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Supplementary Provisions

附 則

Supplementary Provisions, Article 1Effective Date

第一条(施行期日)

This Act comes into effect on April 1, 2027; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.

この法律は、令和九年四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 provision, in , adding one Article after , the provision adding one Article after , the provisions amending and , and , the provision amending , and the provision making and adding five Articles after of the Supplementary Provisions; the provision, in , amending ; the provisions, in , amending the proviso to and ; and the provisions of the following Article through Article 10 of the Supplementary Provisions and Articles 16 and 38 of the Supplementary Provisions: the date of promulgation;

中の次に一条を加える改正規定、の次に一条を加える改正規定並びに及び並びにの改正規定並びにの改正規定及びをとし、の次に五条を加える改正規定、中の改正規定並びに中ただし書及びの改正規定並びに次条から附則第十条まで並びに附則第十六条及び第三十八条の規定 公布の日

the provision, in , amending , the provision, in , amending , the provision, in , amending , the provision, in , amending , the provision, in , amending , and the provision, in , amending : August 1, 2026;

中の改正規定、中の改正規定、中の改正規定、中の改正規定、中の改正規定及び中の改正規定 令和八年八月一日

Omitted

略

the provisions, in , amending , , , , , and , and , , , and , and , , the table in and ; the provisions, in , amending , , , and , and , and ; the provision, in , amending (limited to the part replacing "" with "") and the provisions amending , , , and , , , , , , , , , and ; the provisions, in , amending , , , , and , , , , , and and ; the provisions, in , amending , , and , and and ; the provisions, in , amending , , and , and and ; the provisions of ; the provisions of , , , , and of the Supplementary Provisions; the provision, in of the Supplementary Provisions, amending the entry for the in Appended Table 1 of the (limited to the part replacing "" with "" and "" with "") and the provision amending the entry for the in that table (limited to the part replacing "" with "" and "" with ""); and the provisions of of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding one year from the date of promulgation;

中、、、、、及び、及び、、、及び、及び、、の表並びにの改正規定、中、、、及び、及び並びにの改正規定、中の改正規定(「」を「」に改める部分に限る。)並びに、、、及び、、、、、、、、、並びにの改正規定、中、、、、及び、、、、並びに及びの改正規定、中、、及び並びに及びの改正規定、中、、及び並びに及びの改正規定並びにの規定並びに、、、、及びの規定、中の項の改正規定(「」を「」に、「」を「」に改める部分に限る。)及び同表の項の改正規定(「」を「」に、「」を「」に改める部分に限る。)並びにの規定 公布の日から起算して一年を超えない範囲内において政令で定める日

Omitted

略

the provisions of , and ; the provision, in , amending , and and ; the provision, in , amending the table of contents of the Act on Assurance of Medical Care for Elderly People, the provisions amending and , , the title of Subsection 5 of Section 4 of Chapter IV, (including its heading), (including its heading), (including its heading), (including its heading), (including its heading), , , , , , , and , and the provision deleting ; the provisions of (excluding the amending provisions set forth in item (ii) and item (iv)); the provisions of (excluding the amending provisions set forth in item (ii) and item (iv)); the provisions of , , and ; the provisions of , , , , , , , , and of the Supplementary Provisions; the provision, in of the Supplementary Provisions, amending the entry for the in (excluding the amending provision set forth in item (iv)); the provision, in of the Supplementary Provisions, amending the entry for 72-3 in Appended Table 1 of the Residential Basic Book Act (Act No. 81 of 1967) and the provisions amending and ; the provisions of , and of the Supplementary Provisions; the provision, in of the Supplementary Provisions, amending (limited to the part replacing "childbirth and childcare grant" with "childbirth grant") and the provisions amending and ; and the provisions of of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.

