# Article 42, paragraph (3), item (v), its wordings — Order for Enforcement of the Health Insurance Act

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How the wording of Article 42, paragraph (3), item (v) (第四十二条第三項第五号) 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 (3), item (v) (第四十二条第三項第五号) — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-3/item-5 (as Markdown: https://japanlaw.org/md/en/health-insurance-act-enforcement-order/art-42/par-3/item-5)
- 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:

> 市町村民税非課税者である被保険者若しくはその被扶養者又は療養のあった月において要保護者である者であって厚生労働省令で定めるものに該当する被保険者若しくはその被扶養者（前三号又は次号に掲げる者を除く。）　二万五千七百円。ただし、高額療養費多数回該当の場合にあっては、二万四千六百円とする。

English (Machine translation, not official):

> an insured person who is a person exempt from municipal inhabitant tax or a dependent thereof, or an insured person or a dependent thereof who falls under a person specified by Order of the Ministry of Health, Labour and Welfare among persons who, in the month in which the medical treatment was received, are persons requiring public assistance (excluding those listed in the preceding three items or the following item): 25,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 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 (xiii) and reworded (Cabinet Order No. 240 of 2026) — https://japanlaw.org/en/health-insurance-act-enforcement-order/amendments/20270801_508CO0000000240

Japanese:

> 市町村民税非課税者である被保険者若しくはその被扶養者又は療養のあった月において要保護者である者であって厚生労働省令で定めるものに該当する被保険者若しくはその被扶養者（第一号から第九号まで又は次号に掲げる者を除く。）　二万五千七百円。ただし、高額療養費多数回該当の場合にあっては、二万四千六百円とする。

English (Machine translation, not official):

> an insured person who is a person exempt from municipal inhabitant tax or a dependent thereof, or an insured person or a dependent thereof who falls under a person specified by Order of the Ministry of Health, Labour and Welfare among persons who, in the month in which the medical treatment was received, are persons requiring public assistance (excluding those listed in items (i) through (ix) or the following item): 25,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 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)