# Article 44, paragraph (1), 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-44/par-1. 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 44, paragraph (1) (第四十四条第一項) 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 44, paragraph (1) (第四十四条第一項) — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44/par-1 (as Markdown: https://japanlaw.org/md/en/health-insurance-act-enforcement-order/art-44/par-1)
- 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:

> 第四十一条、第四十二条（第一項第二号から第四号まで、第二項第二号から第四号まで、第三項第二号から第四号まで、第四項第二号から第四号まで、第七項第一号ロからニまで及び第二号ロからニまで、第九項第二号並びに第十項から第十二項までに係る部分を除く。）及び第四十三条（第一項第一号ロからニまで、第二号ロからニまで及び第三号ロからニまでに係る部分を除く。）の規定は、日雇特例被保険者に係る高額療養費の支給について準用する。

English (Machine translation, not official):

> The provisions of Article 41, Article 42 (excluding the parts relating to paragraph (1), items (ii) through (iv), paragraph (2), items (ii) through (iv), paragraph (3), items (ii) through (iv), paragraph (4), items (ii) through (iv), paragraph (7), item (i), (b) through (d) and item (ii), (b) through (d), paragraph (9), item (ii), and paragraphs (10) through (12)) and Article 43 (excluding the parts relating to paragraph (1), item (i), (b) through (d), item (ii), (b) through (d) and item (iii), (b) through (d)) apply mutatis mutandis to the payment of high-cost medical expenses for specially-insured day laborers.

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

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

Japanese:

> 第四十一条、第四十二条（第一項第九号及び第十三号、第二項第九号及び第十三号、第三項第十二号から第十四号まで、第四項第十二号から第十四号まで、第五項第二号から第四号まで、第六項、第七項第一号リ及びワ、第二号ヲからカまで並びに第三号ロからニまで、第八項並びに第九項第一号に係る部分に限る。）及び第四十三条（第一項第一号イからチまで及びヌからヲまで、第二号イからルまで並びに第三号イからルまでに係る部分を除く。）の規定は、日雇特例被保険者に係る高額療養費の支給について準用する。この場合において、第四十二条第一項第九号中「療養のあった月の標準報酬月額が二十八万円以上三十六万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。）」とあるのは「第十三号に掲げる者以外の者」と、同条第三項第十二号中「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（次号又は第十四号に掲げる者を除く。）」とあるのは「次号及び第十四号に掲げる者以外の者」と読み替えるものとする。

English (Machine translation, not official):

> The provisions of Article 41, Article 42 (limited to the parts relating to paragraph (1), items (ix) and (xiii), paragraph (2), items (ix) and (xiii), paragraph (3), items (xii) through (xiv), paragraph (4), items (xii) through (xiv), paragraph (5), items (ii) through (iv), paragraph (6), paragraph (7), item (i), (i) and (m), item (ii), (l) through (n) and item (iii), (b) through (d), paragraph (8) and paragraph (9), item (i)) and Article 43 (excluding the parts relating to paragraph (1), item (i), (a) through (h) and (j) through (l), item (ii), (a) through (k) and item (iii), (a) through (k)) apply mutatis mutandis to the payment of high-cost medical expenses for specially-insured day laborers. In this case, the phrase "an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 280,000 yen or more and less than 360,000 yen, or a dependent of such a person (excluding those listed in item (xiii))" in Article 42, paragraph (1), item (ix) is deemed to be replaced with "a person other than those listed in item (xiii)", and the phrase "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 or item (xiv))" in paragraph (3), item (xii) of that Article is deemed to be replaced with "a person other than those listed in the following item and item (xiv)".

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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)