# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第三十三条 (Supplementary Provisions, Article 33) This is the Markdown twin of https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33. 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: 第三十三条 (Supplementary Provisions, Article 33) — address `suppl-4202-116/art-33` - 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-33 - 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. --- ### 第三十三条 suppl-4202-116/art-33 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33 **第一項** 施行日から平成二十一年七月三十一日までの間に受けた療養に係る健康保険法の規定による高額介護合算療養費の支給については、健康保険法施行令第四十三条の二第一項第一号（同条第三項及び第四項並びに同令第四十四条第二項において準用する場合を含む。次項及び第四項において同じ。）中「前年八月一日から七月三十一日まで」とあるのは、「平成二十年四月一日から平成二十一年七月三十一日まで」と読み替えて、同令第四十三条の二から第四十四条（第一項を除く。）までの規定を適用する。この場合において、次の表の上欄に掲げる同令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とする。 第四十三条の三第一項（同条第三項及び第四項並びに第四十四条第二項において準用する場合を含む。） 六十七万円 八十九万円 百二十六万円 百六十八万円 三十四万円 四十五万円 第四十三条の三第二項（同条第三項及び第四項並びに第四十四条第二項において準用する場合を含む。） 六十二万円 七十五万円 六十七万円 八十九万円 三十一万円 四十一万円 十九万円 二十五万円 第四十三条の三第五項（第四十四条第三項において準用する場合を含む。）の表 第四十三条の三第一項 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。以下この条において「改正令」という。）附則第三十三条第一項の規定により読み替えられた第四十三条の三第一項 第四十三条の三第二項 改正令附則第三十三条第一項の規定により読み替えられた第四十三条の三第二項 船員保険法施行令 改正令附則第四十五条第一項の規定により読み替えられた船員保険法施行令 国家公務員共済組合法施行令（ 改正令附則第五十二条第一項の規定により読み替えられた国家公務員共済組合法施行令（ 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 改正令附則第五十二条第一項の規定により読み替えられた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 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 改正令附則第六十条第二項の規定により読み替えられた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 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 改正令附則第五十二条第一項の規定により読み替えられた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 地方公務員等共済組合法施行令 改正令附則第五十八条第一項の規定により読み替えられた地方公務員等共済組合法施行令 私立学校教職員共済法施行令 私立学校教職員共済法第四十八条の二の規定によりその例によることとされる改正令附則第五十二条第一項の規定により読み替えられた、私立学校教職員共済法施行令 国民健康保険法施行令 改正令附則第三十九条第一項の規定により読み替えられた国民健康保険法施行令 第四十三条の三第六項（第四十四条第三項において準用する場合を含む。） 高齢者の医療の確保に関する法律施行令 改正令附則第三十四条第一項の規定により読み替えられた高齢者の医療の確保に関する法律施行令 suppl-4202-116/art-33/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 With regard to the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of the Health Insurance Act for medical treatment received during the period from the Effective Date until July 31, 2009, the provisions of Articles 43-2 through 44 (excluding paragraph (1)) of the Order for Enforcement of the Health Insurance Act are applied by deeming the phrase "from August 1 of the previous year to July 31" in Article 43-2, paragraph (1), item (i) of that Order (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2) of that Order; the same applies in the following paragraph and paragraph (4)) to be replaced with "from April 1, 2008 to July 31, 2009". In this case, the terms listed in the middle column of the following table in the provisions of that Order listed in the left-hand column of the table are deemed to be replaced with the terms listed in the right-hand column of the table, respectively. Article 43-3, paragraph (1) (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2)) 670,000 yen 890,000 yen 1,260,000 yen 1,680,000 yen 340,000 yen 450,000 yen Article 43-3, paragraph (2) (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2)) 620,000 yen 750,000 yen 670,000 yen 890,000 yen 310,000 yen 410,000 yen 190,000 yen 250,000 yen the table in Article 43-3, paragraph (5) (including as applied mutatis mutandis pursuant to Article 44, paragraph (3)) Article 43-3, paragraph (1) Article 43-3, paragraph (1) as deemed to be replaced pursuant to the provisions of Article 33, 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; hereinafter referred to as the "Amending Order" in this Article) Article 43-3, paragraph (2) Article 43-3, paragraph (2) as deemed to be replaced pursuant to the provisions of Article 33, paragraph (1) of the Supplementary Provisions of the Amending Order Order for Enforcement of the Mariners Insurance Act Order for Enforcement of the Mariners Insurance Act as deemed to be replaced pursuant to the provisions of Article 45, paragraph (1) of the Supplementary Provisions