Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect on October 1, 1994; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
この法律は、平成六年十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 amending provisions of Article 23 of the Health Insurance Act in Article 1, the amending provisions of Article 23-2 of that Act, the amending provisions of Article 37-2 of that Act, the amending provisions of Article 71-3 of that Act, the amending provisions of Article 71-4 of that Act, and the amending provisions of Article 76 of that Act (including the amending provisions of Articles 3, 5 and 8 and Article 9, paragraph (6) of the Supplementary Provisions of that Act), and the amending provisions of the table of contents of the Mariners Insurance Act in Article 2 (limited to the part replacing "Welfare Facilities" with "Welfare Services"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 23, paragraph (2) of that Act, the amending provisions of Article 50-4 of that Act, the amending provisions of the section title of Section 9 of Chapter III of that Act, the amending provisions of Article 57-2 of that Act, the amending provisions of Article 59-2, paragraph (1) of that Act, and the amending provisions that insert one Article after Article 60 of that Act, and the amending provisions of the table of contents of the National Health Insurance Act in Article 3 (limited to the part replacing "Healthcare Facilities" with "Health Services"), the amending provisions of the chapter title of Chapter VI of that Act, the amending provisions of Article 82 of that Act, and the amending provisions that insert one Article after Article 116 of that Act, and the amending provisions of Article 5 of the Act on Health and Medical Services for the Elderly in Article 4, the amending provisions of Article 22 of that Act, and the amending provisions that add one paragraph to Article 25 of that Act, and the provisions of Article 29 of the Supplementary Provisions, the provisions of Article 30 of the Supplementary Provisions, the provisions of Article 56 of the Supplementary Provisions, and the provisions of Article 61 of the Supplementary Provisions: April 1, 1995;
第一条中健康保険法第二十三条の改正規定、同法第二十三条ノ二の改正規定、同法第三十七条ノ二の改正規定、同法第七十一条ノ三の改正規定、同法第七十一条ノ四の改正規定及び同法第七十六条の改正規定（同法附則第三条、第五条、第八条及び第九条第六項の改正規定を含む。）並びに第二条中船員保険法の目次の改正規定（「福祉施設」を「福祉事業」に改める部分に限る。）、同法第三章の章名の改正規定、同法第二十三条第二項の改正規定、同法第五十条ノ四の改正規定、同法第三章第九節の節名の改正規定、同法第五十七条ノ二の改正規定、同法第五十九条ノ二第一項の改正規定及び同法第六十条の次に一条を加える改正規定並びに第三条中国民健康保険法の目次の改正規定（「保健施設」を「保健事業」に改める部分に限る。）、同法第六章の章名の改正規定、同法第八十二条の改正規定及び同法第百十六条の次に一条を加える改正規定並びに第四条中老人保健法第五条の改正規定、同法第二十二条の改正規定及び同法第二十五条に一項を加える改正規定並びに附則第二十九条の規定並びに附則第三十条の規定並びに附則第五十六条の規定並びに附則第六十一条の規定 平成七年四月一日
Supplementary Provisions, Article 16Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act
第十六条（国民健康保険法の一部改正に伴う経過措置）
With regard to benefits under the provisions of the National Health Insurance Act pertaining to the provision of meals, nursing or transportation conducted before the Effective Date, the provisions then in force continue to govern.
施行日前に行われた食事の提供、看護又は移送に係る国民健康保険法の規定による給付については、なお従前の例による。
Supplementary Provisions, Article 17
第十七条
When an insured person or former insured person (excluding a person who may receive medical care under the provisions of the Act on Health and Medical Services for the Elderly, and limited to a person in a condition specified by the Minister of Health and Welfare) who receives the benefits for medical treatment set forth in Article 36, paragraph (1), item (v) of the National Health Insurance Act as amended by the provisions of Article 3 (hereinafter referred to as the "Revised National Health Insurance Act") at a hospital or clinic specified by the Minister of Health and Welfare as prescribed in Article 4, paragraph (1) of the Supplementary Provisions receives the attendant nursing prescribed in Article 4, paragraph (1) of the Supplementary Provisions, until March 31, 1996 (for attendant nursing at a hospital or clinic that has obtained the approval of the prefectural governor under Article 4, paragraph (1) of the Supplementary Provisions, until the date specified by Ministry of Health and Welfare Order prescribed in that paragraph, which falls after that date), the provisions of Article 54, paragraph (1) or Article 54-3, paragraph (3) of the Revised National Health Insurance Act apply by deeming that attendant nursing to be the benefits for medical treatment, etc. prescribed in those provisions.
附則第四条第一項に規定する厚生大臣の定める病院又は診療所において、第三条の規定による改正後の国民健康保険法（以下「新国保法」という。）第三十六条第一項第五号に掲げる療養の給付を受ける被保険者又は被保険者であった者（老人保健法の規定による医療を受けることができる者を除き、厚生大臣の定める状態にある者に限る。）が、附則第四条第一項に規定する付添看護を受けたときは、平成八年三月三十一日（附則第四条第一項の規定による都道府県知事の承認を受けた病院又は診療所における付添看護については、その日後同項に規定する厚生省令で定める日）までの間、当該付添看護を新国保法第五十四条第一項又は新国保法第五十四条の三第三項に規定する療養の給付等とみなしてこれらの規定を適用する。
Supplementary Provisions, Article 18
第十八条
The provisions of Article 58, paragraph (1) of the Revised National Health Insurance Act apply to insured persons and former insured persons whose date of childbirth is on or after the Effective Date, and with regard to benefits pertaining to the childbirth of insured persons and former insured persons whose date of childbirth is before the Effective Date, the provisions then in force continue to govern.