、及びの規定、中並びにイ及びニの改正規定、中高齢者の医療の確保に関する法律の目次の改正規定、及び、、第四章第四節第五款の款名、(見出しを含む。)、(見出しを含む。)、(見出しを含む。)、(見出しを含む。)、(見出しを含む。)、、、、、、、並びにの改正規定並びにを削る改正規定、の規定(第二号及び第四号に掲げる改正規定を除く。)、の規定(第二号及び第四号に掲げる改正規定を除く。)並びに、、及びの規定並びに、、、、、、、、及びの規定、中の項の改正規定(第四号に掲げる改正規定を除く。)、中住民基本台帳法(昭和四十二年法律第八十一号)の項の改正規定並びに別表第二及びの改正規定、、及びの規定、中の改正規定(「出産育児交付金」を「出産交付金」に改める部分に限る。)並びに及びの改正規定並びにの規定 公布の日から起算して二年を超えない範囲内において政令で定める日

Supplementary Provisions, Article 2Review

第二条(検討)

After the promulgation of this Act, from the viewpoint of realizing a sustainable medical insurance system, the government is to promptly examine further reforms to ensure the appropriate implementation of necessary insurance benefits, etc. and fairness of burdens between and within generations, in response to changes in the socioeconomic situation and the needs of society, and take required measures based on the results.

政府は、この法律の公布後において、持続可能な医療保険制度を実現する観点から、社会経済情勢の変化及び社会の要請に対応し、必要な保険給付等の適切な実施並びに世代間及び世代内の負担の公平性の確保を図るための更なる改革について速やかに検討を加え、その結果に基づいて所要の措置を講ずるものとする。

The government is to, with regard to the provisions of Article 63, paragraph (2), item (vi) and Article 86, paragraph (3), item (i) of the Health Insurance Act as amended by the provisions of (limited to the amending provisions set forth in item (iv) of the preceding Article; the same applies in paragraph (1) of the following Article and of the Supplementary Provisions) and the provisions of and as amended by the provisions of (limited to the amending provisions set forth in item (iv) of the preceding Article; the same applies in and of the Supplementary Provisions), examine how the Minister of Health, Labour and Welfare is to make determinations under those provisions, etc., taking into account the conditions of efforts to deepen the understanding of the public concerning the taking of pharmaceuticals requiring guidance (meaning a pharmaceutical requiring guidance prescribed in ; the same applies hereinafter in this paragraph) and over-the-counter pharmaceuticals (meaning an over-the-counter pharmaceutical prescribed in ) pertaining to minor illnesses, etc. (hereinafter in this paragraph referred to as "pharmaceuticals requiring guidance, etc.") and to deepen the understanding of physicians, dentists and pharmacists concerning pharmaceuticals requiring guidance, etc., and the conditions of conversion into pharmaceuticals requiring guidance of pharmaceuticals that are to be used by a physician or dentist or used upon the issuance of a prescription by such a person, etc., and take required measures based on the results.

政府は、の規定(前条第四号に掲げる改正規定に限る。次条第一項及びにおいて同じ。)による改正後の及びの規定並びにの規定(前条第四号に掲げる改正規定に限る。及びにおいて同じ。)による改正後の及びの規定について、軽度の疾病等に係る要指導医薬品(に規定する要指導医薬品をいう。以下この項において同じ。)及び一般用医薬品(に規定する一般用医薬品をいう。)(以下この項において「要指導医薬品等」という。)の服用に関する国民の理解並びに要指導医薬品等に関する医師、歯科医師及び薬剤師の理解を深めるための取組の状況、医師若しくは歯科医師によって使用され又はこれらの者の処方箋の交付を受けて使用すべき医薬品に係る要指導医薬品への転用に係る状況等を勘案し、これらの規定に係る厚生労働大臣の定めの在り方等について検討し、その結果に基づいて所要の措置を講ずるものとする。

In addition to the matters specified in the preceding paragraph, the government is to, with a target of five years after the enforcement of this Act, taking into account the conditions of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results.

前項に定める事項のほか、政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律(以下この項において「改正後の各法律」という。)の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。

Supplementary Provisions, Article 3Preparatory Acts Concerning Consultation with the Central Social Insurance Medical Council, etc.

第三条(中央社会保険医療協議会への諮問等に係る準備行為)

When the Minister of Health, Labour and Welfare intends to make the determination under or or (b) of the Health Insurance Act as amended by the provisions of , the Minister may, even before the date of enforcement of the provisions set forth in Article 1, item (iv) of the Supplementary Provisions (hereinafter referred to as the "item (iv) Effective Date"), consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) and Article 86, paragraph (4) of that Act as amended by the provisions of .

