# 国民健康保険法 / National Health Insurance Act — 第四十四条 (Article 44) - 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: 第四十四条 (Article 44) — address `art-44` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/national-health-insurance-act/art-44 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-44 - 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. --- ### 第四十四条 art-44 · https://japanlaw.org/en/national-health-insurance-act/art-44 · https://japanlaw.org/l/333AC0000000192/art-44 **第一項** 市町村及び組合は、特別の理由がある被保険者で、保険医療機関等に第四十二条又は前条の規定による一部負担金を支払うことが困難であると認められるものに対し、次の各号の措置を採ることができる。 art-44/par-1 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-1 · https://japanlaw.org/l/333AC0000000192/art-44/par-1 Municipalities and Societies may take any of the measures listed in the following items with respect to any insured person who is under special circumstances and for whom it is found difficult to make co-payment to a health insurance-covered medical institution, etc. pursuant to the provisions of Article 42 or the preceding Article: machine translation, not official **一** 一部負担金を減額すること。 art-44/par-1/item-1 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-1 to reduce the amount of co-payment; Ministry of Justice translation — Japanese Law Translation Database System **二** 一部負担金の支払を免除すること。 art-44/par-1/item-2 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-2 to exempt such insured person from making co-payment; Ministry of Justice translation — Japanese Law Translation Database System **三** 保険医療機関等に対する支払に代えて、一部負担金を直接に徴収することとし、その徴収を猶予すること。 art-44/par-1/item-3 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-3 to decide to collect co-payment directly from such insured person in lieu of co-payment to the Health Insurance-Covered Medical Institution, etc., and to suspend such collection. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項の措置を受けた被保険者は、第四十二条第一項及び前条第二項の規定にかかわらず、前項第一号の措置を受けた被保険者にあつては、その減額された一部負担金を保険医療機関等に支払うをもつて足り、同項第二号又は第三号の措置を受けた被保険者にあつては、一部負担金を保険医療機関等に支払うことを要しない。 art-44/par-2 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-2 · https://japanlaw.org/l/333AC0000000192/art-44/par-2 Notwithstanding the provisions of paragraph (1) of Article 42 and paragraph (2) of the preceding Article, where the measure set forth in item (i) of the preceding paragraph has been taken with respect to an insured person, it shall be sufficient for said person to pay the amount of co-payment so reduced to the relevant Health Insurance-Covered Medical Institution, etc., and where the measure set forth in item (ii) or (iii) has been taken with respect to an insured person, said person shall not be required to make co-payment to the relevant Health Insurance-Covered Medical Institution, etc. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 第四十二条の二の規定は、前項の場合における一部負担金の支払について準用する。 art-44/par-3 · https://japanlaw.org/en/national-health-insurance-act/art-44/par-3 · https://japanlaw.org/l/333AC0000000192/art-44/par-3 The provisions of Article 42-2 shall apply mutatis mutandis to the making of co-payment in the case set forth in the preceding paragraph. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-44/par-1: 第四十二条 → 国民健康保険法 第四十二条 (Article 42), art-42 — https://japanlaw.org/en/national-health-insurance-act/art-42 · https://japanlaw.org/l/333AC0000000192/art-42 - art-44/par-1: 前条 → 国民健康保険法 第四十三条 (Article 43), art-43 — https://japanlaw.org/en/national-health-insurance-act/art-43 · https://japanlaw.org/l/333AC0000000192/art-43 - art-44/par-2: 前項 → 国民健康保険法 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-1 · https://japanlaw.org/l/333AC0000000192/art-44/par-1 - art-44/par-2: 第四十二条第一項 → 国民健康保険法 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/en/national-health-insurance-act/art-42/par-1 · https://japanlaw.org/l/333AC0000000192/art-42/par-1 - art-44/par-2: 前条第二項 → 国民健康保険法 第四十三条第二項 (Article 43, paragraph (2)), art-43/par-2 — https://japanlaw.org/en/national-health-insurance-act/art-43/par-2 · https://japanlaw.org/l/333AC0000000192/art-43/par-2 - art-44/par-2: 前項第一号 → 国民健康保険法 第四十四条第一項第一号 (Article 44, paragraph (1), item (i)), art-44/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-1 - art-44/par-2: 同項第二号 → 国民健康保険法 第四十四条第一項第二号 (Article 44, paragraph (1), item (ii)), art-44/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-2 - art-44/par-2: 第三号 → 国民健康保険法 第四十四条第一項第三号 (Article 44, paragraph (1), item (iii)), art-44/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/art-44/par-1/item-3 - art-44/par-3: 第四十二条の二 → 国民健康保険法 第四十二条の二 (Article 42-2), art-42-2 — https://japanlaw.org/en/national-health-insurance-act/art-42-2 · https://japanlaw.org/l/333AC0000000192/art-42-2 - art-44/par-3: 前項 → 国民健康保険法 第四十四条第二項 (Article 44, paragraph (2)), art-44/par-2 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-2 · https://japanlaw.org/l/333AC0000000192/art-44/par-2 ## Cited by 6 provisions cite this one. No official source publishes this direction. - 国民健康保険法 第四十二条第二項（療養の給付を受ける場合の一部負担金） — https://japanlaw.org/en/national-health-insurance-act/art-42/par-2 · https://japanlaw.org/l/333AC0000000192/art-42/par-2 - 国民健康保険法 第四十四条第二項 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-2 · https://japanlaw.org/l/333AC0000000192/art-44/par-2 - 国民健康保険法 第四十四条第三項 — https://japanlaw.org/en/national-health-insurance-act/art-44/par-3 · https://japanlaw.org/l/333AC0000000192/art-44/par-3 - 国民健康保険法 第五十三条第二項第一号（保険外併用療養費） — https://japanlaw.org/en/national-health-insurance-act/art-53/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/art-53/par-2/item-1 - 国民健康保険法 第五十四条の二第四項（訪問看護療養費） — https://japanlaw.org/en/national-health-insurance-act/art-54-2/par-4 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-4 - 国民健康保険法 第六十六条の二第二項（市町村による保険給付に係る事務の範囲） — https://japanlaw.org/en/national-health-insurance-act/art-66-2/par-2 · https://japanlaw.org/l/333AC0000000192/art-66-2/par-2 --- ## 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 - claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-002, 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