# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 附　則 (Supplementary Provisions) This is the Markdown twin of https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203. 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: 附　則 (Supplementary Provisions) — address `suppl-5072-203` - 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-5072-203 - 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. --- ## 附　則 令和七年六月四日政令第二〇三号 suppl-5072-203 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-5072-203/art-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-1 **第一項** この政令は、令和七年八月一日から施行する。ただし、第二条中介護保険法施行令第二十二条の三第七項第二号ヘの改正規定並びに附則第三条、第五条、第七条及び第九条の規定は、公布の日から施行する。 suppl-5072-203/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-1/par-1 This Cabinet Order comes into effect on August 1, 2025; provided, however, that the provisions amending Article 22-3, paragraph (7), item (ii), (f) of the Order for Enforcement of the Long-Term Care Insurance Act in Article 2 and the provisions of Articles 3, 5, 7 and 9 of the Supplementary Provisions come into effect on the date of promulgation. machine translation, not official ### 第二条（健康保険法施行令の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act caption: machine translation, not official suppl-5072-203/art-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-2 **第一項** 第一条（第一号に係る部分に限る。）の規定による改正後の健康保険法施行令第四十二条第三項（第六号に係る部分に限り、健康保険法施行令第四十四条第一項において準用する場合を含む。）の規定は、療養のあった月が令和七年八月以後の場合における健康保険法施行令第四十一条第三項から第五項まで及び第七項（これらの規定を同令第四十四条第一項において準用する場合を含む。）の高額療養費算定基準額並びに同令第四十一条の二第一項（同令第四十四条第二項において準用する場合を含む。）に規定する基準日（同令第四十三条の四第一項又は第四十四条第七項の規定により基準日とみなされる日を含む。以下この条において「基準日」という。）の属する月が同月以後の場合における同令第四十三条の二第二項（同令第四十四条第五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（同令第四十三条の三第三項（同令第四十四条第五項において準用する場合を含む。）において同令第四十三条の三第二項の規定を読み替えて準用することとされた同令第四十三条の二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及び同令第四十三条の三第四項において同条第二項の規定を読み替えて準用することとされた同令第四十三条の二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を含む。）について適用し、療養のあった月が同年七月以前の場合における当該高額療養費算定基準額及び基準日の属する月が同月以前の場合における当該七十歳以上介護合算算定基準額については、なお従前の例による。 suppl-5072-203/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-2/par-1 The provisions of Article 42, paragraph (3) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 1 (limited to the part relating to item (i)) (limited to the part relating to item (vi) of that paragraph, and including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) apply to the base amount for calculating high-cost medical expenses under Article 41, paragraphs (3) through (5) and (7) of the Order for Enforcement of the Health Insurance Act (including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order) where the month in which the medical treatment was received is on or after August 2025, and to 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 Article 44, paragraph (5) of that Order) (including 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 as applied mutatis mutandis in Article 43-2, paragraph (3) of that Order, to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replacement of terms pursuant to Article 43-3, paragraph (3) of that Order (including as applied mutatis mutandis pursuant to Article 44, paragraph (5) of that Order), and 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 as applied mutatis mutandis in Article 43-2, paragraph (4) of that Order, to which the provisions of Article 43-3, paragraph (2) of that Order are applied mutatis mutandis with replacement of terms pursuant to Article 43-3, paragraph (4) of that Order) where the month that includes the reference date prescribed in Article 41-2, paragraph (1) of that Order (including as applied mutatis mutandis pursuant to Article 44, paragraph (2) of that Order) (including the day deemed to be the reference date pursuant to Article 43-4, paragraph (1) or Article 44, paragraph (7) of that Order; hereinafter referred to as the "reference date" in this Article) is on or after August 2025, and with regard to that base amount for calculating high-cost medical expenses where the month in which the medical treatment was received is on or before July of that year, and that base amount for the combined long-term care calculation for persons aged 70 or over where the month that includes the reference date is on or before that month, the provisions then in force continue to govern. machine translation, not official ### 第三条（健康保険法施行令の一部改正に伴う準備行為） — Preparatory Acts Accompanying the Partial Amendment of the Order for Enforcement of the Health Insurance Act caption: machine translation, not official suppl-5072-203/art-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-3 **第一項** 第一条（第一号に係る部分に限る。）