# 健康保険法 / Health Insurance Act — 第八十九条 (Article 89) - 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: 第八十九条 (Article 89)（指定訪問看護事業者の指定） — address `art-89` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/art-89 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-89 - 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. --- ### 第八十九条（指定訪問看護事業者の指定） — (Designation of Home-Nursing Providers) caption: Ministry of Justice translation — Japanese Law Translation Database System art-89 · https://japanlaw.org/en/health-insurance-act/art-89 · https://japanlaw.org/l/211AC0000000070/art-89 **第一項** 前条第一項の指定は、厚生労働省令で定めるところにより、訪問看護事業を行う者の申請により、訪問看護事業を行う事業所（以下「訪問看護事業所」という。）ごとに行う。 art-89/par-1 · https://japanlaw.org/en/health-insurance-act/art-89/par-1 · https://japanlaw.org/l/211AC0000000070/art-89/par-1 The designation referred to in paragraph (1) of the preceding Article is determined pursuant to Order of the Ministry of Health, Labour, and Welfare, upon application by a person that operates a home-nursing business, for each place of business that operates home-nursing business (hereinafter referred to as "home-nursing provider office"). Ministry of Justice translation — Japanese Law Translation Database System **第二項** 指定訪問看護事業者以外の訪問看護事業を行う者について、介護保険法第四十一条第一項本文の規定による指定居宅サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定、同法第四十二条の二第一項本文の規定による指定地域密着型サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定又は同法第五十三条第一項本文の規定による指定介護予防サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定があったときは、その指定の際、当該訪問看護事業を行う者について、前条第一項の指定があったものとみなす。ただし、当該訪問看護事業を行う者が、厚生労働省令で定めるところにより、別段の申出をしたときは、この限りでない。 art-89/par-2 · https://japanlaw.org/en/health-insurance-act/art-89/par-2 · https://japanlaw.org/l/211AC0000000070/art-89/par-2 With respect to a provider of home-nursing services other than a designated home-nursing provider, when a designation of an in-home service provider pursuant to the main clause of Article 41, paragraph (1) of the Long-Term Care Insurance Act (limited to a provider of home-nursing services which meets the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph), a designation of a community-based service provider pursuant to the provisions of the main clause of Article 42-2, paragraph (1) of the same Act (limited to a provider of home-nursing services which satisfies the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph), or a designation of a provider of services to prevent long-term care pursuant to the provisions of the main clause of Article 53, paragraph (1) of the same Act (limited to a provider of home-nursing services which meets the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph) has been made, the designation referred to in paragraph (1) of the preceding Article is deemed to have been made for the relevant provider of home-nursing services; provided, however, that this does not apply if the provider of home-nursing services gives a different notification pursuant to Order of the Ministry of Health, Labour, and Welfare. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 介護保険法第七十条の二第一項の規定による指定居宅サービス事業者の指定の失効若しくは同法第七十七条第一項若しくは第百十五条の三十五第六項の規定による指定居宅サービス事業者の指定の取消し若しくは効力の停止、同法第七十八条の十（同法第七十八条の十七の規定により読み替えて適用される場合を含む。）の規定による指定地域密着型サービス事業者の指定の取消し若しくは効力の停止若しくは同法第七十八条の十二において準用する同法第七十条の二第一項若しくは同法第七十八条の十五第一項若しくは第三項（同条第五項において準用する場合を含む。）の規定による指定地域密着型サービス事業者の指定の失効又は同法第百十五条の九第一項若しくは第百十五条の三十五第六項の規定による指定介護予防サービス事業者の指定の取消し若しくは効力の停止若しくは同法第百十五条の十一において準用する同法第七十条の二第一項の規定による指定介護予防サービス事業者の指定の失効は、前項本文の規定により受けたものとみなされた前条第一項の指定の効力に影響を及ぼさないものとする。 