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on 1 April 2027, in 5 months

Health Insurance Act

健康保険法(けんこうほけんほう)

Amended by

Act Partially Amending the Health Insurance Act, etc.

健康保険法等の一部を改正する法律

The whole text as amended, on e-Gov

4 provisions changed · 1 provision added · 3 provisions in the supplementary provisions

Each provision the amendment changes, before and after in one: words it removes are struck through, words it adds are highlighted. The Japanese is the law; the icon beside each English column says whose English it is.

Article 3 · (Definitions)第三条(定義)

Read it in the amended law
  • ChangedArticle 3, paragraph (1), item (viii)

    a person who has received approval from made a request to the Minister of Health, Labour and Welfare, a health insurance society, or a mutual aid association to the effect that the person will become an insured person of National Health Insurance by not becoming an insured person of health insurance (limited to the period in which the person should be covered by National Health Insurance due to not being covered by other health insurance); or

    厚生労働大臣、健康保険組合又は共済組合の承認を受けに対し、健康保険の被保険者とならないことにより国民健康保険の被保険者となる旨の申出をした者(健康保険の被保険者でないことにより国民健康保険の被保険者であるべき期間に限る。)

Article 70 · (Responsibilities of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)第七十条(保険医療機関又は保険薬局の責務)

Read it in the amended law
  • AddedArticle 70, paragraph (5)

    In order to improve the quality of medical care received by citizens and ensure its appropriate and efficient provision, a medical institution providing services covered by health insurance is to endeavor to take measures for streamlining its operations and improving the working environment of its employees.

    保険医療機関は、国民が受ける医療の質の向上とその適正かつ効率的な提供を図るため、当該保険医療機関における業務の効率化及びその従業者の勤務環境の改善のための措置を講ずるように努めるものとする。

Article 154第百五十四条

Read it in the amended law
  • ChangedArticle 154, paragraph (1)

    In addition to the expenses prescribed in Article 151 and the preceding Article, the national treasury subsidizes every fiscal year the amount obtained by multiplying, by the rate specified by Cabinet Order prescribed in the preceding Article, the amount obtained by multiplying by the following ratio the sum (or, if there is a young-old subsidy, the amount obtained by deducting from that sum the amount obtained by multiplying the amount of that young-old subsidy by the benefit expense ratio) of the amount of expenses required for payment of benefits for medical treatment pertaining to specially-insured day laborers and of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, special medical expenses, high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care (in the case of benefits for medical treatment, an amount equivalent to the amount of co-payment is to be deducted), from among the expenses required for the execution of health insurance services, the amount obtained by multiplying the amount of expenses required for payment of the young-old payment by the benefit expense ratio (meaning the ratio of the estimated benefit expenses subject to adjustment to the total amount of the estimated benefit expenses subject to adjustment and the estimated amount of aid for the old-old pertaining to the young-old prescribed in Article 34, paragraph (1), item (i), (a)(2) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article), and the amount of expenses required for payment of the contribution for securing medical care in the early phase of an epidemic: the ratio obtained by dividing the total number of payment days of insurance premiums relating to specially-insured day laborers paid in the relevant fiscal year by employers other than employers who establish a health insurance society (including insurers of national health insurance providing national health insurance to persons who have obtainedmade the approvalrequest referred to in Article 3, paragraph (1), item (viii); the same applies in Article 171, paragraphs (2) and (3)) by the total number of payment days of insurance premiums relating to specially-insured day laborers paid in that fiscal year.

    国庫は、第百五十一条及び前条に規定する費用のほか、毎年度、健康保険事業の執行に要する費用のうち、日雇特例被保険者に係る療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、出産手当金、家族療養費、家族訪問看護療養費、家族移送費、特別療養費、高額療養費及び高額介護合算療養費の支給に要する費用(療養の給付については、一部負担金に相当する額を控除するものとする。)の額、前期高齢者納付金の納付に要する費用の額に給付費割合(調整対象給付費見込額及び高齢者の医療の確保に関する法律第三十四条第一項第一号イ(2)に規定する前期高齢者に係る後期高齢者支援金の概算額の合計額に対する調整対象給付費見込額の割合をいう。以下この条において同じ。)を乗じて得た額並びに流行初期医療確保拠出金の納付に要する費用の額の合算額(前期高齢者交付金がある場合には、当該合算額から当該前期高齢者交付金の額に給付費割合を乗じて得た額を控除した額)に健康保険組合(第三条第一項第八号の承認を受け申出をした者の国民健康保険を行う国民健康保険の保険者を含む。第百七十一条第二項及び第三項において同じ。)を設立する事業主以外の事業主から当該年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数を当該年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数で除して得た率を乗じて得た額に前条に規定する政令で定める割合を乗じて得た額を補助する。

