# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 附　則 (Supplementary Provisions) This is the Markdown twin of https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219. 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: 附　則 (Supplementary Provisions) — address `suppl-5082-219` - 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-5082-219 - 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. --- ## 附　則 令和八年六月二五日政令第二一九号 suppl-5082-219 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-5082-219/art-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-1 **第一項** この政令は、令和八年八月一日から施行する。ただし、次条並びに附則第四条、第六条及び第八条の規定は、公布の日から施行する。 suppl-5082-219/art-1/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-1/par-1 This Cabinet Order comes into effect on August 1, 2026; provided, however, that the provisions of the following Article and Articles 4, 6 and 8 of the Supplementary Provisions come into effect on the date of promulgation. machine translation, not official ### 第二条（健康保険法施行令の一部改正に伴う準備行為） — Preparatory Acts Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act caption: machine translation, not official suppl-5082-219/art-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-2 **第一項** 第一条（第一号に係る部分に限る。）の規定による改正後の健康保険法施行令（次条において「新健康保険法施行令」という。）第四十二条第三項第六号（健康保険法施行令第四十四条第一項において準用する場合を含む。）に掲げる者に該当することについての健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロ（これらの規定を同令第四十四条第一項において準用する場合を含む。以下この条において同じ。）の規定による保険者の認定は、この政令の施行の日（以下「施行日」という。）前においても、健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロの規定の例によりすることができる。 suppl-5082-219/art-2/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-2/par-1 The certification by an insurer, under the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order; the same applies hereinafter in this Article), that a person falls under the persons listed in Article 42, paragraph (3), item (vi) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 1 (limited to the part relating to item (i)) (referred to as the "New Order for Enforcement of the Health Insurance Act" in the following Article) (including where applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act), may be made, even before the date of enforcement of this Cabinet Order (hereinafter referred to as the "Effective Date"), in accordance with the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act. machine translation, not official ### 第三条（健康保険法施行令の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act caption: machine translation, not official suppl-5082-219/art-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-3 **第一項** 新健康保険法施行令第四十二条第三項（第六号に係る部分に限り、健康保険法施行令第四十四条第一項において準用する場合を含む。）の規定は、療養のあった月が令和八年八月以後の場合における健康保険法施行令第四十一条第三項から第五項まで及び第七項（これらの規定を同令第四十四条第一項において準用する場合を含む。）の高額療養費算定基準額並びに同令第四十一条の二第一項ただし書（同令第四十四条第二項において準用する場合を含む。）に規定する基準日（同令第四十三条の四第一項又は第四十四条第七項の規定により基準日とみなされる日を含む。）の属する月が同月以後の場合における同令第四十三条の二第二項（同令第四十四条第五項において準用する場合を含む。）の七十歳以上介護合算算定基準額（同令第四十三条の三第三項（同令第四十四条第五項において準用する場合を含む。）において同令第四十三条の三第二項の規定を読み替えて準用することとされた同令第四十三条の二第三項において準用する同条第二項の七十歳以上介護合算算定基準額及び同令第四十三条の三第四項において同条第二項の規定を読み替えて準用することとされた同令第四十三条の二第四項において準用する同条第二項の七十歳以上介護合算算定基準額を含む。）について適用し、療養のあった月が同年七月以前の場合における当該高額療養費算定基準額及び当該基準日の属する月が同月以前の場合における当該七十歳以上介護合算算定基準額については、なお従前の例による。 suppl-5082-219/art-3/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-3/par-1 The provisions of Article 42, paragraph (3) of the New Order for Enforcement of the Health Insurance Act (limited to the part relating to item (vi), and including where applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) apply to the base amount for calculating high-cost medical expenses under Article 41, paragraphs (3) through (5) and paragraph (7) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order) in the case where the month in which medical treatment was received is August 2026 or later, and to the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order) (including the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) as applied mutatis mutandis under Article 43-2, paragraph (3) of that Order, with respect to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replaced terms under Article 43-3, paragraph (3) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order), and the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) as