Supplementary Provisions

This Cabinet Order comes into effect on August 1, 2026; provided, however, that the provisions of the following Article and Articles 4, 6 and 8 of the Supplementary Provisions come into effect on the date of promulgation.

The certification by an insurer, under the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order; the same applies hereinafter in this Article), that a person falls under the persons listed in Article 42, paragraph (3), item (vi) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 1 (limited to the part relating to item (i)) (referred to as the "New Order for Enforcement of the Health Insurance Act" in the following Article) (including where applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act), may be made, even before the date of enforcement of this Cabinet Order (hereinafter referred to as the "Effective Date"), in accordance with the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act.

The provisions of Article 42, paragraph (3) of the New Order for Enforcement of the Health Insurance Act (limited to the part relating to item (vi), and including where applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) apply to the base amount for calculating high-cost medical expenses under Article 41, paragraphs (3) through (5) and paragraph (7) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order) in the case where the month in which medical treatment was received is August 2026 or later, and to the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order) (including the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) as applied mutatis mutandis under Article 43-2, paragraph (3) of that Order, with respect to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replaced terms under Article 43-3, paragraph (3) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order), and the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) as applied mutatis mutandis under Article 43-2, paragraph (4) of that Order, with respect to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replaced terms under Article 43-3, paragraph (4) of that Order) in the case where the month that includes the reference date prescribed in the proviso to Article 41-2, paragraph (1) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (2) of that Order) (including the day deemed to be the reference date pursuant to Article 43-4, paragraph (1) or Article 44, paragraph (7) of that Order) is that month or later, and with regard to that base amount for calculating high-cost medical expenses in the case where the month in which medical treatment was received is July of that year or earlier, and that base amount for the combined long-term care calculation for persons aged 70 or over in the case where the month that includes that reference date is that month or earlier, the provisions then in force continue to govern.