# 健康保険法 / Health Insurance Act — as amended, not yet in force
- 大正十一年法律第七十号 · Act
- English title "Health Insurance Act": Ministry of Justice translation
- Text: the text as amended with effect from 2027-10-01, standing until 2028-06-03 as now scheduled, since the next amendment's day is not fixed — NOT yet in force (revision 20271001_507AC0000000074)
- URL (this text's page): https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
- The text in force: https://japanlaw.org/ja/health-insurance-act
- English: 1365 of 1365 paragraphs, each marked below as the Ministry of Justice's, as the Ministry's with a slip corrected by this site, or as machine translation.
Only the Japanese as published by the government has legal effect; the text
below is a copy of it.
The Ministry's English is given only where this text's Japanese is a wording
the Ministry translated — the same as the text in force, or for a text not yet
in force, a wording it translated ahead; every other paragraph's English is
machine translation.
Every provision carries its address and its place on this text's page on the
line under it. One provision of this text as Markdown: https://japanlaw.org/md/ja/health-insurance-act/amendments/20271001_507AC0000000074/text/art-1.
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## 第一章 総則 — Chapter I General Provisions
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-1
### 第一条（目的） — (Purpose)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-1
**第一項** この法律は、労働者又はその被扶養者の業務災害（労働者災害補償保険法（昭和二十二年法律第五十号）第七条第一項第一号に規定する業務災害をいう。）以外の疾病、負傷若しくは死亡又は出産に関して保険給付を行い、もって国民の生活の安定と福祉の向上に寄与することを目的とする。
art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-1/par-1
The purpose of this Act is to provide insurance benefits for sickness, injury or death other than employment injuries (meaning employment injuries as provided for in Article 7, paragraph (1), item (i) of the Industrial Accident Compensation Insurance Act (Act No. 50 of 1947)) or childbirth of a worker or a dependent thereof, thereby contributing to the stability of lives and the improvement of welfare of the people.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二条（基本的理念） — (Basic Principles)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-2
**第一項** 健康保険制度については、これが医療保険制度の基本をなすものであることにかんがみ、高齢化の進展、疾病構造の変化、社会経済情勢の変化等に対応し、その他の医療保険制度及び後期高齢者医療制度並びにこれらに密接に関連する制度と併せてその在り方に関して常に検討が加えられ、その結果に基づき、医療保険の運営の効率化、給付の内容及び費用の負担の適正化並びに国民が受ける医療の質の向上を総合的に図りつつ、実施されなければならない。
art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-2/par-1
The health insurance system, in view of the fact that it is the basis for the medical insurance system, must be implemented in response to the aging of the population, changes in disease structure, changes in the socioeconomic situation, etc., by constantly examining the concept of the system in conjunction with other medical insurance systems and the medical care system for elderly persons as well as systems closely related thereto, through integrated efforts by streamlining the operation of the medical insurance, optimizing the details of benefits and sharing costs, and improving the quality of medical treatment that citizens undergo based on the results thereof.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三条（定義） — (Definitions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3
**第一項** この法律において「被保険者」とは、適用事業所に使用される者及び任意継続被保険者をいう。ただし、次の各号のいずれかに該当する者は、日雇特例被保険者となる場合を除き、被保険者となることができない。
art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1
The term "insured person" as used in this Act means a worker employed at an applicable place of business or an insured person with optional and continued coverage; however, a person who falls under any of the following items is ineligible to be an insured person except in the case of becoming a specially-insured day laborer:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 船員保険の被保険者（船員保険法（昭和十四年法律第七十三号）第二条第二項に規定する疾病任意継続被保険者を除く。）
art-3/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-1
an insured person covered by Seamen's Insurance (excluding insured persons with optional and continued disease coverage prescribed in the provisions of Article 2, paragraph (2) of the Seamen's Insurance Act (Act No. 73 of 1939));
Ministry of Justice translation — Japanese Law Translation Database System
**二** 臨時に使用される者であって、次に掲げるもの（イに掲げる者にあっては一月を超え、ロに掲げる者にあってはロに掲げる定めた期間を超え、引き続き使用されるに至った場合を除く。）
art-3/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-2
a worker employed temporarily and listed below (excluding when continuous employment has exceeded one month if the worker falls under (a) and exceeded the fixed period listed in (b) if the worker falls under (b)):
machine translation, not official
**イ** 日々雇い入れられる者
art-3/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-2/sub-1
a worker hired on a daily basis;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 二月以内の期間を定めて使用される者であって、当該定めた期間を超えて使用されることが見込まれないもの