Article 179 · (Application to Insurers Providing National Health Insurance)第百七十九条(国民健康保険の保険者への適用)

Read it in the amended law
  • ChangedArticle 179, paragraph (1)

    An insurer providing national health insurance for persons to a person who have been approvedhas made a request pursuant to Article 3, paragraph (1), item (viii) is deemed to be a health insurance society, and the provisions from Article 173 through the preceding Article apply.

    第三条第一項第八号の承認を受け申出をした者の国民健康保険を行う国民健康保険の保険者は、健康保険組合とみなして、第百七十三条から前条までの規定を適用する。

Article 204 · (Delegation of Affairs under the Authority of the Minister of Health, Labour and Welfare to an Organization)第二百四条(機構への厚生労働大臣の権限に係る事務の委任)

Read it in the amended law
  • ChangedArticle 204, paragraph (1), item (i)

    approvalacceptance of a request pursuant to the provisions of Article 3, paragraph (1), item (viii);

    第三条第一項第八号の規定による承認申出の受理

3 changes in the supplementary provisions (附則)

Supplementary Provisions, Article 47 · Transitional Measures and Points to Note Concerning Introduction of Children and Child-rearing Support Levy附則第四十七条(子ども・子育て支援納付金の導入に当たっての経過措置及び留意事項)

Read it in the amended law
  • ChangedSupplementary Provisions, Article 47, paragraph (4), item (iii)

    the amounts of the share of the national treasury under Article 70, paragraph (1) of the National Health Insurance Act as amended by the provisions of Article 8 (hereinafter in this item referred to as the "New National Health Insurance Act"), the adjustment grants under Article 72, paragraph (1) of the New National Health Insurancesame Act, and the amounts transferred in under Article 72-2, paragraph (1) of the New National Health Insurancesame Act (limited to the part pertaining to the costs required for payment of the children and child-rearing support levy), and the amounts transferred in under Article 72-3, paragraph (1), Article 72-3-2, paragraph (1), Article 72-3-3, paragraph (1) and Article 72-4, paragraph (1) of the New National Health Insurancesame Act and the amount of the subsidy under Article 73, paragraphparagraphs (1) of the New National Health Insuranceand (6) of the same Act (limited to the part specified by Cabinet Order as the part pertaining to the costs required for payment of the children and child-rearing support levy);

    第八条の規定による改正後の国民健康保険法(以下この号において「新国民健康保険法」という。)第七十条第一項の規定による国庫負担金、新国民健康保険同法第七十二条第一項の規定による調整交付金及び新国民健康保険同法第七十二条の二第一項の規定による繰入金の額(子ども・子育て支援納付金の納付に要する費用に係る部分に限る。)並びに新国民健康保険同法第七十二条の三第一項、第七十二条の三の二第一項、第七十二条の三の三第一項及び第七十二条の四第一項の規定による繰入金並びに新国民健康保険同法第七十三条第一項及び第六項の規定による補助の額(子ども・子育て支援納付金の納付に要する費用に係る部分として政令で定める部分に限る。)

Supplementary Provisions, Article 1 · Effective Date附則第一条(施行期日)

Read it in the amended law
  • ChangedSupplementary Provisions, Article 1, paragraph (1), item (ix)

