# 健康保険法 / Health Insurance Act — 第八十五条 (Article 85) - Law: 健康保険法 (Health Insurance Act), 大正十一年法律第七十号 - English title "Health Insurance Act": Ministry of Justice translation - Kind: Act — 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: 第八十五条 (Article 85)（入院時食事療養費） — address `art-85` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/art-85 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-85 - Every provision below carries its address and both URLs 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. --- ### 第八十五条（入院時食事療養費） — (Dietary Treatment Expenses for Inpatients) caption: Ministry of Justice translation — Japanese Law Translation Database System art-85 · https://japanlaw.org/en/health-insurance-act/art-85 · https://japanlaw.org/l/211AC0000000070/art-85 **第一項** 被保険者（特定長期入院被保険者を除く。）が、厚生労働省令で定めるところにより、第六十三条第三項各号に掲げる病院又は診療所のうち自己の選定するものから、電子資格確認等により、被保険者であることの確認を受け、同条第一項第五号に掲げる療養の給付と併せて受けた食事療養に要した費用について、入院時食事療養費を支給する。 art-85/par-1 · https://japanlaw.org/en/health-insurance-act/art-85/par-1 · https://japanlaw.org/l/211AC0000000070/art-85/par-1 Dietary treatment expenses for inpatients are paid to an insured person (excluding insured persons undergoing special long-term hospitalization) who, pursuant to Order of the Ministry of Health, Labour and Welfare, has received from a hospital or clinic that the person selected from those listed in the items of Article 63, paragraph (3) confirmation of being an insured person by electronic eligibility confirmation, etc., for expenses required for dietary treatment that the person received along with benefits for medical treatment listed in Article 63, paragraph (1), item (v). machine translation, not official **第二項** 入院時食事療養費の額は、当該食事療養につき食事療養に要する平均的な費用の額を勘案して厚生労働大臣が定める基準により算定した費用の額（その額が現に当該食事療養に要した費用の額を超えるときは、当該現に食事療養に要した費用の額）から、平均的な家計における食費の状況及び特定介護保険施設等（介護保険法第五十一条の三第一項に規定する特定介護保険施設等をいう。）における食事の提供に要する平均的な費用の額を勘案して厚生労働大臣が定める額（所得の状況その他の事情をしん酌して厚生労働省令で定める者については、別に定める額。以下「食事療養標準負担額」という。）を控除した額とする。 art-85/par-2 · https://japanlaw.org/en/health-insurance-act/art-85/par-2 · https://japanlaw.org/l/211AC0000000070/art-85/par-2 The amount of dietary treatment expenses for inpatients is the amount obtained by deducting the amount specified by the Minister of Health, Labor and Welfare taking into consideration the status of food expenses for an average household budget and the average amount of expenses required to provide meals at a specified facility for insured long-term care (meaning the specified facilities for insured long-term care prescribed in Article 51-3, paragraph (1) of the Long-Term Care Insurance Act) from the amount calculated based on standards specified by the Minister of Health, Labour and Welfare taking into account the average amount of expenses required for the dietary treatment (if the calculated amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred in the dietary treatment) (for a person specified by Order of Health, Labor and Welfare in consideration of income status and other circumstances, a separately determined amount; hereinafter referred to as "standard co-payment for dietary treatment"). Ministry of Justice translation — Japanese Law Translation Database System **第三項** 厚生労働大臣は、前項の基準を定めようとするときは、中央社会保険医療協議会に諮問するものとする。 art-85/par-3 · https://japanlaw.org/en/health-insurance-act/art-85/par-3 · https://japanlaw.org/l/211AC0000000070/art-85/par-3 When intending to specify the standards referred to in the preceding paragraph, the Minister of Health, Labour, and Welfare is to consult with the Central Social Insurance Medical Council. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 厚生労働大臣は、食事療養標準負担額を定めた後に勘案又はしん酌すべき事項に係る事情が著しく変動したときは、速やかにその額を改定しなければならない。 