# 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-4141-102`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4141-102
- 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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## 附　則 平成一四年八月二日法律第一〇二号
<sup>suppl-4141-102 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102</sup>

### 第一条（施行期日） — Effective Date
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-1</sup>

**第一項**  この法律は、平成十四年十月一日から施行する。ただし、第三条中老人保健法第七十九条の二の次に一条を加える改正規定は公布の日から、第二条、第五条及び第八条並びに附則第六条から第八条まで、第三十三条、第三十四条、第三十九条、第四十一条、第四十八条、第四十九条第三項、第五十一条、第五十二条第三項、第五十四条、第六十七条、第六十九条、第七十一条、第七十三条及び第七十七条の規定は平成十五年四月一日から、附則第六十一条の二の規定は行政手続等における情報通信の技術の利用に関する法律の施行に伴う関係法律の整備等に関する法律（平成十四年法律第百五十二号）第十五条の規定の施行の日又はこの法律の施行の日のいずれか遅い日から施行する。
<sup>suppl-4141-102/art-1/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-1/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-1/par-1</sup>
This Act comes into effect on October 1, 2002; provided, however, that the provisions in Article 3 adding one Article after Article 79-2 of the Act on Health and Medical Services for the Elderly come into effect on the date of promulgation, the provisions of Articles 2, 5, and 8 and of Articles 6 through 8, 33, 34, 39, 41, and 48, Article 49, paragraph (3), Article 51, Article 52, paragraph (3), and Articles 54, 67, 69, 71, 73, and 77 of the Supplementary Provisions come into effect on April 1, 2003, and the provisions of Article 61-2 of the Supplementary Provisions come into effect on the date on which the provisions of Article 15 of the Act on the Arrangement of Related Acts for the Enforcement of the Act on the Use of Information and Communications Technology in Administrative Procedures, etc. (Act No. 152 of 2002) come into effect or the date on which this Act comes into effect, whichever is later.
<sup>machine translation, not official</sup>

### 第二条（医療保険制度の改革等） — Reform of the Medical Insurance System, etc.
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2</sup>

**第一項**  医療保険各法に規定する被保険者及び被扶養者の医療に係る給付の割合については、将来にわたり百分の七十を維持するものとする。
<sup>suppl-4141-102/art-2/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-1</sup>
The proportion of benefits pertaining to the medical care of insured persons and dependents prescribed in the individual medical insurance Acts is to be maintained at 70 percent into the future.
<sup>machine translation, not official</sup>

**第二項**  政府は、将来にわたって医療保険制度の安定的運営を図るため、平成十四年度中に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにした基本方針を策定するものとする。政府は、当該基本方針に基づいて、できるだけ速やかに（第二号に掲げる事項についてはおおむね二年を目途に）、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2</sup>
In order to ensure the stable operation of the medical insurance system into the future, the government is to formulate, within fiscal year 2002, a basic policy that clarifies the specific content, procedures and annual plan for the following matters. The government is to take required measures based on that basic policy as promptly as possible (for the matter set forth in item (ii), with a target of about two years).
<sup>machine translation, not official</sup>

  **一**  保険者の統合及び再編を含む医療保険制度の体系の在り方
  <sup>suppl-4141-102/art-2/par-2/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2/item-1</sup>
  the structure of the medical insurance system, including the integration and reorganization of insurers;
  <sup>machine translation, not official</sup>

  **二**  新しい高齢者医療制度の創設
  <sup>suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2/item-2</sup>
  the creation of a new medical system for the elderly;
  <sup>machine translation, not official</sup>

  **三**  診療報酬の体系の見直し
  <sup>suppl-4141-102/art-2/par-2/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2/item-3</sup>
  the review of the medical fee schedule.
  <sup>machine translation, not official</sup>

**第三項**  政府は、おおむね二年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-3</sup>
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about two years.
<sup>machine translation, not official</sup>

  **一**  健康保険の保険者である政府が設置する病院の在り方の見直し
  <sup>suppl-4141-102/art-2/par-3/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-3/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-3/item-1</sup>
  a review of the hospitals established by the government as the insurer of health insurance;
  <sup>machine translation, not official</sup>

  **二**  社会保険庁の業務運営の効率化及び事務の合理化
  <sup>suppl-4141-102/art-2/par-3/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-3/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-3/item-2</sup>
  streamlining of the operations and rationalization of the administrative affairs of the Social Insurance Agency.
  <sup>machine translation, not official</sup>

**第四項**  政府は、おおむね三年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-4 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-4</sup>
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about three years.
<sup>machine translation, not official</sup>

  **一**  政府が保険者である社会保険及び労働保険に係る徴収事務の一元化
  <sup>suppl-4141-102/art-2/par-4/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-4/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-4/item-1</sup>
  the unification of the collection affairs pertaining to social insurance and labor insurance for which the government is the insurer;
  <sup>machine translation, not official</sup>

  **二**  医療保険各法、老人保健法及び介護保険法の規定による給付に伴う負担の家計における合計額が著しく高額になる場合の当該負担の軽減を図る仕組みの創設
  <sup>suppl-4141-102/art-2/par-4/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-4/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-4/item-2</sup>
  the creation of a mechanism for reducing the burden accompanying benefits under the provisions of the individual medical insurance Acts, the Act on Health and Medical Services for the Elderly and the Long-Term Care Insurance Act where the total amount of that burden in a household becomes extremely high;
  <sup>machine translation, not official</sup>

  **三**  社会保険診療報酬支払基金及び国民健康保険団体連合会による診療報酬の審査及び支払に関する事務処理の体制の見直し
  <sup>suppl-4141-102/art-2/par-4/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-4/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-4/item-3</sup>
  the review of the system for handling affairs pertaining to the examination and payment of medical fees by the Social Insurance Medical Fee Payment Fund and the Federations of National Health Insurance Associations.
  <sup>machine translation, not official</sup>

**第五項**  政府は、おおむね五年を目途に、政府が管掌する健康保険事業及び当該事業の組織形態の在り方の見直しについて検討を行い、その結果に基づいて所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-5 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-5</sup>
The government is to review the health insurance services administered by the government and the organizational form of those services, with a target of about five years, and take required measures based on the results.
<sup>machine translation, not official</sup>

**第六項**  政府は、次に掲げる事項について検討を行い、その結果に基づいて所要の措置を講ずるものとする。
<sup>suppl-4141-102/art-2/par-6 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-6 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-6</sup>
The government is to review the following matters and take required measures based on the results.
<sup>machine translation, not official</sup>

  **一**  医療に係る事故に迅速かつ適切に対応するための専門家による苦情の処理体制の整備
  <sup>suppl-4141-102/art-2/par-6/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-6/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-6/item-1</sup>
  the development of a system for handling complaints by experts in order to respond promptly and appropriately to accidents related to medical care;
  <sup>machine translation, not official</sup>

  **二**  医療及び医療に要する費用に関する情報の収集、分析、評価及び提供に係る体制の整備
  <sup>suppl-4141-102/art-2/par-6/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-6/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-6/item-2</sup>
  the development of a system for the collection, analysis, evaluation and provision of information on medical care and the costs required for medical care;
  <sup>machine translation, not official</sup>

