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by 4 June 2028, on a day set by

Local Tax Act

地方税法(ちほうぜいほう)

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

On a day set by , no later than 4 June 2028 — the amending law allows up to two years from . The exact day is not fixed yet.

3 provisions changed · 3 provisions in the supplementary provisions

Each provision the amendment changes, as it will read: the words it adds are underlined, and a bar marks where it removes words. “Show removed words” strikes those through in place; “Before and after” sets the two wordings side by side. A provision that only moves to another number says the number it had. The Japanese is the law; the icon beside each English column says whose English it is.

How the changes are shown

Underlined: words the amendment adds. A bar: where it removes words. Struck through: the words it removes.

Article 703-4 · National Health Insurance Tax第七百三条の四(国民健康保険税)

3 reworded
Read it in the amended law
  • ChangedArticle 703-4, paragraph (1), item (i)Every wording

    The expenses required for payment of the national health insurance business contribution under the provisions of the National Health Insurance Act (hereinafter in this Article referred to as the "national health insurance business contribution") (including the expenses required for payment of the contributions for the young-old, etc. under the provisions of the Act on Assurance of Medical Care for Elderly People, the aid for the old-old, etc. under the provisions of that Act (hereinafter in this Article referred to as "aid for the old-old, etc."), and the contribution for administrative expenses relating to childbirth and childcare under the provisions of that Act, the payment under the provisions of the Long-Term Care Insurance Act (hereinafter in this Article referred to as the "long-term care payment"), the contributions, etc. for securing medical care in the initial stage of an epidemic under the provisions of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases, and the children and child-rearing support levy under the provisions of the Act on Support for Children and Child-rearing (Act No. 65 of 2012) (hereinafter in this Article referred to as the "children and child-rearing support levy"), which are borne by the special account for National Health Insurance of the prefecture encompassing that municipality; the same applies hereinafter in this Article)

    国民健康保険法の規定による国民健康保険事業費納付金(以下この条において「国民健康保険事業費納付金」という。)の納付に要する費用(当該市町村を包括する都道府県の国民健康保険に関する特別会計において負担する高齢者の医療の確保に関する法律の規定による前期高齢者納付金等、同法の規定による後期高齢者支援金等(以下この条において「後期高齢者支援金等」という。)及び同法の規定による出産育児関係事務費拠出金、介護保険法の規定による納付金(以下この条において「介護納付金」という。)、感染症の予防及び感染症の患者に対する医療に関する法律の規定による流行初期医療確保拠出金等並びに子ども・子育て支援法(平成二十四年法律第六十五号)の規定による子ども・子育て支援納付金(以下この条において「子ども・子育て支援納付金」という。)の納付に要する費用を含む。以下この条において同じ。)

    Act No. 87 of 2025 changes it again, by .

  • ChangedArticle 703-4, paragraph (3), item (i), (a)

    The total of the amount obtained by deducting the amount equivalent to the co-payment for the benefit from the amount of expenses required for benefits for medical treatment for insured persons under the provisions of the National Health Insurance Act, and the amount of expenses required for the payment of expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical care expenses, medical expenses for home-nursing, special medical care expenses, transportation expenses, childbirth expenses (including the amount equivalent to the expenses required for the care of childbirth that are paid pursuant to Article 54-5, paragraph (9) or (10) of that Act), lump-sum payments at childbirth (including the difference paid pursuant to Article 54-11, paragraph (3) of that Act), high-cost medical care expenses and high-cost long-term care combined medical care expenses;

    被保険者に係る国民健康保険法の規定による療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額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、特別療養費、移送費、分娩費(同法第五十四条の五第九項又は第十項の規定により支給される分娩の手当に要した費用に相当する額を含む。)、出産時一時金(同法第五十四条の十一第三項の規定により支給される差額を含む。)、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の額の合算額

  • ChangedArticle 703-4, paragraph (3), item (ii), (d)

    The amount of revenue for other expenses required for national health insurance services borne by the special account for national health insurance of the municipality concerned (excluding expenses required for administering national health insurance) (including the childbirth and childcare grants prescribed in Article 73-2, paragraph (1) of the National Health Insurance Act, and excluding transfers under the provisions of Article 72-3, paragraph (1), Article 72-3-2, paragraph (1) and Article 72-3-3, paragraph (1) of that Act);

    その他当該市町村の国民健康保険に関する特別会計において負担する国民健康保険事業に要する費用(国民健康保険の事務の執行に要する費用を除く。)のための収入(国民健康保険法第七十三条の二第一項に規定する出産育児交付金を含み、同法第七十二条の三第一項、第七十二条の三の二第一項及び第七十二条の三の三第一項の規定による繰入金を除く。)の額

3 changes in the supplementary provisions (附則)

Supplementary Provisions, Article 37 · Transitional Measures Concerning the Application of Penal Provisions附則第三十七条(罰則の適用に関する経過措置)

Read it in the amended law
  • AddedSupplementary Provisions, Article 37, paragraph (1)

    With regard to the application of penal provisions to acts committed before the date of enforcement of the provisions set forth in Article 1, item (vi) and to acts committed on or after the Item 6 Effective Date in the case where they 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), the provisions then in force continue to govern.