art-3/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-2/sub-2
a worker employed for a fixed period of two months or less, who is not expected to be employed beyond that fixed period;
machine translation, not official
**三** 事業所又は事務所（第八十八条第一項及び第八十九条第一項を除き、以下単に「事業所」という。）で所在地が一定しないものに使用される者
art-3/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-3
a worker employed at a place of business or office (hereinafter referred to simply as "place of business" except in Article 88, paragraph (1) and Article 89, paragraph (1)) the location of which is not fixed;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 季節的業務に使用される者（継続して四月を超えて使用されるべき場合を除く。）
art-3/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-4
a worker employed in seasonal work (excluding continuous employment exceeding four months);
Ministry of Justice translation — Japanese Law Translation Database System
**五** 臨時的事業の事業所に使用される者（継続して六月を超えて使用されるべき場合を除く。）
art-3/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-5
a worker employed at a place of temporary business (excluding continuous employment exceeding six months);
Ministry of Justice translation — Japanese Law Translation Database System
**六** 国民健康保険組合の事業所に使用される者
art-3/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-6
a worker employed at a place of business of a national health insurance society;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 後期高齢者医療の被保険者（高齢者の医療の確保に関する法律（昭和五十七年法律第八十号）第五十条の規定による被保険者をいう。）及び同条各号のいずれかに該当する者で同法第五十一条の規定により後期高齢者医療の被保険者とならないもの（以下「後期高齢者医療の被保険者等」という。）
art-3/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-7
a person eligible for insurance under the late-stage elderly medical care system (meaning an insured person pursuant to the provisions of Article 50 of the Act on Assurance of Medical Care for Elderly People (Act No. 80 of 1982)) or a person who falls under any of the items in Article 50 of the Act on Assurance of Medical Care for Elderly People but is not eligible for that insurance pursuant to the provisions of Article 51 of the same Act (hereinafter referred to as "persons with late-stage elderly medical care insurance");
Ministry of Justice translation — Japanese Law Translation Database System
**八** 厚生労働大臣、健康保険組合又は共済組合に対し、健康保険の被保険者とならないことにより国民健康保険の被保険者となる旨の申出をした者（健康保険の被保険者でないことにより国民健康保険の被保険者であるべき期間に限る。）
art-3/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-8
a person who has made a request to the Minister of Health, Labour and Welfare, a health insurance society or a mutual aid association to the effect that the person will become an insured person of National Health Insurance by not becoming an insured person of health insurance (limited to the period in which the person should be covered by National Health Insurance due to not being covered by other health insurance); or
machine translation, not official
**九** 事業所に使用される者であって、その一週間の所定労働時間が同一の事業所に使用される通常の労働者（当該事業所に使用される通常の労働者と同種の業務に従事する当該事業所に使用される者にあっては、厚生労働省令で定める場合を除き、当該者と同種の業務に従事する当該通常の労働者。以下この号において単に「通常の労働者」という。）の一週間の所定労働時間の四分の三未満である短時間労働者（一週間の所定労働時間が同一の事業所に使用される通常の労働者の一週間の所定労働時間に比し短い者をいう。以下この号において同じ。）又はその一月間の所定労働日数が同一の事業所に使用される通常の労働者の一月間の所定労働日数の四分の三未満である短時間労働者に該当し、かつ、イ又はロのいずれかの要件に該当するもの
art-3/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-9
a person employed at a place of business who is a part-time worker whose weekly prescribed working hours are less than three-quarters of the weekly prescribed working hours of an ordinary worker employed at the same place of business (for a person employed at that place of business who engages in the same type of work as an ordinary worker employed at that place of business, the ordinary worker who engages in the same type of work as that person, except in cases specified by Order of the Ministry of Health, Labour and Welfare; hereinafter simply referred to as "ordinary worker" in this item) ("part-time worker" meaning a person whose weekly prescribed working hours are shorter than the weekly prescribed working hours of an ordinary worker employed at the same place of business; the same applies hereinafter in this item), or a part-time worker whose monthly prescribed working days are less than three-quarters of the monthly prescribed working days of an ordinary worker employed at the same place of business, and who meets the requirements of either (a) or (b):
machine translation, not official
**イ** 一週間の所定労働時間が二十時間未満であること。
art-3/par-1/item-9/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-9/sub-1
the prescribed weekly scheduled working hours are shorter than 20 hours;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 学校教育法（昭和二十二年法律第二十六号）第五十条に規定する高等学校の生徒、同法第八十三条に規定する大学の学生その他の厚生労働省令で定める者であること。
art-3/par-1/item-9/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-1/item-9/sub-2