  **三**  医療保険各法及び老人保健法の規定による保険給付の内容及び範囲の在り方
  <sup>suppl-4141-102/art-2/par-6/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-6/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-6/item-3</sup>
  the content and scope of insurance benefits under the provisions of the individual medical insurance Acts and the Act on Health and Medical Services for the Elderly.
  <sup>machine translation, not official</sup>

**第七項**  政府は、第二項から前項までに規定する事項の検討に早急に着手し結論を得、逐次実施するものとする。
<sup>suppl-4141-102/art-2/par-7 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-7 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-7</sup>
The government is to promptly commence review of the matters prescribed in paragraph (2) through the preceding paragraph, reach conclusions, and implement them in sequence.
<sup>machine translation, not official</sup>

### 第二十二条（国民健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-22 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-22 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-22</sup>

**第一項**  この法律（附則第一条ただし書に規定する規定については、当該規定。以下この条において同じ。）の施行の日前に行われた療養又は薬剤の支給に係るこの法律による改正前の国民健康保険法の規定による療養費、特別療養費、特例療養費又は高額療養費の支給並びに同法第四十三条の規定による差額の支給及び同法第五十六条の規定による差額の支給については、なお従前の例による。
<sup>suppl-4141-102/art-22/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-22/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-22/par-1</sup>
With regard to the payment of medical expenses, special medical expenses, exceptional medical expenses or high-cost medical expenses under the provisions of the National Health Insurance Act before the amendment by this Act, pertaining to medical treatment or the provision of medication conducted before the date on which this Act (or, for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect, and the payment of the difference under Article 43 of that Act and the payment of the difference under Article 56 of that Act, the provisions then in force continue to govern.
<sup>machine translation, not official</sup>

### 第二十三条
<sup>suppl-4141-102/art-23 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23</sup>

**第一項**  平成十二年度及び平成十三年度につき国民健康保険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第四条の規定による改正後の国民健康保険法（以下「新国保法」という。）第七十条第三項の規定を適用する場合においては、同項第二号ロに規定する額については、同号ロの規定にかかわらず、第一号に掲げる額から第二号に掲げる額を控除した額とする。
<sup>suppl-4141-102/art-23/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1</sup>
In the case of applying the provisions of Article 70, paragraph (3) of the National Health Insurance Act as amended by the provisions of Article 4 (hereinafter referred to as the "Revised National Health Insurance Act") to a Municipality that has been designated, for fiscal years 2000 and 2001, pursuant to Article 68-2, paragraph (1) of the National Health Insurance Act, the amount prescribed in item (ii), (b) of that paragraph is, notwithstanding the provisions of (b) of that item, the amount obtained by deducting the amount set forth in item (ii) from the amount set forth in item (i).
<sup>machine translation, not official</sup>

  **一**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（老人保健法の規定による医療を受けることができる者に限る。）の数を乗じて得た額の合算額に、当該市町村に係る指定年度の同法第五十六条第二項の確定加入者調整率を乗じて得た額の十分の七に相当する額として算定した額
  <sup>suppl-4141-102/art-23/par-1/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-1</sup>
  the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 7/10 of the amount obtained by multiplying the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons who can receive medical care under the provisions of the Act on Health and Medical Services for the Elderly) by the finalized enrollee adjustment rate under Article 56, paragraph (2) of that Act for the designated fiscal year pertaining to that Municipality
  <sup>machine translation, not official</sup>

  **二**  前号に掲げる額に当該市町村に係る被保険者の総数に対する退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の総数の割合として政令で定めるところにより算定した割合（以下「退職被保険者等加入割合」という。）を乗じて得た額の二分の一に相当する額
  <sup>suppl-4141-102/art-23/par-1/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-2</sup>
  the amount equivalent to 1/2 of the amount obtained by multiplying the amount set forth in the preceding item by the ratio, calculated pursuant to Cabinet Order, of the total number of retired insured persons and their dependents (hereinafter referred to as "retired insured persons, etc.") to the total number of insured persons of that Municipality (hereinafter referred to as the "enrolment ratio of retired insured persons, etc.")
  <sup>machine translation, not official</sup>

### 第二十四条
<sup>suppl-4141-102/art-24 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24</sup>

**第一項**  平成十四年度につき国民健康保険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国保法第七十条第三項の規定を適用する場合においては、同項第二号ロに規定する額については、同号ロの規定にかかわらず、第一号から第三号までに掲げる額の合算額から第四号及び第五号に掲げる額の合算額を控除した額とする。
<sup>suppl-4141-102/art-24/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1</sup>
In the case of applying the provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act to a Municipality that has been designated, for fiscal year 2002, pursuant to Article 68-2, paragraph (1) of the National Health Insurance Act, the amount prescribed in item (ii), (b) of that paragraph is, notwithstanding the provisions of (b) of that item, the amount obtained by deducting the total sum of the amounts set forth in items (iv) and (v) from the total sum of the amounts set forth in items (i) through (iii).
<sup>machine translation, not official</sup>

  **一**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（老人保健法の規定による医療を受けることができる者に限る。）の数を乗じて得た額の合算額の十二分の七に相当する額に、当該市町村に係る附則第十五条第二項に規定する施行日前確定加入者調整率を乗じて得た額の十分の七に相当する額として算定した額
  <sup>suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1</sup>
  the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 7/10 of the amount obtained by multiplying the amount equivalent to 7/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons who can receive medical care under the provisions of the Act on Health and Medical Services for the Elderly) by the finalized enrollee adjustment rate before the effective date prescribed in Article 15, paragraph (2) of the Supplementary Provisions pertaining to that Municipality
  <sup>machine translation, not official</sup>

  **二**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第一号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る附則第十五条第五項に規定する施行日以後確定加入者調整率（以下単に「施行日以後確定加入者調整率」という。）を乗じて得た額の百分の六十六に相当する額として算定した額
  <sup>suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2</sup>
  the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 66 percent of the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (i) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the finalized enrollee adjustment rate from the effective date prescribed in Article 15, paragraph (5) of the Supplementary Provisions pertaining to that Municipality (hereinafter simply referred to as the "finalized enrollee adjustment rate from the effective date")
  <sup>machine translation, not official</sup>

  **三**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第二号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る施行日以後確定加入者調整率を乗じて得た額として算定した額
  <sup>suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3</sup>
  the amount calculated, pursuant to Cabinet Order, as the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (ii) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the finalized enrollee adjustment rate from the effective date pertaining to that Municipality
  <sup>machine translation, not official</sup>

  **四**  第一号に掲げる額に当該市町村に係る施行日前退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額の二分の一に相当する額
  <sup>suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4</sup>
  the amount equivalent to 1/2 of the amount obtained by multiplying the amount set forth in item (i) by the retired insured persons' enrollment share before the effective date pertaining to that Municipality (meaning the enrolment ratio of retired insured persons, etc. in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter)
  <sup>machine translation, not official</sup>

  **五**  第二号及び第三号に掲げる額の合算額に、当該市町村に係る施行日以後退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額
  <sup>suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5</sup>
  the amount obtained by multiplying the total sum of the amounts set forth in items (ii) and (iii) by the retired insured persons' enrollment share from the effective date pertaining to that Municipality (meaning the enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003; the same applies hereinafter)
  <sup>machine translation, not official</sup>