新国保法第五十八条第一項の規定は、出産の日が施行日以後である被保険者及び被保険者であった者について適用し、出産の日が施行日前である被保険者及び被保険者であった者の出産に係る給付については、なお従前の例による。
Supplementary Provisions, Article 19
第十九条
A national health insurance physician or national health insurance pharmacist prescribed in Article 36, paragraph (3) of the National Health Insurance Act before the amendment by the provisions of Article 3 (hereinafter referred to as the "Former National Health Insurance Act") who, at the time this Act comes into effect, is not a health insurance-covered physician prescribed in Article 43-2 of the Health Insurance Act (hereinafter in this Article simply referred to as "health insurance-covered physician") or a health insurance-covered pharmacist (hereinafter in this Article simply referred to as "health insurance-covered pharmacist"), or an institution handling medical treatment prescribed in Article 36, paragraph (4) of the Former National Health Insurance Act that, at that time, is not a Health Insurance-Covered Medical Institution prescribed in Article 43, paragraph (3), item (i) of the Health Insurance Act (hereinafter in this Article simply referred to as "Health Insurance-Covered Medical Institution") or a health insurance-covered pharmacy (hereinafter in this Article simply referred to as "health insurance-covered pharmacy"), is deemed, until March 31, 1995 and only in relation to insurers of national health insurance and insured persons, to be a health insurance-covered physician, health insurance-covered pharmacist, Health Insurance-Covered Medical Institution or health insurance-covered pharmacy.
この法律の施行の際現に第三条の規定による改正前の国民健康保険法（以下「旧国保法」という。）第三十六条第三項に規定する国民健康保険医若しくは国民健康保険薬剤師であって健康保険法第四十三条ノ二に規定する保険医（以下この条において単に「保険医」という。）若しくは保険薬剤師（以下この条において単に「保険薬剤師」という。）でないもの又は旧国保法第三十六条第四項に規定する療養取扱機関であって健康保険法第四十三条第三項第一号に規定する保険医療機関（以下この条において単に「保険医療機関」という。）若しくは保険薬局（以下この条において単に「保険薬局」という。）でないものについては、平成七年三月三十一日までの間、国民健康保険の保険者及び被保険者に対する関係においてのみ、保険医、保険薬剤師、保険医療機関又は保険薬局たるものとみなす。
Supplementary Provisions, Article 20
第二十条
The provisions of Article 116-2 of the Revised National Health Insurance Act apply to an insured person who, due to the admission measures prescribed in that Article having been taken, has come to have a domicile within the area of one Municipality or special ward (hereinafter simply referred to as "Municipality") on or after April 1, 1995, and who is found to have actually had a domicile within the area of another Municipality when those measures were taken.
新国保法第百十六条の二の規定は、同条に規定する入所措置が採られたため平成七年四月一日以後に一の市町村又は特別区（以下単に「市町村」という。）の区域内に住所を有するに至った被保険者であって、当該措置が採られた際現に他の市町村の区域内に住所を有していたと認められるものについて、適用する。
Supplementary Provisions, Article 65Transitional Measures Concerning Penal Provisions
第六十五条（罰則に関する経過措置）
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
With regard to the business secrets of an establisher of an institution handling medical treatment prescribed in Article 36, paragraph (4) of the Former National Health Insurance Act or of an institution handling specially approved medical treatment prescribed in Article 53, paragraph (1) of the Former National Health Insurance Act, the provisions of each paragraph of Article 121 of the Former National Health Insurance Act remain in force on and after the Effective Date.
旧国保法第三十六条第四項に規定する療養取扱機関又は旧国保法第五十三条第一項に規定する特定承認療養取扱機関の開設者の業務上の秘密に関しては、旧国保法第百二十一条各項の規定は、施行日以後も、なおその効力を有する。
Supplementary Provisions, Article 66Review
第六十六条（検討）
With regard to the medical insurance system under the individual medical insurance Acts and the health service system for the elderly under the Act on Health and Medical Services for the Elderly, a review is to be made, with a view to doing so within three years after this Act comes into effect, in light of the purposes of those systems and taking into account the status of the implementation of those systems after this Act comes into effect, trends in national medical expenses, changes in the socioeconomic situation, etc., concerning the manner of benefits and cost sharing, etc., including the manner of patient burden pertaining to Dietary Treatment expenses for inpatients.
医療保険各法による医療保険制度及び老人保健法による老人保健制度については、この法律の施行後三年を目途として、これらの制度の目的を踏まえ、この法律の施行後におけるこれらの制度の実施状況、国民医療費の動向、社会経済情勢の推移等を勘案し、入院時食事療養費に係る患者負担の在り方を含め、給付及び費用負担の在り方等に関して検討が加えられるべきものとする。
Supplementary Provisions, Article 67Delegation of Other Transitional Measures to Cabinet Order
第六十七条（その他の経過措置の政令への委任）
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
この附則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は、政令で定める。