# 国民健康保険法 / National Health Insurance Act — 第六章の二 (Chapter 6-2)

- Law: 国民健康保険法 (National Health Insurance Act), 昭和三十三年法律第百九十二号
- English title "National 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: 第六章の二 (Chapter 6-2) — address `ch-6-2`
- Text: the text as amended with effect from 2027-04-01, standing until 2028-03-31 — NOT yet in force (revision 20270401_507AC0000000087)
- URL (this text's page, at this provision): https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2
- The same address in the text in force (its wording there may differ): https://japanlaw.org/en/national-health-insurance-act/ch-6-2
- Every provision below carries its address and its place on this text's page 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.
The Ministry's English is given only where this text's Japanese is a wording
the Ministry translated — the same as the text in force, or for a text not yet
in force, a wording it translated ahead; every other paragraph's English is
machine translation.

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## 第六章の二　国民健康保険運営方針等 — Chapter VI-2 National Health Insurance Management Policy, etc.
<sup>heading: machine translation, not official</sup>
<sup>ch-6-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2</sup>

### 第八十二条の二（都道府県国民健康保険運営方針） — Prefectural National Health Insurance Management Policy
<sup>caption: machine translation, not official</sup>
<sup>art-82-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2</sup>

**第一項**  都道府県は、都道府県等が行う国民健康保険の安定的な財政運営並びに当該都道府県内の市町村の国民健康保険事業の広域的及び効率的な運営の推進を図るため、おおむね六年ごとに、都道府県及び当該都道府県内の市町村の国民健康保険事業の運営に関する方針（以下「都道府県国民健康保険運営方針」という。）を定めるものとする。
<sup>art-82-2/par-1 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-1</sup>
In order to promote stable financial management of the national health insurance program provided by prefectures, etc. and wide-area and efficient administration of national health insurance services by the Municipalities within the prefecture, a prefecture is to establish, approximately every six years, a policy on the administration of national health insurance services of the prefecture and the Municipalities within the prefecture (hereinafter referred to as the "prefectural national health insurance management policy").
<sup>machine translation, not official</sup>

**第二項**  都道府県国民健康保険運営方針においては、次に掲げる事項を定めるものとする。
<sup>art-82-2/par-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2</sup>
The prefectural national health insurance management policy is to prescribe the following matters:
<sup>machine translation, not official</sup>

  **一**  国民健康保険の医療に要する費用及び財政の見通し
  <sup>art-82-2/par-2/item-1 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-1</sup>
  the outlook for the expenses required for medical care and for the finances of national health insurance;
  <sup>machine translation, not official</sup>

  **二**  当該都道府県内の市町村における保険料の標準的な算定方法及びその水準の平準化に関する事項
  <sup>art-82-2/par-2/item-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-2</sup>
  matters concerning the standard method of calculating insurance premiums in the Municipalities within the prefecture and the equalization of the level thereof;
  <sup>machine translation, not official</sup>

  **三**  当該都道府県内の市町村における保険料の徴収の適正な実施に関する事項
  <sup>art-82-2/par-2/item-3 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-3</sup>
  matters concerning the proper implementation of the collection of insurance premiums in the Municipalities within the prefecture;
  <sup>machine translation, not official</sup>

  **四**  当該都道府県内の市町村における保険給付の適正な実施に関する事項
  <sup>art-82-2/par-2/item-4 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-4</sup>
  matters concerning the proper implementation of insurance benefits in the Municipalities within the prefecture;
  <sup>machine translation, not official</sup>

  **五**  都道府県等が行う国民健康保険の安定的な財政運営及び被保険者の健康の保持の推進に関し、当該都道府県における医療費適正化の推進のために必要と認める事項
  <sup>art-82-2/par-2/item-5 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-5</sup>
  matters that the prefecture finds necessary for promoting optimization of medical expenses in the prefecture, concerning the stable financial management of national health insurance program provided by prefectures, etc. and the promotion of maintaining the health of insured persons;
  <sup>machine translation, not official</sup>

  **六**  当該都道府県内の市町村の国民健康保険事業の広域的及び効率的な運営の推進に関する事項
  <sup>art-82-2/par-2/item-6 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-6</sup>
  matters concerning the promotion of wide-area and efficient administration of national health insurance services of the Municipalities within the prefecture.
  <sup>machine translation, not official</sup>

**第三項**  都道府県国民健康保険運営方針においては、前項に規定する事項のほか、おおむね次に掲げる事項を定めるものとする。
<sup>art-82-2/par-3 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-3</sup>
In the prefectural national health insurance management policy, in addition to the matters prescribed in the preceding paragraph, the matters listed in the following items are, in general, to be specified.
<sup>machine translation, not official</sup>