### 第二十五条
<sup>suppl-4141-102/art-25 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25</sup>

**第一項**  平成十五年度につき国民健康保険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国保法第七十条第三項の規定を適用する場合においては、同項第二号ロに規定する額については、同号ロの規定にかかわらず、第一号から第四号までに掲げる額の合算額から第五号に掲げる額を控除した額とする。
<sup>suppl-4141-102/art-25/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1</sup>
In the case of applying the provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act to a Municipality that has been designated, for fiscal year 2003, pursuant to Article 68-2, paragraph (1) of the National Health Insurance Act, the amount prescribed in item (ii), (b) of that paragraph is, notwithstanding the provisions of (b) of that item, the amount obtained by deducting the amount set forth in item (v) from the total sum of the amounts set forth in items (i) through (iv).
<sup>machine translation, not official</sup>

  **一**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第一号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の七に相当する額に、当該市町村に係る附則第十七条第二項に規定する前期確定加入者調整率（以下単に「前期確定加入者調整率」という。）を乗じて得た額の百分の六十六に相当する額として算定した額
  <sup>suppl-4141-102/art-25/par-1/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-1</sup>
  the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 66 percent of the amount obtained by multiplying the amount equivalent to 7/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (i) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the earlier-period finalized enrollee adjustment rate prescribed in Article 17, paragraph (2) of the Supplementary Provisions pertaining to that Municipality (hereinafter simply referred to as the "earlier-period finalized enrollee adjustment rate")
  <sup>machine translation, not official</sup>

  **二**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第二号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の七に相当する額に、当該市町村に係る前期確定加入者調整率を乗じて得た額として算定した額
  <sup>suppl-4141-102/art-25/par-1/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-2</sup>
  the amount calculated, pursuant to Cabinet Order, as the amount obtained by multiplying the amount equivalent to 7/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (ii) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the earlier-period finalized enrollee adjustment rate pertaining to that Municipality
  <sup>machine translation, not official</sup>

  **三**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第一号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る附則第十七条第六項に規定する後期確定加入者調整率（以下単に「後期確定加入者調整率」という。）を乗じて得た額の百分の六十二に相当する額として算定した額
  <sup>suppl-4141-102/art-25/par-1/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-3</sup>
  the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 62 percent of the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (i) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the later-period finalized enrollee adjustment rate prescribed in Article 17, paragraph (6) of the Supplementary Provisions pertaining to that Municipality (hereinafter simply referred to as the "later-period finalized enrollee adjustment rate")
  <sup>machine translation, not official</sup>

  **四**  政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第二号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る後期確定加入者調整率を乗じて得た額として算定した額
  <sup>suppl-4141-102/art-25/par-1/item-4 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-4</sup>
  the amount calculated, pursuant to Cabinet Order, as the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (ii) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the later-period finalized enrollee adjustment rate pertaining to that Municipality
  <sup>machine translation, not official</sup>

  **五**  前各号に掲げる額の合算額に、当該市町村に係る退職被保険者等加入割合を乗じて得た額
  <sup>suppl-4141-102/art-25/par-1/item-5 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-5</sup>
  the amount obtained by multiplying the total sum of the amounts set forth in the preceding items by the enrolment ratio of retired insured persons, etc. pertaining to that Municipality
  <sup>machine translation, not official</sup>

### 第二十六条
<sup>suppl-4141-102/art-26 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-26 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-26</sup>

**第一項**  次の表の上欄に掲げる年度につき国民健康保険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国保法第七十条第三項の規定を適用する場合においては、同項第二号ロに規定する額については、同号ロの規定にかかわらず、前条の規定を準用する。この場合において、同条第一号中「附則第十七条第二項」とあるのは「附則第十九条において読み替えて準用される附則第十七条第二項」と、同条第三号中「附則第十七条第六項」とあるのは「附則第十九条において読み替えて準用される附則第十七条第六項」と読み替えるほか、同欄に掲げる年度の区分に応じ、同条の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えるものとする。
平成十六年度	平成十五年度	平成十六年度
百分の六十六	百分の六十二
百分の六十二	百分の五十八
平成十七年度	平成十五年度	平成十七年度
百分の六十六	百分の五十八
百分の六十二	百分の五十四
平成十八年度	平成十五年度	平成十八年度
百分の六十六	百分の五十四
百分の六十二	二分の一
<sup>suppl-4141-102/art-26/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-26/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-26/par-1</sup>
In the case of applying the provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act to a Municipality that has been designated, for a fiscal year listed in the left column of the following table, pursuant to Article 68-2, paragraph (1) of the National Health Insurance Act, the provisions of the preceding Article apply mutatis mutandis to the amount prescribed in item (ii), (b) of that paragraph, notwithstanding the provisions of (b) of that item. In this case, in addition to the phrase "Article 17, paragraph (2) of the Supplementary Provisions" in item (i) of that Article being deemed to be replaced with "Article 17, paragraph (2) of the Supplementary Provisions as applied mutatis mutandis with terms replaced pursuant to Article 19 of the Supplementary Provisions", and the phrase "Article 17, paragraph (6) of the Supplementary Provisions" in item (iii) of that Article with "Article 17, paragraph (6) of the Supplementary Provisions as applied mutatis mutandis with terms replaced pursuant to Article 19 of the Supplementary Provisions", the phrases listed in the middle column of the table in the provisions of that Article are deemed to be replaced with the phrases listed in the right column of the table, respectively, according to the category of fiscal year listed in the left column.
Fiscal year 2004	Fiscal year 2003	Fiscal year 2004
66 percent	62 percent
62 percent	58 percent
Fiscal year 2005	Fiscal year 2003	Fiscal year 2005
66 percent	58 percent
62 percent	54 percent
Fiscal year 2006	Fiscal year 2003	Fiscal year 2006
66 percent	54 percent
62 percent	1/2
<sup>machine translation, not official</sup>

### 第二十七条
<sup>suppl-4141-102/art-27 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27</sup>

**第一項**  平成十四年度における新国保法第七十条の規定による国庫負担金については、同条第一項第二号中「負担調整前老人保健医療費拠出金相当額（老人保健法第五十五条第三項に規定する負担調整前概算医療費拠出金相当額及び同法第五十六条第三項に規定する負担調整前確定医療費拠出金相当額をそれぞれ同法第五十四条第一項に規定する概算医療費拠出金及び確定医療費拠出金とみなして、同項の規定の例により算定した医療費拠出金の額に相当する額をいう。以下同じ。）に当該市町村に係る被保険者の総数に対する退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の総数の割合として政令の定めるところにより算定した割合（以下「退職被保険者等加入割合」という。）を乗じて得た額」とあるのは、「特別調整前概算医療費拠出金相当額（健康保険法等の一部を改正する法律（平成十四年法律第百二号）第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における当該市町村に係る被保険者の総数に対する退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の総数の割合として政令の定めるところにより算定した割合（以下「退職被保険者等加入割合」という。）をいう。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における退職被保険者等加入割合をいう。）を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-27/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-1</sup>
With regard to the share of the national treasury under the provisions of Article 70 of the Revised National Health Insurance Act for fiscal year 2002, the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment (meaning the amount equivalent to the amount of the medical expense contribution calculated in the manner of the provisions of Article 54, paragraph (1) of the Act on Health and Medical Services for the Elderly, deeming the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in Article 55, paragraph (3) of that Act and the amount equivalent to the finalized medical expense contribution before burden adjustment prescribed in Article 56, paragraph (3) of that Act to be the estimated medical expense contribution and the finalized medical expense contribution prescribed in Article 54, paragraph (1) of that Act, respectively; the same applies hereinafter) by the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of retired insured persons and their dependents (hereinafter referred to as "retired insured persons, etc.") to the total number of insured persons of that Municipality (hereinafter referred to as the "enrolment ratio of retired insured persons, etc.")" in paragraph (1), item (ii) of that Article is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the retired insured persons' enrollment share before the effective date (meaning the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of retired insured persons and their dependents (hereinafter referred to as "retired insured persons, etc.") to the total number of insured persons of that Municipality in the period on or after April 1, 2002 and before the Effective Date (hereinafter referred to as the "enrolment ratio of retired insured persons, etc.")), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the retired insured persons' enrollment share from the effective date (meaning the enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003) (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

