Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect as of April 1, 2024; 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、令和六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 provisions amending Article 72, paragraph (3), Article 82-2, paragraph (3), item (i) and paragraph (4), Article 85-2, Article 85-3, paragraph (3), and Article 113-2, paragraph (1) of the National Health Insurance Act in Article 3, the provision adding one paragraph to Article 4 of the Act on Assurance of Medical Care for Elderly People in Article 6, the provisions amending Article 6, Article 7, paragraph (2), and Article 8, paragraph (4) of that Act, the provision amending paragraph (5) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending Article 9, paragraphs (2) and (3) of that Act, the provision amending paragraph (4) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending paragraphs (5), (7) and (10) of that Article and Article 11, Article 12, paragraph (1), Article 13, paragraph (1), Article 14, paragraph (1), Article 15, Article 16, paragraph (3), Article 138, paragraph (1) and Article 157-2 of that Act, the provisions of Article 7 and the provisions of Article 12, and the provisions of paragraph (1) of the following Article and Articles 4, 7, 8, 12, 15, 17 and 18 of the Supplementary Provisions: the date of promulgation
第三条中国民健康保険法第七十二条第三項、第八十二条の二第三項第一号及び第四項、第八十五条の二、第八十五条の三第三項並びに第百十三条の二第一項の改正規定、第六条中高齢者の医療の確保に関する法律第四条に一項を加える改正規定、同法第六条、第七条第二項及び第八条第四項の改正規定、同条第五項の改正規定（第四号に掲げる改正規定を除く。）、同法第九条第二項及び第三項の改正規定、同条第四項の改正規定（第四号に掲げる改正規定を除く。）、同条第五項、第七項及び第十項並びに同法第十一条、第十二条第一項、第十三条第一項、第十四条第一項、第十五条、第十六条第三項、第百三十八条第一項及び第百五十七条の二の改正規定、第七条の規定並びに第十二条の規定並びに次条第一項並びに附則第四条、第七条、第八条、第十二条、第十五条、第十七条及び第十八条の規定 公布の日
Omitted
略
the provisions amending Article 64 and Article 85-3, paragraph (2), item (ii) of the National Health Insurance Act in Article 4, the provision amending Article 8, paragraph (5) of the Act on Assurance of Medical Care for Elderly People in Article 6 (limited to the part adding ", ensuring of family doctor functions prescribed in Article 6-3, paragraph (1) of the Medical Care Act (referred to as "family doctor functions" in paragraph (4) of the following Article)" after "promotion") and the provision amending Article 9, paragraph (4) of that Act (limited to the part adding ", ensuring of family doctor functions" after "promotion"), the provision amending the table of contents of the Medical Care Act in Article 8 (excluding the amending provision set forth in item (ii)), the provisions amending Article 5, paragraph (1) and Article 6-3, paragraph (1) of that Act, the provisions in Section 1 of Chapter II of that Act renumbering Article 6-4-3 as Article 6-4-4 and Article 6-4-2 as Article 6-4-3 and adding one Article after Article 6-4, the provisions amending Article 16-2, paragraph (1), item (iii), Article 29, paragraph (3), item (iii) and paragraph (4), item (iii), and Article 30-3, paragraph (2) of that Act, the provision adding one paragraph to Article 30-3-2 of that Act, the provision adding one item after Article 30-4, paragraph (2), item (x) of that Act, the provisions amending Article 30-5, Article 30-6, paragraph (1), Article 30-14, paragraph (1) and Article 30-18-4 of that Act, the provisions in Section 4 of Chapter V of that Act renumbering Article 30-18-4 as Article 30-18-5 and adding one Article after Article 30-18-3, and the provisions amending Article 70, paragraph (1), item (ii), Article 92 and Article 106 of that Act, the provisions of Article 10, the provision amending Article 117, paragraph (5) of the Long-Term Care Insurance Act in Article 13, and the provisions of Article 14 of the Supplementary Provisions: April 1, 2025;
第四条中国民健康保険法第六十四条及び第八十五条の三第二項第二号の改正規定、第六条中高齢者の医療の確保に関する法律第八条第五項の改正規定（「推進」の下に「、医療法第六条の三第一項に規定するかかりつけ医機能（次条第四項において「かかりつけ医機能」という。）の確保」を加える部分に限る。）及び同法第九条第四項の改正規定（「推進」の下に「、かかりつけ医機能の確保」を加える部分に限る。）、第八条中医療法の目次の改正規定（第二号に掲げる改正規定を除く。）、同法第五条第一項及び第六条の三第一項の改正規定、同法第二章第一節中第六条の四の三を第六条の四の四とし、第六条の四の二を第六条の四の三とし、第六条の四の次に一条を加える改正規定、同法第十六条の二第一項第三号、第二十九条第三項第三号及び第四項第三号並びに第三十条の三第二項の改正規定、同法第三十条の三の二に一項を加える改正規定、同法第三十条の四第二項第十号の次に一号を加える改正規定、同法第三十条の五、第三十条の六第一項、第三十条の十四第一項及び第三十条の十八の四の改正規定、同法第五章第四節中第三十条の十八の四を第三十条の十八の五とし、第三十条の十八の三の次に一条を加える改正規定並びに同法第七十条第一項第二号、第九十二条及び第百六条の改正規定、第十条の規定並びに第十三条中介護保険法第百十七条第五項の改正規定並びに附則第十四条の規定 令和七年四月一日
Omitted
略
the provision amending Article 205-4, paragraph (2) of the Health Insurance Act in Article 1, the provision amending Article 153-10, paragraph (2) of the Mariners Insurance Act in Article 2, the provision amending Article 113-3, paragraph (2) of the National Health Insurance Act in Article 4, the provision amending Article 165-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People in Article 6, and the provisions of Article 14, and the provision amending Article 47-3, paragraph (2) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) in Article 19 of the Supplementary Provisions, the provision amending Article 114-2, paragraph (2) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) in Article 20 of the Supplementary Provisions, the provision amending Article 144-33, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) in Article 21 of the Supplementary Provisions, the provisions of Article 24 of the Supplementary Provisions (limited to the part pertaining to item (ii)), the provision amending Article 80-4, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) in Article 26 of the Supplementary Provisions, and the provisions of Article 29 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding four years from the date of promulgation.
