# 介護保険法 / Long-Term Care Insurance Act — 第六十一条 (Article 61) - 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: 第六十一条 (Article 61)（高額介護予防サービス費の支給） — address `art-61` - 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-61 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-61 - 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. --- ### 第六十一条（高額介護予防サービス費の支給） — (Payment of an Allowance for High-Cost Preventive Long-Term Care Service) caption: Ministry of Justice translation — Japanese Law Translation Database System art-61 · https://japanlaw.org/ja/long-term-care-insurance-act/art-61 · https://japanlaw.org/l/409AC0000000123/art-61 **第一項** 市町村は、居宅要支援被保険者が受けた介護予防サービス（これに相当するサービスを含む。）又は地域密着型介護予防サービス（これに相当するサービスを含む。）に要した費用の合計額として政令で定めるところにより算定した額から、当該費用につき支給された介護予防サービス費、特例介護予防サービス費、地域密着型介護予防サービス費及び特例地域密着型介護予防サービス費の合計額を控除して得た額（次条第一項において「介護予防サービス利用者負担額」という。）が、著しく高額であるときは、当該居宅要支援被保険者に対し、高額介護予防サービス費を支給する。 art-61/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-61/par-1 · https://japanlaw.org/l/409AC0000000123/art-61/par-1 When the amount that is obtained by deducting from the amount calculated pursuant to the provisions of a Cabinet Order as the total amount of each expense required for Preventive Long-Term Care Service (including equivalent service) or Community-Based Service for Preventive Long-Term Care (including equivalent service) that an Insured In-Home Person Requiring Support receives, the total amount of Allowance for Preventive Long-Term Care Service, Exceptional Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, and Exceptional Allowance for Community-Based Preventive Long-Term Care Service that are actually paid for said expenses (herein referred to as "User Charge for Preventive Long-Term Care Service" in paragraph (1) of the following Article) is significantly large, a Municipality pays an Allowance for High-Cost Preventive Long-Term Care Service to said Insured In-Home Person Requiring Support. machine translation, not official **第二項** 前項に規定するもののほか、高額介護予防サービス費の支給要件、支給額その他高額介護予防サービス費の支給に関して必要な事項は、介護予防サービス又は地域密着型介護予防サービスに必要な費用の負担の家計に与える影響を考慮して、政令で定める。 art-61/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-61/par-2 · https://japanlaw.org/l/409AC0000000123/art-61/par-2 In addition to the provisions as set forth in the preceding paragraph, requirements for payment of an Allowance for High-Cost Preventive Long-Term Care Service, the amount of said allowance, and other matters necessary for payment of an Allowance for High-Cost Preventive Long-Term Care Service are prescribed by a Cabinet Order after considering the impact on the household budget from the burden of the expenses necessary for Preventive Long-Term Care Service or Community-Based Service for Preventive Long-Term Care. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-61/par-1: 次条第一項 → 介護保険法 第六十一条の二第一項 (Article 61-2, paragraph (1)), art-61-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-61-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-61-2/par-1 - art-61/par-2: 前項 → 介護保険法 第六十一条第一項 (Article 61, paragraph (1)), art-61/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-61/par-1 · https://japanlaw.org/l/409AC0000000123/art-61/par-1 ## Cited by 8 provisions cite this one. No official source publishes this direction. - 介護保険法 第六十一条第二項（高額介護予防サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-61/par-2 · https://japanlaw.org/l/409AC0000000123/art-61/par-2 - 介護保険法 第六十一条の二第一項（高額医療合算介護予防サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-61-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-61-2/par-1 - 介護保険法 第六十一条の二第二項（高額医療合算介護予防サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-61-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-61-2/par-2 - 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 - 健康保険法 第百十五条の二第一項（高額介護合算療養費） — https://japanlaw.org/ja/health-insurance-act/art-115-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-115-2/par-1 - 健康保険法 第百四十七条の二第一項（高額介護合算療養費） — https://japanlaw.org/ja/health-insurance-act/art-147-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-147-2/par-1 - 国民健康保険法 第五十七条の三第一項（高額介護合算療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-57-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-57-3/par-1 - 高齢者の医療の確保に関する法律 第八十五条第一項（高額介護合算療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-85/par-1 · https://japanlaw.org/l/357AC0000000080/art-85/par-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 - claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T203319-005, 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