**第二項**  平成十四年度の新国保法第七十二条の四第一項、第八十一条の四第二項及び第八十一条の五第二項に規定する被用者保険等拠出対象額は、新国保法第七十二条の四第一項の規定にかかわらず、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額とする。
<sup>suppl-4141-102/art-27/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2</sup>
The amount subject to contributions from employee insurance, etc. prescribed in Article 72-4, paragraph (1), Article 81-4, paragraph (2) and Article 81-5, paragraph (2) of the Revised National Health Insurance Act for fiscal year 2002 is, notwithstanding the provisions of Article 72-4, paragraph (1) of the Revised National Health Insurance Act, the amount obtained by deducting the amount set forth in item (iii) from the total sum of the amounts set forth in items (i) and (ii).
<sup>machine translation, not official</sup>

  **一**  退職被保険者等に係る療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、特定療養費、療養費、訪問看護療養費、特別療養費、移送費及び高額療養費の支給に要する費用の額の合算額
  <sup>suppl-4141-102/art-27/par-2/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-1</sup>
  the total sum of the amount obtained by deducting the amount equivalent to the co-payment pertaining to benefits for medical treatment for retired insured persons, etc. from the amount of expenses required for those benefits, and the amounts of expenses required for the payment of Dietary Treatment expenses for inpatients, specified medical expenses, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses and high-cost medical expenses
  <sup>machine translation, not official</sup>

  **二**  特別調整前概算医療費拠出金相当額（旧老健法第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）
  <sup>suppl-4141-102/art-27/par-2/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-2</sup>
  the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions by the retired insured persons' enrollment share from the effective date (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the enrolment ratio of retired insured persons, etc. for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)
  <sup>machine translation, not official</sup>

  **三**  退職被保険者等に係る保険料に相当する額の合算額から当該保険料に係る介護納付金の納付に要する費用に相当する額の合算額を控除した額
  <sup>suppl-4141-102/art-27/par-2/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-3</sup>
  the amount obtained by deducting the total sum of the amounts equivalent to the expenses required for the payment of the long-term care payments pertaining to those insurance premiums from the total sum of the amounts equivalent to the insurance premiums pertaining to retired insured persons, etc.
  <sup>machine translation, not official</sup>

**第三項**  平成十四年度における新国保法附則第八項及び第九項の規定による概算療養給付費等拠出金及び確定療養給付費等拠出金については、新国保法附則第八項第二号中「負担調整前老人保健医療費拠出金相当額に当該特定健康保険組合に係る被保険者及びその被扶養者の総数に対する特例退職被保険者及びその被扶養者の総数の割合として政令の定めるところにより算定した割合（以下「特例退職被保険者等加入割合」という。）を乗じて得た額」とあるのは「特別調整前概算医療費拠出金相当額（健康保険法等の一部を改正する法律（平成十四年法律第百二号）第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）の十二分の七に相当する額に施行日前特例退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における当該特定健康保険組合に係る被保険者及びその被扶養者の総数に対する特例退職被保険者及びその被扶養者の総数の割合として政令の定めるところにより算定した割合（以下「特例退職被保険者等加入割合」という。）をいう。以下同じ。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後特例退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における特例退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十二年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」と、新国保法附則第九項第二号中「負担調整前老人保健医療費拠出金相当額に特例退職被保険者等加入割合を乗じて得た額」とあるのは「特別調整前概算医療費拠出金相当額の十二分の七に相当する額に施行日前特例退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後特例退職被保険者等加入割合を乗じて得た額との合算額（平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十二年度における特別調整前概算医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額が平成十二年度における特別調整前確定医療費拠出金相当額に平成十二年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-27/par-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-3</sup>
With regard to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. under the provisions of paragraphs (8) and (9) of the Supplementary Provisions of the Revised National Health Insurance Act for fiscal year 2002, the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment by the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of special retired insured persons and their dependents to the total number of insured persons and their dependents of that specified health insurance Society (hereinafter referred to as the "special retired insured persons' enrollment share")" in paragraph (8), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the special retired insured persons' enrollment share before the effective date (meaning the ratio, calculated pursuant to the provisions of Cabinet Order, of the total number of special retired insured persons and their dependents to the total number of insured persons and their dependents of that specified health insurance Society in the period on or after April 1, 2002 and before the Effective Date (hereinafter referred to as the "special retired insured persons' enrollment share"); the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share from the effective date (meaning the special retired insured persons' enrollment share in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)", and the phrase "the amount obtained by multiplying the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment by the special retired insured persons' enrollment share" in paragraph (9), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent by the special retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share from the effective date (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2000 by the special retired insured persons' enrollment share for fiscal year 2000, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

### 第二十八条
<sup>suppl-4141-102/art-28 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28</sup>

**第一項**  平成十五年度における新国保法第七十条の規定による国庫負担金については、同条第一項第二号中「負担調整前老人保健医療費拠出金相当額（老人保健法第五十五条第三項に規定する負担調整前概算医療費拠出金相当額及び同法第五十六条第三項に規定する負担調整前確定医療費拠出金相当額をそれぞれ同法第五十四条第一項に規定する概算医療費拠出金及び確定医療費拠出金とみなして、同項の規定の例により算定した医療費拠出金の額に相当する額をいう。以下同じ。）」とあるのは「健康保険法等の一部を改正する法律（平成十四年法律第百二号）附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十三年度における特別調整前概算医療費拠出金相当額（同法第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十三年度の退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十三年度の退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-28/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-1</sup>
With regard to the share of the national treasury under the provisions of Article 70 of the Revised National Health Insurance Act for fiscal year 2003, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment (meaning the amount equivalent to the amount of the medical expense contribution calculated in the manner of the provisions of Article 54, paragraph (1) of the Act on Health and Medical Services for the Elderly, deeming the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in Article 55, paragraph (3) of that Act and the amount equivalent to the finalized medical expense contribution before burden adjustment prescribed in Article 56, paragraph (3) of that Act to be the estimated medical expense contribution and the finalized medical expense contribution prescribed in Article 54, paragraph (1) of that Act, respectively; the same applies hereinafter)" in paragraph (1), item (ii) of that Article is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of that Article", and the phrase "the amount obtained" with "the amount obtained (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2001 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the enrolment ratio of retired insured persons, etc. for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

