# 介護保険法 / Long-Term Care Insurance Act — 第七十四条 (Article 74)

- 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: 第七十四条 (Article 74) — address `art-74`
- 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-74
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-74
- 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.

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### 第七十四条
<sup>art-74 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74 · https://japanlaw.org/l/409AC0000000123/art-74</sup>

  **第一項**  指定居宅サービス事業者は、当該指定に係る事業所ごとに、都道府県の条例で定める基準に従い都道府県の条例で定める員数の当該指定居宅サービスに従事する従業者を有しなければならない。
  <sup>art-74/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-1 · https://japanlaw.org/l/409AC0000000123/art-74/par-1</sup>
  A Designated In-Home Service Provider must employ the number of employees engaging in said Designated In-Home Service as determined by Prefectural Ordinance in accordance with standards as determined by Prefectural Ordinance, by each Business Office pertaining to said appointment as service provider.
  <sup>machine translation, not official</sup>

  **第二項**  前項に規定するもののほか、指定居宅サービスの事業の設備及び運営に関する基準は、都道府県の条例で定める。
  <sup>art-74/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-2 · https://japanlaw.org/l/409AC0000000123/art-74/par-2</sup>
  In addition to the provisions as prescribed in the preceding paragraph, standards concerning facilities and management of a Designated In-Home Service Business are prescribed by Prefectural Ordinance.
  <sup>machine translation, not official</sup>

  **第三項**  都道府県が前二項の条例を定めるに当たっては、第一号から第三号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。
  <sup>art-74/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3 · https://japanlaw.org/l/409AC0000000123/art-74/par-3</sup>
  A prefecture, in establishing the ordinances set forth in the preceding two paragraphs, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.
  <sup>machine translation, not official</sup>

    **一**  指定居宅サービスに従事する従業者に係る基準及び当該従業者の員数
    <sup>art-74/par-3/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-1 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-1</sup>
    standards pertaining to employees engaging in Designated In-Home Service and the number of such employees;
    <sup>machine translation, not official</sup>

    **二**  指定居宅サービスの事業に係る居室、療養室及び病室の床面積
    <sup>art-74/par-3/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-2 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-2</sup>
    the floor area of residence rooms, medical care rooms and patient rooms pertaining to a Designated In-Home Service Business;
    <sup>machine translation, not official</sup>

    **三**  指定居宅サービスの事業の運営に関する事項であって、利用する要介護者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの
    <sup>art-74/par-3/item-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-3 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-3</sup>
    matters concerning the operation of a Designated In-Home Service Business that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Long-Term Care who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare;
    <sup>machine translation, not official</sup>

    **四**  指定居宅サービスの事業に係る利用定員
    <sup>art-74/par-3/item-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-4 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-4</sup>
    the maximum number of users pertaining to a Designated In-Home Service Business.
    <sup>machine translation, not official</sup>

  **第四項**  厚生労働大臣は、前項に規定する厚生労働省令で定める基準（指定居宅サービスの取扱いに関する部分に限る。）を定めようとするときは、あらかじめ社会保障審議会の意見を聴かなければならない。
  <sup>art-74/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-4 · https://japanlaw.org/l/409AC0000000123/art-74/par-4</sup>
  The Minister of Health, Labour and Welfare, when providing the standards specified by Order of the Ministry of Health, Labour and Welfare as prescribed in the preceding paragraph (limited to the part concerning the handling of Designated In-Home Service), must hear the opinion of the Social Security Council in advance.
  <sup>machine translation, not official</sup>

  **第五項**  指定居宅サービス事業者は、次条第二項の規定による事業の廃止又は休止の届出をしたときは、当該届出の日前一月以内に当該指定居宅サービスを受けていた者であって、当該事業の廃止又は休止の日以後においても引き続き当該指定居宅サービスに相当するサービスの提供を希望する者に対し、必要な居宅サービス等が継続的に提供されるよう、指定居宅介護支援事業者、他の指定居宅サービス事業者その他関係者との連絡調整その他の便宜の提供を行わなければならない。
  <sup>art-74/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-5 · https://japanlaw.org/l/409AC0000000123/art-74/par-5</sup>
  A Designated In-Home Service Provider, when it has provided notification of the abolition or suspension of the business pursuant to the provisions of paragraph (2) of the following Article, must, with regard to a person who received said Designated In-Home Service within one month before the date of said notification and who wishes to continue to be provided with services equivalent to said Designated In-Home Service even on or after the date of said abolition or suspension of the business, provide convenience, such as coordination with Designated In-Home Long-Term Care Support Providers, other Designated In-Home Service Providers and other relevant persons, so that necessary In-Home Service, etc. is continuously provided.
  <sup>machine translation, not official</sup>