    the provisions of Article 6 (excluding, within that Article, the provision amending Article 3, paragraph (2), item (iv) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities (limited to the part replacing "the medical care plan prescribed in Article 30-4, paragraph (1) of the Medical Care Act" with "the regional medical care vision prescribed in Article 30-3-3, paragraph (1) of the Medical Care Act (hereinafter referred to as the ‘regional medical care vision’) and the medical care plan prescribed in Article 30-4, paragraph (1) of that Act", and ")及び" (and) with ")並びに" (and, joining the larger group)), the provision amending Article 4, paragraph (2), item (ii) and paragraph (3) of that Act, and the provision deleting Article 7-2 and Article 7-3 of that Act); the provision, in Article 7, amending the Table of Contents of the Health Insurance Act, the provision amending Article 7-2, paragraph (3), Article 77, paragraph (3), and Article 150-2, paragraph (1) of that Act, the provision amending Article 150-10 of that Act (excluding the amending provision listed in item (v)), the provision, in Chapter VI, renumbering that Article as Article 150-13 of that Act, the provision amending Article 150-9 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 150-12 of that Act, the provision amending Article 150-8 of that Act, the provision renumbering that Article as Article 150-11 of that Act, the provision amending Article 150-7, paragraph (1) of that Act, the provision renumbering that Article as Article 150-10 of that Act, the provision adding three Articles after Article 150-6 of that Act, and the provision amending Article 151, Article 153, Article 154, paragraph (1), Article 155, paragraph (1), Article 160, paragraph (3) and paragraph (14), Article 173, paragraph (1), Article 176, Article 207-3, and Article 213-2 of that Act, and the provision amending Article 2, paragraph (1) and Article 4-2 of the Supplementary Provisions of that Act; the provision, in Article 8, amending Article 112, paragraph (2), Article 114, paragraph (1), and Article 121, paragraph (2) of the Mariners Insurance Act, and the provision amending Article 7 of the Supplementary Provisions of that Act; the provision, in Article 9, amending Article 69, Article 70, paragraph (1), Article 73, paragraphs (1) and (2), Article 75, Article 75-7, paragraph (1), Article 76, paragraphs (1) and (2), and Article 81-2, paragraph (1011) of the National Health Insurance Act; the provisions of Article 10 (excluding the amending provision listed in item (iii)); the provision, in Article 11, amending Article 16-2, paragraph (1) and Article 16-8 of the Act on Assurance of Medical Care for Elderly People, the provision renumbering that Article as Article 16-11 of that Act, the provision amending Article 16-7, paragraph (1) of that Act, the provision renumbering that Article as Article 16-10 of that Act, the provision adding three Articles after Article 16-6 of that Act, the provision amending Article 17 of that Act (limited to the part replacing "use or provision under the provisions of Article 16-2, paragraph (1)" with "use and provision under the provisions of Article 16-2, paragraph (1) and Article 16-7, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 17-2, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 34, paragraphs (1), (3), (4), and (6), Article 35, paragraphs (1), (3), (4), and (6), Article 38, paragraphs (1) and (2), Article 39, paragraphs (1) and (2), Article 61, paragraph (3), Article 72, paragraph (2), Article 81, paragraph (2), and Article 93, paragraphs (1) and (2) of that Act, the provision amending Article 100, paragraph (1) of that Act (excluding the amending provision listed in item (v)), the provision amending paragraph (2) of that Article and Article 104, paragraphs (1) and (3), Article 116, paragraph (2), Article 120, paragraph (1), Article 134, paragraph (3), Article 137, paragraph (3), Article 152, paragraph (2), and Article 161-3, paragraph (2) of that Act, and the provision amending Article 167-2 and Article 168, paragraph (3) of that Act; the provision, in Article 12, amending Article 115-47, paragraph (10) of the Long-Term Care Insurance Act (limited to the part replacing "Article 118-10 and Article 118-11" with "Article 118-13 and Article 118-14"), the provision amending Article 118-3, paragraph (1) of that Act, the provision amending Article 118-11 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-14 of that Act, the provision amending Article 118-10 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-13 of that Act, the provision amending Article 118-9 of that Act, the provision renumbering that Article as Article 118-12 of that Act, the provision amending Article 118-8, paragraph (1) of that Act, the provision renumbering that Article as Article 118-11 of that Act, the provision adding three Articles after Article 118-7 of that Act, and the provision amending Article 205-3 and Article 206-2 of that Act; the provisions of Article 14 (excluding the amending provisions listed in that item and item (vi)); the provision, in Article 15, amending Article 24, paragraph (1) of the Immunization Act, the provision adding three Articles after Article 28 of that Act, the provision amending Article 29, paragraph (1) and Article 30 of that Act, the provision amending Article 31 of that Act (limited to the part replacing "use or provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1)" with "use and provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1), and the use and provision of pseudonymized information related to immunization, etc. under the provisions of Article 28-2, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 32, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 33, item (i) and Article 43, item (i) of that Act, and the provision amending Article 48 and Article 59 of that Act; the provisions of Article 20; the provision, in Article 22, amending Article 89-2-3, paragraph (1) and Article 89-2-11 of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, the provision renumbering that Article as Article 89-2-14 of that Act, the provision amending Article 89-2-10 of that Act, the provision renumbering that Article as Article 89-2-13 of that Act, the provision amending Article 89-2-9 of that Act, the provision renumbering that Article as Article 89-2-12 of that Act, the provision amending Article 89-2-8, paragraph (1) of that Act, the provision renumbering that Article as Article 89-2-11 of that Act, the provision adding three Articles after Article 89-2-7 of that Act, and the provision amending Article 109-2 and Article 109-3 of that Act; the provisions of Article 26; the provisions of Article 27 (excluding the amending provisions listed in item (v) and item (vi)), the provisions of Article 28 (excluding the amending provision listed in item (v)), and the provisions of Article 11, Article 15, Article 17, Article 27, and Article 29 of the Supplementary Provisions; the provisions of Article 35 (excluding the amending provisions listed in that item and item (vi)), Article 38 (excluding the amending provisions listed in item (v) and item (vi)), and Article 39 (excluding the amending provisions listed in item (v) and item (vi)) of the Supplementary Provisions; and the provisions of Article 43, Article 46, Article 47, and Article 52 of the Supplementary Provisions, and the provisions of Article 59 of the Supplementary Provisions (excluding the amending provision listed in the following item): the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation;

