# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第三十二条 (Supplementary Provisions, Article 32) This is the Markdown twin of https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32. 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: 第三十二条 (Supplementary Provisions, Article 32) — address `suppl-4202-116/art-32` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32 - 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. --- ### 第三十二条 suppl-4202-116/art-32 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32 **第一項** 健康保険法第七十四条第一項第二号の規定が適用される被保険者又は同法第百十条第二項第一号ハの規定が適用される被扶養者のうち、平成二十年四月から十二月までの間に、特定給付対象療養（健康保険法施行令第四十一条第一項第二号に規定する特定給付対象療養をいい、これらの者に対する医療に関する給付であって厚生労働大臣が定めるものが行われるべき療養に限る。）を受けたもの（以下この条において「平成二十年特例措置対象被保険者等」という。）に係る同令第四十一条第四項の規定による高額療養費の支給については、同項中「を除く」とあるのは、「及び健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）附則第三十二条第一項に規定する厚生労働大臣が定める給付が行われるべき療養を除く」と読み替えて、同項の規定を適用する。 suppl-4202-116/art-32/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-1 Among insured persons to whom Article 74, paragraph (1), item (ii) of the Health Insurance Act applies or dependents to whom Article 110, paragraph (2), item (i), (c) of that Act applies, with regard to the payment of high-cost medical expenses under Article 41, paragraph (4) of the Order for Enforcement of the Health Insurance Act for those who have received, during the period from April through December 2008, treatment subject to specified benefits (meaning treatment subject to specified benefits prescribed in Article 41, paragraph (1), item (ii) of the Order for Enforcement of the Health Insurance Act, limited to medical care for which benefits relating to medical care for those persons specified by the Minister of Health, Labour and Welfare are to be provided) (hereinafter referred to in this Article as an "insured person, etc. under the 2008 special measure"), the phrase "excluding treatment subject to specified disease benefits" in Article 41, paragraph (4) of the Order for Enforcement of the Health Insurance Act is deemed to be replaced with "excluding medical care for which benefits specified by the Minister of Health, Labour and Welfare prescribed in Article 32, paragraph (1) of the Supplementary Provisions of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008) are to be provided, and treatment subject to specified disease benefits". machine translation, not official **第二項** 平成二十年特例措置対象被保険者等に係る健康保険法施行令第四十一条第二項の高額療養費算定基準額については、同令第四十二条第二項第一号の規定にかかわらず、なお従前の例による。 suppl-4202-116/art-32/par-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-2 With regard to the base amount for calculating high-cost medical expenses under Article 41, paragraph (2) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure, the provisions then in force continue to govern, notwithstanding Article 42, paragraph (2), item (i) of the Order for Enforcement of the Health Insurance Act. machine translation, not official **第三項** 平成二十年特例措置対象被保険者等に係る健康保険法施行令第四十一条第三項の高額療養費算定基準額については、同令第四十二条第三項第一号の規定にかかわらず、なお従前の例による。 suppl-4202-116/art-32/par-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-3 With regard to the base amount for calculating high-cost medical expenses under Article 41, paragraph (3) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure, notwithstanding the provisions of Article 42, paragraph (3), item (i) of that Order, the provisions then in force continue to govern. machine translation, not official **第四項** 健康保険法施行令第四十三条第一項の規定により平成二十年特例措置対象被保険者等について保険者が同項に規定する保険医療機関等に支払う額の限度については、同項第二号イ及び第三号イの規定にかかわらず、なお従前の例による。この場合において、同令第四十三条第三項中「当該各号」とあるのは、「健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）第一条による改正前の当該各号」と読み替えて、同項の規定を適用する。 