# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第四条 (Supplementary Provisions, Article 4) This is the Markdown twin of https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4. 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. - Law: 健康保険法施行令 (Order for Enforcement of the Health Insurance Act), 大正十五年勅令第二百四十三号 - English title "Order for Enforcement of the Health Insurance Act": claude-opus-5-5 - Kind: ImperialOrder — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say. - Provision: 第四条 (Supplementary Provisions, Article 4) — address `suppl-4262-365/art-4` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4 - e-Gov law ID: 215IO0000000243 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page. - Every provision below carries its address and its URL on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ### 第四条 suppl-4262-365/art-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4 **第一項** 平成二十六年八月一日から平成二十七年七月三十一日までの期間（以下「特定計算期間」という。）に行われた療養に係る健康保険法の規定による高額介護合算療養費の支給については、第一条の規定による改正後の健康保険法施行令（以下この項において「新健保令」という。）第四十三条の三第一項第二号中「二百十二万円」とあるのは「百七十六万円」と、同項第三号中「百四十一万円」とあるのは「百三十五万円」と、同項第四号中「六十万円」とあるのは「六十三万円」と読み替えて、新健保令第四十三条の二から第四十三条の四まで及び第四十四条（第一項を除く。）の規定を適用する。 suppl-4262-365/art-4/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1 With regard to the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of the Health Insurance Act for medical treatment provided during the period from August 1, 2014 to July 31, 2015 (hereinafter referred to as the "specified calculation period"), the provisions of Articles 43-2 through 43-4 and Article 44 (excluding paragraph (1)) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "New Health Insurance Order" in this paragraph) are applied by deeming the phrase "2,120,000 yen" in Article 43-3, paragraph (1), item (ii) of the New Health Insurance Order to be replaced with "1,760,000 yen", the phrase "1,410,000 yen" in item (iii) of that paragraph with "1,350,000 yen", and the phrase "600,000 yen" in item (iv) of that paragraph with "630,000 yen". machine translation, not official **第二項** 前項の規定にかかわらず、特定計算期間において健康保険法施行令第四十三条の四第一項の規定により同令第四十三条の二第一項第一号に規定する基準日とみなされた日が施行日前の日である場合における特定計算期間に行われた療養に係る健康保険法の規定による高額介護合算療養費の支給については、なお従前の例による。 suppl-4262-365/art-4/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-2 Notwithstanding the provisions of the preceding paragraph, with regard to the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of the Health Insurance Act for medical treatment provided during the specified calculation period in the case where the day deemed, during the specified calculation period, to be the reference date prescribed in Article 43-2, paragraph (1), item (i) of the Order for Enforcement of the Health Insurance Act pursuant to the provisions of Article 43-4, paragraph (1) of that Order is a day before the Effective Date, the provisions then in force continue to govern. machine translation, not official **第三項** 平成二十六年七月三十一日以前に行われた療養に係る健康保険法の規定による高額介護合算療養費の支給については、なお従前の例による。 suppl-4262-365/art-4/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-3 With regard to the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of the Health Insurance Act for medical treatment provided on or before July 31, 2014, the provisions then in force continue to govern. machine translation, not official --- ## Cites - suppl-4262-365/art-4/par-1: この項 → 健康保険法施行令 附則第四条第一項 (Supplementary Provisions, Article 4, paragraph (1)), suppl-4262-365/art-4/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1 - suppl-4262-365/art-4/par-1: 第四十三条の三第一項第二号 → 健康保険法施行令 第四十三条の三第一項第二号 (Article 43-3, paragraph (1), item (ii)), art-43-3/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3/par-1/item-2 - suppl-4262-365/art-4/par-1: 同項第三号 → 健康保険法施行令 第四十三条の三第一項第三号 (Article 43-3, paragraph (1), item (iii)), art-43-3/par-1/item-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3/par-1/item-3 - suppl-4262-365/art-4/par-1: 同項第四号 → 健康保険法施行令 第四十三条の三第一項第四号 (Article 43-3, paragraph (1), item (iv)), art-43-3/par-1/item-4 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3/par-1/item-4 - suppl-4262-365/art-4/par-1: 新健保令第四十三条の二から第四十三条の四まで → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-2 - suppl-4262-365/art-4/par-1: 新健保令第四十三条の二から第四十三条の四まで → 健康保険法施行令 第四十三条の三 (Article 43-3), art-43-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-3 - suppl-4262-365/art-4/par-1: 新健保令第四十三条の二から第四十三条の四まで → 健康保険法施行令 第四十三条の四 (Article 43-4), art-43-4 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4 - suppl-4262-365/art-4/par-1: 第四十四条 → 健康保険法施行令 第四十四条 (Article 44), art-44 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44 - suppl-4262-365/art-4/par-1: 第一項 → 健康保険法施行令 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44/par-1 - suppl-4262-365/art-4/par-2: 前項 → 健康保険法施行令 附則第四条第一項 (Supplementary Provisions, Article 4, paragraph (1)), suppl-4262-365/art-4/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1 - suppl-4262-365/art-4/par-2: 健康保険法施行令第四十三条の四第一項 → 健康保険法施行令 第四十三条の四第一項 (Article 43-4, paragraph (1)), art-43-4/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43-4/par-1 ## Cited by 2 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 附則第四条第一項 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1 - 健康保険法施行令 附則第四条第二項 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-2 --- ## Sources - claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06 - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法施行令 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276), retrieved 2026-11-06 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-032, translated 2026-11-07 - This site's parser, version 229 — 健康保険法施行令 — structure, counts, cross-references and defined terms, computed 2026-11-06