**第二項**  平成十五年度の新国保法第七十二条の四第一項、第八十一条の四第二項及び第八十一条の五第二項に規定する被用者保険等拠出対象額は、新国保法第七十二条の四第一項の規定にかかわらず、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額とする。
<sup>suppl-4141-102/art-28/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2</sup>
The amount subject to contributions from employee insurance, etc. prescribed in Article 72-4, paragraph (1), Article 81-4, paragraph (2) and Article 81-5, paragraph (2) of the Revised National Health Insurance Act for fiscal year 2003 is, notwithstanding the provisions of Article 72-4, paragraph (1) of the Revised National Health Insurance Act, the amount obtained by deducting the amount set forth in item (iii) from the total sum of the amounts set forth in items (i) and (ii).
<sup>machine translation, not official</sup>

  **一**  退職被保険者等に係る療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、特定療養費、療養費、訪問看護療養費、特別療養費、移送費及び高額療養費の支給に要する費用の額の合算額
  <sup>suppl-4141-102/art-28/par-2/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-1</sup>
  the total sum of the amount obtained by deducting the amount equivalent to the co-payment pertaining to benefits for medical treatment for retired insured persons, etc. from the amount of expenses required for those benefits, and the amounts of expenses required for the payment of Dietary Treatment expenses for inpatients, specified medical expenses, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses and high-cost medical expenses
  <sup>machine translation, not official</sup>

  **二**  附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額に退職被保険者等加入割合を乗じて得た額（平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）
  <sup>suppl-4141-102/art-28/par-2/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-2</sup>
  the amount obtained by multiplying the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of that Article by the enrolment ratio of retired insured persons, etc. (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the enrolment ratio of retired insured persons, etc. for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)
  <sup>machine translation, not official</sup>

  **三**  退職被保険者等に係る保険料に相当する額の合算額から当該保険料に係る介護納付金の納付に要する費用に相当する額の合算額を控除した額
  <sup>suppl-4141-102/art-28/par-2/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-3</sup>
  the amount obtained by deducting the total sum of the amounts equivalent to the expenses required for the payment of the long-term care payments pertaining to those insurance premiums from the total sum of the amounts equivalent to the insurance premiums pertaining to retired insured persons, etc.
  <sup>machine translation, not official</sup>

**第三項**  平成十五年度における新国保法附則第八項及び第九項の規定による概算療養給付費等拠出金及び確定療養給付費等拠出金については、新国保法附則第八項第二号中「負担調整前老人保健医療費拠出金相当額」とあるのは「健康保険法等の一部を改正する法律（平成十四年法律第百二号）附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十三年度における特別調整前概算医療費拠出金相当額（同法第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十三年度の特例退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額（旧老健法第五十六条第一項各号に掲げる額の合計額をいう。以下同じ。）に平成十三年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」と、新国保法附則第九項第二号中「負担調整前老人保健医療費拠出金相当額」とあるのは「健康保険法等の一部を改正する法律附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額の二分の一に相当する額を控除するものとし、平成十三年度における特別調整前概算医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額が平成十三年度における特別調整前確定医療費拠出金相当額に平成十三年度の特例退職被保険者等加入割合を乗じて得た額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額の二分の一に相当する額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-28/par-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-3</sup>
With regard to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. under the provisions of paragraphs (8) and (9) of the Supplementary Provisions of the Revised National Health Insurance Act for fiscal year 2003, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (8), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of that Article", and the phrase "the amount obtained" in that item with "the amount obtained (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (hereinafter referred to as the "Former Elderly Health Act"); the same applies hereinafter) by the special retired insured persons' enrollment share for fiscal year 2001 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 (meaning the total sum of the amounts set forth in the items of Article 56, paragraph (1) of the Former Elderly Health Act; the same applies hereinafter) by the special retired insured persons' enrollment share for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)", and the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (9), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of that Article", and the phrase "the amount obtained" in that item with "the amount obtained (where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001 exceeds the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001 falls short of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent for fiscal year 2001 by the special retired insured persons' enrollment share for fiscal year 2001, the amount equivalent to 1/2 of the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

### 第二十九条
<sup>suppl-4141-102/art-29 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29</sup>

**第一項**  平成十六年度における新国保法第七十条の規定による国庫負担金については、同条第一項第二号中「負担調整前老人保健医療費拠出金相当額（老人保健法第五十五条第三項に規定する負担調整前概算医療費拠出金相当額及び同法第五十六条第三項に規定する負担調整前確定医療費拠出金相当額をそれぞれ同法第五十四条第一項に規定する概算医療費拠出金及び確定医療費拠出金とみなして、同項の規定の例により算定した医療費拠出金の額に相当する額をいう。以下同じ。）」とあるのは「健康保険法等の一部を改正する法律（平成十四年法律第百二号）附則第十八条において読み替えて準用される同法附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十四年度における特別調整前概算医療費拠出金相当額（同法第三条の規定による改正前の老人保健法（以下「旧老健法」という。）第五十五条第一項各号に掲げる額の合計額をいう。）の十二分の七に相当する額に施行日前退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額との合算額（以下「平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額」という。）が同法附則第十五条第三項に規定する施行日前特別調整前確定医療費拠出金相当額に施行日前退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と同条第六項に規定する施行日以後負担調整前確定医療費拠出金相当額に施行日以後退職被保険者等加入割合を乗じて得た額との合算額（以下「平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額」という。）を超えるときは、その超える額（以下「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額を控除するものとし、平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額に満たないときは、その満たない額（以下「不足額」という。）と不足額について同項の規定の例により算定した額との合計額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-29/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-1</sup>
With regard to the share of the national treasury under the provisions of Article 70 of the Revised National Health Insurance Act for fiscal year 2004, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment (meaning the amount equivalent to the amount of the medical expense contribution calculated in the manner of the provisions of Article 54, paragraph (1) of the Act on Health and Medical Services for the Elderly, deeming the amount equivalent to the estimated medical expense contribution before burden adjustment prescribed in Article 55, paragraph (3) of that Act and the amount equivalent to the finalized medical expense contribution before burden adjustment prescribed in Article 56, paragraph (3) of that Act to be the estimated medical expense contribution and the finalized medical expense contribution prescribed in Article 54, paragraph (1) of that Act, respectively; the same applies hereinafter)" in paragraph (1), item (ii) of that Article is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) as applied mutatis mutandis with terms replaced pursuant to Article 18 of the Supplementary Provisions of that Act, and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" with "the amount obtained (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc. (hereinafter referred to as the "Former Elderly Health Act")) by the retired insured persons' enrollment share before the effective date (meaning the enrolment ratio of retired insured persons, etc. in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the retired insured persons' enrollment share from the effective date (meaning the enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent before the effective date prescribed in Article 15, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment from the effective date prescribed in paragraph (6) of that Article by the retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc."), the total sum of the amount of the excess (hereinafter referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