a high school student prescribed by Article 50 of the School Education Act (Act No. 26 of 1947), a student at a university prescribed by Article 83 of the same Act, or another person specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** この法律において「日雇特例被保険者」とは、適用事業所に使用される日雇労働者をいう。ただし、後期高齢者医療の被保険者等である者又は次の各号のいずれかに該当する者として厚生労働大臣の承認を受けたものは、この限りでない。
art-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-2
The term "specially-insured day laborer" as used in this Act means a day worker who is employed at an applicable place of business; however, this does not apply to persons with late-stage elderly medical care insurance or those approved by the Minister of Health, Labour and Welfare as a person who falls under any of the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 適用事業所において、引き続く二月間に通算して二十六日以上使用される見込みのないことが明らかであるとき。
art-3/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-2/item-1
it is clear that the person will not be employed at the applicable place of business for 26 days or longer in total during the following two months;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 任意継続被保険者であるとき。
art-3/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-2/item-2
the person is insured with optional and continued coverage; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** その他特別の理由があるとき。
art-3/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-2/item-3
there is another special reason.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** この法律において「適用事業所」とは、次の各号のいずれかに該当する事業所をいう。
art-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3
The term "applicable place of business" as used in this Act means a place of business which falls under any of the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 次に掲げる事業の事業所であって、常時五人以上の従業員を使用するもの
art-3/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1
a place of business for any of the businesses listed below and at which five or more employees work regularly:
Ministry of Justice translation — Japanese Law Translation Database System
**イ** 物の製造、加工、選別、包装、修理又は解体の事業
art-3/par-3/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-1
businesses of manufacturing, processing, selection, packaging, repair, or demolition of structures;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 土木、建築その他工作物の建設、改造、保存、修理、変更、破壊、解体又はその準備の事業
art-3/par-3/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-2
civil engineering businesses or business that builds or otherwise constructs, remodels, preserves, repairs, changes, destroys, or dismantles structures, or prepares therefor;
Ministry of Justice translation — Japanese Law Translation Database System
**ハ** 鉱物の採掘又は採取の事業
art-3/par-3/item-1/sub-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-3
business of mining or collecting minerals;
Ministry of Justice translation — Japanese Law Translation Database System
**ニ** 電気又は動力の発生、伝導又は供給の事業
art-3/par-3/item-1/sub-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-4
business that generates, conducts, or transmits electricity or other power sources;
Ministry of Justice translation — Japanese Law Translation Database System
**ホ** 貨物又は旅客の運送の事業
art-3/par-3/item-1/sub-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-5
business that transports freight or passengers;
Ministry of Justice translation — Japanese Law Translation Database System
**ヘ** 貨物積卸しの事業
art-3/par-3/item-1/sub-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-6
business that loads and unloads freight;
Ministry of Justice translation — Japanese Law Translation Database System
**ト** 焼却、清掃又はと殺の事業
art-3/par-3/item-1/sub-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-7
business of incineration or cleaning, or slaughterhouse business;
machine translation, not official
**チ** 物の販売又は配給の事業
art-3/par-3/item-1/sub-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-8
business that sells or supplies articles;
Ministry of Justice translation — Japanese Law Translation Database System
**リ** 金融又は保険の事業
art-3/par-3/item-1/sub-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-9
financial or insurance business;
Ministry of Justice translation — Japanese Law Translation Database System
**ヌ** 物の保管又は賃貸の事業
art-3/par-3/item-1/sub-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-10
business that retains or leases articles;
Ministry of Justice translation — Japanese Law Translation Database System
**ル** 媒介周旋の事業
art-3/par-3/item-1/sub-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-11
intermediary or brokerage business;
Ministry of Justice translation — Japanese Law Translation Database System
**ヲ** 集金、案内又は広告の事業
art-3/par-3/item-1/sub-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-12
money-collecting, guiding, or advertising business;
Ministry of Justice translation — Japanese Law Translation Database System
**ワ** 教育、研究又は調査の事業
art-3/par-3/item-1/sub-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-13
