# 国民健康保険法 / National Health Insurance Act — 第四十一条 (Article 41)

- 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: 第四十一条 (Article 41)（厚生労働大臣又は都道府県知事の指導） — address `art-41`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/national-health-insurance-act/art-41
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-41
- 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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### 第四十一条（厚生労働大臣又は都道府県知事の指導） — (Guidance by the Minister of Health, Labour and Welfare or Prefectural Governor)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-41 · https://japanlaw.org/en/national-health-insurance-act/art-41 · https://japanlaw.org/l/333AC0000000192/art-41</sup>

  **第一項**  保険医療機関等は療養の給付に関し、保険医及び保険薬剤師は国民健康保険の診療又は調剤に関し、厚生労働大臣又は都道府県知事の指導を受けなければならない。
  <sup>art-41/par-1 · https://japanlaw.org/en/national-health-insurance-act/art-41/par-1 · https://japanlaw.org/l/333AC0000000192/art-41/par-1</sup>
  Guidance by the Minister of Health, Labour and Welfare or the prefectural governor must be received by Health Insurance-Covered Medical Institutions, etc. with respect to benefits for medical treatment and by health insurance-covered physicians and health insurance-covered pharmacists with respect to medical care or prescription service provided under a national health insurance program.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第二項**  厚生労働大臣又は都道府県知事は、前項の指導をする場合において、必要があると認めるときは、診療又は調剤に関する学識経験者をその関係団体の指定により指導に立ち会わせるものとする。ただし、関係団体が指定を行わない場合又は指定された者が立ち会わない場合は、この限りでない。
  <sup>art-41/par-2 · https://japanlaw.org/en/national-health-insurance-act/art-41/par-2 · https://japanlaw.org/l/333AC0000000192/art-41/par-2</sup>
  In cases where the guidance set forth in the preceding paragraph is provided, the Minister of Health, Labour and Welfare or the prefectural governor shall, when finding it necessary, have a person(s) with knowledge and experience of medical care or prescription service attend such guidance in accordance with the designation by concerned organizations; provided, however, that this shall not apply where such concerned organizations make no such designation or where the person(s) so designated fail to attend.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-41/par-2: 前項 → 国民健康保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/en/national-health-insurance-act/art-41/par-1 · https://japanlaw.org/l/333AC0000000192/art-41/par-1

## Cited by

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

- 国民健康保険法 第四十一条第二項（厚生労働大臣又は都道府県知事の指導） — https://japanlaw.org/en/national-health-insurance-act/art-41/par-2 · https://japanlaw.org/l/333AC0000000192/art-41/par-2
- 国民健康保険法 第四十五条の二第四項（保険医療機関等の報告等） — https://japanlaw.org/en/national-health-insurance-act/art-45-2/par-4 · https://japanlaw.org/l/333AC0000000192/art-45-2/par-4
- 国民健康保険法 第五十二条第六項（入院時食事療養費） — https://japanlaw.org/en/national-health-insurance-act/art-52/par-6 · https://japanlaw.org/l/333AC0000000192/art-52/par-6
- 国民健康保険法 第五十二条の二第三項（入院時生活療養費） — https://japanlaw.org/en/national-health-insurance-act/art-52-2/par-3 · https://japanlaw.org/l/333AC0000000192/art-52-2/par-3
- 国民健康保険法 第五十三条第三項（保険外併用療養費） — https://japanlaw.org/en/national-health-insurance-act/art-53/par-3 · https://japanlaw.org/l/333AC0000000192/art-53/par-3
- 国民健康保険法 第五十四条の三第六項（特別療養費） — https://japanlaw.org/en/national-health-insurance-act/art-54-3/par-6 · https://japanlaw.org/l/333AC0000000192/art-54-3/par-6
- 国民健康保険法 第百十九条第一項（厚生労働大臣と都道府県知事との連携） — https://japanlaw.org/en/national-health-insurance-act/art-119/par-1 · https://japanlaw.org/l/333AC0000000192/art-119/par-1
- 国民健康保険法 第百十九条の二第一項（事務の区分） — https://japanlaw.org/en/national-health-insurance-act/art-119-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-119-2/par-1

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## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 国民健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/333AC0000000192/20261001_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
- This site's parser, version 209 — 国民健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-17