art-89/par-3 · https://japanlaw.org/en/health-insurance-act/art-89/par-3 · https://japanlaw.org/l/211AC0000000070/art-89/par-3 An expiration of the designation of a designated in-home service provider pursuant to the provisions of Article 70-2, paragraph (1) of the Long-Term Care Insurance Act or a rescission or suspension of validity of the designation of a designated in-home service provider pursuant to Article 77, paragraph (1) or Article 115-35, paragraph (6) of the same Act, a rescission or suspension of validity of the designation of a designated community-based service provider referred to in Article 78-10 of the same Act (including when applied by replacing terms pursuant to the provisions of Article 78-17 of the same Act), expiration of the designation of a designated community-based service provider referred to in Article 70-2, paragraph (1) of the same Act or Article 78-15, paragraph (1) or (3) of the same Act as applied mutatis mutandis to Article 78-12 of the same Act (including when applied mutatis mutandis to paragraph (5) of the same Act), rescission or expiration of the designation of a designated provider of services to prevent long-term care pursuant to Article 115-9, paragraph (1) of the same Act or Article 115-35, paragraph (6), or expiration of the designation of a designated provider of services to prevent long-term care service pursuant to Article 70-2, paragraph (1) of the same Act as applied mutatis mutandis to Article 115-11 of the same Act does not have any effect on the validity of a designation referred to in paragraph (1) of the preceding Article which is deemed to have been made pursuant to the provision of the main clause of the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 厚生労働大臣は、第一項の申請があった場合において、次の各号のいずれかに該当するときは、前条第一項の指定をしてはならない。 art-89/par-4 · https://japanlaw.org/en/health-insurance-act/art-89/par-4 · https://japanlaw.org/l/211AC0000000070/art-89/par-4 When an application referred to in paragraph (1) corresponds to any of the following items, the Minister of Health, Labour and Welfare must not make a designation referred to in the main clause of paragraph (1) of the preceding Article: Ministry of Justice translation — Japanese Law Translation Database System **一** 申請者が地方公共団体、医療法人、社会福祉法人その他厚生労働大臣が定める者でないとき。 art-89/par-4/item-1 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-1 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-1 the applicant is not a local government, a medical corporation, a social welfare corporation, or other person specified by the Minister of Health, Labour, and Welfare; Ministry of Justice translation — Japanese Law Translation Database System **二** 当該申請に係る訪問看護事業所の看護師その他の従業者の知識及び技能並びに人員が、第九十二条第一項の厚生労働省令で定める基準及び同項の厚生労働省令で定める員数を満たしていないとき。 art-89/par-4/item-2 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-2 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-2 the knowledge and skills of the nurses and other employees at the home-nursing provider office to which the application pertains, and the number thereof, do not meet standards and number specified by Order of the Ministry of Health, Labour, and Welfare referred to in Article 92, paragraph (1); Ministry of Justice translation — Japanese Law Translation Database System **三** 申請者が、第九十二条第二項（第百十一条第三項及び第百四十九条において準用する場合を含む。）に規定する指定訪問看護の事業の運営に関する基準に従って適正な指定訪問看護事業の運営をすることができないと認められるとき。 art-89/par-4/item-3 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-3 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-3 it is determined that the applicant is unable to provide designated home-nursing services appropriately in accordance with standards for operations in home-nursing prescribed in Article 92, paragraph (2) (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149); Ministry of Justice translation — Japanese Law Translation Database System **四** 申請者が、この法律の規定により指定訪問看護事業者に係る前条第一項の指定を取り消され、その取消しの日から五年を経過しない者であるとき。 art-89/par-4/item-4 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-4 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-4 the applicant is a person whose designation referred to in paragraph (1) of the preceding Article pertaining to a designated home-nursing provider has been rescinded pursuant to the provisions of this Act and five years have not elapsed from the date of the rescission; Ministry of Justice translation — Japanese Law Translation Database System **五** 申請者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。 art-89/par-4/item-5 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-5 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-5 the applicant has been sentenced to a fine pursuant to the provisions of this Act or medical insurance laws other than this act which are specified by Cabinet Order, and the payment of the fine has not been completed or the fine still applies; Ministry of Justice translation — Japanese Law Translation Database System **六** 申請者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。 