    第六条の規定(同条中地域における医療及び介護の総合的な確保の促進に関する法律第三条第二項第四号の改正規定(「医療法」を「医療法第三十条の三の三第一項に規定する地域医療構想(以下「地域医療構想」という。)及び同法」に、「)及び」を「)並びに」に改める部分に限る。)、同法第四条第二項第二号及び第三項の改正規定並びに同法第七条の二及び第七条の三を削る改正規定を除く。)、第七条中健康保険法の目次の改正規定、同法第七条の二第三項、第七十七条第三項及び第百五十条の二第一項の改正規定、同法第百五十条の十の改正規定(第五号に掲げる改正規定を除く。)、第六章中同条を第百五十条の十三とする改正規定、同法第百五十条の九の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百五十条の十二とする改正規定、同法第百五十条の八の改正規定、同条を同法第百五十条の十一とする改正規定、同法第百五十条の七第一項の改正規定、同条を同法第百五十条の十とする改正規定、同法第百五十条の六の次に三条を加える改正規定並びに同法第百五十一条、第百五十三条、第百五十四条第一項、第百五十五条第一項、第百六十条第三項及び第十四項、第百七十三条第一項、第百七十六条、第二百七条の三並びに第二百十三条の二の改正規定並びに同法附則第二条第一項及び第四条の二の改正規定、第八条中船員保険法第百十二条第二項、第百十四条第一項及び第百二十一条第二項の改正規定並びに同法附則第七条の改正規定、第九条中国民健康保険法第六十九条、第七十条第一項、第七十三条第一項及び第二項、第七十五条、第七十五条の七第一項、第七十六条第一項及び第二項並びに第八十一条の二第十一項の改正規定、第十条の規定(第三号に掲げる改正規定を除く。)、第十一条中高齢者の医療の確保に関する法律第十六条の二第一項及び第十六条の八の改正規定、同条を同法第十六条の十一とする改正規定、同法第十六条の七第一項の改正規定、同条を同法第十六条の十とする改正規定、同法第十六条の六の次に三条を加える改正規定、同法第十七条の改正規定(「の規定による利用又は」を「並びに第十六条の七第一項及び第二項の規定による利用及び」に改める部分に限る。)、同条に二項を加える改正規定、同法第十七条の二第一項の改正規定(「前条」を「前条第一項」に改める部分に限る。)、同条に一項を加える改正規定、同法第三十四条第一項、第三項、第四項及び第六項、第三十五条第一項、第三項、第四項及び第六項、第三十八条第一項及び第二項、第三十九条第一項及び第二項、第六十一条第三項、第七十二条第二項、第八十一条第二項並びに第九十三条第一項及び第二項の改正規定、同法第百条第一項の改正規定(第五号に掲げる改正規定を除く。)、同条第二項並びに同法第百四条第一項及び第三項、第百十六条第二項、第百二十条第一項、第百三十四条第三項、第百三十七条第三項、第百五十二条第二項並びに第百六十一条の三第二項の改正規定並びに同法第百六十七条の二及び第百六十八条第三項の改正規定、第十二条中介護保険法第百十五条の四十七第十項の改正規定(「第百十八条の十及び第百十八条の十一」を「第百十八条の十三及び第百十八条の十四」に改める部分に限る。)、同法第百十八条の三第一項の改正規定、同法第百十八条の十一の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百十八条の十四とする改正規定、同法第百十八条の十の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百十八条の十三とする改正規定、同法第百十八条の九の改正規定、同条を同法第百十八条の十二とする改正規定、同法第百十八条の八第一項の改正規定、同条を同法第百十八条の十一とする改正規定、同法第百十八条の七の次に三条を加える改正規定並びに同法第二百五条の三及び第二百六条の二の改正規定、第十四条の規定(同号及び第六号に掲げる改正規定を除く。)、第十五条中予防接種法第二十四条第一項の改正規定、同法第二十八条の次に三条を加える改正規定、同法第二十九条第一項及び第三十条の改正規定、同法第三十一条の改正規定(「又は提供」を「及び提供並びに第二十八条の二第一項及び第二項の規定による仮名予防接種等関連情報の利用及び提供」に改める部分に限る。)