# 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-4161-104`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/suppl-4161-104
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-4161-104
- 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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## 附　則 平成一六年六月一一日法律第一〇四号
<sup>suppl-4161-104 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104</sup>

### 第一条（施行期日） — Effective Date
<sup>caption: machine translation, not official</sup>
<sup>suppl-4161-104/art-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1</sup>

**第一項**  この法律は、平成十六年十月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
<sup>suppl-4161-104/art-1/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1</sup>
This Act comes into effect on October 1, 2004; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
<sup>machine translation, not official</sup>

  **一**  第二条、第八条、第十五条、第二十二条、第二十八条、第三十二条、第三十六条、第三十九条、第四十二条、第四十四条の二、第四十九条、第五十一条及び第五十二条並びに附則第四条、第十七条から第二十四条まで、第三十四条から第三十八条まで、第五十七条、第五十八条及び第六十条から第六十四条までの規定　平成十七年四月一日
  <sup>suppl-4161-104/art-1/par-1/item-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-1</sup>
  the provisions of Article 2, Article 8, Article 15, Article 22, Article 28, Article 32, Article 36, Article 39, Article 42, Article 44-2, Article 49, Article 51 and Article 52, and Article 4, Article 17 through Article 24, Article 34 through Article 38, Article 57, Article 58 and Article 60 through Article 64 of the Supplementary Provisions: April 1, 2005;
  <sup>machine translation, not official</sup>

  **二及び三**  略
  <sup>suppl-4161-104/art-1/par-1/item-2-to-3 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1/item-2-to-3 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-2-to-3</sup>
  Omitted
  <sup>machine translation, not official</sup>

  **四**  第四条、第十一条、第十八条、第四十一条、第四十三条、第四十八条及び第五十条並びに附則第九条第二項、第十条、第十三条第六項、第十四条、第五十六条の表平成十八年度（附則第一条第四号に掲げる規定の施行の日の属する月以後の期間に限る。）から特定年度の前年度までの各年度の項及び第六十五条の規定　平成十八年七月一日
  <sup>suppl-4161-104/art-1/par-1/item-4 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1/item-4 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-4</sup>
  the provisions of Article 4, Article 11, Article 18, Article 41, Article 43, Article 48 and Article 50, and Article 9, paragraph (2), Article 10, Article 13, paragraph (6), Article 14, the row for each fiscal year from fiscal year 2006 (limited to the period on or after the month that includes the day of enforcement of the provisions listed in Article 1, item (iv) of the Supplementary Provisions) to the previous fiscal year of the specified fiscal year in the table in Article 56, and Article 65 of the Supplementary Provisions: July 1, 2006;
  <sup>machine translation, not official</sup>

### 第三条（検討） — Review
<sup>caption: machine translation, not official</sup>
<sup>suppl-4161-104/art-3 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-3 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-3</sup>

**第一項**  政府は、社会保障制度に関する国会の審議を踏まえ、社会保障制度全般について、税、保険料等の負担と給付の在り方を含め、一体的な見直しを行いつつ、これとの整合を図り、公的年金制度について必要な見直しを行うものとする。
<sup>suppl-4161-104/art-3/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-3/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-3/par-1</sup>
The government is, based on the deliberations of the Diet concerning the social security system, to conduct an integrated review of the social security system as a whole, including the state of the burden of taxes, insurance premiums, etc. and of benefits, and, ensuring consistency with that review, to make the necessary review of the public pension system.
<sup>machine translation, not official</sup>

**第二項**  前項の公的年金制度についての見直しを行うに当たっては、公的年金制度の一元化を展望し、体系の在り方について検討を行うものとする。
<sup>suppl-4161-104/art-3/par-2 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-3/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-3/par-2</sup>
In conducting the review of the public pension system under the preceding paragraph, the state of the system is to be reviewed with a view to the unification of the public pension system.
<sup>machine translation, not official</sup>

### 第五十七条（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
<sup>caption: machine translation, not official</sup>
<sup>suppl-4161-104/art-57 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57</sup>

**第一項**  第四十九条の規定による改正後の健康保険法第四十三条の二の規定は、平成十七年四月一日以後に終了した同条第一項に規定する育児休業等（第三項において「育児休業等」という。）について適用する。
<sup>suppl-4161-104/art-57/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57/par-1</sup>
The provisions of Article 43-2 of the Health Insurance Act as amended by the provisions of Article 49 apply to childcare leave prescribed in paragraph (1) of that Article (referred to as "childcare leave" in paragraph (3)) that ended on or after April 1, 2005.
<sup>machine translation, not official</sup>

