This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation; provided, however, that the provisions of Article 1 amending Article 3, paragraph (1) of the Health Insurance Act (limited to the part pertaining to the table in that paragraph), the provisions of Article 2 amending Article 4, paragraph (1) of the Mariners Insurance Act, the provisions amending Article 59 of that Act (limited to the part pertaining to pension insurance premium rates), the provisions adding one Article after Article 59 of that Act, the provisions amending Article 59-2 of that Act, the provisions amending Article 60 of that Act (limited to the part pertaining to pension insurance premium rates), the provisions amending paragraphs (12) and (13) of the Supplementary Provisions of that Act, the provisions amending paragraphs (18) through (20) of the Supplementary Provisions of that Act, and the provisions of Articles 9 through 12 of the Supplementary Provisions come into effect as of October 1, 1984; the provisions of Article 1 adding two Articles to the Supplementary Provisions of the Health Insurance Act, the provisions of Article 2 adding three paragraphs to the Supplementary Provisions of the Mariners Insurance Act, the provisions of Article 3 adding five paragraphs to the Supplementary Provisions of the National Health Insurance Act, the provisions of Article 46 of the Supplementary Provisions amending Article 12 of the Supplementary Provisions of the National Public Officers, etc. Mutual Aid Association Act (Act No. 128 of 1958), the provisions of Article 48 of the Supplementary Provisions adding one Article after Article 17 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962), and the provisions of Article 50 of the Supplementary Provisions amending Article 25, paragraph (1) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) and amending the table in that paragraph (excluding the part pertaining to the entry for Article 126-5, paragraph (2)) come into effect as of April 1, 1985; the provisions of Article 2 amending Article 59-3 of the Mariners Insurance Act come into effect as of October 1 of the same year; the provisions of Article 1 amending Article 13, item (ii) of the Health Insurance Act and the provisions of Article 3 of the Supplementary Provisions come into effect as of April 1, 1986; and the provisions of Article 1 amending Article 43-14, paragraph (1) of the Health Insurance Act and adding one Article before Article 44-2 (limited to the part pertaining to Article 44, paragraph (11) of that Act), the provisions of Article 3 amending Article 50, paragraph (1) of the National Health Insurance Act, the provisions amending Article 53 of that Act (limited to the part pertaining to paragraph (9) of that Article) and the provisions adding two Sections after Article 81 in Chapter V of that Act (limited to the part pertaining to Articles 81-9 through 81-12), and the provisions of Article 61 of the Supplementary Provisions (limited to the provisions amending Article 14 of the Social Insurance Council and Social Insurance Medical Council Act (Act No. 47 of 1950)) come into effect as of the date of promulgation.

①Of persons who acquired eligibility as an insured person under health insurance before October 1, 1984 and who continue to hold eligibility as an insured person until that day (excluding persons who hold eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), the standard remuneration amount of a person who acquired eligibility as an insured person during the period from July 1 to September 30 of that year, or whose standard remuneration amount was revised from August or September of that year pursuant to the provisions of Article 3, paragraph (4) of that Act, and whose standard monthly remuneration amount for the same month of the same year is 64,000 yen or less, is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration amount to be the monthly remuneration amount that is the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by this Act (hereinafter referred to as the "Revised Health Insurance Act").

②The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from October 1, 1984 to September 30, 1985.

With regard to persons employed at a place of business listed in Article 13, item (ii) of the Revised Health Insurance Act who are employed at a place of business other than a place of business at which five or more employees work regularly, the provisions of that Article (including where applied under Article 14, Articles 16 through 18, Article 20, paragraph (1), Article 21, Article 31, Article 55, paragraph (2) (including where applied mutatis mutandis in Article 55-2, paragraph (2), Article 57, paragraph (2) and Article 59-2, paragraph (7)) and Article 69-7 of that Act) are to be applied in stages, as specified by Cabinet Order, until March 31, 1989.

①With regard to the amount of medical expenses under the provisions of the Health Insurance Act pertaining to medical care, medication or treatment given before the day on which this Act comes into effect (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.