of the Amending Order Order for Enforcement of the National Public Officers Mutual Aid Association Act ( Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 52, paragraph (1) of the Supplementary Provisions of the Amending Order ( Article 11-3-6-3, paragraph (2) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article Article 11-3-6-3, paragraph (2) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 52, paragraph (1) of the Supplementary Provisions of the Amending Order (including where applied mutatis mutandis pursuant to paragraph (3) of that Article Article 17-6-5, paragraph (1) Article 17-6-5, paragraph (1) of the Order for Enforcement of the Act on Remuneration, etc. of Ministry of Defense Personnel as deemed to be replaced pursuant to the provisions of Article 60, paragraph (2) of the Supplementary Provisions of the Amending Order Article 11-3-6-3, paragraph (2) and Article 11-3-6-3, paragraph (2) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 52, paragraph (1) of the Supplementary Provisions of the Amending Order and Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 58, paragraph (1) of the Supplementary Provisions of the Amending Order Order for Enforcement of the Private School Personnel Mutual Aid Association Act Order for Enforcement of the Private School Personnel Mutual Aid Association Act, as deemed to be replaced pursuant to the provisions of Article 52, paragraph (1) of the Supplementary Provisions of the Amending Order, which provisions are to be followed pursuant to the provisions of Article 48-2 of the Private School Personnel Mutual Aid Association Act Order for Enforcement of the National Health Insurance Act Order for Enforcement of the National Health Insurance Act as deemed to be replaced pursuant to the provisions of Article 39, paragraph (1) of the Supplementary Provisions of the Amending Order Article 43-3, paragraph (6) (including as applied mutatis mutandis pursuant to Article 44, paragraph (3)) Order for Enforcement of the Act on Assurance of Medical Care for Elderly People Order for Enforcement of the Act on Assurance of Medical Care for Elderly People as deemed to be replaced pursuant to the provisions of Article 34, paragraph (1) of the Supplementary Provisions of the Amending Order machine translation, not official **第二項** 平成二十年八月一日から平成二十一年七月三十一日までに受けた療養に係る次の各号に掲げる高額介護合算療養費の支給については、当該各号イに掲げる額が、それぞれ当該各号ロに掲げる額を超えるときは、前項の規定にかかわらず、健康保険法施行令第四十三条の二第一項第一号中「前年八月一日から七月三十一日まで」とあるのは、「平成二十年八月一日から平成二十一年七月三十一日まで」と読み替えて、同条から同令第四十四条（第一項を除く。）までの規定を適用する。 suppl-4202-116/art-33/par-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 With regard to the payment of expenses for high-cost medical treatment combined with long-term care listed in the following items for medical treatment received during the period from August 1, 2008 to July 31, 2009, where the amount listed in (a) of each item exceeds the amount listed in (b) of that item, notwithstanding the provisions of the preceding paragraph, the provisions of Articles 43-2 through 44 (excluding paragraph (1)) of the Order for Enforcement of the Health Insurance Act are applied by deeming the phrase "from August 1 of the previous year to July 31" in Article 43-2, paragraph (1), item (i) of that Order to be replaced with "from August 1, 2008 to July 31, 2009". machine translation, not official **一** 健康保険法施行令第四十三条の二第一項及び第二項（これらの規定を同条第三項及び第四項並びに同令第四十四条第二項において準用する場合を含む。）の規定による高額介護合算療養費の支給 suppl-4202-116/art-33/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-1 the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraphs (1) and (2) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2) of that Order): machine translation, not official **イ** この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第一項（同条第三項及び第四項並びに同令第四十四条第二項において準用する場合を含む。）に規定する介護合算一部負担金等世帯合算額から同令第四十三条の二第一項の介護合算算定基準額を控除した額（当該額が同項に規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につき同項ただし書に該当する場合には、零とする。）