# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第四十三条の三 (Article 43-3)

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- 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: 第四十三条の三 (Article 43-3)（介護合算算定基準額） — address `art-43-3`
- 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-43-3
- 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.

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### 第四十三条の三（介護合算算定基準額） — Base Amount for the Combined Long-Term Care Calculation
<sup>caption: machine translation, not official</sup>
<sup>art-43-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3</sup>

**第一項**  前条第一項（同条第三項及び第四項において準用する場合を除く。）の介護合算算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額とする。
<sup>art-43-3/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1</sup>
The base amount for the combined long-term care calculation under paragraph (1) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article) is, in accordance with the category of persons listed in the following items, the amount specified in each of those items.
<sup>machine translation, not official</sup>

  **一**  次号から第五号までに掲げる者以外の者　六十七万円
  <sup>art-43-3/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-1</sup>
  a person other than those listed in the following item through item (v): 670,000 yen;
  <sup>machine translation, not official</sup>

  **二**  基準日の属する月の標準報酬月額が八十三万円以上の被保険者　二百十二万円
  <sup>art-43-3/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-2</sup>
  an insured person whose standard monthly remuneration for the month that includes the reference date is 830,000 yen or more: 2,120,000 yen;
  <sup>machine translation, not official</sup>

  **三**  基準日の属する月の標準報酬月額が五十三万円以上八十三万円未満の被保険者　百四十一万円
  <sup>art-43-3/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-3</sup>
  an insured person whose standard monthly remuneration for the month that includes the reference date is 530,000 yen or more and less than 830,000 yen: 1,410,000 yen;
  <sup>machine translation, not official</sup>

  **四**  基準日の属する月の標準報酬月額が二十八万円未満の被保険者（次号に掲げる者を除く。）　六十万円
  <sup>art-43-3/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-4</sup>
  an insured person whose standard monthly remuneration for the month that includes the reference date is less than 280,000 yen (excluding a person listed in the following item): 600,000 yen;
  <sup>machine translation, not official</sup>

  **五**  市町村民税非課税者（基準日の属する年度の前年度（次条第一項の規定により前年八月一日から三月三十一日までのいずれかの日を基準日とみなした場合にあっては、当該基準日とみなした日の属する年度）分の地方税法の規定による市町村民税が課されない者（市町村の条例で定めるところにより当該市町村民税を免除された者を含むものとし、当該市町村民税の賦課期日において同法の施行地に住所を有しない者を除く。）をいう。次項第五号において同じ。）である被保険者（第二号及び第三号に掲げる者を除く。）　三十四万円
  <sup>art-43-3/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-5</sup>
  an insured person who is a person exempt from municipal inhabitant tax (meaning a person on whom municipal inhabitant tax under the provisions of the Local Tax Act is not imposed for the previous fiscal year of the fiscal year that includes the reference date (or, where any day from August 1 of the previous year to March 31 is deemed to be the reference date pursuant to paragraph (1) of the following Article, the fiscal year that includes the day deemed to be the reference date) (including a person exempted from that municipal inhabitant tax as provided by a municipal ordinance, and excluding a person who has no domicile in the area in which that Act is in force on the assessment date of that municipal inhabitant tax); the same applies in item (v) of the following paragraph) (excluding persons listed in items (ii) and (iii)): 340,000 yen.
  <sup>machine translation, not official</sup>

**第二項**  前条第二項（同条第三項及び第四項において準用する場合を除く。）の七十歳以上介護合算算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額とする。
<sup>art-43-3/par-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2</sup>
The base amount for the combined long-term care calculation for persons aged 70 or over under paragraph (2) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article) is, in accordance with the category of persons listed in the following items, the amount specified in each of those items.
<sup>machine translation, not official</sup>

  **一**  次号から第六号までに掲げる者以外の者　五十六万円
  <sup>art-43-3/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-1</sup>
  a person other than those listed in the following item through item (vi): 560,000 yen;
  <sup>machine translation, not official</sup>

  **二**  基準日の属する月の標準報酬月額が八十三万円以上の第三号適用者　二百十二万円
  <sup>art-43-3/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-2</sup>
  a person to whom item (iii) applies whose standard monthly remuneration for the month that includes the reference date is 830,000 yen or more: 2,120,000 yen;
  <sup>machine translation, not official</sup>

  **三**  基準日の属する月の標準報酬月額が五十三万円以上八十三万円未満の第三号適用者　百四十一万円
  <sup>art-43-3/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-3</sup>
  a person to whom item (iii) applies whose standard monthly remuneration for the month that includes the reference date is 530,000 yen or more and less than 830,000 yen: 1,410,000 yen;
  <sup>machine translation, not official</sup>

