# 健康保険法 / Health Insurance Act — 附　則 (Supplementary Provisions) - 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: 附　則 (Supplementary Provisions) — address `suppl-4031-89` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/suppl-4031-89 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-4031-89 - 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. --- ## 附　則 平成三年一〇月四日法律第八九号 suppl-4031-89 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4031-89/art-1 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-1 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-1 **第一項** この法律は、平成四年一月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。 suppl-4031-89/art-1/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-1/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-1/par-1 This Act comes into effect on January 1, 1992; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items: machine translation, not official **一** 略 suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-1/par-1/item-1 Omitted machine translation, not official **二** 第一条中老人保健法の目次の改正規定、同法第二条の改正規定、同法第六条に一項を加える改正規定、同法第七条の改正規定（「及び第四十六条の八第六項」を「、第四十六条の五の二第三項、第四十六条の八第六項及び第四十六条の十七の五第四項」に改める部分に限る。）、同法第三章の章名の改正規定、同法第十二条の改正規定、同法第十七条の三の次に一条を加える改正規定、同法第二十条、第三十三条及び第三十四条の改正規定、同法第三章中第四節の次に二節を加える改正規定、同法第三章の二の章名の改正規定、同法第三章の二中第四十六条の六の前に節名を付する改正規定、同法第四十六条の十七の改正規定、同法第三章の二中同条の次に一節を加える改正規定、同法第四十七条の改正規定、同法第四十八条の改正規定（「医療等」の下に「（医療（老人医療受給対象者が医療法第二十一条第一項ただし書の都道府県知事の許可を受けた病院その他のこれに準ずる病院であつて政令で定めるものの病床のうち、老人の心身の特性に応じた適切な看護が行われるもの（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）として政令で定めるもの（以下この項において「看護強化病床」という。）について受ける第十七条第四号に掲げる給付（当該給付に伴う同条第一号から第三号まで及び第七号に掲げる給付を含む。）に限る。）、特定療養費の支給（老人医療受給対象者が看護強化病床について受ける政令で定める療養に係るものに限る。）、老人保健施設療養費の支給及び老人訪問看護療養費の支給（以下「老人保健施設療養費等」という。）を除く。）」を加える部分のうち「（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）」に係る部分（附則第七条において「老健法第四十八条改正規定中痴呆性老人部分」という。）及び老人訪問看護療養費の支給に係る部分、「及び第四十六条の二第九項」を「、第四十六条の二第九項及び第四十六条の五の二第七項」に改める部分並びに「第四十六条の二第十項」の下に「（第四十六条の五の三において準用する場合を含む。）」を加える部分に限る。）、同法第五十二条の改正規定（「並びに」を「及び」に改める部分に限る。）並びに同法第五十七条、第八十二条及び第八十六条の改正規定、第二条の規定、第三条の規定（健康保険法附則に一条を加える改正規定を除く。）、第四条の規定（船員保険法附則に二項を加える改正規定を除く。）並びに第五条の規定（国民健康保険法附則に一項を加える改正規定を除く。）並びに附則第十六条の規定（国家公務員等共済組合法（昭和三十三年法律第百二十八号）附則第九条の次に一条を加える改正規定を除く。）、附則第十七条の規定（地方公務員等共済組合法（昭和三十七年法律第百五十二号）附則第十七条の次に一条を加える改正規定を除く。）並びに附則第十九条及び第二十条の規定　平成四年四月一日 suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-1/par-1/item-2 the amending provisions of the table of contents of the Act on Health and Medical Services for the Elderly in Article 1, the amending provisions of Article 2 of that Act, the amending provisions that add one paragraph to Article 6 of that Act, the amending provisions of Article 7 of that Act (limited to the part replacing "and Article 46-8, paragraph (6)" with ", Article 46-5-2, paragraph (3), Article 46-8, paragraph (6) and Article 46-17-5, paragraph (4)"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 12 of that Act, the amending provisions that add one Article after Article 17-3 of that Act, the amending provisions of Articles 20, 33 and 34 of that Act, the amending provisions that add two Sections after Section 4 of Chapter III of that Act, the amending provisions of the chapter title of Chapter III-2 of that Act, the amending provisions that add a section title before Article 46-6 in Chapter III-2 of that Act, the amending provisions of Article 46-17 of that Act, the amending provisions that add one Section after that Article in Chapter III-2 of that Act, the amending provisions of Article 47 of that Act, the amending provisions of Article 48 of that Act (limited to, of the part adding "(excluding medical care (limited to the benefits listed in Article 17, item (iv) (including the benefits listed in items (i) through (iii) and (vii) of that Article that accompany those benefits) that a person eligible to receive medical care for the aged receives in respect of the beds, among the beds of hospitals specified by Cabinet Order that are hospitals that have received the permission of the prefectural governor referred to in the proviso to Article 21, paragraph (1) of the Medical Care Act or other hospitals equivalent thereto, in which appropriate nursing suited to the physical and mental characteristics of the aged is provided (including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided), as specified by Cabinet Order (hereinafter in this paragraph referred to as "enhanced nursing beds")), payment of specific medical expenses (limited to that pertaining to medical treatment specified by Cabinet Order that a person eligible to receive medical care for the aged receives in respect of enhanced nursing beds), payment of medical expenses for health facilities for the aged, and payment of home-visit nursing care expenses for the aged (hereinafter referred to as "medical expenses for health facilities for the aged, etc."))" after "medical care, etc.", the part pertaining to "(including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided)" (referred to in Article 7 of the Supplementary Provisions as the "part of the amending provisions of Article 48 of the Act on Health and Medical Services for the Elderly concerning the aged with dementia") and the part pertaining to the payment of home-visit nursing care expenses for the aged, the part replacing "and Article 46-2, paragraph (9)" with ", Article 46-2, paragraph (9) and Article 46-5-2, paragraph (7)", and the part adding "(including the case where it applies mutatis mutandis pursuant to Article 46-5-3)" after "Article 46-2, paragraph (10)"), the amending provisions of Article 52 of that Act (limited to the part replacing "並びに" (and, joining larger groups) with "及び" (and, joining smaller groups)), and the amending provisions of Articles 57, 82 and 86 of that Act, the provisions of Article 2, the provisions of Article 3 (excluding the amending provisions that add one Article to the Supplementary Provisions of the Health Insurance Act), the provisions of Article 4 (excluding the amending provisions that add two paragraphs to the Supplementary Provisions of the Mariners Insurance Act), and the provisions of Article 5 (excluding the amending provisions that add one paragraph to the Supplementary Provisions of the National Health Insurance Act), and the provisions of Article 16 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 9 of the Supplementary Provisions of the National Public Officers, etc. Mutual Aid Association Act (Act No. 128 of 1958)), the provisions of Article 17 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 17 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962)), and the provisions of Articles 19 and 20 of the Supplementary Provisions: April 1, 1992. machine translation, not official ### 第十五条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order caption: machine translation, not official suppl-4031-89/art-15 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-15 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-15 **第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。 suppl-4031-89/art-15/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4031-89/art-15/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4031-89/art-15/par-1 Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order. machine translation, not official --- ## Cites - suppl-4031-89/art-1/par-1/item-2: 医療法第二十一条第一項 → e-Gov law 323AC0000000205, 第二十一条第一項 (Article 21, paragraph (1)), art-21/par-1 — not held in this collection --- ## 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-20261010T183826-016, 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