art-85/par-4 · https://japanlaw.org/en/health-insurance-act/art-85/par-4 · https://japanlaw.org/l/211AC0000000070/art-85/par-4 If the circumstances to be taken into consideration have changed significantly since the Minister of Health, Labour, and Welfare determines the amount of standard co-payment for dietary treatment, the Minister must promptly revise the amount. Ministry of Justice translation — Japanese Law Translation Database System **第五項** 被保険者（特定長期入院被保険者を除く。以下この条において同じ。）が第六十三条第三項第一号又は第二号に掲げる病院又は診療所から食事療養を受けたときは、保険者は、その被保険者が当該病院又は診療所に支払うべき食事療養に要した費用について、入院時食事療養費として被保険者に対し支給すべき額の限度において、被保険者に代わり、当該病院又は診療所に支払うことができる。 art-85/par-5 · https://japanlaw.org/en/health-insurance-act/art-85/par-5 · https://japanlaw.org/l/211AC0000000070/art-85/par-5 When an insured person (excluding insured persons undergoing special long-term hospitalization; the same applies hereinafter in this Article) has received dietary treatment at or from a hospital or clinic listed in Article 63, paragraph (3), item (i) or (ii), the insurer may, on behalf of the insured person, pay to the hospital or clinic the expenses incurred for the dietary treatment payable by the insured person to the hospital or clinic within the limit of the amount payable to the insured person as expenses for dietary treatment for inpatients. machine translation, not official **第六項** 前項の規定による支払があったときは、被保険者に対し入院時食事療養費の支給があったものとみなす。 art-85/par-6 · https://japanlaw.org/en/health-insurance-act/art-85/par-6 · https://japanlaw.org/l/211AC0000000070/art-85/par-6 When a payment pursuant to the provisions of the preceding paragraph is paid, it is deemed that the relevant dietary treatment expenses for inpatients are paid to the insured person. Ministry of Justice translation — Japanese Law Translation Database System **第七項** 被保険者が第六十三条第三項第三号に掲げる病院又は診療所から食事療養を受けた場合において、保険者がその被保険者の支払うべき食事療養に要した費用のうち入院時食事療養費として被保険者に支給すべき額に相当する額の支払を免除したときは、入院時食事療養費の支給があったものとみなす。 art-85/par-7 · https://japanlaw.org/en/health-insurance-act/art-85/par-7 · https://japanlaw.org/l/211AC0000000070/art-85/par-7 When an insured person receives dietary treatment from a hospital or clinic listed in Article 63, paragraph (3), item (iii), if the insurer exempts the insured person from payment of an amount equivalent to the amount to be paid as dietary treatment expenses for inpatients among the expenses required for dietary treatment to be paid by the insured person, it is deemed that dietary treatment expenses for inpatients are paid to the insured person. Ministry of Justice translation — Japanese Law Translation Database System **第八項** 第六十三条第三項各号に掲げる病院又は診療所は、食事療養に要した費用につき、その支払を受ける際、当該支払をした被保険者に対し、厚生労働省令で定めるところにより、領収証を交付しなければならない。 art-85/par-8 · https://japanlaw.org/en/health-insurance-act/art-85/par-8 · https://japanlaw.org/l/211AC0000000070/art-85/par-8 Upon acceptance of a payment of expenses incurred for dietary treatment, the hospital or clinic listed in the items of Article 63, paragraph (3) must issue a receipt therefor to the relevant insured person who makes the payment, pursuant to Ordinance of the Ministry of Health, Labour and Welfare. Ministry of Justice translation — Japanese Law Translation Database System **第九項** 第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条及び前条第一項の規定は、第六十三条第三項各号に掲げる病院又は診療所から受けた食事療養及びこれに伴う入院時食事療養費の支給について準用する。 art-85/par-9 · https://japanlaw.org/en/health-insurance-act/art-85/par-9 · https://japanlaw.org/l/211AC0000000070/art-85/par-9 The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, and paragraph (1) of the preceding Article apply mutatis mutandis to payment of dietary treatment received at or from a hospital or clinic listed in the items of Article 63, paragraph (3) and dietary treatment expenses for inpatients associated with that dietary treatment. