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National Health Insurance Act

国民健康保険法(こくみんけんこうほけんほう)

Chapter XI Miscellaneous Provisions (Articles 110 to 113-3)

The law as Act Partially Amending the Health Insurance Act, etc. (Act No. 31 of 2026) leaves it, with the words it changes marked.

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.

Chapter XI Miscellaneous Provisions第十一章 雑則

Article 110第百十条

Prescription(時効)
Article 110, paragraph (1)

The right to collect insurance premiums and other monies to be collected pursuant to the provisions of this Act or to receive refunds of such monies and the right to receive insurance benefits shall be extinguished by prescription after a lapse of two years from the time when these rights may be exercised.

保険料その他この法律の規定による徴収金を徴収し、又はその還付を受ける権利及び保険給付を受ける権利は、これらを行使することができる時から二年を経過したときは、時効によつて消滅する。

Article 110, paragraph (2)

Any notice of collection of, or any demand for, insurance premiums or any other money to be collected pursuant to the provisions of this Act shall have the effect of renewal of prescription.

保険料その他この法律の規定による徴収金の徴収の告知又は督促は、時効の更新の効力を生ずる。

Article 110-2第百十条の二

Period Limitation on Assessment Decisions(賦課決定の期間制限)
Article 110-2, paragraph (1)

A decision on the assessment of insurance premiums may not be made on or after the day on which two years have elapsed, counting from the day following the first due date for payment of insurance premiums for the relevant fiscal year (meaning the due date for payment by which insurance premiums are to be paid or remitted pursuant to the provisions of this Act or a Prefectural or Municipal Ordinance based on this Act, and, in the case where it has become possible to impose insurance premiums after that due date, the day on which it has become possible to impose the insurance premiums; the same applies in the following paragraph).

保険料の賦課決定は、当該年度における最初の保険料の納期(この法律又はこれに基づく条例の規定により保険料を納付し、又は納入すべき期限をいい、当該納期後に保険料を課することができることとなつた場合にあつては、当該保険料を課することができることとなつた日とする。次項において同じ。)の翌日から起算して二年を経過した日以後においては、することができない。

Article 110-2, paragraph (2)

A determination of assessment that reduces the amount of insurance premiums in the case where, after a determination of assessment of insurance premiums has been made, it becomes evident, due to grounds not attributable to the insured person, that adjustment is required in the relationship of application with the respective Acts on medical insurance concerning insured persons (meaning the Health Insurance Act, the Mariners Insurance Act, the National Public Officers Mutual Aid Association Act, the Local Public Officers, etc. Mutual Aid Association Act or the Private School Personnel Mutual Aid Association Act) may, notwithstanding the preceding paragraph, be made even on or after the day on which two years have elapsed from the day following the due date for payment of the first insurance premium for the fiscal year, until the day on which a period equivalent to the period found necessary for the adjustment has elapsed from the day following the due date for payment of the first insurance premium for that fiscal year.

保険料の賦課決定をした後に、被保険者の責めに帰することのできない事由によつて被保険者に関する医療保険各法(健康保険法、船員保険法、国家公務員共済組合法、地方公務員等共済組合法又は私立学校教職員共済法をいう。)との間における適用関係の調整を要することが判明した場合における保険料の額を減少させる賦課決定は、前項の規定にかかわらず、当該年度における最初の保険料の納期の翌日から起算して二年を経過した日以後であつても、当該年度における最初の保険料の納期の翌日から起算して調整に必要と認められる期間に相当する期間を経過する日まですることができる。

Article 111第百十一条

Calculation of a Term(期間の計算)
Article 111, paragraph (1)

The provisions of the Civil Code (Act No. 89 of 1896) concerning periods apply mutatis mutandis to the calculation of periods prescribed in this Act or orders based on this Act.