suppl-4202-116/art-32/par-4 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-4 With regard to the limit of the amount that an insurer pays to a medical institution providing services covered by health insurance, etc. prescribed in Article 43, paragraph (1) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure pursuant to the provisions of that paragraph, notwithstanding the provisions of item (ii), (a) and item (iii), (a) of that paragraph, the provisions then in force continue to govern. In this case, the provisions of Article 43, paragraph (3) of that Order are applied by deeming the phrase "each of those items" in that paragraph to be replaced with "each of those items prior to amendment by Article 1 of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008)". machine translation, not official **第五項** 健康保険法施行令第四十三条第四項及び第五項の規定は、平成二十年特例措置対象被保険者等が外来療養（同令第四十一条第三項に規定する外来療養をいう。）を受けた場合において、健康保険法の規定により支払うべき一部負担金等の額（同法第百十五条第一項に規定する一部負担金等の額をいう。）についての支払が行われなかったときの同令第四十一条第三項の規定による高額療養費の支給について準用する。この場合において、同令第四十三条第四項中「当該療養に要した費用のうち同条第四項から第六項までの規定による高額療養費として被保険者に支給すべき額に相当する額を」とあるのは「同条第三項の規定による高額療養費について、当該一部負担金等の額から健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）附則第三十二条第三項の規定によりなお従前の例によるものとされた第四十一条第三項の高額療養費算定基準額（当該外来療養につき算定した費用の額に百分の十を乗じて得た額が当該高額療養費算定基準額を超える場合にあっては、当該乗じて得た額）を控除した額の限度において、」と、同条第五項中「第四十一条第四項から第六項まで」とあるのは「第四十一条第三項」と読み替えるものとする。 suppl-4202-116/art-32/par-5 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-5 The provisions of Article 43, paragraphs (4) and (5) of the Order for Enforcement of the Health Insurance Act apply mutatis mutandis to the payment of high-cost medical expenses under Article 41, paragraph (3) of that Order in the case where an insured person, etc. under the 2008 special measure has received outpatient treatment (meaning outpatient treatment prescribed in Article 41, paragraph (3) of that Order) and the amount of co-payment, etc. to be paid under the provisions of the Health Insurance Act (meaning the amount of co-payment, etc. prescribed in Article 115, paragraph (1) of that Act) has not been paid. In this case, the phrase "the amount equivalent to the amount to be paid to the insured person as high-cost medical expenses under the provisions of paragraphs (4) through (6) of that Article, out of the expenses required for that treatment" in Article 43, paragraph (4) of that Order is deemed to be replaced with "with regard to the high-cost medical expenses under the provisions of paragraph (3) of that Article, within the limit of the amount obtained by deducting from the amount of that co-payment, etc. the base amount for calculating high-cost medical expenses under Article 41, paragraph (3), as to which the provisions then in force continue to govern pursuant to the provisions of Article 32, paragraph (3) of the Supplementary Provisions of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008) (or, where the amount obtained by multiplying the amount of expenses calculated for that outpatient treatment by 10% exceeds that base amount for calculating high-cost medical expenses, the amount so obtained),", and the phrase "Article 41, paragraphs (4) through (6)" in Article 43, paragraph (5) of that Order with "Article 41, paragraph (3)". machine translation, not official **第六項** 前各項の規定は、健康保険法施行令第三十七条に規定する日雇特例被保険者であって、当該日雇特例被保険者を被保険者とみなして第一項の規定を適用した場合に平成二十年特例措置対象被保険者等に該当することとなるものに係る高額療養費の支給について準用する。 suppl-4202-116/art-32/par-6 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-6 The provisions of the preceding paragraphs apply mutatis mutandis to the payment of high-cost medical expenses for a specially-insured day laborer prescribed in Article 37 of the Order for Enforcement of the Health Insurance Act who, where the provisions of paragraph (1) are applied by deeming that specially-insured day laborer to be an insured person, would come to fall under an insured person, etc. under the 2008 special measure. machine translation, not official --- ## Cites - suppl-4202-116/art-32/par-1: 健康保険法第七十四条第一項第二号 → 健康保険法 第七十四条第一項第二号 (Article 74, paragraph (1), item (ii)), art-74/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act/art-74/par-1/item-2 (e-Gov law ID 211AC0000000070) - suppl-4202-116/art-32/par-1: 同法第百十条第二項第一号 → 健康保険法 第百十条第二項第一号 (Article 110, paragraph (2), item (i)), art-110/par-2/item-1 — https://japanlaw.org/ja/health-insurance-act/art-110/par-2/item-1 (e-Gov law ID 211AC0000000070) - suppl-4202-116/art-32/par-1: 健康保険法施行令第四十一条第一項第二号 → 健康保険法施行令 