  **四**  基準日の属する月の標準報酬月額が五十三万円未満の第三号適用者　六十七万円
  <sup>art-43-3/par-2/item-4 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-4</sup>
  a person to whom item (iii) applies whose standard monthly remuneration for the month that includes the reference date is less than 530,000 yen: 670,000 yen;
  <sup>machine translation, not official</sup>

  **五**  市町村民税非課税者である被保険者（前三号又は次号に掲げる者を除く。）　三十一万円
  <sup>art-43-3/par-2/item-5 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-5</sup>
  an insured person who is a person exempt from municipal inhabitant tax (excluding a person listed in the preceding three items or the following item): 310,000 yen;
  <sup>machine translation, not official</sup>

  **六**  被保険者及び基準日の属する月における厚生労働省令で定める日においてその被扶養者である者の全てが基準日の属する年度の前年度（次条第一項の規定により前年八月一日から三月三十一日までのいずれかの日を基準日とみなした場合にあっては、当該基準日とみなした日の属する年度）分の地方税法の規定による市町村民税に係る同法第三百十三条第一項に規定する総所得金額及び山林所得金額に係る所得税法第二条第一項第二十二号に規定する各種所得の金額並びに他の所得と区分して計算される所得の金額がない被保険者（第二号から第四号までに掲げる者を除く。）　十九万円
  <sup>art-43-3/par-2/item-6 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-6</sup>
  an insured person for whom neither the insured person nor any person who is a dependent of the insured person on the day specified by Order of the Ministry of Health, Labour and Welfare in the month that includes the reference date has any Income in Each Class prescribed in Article 2, paragraph (1), item (xxii) of the Income Tax Act relating to the total amount of income and forestry income prescribed in Article 313, paragraph (1) of the Local Tax Act, nor any amount of income calculated separately from other income, with respect to municipal inhabitant tax under the provisions of the Local Tax Act for the previous fiscal year of the fiscal year that includes the reference date (or, where any day from August 1 of the previous year to March 31 is deemed to be the reference date pursuant to paragraph (1) of the following Article, the fiscal year that includes the day deemed to be the reference date) (excluding persons listed in items (ii) through (iv)): 190,000 yen.
  <sup>machine translation, not official</sup>

**第三項**  第一項の規定は前条第三項において準用する同条第一項の介護合算算定基準額について、前項の規定は同条第三項において準用する同条第二項の七十歳以上介護合算算定基準額について、それぞれ準用する。この場合において、第一項中「前条第一項（同条第三項及び第四項において準用する場合を除く。）」とあるのは「前条第三項において準用する同条第一項」と、「次の各号に掲げる者」とあるのは「同条第三項に規定する者について基準日において当該者を扶養する次の各号に掲げる被保険者」と、前項中「前条第二項（同条第三項及び第四項において準用する場合を除く。）」とあるのは「前条第三項において準用する同条第二項」と、「次の各号に掲げる者」とあるのは「同条第三項に規定する者について基準日において当該者を扶養する次の各号に掲げる被保険者」と読み替えるものとする。
<sup>art-43-3/par-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-3</sup>
The provisions of paragraph (1) apply mutatis mutandis to the base amount for the combined long-term care calculation under paragraph (1) of the preceding Article as applied mutatis mutandis pursuant to paragraph (3) of that Article, and the provisions of the preceding paragraph apply mutatis mutandis to the base amount for the combined long-term care calculation for persons aged 70 or over under paragraph (2) of that Article as applied mutatis mutandis pursuant to paragraph (3) of that Article, respectively. In this case, the phrase "paragraph (1) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article)" in paragraph (1) is deemed to be replaced with "paragraph (1) of the preceding Article as applied mutatis mutandis pursuant to paragraph (3) of that Article", the phrase "persons listed in the following items" with "insured persons listed in the following items who, on the reference date, support the person prescribed in paragraph (3) of that Article", the phrase "paragraph (2) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article)" in the preceding paragraph with "paragraph (2) of the preceding Article as applied mutatis mutandis pursuant to paragraph (3) of that Article", and the phrase "persons listed in the following items" with "insured persons listed in the following items who, on the reference date, support the person prescribed in paragraph (3) of that Article".
<sup>machine translation, not official</sup>

