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 Article 22-3, paragraph (7), item (ii), (f) of the Order for Enforcement of the Long-Term Care Insurance Act in Article 2 and the provisions of Articles 3, 5, 7 and 9 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、第二条中介護保険法施行令第二十二条の三第七項第二号ヘの改正規定並びに附則第三条、第五条、第七条及び第九条の規定は、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 Article 1 (limited to the part relating to item (i)) (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 Article 44, paragraph (1) 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 Article 43-2, paragraph (2) of that Order (including as applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order) (including the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) of that Order as applied mutatis mutandis in Article 43-2, paragraph (3) of that Order, to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replacement of terms pursuant to Article 43-3, paragraph (3) of that Order (including as applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order), and the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) of that Order as applied mutatis mutandis in Article 43-2, paragraph (4) of that Order, to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replacement of terms pursuant to Article 43-3, paragraph (4) of that Order) where the month that includes the reference date prescribed in Article 41-2, paragraph (1) of that Order (including as applied mutatis mutandis pursuant to Article 44, paragraph (2) of that Order) (including the day deemed to be the reference date pursuant to Article 43-4, paragraph (1) or Article 44, paragraph (7) 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.
第一条(第一号に係る部分に限る。)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(これらの規定を同令第四十四条第一項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同令第四十一条の二第一項(同令第四十四条第二項において準用する場合を含む。)に規定する基準日(同令第四十三条の四第一項又は第四十四条第七項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同令第四十三条の二第二項(同令第四十四条第五項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(同令第四十三条の三第三項(同令第四十四条第五項において準用する場合を含む。)において同令第四十三条の三第二項の規定を読み替えて準用することとされた同令第四十三条の二第三項において準用する同条第二項の七十歳以上介護合算算定基準額及び同令第四十三条の三第四項において同条第二項の規定を読み替えて準用することとされた同令第四十三条の二第四項において準用する同条第二項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 Article 44, paragraph (1) 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 Article 1 (limited to the part relating to item (i)) (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.
第一条(第一号に係る部分に限る。)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(これらの規定を同令第四十四条第一項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。
reference datemachine translation
「基準日」
The last day of the calculation period (計算期間), the period from 1 August each year to the following 31 July, on which high-cost medical expenses (高額療養費) and similar amounts for the whole period are worked out.
Defined inArticle 41-2, paragraph (1)
reference datemachine translation
「基準日」
In Article 2 of the supplementary provisions (附則) of Cabinet Order No. 203 of 2025, the reference date provided in Article 41-2, paragraph (1) of the Order for Enforcement of the Health Insurance Act (including as applied by Article 44, paragraph (2)) — the last day of the calculation period running from 1 August to the following 31 July — including a day deemed to be the reference date under Article 43-4, paragraph (1) or Article 44, paragraph (7) of that Order.
Short name set inSupplementary Provisions, Article 2, paragraph (1)· applies only in this article
the Effective Datemachine translation
「施行日」
The date Cabinet Order No. 203 of 2025, the amending Cabinet Order these supplementary provisions (附則) belong to, comes into effect.
Short name set inSupplementary Provisions, Article 3, paragraph (1)