The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
With regard to a registered midwife (meaning a registered midwife prescribed in Article 98-4 of the item (vi) New Health Insurance Act; hereinafter the same applies in this Article) who becomes an administrator of a designated birthing center (meaning a designated birthing center prescribed in Article 98-2, paragraph (1), item (i) of the item (vi) New Health Insurance Act; hereinafter the same applies in this Article) during the period until the day on which three years elapse counting from the item (vi) Effective Date, the provisions of Article 98-11, paragraph (1), item (ii) of the item (vi) New Health Insurance Act do not apply during the period until the day on which three years elapse from the day on which the registered midwife becomes the administrator of the designated birthing center (limited to the period during which the person continues to be the administrator of the designated birthing center).
With regard to childbirth that an insured person covered by health insurance, a person who was insured for one year or more (meaning a person who was an insured person (excluding an insured person with optional and continued coverage or an insured person who is a member of a mutual aid association) continuously for one year or more until the day preceding the day on which the person lost eligibility as an insured person (for a person who lost eligibility as an insured person with optional and continued coverage, the day on which the person acquired that eligibility); referred to as a "person who was insured for one year or more" in paragraph (1) of the following Article), or a dependent had before the item (vi) Effective Date, the provisions of the item (vi) New Health Insurance Act (limited to those concerning the payment of delivery expenses, lump-sum allowance at childbirth, dependent's delivery expenses, lump-sum allowance at dependent's childbirth and special delivery expenses) do not apply, and the matter is governed by the provisions of the Health Insurance Act prior to amendment by Article 2 (limited to those concerning the payment of lump-sum allowance for childbirth and childcare and lump-sum allowance for dependent's childbirth and childcare).
With regard to childbirth that an insured person covered by health insurance, a person who was insured for one year or more, or a dependent has had at a special delivery-handling facility (meaning a hospital or clinic existing at the time of enforcement of the provisions of Article 2 (limited to one that handles deliveries, and excluding a hospital or clinic listed in Article 63, paragraph (3), item (ii) or (iii) of the Health Insurance Act that exists at the time of enforcement of the provisions of Article 2) or a birthing center that currently exists, with respect to which the establisher of the hospital or clinic or the establisher of the birthing center has, on or after the item (vi) Effective Date, pursuant to Order of the Ministry of Health, Labour and Welfare, notified the Minister of Health, Labour and Welfare of matters specified by Order of the Ministry of Health, Labour and Welfare concerning the payment of the lump-sum allowance for childbirth and childcare and lump-sum allowance for dependent's childbirth and childcare provided for in the medical insurance laws prior to amendment by this Act (meaning the medical insurance laws prescribed in Article 7, paragraph (1) of the Act on Assurance of Medical Care for Elderly People) (including benefits equivalent thereto); the same applies hereinafter) or at a hospital or clinic listed in Article 63, paragraph (3), item (ii) or (iii) of the Health Insurance Act that exists at the time of enforcement of the provisions of Article 2 (limited to one that handles deliveries and that is specified in the matters concerning delivery care in the articles of association of a health insurance society as one that provides delivery care pertaining to the lump-sum allowance for childbirth and childcare and lump-sum allowance for dependent's childbirth and childcare prescribed in Article 101, Article 106, Article 114, Article 137 and Article 144 of that Act prior to amendment by the provisions of Article 2 (referred to as "former lump-sum allowance for childbirth and childcare, etc." in paragraph (4))), the provisions of the item (vi) New Health Insurance Act (limited to those concerning the payment of delivery expenses, lump-sum allowance at childbirth, dependent's delivery expenses, lump-sum allowance at dependent's childbirth and special delivery expenses) do not apply for the time being, and the provisions of Article 101, Article 106, Article 114, Article 137 and Article 144 of the Health Insurance Act prior to amendment by the provisions of Article 2 remain in force.