**第四項**  第一項の規定は前条第四項において準用する同条第一項の介護合算算定基準額について、第二項の規定は同条第四項において準用する同条第二項の七十歳以上介護合算算定基準額について、それぞれ準用する。この場合において、第一項中「前条第一項（同条第三項及び第四項において準用する場合を除く。）」とあるのは「前条第四項において準用する同条第一項」と、「次の各号に掲げる者」とあるのは「同条第四項に規定する者であって、基準日において他の健康保険の保険者の被保険者である者にあっては次の各号に掲げる当該者の区分に応じ、基準日において他の健康保険の保険者の被保険者の被扶養者である者にあっては次の各号に掲げる当該被保険者」と、「当該各号」とあるのは「それぞれ当該各号」と、第二項中「前条第二項（同条第三項及び第四項において準用する場合を除く。）」とあるのは「前条第四項において準用する同条第二項」と、「次の各号に掲げる者」とあるのは「同条第四項に規定する者であって、基準日において他の健康保険の保険者の被保険者である者にあっては次の各号に掲げる当該者の区分に応じ、基準日において他の健康保険の保険者の被保険者の被扶養者である者にあっては次の各号に掲げる当該被保険者」と、「当該各号」とあるのは「それぞれ当該各号」と読み替えるものとする。
<sup>art-43-3/par-4 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-4</sup>
The provisions of paragraph (1) apply mutatis mutandis to the base amount for the combined long-term care calculation under paragraph (1) of the preceding Article as applied mutatis mutandis pursuant to paragraph (4) of that Article, and the provisions of paragraph (2) apply mutatis mutandis to the base amount for the combined long-term care calculation for persons aged 70 or over under paragraph (2) of that Article as applied mutatis mutandis pursuant to paragraph (4) of that Article, respectively. In this case, the phrase "paragraph (1) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article)" in paragraph (1) is deemed to be replaced with "paragraph (1) of the preceding Article as applied mutatis mutandis pursuant to paragraph (4) of that Article", the phrase "in accordance with the category of persons listed in the following items" with "for the person prescribed in paragraph (4) of that Article, where the person is, on the reference date, an insured person of the insurer of another health insurance, in accordance with the category of that person listed in the following items, and where the person is, on the reference date, a dependent of an insured person of the insurer of another health insurance, in accordance with the category of that insured person listed in the following items", the phrase "each of those items" with "each of those items, respectively", the phrase "paragraph (2) of the preceding Article (excluding where applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article)" in paragraph (2) with "paragraph (2) of the preceding Article as applied mutatis mutandis pursuant to paragraph (4) of that Article", the phrase "in accordance with the category of persons listed in the following items" with "for the person prescribed in paragraph (4) of that Article, where the person is, on the reference date, an insured person of the insurer of another health insurance, in accordance with the category of that person listed in the following items, and where the person is, on the reference date, a dependent of an insured person of the insurer of another health insurance, in accordance with the category of that insured person listed in the following items", and the phrase "each of those items" with "each of those items, respectively".
<sup>machine translation, not official</sup>