educational, research, or survey business;
Ministry of Justice translation — Japanese Law Translation Database System
**カ** 疾病の治療、助産その他医療の事業
art-3/par-3/item-1/sub-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-14
business that treats or nurses sick or injured people, or midwife or other medical services;
Ministry of Justice translation — Japanese Law Translation Database System
**ヨ** 通信又は報道の事業
art-3/par-3/item-1/sub-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-15
communication or reporting business;
Ministry of Justice translation — Japanese Law Translation Database System
**タ** 社会福祉法（昭和二十六年法律第四十五号）に定める社会福祉事業及び更生保護事業法（平成七年法律第八十六号）に定める更生保護事業
art-3/par-3/item-1/sub-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-16
social welfare services prescribed by the Social Welfare Act (Act No. 45 of 1951) and offenders rehabilitation services prescribed by the Offenders Rehabilitation Services Act (Act No. 86 of 1995); or
Ministry of Justice translation — Japanese Law Translation Database System
**レ** 弁護士、公認会計士その他政令で定める者が法令の規定に基づき行うこととされている法律又は会計に係る業務を行う事業
art-3/par-3/item-1/sub-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-1/sub-17
a business that performs work relating to law or accounting which attorneys, certified public accountants, or other persons specified by Cabinet Order are to perform pursuant to the provisions of laws and regulations;
machine translation, not official
**二** 前号に掲げるもののほか、国、地方公共団体又は法人の事業所であって、常時従業員を使用するもの
art-3/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-3/item-2
beyond what is listed in the preceding item, any place of business that is operated by the government, a local government, or a juridical person and employs employees regularly;
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** この法律において「任意継続被保険者」とは、適用事業所に使用されなくなったため、又は第一項ただし書に該当するに至ったため被保険者（日雇特例被保険者を除く。）の資格を喪失した者であって、喪失の日の前日まで継続して二月以上被保険者（日雇特例被保険者、任意継続被保険者又は共済組合の組合員である被保険者を除く。）であったもののうち、保険者に申し出て、継続して当該保険者の被保険者となった者をいう。ただし、船員保険の被保険者又は後期高齢者医療の被保険者等である者は、この限りでない。
art-3/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-4
The term "insured person with optional and continued coverage" as used in this Act means a worker who lost eligibility to be insured (excluding a specially-insured day laborer) due to no longer being employed at an applicable place of business or falling under the proviso to paragraph (1), had been continuously insured for two months or longer by the day immediately before the day on which the person lost eligibility (excluding a specially-insured day laborer or an insured person who is a member of a mutual aid association), and, by submitting a request to the insurer, continues to be insured by the insurer; however, this does not apply to an insured person covered by Seamen's Insurance or a person with late-stage elderly medical care insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** この法律において「報酬」とは、賃金、給料、俸給、手当、賞与その他いかなる名称であるかを問わず、労働者が、労働の対償として受けるすべてのものをいう。ただし、臨時に受けるもの及び三月を超える期間ごとに受けるものは、この限りでない。
art-3/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-5
The term "remuneration" as used in this Act means the wage, salary, pay, allowance, bonus, and all other payments which the worker receives as compensation for labor under whatever name the compensation is known; however, this does not apply to extraordinary wages and wages received periodically for a period exceeding three months.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** この法律において「賞与」とは、賃金、給料、俸給、手当、賞与その他いかなる名称であるかを問わず、労働者が、労働の対償として受けるすべてのもののうち、三月を超える期間ごとに受けるものをいう。
art-3/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-6
The term "bonus" as used in this Act means the wage, salary, pay, allowance, bonus, and all other payments which the worker receives as compensation for labor periodically for a period exceeding three months under whatever name the compensation is known.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** この法律において「被扶養者」とは、次に掲げる者で、日本国内に住所を有するもの又は外国において留学をする学生その他の日本国内に住所を有しないが渡航目的その他の事情を考慮して日本国内に生活の基礎があると認められるものとして厚生労働省令で定めるものをいう。ただし、後期高齢者医療の被保険者等である者その他この法律の適用を除外すべき特別の理由がある者として厚生労働省令で定める者は、この限りでない。
art-3/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-7
The term "dependent" as used in this Act means a person listed below who has a domicile in Japan, or who does not have a domicile in Japan but is specified by Order of the Ministry of Health, Labour and Welfare as a person, such as a student studying abroad, who is found to have a basis of living in Japan in consideration of the purpose of travel and other circumstances; provided, however, that this does not apply to a person who is a person with late-stage elderly medical care insurance or any other person specified by Order of the Ministry of Health, Labour and Welfare as having a special reason to be excluded from the application of this Act.
