介護保険法 第四十五条第八項 (Article 45, paragraph (8)), art-45/par-8 — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-45/par-8 - art-45/par-9: 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 11 provisions cite this one. No official source publishes this direction. - 介護保険法 第二十三条第一項（文書の提出等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-23/par-1 · https://japanlaw.org/l/409AC0000000123/art-23/par-1 - 介護保険法 第四十五条第五項（居宅介護住宅改修費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-5 · https://japanlaw.org/l/409AC0000000123/art-45/par-5 - 介護保険法 第四十五条第六項（居宅介護住宅改修費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-6 · https://japanlaw.org/l/409AC0000000123/art-45/par-6 - 介護保険法 第四十五条第七項（居宅介護住宅改修費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-7 · https://japanlaw.org/l/409AC0000000123/art-45/par-7 - 介護保険法 第四十五条第八項（居宅介護住宅改修費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-8 · https://japanlaw.org/l/409AC0000000123/art-45/par-8 - 介護保険法 第四十五条第九項（居宅介護住宅改修費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-45/par-9 · https://japanlaw.org/l/409AC0000000123/art-45/par-9 - 介護保険法 第四十九条の二第一項第八号（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-8 · https://japanlaw.org/l/409AC0000000123/art-49-2/par-1/item-8 - 介護保険法 第六十九条第三項第十三号（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-13 · https://japanlaw.org/l/409AC0000000123/art-69/par-3/item-13 - 介護保険法 第百二十一条第二項（国の負担） — https://japanlaw.org/ja/long-term-care-insurance-act/art-121/par-2 · https://japanlaw.org/l/409AC0000000123/art-121/par-2 - 介護保険法 第百四十八条第一項（市町村相互財政安定化事業） — https://japanlaw.org/ja/long-term-care-insurance-act/art-148/par-1 · https://japanlaw.org/l/409AC0000000123/art-148/par-1 - 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 --- ## 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