# 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-4101-109` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/suppl-4101-109 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-4101-109 - 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 平成一〇年六月一七日法律第一〇九号 suppl-4101-109 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4101-109/art-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1 **第一項** この法律は、公布の日から施行する。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-4101-109/art-1/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1 This Act comes into effect on the date of promulgation; 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** 第一条中国民健康保険法第二十七条及び第六十五条第三項の改正規定並びに第二条、第四条及び第五条の規定並びに次条から附則第四条まで、第九条、第十三条から第二十四条まで及び第三十条の規定　公布の日から起算して三月を超えない範囲内において政令で定める日 suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 the amending provisions of Article 27 and Article 65, paragraph (3) of the National Health Insurance Act in Article 1, the provisions of Articles 2, 4 and 5, and the provisions of the following Article through Article 4, Article 9, Articles 13 through 24 and Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation. machine translation, not official ### 第二条（保険医療機関の病床の指定等に当たっての公正の確保等） — Ensuring Fairness in Designating Beds of Medical Institutions Providing Services Covered by Health Insurance, etc. caption: machine translation, not official suppl-4101-109/art-2 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-2 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-2 **第一項** 政府は、健康保険法第六十五条第四項（同法第六十六条第二項（同法第八十六条第十三項において準用する場合を含む。）及び第八十六条第十三項において準用する場合を含む。）の規定の適用に当たっては、被保険者等医療を受ける者の必要を反映して、良質かつ適切な地域医療が確保されるよう十分配慮するとともに、その理由を明らかにする等、公正の確保及び手続の透明性の確保に努めるものとする。 suppl-4101-109/art-2/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-2/par-1 In applying the provisions of Article 65, paragraph (4) of the Health Insurance Act (including as applied mutatis mutandis pursuant to Article 66, paragraph (2) of that Act (including as applied mutatis mutandis pursuant to Article 86, paragraph (13) of that Act) and Article 86, paragraph (13) of that Act), the government is to give full consideration to ensuring that good quality and appropriate community healthcare is secured, reflecting the needs of persons receiving medical care such as insured persons, and is to endeavor to ensure fairness and the transparency of procedures by, for example, clarifying the reasons. machine translation, not official ### 第十三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act caption: machine translation, not official suppl-4101-109/art-13 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-13 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-13 **第一項** 附則第一条第一号に掲げる規定の施行の日前に旧健保法第四十三条ノ十二の規定により指定を取り消された病院若しくは診療所又は薬局に対する当該取消しに係る健康保険法第六十五条第三項第一号の規定の適用については、同号中「五年」とあるのは、「二年」とする。 suppl-4101-109/art-13/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-13/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-13/par-1 With regard to the application of the provisions of Article 65, paragraph (3), item (i) of the Health Insurance Act, pertaining to the rescission, to a hospital, clinic or pharmacy whose designation was rescinded pursuant to the provisions of Article 43-12 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that item is deemed to be replaced with "two years". machine translation, not official ### 第十四条 suppl-4101-109/art-14 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-14 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-14 **第一項** 附則第一条第一号に掲げる規定の施行の際現に旧健保法第四十三条ノ三第一項の指定を受けている病院又は診療所については、医療法（昭和二十三年法律第二百五号）第七条第一項から第三項までの許可を受けている当該病院又は診療所の病床であって同号に掲げる規定の施行の際現に存するものに関し、第四条の規定による改正後の健康保険法（以下「新健保法」という。）第四十三条ノ三第一項の規定による保険医療機関の指定を受けたものとみなす。 suppl-4101-109/art-14/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-14/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-14/par-1 With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, in relation to the beds of that hospital or clinic that have received the permission under Article 7, paragraphs (1) through (3) of the Medical Care Act (Act No. 205 of 1948) and that actually exist at the time of enforcement of the provisions set forth in that item, it is deemed to have received designation as a medical institution providing services covered by health insurance under the provisions of Article 43-3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 4 (hereinafter referred to as the "Revised Health Insurance Act"). machine translation, not official ### 第十五条 suppl-4101-109/art-15 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-15 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-15 **第一項** 附則第一条第一号に掲げる規定の施行の際現に旧健保法第四十三条ノ三第一項の指定を受けている病院又は診療所については、新健保法第四十三条ノ三第四項（同条第六項において準用する場合を除く。）の規定は、公布の日から起算して二年を超えない範囲内において政令で定める日までの間は、適用しない。 suppl-4101-109/art-15/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-15/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-15/par-1 With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, the provisions of Article 43-3, paragraph (4) of the Revised Health Insurance Act (excluding as applied mutatis mutandis pursuant to paragraph (6) of that Article) do not apply until the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation. machine translation, not official ### 第十六条 suppl-4101-109/art-16 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-16 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-16 **第一項** 前三条の規定は、健康保険法第八十六条第一項第一号に規定する特定承認保険医療機関の承認について準用する。 suppl-4101-109/art-16/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-16/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-16/par-1 The provisions of the preceding three Articles apply mutatis mutandis to the approval of a specially approved medical institution providing services covered by health insurance prescribed in Article 86, paragraph (1), item (i) of the Health Insurance Act. machine translation, not official ### 第十七条 suppl-4101-109/art-17 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-17 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-17 **第一項** 附則第一条第一号に掲げる規定の施行の日前に旧健保法第四十三条ノ十三の規定により登録を取り消された医師若しくは歯科医師又は薬剤師に対する当該取消しに係る健康保険法第七十一条第二項の規定の適用については、同項中「五年」とあるのは、「二年」とする。 