machine translation, not official
**一** 被保険者（日雇特例被保険者であった者を含む。以下この項において同じ。）の直系尊属、配偶者（届出をしていないが、事実上婚姻関係と同様の事情にある者を含む。以下この項において同じ。）、子、孫及び兄弟姉妹であって、主としてその被保険者により生計を維持するもの
art-3/par-7/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-7/item-1
a relative of the insured person (including a former specially-insured day laborer; hereinafter in this paragraph) that is the insured person's parent, spouse (including a person who has not made a notification of marriage but is in a de facto marital relationship with the insured person; the same applies hereinafter in this paragraph), child, grandchild or sibling who is financially supported mainly by the insured person;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 被保険者の三親等内の親族で前号に掲げる者以外のものであって、その被保険者と同一の世帯に属し、主としてその被保険者により生計を維持するもの
art-3/par-7/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-7/item-2
any other relative of the insured person within the third degree of kinship who belongs to the same household as the insured person and who is financially supported mainly by the insured person;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 被保険者の配偶者で届出をしていないが事実上婚姻関係と同様の事情にあるものの父母及び子であって、その被保険者と同一の世帯に属し、主としてその被保険者により生計を維持するもの
art-3/par-7/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-7/item-3
if the insured person's spouse has not made a notification of marriage but is in a de facto marital relationship with the insured person, the spouse's father, mother, or child who belongs to the same household as the insured person and who is financially supported mainly by the insured person; or
Ministry of Justice translation — Japanese Law Translation Database System
**四** 前号の配偶者の死亡後におけるその父母及び子であって、引き続きその被保険者と同一の世帯に属し、主としてその被保険者により生計を維持するもの
art-3/par-7/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-7/item-4
if the spouse referred to in the preceding item has died, the spouse's father, mother, or child who continues to belong to the same household as the insured person and who is financially supported mainly by the insured person.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if the spouse referred to in the preceding paragraph has died, the spouse's father, mother, or child who continues to belong to the same household as the insured person and who is financially supported mainly by the insured person." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第八項** この法律において「日雇労働者」とは、次の各号のいずれかに該当する者をいう。
art-3/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8
The term "day worker" as used in this Act means a person who falls under any of the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 臨時に使用される者であって、次に掲げるもの（同一の事業所において、イに掲げる者にあっては一月を超え、ロに掲げる者にあってはロに掲げる定めた期間を超え、引き続き使用されるに至った場合（所在地の一定しない事業所において引き続き使用されるに至った場合を除く。）を除く。）
art-3/par-8/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8/item-1
a worker employed temporarily and listed below (in the same place of business, excluding cases of continuous employment which has exceeded one month if the person is listed in (a) or exceeded the fixed period listed in (b) if the person is listed in (b) (except for cases of continuous employment at a place of business whose location is not fixed));
machine translation, not official
**イ** 日々雇い入れられる者
art-3/par-8/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8/item-1/sub-1
a worker hired on a daily basis;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 二月以内の期間を定めて使用される者であって、当該定めた期間を超えて使用されることが見込まれないもの
art-3/par-8/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8/item-1/sub-2
a worker employed for a fixed period of two months or less, who is not expected to be employed beyond that fixed period;
machine translation, not official
**二** 季節的業務に使用される者（継続して四月を超えて使用されるべき場合を除く。）
art-3/par-8/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8/item-2
a worker employed in seasonal work (excluding cases of continuous employment exceeding four months); or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 臨時的事業の事業所に使用される者（継続して六月を超えて使用されるべき場合を除く。）
art-3/par-8/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-8/item-3
a worker employed at a place of temporary business (excluding cases of continuous employment exceeding six months).
