# Article 42, paragraph (7), item (i), (e), its wordings — Order for Enforcement of the Health Insurance Act

This is the Markdown twin of https://japanlaw.org/en/health-insurance-act-enforcement-order/history/art-42/par-7/item-1/sub-5. 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.

How the wording of Article 42, paragraph (7), item (i), (e) (第四十二条第七項第一号ホ) 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 (7), item (i), (e) (第四十二条第七項第一号ホ) — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-7/item-1/sub-5 (as Markdown: https://japanlaw.org/md/en/health-insurance-act-enforcement-order/art-42/par-7/item-1/sub-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:

> 第一項第五号に掲げる者　三万六千九百円（七十五歳到達時特例対象療養に係るものにあっては、一万八千四百五十円）。ただし、特定疾病給付対象療養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（七十五歳到達時特例対象療養に係るものにあっては、一万二千三百円）とする。

English (Machine translation, not official):

> a person listed in paragraph (1), item (v): 36,900 yen (18,450 yen for that relating to medical treatment under the special rule on reaching age 75); provided, however, that in the case of repeated high-cost medical expenses for treatment subject to specified disease benefits, the amount is 24,600 yen (12,300 yen for that relating to medical treatment under the special rule on reaching age 75).

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

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

Japanese:

> 第一項第十三号に掲げる者　三万六千九百円（七十五歳到達時特例対象療養に係るものにあっては、一万八千四百五十円）。ただし、特定疾病給付対象療養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（七十五歳到達時特例対象療養に係るものにあっては、一万二千三百円）とする。

English (Machine translation, not official):

> a person listed in paragraph (1), item (xiii): 36,900 yen (18,450 yen for that relating to medical treatment under the special rule on reaching age 75); provided, however, that in the case of repeated high-cost medical expenses for treatment subject to specified disease benefits, the amount is 24,600 yen (12,300 yen for that relating to medical treatment under the special rule on reaching age 75).

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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)