**第五項**  前条第五項の介護合算算定基準額については、次の表の上欄に掲げる者の区分に応じ、それぞれ同表の中欄に掲げる規定を、同条第六項の七十歳以上介護合算算定基準額については、同表の上欄に掲げる者の区分に応じ、それぞれ同表の下欄に掲げる規定を準用する。この場合において、必要な技術的読替えは、厚生労働省令で定める。
基準日において日雇特例被保険者である者又はその被扶養者である者	第四十四条第六項において準用する第四十三条の三第一項（第四十四条第六項において準用する第四十三条の三第三項において準用する場合を含む。）及び第四十四条第八項	第四十四条第六項において準用する第四十三条の三第二項（第四十四条第六項において準用する第四十三条の三第三項において準用する場合を含む。）及び第四十四条第八項
基準日において船員保険の被保険者（国家公務員共済組合法及び地方公務員等共済組合法に基づく共済組合の組合員を除く。）である者又はその被扶養者である者	船員保険法施行令（昭和二十八年政令第二百四十号）第十二条第一項（同条第三項において準用する場合を含む。）及び第十三条第一項	船員保険法施行令第十二条第二項（同条第三項において準用する場合を含む。）及び第十三条第一項
基準日において国家公務員共済組合法の規定に基づく共済組合の組合員（防衛省の職員の給与等に関する法律施行令（昭和二十七年政令第三百六十八号）第十七条の三第一項に規定する自衛官等（以下この表において「自衛官等」という。）を除く。）である者又はその被扶養者（自衛官等の被扶養者を含む。）である者	国家公務員共済組合法施行令（昭和三十三年政令第二百七号）第十一条の三の六の三第一項（同条第三項において準用する場合を含む。）及び第十一条の三の六の四第一項	国家公務員共済組合法施行令第十一条の三の六の三第二項（同条第三項において準用する場合を含む。）及び第十一条の三の六の四第一項
基準日において自衛官等である者	防衛省の職員の給与等に関する法律施行令第十七条の六の五第一項及び第十七条の六の六第一項	国家公務員共済組合法施行令第十一条の三の六の三第二項及び第十一条の三の六の四第一項
基準日において地方公務員等共済組合法の規定に基づく共済組合の組合員である者又はその被扶養者である者	地方公務員等共済組合法施行令（昭和三十七年政令第三百五十二号）第二十三条の三の七第一項（同条第三項において準用する場合を含む。）及び第二十三条の三の八第一項	地方公務員等共済組合法施行令第二十三条の三の七第二項（同条第三項において準用する場合を含む。）及び第二十三条の三の八第一項
基準日において私立学校教職員共済法の規定による私立学校教職員共済制度の加入者である者又はその被扶養者である者	私立学校教職員共済法施行令（昭和二十八年政令第四百二十五号）第六条において準用する国家公務員共済組合法施行令第十一条の三の六の三第一項（私立学校教職員共済法施行令第六条において準用する国家公務員共済組合法施行令第十一条の三の六の三第三項において準用する場合を含む。）及び第十一条の三の六の四第一項	私立学校教職員共済法施行令第六条において準用する国家公務員共済組合法施行令第十一条の三の六の三第二項（私立学校教職員共済法施行令第六条において準用する国家公務員共済組合法施行令第十一条の三の六の三第三項において準用する場合を含む。）及び第十一条の三の六の四第一項
基準日において国民健康保険の世帯主等である者又は当該国民健康保険の世帯主等と同一の世帯に属する当該国民健康保険の世帯主等以外の国民健康保険の被保険者である者	国民健康保険法施行令（昭和三十三年政令第三百六十二号）第二十九条の四の三第一項並びに第二十九条の四の四第一項及び第二項	国民健康保険法施行令第二十九条の四の三第三項並びに第二十九条の四の四第一項及び第二項
<sup>art-43-3/par-5 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-5</sup>
For the base amount for the combined long-term care calculation under paragraph (5) of the preceding Article, the provisions listed in the middle column of the following table apply mutatis mutandis, in accordance with the category of persons listed in the left-hand column of the table, and for the base amount for the combined long-term care calculation for persons aged 70 or over under paragraph (6) of that Article, the provisions listed in the right-hand column of the table apply mutatis mutandis, in accordance with the category of persons listed in the left-hand column of the table. In this case, the necessary technical replacement of terms is specified by Order of the Ministry of Health, Labour and Welfare.
a person who is, on the reference date, a specially-insured day laborer or a dependent thereof	Article 43-3, paragraph (1) as applied mutatis mutandis pursuant to Article 44, paragraph (6) (including where applied mutatis mutandis pursuant to Article 43-3, paragraph (3) as applied mutatis mutandis pursuant to Article 44, paragraph (6)) and Article 44, paragraph (8)	Article 43-3, paragraph (2) as applied mutatis mutandis pursuant to Article 44, paragraph (6) (including where applied mutatis mutandis pursuant to Article 43-3, paragraph (3) as applied mutatis mutandis pursuant to Article 44, paragraph (6)) and Article 44, paragraph (8)
a person who is, on the reference date, an insured person of Mariners Insurance (excluding a member of a mutual aid association under the National Public Officers Mutual Aid Association Act or the Local Public Officers, etc. Mutual Aid Association Act) or a dependent thereof	Article 12, paragraph (1) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 13, paragraph (1) of the Order for Enforcement of the Mariners Insurance Act (Cabinet Order No. 240 of 1953)	Article 12, paragraph (2) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 13, paragraph (1) of the Order for Enforcement of the Mariners Insurance Act
a person who is, on the reference date, a member of a mutual aid association under the provisions of the National Public Officers Mutual Aid Association Act (excluding SDF personnel, etc. prescribed in Article 17-3, paragraph (1) of the Order for Enforcement of the Act on Remuneration, etc. of Ministry of Defense Personnel (Cabinet Order No. 368 of 1952) (hereinafter referred to as "SDF personnel, etc." in this table)) or a dependent thereof (including a dependent of SDF personnel, etc.)	Article 11-3-6-3, paragraph (1) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 11-3-6-4, paragraph (1) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act (Cabinet Order No. 207 of 1958)	Article 11-3-6-3, paragraph (2) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 11-3-6-4, paragraph (1) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act
a person who is SDF personnel, etc. on the reference date	Article 17-6-5, paragraph (1) and Article 17-6-6, paragraph (1) of the Order for Enforcement of the Act on Remuneration, etc. of Ministry of Defense Personnel	Article 11-3-6-3, paragraph (2) and Article 11-3-6-4, paragraph (1) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act
a person who is, on the reference date, a member of a mutual aid association under the provisions of the Local Public Officers, etc. Mutual Aid Association Act or a dependent thereof	Article 23-3-7, paragraph (1) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 23-3-8, paragraph (1) of the Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act (Cabinet Order No. 352 of 1962)	Article 23-3-7, paragraph (2) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article) and Article 23-3-8, paragraph (1) of the Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act
a person who is, on the reference date, a subscriber to the Private School Personnel Mutual Aid System under the provisions of the Private School Personnel Mutual Aid Association Act or a dependent thereof	Article 11-3-6-3, paragraph (1) (including where applied mutatis mutandis pursuant to Article 11-3-6-3, paragraph (3) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as applied mutatis mutandis pursuant to Article 6 of the Order for Enforcement of the Private School Personnel Mutual Aid Association Act (Cabinet Order No. 425 of 1953)) and Article 11-3-6-4, paragraph (1) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as applied mutatis mutandis pursuant to Article 6 of the Order for Enforcement of the Private School Personnel Mutual Aid Association Act	Article 11-3-6-3, paragraph (2) (including where applied mutatis mutandis pursuant to Article 11-3-6-3, paragraph (3) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as applied mutatis mutandis pursuant to Article 6 of the Order for Enforcement of the Private School Personnel Mutual Aid Association Act) and Article 11-3-6-4, paragraph (1) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as applied mutatis mutandis pursuant to Article 6 of the Order for Enforcement of the Private School Personnel Mutual Aid Association Act
a person who is, on the reference date, a householder, etc. under National Health Insurance, or an insured person of National Health Insurance, other than that householder, etc. under National Health Insurance, who belongs to the same household as that householder, etc. under National Health Insurance	Article 29-4-3, paragraph (1) and Article 29-4-4, paragraphs (1) and (2) of the Order for Enforcement of the National Health Insurance Act (Cabinet Order No. 362 of 1958)	Article 29-4-3, paragraph (3) and Article 29-4-4, paragraphs (1) and (2) of the Order for Enforcement of the National Health Insurance Act
<sup>machine translation, not official</sup>

