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Glossary

Health Insurance Act

健康保険法(けんこうほけんほう)

Every term this law . Its definitions bind only this law — each entry says where the definition applies and links to the sentence that settles it. 256 terms: 75 with the Ministry of Justice's English, 181 in our translation, marked as such.

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insured person

被保険者(ひほけんしゃ)

A person employed at an applicable place of business (適用事業所), or an insured person with optional and continued coverage (任意継続被保険者); the persons listed in the items of Article 3, paragraph (1) — among them some temporary, seasonal and short-time workers and persons insured under late-stage elderly medical care (後期高齢者医療) — cannot be insured persons, except as specially-insured day laborers (日雇特例被保険者).

適用事業所に使用される者及び任意継続被保険者

Article 3, paragraph (1)
256provisions
JHIA

協会(きょうかい)

The Japan Health Insurance Association (全国健康保険協会), set up under Article 7-2 to run health insurance for insured persons who are not members of a health insurance society (健康保険組合).

Article 7-2, paragraph (1)
129provisions
specially-insured day laborer

日雇特例被保険者(ひやといとくれいひほけんしゃ)

A day worker (日雇労働者) employed at an applicable place of business (適用事業所), unless they have late-stage elderly medical care insurance (後期高齢者医療の被保険者等) or the Minister of Health, Labour and Welfare has approved their exclusion because they are clearly not expected to be employed there for 26 days or more in two consecutive months, because they have optional and continued coverage (任意継続被保険者), or for another special reason.

適用事業所に使用される日雇労働者

Article 3, paragraph (2)
98provisions
place of business

事業所(じぎょうしょ)

Short for a place of business or office (事業所又は事務所), as the word is used throughout this Act except in Article 88, paragraph (1) and Article 89, paragraph (1).

Article 3, paragraph (1), item (iii)
58provisions
dependent

被扶養者(ひふようしゃ)

A person who lives in Japan — or who lives abroad but whom a Ministry of Health, Labour and Welfare Order (厚生労働省令) treats as based in Japan, such as a student studying abroad — and who is mainly supported by an insured person (including a former specially-insured day laborer, 日雇特例被保険者): the insured person's lineal ascendants, spouse (including a de facto spouse), children, grandchildren and siblings, and, if they belong to the insured person's household, other relatives within the third degree of kinship and a de facto spouse's parents and children, also after that spouse's death; persons with late-stage elderly medical care insurance (後期高齢者医療の被保険者等) and others the Order excludes are not dependents.

次に掲げる者で、日本国内に住所を有するもの又は外国において留学をする学生その他の日本国内に住所を有しないが渡航目的その他の事情を考慮して日本国内に生活の基礎があると認められるものとして厚生労働省令で定めるもの

Article 3, paragraph (7)
58provisions
medical institution providing services covered by health insurance

保険医療機関(ほけんいりょうきかん)

A hospital or clinic designated by the Minister of Health, Labour and Welfare under Article 63, paragraph (3), item (i), at which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance, not counting any beds left out of its designation under Article 65.

Article 63, paragraph (3), item (i)
54provisions
insured person with optional and continued coverage

任意継続被保険者(にんいけいぞくひほけんしゃ)

A person who lost insured status (other than as a specially-insured day laborer (日雇特例被保険者)) on ceasing to be employed at an applicable place of business (適用事業所) or on coming under the proviso to Article 3, paragraph (1), who had been insured without a break for two months or more up to the day before — not counting time as a specially-insured day laborer, with optional and continued coverage or as a member of a mutual aid association (共済組合) — and who asked their insurer to stay insured with it; not a person insured under mariners' insurance (船員保険) or a person with late-stage elderly medical care insurance (後期高齢者医療の被保険者等).

適用事業所に使用されなくなったため、又は第一項ただし書に該当するに至ったため被保険者(日雇特例被保険者を除く。)の資格を喪失した者であって、喪失の日の前日まで継続して二月以上被保険者(日雇特例被保険者、任意継続被保険者又は共済組合の組合員である被保険者を除く。)であったもののうち、保険者に申し出て、継続して当該保険者の被保険者となった者

Article 3, paragraph (4)
43provisions
pharmacy providing services covered by health insurance

保険薬局(ほけんやっきょく)

A pharmacy designated by the Minister of Health, Labour and Welfare, from which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance.

Article 63, paragraph (3), item (i)
38provisions
designated home-nursing provider

指定訪問看護事業者(していほうもんかんごじぎょうしゃ)

A provider the Minister of Health, Labour and Welfare has designated to run a home-visit nursing business: nursing care or help with medical treatment given at home by nurses and others a Ministry of Health, Labour and Welfare Order (厚生労働省令) names to people under continuing treatment at home for an illness or injury whom their doctor finds meet the Order's standard.

Article 88, paragraph (1)
36provisions
JHIA

協会(きょうかい)

In the supplementary provisions (附則) of Act No. 83 of 2006, the Japan Health Insurance Association (全国健康保険協会) provided for in Article 7-2, paragraph (1) of this Act as amended by Article 4 of that Act.

