Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect on October 1, 1994; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
この法律は、平成六年十月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
the amending provisions of Article 23 of the Health Insurance Act in Article 1, the amending provisions of Article 23-2 of that Act, the amending provisions of Article 37-2 of that Act, the amending provisions of Article 71-3 of that Act, the amending provisions of Article 71-4 of that Act, and the amending provisions of Article 76 of that Act (including the amending provisions of Articles 3, 5 and 8 and Article 9, paragraph (6) of the Supplementary Provisions of that Act), and the amending provisions of the table of contents of the Mariners Insurance Act in Article 2 (limited to the part replacing "Welfare Facilities" with "Welfare Services"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 23, paragraph (2) of that Act, the amending provisions of Article 50-4 of that Act, the amending provisions of the section title of Section 9 of Chapter III of that Act, the amending provisions of Article 57-2 of that Act, the amending provisions of Article 59-2, paragraph (1) of that Act, and the amending provisions that insert one Article after Article 60 of that Act, and the amending provisions of the table of contents of the National Health Insurance Act in Article 3 (limited to the part replacing "Healthcare Facilities" with "Healthcare Services"), the amending provisions of the chapter title of Chapter VI of that Act, the amending provisions of Article 82 of that Act, and the amending provisions that insert one Article after Article 116 of that Act, and the amending provisions of Article 5 of the Act on Health and Medical Services for the Elderly in Article 4, the amending provisions of Article 22 of that Act, and the amending provisions that add one paragraph to Article 25 of that Act, and the provisions of Article 29 of the Supplementary Provisions, the provisions of Article 30 of the Supplementary Provisions, the provisions of Article 56 of the Supplementary Provisions, and the provisions of Article 61 of the Supplementary Provisions: April 1, 1995;
第一条中健康保険法第二十三条の改正規定、同法第二十三条ノ二の改正規定、同法第三十七条ノ二の改正規定、同法第七十一条ノ三の改正規定、同法第七十一条ノ四の改正規定及び同法第七十六条の改正規定（同法附則第三条、第五条、第八条及び第九条第六項の改正規定を含む。）並びに第二条中船員保険法の目次の改正規定（「福祉施設」を「福祉事業」に改める部分に限る。）、同法第三章の章名の改正規定、同法第二十三条第二項の改正規定、同法第五十条ノ四の改正規定、同法第三章第九節の節名の改正規定、同法第五十七条ノ二の改正規定、同法第五十九条ノ二第一項の改正規定及び同法第六十条の次に一条を加える改正規定並びに第三条中国民健康保険法の目次の改正規定（「保健施設」を「保健事業」に改める部分に限る。）、同法第六章の章名の改正規定、同法第八十二条の改正規定及び同法第百十六条の次に一条を加える改正規定並びに第四条中老人保健法第五条の改正規定、同法第二十二条の改正規定及び同法第二十五条に一項を加える改正規定並びに附則第二十九条の規定並びに附則第三十条の規定並びに附則第五十六条の規定並びに附則第六十一条の規定 平成七年四月一日
the amending provisions of Chapter IV-2 of the Health Insurance Act in Article 1 (limited to the part replacing "28th" with "26th"): the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation.
第一条中健康保険法第四章の二の改正規定（「二十八日」を「二十六日」に改める部分に限る。） 公布の日から起算して三月を超えない範囲内において政令で定める日
Supplementary Provisions, Article 2Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
第二条（健康保険法の一部改正に伴う経過措置）
Of the persons who acquired eligibility as an insured person of health insurance (excluding specially-insured day laborers; the same applies hereinafter in this Article) before October 1, 1994 and continue to have eligibility as an insured person until that date (excluding persons having eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act and persons having eligibility as a special retired insured person prescribed in Article 9, paragraph (1) of the Supplementary Provisions of that Act), the standard remuneration amount of persons 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 is 86,000 yen or less, is revised by the insurer, deeming the monthly remuneration amount that formed the basis of that standard monthly remuneration amount to be the monthly remuneration amount forming the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised Health Insurance Act").