The lump-sum allowance for childbirth and childcare and lump-sum allowance for dependent's childbirth and childcare prescribed in Article 101, Article 106, Article 114, Article 137 and Article 144 of the Health Insurance Act prior to amendment by the provisions of Article 2, which are to remain in force pursuant to the provisions of the preceding paragraph, are deemed to be insurance benefits under the item (vi) New Health Insurance Act. In this case, with regard to the application of the provisions of Article 152-2 and Article 152-5 of the item (vi) New Health Insurance Act, the phrase "special delivery expenses (including an amount equivalent to the expenses required for delivery care paid pursuant to the provisions of Article 134-2, paragraph (6) or (7) as applied mutatis mutandis pursuant to Article 145-2, paragraph (4))" in Article 152-2 of the item (vi) New Health Insurance Act is deemed to be replaced with "special delivery expenses (including an amount equivalent to the expenses required for delivery care paid pursuant to the provisions of Article 134-2, paragraph (6) or (7) as applied mutatis mutandis pursuant to Article 145-2, paragraph (4)) and the lump-sum allowance for childbirth and childcare and lump-sum allowance for dependent's childbirth and childcare prescribed in Article 101, Article 106, Article 114, Article 137 and Article 144 as they stood prior to amendment by the provisions of Article 2 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 31 of 2026), which are to remain in force pursuant to the provisions of Article 15, paragraph (1) of the Supplementary Provisions of that Act (hereinafter referred to as 'lump-sum allowance for childbirth and childcare, etc.' in this Article and Article 152-5)", the phrase "limited to" with "limited to, and with regard to the expenses required for the payment of lump-sum allowance for childbirth and childcare, etc., limited to the portion pertaining to the amount specified by Cabinet Order under Article 101 as it stood prior to amendment by the provisions of Article 2 of that Act, which is to remain in force pursuant to the provisions of Article 15, paragraph (1) of the Supplementary Provisions of that Act", and the phrase "limited to" in Article 152-5 of the item (vi) New Health Insurance Act with "limited to, and with regard to the expenses required for the payment of lump-sum allowance for childbirth and childcare, etc., limited to the portion pertaining to the amount specified by Cabinet Order under Article 101 as it stood prior to amendment by the provisions of Article 2 of that Act, which is to remain in force pursuant to the provisions of Article 15, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc.", and beyond that, other necessary technical replacement of terms is specified by Cabinet Order.
When a special delivery-handling facility wishes to cease to be a special delivery-handling facility, the establisher of that special delivery-handling facility is to submit a notification to that effect to the Minister of Health, Labour and Welfare, pursuant to Order of the Ministry of Health, Labour and Welfare. However, when a birthing center that is a special delivery-handling facility receives the designation under Article 98-2, paragraph (1), item (i) of the item (vi) New Health Insurance Act, the notification is deemed to have been made.
If, in a hospital or clinic listed in Article 63, paragraph (3), item (ii) or (iii) of the Health Insurance Act prescribed in paragraph (1), in relation to the delivery care pertaining to the former lump-sum allowance for childbirth and childcare, etc. that it provides, it ceases to provide the delivery care pertaining to the former lump-sum allowance for childbirth and childcare, etc. as a result of a change in the matters concerning delivery care in the articles of association of the health insurance society, the provisions of the item (vi) New Health Insurance Act apply to childbirth at that hospital or clinic on or after the date of the change.
Supplementary Provisions, Article 37, paragraph (1)（罰則の適用に関する経過措置）Transitional Measures Concerning the Application of Penal ProvisionsAdded
With regard to the application of penal provisions to acts committed before the enforcement of the provisions listed in Article 1, item (vi) of the Supplementary Provisions and to acts committed on or after the item (vi) Effective Date in the cases where the provisions are to remain in force pursuant to the provisions of Article 15, paragraph (1), Article 19, paragraph (1), Article 23, paragraph (1), Article 30, paragraph (1), Article 33, paragraph (1) and Article 35, paragraph (1) of the Supplementary Provisions, the provisions then in force continue to govern.