の規定による改正後の健康保険法施行令第四十二条第三項第六号（健康保険法施行令第四十四条第一項において準用する場合を含む。）に掲げる者に該当することについての健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロ（これらの規定を同令第四十四条第一項において準用する場合を含む。以下この条において同じ。）の規定による保険者の認定は、この政令の施行の日（以下「施行日」という。）前においても、健康保険法施行令第四十三条第一項第二号ヘ、第三号ヘ及び第四号ロの規定の例によりすることができる。 suppl-5072-203/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-3/par-1 Certification by an insurer pursuant to the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act (including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of that Order; the same applies hereinafter in this Article) that a person falls under the persons listed in Article 42, paragraph (3), item (vi) of the Order for Enforcement of the Health Insurance Act as amended by the provisions of Article 1 (limited to the part relating to item (i)) (including as applied mutatis mutandis pursuant to Article 44, paragraph (1) of the Order for Enforcement of the Health Insurance Act) may be made, even before the day of enforcement of this Cabinet Order (hereinafter referred to as the "Effective Date"), in the same manner as under the provisions of Article 43, paragraph (1), item (ii), (f), item (iii), (f) and item (iv), (b) of the Order for Enforcement of the Health Insurance Act. machine translation, not official --- ## Cites - suppl-5072-203/art-1/par-1: 附則第三条 → 健康保険法施行令 附則第三条 (Supplementary Provisions, Article 3), suppl-5072-203/art-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-3 - suppl-5072-203/art-2/par-1: 健康保険法施行令第四十二条第三項 → 健康保険法施行令 第四十二条第三項 (Article 42, paragraph (3)), art-42/par-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-3 - suppl-5072-203/art-2/par-1: 第六号 → 健康保険法施行令 第四十二条第三項第六号 (Article 42, paragraph (3), item (vi)), art-42/par-3/item-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-3/item-6 - suppl-5072-203/art-2/par-1: 健康保険法施行令第四十四条第一項 → 健康保険法施行令 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-1 - suppl-5072-203/art-2/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 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-5072-203/art-2/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 健康保険法施行令 第四十一条第四項 (Article 41, paragraph (4)), art-41/par-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-4 - suppl-5072-203/art-2/par-1: 健康保険法施行令第四十一条第三項から第五項まで → 健康保険法施行令 第四十一条第五項 (Article 41, paragraph (5)), art-41/par-5 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-5 - suppl-5072-203/art-2/par-1: 第七項 → 健康保険法施行令 第四十一条第七項 (Article 41, paragraph (7)), art-41/par-7 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-41/par-7 - suppl-5072-203/art-2/par-1: この条 → 健康保険法施行令 附則第二条 (Supplementary Provisions, Article 2), suppl-5072-203/art-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-2 - suppl-5072-203/art-3/par-1: 健康保険法施行令第四十二条第三項第六号 → 健康保険法施行令 第四十二条第三項第六号 (Article 42, paragraph (3), item (vi)), art-42/par-3/item-6 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-42/par-3/item-6 - suppl-5072-203/art-3/par-1: 健康保険法施行令第四十四条第一項 → 健康保険法施行令 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-44/par-1 - suppl-5072-203/art-3/par-1: 健康保険法施行令第四十三条第一項第二号 → 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-5072-203/art-3/par-1: 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-5072-203/art-3/par-1: 第四号 → 健康保険法施行令 第四十三条第一項第四号 (Article 43, paragraph (1), item (iv)), art-43/par-1/item-4 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-43/par-1/item-4 - suppl-5072-203/art-3/par-1: この条 → 健康保険法施行令 附則第三条 (Supplementary Provisions, Article 3), suppl-5072-203/art-3 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-3 ## Cited by 3 provisions cite this one. No official source publishes this direction. - 健康保険法施行令 附則第一条第一項（施行期日） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-1/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-5072-203/art-2/par-1 - 健康保険法施行令 附則第三条第一項（健康保険法施行令の一部改正に伴う準備行為） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-5072-203/art-3/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-20261106T164949-024, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-026, translated 2026-11-07 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-033, 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-20261106T164949-033, 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