**第二項**  平成十六年度の新国保法第七十二条の四第一項、第八十一条の四第二項及び第八十一条の五第二項に規定する被用者保険等拠出対象額は、新国保法第七十二条の四第一項の規定にかかわらず、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額とする。
<sup>suppl-4141-102/art-29/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2</sup>
The amount subject to contributions from employee insurance, etc. prescribed in Article 72-4, paragraph (1), Article 81-4, paragraph (2) and Article 81-5, paragraph (2) of the Revised National Health Insurance Act for fiscal year 2004 is, notwithstanding the provisions of Article 72-4, paragraph (1) of the Revised National Health Insurance Act, the amount obtained by deducting the amount set forth in item (iii) from the total sum of the amounts set forth in items (i) and (ii).
<sup>machine translation, not official</sup>

  **一**  退職被保険者等に係る療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、特定療養費、療養費、訪問看護療養費、特別療養費、移送費及び高額療養費の支給に要する費用の額の合算額
  <sup>suppl-4141-102/art-29/par-2/item-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-1</sup>
  the total sum of the amount obtained by deducting the amount equivalent to the co-payment pertaining to benefits for medical treatment for retired insured persons, etc. from the amount of expenses required for those benefits, and the amounts of expenses required for the payment of Dietary Treatment expenses for inpatients, specified medical expenses, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses and high-cost medical expenses
  <sup>machine translation, not official</sup>

  **二**  附則第十八条において読み替えて準用される附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額に退職被保険者等加入割合を乗じて得た額（平成十四年度における特別調整前概算医療費拠出金相当額の十二分の七に相当する額に施行日前退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後退職被保険者等加入割合を乗じて得た額との合算額（以下「平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額」という。）が附則第十五条第三項に規定する施行日前特別調整前確定医療費拠出金相当額に施行日前退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と同条第六項に規定する施行日以後負担調整前確定医療費拠出金相当額に施行日以後退職被保険者等加入割合を乗じて得た額との合算額（以下「平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額」という。）を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額を控除するものとし、平成十四年度の退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の退職被保険者等に係る負担調整前確定医療費拠出金相当額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額を加算するものとする。）
  <sup>suppl-4141-102/art-29/par-2/item-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-2</sup>
  the amount obtained by multiplying the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions as applied mutatis mutandis with terms replaced pursuant to Article 18 of the Supplementary Provisions and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions by the enrolment ratio of retired insured persons, etc. (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions by the retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent before the effective date prescribed in Article 15, paragraph (3) of the Supplementary Provisions by the retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment from the effective date prescribed in paragraph (6) of that Article by the retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc."), the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)
  <sup>machine translation, not official</sup>

  **三**  退職被保険者等に係る保険料に相当する額の合算額から当該保険料に係る介護納付金の納付に要する費用に相当する額の合算額を控除した額
  <sup>suppl-4141-102/art-29/par-2/item-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-3</sup>
  the amount obtained by deducting the total sum of the amounts equivalent to the expenses required for the payment of the long-term care payments pertaining to those insurance premiums from the total sum of the amounts equivalent to the insurance premiums pertaining to retired insured persons, etc.
  <sup>machine translation, not official</sup>

**第三項**  平成十六年度における新国保法附則第八項及び第九項の規定による概算療養給付費等拠出金及び確定療養給付費等拠出金については、新国保法附則第八項第二号中「負担調整前老人保健医療費拠出金相当額」とあるのは「健康保険法等の一部を改正する法律（平成十四年法律第百二号）附則第十八条において読み替えて準用される同法附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十四年度における特別調整前概算医療費拠出金相当額（同法第三条の規定による改正前の老人保健法第五十五条第一項各号に掲げる額の合計額をいう。）の十二分の七に相当する額に施行日前特例退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における特例退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額の二分の一に相当する額と健康保険法等の一部を改正する法律附則第十四条第五項に規定する施行日以後負担調整前概算医療費拠出金相当額に施行日以後特例退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における特例退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額との合算額（以下「平成十四年度の特例退職被保険者等に係る負担調整前概算医療費拠出金相当額」という。）が同法附則第十五条第三項に規定する施行日前特別調整前確定医療費拠出金相当額に施行日前特例退職被保険者等加入割合を乗じて得た額の二分の一に相当する額と同条第六項に規定する施行日以後負担調整前確定医療費拠出金相当額に施行日以後特例退職被保険者等加入割合を乗じて得た額との合算額（以下「平成十四年度の特例退職被保険者等に係る負担調整前確定医療費拠出金相当額」という。）を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額を控除するものとし、平成十四年度の特例退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の特例退職被保険者等に係る負担調整前確定医療費拠出金相当額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額を加算するものとする。）」と、新国保法附則第九項第二号中「負担調整前老人保健医療費拠出金相当額」とあるのは「健康保険法等の一部を改正する法律附則第十八条の規定により読み替えられた同法附則第十六条第三項に規定する前期負担調整前概算医療費拠出金相当額と同条第八項に規定する後期負担調整前概算医療費拠出金相当額との合算額」と、「得た額」とあるのは「得た額（平成十四年度の特例退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の特例退職被保険者等に係る負担調整前確定医療費拠出金相当額を超えるときは、その超える額（以下この号において「超過額」という。）と超過額について老人保健法第五十四条第二項の規定の例により算定した額との合計額を控除するものとし、平成十四年度の特例退職被保険者等に係る負担調整前概算医療費拠出金相当額が平成十四年度の特例退職被保険者等に係る負担調整前確定医療費拠出金相当額に満たないときは、その満たない額（以下この号において「不足額」という。）と不足額について同項の規定の例により算定した額との合計額を加算するものとする。）」とする。
<sup>suppl-4141-102/art-29/par-3 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-3</sup>
With regard to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. under the provisions of paragraphs (8) and (9) of the Supplementary Provisions of the Revised National Health Insurance Act for fiscal year 2004, the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (8), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) as applied mutatis mutandis with terms replaced pursuant to Article 18 of the Supplementary Provisions of that Act, and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" in that item with "the amount obtained (where the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the amount equivalent to 7/12 of the special pre-adjustment estimated medical expense contribution equivalent for fiscal year 2002 (meaning the total sum of the amounts set forth in the items of Article 55, paragraph (1) of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 3 of the Act Partially Amending the Health Insurance Act, etc.) by the special retired insured persons' enrollment share before the effective date (meaning the special retired insured persons' enrollment share in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter), and the amount obtained by multiplying the amount equivalent to the estimated medical expense contribution before burden adjustment from the effective date prescribed in Article 14, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share from the effective date (meaning the special retired insured persons' enrollment share in the period from the Effective Date through March 31, 2003; the same applies hereinafter) (hereinafter referred to as the "fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc.") exceeds the total sum of the amount equivalent to 1/2 of the amount obtained by multiplying the special pre-adjustment finalized medical expense contribution equivalent before the effective date prescribed in Article 15, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. by the special retired insured persons' enrollment share before the effective date, and the amount obtained by multiplying the amount equivalent to the finalized medical expense contribution before burden adjustment from the effective date prescribed in paragraph (6) of that Article by the special retired insured persons' enrollment share from the effective date (hereinafter referred to as the "fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc."), the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)", and the phrase "the amount equivalent to the medical expense contribution for health and medical services for the elderly before burden adjustment" in paragraph (9), item (ii) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the total sum of the amount equivalent to the estimated medical expense contribution for the earlier period before burden adjustment prescribed in Article 16, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. as the terms are replaced pursuant to Article 18 of the Supplementary Provisions of that Act, and the amount equivalent to the estimated medical expense contribution for the later period before burden adjustment prescribed in paragraph (8) of Article 16 of the Supplementary Provisions of that Act", and the phrase "the amount obtained" in that item with "the amount obtained (where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. exceeds the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the excess (hereinafter in this item referred to as the "excess amount") and the amount calculated for the excess amount in the manner of the provisions of Article 54, paragraph (2) of the Act on Health and Medical Services for the Elderly is to be deducted, and where the fiscal 2002 pre-adjustment estimated medical expense contribution equivalent for special retired insured persons, etc. falls short of the fiscal 2002 pre-adjustment finalized medical expense contribution equivalent for special retired insured persons, etc., the total sum of the amount of the shortfall (hereinafter in this item referred to as the "shortfall") and the amount calculated for the shortfall in the manner of the provisions of that paragraph is to be added)".
<sup>machine translation, not official</sup>

