# 健康保険法 / Health Insurance Act — 第二条 (Supplementary Provisions, Article 2)

- 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: 第二条 (Supplementary Provisions, Article 2)（医療保険制度の改革等） — address `suppl-4141-102/art-2`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2
- 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.

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### 第二条（医療保険制度の改革等） — Reform of the Medical Insurance System, etc.
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2</sup>

**第一項**  医療保険各法に規定する被保険者及び被扶養者の医療に係る給付の割合については、将来にわたり百分の七十を維持するものとする。
<sup>suppl-4141-102/art-2/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-1</sup>
The proportion of benefits pertaining to the medical care of insured persons and dependents prescribed in the individual medical insurance Acts is to be maintained at 70 percent into the future.
<sup>machine translation, not official</sup>

**第二項**  政府は、将来にわたって医療保険制度の安定的運営を図るため、平成十四年度中に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにした基本方針を策定するものとする。政府は、当該基本方針に基づいて、できるだけ速やかに（第二号に掲げる事項についてはおおむね二年を目途に）、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2</sup>
In order to ensure the stable operation of the medical insurance system into the future, the government is to formulate, within fiscal year 2002, a basic policy that clarifies the specific content, procedures and annual plan for the following matters. The government is to take required measures based on that basic policy as promptly as possible (for the matter set forth in item (ii), with a target of about two years).
<sup>machine translation, not official</sup>

  **一**  保険者の統合及び再編を含む医療保険制度の体系の在り方
  <sup>suppl-4141-102/art-2/par-2/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2/item-1</sup>
  the structure of the medical insurance system, including the integration and reorganization of insurers;
  <sup>machine translation, not official</sup>

  **二**  新しい高齢者医療制度の創設
  <sup>suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2/item-2</sup>
  the creation of a new medical system for the elderly;
  <sup>machine translation, not official</sup>

  **三**  診療報酬の体系の見直し
  <sup>suppl-4141-102/art-2/par-2/item-3 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2/item-3 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2/item-3</sup>
  the review of the medical fee schedule.
  <sup>machine translation, not official</sup>

**第三項**  政府は、おおむね二年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-3 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-3</sup>
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about two years.
<sup>machine translation, not official</sup>

  **一**  健康保険の保険者である政府が設置する病院の在り方の見直し
  <sup>suppl-4141-102/art-2/par-3/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-3/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-3/item-1</sup>
  a review of the hospitals established by the government as the insurer of health insurance;
  <sup>machine translation, not official</sup>

  **二**  社会保険庁の業務運営の効率化及び事務の合理化
  <sup>suppl-4141-102/art-2/par-3/item-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-3/item-2</sup>
  streamlining of the operations and rationalization of the administrative affairs of the Social Insurance Agency.
  <sup>machine translation, not official</sup>

**第四項**  政府は、おおむね三年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-4 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-4</sup>
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about three years.
<sup>machine translation, not official</sup>

  **一**  政府が保険者である社会保険及び労働保険に係る徴収事務の一元化
  <sup>suppl-4141-102/art-2/par-4/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-4/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-4/item-1</sup>
  the unification of the collection affairs pertaining to social insurance and labor insurance for which the government is the insurer;
  <sup>machine translation, not official</sup>

  **二**  医療保険各法、老人保健法及び介護保険法の規定による給付に伴う負担の家計における合計額が著しく高額になる場合の当該負担の軽減を図る仕組みの創設
  <sup>suppl-4141-102/art-2/par-4/item-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-4/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-4/item-2</sup>
  the creation of a mechanism for reducing the burden accompanying benefits under the provisions of the individual medical insurance Acts, the Act on Health and Medical Services for the Elderly and the Long-Term Care Insurance Act where the total amount of that burden in a household becomes extremely high;
  <sup>machine translation, not official</sup>

