This Act comes into effect on April 1, 1992; provided, however, that the amending provisions in Article 1 that insert one Article after Article 1 of the Health Insurance Act, the amending provisions of Article 3-2, paragraph (2) of that Act, the amending provisions that delete Article 24-2 of that Act, and the amending provisions of Article 69-11, Article 71-4, paragraph (5) (limited to the part replacing "Social Insurance Council" with "Council") and Article 79-3, paragraph (2) of that Act, the provisions of Article 2 (excluding the amending provisions of Article 4, paragraph (1) and Article 32, paragraph (2) of the Mariners Insurance Act), the provisions of Article 3, the provisions of Article 4, and the provisions of Articles 17 through 19 of the Supplementary Provisions come into effect on the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation, and the amending provisions of Article 3, paragraph (1) of the Health Insurance Act in Article 1, the amending provisions of Article 4, paragraph (1) of the Mariners Insurance Act in Article 2, and the provisions of the following Article and Article 7 of the Supplementary Provisions come into effect on October 1 of the same year.

①Of 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, 1992 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), 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 76,000 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").

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, 1992 to September 30, 1993.

The provisions of Article 50, paragraph (2) and Article 69-18, paragraph (1) of the Revised Health Insurance Act apply to childbirth allowance paid to insured persons and former insured persons whose date of delivery is on or after the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), and with regard to childbirth allowance paid to insured persons and former insured persons whose date of delivery is before the Effective Date, the provisions then in force continue to govern.

With regard to insurance premiums for health insurance for months on or before March 1992 (for insured persons under the provisions of Article 20 of the Revised Health Insurance Act, months on or before April of that year), the insurance premium rate previously in force continues to apply.

The provisions of Article 70-3, paragraph (1) and Article 70-4 of the Revised Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 12 of the Supplementary Provisions of the Revised Health Insurance Act, apply to national subsidies for fiscal years on or after fiscal year 1992, and with regard to national subsidies for fiscal years on or before fiscal year 1991, the provisions then in force continue to govern.

After this Act comes into effect, if the government, taking into account the conditions of medium-term financial management of the health insurance services administered by the government, etc., finds it necessary, it is to review the provisions of Article 12 of the Supplementary Provisions of the Revised Health Insurance Act and take required measures based on the results.

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