この法律又はこの法律に基づく命令に規定する期間の計算については、民法(明治二十九年法律第八十九号)の期間に関する規定を準用する。

Article 111-2第百十一条の二

Restrictions on Use, etc. of Insured Person's Symbol and Number, etc.(被保険者記号・番号等の利用制限等)
1 change in this article
Article 111-2, paragraph (1)(被保険者記号・番号等の利用制限等)Restrictions on Use, etc. of Insured Person's Symbol and Number, etc.Changed

The Minister of Health, Labour and Welfare, prefectures, Municipalities, Societies, health insurance-covered medical institutions, etc., designated home-nursing providers, designated birthing centers and other persons specified by Order of the Ministry of Health, Labour and Welfare as persons who use the insured person's symbol and number, etc. (meaning insurer numbers (meaning numbers that the Minister of Health, Labour and Welfare sets for each Municipality or Society as numbers for identifying Municipalities or Societies in national health insurance services) and insured person's symbol and number (meaning symbols, numbers and other codes that a Municipality or Society sets for each insured person for managing eligibility as an insured person); hereinafter the same applies in this Article) for the performance of national health insurance services or affairs related to those services (referred to as the "Minister of Health, Labour and Welfare, etc." in this Article) must not, except where necessary for the performance of those services or affairs, request any person to disclose the insured person's symbol and number, etc. relating to that person or a person other than that person.

厚生労働大臣、都道府県、市町村、組合、保険医療機関等、指定訪問看護事業者、指定助産所その他の国民健康保険事業又は当該事業に関連する事務の遂行のため被保険者記号・番号等(保険者番号(厚生労働大臣が国民健康保険事業において市町村又は組合を識別するための番号として、市町村又は組合ごとに定めるものをいう。)及び被保険者記号・番号(市町村又は組合が被保険者の資格を管理するための記号、番号その他の符号として、被保険者ごとに定めるものをいう。)をいう。以下この条において同じ。)を利用する者として厚生労働省令で定める者(以下この条において「厚生労働大臣等」という。)は、当該事業又は事務の遂行のため必要がある場合を除き、何人に対しても、その者又はその者以外の者に係る被保険者記号・番号等を告知することを求めてはならない。

Article 111-2, paragraph (2)(被保険者記号・番号等の利用制限等)

A person other than the Minister of Health, Labour and Welfare, etc. must not, except in cases specified by Order of the Ministry of Health, Labour and Welfare as cases where use of the insured person's symbol and number, etc. is particularly necessary for the performance of national health insurance services or affairs related to those services, request any person to disclose the insured person's symbol and number, etc. relating to that person or a person other than that person.

厚生労働大臣等以外の者は、国民健康保険事業又は当該事業に関連する事務の遂行のため被保険者記号・番号等の利用が特に必要な場合として厚生労働省令で定める場合を除き、何人に対しても、その者又はその者以外の者に係る被保険者記号・番号等を告知することを求めてはならない。

Article 111-2, paragraph (3)(被保険者記号・番号等の利用制限等)

No person may, except in the following cases, with regard to acts that person conducts as a business, request a person who intends to apply, or applies, to that person for a contract of sale, lease, employment or other contract (hereinafter referred to as a "contract" in this paragraph), or a person who has concluded a contract with that person, to disclose the insured person's symbol and number, etc. relating to the person so requested or a person other than that person:

何人も、次に掲げる場合を除き、その者が業として行う行為に関し、その者に対し売買、貸借、雇用その他の契約(以下この項において「契約」という。)の申込みをしようとする者若しくは申込みをする者又はその者と契約の締結をした者に対し、当該者又は当該者以外の者に係る被保険者記号・番号等を告知することを求めてはならない。

Article 111-2, paragraph (3), item (i)(被保険者記号・番号等の利用制限等)

where the Minister of Health, Labour and Welfare, etc. requests the disclosure of the insured person's symbol and number, etc. in a case prescribed in paragraph (1);

厚生労働大臣等が、第一項に規定する場合に、被保険者記号・番号等を告知することを求めるとき。

Article 111-2, paragraph (3), item (ii)(被保険者記号・番号等の利用制限等)

where a person other than the Minister of Health, Labour and Welfare, etc. requests the disclosure of the insured person's symbol and number, etc. in a case specified by Order of the Ministry of Health, Labour and Welfare prescribed in the preceding paragraph.