厚生労働大臣は、の規定による改正後の又はイ若しくはロの定めをしようとするときは、附則第一条第四号に掲げる規定の施行の日(以下「第四号施行日」という。)前においても、の規定による改正後の同法第八十二条第一項及び第八十六条第四項の規定の例により、中央社会保険医療協議会に諮問することができる。

When the Minister of Health, Labour and Welfare intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 98-10, paragraph (1) of the Health Insurance Act as amended by the provisions of (hereinafter referred to as the "item (vi) New Health Insurance Act") (including as applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149 of the item (vi) New Health Insurance Act), or (including as applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149 of the item (vi) New Health Insurance Act), or intends to make the determination under Article 98-2, paragraph (2) of the item (vi) New Health Insurance Act (including as applied mutatis mutandis pursuant to Article 149 of the item (vi) New Health Insurance Act), the Minister may, even before the date of enforcement of the provisions set forth in Article 1, item (vi) of the Supplementary Provisions (hereinafter referred to as the "item (vi) Effective Date"), consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 98-17, paragraph (1) of the item (vi) New Health Insurance Act. The same applies when the Minister intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in as amended by the provisions of (hereinafter referred to as the "item (vi) New Mariners Insurance Act") (including as applied mutatis mutandis pursuant to of the item (vi) New Mariners Insurance Act) and the Order of the Ministry of Health, Labour and Welfare provided for in as amended by the provisions of (hereinafter referred to as the "item (vi) New National Health Insurance Act").

厚生労働大臣は、の規定による改正後の健康保険法(以下「第六号新健康保険法」という。)(、及び第百四十九条において準用する場合を含む。)、若しくは(、及び第百四十九条において準用する場合を含む。)の厚生労働省令を定めようとするとき、又は(第六号新健康保険法第百四十九条において準用する場合を含む。)の定めをしようとするときは、附則第一条第六号に掲げる規定の施行の日(以下「第六号施行日」という。)前においても、の規定の例により、中央社会保険医療協議会に諮問することができる。の規定による改正後の船員保険法(以下「第六号新船員保険法」という。)(において準用する場合を含む。)の厚生労働省令及びの規定による改正後の国民健康保険法(以下「第六号新国民健康保険法」という。)の厚生労働省令を定めようとするときも、同様とする。

When the Minister of Health, Labour and Welfare intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 70, paragraph (1), Article 70-2, paragraph (2) or Article 72, paragraph (1) of the item (vi) New Health Insurance Act as applied mutatis mutandis pursuant to Article 98-5 of the item (vi) New Health Insurance Act (limited to matters pertaining to delivery care), the Minister may, even before the item (vi) Effective Date, consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) of the item (vi) New Health Insurance Act. The same applies when the Minister intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in of the New Mariners Insurance Act as applied mutatis mutandis pursuant to of the New Mariners Insurance Act (limited to matters pertaining to delivery care) and the Order of the Ministry of Health, Labour and Welfare provided for in of the New National Health Insurance Act as applied mutatis mutandis pursuant to of the New National Health Insurance Act (limited to matters pertaining to delivery care).

厚生労働大臣は、において準用する第六号新健康保険法第七十条第一項、第七十条の二第二項又は第七十二条第一項の厚生労働省令(分娩の手当に係る事項に限る。)を定めようとするときは、第六号施行日前においても、第六号新健康保険法第八十二条第一項の規定の例により、中央社会保険医療協議会に諮問することができる。において準用するの厚生労働省令(分娩の手当に係る事項に限る。)及びにおいて準用するの厚生労働省令(分娩の手当に係る事項に限る。)を定めようとするときも、同様とする。

Supplementary Provisions, Article 4Preparatory Acts Concerning Designation of Designated Birthing Centers

第四条(指定助産所の指定に係る準備行為)

A birthing center seeking the designation referred to in Article 98-2, paragraph (1), item (i) of the item (vi) New Health Insurance Act may, even before the item (vi) Effective Date, file its application in the same manner as under the provisions of Article 98-6, paragraph (1) of the item (vi) New Health Insurance Act.