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** この法律において「賃金」とは、賃金、給料、手当、賞与その他いかなる名称であるかを問わず、日雇労働者が、労働の対償として受けるすべてのものをいう。ただし、三月を超える期間ごとに受けるものは、この限りでない。
art-3/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-9
The term "wage" as used in this Act means the wage, salary, allowance, bonus, and all other payments which a day worker receives as compensation for labor under whatever name the compensation is known; however, this does not apply to wages received periodically for a period exceeding three months.
Ministry of Justice translation — Japanese Law Translation Database System
**第十項** この法律において「共済組合」とは、法律によって組織された共済組合をいう。
art-3/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-10
The term "mutual aid association" as used in this Act means a mutual aid association organized pursuant to law.
Ministry of Justice translation — Japanese Law Translation Database System
**第十一項** この法律において「保険者番号」とは、厚生労働大臣が健康保険事業において保険者を識別するための番号として、保険者ごとに定めるものをいう。
art-3/par-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-11
The term "insurer number" as used in this Act means a number that the Minister of Health, Labour and Welfare determines for each insurer as a number for identifying the insurer in health insurance services.
machine translation, not official
**第十二項** この法律において「被保険者等記号・番号」とは、保険者が被保険者又は被扶養者の資格を管理するための記号、番号その他の符号として、被保険者又は被扶養者ごとに定めるものをいう。
art-3/par-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-12
The term "insured person's symbol and number" as used in this Act means a symbol, number, or other code that an insurer determines for each insured person or dependent for managing the eligibility of an insured person or dependent.
machine translation, not official
**第十三項** この法律において「電子資格確認」とは、保険医療機関等（第六十三条第三項各号に掲げる病院若しくは診療所又は薬局をいう。以下同じ。）から療養を受けようとする者又は第八十八条第一項に規定する指定訪問看護事業者から同項に規定する指定訪問看護を受けようとする者が、保険者に対し、個人番号カード（行政手続における特定の個人を識別するための番号の利用等に関する法律（平成二十五年法律第二十七号）第二条第七項に規定する個人番号カードをいう。）に記録された利用者証明用電子証明書（電子署名等に係る地方公共団体情報システム機構の認証業務に関する法律（平成十四年法律第百五十三号）第二十二条第一項に規定する利用者証明用電子証明書をいう。）を送信する方法その他の厚生労働省令で定める方法により、被保険者又は被扶養者の資格に係る情報（保険給付に係る費用の請求に必要な情報を含む。）の照会を行い、電子情報処理組織を使用する方法その他の情報通信の技術を利用する方法により、保険者から回答を受けて当該情報を当該保険医療機関等又は指定訪問看護事業者に提供し、当該保険医療機関等又は指定訪問看護事業者から被保険者又は被扶養者であることの確認を受けることをいう。
art-3/par-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-3/par-13
The term "electronic eligibility confirmation" as used in this Act means that a person who intends to receive medical treatment from a medical institution providing services covered by health insurance, etc. (meaning a hospital, clinic, or pharmacy listed in the items of Article 63, paragraph (3); the same applies hereinafter) or a person who intends to receive designated home nursing prescribed in Article 88, paragraph (1) from a designated home-nursing provider prescribed in that paragraph makes an inquiry to the insurer about information relating to the eligibility of an insured person or dependent (including information necessary for claims for expenses relating to insurance benefits), by a method such as transmitting the electronic certificate for user verification (meaning the electronic certificate for user verification prescribed in Article 22, paragraph (1) of the Act on Certification Business of the Japan Agency for Local Authority Information Systems in Relation to Electronic Signatures, etc. (Act No. 153 of 2002)) recorded on an Individual Number Card (meaning an Individual Number Card prescribed in Article 2, paragraph (7) of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (Act No. 27 of 2013)) or by another method specified by Order of the Ministry of Health, Labour and Welfare, receives a response from the insurer by a method using an electronic data processing system or another method using information and communications technology and provides that information to the medical institution providing services covered by health insurance, etc. or the designated home-nursing provider, and receives confirmation from that medical institution providing services covered by health insurance, etc. or designated home-nursing provider that the person is an insured person or dependent.