②With regard to the payment of high-cost medical expenses or dependent's high-cost medical expenses under the provisions of the Health Insurance Act prior to amendment by this Act pertaining to medical care, medication or treatment given before the Effective Date, the provisions then in force continue to govern.

③The provisions of Article 58, paragraphs (2) and (3) of the Revised Health Insurance Act (including where these provisions apply mutatis mutandis in Article 69-31 of the Revised Health Insurance Act) apply to a person who is to receive injury and sickness allowance under the provisions of the Health Insurance Act and for whom the day on which the person became entitled to receive disability pension or disability allowance under the provisions of the Employees' Pension Insurance Act (Act No. 115 of 1954) in respect of the same sickness or injury and any sickness caused thereby is on or after the Effective Date.

With regard to the application of the provisions of Article 79-11 of the Revised Health Insurance Act to the estimated day laborer contributions for fiscal year 1984, the phrase "insurance premiums for specially-insured day laborers paid in the preceding fiscal year" in that Article is deemed to be replaced with "insurance premiums paid in fiscal year 1983 under the provisions of the Day Laborers Health Insurance Act (Act No. 207 of 1953) as it stood before its repeal".

The Day Laborers Health Insurance Act (Act No. 207 of 1953) is repealed.

②With regard to an application for the issuance of the day laborer health insurance insured person handbook prescribed in Article 8, paragraph (1) of the Former Day Laborers Health Insurance Act by a person who became an insured person pursuant to the provisions of Article 6 of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern. In this case, that application is deemed to be the application prescribed in Article 69-9, paragraph (1) of the Revised Health Insurance Act.

①Insurance benefits provided before the Effective Date under the provisions of the Former Day Laborers Health Insurance Act are deemed to be insurance benefits provided under the corresponding provisions of the Revised Health Insurance Act.

②With regard to insurance benefits under the provisions of the Former Day Laborers Health Insurance Act for which the grounds for a benefit claim arose before the Effective Date (hereinafter referred to as "former insurance benefits"), except as provided for in Article 29 of the Supplementary Provisions, the provisions then in force continue to govern.

③With regard to a claim by a hospital, clinic or pharmacy listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act for the expenses required for medical treatment pertaining to benefits for medical treatment or the payment of dependent's medical expenses, special medical expenses or high-cost medical expenses under the provisions of the Former Day Laborers Health Insurance Act that were provided before the Effective Date, the provisions then in force continue to govern.

With regard to a person who, at the time this Act comes into effect, is actually receiving benefits for medical treatment (including the payment of medical expenses; the same applies hereinafter in this Article) or the payment of dependent's medical expenses under the provisions of the Former Day Laborers Health Insurance Act in respect of a sickness or injury, and for whom five years have not elapsed from the day on which benefits for medical treatment or the payment of dependent's medical expenses for that sickness (including the sickness or injury that caused it) or injury began (if, before that starting day, special medical expenses were paid under the provisions of the Former Day Laborers Health Insurance Act for that sickness (including the sickness or injury that caused it) or injury, the day on which the payment of those special medical expenses began; the same applies hereinafter in this Article), benefits for medical treatment, the payment of specified medical expenses or the payment of dependent's medical expenses under the provisions of Article 69-12, paragraph (1), Article 69-13, paragraph (1) or Article 69-22, paragraph (1) of the Revised Health Insurance Act are to be provided in respect of that sickness or injury and any sickness caused thereby until five years have elapsed from the day on which those benefits for medical treatment or the payment of dependent's medical expenses began, even where the person does not fall under the provisions of Article 69-12, paragraph (2) of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 69-22, paragraph (2)).