**第二項**  平成十七年四月一日前に第四十九条の規定による改正前の健康保険法第百五十九条の規定に基づく申出をした者については、なお従前の例による。
<sup>suppl-4161-104/art-57/par-2 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57/par-2</sup>
With regard to a person who made an application under the provisions of Article 159 of the Health Insurance Act prior to amendment by the provisions of Article 49 before April 1, 2005, the provisions then in force continue to govern.
<sup>machine translation, not official</sup>

**第三項**  平成十七年四月一日前に育児休業等を開始した者（平成十七年四月一日前に第四十九条の規定による改正前の健康保険法第百五十九条の規定に基づく申出をした者を除く。）については、その育児休業等を開始した日を平成十七年四月一日とみなして、第四十九条の規定による改正後の健康保険法第百五十九条の規定を適用する。
<sup>suppl-4161-104/art-57/par-3 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57/par-3</sup>
With regard to a person who began childcare leave before April 1, 2005 (excluding a person who made an application under the provisions of Article 159 of the Health Insurance Act prior to amendment by the provisions of Article 49 before April 1, 2005), the provisions of Article 159 of the Health Insurance Act as amended by the provisions of Article 49 apply, deeming the day on which that childcare leave began to be April 1, 2005.
<sup>machine translation, not official</sup>

### 第七十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
<sup>caption: machine translation, not official</sup>
<sup>suppl-4161-104/art-73 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-73 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-73</sup>

**第一項**  この法律（附則第一条ただし書に規定する規定については、当該規定）の施行前にした行為に対する罰則の適用については、なお従前の例による。
<sup>suppl-4161-104/art-73/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-73/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-73/par-1</sup>
The provisions then in force continue to govern the application of penal provisions to conduct engaged in before this Act (or, for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions) comes into effect.
<sup>machine translation, not official</sup>

### 第七十四条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
<sup>caption: machine translation, not official</sup>
<sup>suppl-4161-104/art-74 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-74 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-74</sup>

**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。
<sup>suppl-4161-104/art-74/par-1 · https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-74/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-74/par-1</sup>
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
<sup>machine translation, not official</sup>

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## Cites
- suppl-4161-104/art-1/par-1/item-1: 第五十七条 → 健康保険法 附則第五十七条 (Supplementary Provisions, Article 57), suppl-4161-104/art-57 — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57
- suppl-4161-104/art-1/par-1/item-4: 附則第一条第四号 → 健康保険法 附則第一条第一項第四号 (Supplementary Provisions, Article 1, paragraph (1), item (iv)), suppl-4161-104/art-1/par-1/item-4 — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1/item-4 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-4
- suppl-4161-104/art-3/par-2: 前項 → 健康保険法 附則第三条第一項 (Supplementary Provisions, Article 3, paragraph (1)), suppl-4161-104/art-3/par-1 — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-3/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-3/par-1
- suppl-4161-104/art-57/par-1: 健康保険法第四十三条の二 → 健康保険法 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/en/health-insurance-act/art-43-2 · https://japanlaw.org/l/211AC0000000070/art-43-2
- suppl-4161-104/art-57/par-1: 同条第一項 → 健康保険法 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/en/health-insurance-act/art-43-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-2/par-1
- suppl-4161-104/art-57/par-1: 第三項 → 健康保険法 附則第五十七条第三項 (Supplementary Provisions, Article 57, paragraph (3)), suppl-4161-104/art-57/par-3 — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-57/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57/par-3
- suppl-4161-104/art-57/par-3: 健康保険法第百五十九条 → 健康保険法 第百五十九条 (Article 159), art-159 — https://japanlaw.org/en/health-insurance-act/art-159 · https://japanlaw.org/l/211AC0000000070/art-159
- suppl-4161-104/art-73/par-1: 附則第一条 → 健康保険法 附則第一条 (Supplementary Provisions, Article 1), suppl-4161-104/art-1 — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1

## Cited by

5 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-4161-104/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-1
- 健康保険法 附則第一条第一項第四号（施行期日） — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-1/par-1/item-4 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-1/par-1/item-4
- 健康保険法 附則第三条第二項（検討） — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-3/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-3/par-2
- 健康保険法 附則第五十七条第一項（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-4161-104/art-57/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-57/par-1
- 健康保険法 附則第七十三条第一項（罰則に関する経過措置） — https://japanlaw.org/en/health-insurance-act/suppl-4161-104/art-73/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4161-104/art-73/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-20261010T183826-023, 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