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-85/par-1: 第六十三条第三項 → 健康保険法 第六十三条第三項 (Article 63, paragraph (3)), art-63/par-3 — https://japanlaw.org/en/health-insurance-act/art-63/par-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3 - art-85/par-1: 同条第一項第五号 → 健康保険法 第六十三条第一項第五号 (Article 63, paragraph (1), item (v)), art-63/par-1/item-5 — https://japanlaw.org/en/health-insurance-act/art-63/par-1/item-5 · https://japanlaw.org/l/211AC0000000070/art-63/par-1/item-5 - art-85/par-2: 介護保険法第五十一条の三第一項 → e-Gov law 409AC0000000123, 第五十一条の三第一項 (Article 51-3, paragraph (1)), art-51-3/par-1 — not held in this collection - art-85/par-3: 前項 → 健康保険法 第八十五条第二項 (Article 85, paragraph (2)), art-85/par-2 — https://japanlaw.org/en/health-insurance-act/art-85/par-2 · https://japanlaw.org/l/211AC0000000070/art-85/par-2 - art-85/par-5: この条 → 健康保険法 第八十五条 (Article 85), art-85 — https://japanlaw.org/en/health-insurance-act/art-85 · https://japanlaw.org/l/211AC0000000070/art-85 - art-85/par-5: 第六十三条第三項第一号 → 健康保険法 第六十三条第三項第一号 (Article 63, paragraph (3), item (i)), art-63/par-3/item-1 — https://japanlaw.org/en/health-insurance-act/art-63/par-3/item-1 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-1 - art-85/par-5: 第二号 → 健康保険法 第六十三条第三項第二号 (Article 63, paragraph (3), item (ii)), art-63/par-3/item-2 — https://japanlaw.org/en/health-insurance-act/art-63/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-2 - art-85/par-6: 前項 → 健康保険法 第八十五条第五項 (Article 85, paragraph (5)), art-85/par-5 — https://japanlaw.org/en/health-insurance-act/art-85/par-5 · https://japanlaw.org/l/211AC0000000070/art-85/par-5 - art-85/par-7: 第六十三条第三項第三号 → 健康保険法 第六十三条第三項第三号 (Article 63, paragraph (3), item (iii)), art-63/par-3/item-3 — https://japanlaw.org/en/health-insurance-act/art-63/par-3/item-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-3 - art-85/par-8: 第六十三条第三項 → 健康保険法 第六十三条第三項 (Article 63, paragraph (3)), art-63/par-3 — https://japanlaw.org/en/health-insurance-act/art-63/par-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3 - art-85/par-9: 第六十四条 → 健康保険法 第六十四条 (Article 64), art-64 — https://japanlaw.org/en/health-insurance-act/art-64 · https://japanlaw.org/l/211AC0000000070/art-64 - art-85/par-9: 第七十条第一項 → 健康保険法 第七十条第一項 (Article 70, paragraph (1)), art-70/par-1 — https://japanlaw.org/en/health-insurance-act/art-70/par-1 · https://japanlaw.org/l/211AC0000000070/art-70/par-1 - art-85/par-9: 第七十二条第一項 → 健康保険法 第七十二条第一項 (Article 72, paragraph (1)), art-72/par-1 — https://japanlaw.org/en/health-insurance-act/art-72/par-1 · https://japanlaw.org/l/211AC0000000070/art-72/par-1 - art-85/par-9: 第七十三条 → 健康保険法 第七十三条 (Article 73), art-73 — https://japanlaw.org/en/health-insurance-act/art-73 · https://japanlaw.org/l/211AC0000000070/art-73 - art-85/par-9: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第三項 (Article 76, paragraph (3)), art-76/par-3 — https://japanlaw.org/en/health-insurance-act/art-76/par-3 · https://japanlaw.org/l/211AC0000000070/art-76/par-3 - art-85/par-9: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第四項 (Article 76, paragraph (4)), art-76/par-4 — https://japanlaw.org/en/health-insurance-act/art-76/par-4 · https://japanlaw.org/l/211AC0000000070/art-76/par-4 - art-85/par-9: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第五項 (Article 76, paragraph (5)), art-76/par-5 — https://japanlaw.org/en/health-insurance-act/art-76/par-5 · https://japanlaw.org/l/211AC0000000070/art-76/par-5 - art-85/par-9: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第六項 (Article 76, paragraph (6)), art-76/par-6 — https://japanlaw.org/en/health-insurance-act/art-76/par-6 · https://japanlaw.org/l/211AC0000000070/art-76/par-6 - art-85/par-9: 第七十八条 → 健康保険法 第七十八条 (Article 78), art-78 — https://japanlaw.org/en/health-insurance-act/art-78 · https://japanlaw.org/l/211AC0000000070/art-78 - art-85/par-9: 前条第一項 → 健康保険法 第八十四条第一項 (Article 84, paragraph (1)), art-84/par-1 — https://japanlaw.org/en/health-insurance-act/art-84/par-1 · https://japanlaw.org/l/211AC0000000070/art-84/par-1 - art-85/par-9: 第六十三条第三項 → 健康保険法 第六十三条第三項 (Article 63, paragraph (3)), art-63/par-3 — https://japanlaw.org/en/health-insurance-act/art-63/par-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3 ## Cited by 24 provisions cite this one. No