With regard to injury and sickness allowance or childbirth allowance to be paid continuously under the provisions of the Revised Health Insurance Act in respect of the same sickness, injury or childbirth to a person who, at the time this Act comes into effect, is actually entitled to receive injury and sickness allowance or childbirth allowance under the provisions of the Former Day Laborers Health Insurance Act, in Article 69-15, paragraph (2), item (i) of the Revised Health Insurance Act, the phrase "1/50th of the largest of the total amounts of standard daily wages" is deemed to be replaced with "6/280ths of the total amount of standard daily wages in the case where 28 days are selected so that the total amount of standard daily wages is the largest"; in item (ii) of that paragraph, the phrase "1/50th of the largest of the total amounts of standard daily wages" is deemed to be replaced with "6/780ths of the total amount of standard daily wages in the case where 78 days are selected so that the total amount of standard daily wages is the largest"; and in Article 69-18, paragraph (2) of the Revised Health Insurance Act, the phrase "1/50th of the total amount of standard daily wages for one month prior to the month of childbirth" is deemed to be replaced with "6/280ths of the total amount in the case where 28 days are selected, from among the days for which insurance premiums were paid in the four months preceding the month including the day of childbirth, so that the total amount of the standard daily wages of the specially-insured day laborer relating to those days of payment is the largest".

With regard to the collection, from a person who received former insurance benefits by fraud or other wrongful conduct, of all or part of the expenses required for those former insurance benefits; an order to pay money to be collected, issued to an employer who made a false certification or improperly affixed or canceled health insurance stamps in relation to those former insurance benefits and to a physician providing health insurance treatment who made a false entry in a medical certificate to be submitted to the insurer; and the refund of the amount paid, and the payment of an amount obtained by multiplying that amount by one-tenth, by a medical institution providing services covered by health insurance and a pharmacy providing services covered by health insurance listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act that received, by fraud or other wrongful conduct, payment of expenses relating to benefits for medical treatment under the provisions of the Former Day Laborers Health Insurance Act or payment under the provisions of Article 17, paragraph (3) of the Former Day Laborers Health Insurance Act (including where applied mutatis mutandis in Article 17-6 of the Former Day Laborers Health Insurance Act), the provisions then in force continue to govern.

With regard to the determination of insurance premiums under the provisions of the Former Day Laborers Health Insurance Act for periods before the Effective Date and the collection of penalty fees, and the demand for payment, disposition of delinquency and collection of delinquent charges concerning those insurance premiums and other money to be collected under the provisions of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern.

With regard to appeals against dispositions under the provisions of the Former Day Laborers Health Insurance Act (including cases where those provisions are to be followed) that are prescribed in Article 39, paragraph (1) and Article 40 of the Former Day Laborers Health Insurance Act, and actions for rescission of those dispositions, the provisions then in force continue to govern.

With regard to the matters prescribed in Articles 44 through 48 of the Former Day Laborers Health Insurance Act that are necessary for the enforcement of day laborer health insurance under the provisions of the Former Day Laborers Health Insurance Act (including cases where those provisions are to be followed), the provisions then in force continue to govern.

①With regard to the share of the national treasury in the expenses required for medical treatment pertaining to benefits for medical treatment or the payment of dependent's medical expenses, special medical expenses or high-cost medical expenses under the provisions of the Former Day Laborers Health Insurance Act that were provided before the Effective Date, being the expenses claimed for that medical treatment, by the last day of the month that includes the Effective Date, by a hospital or clinic, or a pharmacy, listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern.

②With regard to the share of the national treasury in contributions that the insurer of day laborer health insurance under the provisions of the Former Day Laborers Health Insurance Act was to pay pursuant to the provisions of the Act on Health and Medical Services for the Elderly and that are to be paid by the last day of the month that includes the Effective Date, the provisions then in force continue to govern.

Insurance premiums paid pursuant to the provisions of the Former Day Laborers Health Insurance Act are deemed to be insurance premiums for specially-insured day laborers paid pursuant to the provisions of the Revised Health Insurance Act.

Of the former insurance benefits, the payment of injury and sickness allowance, childbirth allowance and high-cost medical expenses is deemed, for the purpose of the application of Article 70-4, paragraph (1) of the Revised Health Insurance Act, to be the payment of injury and sickness allowance, childbirth allowance and high-cost medical expenses prescribed in that paragraph.

With regard to the application of penal provisions to acts committed before the Effective Date and to acts committed on or after the Effective Date in cases where the provisions then in force are to continue to govern pursuant to the provisions of this Act, the provisions then in force continue to govern.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.