# 介護保険法 / Long-Term Care Insurance Act — 第五条 (Article 5) - 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: 第五条 (Article 5)（国及び地方公共団体の責務） — address `art-5` - 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-5 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-5 - 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. --- ### 第五条（国及び地方公共団体の責務） — Responsibilities of the National and Local Governments caption: machine translation, not official art-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5 · https://japanlaw.org/l/409AC0000000123/art-5 **第一項** 国は、介護保険事業の運営が健全かつ円滑に行われるよう保健医療サービス及び福祉サービスを提供する体制の確保に関する施策その他の必要な各般の措置を講じなければならない。 art-5/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-1 · https://japanlaw.org/l/409AC0000000123/art-5/par-1 The national government must undertake measures to ensure the system of providing health and medical services and public aid services, and every other necessary action for the healthy and efficient operation of an Insured Long-Term Care Project. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 都道府県は、介護保険事業の運営が健全かつ円滑に行われるように、必要な助言及び適切な援助をしなければならない。 art-5/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-2 · https://japanlaw.org/l/409AC0000000123/art-5/par-2 Prefectural governments must provide necessary advice and appropriate support for the healthy and efficient operation of an Insured Long-Term Care Project. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 都道府県は、前項の助言及び援助をするに当たっては、介護サービスを提供する事業所又は施設における業務の効率化、介護サービスの質の向上その他の生産性の向上に資する取組が促進されるよう努めなければならない。 art-5/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-3 · https://japanlaw.org/l/409AC0000000123/art-5/par-3 In providing the advice and assistance set forth in the preceding paragraph, a prefecture must endeavor to promote initiatives that contribute to improving productivity, such as improving the efficiency of operations and improving the quality of Long-Term Care Services at Business Offices or facilities that provide Long-Term Care Services. machine translation, not official **第四項** 国及び地方公共団体は、被保険者が、可能な限り、住み慣れた地域でその有する能力に応じ自立した日常生活を営むことができるよう、保険給付に係る保健医療サービス及び福祉サービスに関する施策、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の施策並びに地域における自立した日常生活の支援のための施策を、医療及び居住に関する施策との有機的な連携を図りつつ包括的に推進するよう努めなければならない。 art-5/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-4 · https://japanlaw.org/l/409AC0000000123/art-5/par-4 The national government and local governments must endeavor to comprehensively promote, while ensuring organic cooperation with measures concerning medical care and housing, measures concerning health and medical services and welfare services pertaining to insurance benefits, measures for preventing a 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., and measures for supporting independent daily life in the community, so that an Insured Person can, to the extent possible, lead an independent daily life in the community in which he or she is accustomed to living, according to his or her abilities. machine translation, not official **第五項** 国及び地方公共団体は、前項の規定により同項に掲げる施策を包括的に推進するに当たっては、障害者その他の者の福祉に関する施策との有機的な連携を図るよう努めるとともに、地域住民が相互に人格と個性を尊重し合いながら、参加し、共生する地域社会の実現に資するよう努めなければならない。 art-5/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-5 · https://japanlaw.org/l/409AC0000000123/art-5/par-5 In comprehensively promoting the measures listed in the preceding paragraph pursuant to the provisions of that paragraph, the national government and local governments must endeavor to ensure organic cooperation with measures concerning the welfare of persons with disabilities and other persons, and must endeavor to contribute to the realization of a community in which local residents respect one another's personalities and individuality, and participate and live together. machine translation, not official --- ## Cites - art-5/par-3: 前項 → 介護保険法 第五条第二項 (Article 5, paragraph (2)), art-5/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-2 · https://japanlaw.org/l/409AC0000000123/art-5/par-2 - art-5/par-5: 前項 → 介護保険法 第五条第四項 (Article 5, paragraph (4)), art-5/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-4 · https://japanlaw.org/l/409AC0000000123/art-5/par-4 ## Cited by 2 provisions cite this one. No official source publishes this direction. - 介護保険法 第五条第三項（国及び地方公共団体の責務） — https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-3 · https://japanlaw.org/l/409AC0000000123/art-5/par-3 - 介護保険法 第五条第五項（国及び地方公共団体の責務） — https://japanlaw.org/ja/long-term-care-insurance-act/art-5/par-5 · https://japanlaw.org/l/409AC0000000123/art-5/par-5 --- ## 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-20261018T212610-001, 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