**第六項**  前条第七項の介護合算算定基準額については、高齢者の医療の確保に関する法律施行令（平成十九年政令第三百十八号）第十六条の三第一項及び第十六条の四第一項の規定を準用する。この場合において、必要な技術的読替えは、厚生労働省令で定める。
<sup>art-43-3/par-6 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-6</sup>
For the base amount for the combined long-term care calculation under paragraph (7) of the preceding Article, the provisions of Article 16-3, paragraph (1) and Article 16-4, paragraph (1) of the Order for Enforcement of the Act on Assurance of Medical Care for Elderly People (Cabinet Order No. 318 of 2007) apply mutatis mutandis. In this case, the necessary technical replacement of terms is specified by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

---

## Cites
- art-43-3/par-1: 前条第一項 → 健康保険法施行令 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-1
- art-43-3/par-1: 同条第三項 → 健康保険法施行令 第四十三条の二第三項 (Article 43-2, paragraph (3)), art-43-2/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-3
- art-43-3/par-1: 第四項 → 健康保険法施行令 第四十三条の二第四項 (Article 43-2, paragraph (4)), art-43-2/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-4
- art-43-3/par-1/item-1: 次号から第五号まで → 健康保険法施行令 第四十三条の三第一項第二号 (Article 43-3, paragraph (1), item (ii)), art-43-3/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-2
- art-43-3/par-1/item-1: 次号から第五号まで → 健康保険法施行令 第四十三条の三第一項第三号 (Article 43-3, paragraph (1), item (iii)), art-43-3/par-1/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-3
- art-43-3/par-1/item-1: 次号から第五号まで → 健康保険法施行令 第四十三条の三第一項第四号 (Article 43-3, paragraph (1), item (iv)), art-43-3/par-1/item-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-4
- art-43-3/par-1/item-1: 次号から第五号まで → 健康保険法施行令 第四十三条の三第一項第五号 (Article 43-3, paragraph (1), item (v)), art-43-3/par-1/item-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-5
- art-43-3/par-1/item-4: 次号 → 健康保険法施行令 第四十三条の三第一項第五号 (Article 43-3, paragraph (1), item (v)), art-43-3/par-1/item-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-5
- art-43-3/par-1/item-5: 次条第一項 → 健康保険法施行令 第四十三条の四第一項 (Article 43-4, paragraph (1)), art-43-4/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-4/par-1
- art-43-3/par-1/item-5: 次項第五号 → 健康保険法施行令 第四十三条の三第二項第五号 (Article 43-3, paragraph (2), item (v)), art-43-3/par-2/item-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-5
- art-43-3/par-1/item-5: 第二号 → 健康保険法施行令 第四十三条の三第一項第二号 (Article 43-3, paragraph (1), item (ii)), art-43-3/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-2
- art-43-3/par-1/item-5: 第三号 → 健康保険法施行令 第四十三条の三第一項第三号 (Article 43-3, paragraph (1), item (iii)), art-43-3/par-1/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-3
- art-43-3/par-2: 前条第二項 → 健康保険法施行令 第四十三条の二第二項 (Article 43-2, paragraph (2)), art-43-2/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-2
- art-43-3/par-2: 同条第三項 → 健康保険法施行令 第四十三条の二第三項 (Article 43-2, paragraph (3)), art-43-2/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-3
- art-43-3/par-2: 第四項 → 健康保険法施行令 第四十三条の二第四項 (Article 43-2, paragraph (4)), art-43-2/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-4
- art-43-3/par-2/item-1: 次号から第六号まで → 健康保険法施行令 第四十三条の三第二項第二号 (Article 43-3, paragraph (2), item (ii)), art-43-3/par-2/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-2
- art-43-3/par-2/item-1: 次号から第六号まで → 健康保険法施行令 第四十三条の三第二項第三号 (Article 43-3, paragraph (2), item (iii)), art-43-3/par-2/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-3
- art-43-3/par-2/item-1: 次号から第六号まで → 健康保険法施行令 第四十三条の三第二項第四号 (Article 43-3, paragraph (2), item (iv)), art-43-3/par-2/item-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-4
