# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第二十条 (Article 20) This is the Markdown twin of https://japanlaw.org/en/health-insurance-act-enforcement-order/art-20. Every law, and how to address a provision: https://japanlaw.org/llms.txt. The same laws as MCP tools (no sign-in): https://japanlaw.org/mcp. - Law: 健康保険法施行令 (Order for Enforcement of the Health Insurance Act), 大正十五年勅令第二百四十三号 - English title "Order for Enforcement of the Health Insurance Act": claude-opus-5-5 - Kind: ImperialOrder — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say. - Provision: 第二十条 (Article 20)（準備金の取崩し） — address `art-20` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act-enforcement-order/art-20 - e-Gov law ID: 215IO0000000243 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page. - Every provision below carries its address and its URL on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ### 第二十条（準備金の取崩し） — Drawing Down of Reserves caption: machine translation, not official art-20 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-20 **第一項** 健康保険組合は、保険給付に要する費用（高齢者の医療の確保に関する法律（昭和五十七年法律第八十号）の規定による前期高齢者納付金等（以下「前期高齢者納付金等」という。）、同法の規定による後期高齢者支援金、後期高齢者関係事務費拠出金及び出産育児関係事務費拠出金（以下「後期高齢者支援金等」という。）並びに法第百七十三条の規定による拠出金（以下「日雇拠出金」という。）、介護保険法（平成九年法律第百二十三号）の規定による納付金（第二十九条及び第四十六条において「介護納付金」という。）、感染症の予防及び感染症の患者に対する医療に関する法律（平成十年法律第百十四号）の規定による流行初期医療確保拠出金等（以下「流行初期医療確保拠出金等」という。）並びに子ども・子育て支援法（平成二十四年法律第六十五号）の規定による子ども・子育て支援納付金（以下「子ども・子育て支援納付金」という。）の納付に要する費用を含む。）の不足を補う場合を除いては、準備金を取り崩してはならない。 art-20/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-20/par-1 A health insurance society must not draw down its reserves except to make up a shortfall in the expenses required for insurance benefits (including the expenses required for paying the young-old payments, etc. under the provisions of the Act on Assurance of Medical Care for Elderly People (Act No. 80 of 1982) (hereinafter referred to as "young-old payments, etc."), the aid for the old-old, the contribution for administrative expenses related to the old-old and the contribution for administrative expenses related to childbirth and childcare under the provisions of that Act (hereinafter referred to as "aid for the old-old, etc."), the contributions under Article 173 of the Act (hereinafter referred to as "day laborer contribution"), the Levy under the provisions of the Long-Term Care Insurance Act (Act No. 123 of 1997) (referred to as "long-term care payment" in Article 29 and Article 46), the contribution for securing medical care in the early phase of an epidemic, etc. under the provisions of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (Act No. 114 of 1998) (hereinafter referred to as "contribution for securing medical care in the early phase of an epidemic, etc."), and the children and child-rearing support levy under the provisions of the Act on Support for Children and Child-rearing (Act No. 65 of 2012) (hereinafter referred to as "children and child-rearing support levy")). machine translation, not official --- ## Cites - art-20/par-1: 法第百七十三条 → 健康保険法 第百七十三条 (Article 173), art-173 — https://japanlaw.org/en/health-insurance-act/art-173 (e-Gov law ID 211AC0000000070) - art-20/par-1: 第二十九条 → 健康保険法施行令 第二十九条 (Article 29), art-29 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-29 - art-20/par-1: 第四十六条 → 健康保険法施行令 第四十六条 (Article 46), art-46 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-46 ## Cited by 1 provision cites this one. No official source publishes this direction. - 健康保険法施行令 附則第二条第一項（病床転換支援金等の経過措置） — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-2153-243/art-2/par-1 --- ## Sources - claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06 - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法施行令 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276), retrieved 2026-11-06 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-003, translated 2026-11-07 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-003, translated 2026-11-07 - This site's parser, version 229 — 健康保険法施行令 — structure, counts, cross-references and defined terms, computed 2026-11-06