厚生労働大臣等以外の者が、前項に規定する厚生労働省令で定める場合に、被保険者記号・番号等を告知することを求めるとき。

Article 111-2, paragraph (4)(被保険者記号・番号等の利用制限等)

No person may, except in the following cases, constitute as a business a database in which the insured person's symbol and number, etc. are recorded (meaning a collection of information including the insured person's symbol and number, etc. relating to persons other than that person, systematically structured so that such information can be retrieved using a computer) and in which the information recorded is intended to be provided to others (hereinafter in this paragraph referred to as a "database for provision"):

何人も、次に掲げる場合を除き、業として、被保険者記号・番号等の記録されたデータベース(その者以外の者に係る被保険者記号・番号等を含む情報の集合物であつて、それらの情報を電子計算機を用いて検索することができるように体系的に構成したものをいう。)であつて、当該データベースに記録された情報が他に提供されることが予定されているもの(以下この項において「提供データベース」という。)を構成してはならない。

Article 111-2, paragraph (4), item (i)(被保険者記号・番号等の利用制限等)

where the Minister of Health, Labour and Welfare, etc. constitutes a database for provision in a case prescribed in paragraph (1);

厚生労働大臣等が、第一項に規定する場合に、提供データベースを構成するとき。

Article 111-2, paragraph (4), item (ii)(被保険者記号・番号等の利用制限等)

where a person other than the Minister of Health, Labour and Welfare, etc. constitutes a database for provision in a case specified by Order of the Ministry of Health, Labour and Welfare prescribed in paragraph (2).

厚生労働大臣等以外の者が、第二項に規定する厚生労働省令で定める場合に、提供データベースを構成するとき。

Article 111-2, paragraph (5)(被保険者記号・番号等の利用制限等)

When an act in violation of the provisions of the preceding two paragraphs has been committed and the Minister of Health, Labour and Welfare finds that the person who committed the act is likely to commit further acts in violation of those provisions repeatedly, the Minister may recommend that the person who committed the act cease the act, or recommend that the person take measures necessary to ensure that the act is ceased.

厚生労働大臣は、前二項の規定に違反する行為が行われた場合において、当該行為をした者が更に反復してこれらの規定に違反する行為をするおそれがあると認めるときは、当該行為をした者に対し、当該行為を中止することを勧告し、又は当該行為が中止されることを確保するために必要な措置を講ずることを勧告することができる。

Article 111-2, paragraph (6)(被保険者記号・番号等の利用制限等)

When a person who has received a recommendation pursuant to the provisions of the preceding paragraph does not comply with the recommendation, the Minister of Health, Labour and Welfare may, by specifying a time limit, order that person to comply with the recommendation.

厚生労働大臣は、前項の規定による勧告を受けた者がその勧告に従わないときは、その者に対し、期限を定めて、当該勧告に従うべきことを命ずることができる。

Article 111-3第百十一条の三

Reports and Inspections(報告及び検査)
Article 111-3, paragraph (1)

When the Minister of Health, Labour and Welfare finds it necessary in relation to the measures under paragraphs (5) and (6) of the preceding Article, the Minister may, within the extent found necessary, request a person for whom there are reasonable grounds to find that the person is in violation of paragraph (3) or (4) of that Article to make a report on necessary matters, or may have personnel enter the office or business office of that person and question the person concerned or inspect the books and other documents or other articles.

厚生労働大臣は、前条第五項及び第六項の規定による措置に関し必要があると認めるときは、その必要と認められる範囲内において、同条第三項若しくは第四項の規定に違反していると認めるに足りる相当の理由がある者に対し、必要な事項に関し報告を求め、又は当該職員に当該者の事務所若しくは事業所に立ち入つて質問させ、若しくは帳簿書類その他の物件を検査させることができる。

Article 111-3, paragraph (2)

The provisions of Article 45-2, paragraph (2) apply mutatis mutandis to questions or inspections under the preceding paragraph, and the provisions of paragraph (3) of that Article apply mutatis mutandis to the authority under the preceding paragraph, respectively.