34provisions
applicable place of business

適用事業所(てきようじぎょうしょ)

A place of business that regularly employs five or more employees in one of the businesses listed in Article 3, paragraph (3), item (i) — such as manufacturing, construction, mining, transport, sales, finance, medical care, social welfare, and legal or accounting work — or any other place of business of the State, a local government or a corporation that regularly employs employees.

次の各号のいずれかに該当する事業所

Article 3, paragraph (3)
33provisions
standard remuneration amount

標準報酬(ひょうじゅんほうしゅう)

The standard monthly remuneration (標準報酬月額) and the standard bonus (標準賞与額) together.

標準報酬月額及び標準賞与額

Article 49, paragraph (1)
31provisions
designated home nursing

指定訪問看護(していほうもんかんご)

Home-visit nursing (訪問看護) given by a designated home-nursing provider (指定訪問看護事業者) at its place of business covered by the designation, for which insured persons receive medical expenses for home-nursing (訪問看護療養費).

Article 88, paragraph (1)
31provisions
remuneration

報酬(ほうしゅう)

Wages, salary, pay, allowances, bonuses and anything else, whatever it is called, that a worker receives in return for work, except what is received only occasionally and what is received for periods longer than three months.

賃金、給料、俸給、手当、賞与その他いかなる名称であるかを問わず、労働者が、労働の対償として受けるすべてのもの

Article 3, paragraph (5)
28provisions

A physician or dentist registered by the Minister of Health, Labour and Welfare, which every physician or dentist giving medical care under health insurance at a medical institution providing services covered by health insurance (保険医療機関) must be.

Article 64, paragraph (1)
28provisions
JPS

機構(きこう)

The Japan Pension Service (日本年金機構), which carries out the work under the powers of the Minister of Health, Labour and Welfare that Article 204, paragraph (1) lists — among them confirming the acquisition and loss of insured status, setting standard monthly remuneration and standard bonuses, receiving notifications and reports, and collecting arrears on the model of national tax collection.

Article 204, paragraph (1)
25provisions
pharmacist filling health insurance prescriptions

保険薬剤師(ほけんやくざいし)

A pharmacist registered by the Minister of Health, Labour and Welfare, which every pharmacist dispensing under health insurance at a pharmacy providing services covered by health insurance (保険薬局) must be.

Article 64, paragraph (1)
23provisions
insurer, etc.

保険者等(ほけんしゃとう)

Throughout this Act except in Article 164, paragraphs (2) and (3), Article 180, paragraphs (1), (2) and (4) and Article 181, paragraph (1): the Minister of Health, Labour and Welfare for a person insured in the health insurance run by the Japan Health Insurance Association (全国健康保険協会), and the health insurance society (健康保険組合) for a person insured in the health insurance it runs.

被保険者が協会が管掌する健康保険の被保険者である場合にあっては厚生労働大臣、被保険者が健康保険組合が管掌する健康保険の被保険者である場合にあっては当該健康保険組合

Article 39, paragraph (1)
22provisions
dietary treatment

食事療養(しょくじりょうよう)

Meals provided as treatment together with inpatient care in a hospital or clinic (the treatment in Article 63, paragraph (1), item (v)), other than those given with a stay in a sanatorium ward (療養病床) to an insured person who is, at the time, past the month in which they reach the age of 65 (an insured person undergoing special long-term hospitalization, 特定長期入院被保険者).

Article 63, paragraph (2), item (i)
21provisions
living support

生活療養(せいかつりょうよう)

Meals, and a suitable care environment as to temperature, lighting and water supply, provided together with inpatient care (Article 63, paragraph (1), item (v)) to an insured person undergoing special long-term hospitalization (特定長期入院被保険者).

Article 63, paragraph (2), item (ii)
18provisions
federation

連合会(れんごうかい)

The federation of health insurance societies (健康保険組合連合会) that health insurance societies (健康保険組合) may establish together to achieve their purposes jointly.

Article 184, paragraph (1)
18provisions
applicable place of business

適用事業所(てきようじぎょうしょ)

In Article 46 of the supplementary provisions (附則) of Act No. 62 of 2012, an applicable place of business as defined in Article 3, paragraph (3) of the Health Insurance Act, other than one of the State or a local government.

健康保険法第三条第三項に規定する適用事業所をいい、国又は地方公共団体の当該適用事業所を除く

Supplementary Provisions, Article 46, paragraph (1)
15provisions
establishment

設立事業所(せつりつじぎょうしょ)

An applicable place of business (適用事業所) for which a health insurance society (健康保険組合) has been established; its employer and the insured persons employed there are members of that society.

Article 17, paragraph (1)
14provisions
Former Day Laborers Health Insurance Act

旧日雇健保法(きゅうひやといけんぽほう)

Short name, in the supplementary provisions (附則) of Act No. 77 of 1984, for the former law on health insurance for day laborers (旧日雇労働者健康保険法); certain dispositions made and documents issued under it before that Act came into effect are treated as made under the corresponding provisions of this Act as that Act amended it.