applied mutatis mutandis under Article 43-2, paragraph (4) of that Order, with respect to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replaced terms under Article 43-3, paragraph (4) of that Order) in the case where the month that includes the reference date prescribed in the proviso to Article 41-2, paragraph (1) of that Order (including where applied mutatis mutandis pursuant to Article 44, paragraph (2) of that Order) (including the day deemed to be the reference date pursuant to Article 43-4, paragraph (1) or Article 44, paragraph (7) of that Order) is that month or later, and with regard to that base amount for calculating high-cost medical expenses in the case where the month in which medical treatment was received is July of that year or earlier, and that base amount for the combined long-term care calculation for persons aged 70 or over in the case where the month that includes that reference date is that month or earlier, the provisions then in force continue to govern. machine translation, not official --- ## Cites - suppl-5082-219/art-1/par-1: 次条 → 健康保険法施行令 附則第二条 (Supplementary Provisions, Article 2), suppl-5082-219/art-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-2 - suppl-5082-219/art-2/par-1: 次条 → 健康保険法施行令 附則第三条 (Supplementary Provisions, Article 3), suppl-5082-219/art-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-3 - suppl-5082-219/art-2/par-1: 第四十二条第三項第六号 → 健康保険法施行令 第四十二条第三項第六号 (Article 42, paragraph (3), item (vi)), art-42/par-3/item-6 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-3/item-6 - suppl-5082-219/art-2/par-1: 健康保険法施行令第四十四条第一項 → 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-5082-219/art-2/par-1: 健康保険法施行令第四十三条第一項第二号 → 健康保険法施行令 第四十三条第一項第二号 (Article 43, paragraph (1), item (ii)), art-43/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43/par-1/item-2 - suppl-5082-219/art-2/par-1: 第三号 → 健康保険法施行令 第四十三条第一項第三号 (Article 43, paragraph (1), item (iii)), art-43/par-1/item-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43/par-1/item-3 - suppl-5082-219/art-2/par-1: 第四号 → 健康保険法施行令 第四十三条第一項第四号 (Article 43, paragraph (1), item (iv)), art-43/par-1/item-4 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-43/par-1/item-4 - suppl-5082-219/art-2/par-1: この条 → 健康保険法施行令 附則第二条 (Supplementary Provisions, Article 2), suppl-5082-219/art-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-2 - suppl-5082-219/art-3/par-1: 新健康保険法施行令第四十二条第三項 → 健康保険法施行令 第四十二条第三項 (Article 42, paragraph (3)), art-42/par-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-3 - suppl-5082-219/art-3/par-1: 第六号 → 健康保険法施行令 第四十二条第三項第六号 (Article 42, paragraph (3), item (vi)), art-42/par-3/item-6 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-42/par-3/item-6 - suppl-5082-219/art-3/par-1: 健康保険法施行令第四十四条第一項 → 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-5082-219/art-3/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 健康保険法施行令 第四十一条第三項 (Article 41, paragraph (3)), art-41/par-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-41/par-3 - suppl-5082-219/art-3/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 健康保険法施行令 第四十一条第四項 (Article 41, paragraph (4)), art-41/par-4 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-41/par-4 - suppl-5082-219/art-3/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 健康保険法施行令 第四十一条第五項 (Article 41, paragraph (5)), art-41/par-5 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-41/par-5 - suppl-5082-219/art-3/par-1: 第七項 → 健康保険法施行令 第四十一条第七項 (Article 41, paragraph (7)), art-41/par-7 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-41/par-7 ## Cited by 2 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 附則第一条第一項（施行期日） — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-1/par-1 - 健康保険法施行令 附則第二条第一項（健康保険法施行令の一部改正に伴う準備行為） — https://japanlaw.org/en/health-insurance-act-enforcement-order/suppl-5082-219/art-2/par-1 --- ## 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-20261106T164949-024, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-026, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-033, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-034, translated 2026-11-07 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-034, 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