、同条に二項を加える改正規定、同法第三十二条第一項の改正規定(「前条」を「前条第一項」に改める部分に限る。)、同条に一項を加える改正規定、同法第三十三条第一号及び第四十三条第一号の改正規定並びに同法第四十八条及び第五十九条の改正規定、第二十条の規定、第二十二条中障害者の日常生活及び社会生活を総合的に支援するための法律第八十九条の二の三第一項及び第八十九条の二の十一の改正規定、同条を同法第八十九条の二の十四とする改正規定、同法第八十九条の二の十の改正規定、同条を同法第八十九条の二の十三とする改正規定、同法第八十九条の二の九の改正規定、同条を同法第八十九条の二の十二とする改正規定、同法第八十九条の二の八第一項の改正規定、同条を同法第八十九条の二の十一とする改正規定、同法第八十九条の二の七の次に三条を加える改正規定並びに同法第百九条の二及び第百九条の三の改正規定、第二十六条の規定、第二十七条の規定(第五号及び第六号に掲げる改正規定を除く。)並びに第二十八条の規定(第五号に掲げる改正規定を除く。)並びに附則第十一条、第十五条、第十七条、第二十七条及び第二十九条の規定、附則第三十五条(同号及び第六号に掲げる改正規定を除く。)、第三十八条(第五号及び第六号に掲げる改正規定を除く。)及び第三十九条(第五号及び第六号に掲げる改正規定を除く。)の規定、附則第四十三条、第四十六条、第四十七条及び第五十二条の規定並びに附則第五十九条の規定(次号に掲げる改正規定を除く。) 公布の日から起算して三年を超えない範囲内において政令で定める日

Supplementary Provisions, Article 12附則第十二条

Read it in the amended law
  • AddedSupplementary Provisions, Article 12, paragraph (1)

    The provisions of Article 3, paragraph (1) (limited to the part pertaining to item (viii); the same applies hereinafter in this Article) and Article 204, paragraph (1) (limited to the part pertaining to item (i)) of the Health Insurance Act as amended by the provisions of Article 1 (excluding the amending provisions listed in Article 1, items (i), (ii) and (iv) of the Supplementary Provisions; the same applies hereinafter in this Article) apply to cases where a request is made on or after the Effective Date, and the provisions then in force continue to govern in cases where an application pertaining to the approval under Article 3, paragraph (1) of the Health Insurance Act prior to its amendment by the provisions of Article 1 is made before the Effective Date.

    第一条の規定(附則第一条第一号、第二号及び第四号に掲げる改正規定を除く。以下この条において同じ。)による改正後の健康保険法第三条第一項(第八号に係る部分に限る。以下この条において同じ。)及び第二百四条第一項(第一号に係る部分に限る。)の規定は、施行日以後に申出をする場合について適用し、施行日前に第一条の規定による改正前の健康保険法第三条第一項の承認に係る申請を行う場合については、なお従前の例による。