  **三**  社会保険診療報酬支払基金及び国民健康保険団体連合会による診療報酬の審査及び支払に関する事務処理の体制の見直し
  <sup>suppl-4141-102/art-2/par-4/item-3 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-4/item-3 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-4/item-3</sup>
  the review of the system for handling affairs pertaining to the examination and payment of medical fees by the Social Insurance Medical Fee Payment Fund and the federations of National Health Insurance Associations.
  <sup>machine translation, not official</sup>

**第五項**  政府は、おおむね五年を目途に、政府が管掌する健康保険事業及び当該事業の組織形態の在り方の見直しについて検討を行い、その結果に基づいて所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-5 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-5 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-5</sup>
The government is to review the health insurance services administered by the government and the organizational form of those services, with a target of about five years, and take required measures based on the results.
<sup>machine translation, not official</sup>

**第六項**  政府は、次に掲げる事項について検討を行い、その結果に基づいて所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-6 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-6 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-6</sup>
The government is to review the following matters and take required measures based on the results.
<sup>machine translation, not official</sup>

  **一**  医療に係る事故に迅速かつ適切に対応するための専門家による苦情の処理体制の整備
  <sup>suppl-4141-102/art-2/par-6/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-6/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-6/item-1</sup>
  the development of a system for handling complaints by experts in order to respond promptly and appropriately to accidents related to medical care;
  <sup>machine translation, not official</sup>

  **二**  医療及び医療に要する費用に関する情報の収集、分析、評価及び提供に係る体制の整備
  <sup>suppl-4141-102/art-2/par-6/item-2 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-6/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-6/item-2</sup>
  the development of a system for the collection, analysis, evaluation and provision of information on medical care and the costs required for medical care;
  <sup>machine translation, not official</sup>

  **三**  医療保険各法及び老人保健法の規定による保険給付の内容及び範囲の在り方
  <sup>suppl-4141-102/art-2/par-6/item-3 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-6/item-3 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-6/item-3</sup>
  the content and scope of insurance benefits under the provisions of the individual medical insurance Acts and the Act on Health and Medical Services for the Elderly.
  <sup>machine translation, not official</sup>

**第七項**  政府は、第二項から前項までに規定する事項の検討に早急に着手し結論を得、逐次実施するものとする。
<sup>suppl-4141-102/art-2/par-7 · https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-7 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-7</sup>
The government is to promptly commence review of the matters prescribed in paragraph (2) through the preceding paragraph, reach conclusions, and implement them in sequence.
<sup>machine translation, not official</sup>

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## Cites
- suppl-4141-102/art-2/par-2: 第二号 → 健康保険法 附則第二条第二項第二号 (Supplementary Provisions, Article 2, paragraph (2), item (ii)), suppl-4141-102/art-2/par-2/item-2 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2/item-2
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 健康保険法 附則第二条第二項 (Supplementary Provisions, Article 2, paragraph (2)), suppl-4141-102/art-2/par-2 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 健康保険法 附則第二条第三項 (Supplementary Provisions, Article 2, paragraph (3)), suppl-4141-102/art-2/par-3 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-3
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 健康保険法 附則第二条第四項 (Supplementary Provisions, Article 2, paragraph (4)), suppl-4141-102/art-2/par-4 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-4
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 健康保険法 附則第二条第五項 (Supplementary Provisions, Article 2, paragraph (5)), suppl-4141-102/art-2/par-5 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-5 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-5
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 健康保険法 附則第二条第六項 (Supplementary Provisions, Article 2, paragraph (6)), suppl-4141-102/art-2/par-6 — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-6 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-6

## Cited by

2 provisions cite this one. No official source publishes this direction.

- 健康保険法 附則第二条第二項（医療保険制度の改革等） — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-2
- 健康保険法 附則第二条第七項（医療保険制度の改革等） — https://japanlaw.org/en/health-insurance-act/suppl-4141-102/art-2/par-7 · https://japanlaw.org/l/211AC0000000070/suppl-4141-102/art-2/par-7

---

## 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-20261010T183826-021, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-022, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T193238-001, 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