の指定を受けようとする助産所は、第六号施行日前においても、の規定の例により、その申請を行うことができる。

In the case where an application is filed pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may, even before the item (vi) Effective Date, grant the designation in the same manner as under the provisions of Article 98-2, paragraph (1), item (i), Article 98-6, paragraph (2), Article 98-7, Article 98-17, paragraph (2) and Article 98-18 of the item (vi) New Health Insurance Act. In this case, the designation is deemed to have been made on the item (vi) Effective Date pursuant to the provisions of .

厚生労働大臣は、前項の規定により申請があった場合には、第六号施行日前においても、、、、及びの規定の例により、指定をすることができる。この場合において、当該指定は、第六号施行日においての規定によりされたものとみなす。

The authority of the Minister of Health, Labour and Welfare under the provisions of the preceding paragraph may be delegated to the chief of a regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.

前項の規定による厚生労働大臣の権限は、厚生労働省令で定めるところにより、地方厚生局長に委任することができる。

The authority delegated to the chief of a regional bureau of health and welfare pursuant to the provisions of the preceding paragraph may be delegated to a branch manager of the regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.

前項の規定により地方厚生局長に委任された権限は、厚生労働省令で定めるところにより、地方厚生支局長に委任することができる。

Supplementary Provisions, Article 5Preparatory Acts Concerning Registration of Registered Midwives

第五条(登録助産師の登録に係る準備行為)

A midwife seeking the registration referred to in Article 98-4 of the item (vi) New Health Insurance Act may, even before the item (vi) Effective Date, file the application in the same manner as under the provisions of Article 98-12, paragraph (1) of the item (vi) New Health Insurance Act.

の登録を受けようとする助産師は、第六号施行日前においても、の規定の例により、その申請を行うことができる。

In the case where an application is filed pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may, even before the item (vi) Effective Date, grant the registration in the same manner as under the provisions of Article 98-4, Article 98-12, paragraphs (2) and (3) and Article 98-18 of the item (vi) New Health Insurance Act. In this case, the registration is deemed to have been made on the item (vi) Effective Date pursuant to the provisions of Article 98-4 of the item (vi) New Health Insurance Act.

厚生労働大臣は、前項の規定により申請があった場合には、第六号施行日前においても、、及び並びにの規定の例により、登録をすることができる。この場合において、当該登録は、第六号施行日においての規定によりされたものとみなす。

The authority of the Minister of Health, Labour and Welfare under the provisions of the preceding paragraph may be delegated to the chief of a regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.

前項の規定による厚生労働大臣の権限は、厚生労働省令で定めるところにより、地方厚生局長に委任することができる。

The authority delegated to the chief of a regional bureau of health and welfare pursuant to the provisions of the preceding paragraph may be delegated to a branch manager of the regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.

前項の規定により地方厚生局長に委任された権限は、厚生労働省令で定めるところにより、地方厚生支局長に委任することができる。

Supplementary Provisions, Article 10Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act

第十条(健康保険法の一部改正に伴う経過措置)

The provisions of Articles 5-3 through 5-7 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of (limited to the amending provisions set forth in Article 1, item (i) of the Supplementary Provisions) apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or after fiscal year 2026, and the provisions then in force continue to govern the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or before fiscal year 2025.

の規定(附則第一条第一号に掲げる改正規定に限る。)による改正後の健康保険法附則第五条の三から第五条の七までの規定は、令和八年度以後の各年度における全国健康保険協会に対する国庫補助の額について適用し、令和七年度以前の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。

Supplementary Provisions, Article 16

第十六条

The notification under may be made even before the item (vi) Effective Date in the same manner as under the provisions of . In this case, the notification is deemed to have been made on the item (vi) Effective Date.

の届出は、第六号施行日前においても、の規定の例により、行うことができる。この場合において、当該届出は、第六号施行日においてされたものとみなす。

Supplementary Provisions, Article 38Delegation to Cabinet Order

第三十八条(政令への委任)

Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order.

附則第三条から前条まで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(罰則に関する経過措置を含む。)は、政令で定める。

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