art-89/par-4/item-6 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-6 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-6 the applicant has been sentenced to imprisonment or a more severe penalty and the sentence has not been completed or has not yet expired; machine translation, not official **七** 申請者が、社会保険料について、当該申請をした日の前日までに、社会保険各法又は地方税法の規定に基づく滞納処分を受け、かつ、当該処分を受けた日から正当な理由なく三月以上の期間にわたり、当該処分を受けた日以降に納期限の到来した社会保険料の全てを引き続き滞納している者であるとき。 art-89/par-4/item-7 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-7 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-7 with respect to social insurance premiums, the applicant has received a disposition of delinquency based on the provisions of social insurance laws or the Local Tax Act by the day preceding the day on which the application was filed, and has continued to be delinquent, without justifiable grounds, for three months or more from the date on which the applicant received the disposition with respect to all social insurance premiums the due dates of which came after the date on which the applicant received the disposition; or Ministry of Justice translation — Japanese Law Translation Database System **八** 前各号のほか、申請者が、指定訪問看護事業者として著しく不適当と認められる者であるとき。 art-89/par-4/item-8 · https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-8 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-8 beyond what is provided for in the preceding items, the applicant is deemed significantly inappropriate as a designated home-nursing provider. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-89/par-1: 前条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-89/par-2: 介護保険法第四十一条第一項 → e-Gov law 409AC0000000123, 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — not held in this collection - art-89/par-2: 次項 → 健康保険法 第八十九条第三項 (Article 89, paragraph (3)), art-89/par-3 — https://japanlaw.org/en/health-insurance-act/art-89/par-3 · https://japanlaw.org/l/211AC0000000070/art-89/par-3 - art-89/par-2: 同法第四十二条の二第一項 → e-Gov law 409AC0000000123, 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — not held in this collection - art-89/par-2: 同法第五十三条第一項 → e-Gov law 409AC0000000123, 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — not held in this collection - art-89/par-2: 前条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-89/par-3: 介護保険法第七十条の二第一項 → e-Gov law 409AC0000000123, 第七十条の二第一項 (Article 70-2, paragraph (1)), art-70-2/par-1 — not held in this collection - art-89/par-3: 同法第七十七条第一項 → e-Gov law 409AC0000000123, 第七十七条第一項 (Article 77, paragraph (1)), art-77/par-1 — not held in this collection - art-89/par-3: 第百十五条の三十五第六項 → e-Gov law 409AC0000000123, 第百十五条の三十五第六項 (Article 115-35, paragraph (6)), art-115-35/par-6 — not held in this collection - art-89/par-3: 同法第七十八条の十 → e-Gov law 409AC0000000123, 第七十八条の十 (Article 78-10), art-78-10 — not held in this collection - art-89/par-3: 同法第七十八条の十七 → e-Gov law 409AC0000000123, 第七十八条の十七 (Article 78-17), art-78-17 — not held in this collection - art-89/par-3: 同法第七十八条の十二 → e-Gov law 409AC0000000123, 第七十八条の十二 (Article 78-12), art-78-12 — not held in this collection - art-89/par-3: 同法第七十八条の十五第一項 → e-Gov law 409AC0000000123, 第七十八条の十五第一項 (Article 78-15, paragraph (1)), art-78-15/par-1 — not held in this collection - art-89/par-3: 第三項 → e-Gov law 409AC0000000123, 第七十八条の十五第三項 (Article 78-15, paragraph (3)), art-78-15/par-3 — not held in this collection - art-89/par-3: 同条第五項 → e-Gov law 409AC0000000123, 第七十八条の十五第五項 (Article 78-15, paragraph (5)), art-78-15/par-5 — not held in this collection - art-89/par-3: 同法第百十五条の九第一項 → e-Gov law 409AC0000000123, 第百十五条の九第一項 (Article 115-9, paragraph (1)), art-115-9/par-1 — not held in this collection - art-89/par-3: 同法第百十五条の十一 → e-Gov law 409AC0000000123, 第百十五条の十一 (Article 115-11), art-115-11 — not held in this collection - art-89/par-3: 前項 → 健康保険法 第八十九条第二項 (Article 89, paragraph (2)), art-89/par-2 — https://japanlaw.org/en/health-insurance-act/art-89/par-2 · https://japanlaw.org/l/211AC0000000070/art-89/par-2 - art-89/par-3: 前条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-89/par-4: 第一項 → 健康保険法 第八十九条第一項 (Article 89, paragraph (1)), art-89/par-1 — https://japanlaw.org/en/health-insurance-act/art-89/par-1 · https://japanlaw.org/l/211AC0000000070/art-89/par-1 - art-89/par-4: 前条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-89/par-4/item-2: 第九十二条第一項 → 健康保険法 第九十二条第一項 (Article 92, paragraph (1)), art-92/par-1 — https://japanlaw.org/en/health-insurance-act/art-92/par-1 · https://japanlaw.org/l/211AC0000000070/art-92/par-1 - art-89/par-4/item-3: 第九十二条第二項 → 健康保険法 第九十二条第二項 (Article 92, paragraph (2)), art-92/par-2 — https://japanlaw.org/en/health-insurance-act/art-92/par-2 · https://japanlaw.org/l/211AC0000000070/art-92/par-2 - art-89/par-4/item-3: 第百十一条第三項 → 健康保険法 第百十一条第三項 (Article 111, paragraph (3)), art-111/par-3 — https://japanlaw.org/en/health-insurance-act/art-111/par-3 · https://japanlaw.org/l/211AC0000000070/art-111/par-3 - art-89/par-4/item-3: 第百四十九条 → 健康保険法 第百四十九条 (Article 149), art-149 — https://japanlaw.org/en/health-insurance-act/art-149 · https://japanlaw.org/l/211AC0000000070/art-149 - art-89/par-4/item-4: 前条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/en/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第一号 (Article 89, paragraph (4), item (i)), art-89/par-4/item-1 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-1 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-1 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第二号 (Article 89, paragraph (4), item (ii)), art-89/par-4/item-2 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-2 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-2 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第三号 (Article 89, paragraph (4), item (iii)), art-89/par-4/item-3 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-3 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-3 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第四号 (Article 89, paragraph (4), item (iv)), art-89/par-4/item-4 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-4 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-4 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第五号 (Article 89, paragraph (4), item (v)), art-89/par-4/item-5 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-5 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-5 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第六号 (Article 89, paragraph (4), item (vi)), art-89/par-4/item-6 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-6 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-6 - art-89/par-4/item-8: 前各号 → 健康保険法 第八十九条第四項第七号 (Article 89, paragraph (4), item (vii)), art-89/par-4/item-7 — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-7 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-7 ## Cited by 7 provisions cite this one. No official source publishes this direction. - 健康保険法 第三条第一項第三号（定義） — https://japanlaw.org/en/health-insurance-act/art-3/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-3/par-1/item-3 - 健康保険法 第六十五条第三項第五号（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-5 · https://japanlaw.org/l/211AC0000000070/art-65/par-3/item-5 - 健康保険法 第八十九条第二項（指定訪問看護事業者の指定） — https://japanlaw.org/en/health-insurance-act/art-89/par-2 · https://japanlaw.org/l/211AC0000000070/art-89/par-2 - 健康保険法 第八十九条第三項（指定訪問看護事業者の指定） — https://japanlaw.org/en/health-insurance-act/art-89/par-3 · https://japanlaw.org/l/211AC0000000070/art-89/par-3 - 健康保険法 第八十九条第四項（指定訪問看護事業者の指定） — https://japanlaw.org/en/health-insurance-act/art-89/par-4 · https://japanlaw.org/l/211AC0000000070/art-89/par-4 - 健康保険法 第八十九条第四項第八号（指定訪問看護事業者の指定） — https://japanlaw.org/en/health-insurance-act/art-89/par-4/item-8 · https://japanlaw.org/l/211AC0000000070/art-89/par-4/item-8 - 健康保険法 附則第七条第一項（健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/en/health-insurance-act/suppl-4191-110/art-7/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4191-110/art-7/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