- art-43-3/par-2/item-1: 次号から第六号まで → 健康保険法施行令 第四十三条の三第二項第五号 (Article 43-3, paragraph (2), item (v)), art-43-3/par-2/item-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-5
- art-43-3/par-2/item-1: 次号から第六号まで → 健康保険法施行令 第四十三条の三第二項第六号 (Article 43-3, paragraph (2), item (vi)), art-43-3/par-2/item-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-6
- art-43-3/par-2/item-5: 前三号 → 健康保険法施行令 第四十三条の三第二項第二号 (Article 43-3, paragraph (2), item (ii)), art-43-3/par-2/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-2
- art-43-3/par-2/item-5: 前三号 → 健康保険法施行令 第四十三条の三第二項第三号 (Article 43-3, paragraph (2), item (iii)), art-43-3/par-2/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-3
- art-43-3/par-2/item-5: 前三号 → 健康保険法施行令 第四十三条の三第二項第四号 (Article 43-3, paragraph (2), item (iv)), art-43-3/par-2/item-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-4
- art-43-3/par-2/item-5: 次号 → 健康保険法施行令 第四十三条の三第二項第六号 (Article 43-3, paragraph (2), item (vi)), art-43-3/par-2/item-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-6
- art-43-3/par-2/item-6: 次条第一項 → 健康保険法施行令 第四十三条の四第一項 (Article 43-4, paragraph (1)), art-43-4/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-4/par-1
- art-43-3/par-2/item-6: 同法第三百十三条第一項 → 地方税法 第三百十三条第一項 (Article 313, paragraph (1)), art-313/par-1 — https://japanlaw.org/ja/local-tax-act/art-313/par-1 (e-Gov law ID 325AC0000000226)
- art-43-3/par-2/item-6: 所得税法第二条第一項第二十二号 → 所得税法 第二条第一項第二十二号 (Article 2, paragraph (1), item (xxii)), art-2/par-1/item-22 — https://japanlaw.org/ja/income-tax-act/art-2/par-1/item-22 (e-Gov law ID 340AC0000000033)
- art-43-3/par-2/item-6: 第二号から第四号まで → 健康保険法施行令 第四十三条の三第二項第二号 (Article 43-3, paragraph (2), item (ii)), art-43-3/par-2/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-2
- art-43-3/par-2/item-6: 第二号から第四号まで → 健康保険法施行令 第四十三条の三第二項第三号 (Article 43-3, paragraph (2), item (iii)), art-43-3/par-2/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-3
- art-43-3/par-2/item-6: 第二号から第四号まで → 健康保険法施行令 第四十三条の三第二項第四号 (Article 43-3, paragraph (2), item (iv)), art-43-3/par-2/item-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-4
- art-43-3/par-3: 第一項 → 健康保険法施行令 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1
- art-43-3/par-3: 前条第三項 → 健康保険法施行令 第四十三条の二第三項 (Article 43-2, paragraph (3)), art-43-2/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-3
- art-43-3/par-3: 同条第一項 → 健康保険法施行令 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-1
- art-43-3/par-3: 前項 → 健康保険法施行令 第四十三条の三第二項 (Article 43-3, paragraph (2)), art-43-3/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2
- art-43-3/par-3: 同条第二項 → 健康保険法施行令 第四十三条の二第二項 (Article 43-2, paragraph (2)), art-43-2/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-2
- art-43-3/par-3: 第四項 → 健康保険法施行令 第四十三条の二第四項 (Article 43-2, paragraph (4)), art-43-2/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-4
- art-43-3/par-4: 第一項 → 健康保険法施行令 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1
- art-43-3/par-4: 前条第四項 → 健康保険法施行令 第四十三条の二第四項 (Article 43-2, paragraph (4)), art-43-2/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-4
- art-43-3/par-4: 同条第一項 → 健康保険法施行令 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-1
- art-43-3/par-4: 第二項 → 健康保険法施行令 第四十三条の三第二項 (Article 43-3, paragraph (2)), art-43-3/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2
- art-43-3/par-4: 同条第二項 → 健康保険法施行令 第四十三条の二第二項 (Article 43-2, paragraph (2)), art-43-2/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-2
- art-43-3/par-4: 同条第三項 → 健康保険法施行令 第四十三条の二第三項 (Article 43-2, paragraph (3)), art-43-2/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-3