及び同項に規定する七十歳以上介護合算支給総額を合算した額 suppl-4202-116/art-33/par-2/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-1/sub-1 the total sum of the amount obtained by deducting the base amount for the combined long-term care calculation under Article 43-2, paragraph (1) of that Order from the household total of co-payments, etc. combined with long-term care prescribed in paragraph (1) of that Article (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2) of that Order) in the case where Article 43-2 of the Order for Enforcement of the Health Insurance Act is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in that paragraph or where the proviso to that paragraph applies to the calculation of that household total of co-payments, etc. combined with long-term care), and the total payment for combined long-term care for persons aged 70 or over prescribed in that paragraph; machine translation, not official **ロ** イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額 suppl-4202-116/art-33/par-2/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-1/sub-2 the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph"; machine translation, not official **二** 健康保険法施行令第四十三条の二第五項及び第六項（これらの規定を同令第四十四条第三項において準用する場合を含む。）の規定による高額介護合算療養費の支給 suppl-4202-116/art-33/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-2 the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraphs (5) and (6) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to Article 44, paragraph (3) of that Order): machine translation, not official **イ** この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第五項（同令第四十四条第三項において準用する場合を含む。）に規定する介護合算一部負担金等世帯合算額から同令第四十三条の二第五項の介護合算算定基準額を控除した額（当該額が同項に規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につき同項ただし書に該当する場合には、零とする。）及び同項に規定する七十歳以上介護合算支給総額を合算した額 suppl-4202-116/art-33/par-2/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-2/sub-1 the total sum of the amount obtained by deducting the base amount for the combined long-term care calculation under Article 43-2, paragraph (5) of that Order from the household total of co-payments, etc. combined with long-term care prescribed in paragraph (5) of that Article (including as applied mutatis mutandis pursuant to Article 44, paragraph (3) of that Order) in the case where Article 43-2 of the Order for Enforcement of the Health Insurance Act is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in that paragraph or where the proviso to that paragraph applies to the calculation of that household total of co-payments, etc. combined with long-term care), and the total payment for combined long-term care for persons aged 70 or over prescribed in that paragraph; machine translation, not official **ロ** イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額 suppl-4202-116/art-33/par-2/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-2/sub-2 the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph"; machine translation, not official **三** 健康保険法施行令第四十三条の二第七項（同令第四十四条第三項において準用する場合を含む。以下この号において同じ。）の規定による高額介護合算療養費の支給 suppl-4202-116/art-33/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3 the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act (including where those provisions are applied mutatis mutandis pursuant to Article 44, paragraph (3) of that Order; the same applies hereinafter in this item): machine translation, not official **イ** この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第七項に規定する介護合算一部負担金等世帯合算額から同項の介護合算算定基準額を控除した額（当該額が同項に規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につき同項ただし書に該当する場合には、零とする。） suppl-4202-116/art-33/par-2/item-3/sub-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3/sub-1 the amount obtained by deducting the base amount for the combined long-term care calculation under Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act from the household total of co-payments, etc. combined with long-term care prescribed in that paragraph in the case where Article 43-2 of that Order is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in that paragraph or where the proviso to that paragraph applies to the calculation of that household total of co-payments, etc. combined with long-term care); machine translation, not official **ロ** イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額 suppl-4202-116/art-33/par-2/item-3/sub-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3/sub-2 the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph". machine translation, not official **第三項** 前項の場合において、次の表の上欄に掲げる健康保険法施行令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とする。 