第四十五条の二第二項の規定は、前項の規定による質問又は検査について、同条第三項の規定は、前項の規定による権限について、それぞれ準用する。

Article 112第百十二条

Free Certification Relating to Family Registers(戸籍に関する無料証明)
Article 112, paragraph (1)

The head of a Municipality (or, in the case of a designated city as set forth in Article 252-19, paragraph (1) of the Local Autonomy Act, the head of a ward or the head of a comprehensive ward) may, pursuant to the provisions of the Municipal Ordinance of such Municipality, issue, free of charge, to a Municipality, a Society or a person who receives insurance benefits, a certificate concerning the family register of a current or former insured person.

市町村長(地方自治法第二百五十二条の十九第一項の指定都市にあつては、区長又は総合区長とする。)は、当該市町村の条例で定めるところにより、市町村若しくは組合又は保険給付を受ける者に対し、被保険者又は被保険者であつた者の戸籍に関し、無料で証明を行うことができる。

Article 113第百十三条

Submission, etc. of Documents(文書の提出等)
Article 113, paragraph (1)

When a Municipality or Society finds it necessary in relation to an insured person's eligibility, insurance benefit or insurance premiums, it may order the current or former Householder or Society member of the household to which the insured person belongs to submit or present a document or any other article or may have its personnel question such Householder or Society member.

市町村及び組合は、被保険者の資格、保険給付及び保険料に関して必要があると認めるときは、被保険者の属する世帯の世帯主若しくは組合員又はこれらであつた者に対し、文書その他の物件の提出若しくは提示を命じ、又は当該職員に質問させることができる。

Article 113-2第百十三条の二

Provision, etc. of Materials(資料の提供等)
Article 113-2, paragraph (1)

When a Municipality finds it necessary in relation to an insured person's eligibility, insurance benefit or insurance premiums, it may request a public agency to provide access to necessary documents or to provide necessary materials or may request a report from a bank, trust company or any other institution or the insured person's employer or any other person involved, concerning matters relating to the acquisition and loss of eligibility as an insured person, matters necessary to confirm that the reason for which an insured person received insurance benefits arose from an act of a third party, the status of assets or income of the insured person or of the Householder of the household to which the insured person belongs, or any change in the type of insured person under the National Pension or the status of payment of insurance premiums pursuant to the provisions of the National Pension Act.

市町村は、被保険者の資格、保険給付及び保険料に関し必要があると認めるときは、被保険者の資格の取得及び喪失に関する事項、被保険者の保険給付を受けた事由が第三者の行為によつて生じたものであることを確認するために必要な事項、被保険者若しくは被保険者の属する世帯の世帯主の資産若しくは収入の状況又は国民年金の被保険者の種別の変更若しくは国民年金法の規定による保険料の納付状況につき、官公署に対し、必要な書類の閲覧若しくは資料の提供を求め、又は銀行、信託会社その他の機関若しくは被保険者の雇用主その他の関係者に報告を求めることができる。

Article 113-2, paragraph (2)

When a Municipality finds it necessary in relation to an insured person's eligibility, it may request another Municipality or any Society or any Insurer or mutual aid association under the provisions of any of the Acts listed in items (i) through (iii) of Article 6, or the Promotion and Mutual Aid Corporation for Private Schools of Japan, which shall administer the Private School Personnel Mutual Aid System pursuant to the provisions of the Private School Personnel Mutual Aid Association Act, to provide the name and address of an insured person covered by the National Health Insurance provided by such another Municipality or Society, or an insured person covered by health insurance or seaman's insurance or said person's dependent, or a member of a mutual aid association or said member's dependent, or a subscriber to the Private School Personnel Mutual Aid System or said subscriber's dependent, the name and location of the applicable office as set forth in Article 3, paragraph (3) of the Health Insurance Act, or any other necessary materials.