- art-43-3/par-5: 前条第五項 → 健康保険法施行令 第四十三条の二第五項 (Article 43-2, paragraph (5)), art-43-2/par-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-5
- art-43-3/par-5: 同条第六項 → 健康保険法施行令 第四十三条の二第六項 (Article 43-2, paragraph (6)), art-43-2/par-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-6
- art-43-3/par-5: 第四十四条第六項 → 健康保険法施行令 第四十四条第六項 (Article 44, paragraph (6)), art-44/par-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-6
- art-43-3/par-5: 第四十三条の三第一項 → 健康保険法施行令 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1
- art-43-3/par-5: 第四十三条の三第三項 → 健康保険法施行令 第四十三条の三第三項 (Article 43-3, paragraph (3)), art-43-3/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-3
- art-43-3/par-5: 第四十四条第八項 → 健康保険法施行令 第四十四条第八項 (Article 44, paragraph (8)), art-44/par-8 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-8
- art-43-3/par-5: 第四十三条の三第二項 → 健康保険法施行令 第四十三条の三第二項 (Article 43-3, paragraph (2)), art-43-3/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2
- art-43-3/par-5: 船員保険法施行令（昭和二十八年政令第二百四十号）第十二条第一項 → e-Gov law 328CO0000000240, 第十二条第一項 (Article 12, paragraph (1)), art-12/par-1 — not held in this collection
- art-43-3/par-5: 同条第三項 → e-Gov law 328CO0000000240, 第十二条第三項 (Article 12, paragraph (3)), art-12/par-3 — not held in this collection
- art-43-3/par-5: 第十三条第一項 → e-Gov law 328CO0000000240, 第十三条第一項 (Article 13, paragraph (1)), art-13/par-1 — not held in this collection
- art-43-3/par-5: 防衛省の職員の給与等に関する法律施行令（昭和二十七年政令第三百六十八号）第十七条の三第一項 → e-Gov law 327CO0000000368, 第十七条の三第一項 (Article 17-3, paragraph (1)), art-17-3/par-1 — not held in this collection
- art-43-3/par-5: 国家公務員共済組合法施行令（昭和三十三年政令第二百七号）第十一条の三の六の三第一項 → e-Gov law 333CO0000000207, 第十一条の三の六の三第一項 (Article 11-3-6-3, paragraph (1)), art-11-3-6-3/par-1 — not held in this collection
- art-43-3/par-5: 同条第三項 → e-Gov law 333CO0000000207, 第十一条の三の六の三第三項 (Article 11-3-6-3, paragraph (3)), art-11-3-6-3/par-3 — not held in this collection
- art-43-3/par-5: 第十一条の三の六の四第一項 → e-Gov law 333CO0000000207, 第十一条の三の六の四第一項 (Article 11-3-6-4, paragraph (1)), art-11-3-6-4/par-1 — not held in this collection
- art-43-3/par-5: 地方公務員等共済組合法施行令（昭和三十七年政令第三百五十二号）第二十三条の三の七第一項 → e-Gov law 337CO0000000352, 第二十三条の三の七第一項 (Article 23-3-7, paragraph (1)), art-23-3-7/par-1 — not held in this collection
- art-43-3/par-5: 同条第三項 → e-Gov law 337CO0000000352, 第二十三条の三の七第三項 (Article 23-3-7, paragraph (3)), art-23-3-7/par-3 — not held in this collection
- art-43-3/par-5: 第二十三条の三の八第一項 → e-Gov law 337CO0000000352, 第二十三条の三の八第一項 (Article 23-3-8, paragraph (1)), art-23-3-8/par-1 — not held in this collection
- art-43-3/par-5: 私立学校教職員共済法施行令（昭和二十八年政令第四百二十五号）第六条 → e-Gov law 328CO0000000425, 第六条 (Article 6), art-6 — not held in this collection
- art-43-3/par-5: 国民健康保険法施行令（昭和三十三年政令第三百六十二号）第二十九条の四の三第一項 → e-Gov law 333CO0000000362, 第二十九条の四の三第一項 (Article 29-4-3, paragraph (1)), art-29-4-3/par-1 — not held in this collection
- art-43-3/par-5: 第二十九条の四の四第一項 → e-Gov law 333CO0000000362, 第二十九条の四の四第一項 (Article 29-4-4, paragraph (1)), art-29-4-4/par-1 — not held in this collection
- art-43-3/par-5: 第二項 → e-Gov law 333CO0000000362, 第二十九条の四の四第二項 (Article 29-4-4, paragraph (2)), art-29-4-4/par-2 — not held in this collection
- art-43-3/par-6: 前条第七項 → 健康保険法施行令 第四十三条の二第七項 (Article 43-2, paragraph (7)), art-43-2/par-7 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-7
- art-43-3/par-6: 高齢者の医療の確保に関する法律施行令（平成十九年政令第三百十八号）第十六条の三第一項 → e-Gov law 419CO0000000318, 第十六条の三第一項 (Article 16-3, paragraph (1)), art-16-3/par-1 — not held in this collection
- art-43-3/par-6: 第十六条の四第一項 → e-Gov law 419CO0000000318, 第十六条の四第一項 (Article 16-4, paragraph (1)), art-16-4/par-1 — not held in this collection