14provisions
wage

賃金(ちんぎん)

Everything a day worker (日雇労働者) receives in return for work, whatever it is called — wages, salary, allowances, bonuses and the like — except what is paid at intervals of more than three months.

賃金、給料、手当、賞与その他いかなる名称であるかを問わず、日雇労働者が、労働の対償として受けるすべてのもの

Article 3, paragraph (9)
13provisions
bonus

賞与(しょうよ)

Anything a worker receives in return for work — whether called wages, salary, pay, an allowance, a bonus or anything else — that is paid at intervals of more than three months.

賃金、給料、俸給、手当、賞与その他いかなる名称であるかを問わず、労働者が、労働の対償として受けるすべてのもののうち、三月を超える期間ごとに受けるもの

Article 3, paragraph (6)
12provisions
National Health Insurance Act, etc. Partial Amendment Act

国保法等一部改正法(こくほほうとういちぶかいせいほう)

Short name, in Article 5-3 of the supplementary provisions (附則), for the Act Partially Amending the National Health Insurance Act, etc. to Establish a Sustainable Medical Insurance System (Act No. 31 of 2015).

12provisions
amount paid in

納付額(のうふがく)

In Article 5-3 of the supplementary provisions (附則), on the government subsidy to the Japan Health Insurance Association (全国健康保険協会) for fiscal 2026, the amounts paid into the health account (健康勘定) of the Pension Special Account (年金特別会計) from fiscal 2015 onwards under Article 46-2, paragraphs (1) to (3) of the Act on General Rules for Incorporated Administrative Agencies and Article 16, paragraph (2) of the Act on Japan Community Health Care Organization, Incorporated Administrative Agency.

12provisions
the New Act

新法(しんぽう)

This Act as amended by Act No. 42 of 1957.

12provisions
Revised Health Insurance Act

新健保法(しんけんぽほう)

This Act as amended by Act No. 77 of 1984.

12provisions
Health Insurance Act as Amended in October 2008

平成二十年十月改正健保法(へいせいにじゅうねんじゅうがつかいせいけんぽほう)

This Act as amended by Article 4 of Act No. 83 of 2006.

12provisions
insurance premium rate for each prefecture

都道府県単位保険料率(とどうふけんたんいほけんりょうりつ)

The general insurance premium rate (一般保険料率), between 3% and 13%, that the Japan Health Insurance Association (全国健康保険協会) decides separately for the insured persons of each prefectural branch (支部被保険者), and that applies to them.

Article 160, paragraph (2)
11provisions
the Effective Date

施行日(しこうび)

The date Act No. 77 of 1984, the amending Act these supplementary provisions (附則) belong to, comes into effect.

11provisions
long-term care payment

介護納付金(かいごのうふきん)

The long-term care benefit and community support project support payment (介護給付費・地域支援事業支援納付金) collected each fiscal year from medical insurers (医療保険者) under Article 150 of the Long-Term Care Insurance Act.

Article 7-2, paragraph (3)
10provisions
children and child-rearing support levy

子ども・子育て支援納付金(こども・こそだてしえんのうふきん)

The children and child-rearing support levy (子ども・子育て支援納付金) that the government collects every fiscal year from fiscal 2026 from health insurers and similar bodies (健康保険者等) under Article 71-3, paragraph (1) of the Act on Support for Children and Child-rearing, to meet the costs that paragraph lists.

Article 7-2, paragraph (3)
10provisions
medical insurance laws other than this act

この法律以外の医療保険各法(このほうりついがいのいりょうほけんかくほう)

The Mariners Insurance Act, the National Health Insurance Act, the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958, including where other laws apply it or have it followed) and the Local Public Officers, etc. Mutual Aid Association Act: the medical insurance laws besides this Act under which medical institutions and pharmacies providing services covered by health insurance (保険医療機関又は保険薬局) also give benefits for medical treatment (療養の給付).

Article 70, paragraph (2)
10provisions
item (ii) insured person

介護保険第二号被保険者(かいごほけんだいにごうひほけんしゃ)

An insured person under Article 9, item (ii) of the Long-Term Care Insurance Act: a person aged 40 or over and under 65 who has their domicile in a municipality and is covered by medical insurance (医療保険加入者).

Article 156, paragraph (1), item (i)
10provisions
mutual aid association

共済組合(きょうさいくみあい)

A mutual aid association (共済組合) organised under an Act (法律).

法律によって組織された共済組合

Article 3, paragraph (10)
9provisions
medical institution providing services covered by health insurance, etc.

保険医療機関等(ほけんいりょうきかんとう)

The hospitals, clinics and pharmacies listed in Article 63, paragraph (3) from which insured persons receive benefits for medical treatment (療養の給付): those designated by the Minister of Health, Labour and Welfare, those an insurer designates for the persons it insures, and those a health insurance society (健康保険組合) runs as insurer.

