# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第四十三条の四 (Article 43-4) This is the Markdown twin of https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4. 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: 第四十三条の四 (Article 43-4)（その他高額介護合算療養費の支給に関する事項） — address `art-43-4` - 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-43-4 - 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. --- ### 第四十三条の四（その他高額介護合算療養費の支給に関する事項） — Other Matters Concerning the Payment of Expenses for High-Cost Medical Treatment Combined with Long-Term Care caption: machine translation, not official art-43-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4 **第一項** 被保険者が計算期間においてその資格を喪失し、かつ、当該資格を喪失した日以後の当該計算期間において医療保険加入者とならない場合その他厚生労働省令で定める場合における高額介護合算療養費の支給については、当該日の前日（当該厚生労働省令で定める場合にあっては、厚生労働省令で定める日）を基準日とみなして、前二条の規定を適用する。 art-43-4/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4/par-1 With regard to the payment of expenses for high-cost medical treatment combined with long-term care in the case where an insured person loses status as an insured person during the calculation period and does not become a person covered by medical insurance during that calculation period on or after the day on which the person lost that eligibility, or in any other case specified by Order of the Ministry of Health, Labour and Welfare, the provisions of the preceding two Articles apply by deeming the day before that day (or, in the case of that other case specified by Order of the Ministry of Health, Labour and Welfare, the day specified by Order of the Ministry of Health, Labour and Welfare) to be the reference date. machine translation, not official **第二項** 高額介護合算療養費の支給に関する手続に関して必要な事項は、厚生労働省令で定める。 art-43-4/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4/par-2 Matters necessary for procedures concerning the payment of expenses for high-cost medical treatment combined with long-term care are specified by Order of the Ministry of Health, Labour and Welfare. machine translation, not official --- ## Cites - art-43-4/par-1: 前二条 → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-2 - art-43-4/par-1: 前二条 → 健康保険法施行令 第四十三条の三 (Article 43-3), art-43-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3 ## Cited by 9 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 第四十一条の二第一項第一号（年間の高額療養費の支給要件及び支給額） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-41-2/par-1/item-1 - 健康保険法施行令 第四十三条第十一項（その他高額療養費の支給に関する事項） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43/par-11 - 健康保険法施行令 第四十三条の三第一項第五号（介護合算算定基準額） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3/par-1/item-5 - 健康保険法施行令 第四十三条の三第二項第六号（介護合算算定基準額） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3/par-2/item-6 - 健康保険法施行令 第四十四条第六項（準用） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44/par-6 - 健康保険法施行令 第四十四条第七項（準用） — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44/par-7 - 健康保険法施行令 附則第三十三条第四項第二号 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4/item-2 - 健康保険法施行令 附則第四条第一項 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1 - 健康保険法施行令 附則第四条第二項 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-2 --- ## 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-20261106T164949-014, 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