Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Cabinet Order comes into effect on the date of promulgation.
この政令は、公布の日から施行する。
Supplementary Provisions, Article 4Transitional Measures Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act
第四条（健康保険法施行令の一部改正に伴う経過措置）
The provisions of Article 34, paragraph (2) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 2 (hereinafter referred to in this Article as the "New Order") apply to the case where the month in which benefits for medical treatment are received is on or after September 2006, and for the case where the month in which benefits for medical treatment are received is up to August of that year, the provisions then in force continue to govern.
第二条の規定による改正後の健康保険法施行令（以下この条において「新令」という。）第三十四条第二項の規定は、療養の給付を受ける月が平成十八年九月以後の場合について適用し、療養の給付を受ける月が同年八月までの場合については、なお従前の例による。
The provisions of Article 39, paragraph (2) of the New Order apply to the case where the month in which a dependent prescribed in that paragraph (hereinafter referred to in this Article and the following Article simply as a "dependent") receives medical care is on or after September 2006, and for the case where the month in which a dependent receives medical care is up to August of that year, the provisions then in force continue to govern.
新令第三十九条第二項の規定は、同項に規定する被扶養者（以下この条及び次条において単に「被扶養者」という。）が療養を受ける月が平成十八年九月以後の場合について適用し、被扶養者が療養を受ける月が同年八月までの場合については、なお従前の例による。
The provisions of Article 42, paragraph (2), item (iv) of the New Order apply to the case where the month in which medical care was received is on or after August 2006, and for the case where the month in which medical care was received is up to July of that year, the provisions then in force continue to govern.
新令第四十二条第二項第四号の規定は、療養のあった月が平成十八年八月以後の場合について適用し、療養のあった月が同年七月までの場合については、なお従前の例による。
Supplementary Provisions, Article 5
第五条
Among the insured persons to whom Article 74, paragraph (1), item (iii) or Article 110, paragraph (2), item (i)(d) of the Health Insurance Act applies, for those who fall under any of the following items (hereinafter referred to in this Article as "insured persons with specified income"), the base amount for calculating high-cost medical expenses under Article 41, paragraph (2) of the Order for Enforcement of the Health Insurance Act (hereinafter referred to in this Article as the "Order") is, notwithstanding Article 42, paragraph (2) of the Order, the amount specified in item (i) of that paragraph.
健康保険法第七十四条第一項第三号又は第百十条第二項第一号ニの規定が適用される被保険者のうち、次の各号のいずれかに該当するもの（以下この条において「特定収入被保険者」という。）に係る健康保険法施行令（以下この条において「令」という。）第四十一条第二項の高額療養費算定基準額は、令第四十二条第二項の規定にかかわらず、同項第一号に定める額とする。
a person for whom the amount of income under Article 34, paragraph (2) or Article 39, paragraph (2) of the Order, in the case where the month in which benefits for medical treatment or the medical care of the person's dependent is received is from September 2006 through August 2007, is less than 6,210,000 yen (in the case of a person with no dependent, a person for whom it is less than 4,840,000 yen);
a person for whom the amount of income under Article 34, paragraph (2) or Article 39, paragraph (2) of the Order, in the case where the month in which benefits for medical treatment or the medical care of the person's dependent is received is from September 2007 through March 2008, is less than 6,210,000 yen (in the case of a person with no dependent, a person for whom it is less than 4,840,000 yen).
For an insured person with specified income, the base amount for calculating high-cost medical expenses under Article 41, paragraph (3) of the Order is, notwithstanding Article 42, paragraph (3) of the Order, the amount specified in item (i) of that paragraph.
With regard to the high-cost medical expenses to be paid to an insured person with specified income pursuant to Article 43, paragraph (1) of the Order, the amount that the insurer pays to the medical institution providing services covered by health insurance, etc. prescribed in that paragraph is, notwithstanding that paragraph, limited to the amount obtained by deducting, from the amount of the co-payment concerned prescribed in that paragraph, the amount specified in each of the following items in accordance with the category of medical care listed in that item.
medical care listed in Article 43, paragraph (1), item (ii) of the Order: the amount specified in sub-item (a) of that item;
令第四十三条第一項第二号に掲げる療養 同号イに定める額
medical care listed in Article 43, paragraph (1), item (iii) of the Order: the amount specified in sub-item (a) of that item.
令第四十三条第一項第三号に掲げる療養 同号イに定める額
With regard to the payment of high-cost medical expenses relating to medical expenses combined with treatment outside insurance coverage or dependent's medical expenses for an insured person with specified income, Article 43, paragraph (3) of the Order is applied by deeming the phrase "each of those items" in that paragraph to be replaced with "sub-item (a) of each of those items".
medical institution providing services covered by health insurance, etc.machine translation
「保険医療機関等」
In Article 43, paragraphs (1) and (5), the hospitals, clinics and pharmacies designated by the Minister of Health, Labour and Welfare (保険医療機関 and 保険薬局) and those listed in Article 63, paragraph (3), item (ii) of the Health Insurance Act — the hospitals, clinics and pharmacies an insurer designates to treat or dispense to the persons it insures — to which the insurer pays high-cost medical expenses (高額療養費) directly where the co-payment or other cost has not been paid.
Short name set inArticle 43, paragraph (1)· applies only in this paragraph and in Article 43, paragraph (5)
New Ordermachine translation
「新令」
In Article 4 of the supplementary provisions (附則) of Cabinet Order No. 241 of 2006, the Order for Enforcement of the Health Insurance Act as amended by Article 2 of that Cabinet Order.
Short name set inSupplementary Provisions, Article 4, paragraph (1)· applies only in this article
dependentmachine translation
「被扶養者」
In Articles 4 and 5 of the supplementary provisions (附則) of Cabinet Order No. 241 of 2006, a dependent as provided in Article 39, paragraph (2) of the Order for Enforcement of the Health Insurance Act as that Cabinet Order amended it.
Short name set inSupplementary Provisions, Article 4, paragraph (2)· applies only in this article and in Supplementary Provisions, Article 5
insured person with specified incomemachine translation
「特定収入被保険者」
In Article 5 of the supplementary provisions (附則) of Cabinet Order No. 241 of 2006, an insured person to whom Article 74, paragraph (1), item (iii) or Article 110, paragraph (2), item (i), (d) of the Health Insurance Act applies whose income under Article 34, paragraph (2) or Article 39, paragraph (2) of the Order for Enforcement of the Health Insurance Act, for treatment from September 2006 to March 2008, is under 6.21 million yen (4.84 million yen for one with no dependents); for them the base amount for calculating high-cost medical expenses (高額療養費算定基準額) is the amount in Article 42, paragraph (2), item (i) of that Order.
Short name set inSupplementary Provisions, Article 5, paragraph (1)· applies only in this article