Long-Term Care Insurance Subcommittee: Records and Key Topics
Overview
The Long-Term Care Insurance Subcommittee of the Social Security Council has met from 2020 through 2026 to discuss revisions to the long-term care insurance system, benefits and burdens, the long-term care workforce, integrated community care, and the long-term care information infrastructure. In December 2025, discussions focused on compiling opinions concerning system revisions, while in 2026 the agenda included a draft of the basic guidelines, approaches to designated regions, and calculations of long-term care contributions.
Key points
- Ongoing deliberation records of the Long-Term Care Insurance Subcommittee are provided.
- System revision and sustainability are major themes.
- Integrated community care and service delivery systems remain under discussion.
- The long-term care workforce, productivity, and information infrastructure are also on the agenda.
Overview
The page organizes the meeting content of the Social Security Council's Long-Term Care Insurance Subcommittee by session number, meeting date, agenda, minutes or summaries, materials, and meeting notices.
The records cover the 90th through 135th sessions, held from February 21, 2020, through June 29, 2026.
Centered on revisions to the long-term care insurance system, the deliberations extend to benefits and burdens, system sustainability, integrated community care, the long-term care workforce, service delivery systems, and the long-term care information infrastructure.
Key figures
- Latest session
- 135th session
- Latest meeting date
- June 29, 2026 (Reiwa 8, June 29, 2026)
- Target year for service delivery system review
- 2040
- Date of opinions on system revision
- December 25, 2025 (Reiwa 7, December 25, 2025)
Impact
Benefits and burdens affecting users and families, certification of long-term care needs, dementia policies, consultation support, and housing for older people have remained ongoing issues and are relevant to the environment for using long-term care services.
For long-term care providers and workers, the discussions address workforce recruitment, workplace improvement, productivity gains, management improvement support, and reducing the burden of documentation.
For regional and policy administration, the agenda covers service delivery systems in light of population decline and changing service demand, healthcare and long-term care coordination, an inclusive community, and the secondary use and provision of anonymized long-term care information, all of which relate to the operation of integrated community care and system design.
Details
At the 135th session on June 29, 2026, the agenda included a report on the Act Partially Amending the Social Welfare Act and Other Acts, a draft of the basic guidelines, approaches to designated regions, and other matters. At the 134th session on March 9, 2026, the topics included selection of the subcommittee chair, the basic guidelines, anonymized long-term care information and related matters, the results of a fiscal year 2024 survey on responses to elder abuse, and the calculation of long-term care contributions for fiscal year 2026.
The 130th session in December 2025 addressed securing sustainability and the status of discussions on individual issues, while the 131st through 133rd sessions held discussions toward compiling a summary. Population decline and changing service demand, integrated community care, the long-term care workforce, and consultation support were addressed in the agendas of the 126th through 129th sessions, and opinions on revisions to the long-term care insurance system were posted on December 25, 2025.
In 2025, the long-term care information infrastructure, certification of long-term care needs, an inclusive community, service delivery systems toward 2040, housing for older people, and comprehensive long-term care prevention and daily life support services were organized as reports or issues for consideration.
Records from 2024 and earlier address the secondary use of healthcare and other information, care management, benefits and burdens, the Enforcement Regulation of the Long-Term Care Insurance Act, long-term care contributions, productivity in long-term care workplaces, and reducing the burden of documentation. Where available, each session includes links to minutes or a summary, materials, and the meeting notice.
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