    附則第一条第六号に掲げる規定の施行前にした行為並びに附則第十五条第一項、第十九条第一項、第二十三条第一項、第三十条第一項、第三十三条第一項及び第三十五条第一項の規定によりなおその効力を有することとされる場合における第六号施行日以後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 49 · Adjustment Provisions Accompanying the Partial Amendment of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities, etc.附則第四十九条(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等の一部改正に伴う調整規定)

2 added
Read it in the amended law
  • AddedSupplementary Provisions, Article 49, paragraph (1)

    If the date of enforcement of the provisions set forth in Article 1, item (ix) of the Supplementary Provisions of the Act Partially Amending the Medical Care Act, etc. is before the Item 6 Effective Date, the provisions of the preceding Article (limited to the provisions amending Article 6 of that Act (limited to the part replacing "childbirth and childcare grant" with "childbirth grant") and the provisions amending Articles 10 and 11 of that Act) do not apply.

    医療法等の一部を改正する法律附則第一条第九号に掲げる規定の施行の日が第六号施行日前である場合には、前条(同法第六条の改正規定(「出産育児交付金」を「出産交付金」に改める部分に限る。)並びに同法第十条及び第十一条の改正規定に限る。)の規定は適用しない。

  • AddedSupplementary Provisions, Article 49, paragraph (2)

    In the case of the preceding paragraph, the words set forth in the middle column of the following table in the provisions of this Act set forth in the left-hand column of that table are to be the words set forth in the right-hand column of that table, respectively.

    The provision in Article 7 amending Article 703-5, paragraph (2) of the Local Tax ActIn Article 703-5, paragraph (2), "six" is replaced with "18".In Article 703-5, paragraph (2), "six" is replaced with "18". In the entry for paragraph (1), item (i) in the table in Article 38 of the Supplementary Provisions, "contribution for administrative expenses relating to childbirth and childcare" is replaced with "contribution for administrative expenses relating to childbirth".
    The provision in Article 13 amending Article 4, paragraph (2), item (ii) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in CommunitiesIn Article 4, paragraph (2), item (ii), "(g)" is changed to "(h)", and the following is added after (f): (g) Projects to support improving the efficiency of operations of medical institutions and improving the working environment of their medical professionals in medical and long-term care comprehensive securing areasIn Article 4, paragraph (2), item (ii), "(g)" is changed to "(h)", and the following is added after (f): (g) Projects to support improving the efficiency of operations of medical institutions and improving the working environment of their medical professionals in medical and long-term care comprehensive securing areas In Article 10-14, paragraph (2), "childbirth and childcare grant" is replaced with "childbirth grant".
    Article 1, item (vi)item (ii), (d)the provision amending item (ii), (d) and the entry for paragraph (1), item (i) in the table in Article 38 of the Supplementary Provisions of that Act
    and Article 12,, the provisions of Article 12, the provision in Article 13 amending Article 10-14, paragraph (2) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities, and

    前項の場合においては、次の表の上欄に掲げるこの法律の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。

    第七条中地方税法第七百三条の五第二項の改正規定第七百三条の五第二項中「六歳」を「十八歳」に改める。第七百三条の五第二項中「六歳」を「十八歳」に改める。 附則第三十八条の表第一項第一号の項中「出産育児関係事務費拠出金」を「出産関係事務費拠出金」に改める。
    第十三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四条第二項第二号の改正規定第四条第二項第二号中トをチとし、ヘの次に次のように加える。 ト 医療介護総合確保区域における医療機関の業務の効率化及びその医療従事者の勤務環境の改善の支援に関する事業第四条第二項第二号中トをチとし、ヘの次に次のように加える。 ト 医療介護総合確保区域における医療機関の業務の効率化及びその医療従事者の勤務環境の改善の支援に関する事業 第十条の十四第二項中「出産育児交付金」を「出産交付金」に改める。
    附則第一条第六号第二号ニ第二号ニの改正規定並びに同法附則第三十八条の表第一項第一号の項
    並びに第十二条、、第十二条の規定、第十三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十条の十四第二項の改正規定並びに