第四十三条の三第二項第一号（同条第三項及び第四項並びに第四十四条第二項において準用する場合を含む。） 六十二万円 五十六万円 第四十三条の三第五項（第四十四条第三項において準用する場合を含む。）の表下欄 第四十三条の三第二項 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。以下この項において「改正令」という。）附則第三十三条第三項の規定により読み替えられた第四十三条の三第二項 船員保険法施行令 改正令附則第四十五条第三項の規定により読み替えられた船員保険法施行令 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 改正令附則第五十二条第三項の規定により読み替えられた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 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 改正令附則第五十二条第三項の規定により読み替えられた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 地方公務員等共済組合法施行令 改正令附則第五十八条第三項の規定により読み替えられた地方公務員等共済組合法施行令 私立学校教職員共済法施行令 私立学校教職員共済法第四十八条の二の規定によりその例によることとされる改正令附則第五十二条第三項の規定により読み替えられた、私立学校教職員共済法施行令 国民健康保険法施行令 改正令附則第三十九条第三項の規定により読み替えられた国民健康保険法施行令 suppl-4202-116/art-33/par-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-3 In the case of the preceding paragraph, the terms listed in the middle column of the following table in the provisions of the Order for Enforcement of the Health Insurance Act listed in the left-hand column of the table are deemed to be replaced with the terms listed in the right-hand column of the table, respectively. Article 43-3, paragraph (2), item (i) (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2)) 620,000 yen 560,000 yen the right-hand column of the table in Article 43-3, paragraph (5) (including as applied mutatis mutandis pursuant to Article 44, paragraph (3)) Article 43-3, paragraph (2) Article 43-3, paragraph (2) as deemed to be replaced pursuant to the provisions of Article 33, 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; hereinafter referred to as the "Amending Order" in this paragraph) Order for Enforcement of the Mariners Insurance Act Order for Enforcement of the Mariners Insurance Act as deemed to be replaced pursuant to the provisions of Article 45, paragraph (3) of the Supplementary Provisions of the Amending Order Article 11-3-6-3, paragraph (2) (including where applied mutatis mutandis pursuant to paragraph (3) of that Article Article 11-3-6-3, paragraph (2) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 52, paragraph (3) of the Supplementary Provisions of the Amending Order (including where applied mutatis mutandis pursuant to paragraph (3) of that Article Article 11-3-6-3, paragraph (2) and Article 11-3-6-3, paragraph (2) of the Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 52, paragraph (3) of the Supplementary Provisions of the Amending Order and Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of Article 58, paragraph (3) of the Supplementary Provisions of the Amending Order Order for Enforcement of the Private School Personnel Mutual Aid Association Act Order for Enforcement of the Private School Personnel Mutual Aid Association Act, as deemed to be replaced pursuant to the provisions of Article 52, paragraph (3) of the Supplementary Provisions of the Amending Order, which provisions are to be followed pursuant to the provisions of Article 48-2 of the Private School Personnel Mutual Aid Association Act Order for Enforcement of the National Health Insurance Act Order for Enforcement of the National Health Insurance Act as deemed to be replaced pursuant to the provisions of Article 39, paragraph (3) of the Supplementary Provisions of the Amending Order machine translation, not official **第四項** 健康保険法施行令第四十三条の三第二項第二号に掲げる者のうち、次の各号のいずれにも該当するものに係る同令第四十三条の二第二項（同条第三項及び第四項において準用する場合を含む。）の七十歳以上介護合算算定基準額は、同令第四十三条の三第二項（同条第三項及び第四項において準用する場合を含む。）の規定にかかわらず、同条第二項第一号（同条第三項及び第四項において準用する場合を含む。）に定める額とする。 