# 国民健康保険法 / National Health Insurance Act — 第四条 (Supplementary Provisions, Article 4)

- 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: 第四条 (Supplementary Provisions, Article 4) — address `suppl-3631-78/art-4`
- 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/art-4
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-3631-78/art-4
- 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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### 第四条
<sup>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</sup>

**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。
<sup>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</sup>
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".
<sup>machine translation, not official</sup>

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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
- 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