## Cited by

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

- 健康保険法施行令 第三十七条第一項（傷病手当金の併給調整の対象となる者の要件） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-37/par-1
- 健康保険法施行令 第四十一条の二第一項第一号（年間の高額療養費の支給要件及び支給額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41-2/par-1/item-1
- 健康保険法施行令 第四十一条の二第九項（年間の高額療養費の支給要件及び支給額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41-2/par-9
- 健康保険法施行令 第四十二条第一項第五号（高額療養費算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-1/item-5
- 健康保険法施行令 第四十二条第三項第六号（高額療養費算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-3/item-6
- 健康保険法施行令 第四十二条第十二項第二号（高額療養費算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-12/item-2
- 健康保険法施行令 第四十三条の三第一項第一号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-1
- 健康保険法施行令 第四十三条の三第一項第四号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-4
- 健康保険法施行令 第四十三条の三第一項第五号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-1/item-5
- 健康保険法施行令 第四十三条の三第二項第一号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-1
- 健康保険法施行令 第四十三条の三第二項第五号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-5
- 健康保険法施行令 第四十三条の三第二項第六号（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-6
- 健康保険法施行令 第四十三条の三第三項（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-3
- 健康保険法施行令 第四十三条の三第四項（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-4
- 健康保険法施行令 第四十三条の三第五項（介護合算算定基準額） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-5
- 健康保険法施行令 第四十三条の四第一項（その他高額介護合算療養費の支給に関する事項） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-4/par-1
- 健康保険法施行令 第四十四条第六項（準用） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-6
- 健康保険法施行令 第四十四条第七項（準用） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-7
- 健康保険法施行令 附則第三十三条第三項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-3
- 健康保険法施行令 附則第三十三条第四項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4
- 健康保険法施行令 附則第四条第一項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4262-365/art-4/par-1

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## 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-20261106T164949-014, 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-20261106T164949-014, 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