suppl-4202-116/art-33/par-4 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4 Of the persons listed in Article 43-3, paragraph (2), item (ii) of the Order for Enforcement of the Health Insurance Act, for a person who falls under all of the following items, the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (2) of that Order (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article) is, notwithstanding the provisions of Article 43-3, paragraph (2) of that Order (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article), the amount specified in paragraph (2), item (i) of that Article (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article): machine translation, not official **一** 附則第三十一条第一項第二号イに掲げる者 suppl-4202-116/art-33/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4/item-1 a person listed in Article 31, paragraph (1), item (ii), (a) of the Supplementary Provisions; machine translation, not official **二** 基準日とみなされる日（健康保険法施行令第四十三条の四第一項の規定により同令第四十三条の二第一項第一号に規定する基準日とみなされる日をいう。以下この条において同じ。）が平成二十年九月から十二月までの間にある場合であって当該基準日とみなされる日において療養の給付を受けることとしたときに、その被扶養者であった者について、同令第三十四条第二項に規定する被扶養者とみなして同項の規定を適用した場合の同項の収入の額が五百二十万円未満である者 suppl-4202-116/art-33/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4/item-2 a person for whom, in the case where the day deemed to be the reference date (meaning the day deemed to be the reference date prescribed in Article 43-2, paragraph (1), item (i) of the Order for Enforcement of the Health Insurance Act pursuant to Article 43-4, paragraph (1) of that Order; the same applies hereinafter in this Article) falls within the period from September through December 2008, the amount of income under Article 34, paragraph (2) of that Order, where, on the assumption that the person were to receive benefits for medical treatment on that day deemed to be the reference date, that paragraph is applied by deeming the persons who would then have been the person's dependents to be dependents prescribed in that paragraph, is less than 5,200,000 yen. machine translation, not official **第五項** 基準日とみなされる日が平成二十年九月から十二月までの間にある場合における健康保険法施行令第四十三条の二第六項の七十歳以上介護合算算定基準額については、同令第四十三条の三第五項の表下欄中次の表の上欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えて、同項の規定を適用する。 第十一条の四第一項 第十一条の四第一項並びに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。以下この項において「改正令」という。）附則第四十五条第四項 第十一条の三の六の四第一項 第十一条の三の六の四第一項並びに改正令附則第五十二条第四項 第二十三条の三の八第一項 第二十三条の三の八第一項並びに改正令附則第五十八条第四項 第二十九条の四の四第一項及び第二項 第二十九条の四の四第一項及び第二項並びに改正令附則第三十九条第四項 suppl-4202-116/art-33/par-5 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-5 With regard to the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (6) of the Order for Enforcement of the Health Insurance Act in the case where the day deemed to be the reference date falls within the period from September through December 2008, the provisions of Article 43-3, paragraph (5) of that Order are applied by deeming the terms listed in the left-hand column of the following table in the right-hand column of the table in that paragraph to be replaced with the terms listed in the right-hand column of the following table, respectively. Article 11-4, paragraph (1) Article 11-4, paragraph (1) and Article 45, paragraph (4) 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; hereinafter referred to as the "Amending Order" in this paragraph) Article 11-3-6-4, paragraph (1) Article 11-3-6-4, paragraph (1) and Article 52, paragraph (4) of the Supplementary Provisions of the Amending Order Article 23-3-8, paragraph (1) Article 23-3-8, paragraph (1) and Article 58, paragraph (4) of the Supplementary Provisions of the Amending Order Article 29-4-4, paragraphs (1) and (2) Article 29-4-4, paragraphs (1) and (2) and Article 39, paragraph (4) of the Supplementary Provisions of the Amending Order machine translation, not official **第六項** 基準日とみなされる日が平成二十年九月から十二月までの間にある場合における健康保険法施行令第四十三条の二第七項の介護合算算定基準額については、同令第四十三条の三第六項中「第十六条の四第一項」とあるのは、「第十六条の四第一項並びに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）附則第三十四条第四項」と読み替えて、同項の規定を適用する。 