machine translation, not official
## 第二章 保険者 — Chapter II Insurers
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-2
## 第一節 通則 — Section 1 General Rules
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-2/sec-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-2/sec-1
### 第四条（保険者） — (Insurers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-4
**第一項** 健康保険（日雇特例被保険者の保険を除く。）の保険者は、全国健康保険協会及び健康保険組合とする。
art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-4/par-1
The insurers providing insurance (excluding insurance for specially-insured day laborers) are Japan Health Insurance Association and health insurance societies.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五条（全国健康保険協会管掌健康保険） — (Health Insurance Administered by Japan Health Insurance Association)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-5
**第一項** 全国健康保険協会は、健康保険組合の組合員でない被保険者（日雇特例被保険者を除く。次節、第五十一条の二、第六十三条第三項第二号、第百五十条第一項、第百七十二条第三号、第十章及び第十一章を除き、以下本則において同じ。）の保険を管掌する。
art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-5/par-1
Japan Health Insurance Association administers insurance for insured persons who are not members of a health insurance society (excluding specially-insured day laborers; the same applies hereinafter in the main provisions except for the following Section, Article 51-2, Article 63, paragraph (3), item (ii), Article 150, paragraph (1), Article 172, item (iii), and Chapters X and XI).
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Japan Health Insurance Association administers insurance for insured persons who are not members of a health insurance society (excluding specially-insured day laborers; the same applies hereinafter in the main provisions except for the following Section, Article 51-2, Article 63, paragraph (3), item (ii), Article 150, paragraph (1), Article 172, paragraph (3), and Chapters X and XI)." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 前項の規定により全国健康保険協会が管掌する健康保険の事業に関する業務のうち、被保険者の資格の取得及び喪失の確認、標準報酬月額及び標準賞与額の決定並びに保険料の徴収（任意継続被保険者に係るものを除く。）並びにこれらに附帯する業務は、厚生労働大臣が行う。
art-5/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-5/par-2
Of the services relating to health insurance businesses provided by Japan Health Insurance Association pursuant to the provisions of the preceding paragraph, the confirmation of acquisition and loss of eligibility to be insured, determination of standard monthly remuneration amount and standard bonus amount, collection of insurance premiums (excluding those from insured persons with optional and continued coverage), and operations incidental to these are conducted by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六条（組合管掌健康保険） — (Health Insurance Administered by Societies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-6
**第一項** 健康保険組合は、その組合員である被保険者の保険を管掌する。
art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-6/par-1
A health insurance society administers insurance of the insured persons who are its members.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条（二以上の事業所に使用される者の保険者） — (Insurers of Workers Employed at Two or More Places of Business)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7
**第一項** 同時に二以上の事業所に使用される被保険者の保険を管掌する者は、第五条第一項及び前条の規定にかかわらず、厚生労働省令で定めるところによる。
art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7/par-1
Persons who administers insurance for insured persons who are employed at two or more places of business at the same time are specified by Order of the Ministry of Health, Labour and Welfare, notwithstanding the provisions of Article 5, paragraph (1) and the preceding Article.