### 第三十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-35 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-35 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-35</sup>

**第一項**  この法律（附則第一条ただし書に規定する規定については、当該規定）の施行前にした行為及び附則第八条の規定によりなお従前の例によることとされる場合における附則第一条ただし書に規定する規定の施行後にした行為に対する罰則の適用については、なお従前の例による。
<sup>suppl-4141-102/art-35/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-35/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-35/par-1</sup>
With regard to the application of penal provisions to acts committed before the enforcement of this Act (for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions) and to acts committed after the enforcement of the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 8 of the Supplementary Provisions, the provisions then in force continue to govern.
<sup>machine translation, not official</sup>

### 第三十六条（政令への委任） — Delegation to Cabinet Order
<sup>caption: machine translation, not official</sup>
<sup>suppl-4141-102/art-36 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-36 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-36</sup>

**第一項**  附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
<sup>suppl-4141-102/art-36/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-36/par-1</sup>
Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
<sup>machine translation, not official</sup>

---

## Cites
- suppl-4141-102/art-2/par-2: 第二号 → 国民健康保険法 附則第二条第二項第二号 (Supplementary Provisions, Article 2, paragraph (2), item (ii)), suppl-4141-102/art-2/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2/item-2
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 国民健康保険法 附則第二条第二項 (Supplementary Provisions, Article 2, paragraph (2)), suppl-4141-102/art-2/par-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 国民健康保険法 附則第二条第三項 (Supplementary Provisions, Article 2, paragraph (3)), suppl-4141-102/art-2/par-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-3
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 国民健康保険法 附則第二条第四項 (Supplementary Provisions, Article 2, paragraph (4)), suppl-4141-102/art-2/par-4 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-4
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 国民健康保険法 附則第二条第五項 (Supplementary Provisions, Article 2, paragraph (5)), suppl-4141-102/art-2/par-5 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-5
- suppl-4141-102/art-2/par-7: 第二項から前項まで → 国民健康保険法 附則第二条第六項 (Supplementary Provisions, Article 2, paragraph (6)), suppl-4141-102/art-2/par-6 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-6 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-6
- suppl-4141-102/art-22/par-1: 附則第一条 → 国民健康保険法 附則第一条 (Supplementary Provisions, Article 1), suppl-4141-102/art-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-1
- suppl-4141-102/art-22/par-1: この条 → 国民健康保険法 附則第二十二条 (Supplementary Provisions, Article 22), suppl-4141-102/art-22 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-22 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-22
- suppl-4141-102/art-23/par-1: 第一号 → 国民健康保険法 附則第二十三条第一項第一号 (Supplementary Provisions, Article 23, paragraph (1), item (i)), suppl-4141-102/art-23/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-1
- suppl-4141-102/art-23/par-1: 第二号 → 国民健康保険法 附則第二十三条第一項第二号 (Supplementary Provisions, Article 23, paragraph (1), item (ii)), suppl-4141-102/art-23/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-2
- suppl-4141-102/art-23/par-1/item-2: 前号 → 国民健康保険法 附則第二十三条第一項第一号 (Supplementary Provisions, Article 23, paragraph (1), item (i)), suppl-4141-102/art-23/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-1
- suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第一号 (Supplementary Provisions, Article 24, paragraph (1), item (i)), suppl-4141-102/art-24/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1
- suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第二号 (Supplementary Provisions, Article 24, paragraph (1), item (ii)), suppl-4141-102/art-24/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2
- suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第三号 (Supplementary Provisions, Article 24, paragraph (1), item (iii)), suppl-4141-102/art-24/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3
- suppl-4141-102/art-24/par-1: 第四号 → 国民健康保険法 附則第二十四条第一項第四号 (Supplementary Provisions, Article 24, paragraph (1), item (iv)), suppl-4141-102/art-24/par-1/item-4 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4
- suppl-4141-102/art-24/par-1: 第五号 → 国民健康保険法 附則第二十四条第一項第五号 (Supplementary Provisions, Article 24, paragraph (1), item (v)), suppl-4141-102/art-24/par-1/item-5 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5
- suppl-4141-102/art-24/par-1/item-4: 第一号 → 国民健康保険法 附則第二十四条第一項第一号 (Supplementary Provisions, Article 24, paragraph (1), item (i)), suppl-4141-102/art-24/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1
- suppl-4141-102/art-24/par-1/item-5: 第二号 → 国民健康保険法 附則第二十四条第一項第二号 (Supplementary Provisions, Article 24, paragraph (1), item (ii)), suppl-4141-102/art-24/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2
- suppl-4141-102/art-24/par-1/item-5: 第三号 → 国民健康保険法 附則第二十四条第一項第三号 (Supplementary Provisions, Article 24, paragraph (1), item (iii)), suppl-4141-102/art-24/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3
- suppl-4141-102/art-25/par-1: 第一号から第四号まで → 国民健康保険法 附則第二十五条第一項第一号 (Supplementary Provisions, Article 25, paragraph (1), item (i)), suppl-4141-102/art-25/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-1
- suppl-4141-102/art-25/par-1: 第一号から第四号まで → 国民健康保険法 附則第二十五条第一項第二号 (Supplementary Provisions, Article 25, paragraph (1), item (ii)), suppl-4141-102/art-25/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-2
- suppl-4141-102/art-25/par-1: 第一号から第四号まで → 国民健康保険法 附則第二十五条第一項第三号 (Supplementary Provisions, Article 25, paragraph (1), item (iii)), suppl-4141-102/art-25/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-3
- suppl-4141-102/art-25/par-1: 第一号から第四号まで → 国民健康保険法 附則第二十五条第一項第四号 (Supplementary Provisions, Article 25, paragraph (1), item (iv)), suppl-4141-102/art-25/par-1/item-4 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-4
- suppl-4141-102/art-25/par-1: 第五号 → 国民健康保険法 附則第二十五条第一項第五号 (Supplementary Provisions, Article 25, paragraph (1), item (v)), suppl-4141-102/art-25/par-1/item-5 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-5
- suppl-4141-102/art-25/par-1/item-5: 前各号 → 国民健康保険法 附則第二十五条第一項第一号 (Supplementary Provisions, Article 25, paragraph (1), item (i)), suppl-4141-102/art-25/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-1
- suppl-4141-102/art-25/par-1/item-5: 前各号 → 国民健康保険法 附則第二十五条第一項第二号 (Supplementary Provisions, Article 25, paragraph (1), item (ii)), suppl-4141-102/art-25/par-1/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-2
- suppl-4141-102/art-25/par-1/item-5: 前各号 → 国民健康保険法 附則第二十五条第一項第三号 (Supplementary Provisions, Article 25, paragraph (1), item (iii)), suppl-4141-102/art-25/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-3
- suppl-4141-102/art-25/par-1/item-5: 前各号 → 国民健康保険法 附則第二十五条第一項第四号 (Supplementary Provisions, Article 25, paragraph (1), item (iv)), suppl-4141-102/art-25/par-1/item-4 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-4