suppl-4101-109/art-17/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-17/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-17/par-1 With regard to the application of the provisions of Article 71, paragraph (2) of the Health Insurance Act, pertaining to the rescission, to a physician, dentist or pharmacist whose registration was rescinded pursuant to the provisions of Article 43-13 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that paragraph is deemed to be replaced with "two years". machine translation, not official ### 第十八条 suppl-4101-109/art-18 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-18 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-18 **第一項** 旧健保法保険医療機関等が附則第一条第一号に掲げる規定の施行の日前にした詐欺その他不正の行為により支払われた療養の給付又は入院時食事療養費、特定療養費、家族療養費、訪問看護療養費若しくは家族訪問看護療養費の支給に関する費用の返還については、新健保法第六十七条ノ二第三項の規定にかかわらず、なお従前の例による。 suppl-4101-109/art-18/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-18/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-18/par-1 With regard to the return of expenses pertaining to benefits for medical treatment, or to the payment of dietary treatment expenses for inpatients, medical expenses combined with treatment outside insurance coverage, dependent's medical expenses, medical expenses for home-nursing or dependent's medical expenses for home-nursing, that were paid as a result of fraud or other wrongful act committed by a Former Health Insurance Act medical institution providing services covered by health insurance, etc. before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, notwithstanding the provisions of Article 67-2, paragraph (3) of the Revised Health Insurance Act, the provisions then in force continue to govern. machine translation, not official ### 第三十一条（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-4101-109/art-31 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-31 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-31 **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-4101-109/art-31/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-31/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-31/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-4101-109/art-1/par-1/item-1: 次条から附則第四条まで → 健康保険法 附則第二条 (Supplementary Provisions, Article 2), suppl-4101-109/art-2 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-2 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-2 - suppl-4101-109/art-1/par-1/item-1: 第十三条から第二十四条まで → 健康保険法 附則第十三条 (Supplementary Provisions, Article 13), suppl-4101-109/art-13 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-13 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-13 - suppl-4101-109/art-2/par-1: 健康保険法第六十五条第四項 → 健康保険法 第六十五条第四項 (Article 65, paragraph (4)), art-65/par-4 — https://japanlaw.org/en/health-insurance-act/art-65/par-4 · https://japanlaw.org/l/211AC0000000070/art-65/par-4 - suppl-4101-109/art-2/par-1: 同法第六十六条第二項 → 健康保険法 第六十六条第二項 (Article 66, paragraph (2)), art-66/par-2 — https://japanlaw.org/en/health-insurance-act/art-66/par-2 · https://japanlaw.org/l/211AC0000000070/art-66/par-2 - suppl-4101-109/art-13/par-1: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-13/par-1: 健康保険法第六十五条第三項第一号 → 健康保険法 第六十五条第三項第一号 (Article 65, paragraph (3), item (i)), art-65/par-3/item-1 — https://japanlaw.org/en/health-insurance-act/art-65/par-3/item-1 · https://japanlaw.org/l/211AC0000000070/art-65/par-3/item-1 - suppl-4101-109/art-14/par-1: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-14/par-1: 医療法（昭和二十三年法律第二百五号）第七条第一項から第三項まで → e-Gov law 323AC0000000205, 第七条第一項 (Article 7, paragraph (1)), art-7/par-1 — not held in this collection - suppl-4101-109/art-14/par-1: 第四十三条ノ三第一項 → 健康保険法 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/en/health-insurance-act/art-43-3/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-3/par-1 - suppl-4101-109/art-15/par-1: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-16/par-1: 前三条 → 健康保険法 附則第十三条 (Supplementary Provisions, Article 13), suppl-4101-109/art-13 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-13 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-13 - suppl-4101-109/art-16/par-1: 前三条 → 健康保険法 附則第十四条 (Supplementary Provisions, Article 14), suppl-4101-109/art-14 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-14 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-14 - suppl-4101-109/art-16/par-1: 前三条 → 健康保険法 附則第十五条 (Supplementary Provisions, Article 15), suppl-4101-109/art-15 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-15 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-15 - suppl-4101-109/art-17/par-1: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-17/par-1: 健康保険法第七十一条第二項 → 健康保険法 第七十一条第二項 (Article 71, paragraph (2)), art-71/par-2 — https://japanlaw.org/en/health-insurance-act/art-71/par-2 · https://japanlaw.org/l/211AC0000000070/art-71/par-2 - suppl-4101-109/art-18/par-1: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 ## Cited by 7 provisions cite this one. No official source publishes this direction. - 健康保険法 附則第一条第一項第一号（施行期日） — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-1/par-1/item-1 - 健康保険法 附則第十三条第一項（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-4101-109/art-13/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-13/par-1 - 健康保険法 附則第十四条第一項 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-14/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-14/par-1 - 健康保険法 附則第十五条第一項 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-15/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-15/par-1 - 健康保険法 附則第十六条第一項 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-16/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-16/par-1 - 健康保険法 附則第十七条第一項 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-17/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-17/par-1 - 健康保険法 附則第十八条第一項 — https://japanlaw.org/en/health-insurance-act/suppl-4101-109/art-18/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4101-109/art-18/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-20261010T183826-019, 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