official source publishes this direction. - 健康保険法 第五十一条の三第二項（被保険者の資格の確認に必要な書面の交付等） — https://japanlaw.org/en/health-insurance-act/art-51-3/par-2 · https://japanlaw.org/l/211AC0000000070/art-51-3/par-2 - 健康保険法 第五十八条第三項（不正利得の徴収等） — https://japanlaw.org/en/health-insurance-act/art-58/par-3 · https://japanlaw.org/l/211AC0000000070/art-58/par-3 - 健康保険法 第六十五条第三項第二号（保険医療機関又は保険薬局の指定） — https://japanlaw.org/en/health-insurance-act/art-65/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-65/par-3/item-2 - 健康保険法 第七十条第二項（保険医療機関又は保険薬局の責務） — https://japanlaw.org/en/health-insurance-act/art-70/par-2 · https://japanlaw.org/l/211AC0000000070/art-70/par-2 - 健康保険法 第七十二条第二項（保険医又は保険薬剤師の責務） — https://japanlaw.org/en/health-insurance-act/art-72/par-2 · https://japanlaw.org/l/211AC0000000070/art-72/par-2 - 健康保険法 第八十条第一項第一号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/en/health-insurance-act/art-80/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-1 - 健康保険法 第八十条第一項第三号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/en/health-insurance-act/art-80/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-3 - 健康保険法 第八十条第一項第四号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/en/health-insurance-act/art-80/par-1/item-4 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-4 - 健康保険法 第八十条第一項第五号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/en/health-insurance-act/art-80/par-1/item-5 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-5 - 健康保険法 第八十一条第一項第一号（保険医又は保険薬剤師の登録の取消し） — https://japanlaw.org/en/health-insurance-act/art-81/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-81/par-1/item-1 - 健康保険法 第八十一条第一項第三号（保険医又は保険薬剤師の登録の取消し） — https://japanlaw.org/en/health-insurance-act/art-81/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-81/par-1/item-3 - 健康保険法 第八十二条第一項（社会保険医療協議会への諮問） — https://japanlaw.org/en/health-insurance-act/art-82/par-1 · https://japanlaw.org/l/211AC0000000070/art-82/par-1 - 健康保険法 第八十五条第三項（入院時食事療養費） — https://japanlaw.org/en/health-insurance-act/art-85/par-3 · https://japanlaw.org/l/211AC0000000070/art-85/par-3 - 健康保険法 第八十五条第五項（入院時食事療養費） — https://japanlaw.org/en/health-insurance-act/art-85/par-5 · https://japanlaw.org/l/211AC0000000070/art-85/par-5 - 健康保険法 第八十五条第六項（入院時食事療養費） — https://japanlaw.org/en/health-insurance-act/art-85/par-6 · https://japanlaw.org/l/211AC0000000070/art-85/par-6 - 健康保険法 第八十五条の二第五項（入院時生活療養費） — https://japanlaw.org/en/health-insurance-act/art-85-2/par-5 · https://japanlaw.org/l/211AC0000000070/art-85-2/par-5 - 健康保険法 第八十六条第二項第二号（保険外併用療養費） — https://japanlaw.org/en/health-insurance-act/art-86/par-2/item-2 · https://japanlaw.org/l/211AC0000000070/art-86/par-2/item-2 - 健康保険法 第八十六条第四項（保険外併用療養費） — https://japanlaw.org/en/health-insurance-act/art-86/par-4 · https://japanlaw.org/l/211AC0000000070/art-86/par-4 - 健康保険法 第八十六条第五項（保険外併用療養費） — https://japanlaw.org/en/health-insurance-act/art-86/par-5 · https://japanlaw.org/l/211AC0000000070/art-86/par-5 - 健康保険法 第八十七条第三項（療養費） — https://japanlaw.org/en/health-insurance-act/art-87/par-3 · https://japanlaw.org/l/211AC0000000070/art-87/par-3 - 健康保険法 第百十条第三項（家族療養費） — https://japanlaw.org/en/health-insurance-act/art-110/par-3 · https://japanlaw.org/l/211AC0000000070/art-110/par-3 - 健康保険法 第百十条第七項（家族療養費） — https://japanlaw.org/en/health-insurance-act/art-110/par-7 · https://japanlaw.org/l/211AC0000000070/art-110/par-7 - 健康保険法 第百四十九条第一項（準用） — https://japanlaw.org/en/health-insurance-act/art-149/par-1 · https://japanlaw.org/l/211AC0000000070/art-149/par-1 - 健康保険法 第二百五条の四第一項（基盤機構等への事務の委託） — https://japanlaw.org/en/health-insurance-act/art-205-4/par-1 · https://japanlaw.org/l/211AC0000000070/art-205-4/par-1 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/211AC0000000070/20261001_507AC0000000087), retrieved 2026-10-10 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-002, translated 2026-10-11 - This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10