suppl-4202-116/art-33/par-6 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-6 With regard to the base amount for the combined long-term care calculation under Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act in the case where the day deemed to be the reference date falls within the period from September through December 2008, the provisions of Article 43-3, paragraph (6) of that Order are applied by deeming the phrase "Article 16-4, paragraph (1)" in that paragraph to be replaced with "Article 16-4, paragraph (1) and Article 34, paragraph (4) 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)". machine translation, not official --- ## Cites - suppl-4202-116/art-33/par-1: 健康保険法施行令第四十三条の二第一項第一号 → 健康保険法施行令 第四十三条の二第一項第一号 (Article 43-2, paragraph (1), item (i)), art-43-2/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-1/item-1 - suppl-4202-116/art-33/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 - suppl-4202-116/art-33/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 - suppl-4202-116/art-33/par-1: 次項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-1: 第四項 → 健康保険法施行令 附則第三十三条第四項 (Supplementary Provisions, Article 33, paragraph (4)), suppl-4202-116/art-33/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4 - suppl-4202-116/art-33/par-1: 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。以下この条において「改正令」という。）附則第三十三条第一項 → 健康保険法施行令 附則第三十三条第一項 (Supplementary Provisions, Article 33, paragraph (1)), suppl-4202-116/art-33/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - suppl-4202-116/art-33/par-1: 私立学校教職員共済法第四十八条の二 → e-Gov law 328AC0000000245, 第四十八条の二 (Article 48-2), art-48-2 — not held in this collection - suppl-4202-116/art-33/par-2: 前項 → 健康保険法施行令 附則第三十三条第一項 (Supplementary Provisions, Article 33, paragraph (1)), suppl-4202-116/art-33/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - suppl-4202-116/art-33/par-2: 健康保険法施行令第四十三条の二第一項第一号 → 健康保険法施行令 第四十三条の二第一項第一号 (Article 43-2, paragraph (1), item (i)), art-43-2/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2/par-1/item-1 - suppl-4202-116/art-33/par-2: 同条 → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2 - suppl-4202-116/art-33/par-2/item-1: 健康保険法施行令第四十三条の二第一項 → 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 - suppl-4202-116/art-33/par-2/item-1: 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 - suppl-4202-116/art-33/par-2/item-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 - suppl-4202-116/art-33/par-2/item-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 - suppl-4202-116/art-33/par-2/item-1/sub-1: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-1/sub-1: 健康保険法施行令第四十三条の二 → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2 - suppl-4202-116/art-33/par-2/item-1/sub-1: 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 - suppl-4202-116/art-33/par-2/item-1/sub-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 - suppl-4202-116/art-33/par-2/item-1/sub-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 - suppl-4202-116/art-33/par-2/item-1/sub-2: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-1/sub-2: 前項 → 健康保険法施行令 附則第三十三条第一項 (Supplementary Provisions, Article 33, paragraph (1)), suppl-4202-116/art-33/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - suppl-4202-116/art-33/par-2/item-2: 健康保険法施行令第四十三条の二第五項 → 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 - suppl-4202-116/art-33/par-2/item-2: 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 - suppl-4202-116/art-33/par-2/item-2/sub-1: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-2/sub-1: 健康保険法施行令第四十三条の二 → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2 - suppl-4202-116/art-33/par-2/item-2/sub-1: 同条第五項 → 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 - suppl-4202-116/art-33/par-2/item-2/sub-2: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-2/sub-2: 前項 → 健康保険法施行令 附則第三十三条第一項 (Supplementary Provisions, Article 33, paragraph (1)), suppl-4202-116/art-33/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - suppl-4202-116/art-33/par-2/item-3: 健康保険法施行令第四十三条の二第七項 → 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 - suppl-4202-116/art-33/par-2/item-3: この号 → 健康保険法施行令 附則第三十三条第二項第三号 (Supplementary Provisions, Article 33, paragraph (2), item (iii)), suppl-4202-116/art-33/par-2/item-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3 - suppl-4202-116/art-33/par-2/item-3/sub-1: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-3/sub-1: 健康保険法施行令第四十三条の二 → 健康保険法施行令 第四十三条の二 (Article 43-2), art-43-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-2 - suppl-4202-116/art-33/par-2/item-3/sub-1: 