第六十三条第三項各号に掲げる病院若しくは診療所又は薬局

Article 3, paragraph (13)
9provisions
young-old payments, etc.

前期高齢者納付金等(ぜんきこうれいしゃのうふきんとう)

The payment for persons in the early stage of old age (前期高齢者納付金) and the related administrative expense contribution (前期高齢者関係事務費拠出金), which are collected from insurers each fiscal year under Article 36 of the Act on Assurance of Medical Care for Elderly People.

Article 7-2, paragraph (3)
9provisions
aid for the old-old, etc.

後期高齢者支援金等(こうきこうれいしゃしえんきんとう)

The support payment for persons in the late stage of old age (後期高齢者支援金), the related administrative expense contribution (後期高齢者関係事務費拠出金) and the administrative expense contribution related to childbirth and childcare (出産育児関係事務費拠出金) under the Act on Assurance of Medical Care for Elderly People.

Article 7-2, paragraph (3)
9provisions
branches

支部(しぶ)

A secondary office (従たる事務所) of the Japan Health Insurance Association (全国健康保険協会), of which there is one in each prefecture; the Association's principal office is in Tokyo.

Article 7-4, paragraph (1)
9provisions
anonymized medical care-related information

匿名診療等関連情報(とくめいしんりょうとうかんれんじょうほう)

Medical care-related information (診療等関連情報) processed, to standards a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, so that the insured persons and others it concerns cannot be identified and the information it was made from cannot be restored; the Minister of Health, Labour and Welfare may use it, or provide it to other government bodies, local governments, universities and research institutions, and private businesses and others a Ministry Order names, for work of considerable public benefit.

診療等関連情報に係る特定の被保険者その他の厚生労働省令で定める者(次条において「本人」という。)を識別すること及びその作成に用いる診療等関連情報を復元することができないようにするために厚生労働省令で定める基準に従い加工した診療等関連情報

Article 150-2, paragraph (1)
9provisions
amount of general insurance premium, etc.

一般保険料等額(いっぱんほけんりょうとうがく)

The amount found by multiplying an insured person's standard monthly remuneration (標準報酬月額) and standard bonus (標準賞与額) by the general insurance premium rate (一般保険料率: the basic insurance premium rate plus the specified insurance premium rate) plus the children and child-rearing support contribution rate (子ども・子育て支援金率).

各被保険者の標準報酬月額及び標準賞与額にそれぞれ一般保険料率(基本保険料率と特定保険料率とを合算した率をいう。)と子ども・子育て支援金率とを合算した率を乗じて得た額

Article 156, paragraph (1), item (i)
9provisions
amount of long-term care insurance premium

介護保険料額(かいごほけんりょうがく)

The amount found by multiplying an insured person's standard monthly remuneration (標準報酬月額) and standard bonus (標準賞与額) by the long-term care insurance premium rate (介護保険料率).

各被保険者の標準報酬月額及び標準賞与額にそれぞれ介護保険料率を乗じて得た額

Article 156, paragraph (1), item (i)
9provisions
single branch-insured person

支部被保険者(しぶひほけんしゃ)

The insured persons of the Japan Health Insurance Association (全国健康保険協会) attached to one of its prefectural branches (支部): those employed at an applicable place of business (適用事業所) in that prefecture and insured persons with optional and continued coverage (任意継続被保険者) who have their domicile or residence there; the general insurance premium rate is set for each such group.

各支部の都道府県に所在する適用事業所に使用される被保険者及び当該都道府県の区域内に住所又は居所を有する任意継続被保険者

Article 160, paragraph (1)
9provisions
former government-managed health insurance

旧政管健保(きゅうせいかんけんぽ)

In the supplementary provisions (附則) of Act No. 83 of 2006, the health insurance administered by the government (政府が管掌する健康保険) under Article 5, paragraph (2) of this Act as it stood before Article 4 of that Act amended it.

9provisions
childcare leave

育児休業等(いくじきゅうぎょうとう)

Childcare leave (育児休業) as defined in Article 2, item (i) of the Act on Childcare Leave, Caregiver Leave, and Other Measures for the Welfare of Workers Caring for Children or Other Family Members, leave taken under the measures equivalent to its childcare leave system referred to in Article 23, paragraph (2) and Article 24, paragraph (1) (in the part on its item (ii)) of that Act, and childcare leave under the laws and regulations a Cabinet Order (政令) specifies.

Article 43-2, paragraph (1)
8provisions
patient-requested treatment

患者申出療養(かんじゃもうしでりょうよう)

Medical treatment using advanced medical technology that the Minister of Health, Labour and Welfare designates as needing evaluation, at the request of the person who wishes to receive it, of whether it should be covered by the benefits for medical treatment (療養の給付), with a view to providing appropriate medical care efficiently.

Article 63, paragraph (2), item (iv)
8provisions
home-nursing provider office

訪問看護事業所(ほうもんかんごじぎょうしょ)

A place of business from which a home-nursing business (訪問看護事業) is run; the designation of Article 88, paragraph (1) as a designated home-nursing provider (指定訪問看護事業者) is made, on the operator's application, for each such office.