市町村は、被保険者の資格に関し必要があると認めるときは、他の市町村、組合、第六条第一号から第三号までに掲げる法律の規定による保険者若しくは共済組合又は私立学校教職員共済法の規定により私立学校教職員共済制度を管掌することとされた日本私立学校振興・共済事業団に対し、他の市町村若しくは組合が行う国民健康保険の被保険者、健康保険若しくは船員保険の被保険者若しくは被扶養者、共済組合の組合員若しくは被扶養者又は私立学校教職員共済制度の加入者若しくは被扶養者の氏名及び住所、健康保険法第三条第三項に規定する適用事業所の名称及び所在地その他の必要な資料の提供を求めることができる。

Article 113-3第百十三条の三

Entrustment of Affairs to a Federation or the Organization(連合会又は機構への事務の委託)
1 change in this article
Article 113-3, paragraph (1)(連合会又は機構への事務の委託)Entrustment of Affairs to a Federation or the OrganizationChanged

In addition to the affairs prescribed in Article 45, paragraph (5) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (4) and, Article 54-2, paragraph (12), Article 54-5, paragraph (7) and Article 54-11, paragraph (6)), an insurer may entrust the following affairs to the Federation prescribed in Article 45, paragraph (5) or the organization:

保険者は、第四十五条第五項(第五十二条第六項、第五十二条の二第三項、第五十三条第四項及び、第五十四条の二第十二項、第五十四条の五第七項及び第五十四条の十一第六項において準用する場合を含む。)に規定する事務のほか、次に掲げる事務を第四十五条第五項に規定する連合会又は機構に委託することができる。

Article 113-3, paragraph (1), item (i)(連合会又は機構への事務の委託)

affairs concerning the collection or organization of information relating to the provision of insurance benefits under the provisions of Chapter IV, the collection of insurance premiums under the provisions of Article 76, paragraph (1) or (2), the implementation of health services under the provisions of Article 82, paragraph (1) and other affairs specified by Order of the Ministry of Health, Labour and Welfare;

第四章の規定による保険給付の実施、第七十六条第一項又は第二項の規定による保険料の徴収、第八十二条第一項の規定による保健事業の実施その他の厚生労働省令で定める事務に係る情報の収集又は整理に関する事務

Article 113-3, paragraph (1), item (ii)(連合会又は機構への事務の委託)

affairs concerning the use or provision of information relating to the provision of insurance benefits under the provisions of Chapter IV, the collection of insurance premiums under the provisions of Article 76, paragraph (1) or (2), the implementation of health services under the provisions of Article 82, paragraph (1) and other affairs specified by Order of the Ministry of Health, Labour and Welfare.

第四章の規定による保険給付の実施、第七十六条第一項又は第二項の規定による保険料の徴収、第八十二条第一項の規定による保健事業の実施その他の厚生労働省令で定める事務に係る情報の利用又は提供に関する事務

Article 113-3, paragraph (2)(連合会又は機構への事務の委託)

When an insurer entrusts the affairs listed in the items of that paragraph pursuant to the provisions of the preceding paragraph, it is to entrust them jointly with other insurers prescribed in Article 1 of the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization, persons specified by Order of the Ministry of Health, Labour and Welfare who perform affairs relating to benefits relating to medical care under the provisions of laws and regulations, and Municipalities that carry out long-term care insurance pursuant to the provisions of Article 3 of the Long-Term Care Insurance Act and other persons specified by Order of the Ministry of Health, Labour and Welfare.

保険者は、前項の規定により同項各号に掲げる事務を委託する場合は、他の医療情報基盤・診療報酬審査支払機構法第一条に規定する保険者、法令の規定により医療に関する給付に係る事務を行う者であつて厚生労働省令で定めるもの及び介護保険法第三条の規定により介護保険を行う市町村その他厚生労働省令で定める者と共同して委託するものとする。

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