# 生活保護法 / Public Assistance Act — 第五十三条 (Article 53) - Law: 生活保護法 (Public Assistance Act), 昭和二十五年法律第百四十四号 - English title "Public Assistance 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: 第五十三条 (Article 53)（医療費の審査及び支払） — address `art-53` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/public-assistance-act/art-53 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/325AC0000000144/art-53 - 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. --- ### 第五十三条（医療費の審査及び支払） — (Examination and Payment of Medical Expenses) caption: Ministry of Justice translation — Japanese Law Translation Database System art-53 · https://japanlaw.org/ja/public-assistance-act/art-53 · https://japanlaw.org/l/325AC0000000144/art-53 **第一項** 都道府県知事は、指定医療機関の診療内容及び診療報酬の請求を随時審査し、且つ、指定医療機関が前条の規定によつて請求することのできる診療報酬の額を決定することができる。 art-53/par-1 · https://japanlaw.org/ja/public-assistance-act/art-53/par-1 · https://japanlaw.org/l/325AC0000000144/art-53/par-1 A prefectural governor may examine the contents of medical treatment provided by and the claims for medical treatment fees made by a designated medical care provider as needed and decide the amount of the medical treatment fees that the designated medical care provider may claim pursuant to the provisions of the preceding Article. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 指定医療機関は、都道府県知事の行う前項の決定に従わなければならない。 art-53/par-2 · https://japanlaw.org/ja/public-assistance-act/art-53/par-2 · https://japanlaw.org/l/325AC0000000144/art-53/par-2 A designated medical care provider shall follow the decision under the preceding paragraph made by a prefectural governor. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 都道府県知事は、第一項の規定により指定医療機関の請求することのできる診療報酬の額を決定するに当つては、医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）に定める審査委員会又は医療に関する審査機関で政令で定めるものの意見を聴かなければならない。 art-53/par-3 · https://japanlaw.org/ja/public-assistance-act/art-53/par-3 · https://japanlaw.org/l/325AC0000000144/art-53/par-3 When a prefectural governor decides on the amount of medical treatment fees that a designated medical care provider may claim pursuant to the provisions of paragraph (1), he/she shall hear the opinion of an examination committee prescribed in the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948) or an examination organ related to medical care that has been specified by Cabinet Order. machine translation, not official **第四項** 都道府県、市及び福祉事務所を設置する町村は、指定医療機関に対する診療報酬の支払に関する事務を、医療情報基盤・診療報酬審査支払機構又は厚生労働省令で定める者に委託することができる。 art-53/par-4 · https://japanlaw.org/ja/public-assistance-act/art-53/par-4 · https://japanlaw.org/l/325AC0000000144/art-53/par-4 A prefecture, city, or a town or village with a welfare office may entrust affairs concerning the payment of medical treatment fees to designated medical care providers to the Medical Information Infrastructure and Medical Fee Examination and Payment Organization or a person specified by an Order of the Ministry of Health, Labour and Welfare. machine translation, not official **第五項** 第一項の規定による診療報酬の額の決定については、審査請求をすることができない。 art-53/par-5 · https://japanlaw.org/ja/public-assistance-act/art-53/par-5 · https://japanlaw.org/l/325AC0000000144/art-53/par-5 No request for review may be made with regard to a decision on the amount of the medical treatment fees under the provisions of paragraph (1). machine translation, not official --- ## Cites - art-53/par-1: 前条 → 生活保護法 第五十二条 (Article 52), art-52 — https://japanlaw.org/ja/public-assistance-act/art-52 · https://japanlaw.org/l/325AC0000000144/art-52 - art-53/par-2: 前項 → 生活保護法 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — https://japanlaw.org/ja/public-assistance-act/art-53/par-1 · https://japanlaw.org/l/325AC0000000144/art-53/par-1 - art-53/par-3: 第一項 → 生活保護法 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — https://japanlaw.org/ja/public-assistance-act/art-53/par-1 · https://japanlaw.org/l/325AC0000000144/art-53/par-1 - art-53/par-5: 第一項 → 生活保護法 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — https://japanlaw.org/ja/public-assistance-act/art-53/par-1 · https://japanlaw.org/l/325AC0000000144/art-53/par-1 ## Cited by 7 provisions cite this one. No official source publishes this direction. - 生活保護法 第五十三条第二項（医療費の審査及び支払） — https://japanlaw.org/ja/public-assistance-act/art-53/par-2 · https://japanlaw.org/l/325AC0000000144/art-53/par-2 - 生活保護法 第五十三条第三項（医療費の審査及び支払） — https://japanlaw.org/ja/public-assistance-act/art-53/par-3 · https://japanlaw.org/l/325AC0000000144/art-53/par-3 - 生活保護法 第五十三条第五項（医療費の審査及び支払） — https://japanlaw.org/ja/public-assistance-act/art-53/par-5 · https://japanlaw.org/l/325AC0000000144/art-53/par-5 - 生活保護法 第五十四条の二第五項（介護機関の指定等） — https://japanlaw.org/ja/public-assistance-act/art-54-2/par-5 · https://japanlaw.org/l/325AC0000000144/art-54-2/par-5 - 生活保護法 第五十四条の二第六項（介護機関の指定等） — https://japanlaw.org/ja/public-assistance-act/art-54-2/par-6 · https://japanlaw.org/l/325AC0000000144/art-54-2/par-6 - 生活保護法 第五十五条の二第一項（医療保護施設への準用） — https://japanlaw.org/ja/public-assistance-act/art-55-2/par-1 · https://japanlaw.org/l/325AC0000000144/art-55-2/par-1 - 生活保護法 別表第三 — https://japanlaw.org/ja/public-assistance-act/appdx-3 · https://japanlaw.org/l/325AC0000000144/appdx-3 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 生活保護法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/325AC0000000144/20261001_507AC0000000087), retrieved 2026-10-19 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Public Assistance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/24/tb), retrieved 2026-10-19 - claude-sonnet-5-5 — Machine translation, batch public-assistance-act-20261019T143855-003, translated 2026-10-20 - This site's parser, version 210 — 生活保護法 — structure, counts, cross-references and defined terms, computed 2026-10-19