Article 89, paragraph (1)
8provisions
insurance premiums, etc.

保険料等(ほけんりょうとう)

Premiums and other money to be collected under this Act, as the word is used throughout this Act except in Article 204-2, paragraph (1) and Article 204-6, paragraph (1).

Article 180, paragraph (1)
8provisions
contribution for securing medical care in the early phase of an epidemic, etc.

流行初期医療確保拠出金等(りゅうこうしょきいりょうかくほきょしゅつきんとう)

The contribution for securing medical care in the early phase of an epidemic (流行初期医療確保拠出金) and the related administrative expense contribution (流行初期医療確保関係事務費拠出金), which insurers must pay under Article 36-14 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases.

Article 7-2, paragraph (3)
7provisions
financial statements

財務諸表(ざいむしょひょう)

The balance sheet, profit and loss statement, documents on the appropriation of profit or the disposal of loss, other documents a Ministry of Health, Labour and Welfare Order (厚生労働省令) specifies, and their supporting schedules, which the Japan Health Insurance Association (全国健康保険協会) must prepare for each business year.

Article 7-28, paragraph (2)
7provisions
insured persons, etc.

被保険者等(ひほけんしゃとう)

In Article 150, insured persons and their dependents (被扶養者).

Article 150, paragraph (1)
7provisions
user of anonymized medical care-related information

匿名診療等関連情報利用者(とくめいしんりょうとうかんれんじょうほうりようしゃ)

A person who has been provided with anonymized medical care-related information (匿名診療等関連情報) under Article 150-2, paragraph (1) and uses it, and who must not try to identify the people it concerns.

Article 150-3, paragraph (1)
7provisions
total remuneration

総報酬額(そうほうしゅうがく)

From Article 160, paragraph (3), item (ii) onwards, an insured person's standard monthly remuneration amount (標準報酬月額) and standard bonus amount (標準賞与額) added together.

標準報酬月額及び標準賞与額の合計額

Article 160, paragraph (3), item (ii)
7provisions
special retired insured person

特例退職被保険者(とくれいたいしょくひほけんしゃ)

In Article 3 of the supplementary provisions (附則), a former insured member of a specified health insurance society (特定健康保険組合) who would be a retired insured person (退職被保険者) under Article 8-2, paragraph (1) of the National Health Insurance Act as it stood before Article 13 of the amending Act this Act names (改正法, Act No. 83 of 2006) amended it, who meets the society's rules, has asked to be insured by it and is not an insured person with optional and continued coverage (任意継続被保険者).

Supplementary Provisions, Article 3, paragraph (1)
7provisions
the Former Act

旧法(きゅうほう)

This Act as it stood before Act No. 42 of 1957 amended it.

7provisions
Revised Health Insurance Act

新健保法(しんけんぽほう)

This Act as amended by Article 1 of Act No. 56 of 1994.

7provisions
Health Insurance Act Before the October 2008 Amendment

平成二十年十月改正前健保法(へいせいにじゅうねんじゅうがつかいせいまえけんぽほう)

This Act as it stood before Article 4 of Act No. 83 of 2006 amended it.

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specified under-three-quarters part-time worker

特定四分の三未満短時間労働者(とくていよんぶんのさんみまんたんじかんろうどうしゃ)

In Article 46 of the supplementary provisions (附則) of Act No. 62 of 2012, a part-time worker employed at an applicable place of business (適用事業所) other than a specified applicable place of business (特定適用事業所) or one of the State or a local government, whose prescribed weekly working hours or monthly working days are less than three-quarters of those of the ordinary workers (通常の労働者) there, and who falls under none of the items of Article 3, paragraph (1) of this Act (other than one whom Article 45 of those provisions takes out of item (ix)); for the time being such a worker is not insured under health insurance.

Supplementary Provisions, Article 46, paragraph (1)
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2012 Pension Function Strengthening Act

平成二十四年機能強化法(へいせいにじゅうよねんきのうきょうかほう)

Short name, in the supplementary provisions (附則) of Act No. 74 of 2025, for the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System (Act No. 62 of 2012).

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item (vi) Effective Date

第六号施行日(だいろくごうしこうび)

The date the provisions listed in Article 1, item (vi) of the supplementary provisions (附則) of Act No. 31 of 2026 come into effect — among them its Article 2, which amends this Act — a date a Cabinet Order (政令) sets within two years of that Act's promulgation (公布, its official publication) on 5 June 2026.

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persons with late-stage elderly medical care insurance

後期高齢者医療の被保険者等(こうきこうれいしゃいりょうのひほけんしゃとう)

A person insured under the late-stage elderly medical care system (後期高齢者医療) under Article 50 of the Act on Assurance of Medical Care for Elderly People, or a person who meets one of that Article's items but is not insured under it because of Article 51 of that Act.