  **一**  保健医療サービス及び福祉サービスに関する施策その他の関連施策との連携に関する事項
  <sup>art-82-2/par-3/item-1 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-3/item-1</sup>
  matters concerning coordination with measures concerning health and medical services and welfare services and other related measures;
  <sup>machine translation, not official</sup>

  **二**  前項各号（第一号を除く。）及び前号に掲げる事項の実施のために必要な関係市町村相互間の連絡調整その他都道府県が必要と認める事項
  <sup>art-82-2/par-3/item-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-3/item-2</sup>
  liaison and coordination among the relevant Municipalities that are necessary for implementing the matters listed in the items of the preceding paragraph (excluding item (i)) and in the preceding item, and other matters that the prefecture finds necessary.
  <sup>machine translation, not official</sup>

**第四項**  都道府県は、当該都道府県及び当該都道府県内の市町村の国民健康保険に関する特別会計における財政の状況及びその見通しその他の事情を勘案し、その定める都道府県国民健康保険運営方針において、当該都道府県内の市町村の国民健康保険に関する特別会計における財政の均衡を保つために必要な措置を定めるよう努めるものとする。
<sup>art-82-2/par-4 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-4</sup>
In consideration of the financial condition and outlook of the special accounts for national health insurance of the prefecture and of the Municipalities within the prefecture, and other circumstances, the prefecture is to endeavor to specify, in the prefectural national health insurance management policy that it establishes, the measures necessary to maintain balance in the finances of the special accounts for national health insurance of the Municipalities within the prefecture.
<sup>machine translation, not official</sup>

**第五項**  都道府県国民健康保険運営方針は、高齢者の医療の確保に関する法律第九条第一項に規定する都道府県医療費適正化計画との整合性の確保が図られたものでなければならない。
<sup>art-82-2/par-5 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-5</sup>
The prefectural national health insurance management policy must be one in which consistency with the prefectural plan for optimization of medical expenses prescribed in Article 9, paragraph (1) of the Act on Assurance of Medical Care for Elderly People is ensured.
<sup>machine translation, not official</sup>

**第六項**  都道府県は、おおむね三年ごとに、第二項各号に掲げる事項（第三項の規定により同項各号に掲げる事項を定めた場合にあつては、当該事項を含む。）について分析及び評価を行うよう努めるとともに、都道府県等が行う国民健康保険の安定的な財政運営の確保及び当該都道府県の保険料の水準の平準化の推進その他国民健康保険事業の円滑かつ確実な実施を図るため必要があると認めるときは、当該都道府県の都道府県国民健康保険運営方針を変更するものとする。
<sup>art-82-2/par-6 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-6</sup>
Approximately every three years, the prefecture is to endeavor to analyze and evaluate the matters listed in the items of paragraph (2) (including, if the matters listed in the items of paragraph (3) have been specified pursuant to the provisions of that paragraph, those matters), and is to change the prefectural national health insurance management policy of the prefecture when it finds it necessary in order to ensure stable financial management of national health insurance program provided by prefectures, etc., to promote the equalization of the level of insurance premiums of the prefecture, and otherwise to achieve the smooth and reliable implementation of national health insurance services.
<sup>machine translation, not official</sup>

**第七項**  都道府県は、都道府県国民健康保険運営方針を定め、又はこれを変更しようとするときは、あらかじめ、当該都道府県内の市町村の意見を聴かなければならない。
<sup>art-82-2/par-7 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-7</sup>
When the prefecture is to establish or change the prefectural national health insurance management policy, it must in advance hear the opinions of the Municipalities within the prefecture.
<sup>machine translation, not official</sup>

**第八項**  都道府県は、都道府県国民健康保険運営方針を定め、又はこれを変更したときは、遅滞なく、これを公表するよう努めるものとする。
<sup>art-82-2/par-8 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-8</sup>
When a prefecture has established or changed the prefectural national health insurance management policy, it shall endeavor to announce the same without delay.
<sup>machine translation, not official</sup>

**第九項**  市町村は、都道府県国民健康保険運営方針を踏まえた国民健康保険の事務の実施に努めるものとする。
<sup>art-82-2/par-9 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-9</sup>
A Municipality is to endeavor to carry out the administration of national health insurance in line with the prefectural national health insurance management policy.
<sup>machine translation, not official</sup>

**第十項**  都道府県は、都道府県国民健康保険運営方針の作成及び都道府県国民健康保険運営方針に定める施策の実施に関して必要があると認めるときは、国民健康保険団体連合会その他の関係者に対して必要な協力を求めることができる。
<sup>art-82-2/par-10 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-10</sup>
When the prefecture finds it necessary in relation to the preparation of the prefectural national health insurance management policy and the implementation of the measures specified in the prefectural national health insurance management policy, it may request necessary cooperation from the Federation of National Health Insurance Associations and other persons involved.
<sup>machine translation, not official</sup>

