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Supplementary Provisions

附 則

Supplementary Provisions, Article 1Effective Date

第一条(施行期日)

This Cabinet Order comes into effect on August 1, 2025; provided, however, that the provisions amending in and the provisions of Articles 3, , and of the Supplementary Provisions come into effect on the date of promulgation.

この政令は、令和七年八月一日から施行する。ただし、中ヘの改正規定並びに附則第三条、、及びの規定は、公布の日から施行する。

Supplementary Provisions, Article 2Transitional Measures Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act

第二条(健康保険法施行令の一部改正に伴う経過措置)

The provisions of Article 42, paragraph (3) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of (limited to the part relating to ) (limited to the part relating to item (vi) of that paragraph, and including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) apply to the base amount for calculating high-cost medical expenses under Article 41, paragraphs (3) through (5) and (7) of the Order for Enforcement of the Health Insurance Act (including as applied mutatis mutandis pursuant to of that Order) where the month in which the medical treatment was received is on or after August 2025, and to the base amount for the combined long-term care calculation for persons aged 70 or over under of that Order (including as applied mutatis mutandis pursuant to of that Order) (including the base amount for the combined long-term care calculation for persons aged 70 or over under of that Order as applied mutatis mutandis in of that Order, to which the provisions of of that Order are applied mutatis mutandis with replacement of terms pursuant to of that Order (including as applied mutatis mutandis pursuant to of that Order), and the base amount for the combined long-term care calculation for persons aged 70 or over under of that Order as applied mutatis mutandis in of that Order, to which the provisions of of that Order are applied mutatis mutandis with replacement of terms pursuant to of that Order) where the month that includes the reference date prescribed in of that Order (including as applied mutatis mutandis pursuant to of that Order) (including the day deemed to be the reference date pursuant to or of that Order; hereinafter referred to as the "reference date" in this Article) is on or after August 2025, and with regard to that base amount for calculating high-cost medical expenses where the month in which the medical treatment was received is on or before July of that year, and that base amount for the combined long-term care calculation for persons aged 70 or over where the month that includes the reference date is on or before that month, the provisions then in force continue to govern.

(に係る部分に限る。)の規定による改正後の健康保険法施行令第四十二条第三項(第六号に係る部分に限り、健康保険法施行令第四十四条第一項において準用する場合を含む。)の規定は、療養のあった月が令和七年八月以後の場合における健康保険法施行令第四十一条第三項から第五項まで及び第七項(これらの規定をにおいて準用する場合を含む。)の高額療養費算定基準額並びに(において準用する場合を含む。)に規定する基準日(又はの規定により基準日とみなされる日を含む。以下この条において「基準日」という。)の属する月が同月以後の場合における(において準用する場合を含む。)の七十歳以上介護合算算定基準額((において準用する場合を含む。)においての規定を読み替えて準用することとされたにおいて準用するの七十歳以上介護合算算定基準額及びにおいての規定を読み替えて準用することとされたにおいて準用するの七十歳以上介護合算算定基準額を含む。)について適用し、療養のあった月が同年七月以前の場合における当該高額療養費算定基準額及び基準日の属する月が同月以前の場合における当該七十歳以上介護合算算定基準額については、なお従前の例による。

Supplementary Provisions, Article 3Preparatory Acts Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act

第三条(健康保険法施行令の一部改正に伴う準備行為)

Certification by an insurer pursuant to the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act (including as applied mutatis mutandis pursuant to of that Order; the same applies hereinafter in this Article) that a person falls under the persons listed in Article 42, paragraph (3), item (vi) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of (limited to the part relating to ) (including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) may be made, even before the day of enforcement of this Cabinet Order (hereinafter referred to as the "Effective Date"), in the same manner as under the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act.

(に係る部分に限る。)の規定による改正後の健康保険法施行令第四十二条第三項第六号(健康保険法施行令第四十四条第一項において準用する場合を含む。)に掲げる者に該当することについての健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロ(これらの規定をにおいて準用する場合を含む。以下この条において同じ。)の規定による保険者の認定は、この政令の施行の日(以下「施行日」という。)前においても、健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロの規定の例によりすることができる。

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