# Article 42, paragraph (4), item (v), its wordings — Order for Enforcement of the Health Insurance Act

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How the wording of Article 42, paragraph (4), item (v) (第四十二条第四項第五号) 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 (4), item (v) (第四十二条第四項第五号) — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-4/item-5 (as Markdown: https://japanlaw.org/md/en/health-insurance-act-enforcement-order/art-42/par-4/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:

> 前項第五号に掲げる者　一万二千八百五十円。ただし、高額療養費多数回該当の場合にあっては、一万二千三百円とする。

English (Machine translation, not official):

> a person listed in item (v) of the preceding paragraph: 12,850 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 12,300 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:

> 前項第十三号に掲げる者　一万二千八百五十円。ただし、高額療養費多数回該当の場合にあっては、一万二千三百円とする。

English (Machine translation, not official):

> a person listed in item (xiii) of the preceding paragraph: 12,850 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 12,300 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)