# Article 42, paragraph (1), item (iv), its wordings — Order for Enforcement of the Health Insurance Act

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How the wording of Article 42, paragraph (1), item (iv) (第四十二条第一項第四号) changed with each amendment, and how it will change.

- Law: Order for Enforcement of the Health Insurance Act (健康保険法施行令) — https://japanlaw.org/en/health-insurance-act-enforcement-order
- Provision: Article 42, paragraph (1), item (iv) (第四十二条第一項第四号) — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-1/item-4 (as Markdown: https://japanlaw.org/md/en/health-insurance-act-enforcement-order/art-42/par-1/item-4)
- The law's amendments: https://japanlaw.org/en/health-insurance-act-enforcement-order/amendments
- 2 wordings, oldest first.

## 1. Before Cabinet Order No. 240 of 2026

- State: In force

Japanese:

> 療養のあった月の標準報酬月額が二十八万円未満の被保険者又はその被扶養者（次号に掲げる者を除く。）　六万千五百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

English (Machine translation, not official):

> an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 280,000 yen, or a dependent of such a person (excluding those listed in the following item): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

## 2. 1 August 2027 — Cabinet Order No. 240 of 2026

- State: Not yet in force
- Takes effect: 1 August 2027
- The amendment: Moved to item (xii) and reworded (Cabinet Order No. 240 of 2026) — https://japanlaw.org/en/health-insurance-act-enforcement-order/amendments/20270801_508CO0000000240

Japanese:

> 療養のあった月の標準報酬月額が十六万円未満の被保険者又はその被扶養者（次号に掲げる者を除く。）　六万千五百円。ただし、高額療養費多数回該当の場合にあっては、三万四千五百円とする。

English (Machine translation, not official):

> an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 160,000 yen, or a dependent of such a person (excluding those listed in the following item): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 34,500 yen.

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## Sources

- The dates and the amending laws: e-Gov (Digital Agency) (https://laws.e-gov.go.jp/law/215IO0000000243)
- English name of the law: Written for this site with AI
- English titles of the amending laws: Written for this site with AI
- The Japanese text before: e-Gov (Digital Agency) (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276)
- The Japanese text after: e-Gov (Digital Agency) (https://laws.e-gov.go.jp/law/215IO0000000243/20270801_508CO0000000240)