### 第八十二条の三（標準保険料率） — Standard Insurance Premium Rate
<sup>caption: machine translation, not official</sup>
<sup>art-82-3 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3</sup>

**第一項**  都道府県は、毎年度、厚生労働省令で定めるところにより、当該都道府県内の市町村ごとの保険料率の標準的な水準を表す数値（第三項において「市町村標準保険料率」という。）を算定するものとする。
<sup>art-82-3/par-1 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-1</sup>
The prefecture is to calculate, for each fiscal year, as provided by Order of the Ministry of Health, Labour and Welfare, a numerical value representing the standard level of the insurance premium rate for each Municipality within the prefecture (referred to as the "municipal standard insurance premium rate" in paragraph (3)).
<sup>machine translation, not official</sup>

**第二項**  都道府県は、毎年度、厚生労働省令で定めるところにより、当該都道府県内の全ての市町村の保険料率の標準的な水準を表す数値（次項において「都道府県標準保険料率」という。）を算定するものとする。
<sup>art-82-3/par-2 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-2</sup>
The prefecture is to calculate, for each fiscal year, as provided by Order of the Ministry of Health, Labour and Welfare, a numerical value representing the standard level of the insurance premium rate for all Municipalities within the prefecture (referred to as the "prefectural standard insurance premium rate" in the following paragraph).
<sup>machine translation, not official</sup>

**第三項**  都道府県は、市町村標準保険料率及び都道府県標準保険料率（以下この条において「標準保険料率」という。）を算定したときは、厚生労働省令で定めるところにより、標準保険料率を当該都道府県内の市町村に通知するものとする。
<sup>art-82-3/par-3 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-3</sup>
When the prefecture has calculated the municipal standard insurance premium rate and the prefectural standard insurance premium rate (hereinafter referred to as the "standard insurance premium rate" in this Article), it is to notify the Municipalities within the prefecture of the standard insurance premium rate, as provided by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第四項**  前項に規定する場合において、都道府県は、厚生労働省令で定めるところにより、遅滞なく、標準保険料率を公表するよう努めるものとする。
<sup>art-82-3/par-4 · https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-4</sup>
In the case prescribed in the preceding paragraph, the prefecture is to endeavor to make the standard insurance premium rate public without delay, as provided by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

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## Cites
- art-82-2/par-3: 前項 → 国民健康保険法 第八十二条の二第二項 (Article 82-2, paragraph (2)), art-82-2/par-2 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2
- art-82-2/par-3/item-2: 前項 → 国民健康保険法 第八十二条の二第二項 (Article 82-2, paragraph (2)), art-82-2/par-2 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2
- art-82-2/par-3/item-2: 第一号 → 国民健康保険法 第八十二条の二第二項第一号 (Article 82-2, paragraph (2), item (i)), art-82-2/par-2/item-1 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2/item-1
- art-82-2/par-3/item-2: 前号 → 国民健康保険法 第八十二条の二第三項第一号 (Article 82-2, paragraph (3), item (i)), art-82-2/par-3/item-1 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-3/item-1
- art-82-2/par-5: 高齢者の医療の確保に関する法律第九条第一項 → 高齢者の医療の確保に関する法律 第九条第一項 (Article 9, paragraph (1)), art-9/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-9/par-1 · https://japanlaw.org/l/357AC0000000080/art-9/par-1
- art-82-2/par-6: 第二項 → 国民健康保険法 第八十二条の二第二項 (Article 82-2, paragraph (2)), art-82-2/par-2 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-2
- art-82-2/par-6: 第三項 → 国民健康保険法 第八十二条の二第三項 (Article 82-2, paragraph (3)), art-82-2/par-3 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-2/par-3
- art-82-3/par-1: 第三項 → 国民健康保険法 第八十二条の三第三項 (Article 82-3, paragraph (3)), art-82-3/par-3 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-3
- art-82-3/par-2: 次項 → 国民健康保険法 第八十二条の三第三項 (Article 82-3, paragraph (3)), art-82-3/par-3 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-3
- art-82-3/par-3: この条 → 国民健康保険法 第八十二条の三 (Article 82-3), art-82-3 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3
- art-82-3/par-4: 前項 → 国民健康保険法 第八十二条の三第三項 (Article 82-3, paragraph (3)), art-82-3/par-3 — https://japanlaw.org/en/national-health-insurance-act/amendments/20270401_507AC0000000087/text/ch-6-2#art-82-3/par-3

---

## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 国民健康保険法 — the text as 令和七年法律第八十七号 leaves it, from 2027-04-01 (https://laws.e-gov.go.jp/law/333AC0000000192/20270401_507AC0000000087), retrieved 2026-10-17
- Japanese Law Translation Database System, Ministry of Justice (法務省) — National Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/2453/tb), retrieved 2026-10-17
- claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-007, translated 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-008, translated 2026-10-18
- This site's parser, version 209 — 国民健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-17