# 国民健康保険法 / National Health Insurance Act — 第四条 (Supplementary Provisions, Article 4) - Law: 国民健康保険法 (National Health Insurance Act), 昭和三十三年法律第百九十二号 - English title "National Health Insurance Act": Ministry of Justice translation - Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say. - Provision: 第四条 (Supplementary Provisions, Article 4) — address `suppl-4271-31/art-4` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4 - Every provision below carries its address and both URLs on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ### 第四条 suppl-4271-31/art-4 · https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4 **第一項** 第三条の規定による改正後の国民健康保険法附則第十条、第十二条、第十三条及び第二十一条の規定は、平成二十九年度以後の各年度の被用者保険等保険者（第三号改正後高確法第七条第三項に規定する被用者保険等保険者をいう。）に係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適用し、平成二十八年度以前の各年度の被用者保険等保険者（第三号改正前国保法附則第十条第一項に規定する被用者保険等保険者をいい、健康保険法附則第三条第一項に規定する健康保険組合（次項において「特定健康保険組合」という。）を除く。）に係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、なお従前の例による。 suppl-4271-31/art-4/par-1 · https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4/par-1 The provisions of Articles 10, 12, 13 and 21 of the Supplementary Provisions of the National Health Insurance Act as amended by the provisions of Article 3 apply to the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. for insurers of employee insurance, etc. (meaning the insurers of employee insurance, etc. prescribed in Article 7, paragraph (3) of the item (iii) Amended Elderly Medical Care Assurance Act) for each of fiscal year 2017 and subsequent fiscal years, and the provisions then in force continue to govern the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. for insurers of employee insurance, etc. (meaning the insurers of employee insurance, etc. prescribed in Article 10, paragraph (1) of the Supplementary Provisions of the National Health Insurance Act Before the item (iii) Amendment, and excluding the health insurance Societies prescribed in Article 3, paragraph (1) of the Supplementary Provisions of the Health Insurance Act (referred to as "specified health insurance Societies" in the following paragraph)) for each of fiscal year 2016 and earlier fiscal years. machine translation, not official **第二項** 平成二十六年度以前の各年度の特定健康保険組合に係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、なお従前の例による。 suppl-4271-31/art-4/par-2 · https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4/par-2 The provisions then in force continue to govern the estimated contributions for medical treatment benefit expenses, etc. and the finalized contributions for medical treatment benefit expenses, etc. concerning specified health insurance Societies for each of fiscal year 2014 and earlier fiscal years. machine translation, not official --- ## Cites - suppl-4271-31/art-4/par-1: 次項 → 国民健康保険法 附則第四条第二項 (Supplementary Provisions, Article 4, paragraph (2)), suppl-4271-31/art-4/par-2 — https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4/par-2 ## Cited by 2 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第一条第一項第三号（施行期日） — https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-1/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-1/par-1/item-3 - 国民健康保険法 附則第四条第一項 — https://japanlaw.org/en/national-health-insurance-act/suppl-4271-31/art-4/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4271-31/art-4/par-1 --- ## 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-20261017T183826-036, 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