# 介護保険法 / Long-Term Care Insurance Act — 第五十一条の二 (Article 51-2) - 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: 第五十一条の二 (Article 51-2)（高額医療合算介護サービス費の支給） — address `art-51-2` - 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-51-2 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-51-2 - 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. --- ### 第五十一条の二（高額医療合算介護サービス費の支給） — Payment of an Allowance for High-Cost Medical and Long-Term Care Service Combined caption: machine translation, not official art-51-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-51-2 · https://japanlaw.org/l/409AC0000000123/art-51-2 **第一項** 市町村は、要介護被保険者の介護サービス利用者負担額（前条第一項の高額介護サービス費が支給される場合にあっては、当該支給額に相当する額を控除して得た額）及び当該要介護被保険者に係る健康保険法第百十五条第一項に規定する一部負担金等の額（同項の高額療養費が支給される場合にあっては、当該支給額に相当する額を控除して得た額）その他の医療保険各法又は高齢者の医療の確保に関する法律（昭和五十七年法律第八十号）に規定するこれに相当する額として政令で定める額の合計額が、著しく高額であるときは、当該要介護被保険者に対し、高額医療合算介護サービス費を支給する。 art-51-2/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-51-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-51-2/par-1 A Municipality, when the total sum of the User Charge for Long-Term Care Service of an Insured Person Requiring Long-Term Care (in a case when an Allowance for High-Cost Long-Term Care Service under paragraph (1) of the preceding Article is paid, the amount obtained by deducting the amount equivalent to the amount of said allowance paid), the amount of the co-payment, etc. prescribed in Article 115, paragraph (1) of the Health Insurance Act pertaining to said Insured Person Requiring Long-Term Care (in a case when high-cost medical expenses under that paragraph are paid, the amount obtained by deducting the amount equivalent to the amount of said payment), and other amounts determined by Cabinet Order as amounts equivalent to these as prescribed in the Medical Insurance Acts or the Act on Assurance of Medical Care for Elderly People (Act No. 80 of 1982), is extremely large, pays an Allowance for High-Cost Medical and Long-Term Care Service Combined to said Insured Person Requiring Long-Term Care. machine translation, not official **第二項** 前条第二項の規定は、高額医療合算介護サービス費の支給について準用する。 art-51-2/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-51-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-51-2/par-2 The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to payment of an Allowance for High-Cost Medical and Long-Term Care Service Combined. machine translation, not official --- ## Cites - art-51-2/par-1: 前条第一項 → 介護保険法 第五十一条第一項 (Article 51, paragraph (1)), art-51/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-51/par-1 · https://japanlaw.org/l/409AC0000000123/art-51/par-1 - art-51-2/par-1: 健康保険法第百十五条第一項 → 健康保険法 第百十五条第一項 (Article 115, paragraph (1)), art-115/par-1 — https://japanlaw.org/ja/health-insurance-act/art-115/par-1 · https://japanlaw.org/l/211AC0000000070/art-115/par-1 - art-51-2/par-2: 前条第二項 → 介護保険法 第五十一条第二項 (Article 51, paragraph (2)), art-51/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-51/par-2 · https://japanlaw.org/l/409AC0000000123/art-51/par-2 ## Cited by 2 provisions cite this one. No official source publishes this direction. - 介護保険法 第五十一条第一項（高額介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-51/par-1 · https://japanlaw.org/l/409AC0000000123/art-51/par-1 - 介護保険法 第六十九条第六項（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-6 · https://japanlaw.org/l/409AC0000000123/art-69/par-6 --- ## 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-20261018T212610-004, 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