同条第七項 → 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 - suppl-4202-116/art-33/par-2/item-3/sub-2: この項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-2/item-3/sub-2: 前項 → 健康保険法施行令 附則第三十三条第一項 (Supplementary Provisions, Article 33, paragraph (1)), suppl-4202-116/art-33/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - suppl-4202-116/art-33/par-3: 前項 → 健康保険法施行令 附則第三十三条第二項 (Supplementary Provisions, Article 33, paragraph (2)), suppl-4202-116/art-33/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - suppl-4202-116/art-33/par-3: 第四十三条の三第二項第一号 → 健康保険法施行令 第四十三条の三第二項第一号 (Article 43-3, paragraph (2), item (i)), art-43-3/par-2/item-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-2/item-1 - suppl-4202-116/art-33/par-3: 同条第三項 → 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 - suppl-4202-116/art-33/par-3: 第四項 → 健康保険法施行令 第四十三条の三第四項 (Article 43-3, paragraph (4)), art-43-3/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-4 - suppl-4202-116/art-33/par-3: 第四十四条第二項 → 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 - suppl-4202-116/art-33/par-3: 第四十三条の三第五項 → 健康保険法施行令 第四十三条の三第五項 (Article 43-3, paragraph (5)), art-43-3/par-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43-3/par-5 - suppl-4202-116/art-33/par-3: 第四十四条第三項 → 健康保険法施行令 第四十四条第七項 (Article 44, paragraph (7)), art-44/par-7 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-7 - suppl-4202-116/art-33/par-3: 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 - suppl-4202-116/art-33/par-3: 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。以下この項において「改正令」という。）附則第三十三条第三項 → 健康保険法施行令 附則第三十三条第三項 (Supplementary Provisions, Article 33, paragraph (3)), suppl-4202-116/art-33/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-3 - suppl-4202-116/art-33/par-3: 私立学校教職員共済法第四十八条の二 → e-Gov law 328AC0000000245, 第四十八条の二 (Article 48-2), art-48-2 — not held in this collection - suppl-4202-116/art-33/par-4: 健康保険法施行令第四十三条の三第二項第二号 → 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 - suppl-4202-116/art-33/par-4/item-1: 附則第三十一条第一項第二号 → 健康保険法施行令 附則第三十一条第一項第二号 (Supplementary Provisions, Article 31, paragraph (1), item (ii)), suppl-4202-116/art-31/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-31/par-1/item-2 - suppl-4202-116/art-33/par-4/item-2: 健康保険法施行令第四十三条の四第一項 → 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 - suppl-4202-116/art-33/par-4/item-2: この条 → 健康保険法施行令 附則第三十三条 (Supplementary Provisions, Article 33), suppl-4202-116/art-33 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33 - suppl-4202-116/art-33/par-5: 健康保険法施行令第四十三条の二第六項 → 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 - suppl-4202-116/art-33/par-6: 健康保険法施行令第四十三条の二第七項 → 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 ## Cited by 14 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 附則第三十一条第一項第二号イ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-31/par-1/item-2/sub-1 - 健康保険法施行令 附則第三十三条第一項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-1 - 健康保険法施行令 附則第三十三条第二項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2 - 健康保険法施行令 附則第三十三条第二項第一号イ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-1/sub-1 - 健康保険法施行令 附則第三十三条第二項第一号ロ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-1/sub-2 - 健康保険法施行令 附則第三十三条第二項第二号イ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-2/sub-1 - 健康保険法施行令 附則第三十三条第二項第二号ロ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-2/sub-2 - 健康保険法施行令 附則第三十三条第二項第三号 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3 - 健康保険法施行令 附則第三十三条第二項第三号イ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3/sub-1 - 健康保険法施行令 附則第三十三条第二項第三号ロ — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-2/item-3/sub-2 - 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第二号 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-116/art-33/par-4/item-2 - 健康保険法施行令 附則第六条第一項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-357/art-6/par-1 - 健康保険法施行令 附則第六条第二項 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-4202-357/art-6/par-2 --- ## 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-20261106T164949-029, 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