# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第二十九条 (Article 29) This is the Markdown twin of https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29. Every law, and how to address a provision: https://japanlaw.org/llms.txt. The same laws as MCP tools (no sign-in): https://japanlaw.org/mcp. - Law: 健康保険法施行令 (Order for Enforcement of the Health Insurance Act), 大正十五年勅令第二百四十三号 - English title "Order for Enforcement of the Health Insurance Act": claude-opus-5-5 - Kind: ImperialOrder — 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: 第二十九条 (Article 29)（指定の要件） — address `art-29` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29 - e-Gov law ID: 215IO0000000243 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page. - Every provision below carries its address and its URL 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. --- ### 第二十九条（指定の要件） — Requirements for Designation caption: machine translation, not official art-29 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29 **第一項** 法第二十八条第一項の政令で定める要件は、一の年度の決算において支出（経常的なものとして厚生労働大臣が定めるものに限る。）の額が収入（経常的なものとして厚生労働大臣が定めるものに限る。）の額を超える状態が継続し、かつ、一の年度における健康保険組合の保険給付に要した費用の額（前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に要した費用の額（高齢者の医療の確保に関する法律の規定による前期高齢者交付金（以下この条、第四十六条、第六十五条第一項第一号イ及び第六十七条第三項において「前期高齢者交付金」という。）がある場合には、これを控除した額）を含み、被保険者又はその被扶養者が法第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から受けた療養に係る保険給付に要した費用の額及び法第百五十二条の二に規定する出産育児交付金（以下「出産育児交付金」という。）の額を除く。）から法第五十三条に規定するその他の給付に要した費用の額を控除した額を当該年度における当該健康保険組合の組合員である被保険者の標準報酬月額の総額及び標準賞与額の総額の合算額で除して得た率が千分の九十五を超える状態が継続する健康保険組合であって、準備金その他厚生労働大臣が定める財産の額が法第二十八条第一項の指定をすべき年度の直前の三箇年度において行った保険給付に要した費用の額（被保険者又はその被扶養者が法第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から受けた療養に係る保険給付に要した費用の額及び出産育児交付金の額を除く。）の一年度当たりの平均額の十二分の三に相当する額と法第二十八条第一項の指定をすべき年度の直前の三箇年度において行った前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金、介護納付金並びに流行初期医療確保拠出金等の納付に要した費用の額（前期高齢者交付金がある場合には、これを控除した額）の一事業年度当たりの平均額の十二分の一に相当する額並びに同項の指定をすべき年度の直前の年度において行った子ども・子育て支援納付金の納付に要した費用の額の十二分の一に相当する額を超えない範囲内において当該直前の年度における保険者の子ども・子育て支援納付金の納付に要する費用を勘案して厚生労働大臣が内閣総理大臣と協議して定める額とを合算した額を下回ったものとする。 art-29/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29/par-1 The requirements specified by Cabinet Order referred to in Article 28, paragraph (1) of the Act are to be that, with regard to a health insurance society for which the state in which the amount of expenditure (limited to that specified by the Minister of Health, Labour and Welfare as recurring) exceeds the amount of income (limited to that specified by the Minister of Health, Labour and Welfare as recurring) in the settlement of accounts for one fiscal year continues, and for which the state in which the rate obtained by dividing the amount obtained by deducting the amount of expenses required for the other benefits prescribed in Article 53 of the Act from the amount of expenses required for the insurance benefits of the health insurance society in one fiscal year (including the amount of expenses required for the payment of young-old payments, etc., aid for the old-old, etc. and day laborer contribution, and contribution for securing medical care in the early phase of an epidemic, etc. (where there is a young-old subsidy under the provisions of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as the "young-old subsidy" in this Article, Article 46, Article 65, paragraph (1), item (i), (a) and Article 67, paragraph (3)), the amount after deducting it), and excluding the amount of expenses required for insurance benefits relating to medical treatment that an insured person or a dependent thereof received from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (iii) of the Act and the amount of the childbirth and childcare grant prescribed in Article 152-2 of the Act (hereinafter referred to as the "childbirth and childcare grant")) by the total sum of the total amount of the standard monthly remuneration and the total amount of the standard bonus amounts of the insured persons who are members of that health insurance society in