- suppl-4141-102/art-26/par-1: 前条 → 国民健康保険法 附則第二十五条 (Supplementary Provisions, Article 25), suppl-4141-102/art-25 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25
- suppl-4141-102/art-26/par-1: 同条第一号 → 国民健康保険法 附則第二十五条第一項第一号 (Supplementary Provisions, Article 25, paragraph (1), item (i)), suppl-4141-102/art-25/par-1/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-1
- suppl-4141-102/art-26/par-1: 同条第三号 → 国民健康保険法 附則第二十五条第一項第三号 (Supplementary Provisions, Article 25, paragraph (1), item (iii)), suppl-4141-102/art-25/par-1/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-3
- suppl-4141-102/art-27/par-2: 第一号 → 国民健康保険法 附則第二十七条第二項第一号 (Supplementary Provisions, Article 27, paragraph (2), item (i)), suppl-4141-102/art-27/par-2/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-1
- suppl-4141-102/art-27/par-2: 第二号 → 国民健康保険法 附則第二十七条第二項第二号 (Supplementary Provisions, Article 27, paragraph (2), item (ii)), suppl-4141-102/art-27/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-2
- suppl-4141-102/art-27/par-2: 第三号 → 国民健康保険法 附則第二十七条第二項第三号 (Supplementary Provisions, Article 27, paragraph (2), item (iii)), suppl-4141-102/art-27/par-2/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-3
- suppl-4141-102/art-27/par-2/item-2: この号 → 国民健康保険法 附則第二十七条第二項第二号 (Supplementary Provisions, Article 27, paragraph (2), item (ii)), suppl-4141-102/art-27/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-2
- suppl-4141-102/art-28/par-2: 第一号 → 国民健康保険法 附則第二十八条第二項第一号 (Supplementary Provisions, Article 28, paragraph (2), item (i)), suppl-4141-102/art-28/par-2/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-1
- suppl-4141-102/art-28/par-2: 第二号 → 国民健康保険法 附則第二十八条第二項第二号 (Supplementary Provisions, Article 28, paragraph (2), item (ii)), suppl-4141-102/art-28/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-2
- suppl-4141-102/art-28/par-2: 第三号 → 国民健康保険法 附則第二十八条第二項第三号 (Supplementary Provisions, Article 28, paragraph (2), item (iii)), suppl-4141-102/art-28/par-2/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-3
- suppl-4141-102/art-28/par-2/item-2: この号 → 国民健康保険法 附則第二十八条第二項第二号 (Supplementary Provisions, Article 28, paragraph (2), item (ii)), suppl-4141-102/art-28/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-2
- suppl-4141-102/art-29/par-2: 第一号 → 国民健康保険法 附則第二十九条第二項第一号 (Supplementary Provisions, Article 29, paragraph (2), item (i)), suppl-4141-102/art-29/par-2/item-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-1
- suppl-4141-102/art-29/par-2: 第二号 → 国民健康保険法 附則第二十九条第二項第二号 (Supplementary Provisions, Article 29, paragraph (2), item (ii)), suppl-4141-102/art-29/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-2
- suppl-4141-102/art-29/par-2: 第三号 → 国民健康保険法 附則第二十九条第二項第三号 (Supplementary Provisions, Article 29, paragraph (2), item (iii)), suppl-4141-102/art-29/par-2/item-3 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-3
- suppl-4141-102/art-29/par-2/item-2: この号 → 国民健康保険法 附則第二十九条第二項第二号 (Supplementary Provisions, Article 29, paragraph (2), item (ii)), suppl-4141-102/art-29/par-2/item-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-2
- suppl-4141-102/art-35/par-1: 附則第一条 → 国民健康保険法 附則第一条 (Supplementary Provisions, Article 1), suppl-4141-102/art-1 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-1
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十二条 (Supplementary Provisions, Article 22), suppl-4141-102/art-22 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-22 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-22
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十三条 (Supplementary Provisions, Article 23), suppl-4141-102/art-23 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十四条 (Supplementary Provisions, Article 24), suppl-4141-102/art-24 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十五条 (Supplementary Provisions, Article 25), suppl-4141-102/art-25 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十六条 (Supplementary Provisions, Article 26), suppl-4141-102/art-26 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-26 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-26
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十七条 (Supplementary Provisions, Article 27), suppl-4141-102/art-27 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十八条 (Supplementary Provisions, Article 28), suppl-4141-102/art-28 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第二十九条 (Supplementary Provisions, Article 29), suppl-4141-102/art-29 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29
- suppl-4141-102/art-36/par-1: 附則第三条から前条まで → 国民健康保険法 附則第三十五条 (Supplementary Provisions, Article 35), suppl-4141-102/art-35 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-35 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-35

## Cited by

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

- 国民健康保険法 附則第二条第二項（医療保険制度の改革等） — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-2
- 国民健康保険法 附則第二条第七項（医療保険制度の改革等） — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-2/par-7 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-2/par-7
- 国民健康保険法 附則第二十二条第一項（国民健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-22/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-22/par-1
- 国民健康保険法 附則第二十三条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1
- 国民健康保険法 附則第二十三条第一項第二号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-23/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-23/par-1/item-2
- 国民健康保険法 附則第二十四条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1
- 国民健康保険法 附則第二十四条第一項第四号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4
- 国民健康保険法 附則第二十四条第一項第五号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5
- 国民健康保険法 附則第二十五条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1
- 国民健康保険法 附則第二十五条第一項第五号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-25/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-25/par-1/item-5
- 国民健康保険法 附則第二十六条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-26/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-26/par-1
- 国民健康保険法 附則第二十七条第二項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2
- 国民健康保険法 附則第二十七条第二項第二号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-27/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-27/par-2/item-2
- 国民健康保険法 附則第二十八条第二項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2
- 国民健康保険法 附則第二十八条第二項第二号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-28/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-28/par-2/item-2
- 国民健康保険法 附則第二十九条第二項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2
- 国民健康保険法 附則第二十九条第二項第二号 — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-29/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-29/par-2/item-2
- 国民健康保険法 附則第三十五条第一項（罰則に関する経過措置） — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-35/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-35/par-1
- 国民健康保険法 附則第三十六条第一項（政令への委任） — https://japanlaw.org/en/national-health-insurance-act/suppl-4141-102/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-36/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
- claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-021, translated 2026-10-18
- claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-022, translated 2026-10-18
- claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-023, 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