平成六年十月一日前に健康保険の被保険者（日雇特例被保険者を除く。以下この条において同じ。）の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者及び同法附則第九条第一項に規定する特例退職被保険者の資格を有する者を除く。）のうち、同年七月一日から同年九月三十日までの間に被保険者の資格を取得した者又は同法第三条第四項の規定により同年八月若しくは同年九月から標準報酬が改定された者であって、同月の標準報酬月額が八万六千円以下であるものの標準報酬は、当該標準報酬月額の基礎となった報酬月額を第一条の規定による改正後の健康保険法（以下「新健保法」という。）第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
The 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, 1994 to September 30, 1995.
Supplementary Provisions, Article 3
第三条
With regard to benefits under the provisions of the Health Insurance Act pertaining to the provision of meals, nursing or transport provided before the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.
この法律の施行の日（以下「施行日」という。）前に行われた食事の提供、看護又は移送に係る健康保険法の規定による給付については、なお従前の例による。
Supplementary Provisions, Article 4
第四条
When an insured person or former insured person (excluding a person who may receive medical care under the provisions of the Act on Health and Medical Services for the Elderly, and limited to a person in a condition specified by the Minister of Health and Welfare) who receives the benefits for medical treatment set forth in Article 43, paragraph (1), item (v) of the Revised Health Insurance Act at a hospital or clinic specified by the Minister of Health and Welfare (excluding a specially approved medical institution providing services covered by health insurance prescribed in Article 44, paragraph (1), item (i) of the Revised Health Insurance Act) receives nursing provided by a person other than an employee of that hospital or clinic (hereinafter in this paragraph referred to as "attendant nursing"), until March 31, 1996 (for attendant nursing at a hospital or clinic approved by the prefectural governor as one that falls under the requirements specified by Ministry of Health and Welfare Order in consideration of the state of attendant nursing and other circumstances, until the date specified by Ministry of Health and Welfare Order after that date), the provisions of Article 44-2 of the Revised Health Insurance Act or Article 69-14, paragraph (1) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-26, paragraph (5) of the Health Insurance Act) apply by deeming that attendant nursing to be the benefits for medical treatment, etc. prescribed in those provisions.
厚生大臣の定める病院又は診療所（新健保法第四十四条第一項第一号に規定する特定承認保険医療機関を除く。）において、新健保法第四十三条第一項第五号に掲げる療養の給付を受ける被保険者又は被保険者であった者（老人保健法の規定による医療を受けることができる者を除き、厚生大臣の定める状態にある者に限る。）が、当該病院又は診療所の従業者以外の者が提供する看護（以下この項において「付添看護」という。）を受けたときは、平成八年三月三十一日（付添看護の状況その他の事情を勘案し、厚生省令で定める要件に該当する病院又は診療所として都道府県知事の承認を受けたものにおける付添看護については、その日後厚生省令で定める日）までの間、当該付添看護を新健保法第四十四条ノ二又は新健保法第六十九条の十四第一項（健康保険法第六十九条の二十六第五項において準用する場合を含む。）に規定する療養の給付等とみなしてこれらの規定を適用する。
The provisions of the preceding paragraph apply mutatis mutandis to the payment of dependent's medical expenses and to dependent's medical treatment under the provisions of the Health Insurance Act.
Notwithstanding the provisions of Article 43-17, paragraph (2) of the Revised Health Insurance Act, the amount of standard co-payment prescribed in Article 43-17, paragraph (2) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-31 of the Revised Health Insurance Act; hereinafter the same applies in this paragraph) is to be 600 yen until September 30, 1996 (for persons specified by the Ministry of Health and Welfare Order referred to in that paragraph, the amount separately specified by the Minister of Health and Welfare).
新健保法第四十三条ノ十七第二項（新健保法第六十九条の三十一において準用する場合を含む。以下この項において同じ。）に規定する標準負担額は、新健保法第四十三条ノ十七第二項の規定にかかわらず、平成八年九月三十日までの間、六百円（同項の厚生省令で定める者については、厚生大臣が別に定める額）とする。
Supplementary Provisions, Article 6
第六条
With regard to a person who, at the time this Act comes into effect, is a designated home-nursing provider for the elderly prescribed in Article 46-5-2, paragraph (1) of the Act on Health and Medical Services for the Elderly, the designation of a designated home-nursing provider under Article 44-4, paragraph (1) of the Revised Health Insurance Act is deemed to have been made on the Effective Date of the Revised Health Insurance Act; provided, however, that this does not apply if the person conducting that business of designated home nursing for the elderly has notified otherwise, as provided by Ministry of Health and Welfare Order, by the day before the Effective Date.