that fiscal year exceeds 95/1,000 continues, the amount of reserves and other property specified by the Minister of Health, Labour and Welfare has fallen below the total sum of the amount equivalent to 3/12 of the average per fiscal year of the amount of expenses required for the insurance benefits provided in the three fiscal years immediately preceding the fiscal year for which the designation under Article 28, paragraph (1) of the Act is to be made (excluding the amount of expenses required for insurance benefits relating to medical treatment that an insured person or a dependent thereof received from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (iii) of the Act and the amount of the childbirth and childcare grant), the amount equivalent to 1/12 of the average per business year of the amount of expenses required for the payment of young-old payments, etc., aid for the old-old, etc. and day laborer contribution, long-term care payment, and contribution for securing medical care in the early phase of an epidemic, etc. made in those three fiscal years (where there is a young-old subsidy, the amount after deducting it), and the amount determined by the Minister of Health, Labour and Welfare in consultation with the Prime Minister, within a range not exceeding the amount equivalent to 1/12 of the amount of expenses required for the payment of the children and child-rearing support levy made in the fiscal year immediately preceding the fiscal year for which the designation under that paragraph is to be made, taking into consideration the expenses required for the insurer's payment of the children and child-rearing support levy in that immediately preceding fiscal year. machine translation, not official --- ## Cites - art-29/par-1: 法第二十八条第一項 → 健康保険法 第二十八条第一項 (Article 28, paragraph (1)), art-28/par-1 — https://japanlaw.org/ja/health-insurance-act/art-28/par-1 (e-Gov law ID 211AC0000000070) - art-29/par-1: この条 → 健康保険法施行令 第二十九条 (Article 29), art-29 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29 - art-29/par-1: 第四十六条 → 健康保険法施行令 第四十六条 (Article 46), art-46 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-46 - art-29/par-1: 第六十五条第一項第一号 → 健康保険法施行令 第六十五条第一項第一号 (Article 65, paragraph (1), item (i)), art-65/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1/item-1 - art-29/par-1: 第六十七条第三項 → 健康保険法施行令 第六十七条第三項 (Article 67, paragraph (3)), art-67/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-67/par-3 - art-29/par-1: 法第六十三条第三項第三号 → 健康保険法 第六十三条第三項第三号 (Article 63, paragraph (3), item (iii)), art-63/par-3/item-3 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-3 (e-Gov law ID 211AC0000000070) - art-29/par-1: 法第百五十二条の二 → 健康保険法 第百五十二条の二 (Article 152-2), art-152-2 — https://japanlaw.org/ja/health-insurance-act/art-152-2 (e-Gov law ID 211AC0000000070) - art-29/par-1: 法第五十三条 → 健康保険法 第五十三条 (Article 53), art-53 — https://japanlaw.org/ja/health-insurance-act/art-53 (e-Gov law ID 211AC0000000070) ## Cited by 5 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 第二十条第一項（準備金の取崩し） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-20/par-1 - 健康保険法施行令 第二十九条第一項（指定の要件） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29/par-1 - 健康保険法施行令 附則第二条第一項（病床転換支援金等の経過措置） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-2153-243/art-2/par-1 - 健康保険法施行令 附則第三条第一項（指定健康保険組合の指定の要件及び健康保険組合の準備金の積立てに関する特例） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-2153-243/art-3/par-1 - 健康保険法施行令 附則第二条第一項（健康保険法施行令の一部改正に伴う経過措置） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-283/art-2/par-1 --- ## Sources - claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06 - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法施行令 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276), retrieved 2026-11-06 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-004, translated 2026-11-07 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-004, translated 2026-11-07 - This site's parser, version 229 — 健康保険法施行令 — structure, counts, cross-references and defined terms, computed 2026-11-06