# 国民健康保険法 / National Health Insurance Act — 附　則 (Supplementary Provisions) - 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: 附　則 (Supplementary Provisions) — address `suppl-3631-78` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-3631-78 - 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. --- ## 附　則 昭和六三年六月一日法律第七八号 suppl-3631-78 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-3631-78/art-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-1 **第一項** この法律は、公布の日から施行する。 suppl-3631-78/art-1/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-1/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-1/par-1 This Act comes into effect on the date of promulgation. machine translation, not official ### 第二条（経過措置） — Transitional Measures caption: machine translation, not official suppl-3631-78/art-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-2 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-2 **第一項** 改正後の国民健康保険法（以下「新法」という。）第五十四条の二の規定は、この法律の施行の日（以下「施行日」という。）以後に行われる療養及び当該療養に係る療養費の支給について適用し、施行日前に行われた療養及び当該療養に係る療養費の支給については、なお従前の例による。 suppl-3631-78/art-2/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-2/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-2/par-1 The provisions of Article 54-2 of the National Health Insurance Act after amendment (hereinafter referred to as "the New Act") apply to medical treatment provided on or after the date on which this Act comes into effect (hereinafter referred to as "the Effective Date") and the payment of medical expenses relating to that medical treatment, and the provisions then in force continue to govern medical treatment provided before the Effective Date and the payment of medical expenses relating to that medical treatment. machine translation, not official ### 第三条 suppl-3631-78/art-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-3 **第一項** 昭和六十三年度につき新法第六十八条の二第一項の規定により指定を受けた市町村であつて新法第七十条第三項に規定する市町村に該当するものに対して国が昭和六十五年度において同項の規定により負担する額については、同項中「百分の四十に相当する額を控除した額」とあるのは、「百分の二十に相当する額を控除した額」とする。 suppl-3631-78/art-3/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-3/par-1 With regard to the amount that the national government bears in fiscal year 1990 pursuant to the provisions of Article 70, paragraph (3) of the New Act to a Municipality that was designated for fiscal year 1988 pursuant to the provisions of Article 68-2, paragraph (1) of the New Act and falls under the Municipalities prescribed in Article 70, paragraph (3) of the New Act, the phrase "the amount obtained by deducting an amount equal to forty hundredths" in that paragraph is deemed to be replaced with "the amount obtained by deducting an amount equal to twenty hundredths". machine translation, not official **第二項** 昭和六十五年度における新法第七十二条の規定による調整交付金の総額については、同条第二項中「前々年度の基準超過費用額の合算額」とあるのは、「昭和六十三年度の基準超過費用額の合算額の二分の一に相当する額」とする。 suppl-3631-78/art-3/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-3/par-2 With regard to the total amount of adjusting subsidies under the provisions of Article 72 of the New Act for fiscal year 1990, the phrase "the total sum of the amounts of expenses in excess of the standard for the fiscal year before the previous fiscal year" in paragraph (2) of that Article is deemed to be replaced with "an amount equal to one-half of the total sum of the amounts of expenses in excess of the standard for fiscal year 1988". machine translation, not official **第三項** 第一項に規定する市町村の昭和六十五年度における新法第七十二条の二第一項の規定による繰入れについては、同項中「二分の一」とあるのは、「四分の一」とする。 suppl-3631-78/art-3/par-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-3/par-3 With regard to the transfer in fiscal 1990 by a Municipality prescribed in paragraph (1) pursuant to the provisions of Article 72-2, paragraph (1) of the New Act, the phrase "one-half" in that paragraph is deemed to be replaced with "one-quarter". machine translation, not official ### 第四条 suppl-3631-78/art-4 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-4 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-4 **第一項** 昭和六十三年度及び昭和六十四年度につき新法第六十八条の二第一項の規定により指定を受けた市町村について新法第七十条第三項の規定を適用する場合においては、同項第二号ロ中「合算額に、」とあるのは「合算額に百分の十を乗じて得た額と、当該合算額の百分の九十に相当する額に」と、「の十分の七」とあるのは「との合計額の十分の七」とする。 suppl-3631-78/art-4/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-4/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-4/par-1 When the provisions of Article 70, paragraph (3) of the New Act are applied to a Municipality that has received designation pursuant to the provisions of Article 68-2, paragraph (1) of the New Act for fiscal 1988 and fiscal 1989, in item (ii), (b) of that paragraph, the phrase "to the total sum," is deemed to be replaced with "to the amount obtained by multiplying the total sum by ten hundredths and to the amount equivalent to ninety hundredths of that total sum," and the phrase "seven-tenths of" is deemed to be replaced with "seven-tenths of the sum of that amount and". machine translation, not official --- ## Cites - suppl-3631-78/art-3/par-3: 第一項 → 国民健康保険法 附則第三条第一項 (Supplementary Provisions, Article 3, paragraph (1)), suppl-3631-78/art-3/par-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-3/par-1 ## Cited by 1 provision cites this one. No official source publishes this direction. - 国民健康保険法 附則第三条第三項 — https://japanlaw.org/en/national-health-insurance-act/suppl-3631-78/art-3/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-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 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-20261017T183826-015, translated 2026-10-18 - claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-016, 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