Article 3, paragraph (1), item (vii)
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Infrastructure Organization

基盤機構(きばんきこう)

The Medical Information Infrastructure and Medical Fee Review and Payment Organization (医療情報基盤・診療報酬審査支払機構), established under Act No. 129 of 1948, to which an insurer may entrust the review and payment of claims for medical fees from medical institutions and pharmacies providing services covered by health insurance.

Article 76, paragraph (5)
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standard co-payment for dietary treatment

食事療養標準負担額(しょくじりょうようひょうじゅんふたんがく)

The amount the Minister of Health, Labour and Welfare sets, in view of average household spending on food and the average cost of meals at specified long-term care insurance facilities (特定介護保険施設等), that is deducted from the cost of dietary treatment (食事療養) in working out inpatient dietary treatment expenses (入院時食事療養費); a separate amount applies to persons a Ministry of Health, Labour and Welfare Order (厚生労働省令) specifies in view of their income and other circumstances.

Article 85, paragraph (2)
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standard co-payment for living support

生活療養標準負担額(せいかつりょうようひょうじゅんふたんがく)

The amount the Minister of Health, Labour and Welfare sets, taking account of average household spending on food, heating, lighting and water and of the base costs of meals and accommodation under Article 51-3, paragraph (2) of the Long-Term Care Insurance Act, which is deducted from the cost of living support (生活療養) to give the living support expenses for inpatients (入院時生活療養費); a different amount applies to people a Ministry of Health, Labour and Welfare Order (厚生労働省令) specifies in view of their income, condition, treatment and other circumstances.

Article 85-2, paragraph (2)
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day laborer health society

日雇関係組合(ひやといかんけいくみあい)

A health insurance society (健康保険組合) set up by employers who employ specially-insured day laborers (日雇特例被保険者), from which the Minister of Health, Labour and Welfare collects a contribution each fiscal year.

Article 173, paragraph (1)
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Minister of Health, Labour and Welfare, etc.

厚生労働大臣等(こうせいろうどうだいじんとう)

In Article 194-2, the Minister of Health, Labour and Welfare, insurers, medical institutions and pharmacies providing services covered by health insurance (保険医療機関等), designated home-nursing providers (指定訪問看護事業者) and others a Ministry of Health, Labour and Welfare Order (厚生労働省令) names as using insurer numbers and insured persons' codes and numbers (被保険者等記号・番号) to carry out the health insurance business or work related to it.

Article 194-2, paragraph (1)
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insured person's symbol and number, etc.

被保険者等記号・番号等(ひほけんしゃとうきごう・ばんごうとう)

In Article 194-2, insurer numbers (保険者番号, the numbers the Minister of Health, Labour and Welfare sets for each insurer to identify it) together with the symbols and numbers that identify insured persons and dependents (被保険者等記号・番号).

Article 194-2, paragraph (1)
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the Effective Date

施行日(しこうび)

The date Act No. 56 of 1994, the amending Act these supplementary provisions (附則) belong to, comes into effect.

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applicable place of business

適用事業所(てきようじぎょうしょ)

In Article 24, paragraph (1) and Article 25, paragraph (1) of the supplementary provisions (附則) of Act No. 74 of 2025, an applicable place of business (適用事業所) for health insurance, other than one of the State or a local government.

Supplementary Provisions, Article 24, paragraph (1)
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item (vi) New Health Insurance Act

第六号新健康保険法(だいろくごうしんけんこうほけんほう)

This Act as amended by Article 2 of Act No. 31 of 2026.

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insured persons

被保険者(ひほけんしゃ)

In Section 2 of Chapter II, on the Japan Health Insurance Association (全国健康保険協会), an insured person who is not a member of a health insurance society (健康保険組合).

Article 7-2, paragraph (1)
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designated health insurance society

指定健康保険組合(していけんこうほけんくみあい)

A health insurance society (健康保険組合) whose health insurance income and spending do not balance and which the Minister of Health, Labour and Welfare has designated as meeting the requirements of a Cabinet Order (政令); it must draw up a soundness improvement plan (健全化計画) and have it approved.

Article 28, paragraph (1)
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maternity leave

産前産後休業(さんぜんさんごきゅうぎょう)

Not working, for reasons of pregnancy or childbirth, during the period from 42 days (98 days for a multiple pregnancy) before childbirth — counted from the expected date where the birth comes later — to 56 days after it.

出産の日(出産の日が出産の予定日後であるときは、出産の予定日)以前四十二日(多胎妊娠の場合においては、九十八日)から出産の日後五十六日までの間において労務に服さないこと(妊娠又は出産に関する事由を理由として労務に服さない場合に限る。)

Article 43-3, paragraph (1)
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insured person undergoing special long-term hospitalization

特定長期入院被保険者(とくていちょうきにゅういんひほけんしゃ)

An insured person who, when receiving inpatient care in a long-term care bed (療養病床) with the care and nursing that go with it, is in or past the month after the month in which they reach 65.