Supplementary Provisions, Article 7
第七条
With regard to the amounts of injury and sickness allowance and childbirth allowance for the period before the Effective Date for insured persons of health insurance or former insured persons who were hospitalized before the Effective Date and who have no dependents, the provisions then in force continue to govern.
Supplementary Provisions, Article 8
第八条
The provisions of Article 50, paragraph (1), Article 59-4, Article 69-17 and Article 69-24 of the Revised Health Insurance Act apply to insured persons and former insured persons whose date of delivery is on or after the Effective Date, and with regard to the delivery expenses, childcare allowance, spouse's delivery expenses and spouse's childcare allowance under the Health Insurance Act prior to amendment by this Act of insured persons and former insured persons whose date of delivery is before the Effective Date, the provisions then in force continue to govern.
新健保法第五十条第一項、第五十九条ノ四、第六十九条の十七及び第六十九条の二十四の規定は、分べんの日が施行日以後である被保険者及び被保険者であった者について適用し、分べんの日が施行日前である被保険者及び被保険者であった者のこの法律による改正前の健康保険法の分娩費、育児手当金、配偶者分娩費及び配偶者育児手当金については、なお従前の例による。
Supplementary Provisions, Article 9Preparation Prior to Enforcement of Provisions Concerning Payment, etc. of Dietary Treatment Expenses for Inpatients and Medical Expenses for Home-Nursing
第九条（入院時食事療養費及び訪問看護療養費の支給等に関する規定の施行前の準備）
When the Minister of Health and Welfare intends to specify the amount of standard co-payment prescribed in Article 43-17, paragraph (2) of the Revised Health Insurance Act, the Ministry of Health and Welfare Order under Article 44-8, paragraph (1) of the Revised Health Insurance Act and the standards for the operation of the business of designated home nursing prescribed in paragraph (2) of that Article (excluding the part concerning the handling of designated home nursing), and other matters concerning the outline of the implementation of the system based on the Revised Health Insurance Act, the Minister may consult the council specified by Cabinet Order prescribed in Article 1-2 of the Revised Health Insurance Act even before the Effective Date.
When the Minister of Health and Welfare intends to specify the standards in Article 43-17, paragraph (2) of the Revised Health Insurance Act, the Ministry of Health and Welfare Order under Article 43-4, paragraph (1) and Article 43-6, paragraph (1) of the Revised Health Insurance Act as applied mutatis mutandis pursuant to paragraph (9) of that Article, the provisions prescribed in Article 44-4, paragraph (4) of the Revised Health Insurance Act, and the standards for the operation of the business of designated home nursing prescribed in Article 44-8, paragraph (2) of the Revised Health Insurance Act (limited to the part concerning the handling of designated home nursing), the Minister may consult the Central Social Insurance Medical Council even before the Effective Date.
Supplementary Provisions, Article 65Transitional Measures Concerning Penal Provisions
第六十五条（罰則に関する経過措置）
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
Supplementary Provisions, Article 66Review
第六十六条（検討）
With regard to the medical insurance system under the individual medical insurance Acts and the health service system for the elderly under the Act on Health and Medical Services for the Elderly, a review is to be made, with a view to doing so within three years after this Act comes into effect, in light of the purposes of those systems and taking into account the status of the implementation of those systems after this Act comes into effect, trends in national medical expenses, changes in the socioeconomic situation, etc., concerning the manner of benefits and cost sharing, etc., including the manner of patient burden pertaining to dietary treatment expenses for inpatients.
医療保険各法による医療保険制度及び老人保健法による老人保健制度については、この法律の施行後三年を目途として、これらの制度の目的を踏まえ、この法律の施行後におけるこれらの制度の実施状況、国民医療費の動向、社会経済情勢の推移等を勘案し、入院時食事療養費に係る患者負担の在り方を含め、給付及び費用負担の在り方等に関して検討が加えられるべきものとする。
Supplementary Provisions, Article 67Delegation of Other Transitional Measures to Cabinet Order
第六十七条（その他の経過措置の政令への委任）
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。