  **第六項**  指定居宅サービス事業者は、要介護者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要介護者のため忠実にその職務を遂行しなければならない。
  <sup>art-74/par-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-6 · https://japanlaw.org/l/409AC0000000123/art-74/par-6</sup>
  A Designated In-Home Service Provider must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully executes said duty on behalf of the Person Requiring Long-Term Care.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-74/par-2: 前項 → 介護保険法 第七十四条第一項 (Article 74, paragraph (1)), art-74/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-1 · https://japanlaw.org/l/409AC0000000123/art-74/par-1
- art-74/par-3: 前二項 → 介護保険法 第七十四条第一項 (Article 74, paragraph (1)), art-74/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-1 · https://japanlaw.org/l/409AC0000000123/art-74/par-1
- art-74/par-3: 前二項 → 介護保険法 第七十四条第二項 (Article 74, paragraph (2)), art-74/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-2 · https://japanlaw.org/l/409AC0000000123/art-74/par-2
- art-74/par-3: 第一号から第三号まで → 介護保険法 第七十四条第三項第一号 (Article 74, paragraph (3), item (i)), art-74/par-3/item-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-1 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-1
- art-74/par-3: 第一号から第三号まで → 介護保険法 第七十四条第三項第二号 (Article 74, paragraph (3), item (ii)), art-74/par-3/item-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-2 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-2
- art-74/par-3: 第一号から第三号まで → 介護保険法 第七十四条第三項第三号 (Article 74, paragraph (3), item (iii)), art-74/par-3/item-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-3 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-3
- art-74/par-3: 第四号 → 介護保険法 第七十四条第三項第四号 (Article 74, paragraph (3), item (iv)), art-74/par-3/item-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3/item-4 · https://japanlaw.org/l/409AC0000000123/art-74/par-3/item-4
- art-74/par-4: 前項 → 介護保険法 第七十四条第三項 (Article 74, paragraph (3)), art-74/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3 · https://japanlaw.org/l/409AC0000000123/art-74/par-3
- art-74/par-5: 次条第二項 → 介護保険法 第七十五条第二項 (Article 75, paragraph (2)), art-75/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-75/par-2 · https://japanlaw.org/l/409AC0000000123/art-75/par-2

## Cited by

22 provisions cite this one. No official source publishes this direction.

- 介護保険法 第四十一条第九項（居宅介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-9 · https://japanlaw.org/l/409AC0000000123/art-41/par-9
- 介護保険法 第四十二条第一項第二号（特例居宅介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-42/par-1/item-2
- 介護保険法 第七十条第二項第二号（指定居宅サービス事業者の指定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-70/par-2/item-2 · https://japanlaw.org/l/409AC0000000123/art-70/par-2/item-2
- 介護保険法 第七十条第二項第三号（指定居宅サービス事業者の指定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-70/par-2/item-3 · https://japanlaw.org/l/409AC0000000123/art-70/par-2/item-3
- 介護保険法 第七十二条の二第一項（共生型居宅サービス事業者の特例） — https://japanlaw.org/ja/long-term-care-insurance-act/art-72-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-72-2/par-1
- 介護保険法 第七十二条の二第四項（共生型居宅サービス事業者の特例） — https://japanlaw.org/ja/long-term-care-insurance-act/art-72-2/par-4 · https://japanlaw.org/l/409AC0000000123/art-72-2/par-4
- 介護保険法 第七十三条第一項（指定居宅サービスの事業の基準） — https://japanlaw.org/ja/long-term-care-insurance-act/art-73/par-1 · https://japanlaw.org/l/409AC0000000123/art-73/par-1
- 介護保険法 第七十四条第二項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-2 · https://japanlaw.org/l/409AC0000000123/art-74/par-2
- 介護保険法 第七十四条第三項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-3 · https://japanlaw.org/l/409AC0000000123/art-74/par-3
- 介護保険法 第七十四条第四項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-74/par-4 · https://japanlaw.org/l/409AC0000000123/art-74/par-4
- 介護保険法 第七十五条の二第一項（都道府県知事等による連絡調整又は援助） — https://japanlaw.org/ja/long-term-care-insurance-act/art-75-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-75-2/par-1
- 介護保険法 第七十五条の二第二項（都道府県知事等による連絡調整又は援助） — https://japanlaw.org/ja/long-term-care-insurance-act/art-75-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-75-2/par-2
- 介護保険法 第七十六条の二第一項第二号（勧告、命令等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-76-2/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-76-2/par-1/item-2
- 介護保険法 第七十六条の二第一項第三号（勧告、命令等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-76-2/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-76-2/par-1/item-3
- 介護保険法 第七十六条の二第一項第四号（勧告、命令等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-76-2/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-76-2/par-1/item-4
- 介護保険法 第七十七条第一項第三号（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-77/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-77/par-1/item-3
- 介護保険法 第七十七条第一項第四号（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-77/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-77/par-1/item-4
- 介護保険法 第七十七条第一項第五号（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-77/par-1/item-5 · https://japanlaw.org/l/409AC0000000123/art-77/par-1/item-5
- 介護保険法 第百十五条の三十二第一項（業務管理体制の整備等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-32/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-32/par-1
- 介護保険法 附則第六条第一項（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-4231-37/art-6/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4231-37/art-6/par-1
- 介護保険法 附則第六条第二項（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-4231-37/art-6/par-2 · https://japanlaw.org/l/409AC0000000123/suppl-4231-37/art-6/par-2
- 介護保険法 附則第四十六条第一項（検討） — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4231-37/art-46/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4231-37/art-46/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-20261018T203319-008, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261019T014622-001, 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