Article 63, paragraph (2), item (i)
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evaluation treatment

評価療養(ひょうかりょうよう)

Treatment using advanced medical technology that the Minister of Health, Labour and Welfare specifies, and other treatment the Minister specifies as needing to be evaluated, with a view to providing appropriate medical care efficiently, for whether it should be covered by medical treatment benefits (療養の給付) — other than patient-requested treatment (患者申出療養).

Article 63, paragraph (2), item (iii)
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selective treatment

選定療養(せんていりょうよう)

A special hospital room the insured person chooses, and other treatment of kinds the Minister of Health, Labour and Welfare specifies — one of the kinds of treatment Article 63, paragraph (2) leaves out of medical treatment benefits (療養の給付).

Article 63, paragraph (2), item (v)
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electronic eligibility confirmation, etc.

電子資格確認等(でんししかくかくにんとう)

Electronic eligibility confirmation (電子資格確認) or another method a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, by which a person seeking medical treatment benefits (療養の給付) is confirmed as an insured person by the hospital, clinic or pharmacy of their choice among those listed in Article 63, paragraph (3).

Article 63, paragraph (3)
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amount of disability pension

障害年金の額(しょうがいねんきんのがく)

In Article 108, paragraph (3), the amount, calculated as a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, of the disability welfare pension (障害厚生年金) under the Employees' Pension Insurance Act that a person due injury and sickness allowance (傷病手当金) can receive for the same illness or injury, together with any disability basic pension (障害基礎年金) under the National Pension Act paid on the same grounds.

Article 108, paragraph (3)
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young-old subsidy

前期高齢者交付金(ぜんきこうれいしゃこうふきん)

The grant for persons in the early stage of old age (前期高齢者交付金) that insurers receive under Article 32 of the Act on Assurance of Medical Care for Elderly People to even out the uneven burden that comes from their differing shares of members in the early stage of old age (前期高齢者); where the Japan Health Insurance Association receives one, an amount a Cabinet Order (政令) sets on its basis is taken off the costs on which the national subsidy in Article 153 is worked out.

Article 153, paragraph (1)
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day laborer contributions

日雇拠出金(ひやといきょしゅつきん)

The contribution that the Minister of Health, Labour and Welfare collects each fiscal year from day laborer health societies (日雇関係組合) toward the costs of health insurance for specially-insured day laborers (日雇特例被保険者), and which those societies must pay.

Article 173, paragraph (2)
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dispositions of delinquency

滞納処分等(たいのうしょぶんとう)

The dispositions on the model of the disposition for national tax in arrears (国税滞納処分) in Article 204, paragraph (1), item (xv), and the questioning, inspection, demands to present or submit, retention of articles and searches listed in item (xvii), which the Japan Pension Service (日本年金機構) carries out for the Minister of Health, Labour and Welfare.

Article 204, paragraph (2)
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society

組合(くみあい)

In Articles 2 and 2-2 of the supplementary provisions (附則), a health insurance society (健康保険組合) that is a member of the federation of health insurance societies (健康保険組合連合会), which runs a scheme of grants to its member societies to even out imbalances in how they fund their benefits, services and levies.

Supplementary Provisions, Article 2, paragraph (1)
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specified insured person

特定被保険者(とくていひほけんしゃ)

In Articles 7 and 8 of the supplementary provisions (附則), an insured person who is not an item (ii) insured person (介護保険第二号被保険者) but has a dependent who is, whose premium a health insurance society (健康保険組合) may by its rules set as the amount of general insurance premium, etc. (一般保険料等額) plus the amount of long-term care insurance premium (介護保険料額).

Supplementary Provisions, Article 7, paragraph (1)
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specified person under the reduced minimum wage exception

特定減額特例対象者(とくていげんがくとくれいたいしょうしゃ)

In Article 8-3-2 of the supplementary provisions (附則), a part-time worker (短時間労働者) employed at an applicable place of business (適用事業所) who is one of the workers listed in Article 7 of the Minimum Wage Act to whom a reduced minimum wage applies, and whose remuneration — worked out as Article 42, paragraph (1) provides and leaving out the pay a Ministry of Health, Labour and Welfare Order (厚生労働省令) names — is under 88,000 yen; for the time being such a person cannot be an insured person.

Supplementary Provisions, Article 8-3-2, paragraph (1)
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Revised Health Insurance Act

新健保法(しんけんぽほう)

This Act as amended by Article 1 of Act No. 7 of 1992.

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insurance premium rate for each prefecture

都道府県単位保険料率(とどうふけんたんいほけんりょうりつ)

In Article 29 of the supplementary provisions (附則) of Act No. 83 of 2006, the insurance premium rate for each prefecture provided in Article 160, paragraph (2) of the Health Insurance Act as amended by Article 4 of that Act (平成二十年十月改正健保法), which the Japan Health Insurance Association (全国健康保険協会) was to decide within one year of its establishment.

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specified applicable place of business

特定適用事業所(とくていてきようじぎょうしょ)

In Article 46 of the supplementary provisions (附則) of Act No. 62 of 2012, each applicable place of business (適用事業所) of an employer whose applicable places of business together regularly employ more than 50 specified workers (特定労働者).