第四十一条第一項第二号 (Article 41, paragraph (1), item (ii)), art-41/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-1/item-2 - suppl-4202-116/art-32/par-1: この条 → 健康保険法施行令 附則第三十二条 (Supplementary Provisions, Article 32), suppl-4202-116/art-32 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32 - suppl-4202-116/art-32/par-1: 及び健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）附則第三十二条第一項 → 健康保険法施行令 附則第三十二条第一項 (Supplementary Provisions, Article 32, paragraph (1)), suppl-4202-116/art-32/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-1 - suppl-4202-116/art-32/par-2: 健康保険法施行令第四十一条第二項 → 健康保険法施行令 第四十一条第二項 (Article 41, paragraph (2)), art-41/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-2 - suppl-4202-116/art-32/par-3: 健康保険法施行令第四十一条第三項 → 健康保険法施行令 第四十一条第三項 (Article 41, paragraph (3)), art-41/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-3 - suppl-4202-116/art-32/par-4: 健康保険法施行令第四十三条第一項 → 健康保険法施行令 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-1 - suppl-4202-116/art-32/par-4: 同項第二号 → 健康保険法施行令 第四十三条第一項第二号 (Article 43, paragraph (1), item (ii)), art-43/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-1/item-2 - suppl-4202-116/art-32/par-4: 第三号 → 健康保険法施行令 第四十三条第一項第三号 (Article 43, paragraph (1), item (iii)), art-43/par-1/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-1/item-3 - suppl-4202-116/art-32/par-4: 健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）第一条 → e-Gov law 420CO0000000116, 第一条 (Article 1), art-1 — not held in this collection - suppl-4202-116/art-32/par-5: 健康保険法施行令第四十三条第四項 → 健康保険法施行令 第四十三条第四項 (Article 43, paragraph (4)), art-43/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-4 - suppl-4202-116/art-32/par-5: 第五項 → 健康保険法施行令 第四十三条第五項 (Article 43, paragraph (5)), art-43/par-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-5 - suppl-4202-116/art-32/par-5: 同法第百十五条第一項 → 健康保険法 第百十五条第一項 (Article 115, paragraph (1)), art-115/par-1 — https://japanlaw.org/ja/health-insurance-act/art-115/par-1 (e-Gov law ID 211AC0000000070) - suppl-4202-116/art-32/par-5: 当該一部負担金等の額から健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号）附則第三十二条第三項 → 健康保険法施行令 附則第三十二条第三項 (Supplementary Provisions, Article 32, paragraph (3)), suppl-4202-116/art-32/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-3 - suppl-4202-116/art-32/par-6: 前各項 → 健康保険法施行令 附則第三十二条第一項 (Supplementary Provisions, Article 32, paragraph (1)), suppl-4202-116/art-32/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-1 - suppl-4202-116/art-32/par-6: 前各項 → 健康保険法施行令 附則第三十二条第二項 (Supplementary Provisions, Article 32, paragraph (2)), suppl-4202-116/art-32/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-2 - suppl-4202-116/art-32/par-6: 前各項 → 健康保険法施行令 附則第三十二条第三項 (Supplementary Provisions, Article 32, paragraph (3)), suppl-4202-116/art-32/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-3 - suppl-4202-116/art-32/par-6: 前各項 → 健康保険法施行令 附則第三十二条第四項 (Supplementary Provisions, Article 32, paragraph (4)), suppl-4202-116/art-32/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-4 - suppl-4202-116/art-32/par-6: 前各項 → 健康保険法施行令 附則第三十二条第五項 (Supplementary Provisions, Article 32, paragraph (5)), suppl-4202-116/art-32/par-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-5 - suppl-4202-116/art-32/par-6: 健康保険法施行令第三十七条 → 健康保険法施行令 第三十七条 (Article 37), art-37 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-37 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 附則第三十二条第一項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-1 - 健康保険法施行令 附則第三十二条第五項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-5 - 健康保険法施行令 附則第三十二条第六項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-32/par-6 - 健康保険法施行令 附則第五条第一項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-357/art-5/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-20261106T164949-028, 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-20261106T164949-028, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-029, 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-20261106T164949-029, 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