第一条中健康保険法第二百五条の四第二項の改正規定、第二条中船員保険法第百五十三条の十第二項の改正規定、第四条中国民健康保険法第百十三条の三第二項の改正規定、第六条中高齢者の医療の確保に関する法律第百六十五条の二第二項の改正規定及び第十四条の規定並びに附則第十九条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第四十七条の三第二項の改正規定、附則第二十条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第百十四条の二第二項の改正規定、附則第二十一条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百四十四条の三十三第二項の改正規定、附則第二十四条（第二号に係る部分に限る。）の規定、附則第二十六条中生活保護法（昭和二十五年法律第百四十四号）第八十条の四第二項の改正規定及び附則第二十九条の規定 公布の日から起算して四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, in order to build a sustainable social security system that serves all generations, the government is to promptly examine further reforms to establish a social security system in which benefits and burdens are balanced, in response to changes in economic and social conditions and the needs of society, and take required measures based on the results.
政府は、この法律の公布後、全世代対応型の持続可能な社会保障制度を構築するため、経済社会情勢の変化と社会の要請に対応し、受益と負担の均衡がとれた社会保障制度の確立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 a target of five years after the enforcement of this Act, taking into account the condition 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.
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 15Transitional Measures Accompanying the Partial Amendment of the Long-Term Care Insurance Act
第十五条（介護保険法の一部改正に伴う経過措置）
The enactment or amendment of Prefectural or Municipal Ordinances necessary for the enforcement of the Long-Term Care Insurance Act as amended by the provisions of Article 13 (excluding the amending provisions set forth in Article 1, item (iv) of the Supplementary Provisions) (hereinafter referred to as the "New Long-Term Care Insurance Act" in this Article and the following Article), the procedures for the designation under Article 58, paragraph (1) of the Long-Term Care Insurance Act pursuant to the provisions of Article 115-22, paragraph (1) of the New Long-Term Care Insurance Act (limited to those pertaining to an application by a Designated In-Home Long-Term Care Support Provider prescribed in Article 46, paragraph (1) of that Act), and other acts may be carried out even before the Effective Date.
第十三条の規定（附則第一条第四号に掲げる改正規定を除く。）による改正後の介護保険法（以下この条及び次条において「新介護保険法」という。）の施行のために必要な条例の制定又は改正、新介護保険法第百十五条の二十二第一項の規定による介護保険法第五十八条第一項の指定（同法第四十六条第一項に規定する指定居宅介護支援事業者の申請に係るものに限る。）の手続その他の行為は、施行日前においても行うことができる。
Supplementary Provisions, Article 16
第十六条
The provisions of Article 115-44-2, paragraph (2) of the New Long-Term Care Insurance Act apply to matters concerning fiscal years beginning on or after April 1, 2023.
新介護保険法第百十五条の四十四の二第二項の規定は、令和五年四月一日以後に始まる会計年度に係る事項について適用する。
Supplementary Provisions, Article 17
第十七条
The Medical Information Infrastructure and Medical Fee Examination and Payment Organization under the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948) may carry out preparatory acts necessary for performing the operations prescribed in Article 160, paragraph (2) of the Long-Term Care Insurance Act as amended by the provisions of Article 14, even before the date of enforcement of the provisions set forth in Article 1, item (vi) of the Supplementary Provisions.
医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）による医療情報基盤・診療報酬審査支払機構は、附則第一条第六号に掲げる規定の施行の日前においても、第十四条の規定による改正後の介護保険法第百六十条第二項に規定する業務の実施に必要な準備行為をすることができる。
Supplementary Provisions, Article 18Delegation to Cabinet Order
第十八条（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。