事業主が同一である一又は二以上の適用事業所であって、当該一又は二以上の適用事業所に使用される特定労働者の総数が常時五十人を超えるものの各適用事業所

Supplementary Provisions, Article 46, paragraph (12)
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children and child-rearing support levy

子ども・子育て支援納付金(こども・こそだてしえんのうふきん)

In Article 47 of the supplementary provisions (附則) of Act No. 47 of 2024, the children and child-rearing support levy (子ども・子育て支援納付金) provided for in Article 71-3, paragraph (1) of the Act on Support for Children and Child-rearing as amended by that Act, which the government collects every fiscal year from fiscal 2026 from health insurers and similar bodies (健康保険者等).

施行日新支援法第七十一条の三第一項に規定する子ども・子育て支援納付金

Supplementary Provisions, Article 47, paragraph (1)
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ordinary worker

通常の労働者(つうじょうのろうどうしゃ)

In Article 3, paragraph (1), item (ix), the ordinary workers employed at the same place of business with whose weekly working hours and monthly working days a short-time worker's are compared — where the short-time worker does the same kind of work as some of them, only those doing that kind of work, except in cases a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets.

Article 3, paragraph (1), item (ix)
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day worker

日雇労働者(ひやといろうどうしゃ)

A person employed on a temporary basis — hired day by day, or for a fixed term of two months or less that is not expected to be extended — unless kept on at the same place of business (other than one with no fixed location) beyond one month or beyond that term; a person employed in seasonal work, unless meant to be kept on for more than four months; or a person employed at a place of business of a temporary undertaking, unless meant to be kept on for more than six months.

次の各号のいずれかに該当する者

Article 3, paragraph (8)
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electronic eligibility confirmation

電子資格確認(でんししかくかくにん)

The way a person seeking treatment from a medical institution or pharmacy covered by health insurance (保険医療機関等), or designated home nursing (指定訪問看護) from a designated home-nursing provider (指定訪問看護事業者), is confirmed as an insured person or dependent: they ask the insurer about their eligibility by sending the electronic certificate for user verification (利用者証明用電子証明書) recorded on their Individual Number Card (個人番号カード), or by another method a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, receive the insurer's answer online, and pass it to the institution or provider, which then confirms their status.

保険医療機関等(第六十三条第三項各号に掲げる病院若しくは診療所又は薬局

Article 3, paragraph (13)
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Amending Act

改正法(かいせいほう)

Short name for the Act Partially Amending the Health Insurance Act, etc. (Act No. 83 of 2006).

Article 7-5, paragraph (1)
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business reports

事業報告書等(じぎょうほうこくしょとう)

The business report and statement of accounts for a business year that the Japan Health Insurance Association (全国健康保険協会) attaches to its financial statements (財務諸表) when it submits them to the Minister of Health, Labour and Welfare for approval.

Article 7-28, paragraph (2)
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NHI federation

国保連合会(こくほれんごうかい)

A federation of national health insurance associations (国民健康保険団体連合会) as provided in Article 45, paragraph (5) of the National Health Insurance Act, to which an insurer may entrust the review and payment of claims for medical fees from medical institutions and pharmacies providing services covered by health insurance.

Article 76, paragraph (5)
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insurer, etc.

保険者等(ほけんしゃとう)

In Article 180 and Article 181, paragraph (1): the Japan Health Insurance Association (全国健康保険協会) where the insured person has optional and continued coverage (任意継続被保険者) with it, where a person it insures or a specially-insured day laborer (日雇特例被保険者) owes money under Article 58, Article 74, paragraph (2) or Article 109, paragraph (2) (including as Article 149 applies them), or where it has taken over a dissolved health insurance society's rights and that society's premiums, etc. remain uncollected; the health insurance society (健康保険組合) for a person insured in the health insurance it runs; and the Minister of Health, Labour and Welfare otherwise.

被保険者が協会が管掌する健康保険の任意継続被保険者である場合、協会が管掌する健康保険の被保険者若しくは日雇特例被保険者であって第五十八条、第七十四条第二項及び第百九条第二項(第百四十九条においてこれらの規定を準用する場合を含む。)の規定による徴収金を納付しなければならない場合又は解散により消滅した健康保険組合の権利を第二十六条第四項の規定により承継した場合であって当該健康保険組合の保険料等で未収のものに係るものがあるときは協会、被保険者が健康保険組合が管掌する健康保険の被保険者である場合は当該健康保険組合、これら以外の場合は厚生労働大臣

Article 180, paragraph (1)
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Former Mariners Insurance Act

旧船員保険法(きゅうせんいんほけんほう)

In Article 8 of the supplementary provisions (附則) of Act No. 42 of 1957, the Mariners Insurance Act as it stood before the Act Partially Amending the Mariners Insurance Act (Act No. 44 of 1957) amended it.

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the Effective Date

施行日(しこうび)

The date Act No. 83 of 2006, the amending Act these supplementary provisions (附則) belong to, comes into effect.

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