Ministry of Justice translation — Japanese Law Translation Database System
## 第二節 全国健康保険協会 — Section 2 Japan Health Insurance Association
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-2/sec-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-2/sec-2
### 第七条の二（設立及び業務） — (Establishment and Services)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2
**第一項** 健康保険組合の組合員でない被保険者（以下この節において単に「被保険者」という。）に係る健康保険事業を行うため、全国健康保険協会（以下「協会」という。）を設ける。
art-7-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-1
In order to provide health insurance services to insured persons who are not members of a health insurance society (hereinafter simply referred to as "insured persons"), Japan Health Insurance Association (hereinafter referred to as "JHIA") is established.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、次に掲げる業務を行う。
art-7-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2
JHIA provides the services listed below:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第四章の規定による保険給付及び第五章第三節の規定による日雇特例被保険者に係る保険給付に関する業務
art-7-2/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-1
operations related to insurance benefits pursuant to the provisions of Chapter IV and insurance benefits pertaining to specially-insured day laborers pursuant to the provisions of Chapter V, Section 3;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第六章の規定による保健事業及び福祉事業に関する業務
art-7-2/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-2
operations related to healthcare services and welfare services pursuant to the provisions of Chapter VI;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 前二号に掲げる業務のほか、協会が管掌する健康保険の事業に関する業務であって第五条第二項の規定により厚生労働大臣が行う業務以外のもの
art-7-2/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-3
beyond the services listed in the preceding two items, services related to a health insurance business administered by JHIA and other than services provided by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 5, paragraph (2);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 第一号及び第二号に掲げる業務のほか、日雇特例被保険者の保険の事業に関する業務であって第百二十三条第二項の規定により厚生労働大臣が行う業務以外のもの
art-7-2/par-2/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-4
beyond the services listed in items (i) and (ii), services related to insurance for specially-insured day laborers that are not administered by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 123, paragraph (2);
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第二百四条の七第一項に規定する権限に係る事務に関する業務
art-7-2/par-2/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-5
operations related to affairs pertaining to the authority prescribed in Article 204-7, paragraph (1); and
Ministry of Justice translation — Japanese Law Translation Database System
**六** 前各号に掲げる業務に附帯する業務
art-7-2/par-2/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-2/item-6
operations incidental to the operations listed in each of the preceding items.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 協会は、前項各号に掲げる業務のほか、船員保険法の規定による船員保険事業に関する業務（同法の規定により厚生労働大臣が行うものを除く。）並びに高齢者の医療の確保に関する法律の規定による前期高齢者納付金等（以下「前期高齢者納付金等」という。）並びに同法の規定による後期高齢者支援金、後期高齢者関係事務費拠出金及び出産育児関係事務費拠出金（以下「後期高齢者支援金等」という。）、介護保険法（平成九年法律第百二十三号）の規定による納付金（以下「介護納付金」という。）、感染症の予防及び感染症の患者に対する医療に関する法律（平成十年法律第百十四号）の規定による流行初期医療確保拠出金等（以下「流行初期医療確保拠出金等」という。）並びに子ども・子育て支援法（平成二十四年法律第六十五号）の規定による子ども・子育て支援納付金（以下「子ども・子育て支援納付金」という。）の納付に関する業務を行う。
art-7-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2/par-3
Beyond the operations listed in the items of the preceding paragraph, JHIA is responsible for operations related to Mariners Insurance business pursuant to the provisions of the Mariners Insurance Act (excluding those conducted by the Minister of Health, Labour and Welfare pursuant to the provisions of the same Act), and operations related to the payment of young-old payments, etc. pursuant to the provisions of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as "young-old payments, etc."), aid for the old-old, contributions for administrative expenses related to the old-old, and contributions for administrative expenses related to childbirth and childcare pursuant to the provisions of the same Act (hereinafter referred to as "aid for the old-old, etc."), the payment pursuant to the provisions of the Long-Term Care Insurance Act (Act No. 123 of 1997) (hereinafter referred to as "long-term care payment"), contribution for securing medical care in the early phase of an epidemic, etc. pursuant to the provisions of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (Act No. 114 of 1998) (hereinafter referred to as "contribution for securing medical care in the early phase of an epidemic, etc."), and the children and child-rearing support levy pursuant to the provisions of the Act on Support for Children and Child-rearing (Act No. 65 of 2012) (hereinafter referred to as "children and child-rearing support levy").
machine translation, not official
### 第七条の二の二（協会の実施する保健事業） — Healthcare Services Implemented by JHIA
caption: machine translation, not official
art-7-2-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2-2
**第一項** 協会は、前条第二項第二号に掲げる業務（第六章の規定による保健事業に関するものに限る。第七条の二十九の二において「保健事業業務」という。）を行うに当たっては、被保険者及びその被扶養者の年齢、性別、健康状態その他の事情を考慮し、適切かつ有効に行わなければならない。
art-7-2-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-2-2/par-1
When conducting the operations listed in paragraph (2), item (ii) of the preceding Article (limited to those related to healthcare services pursuant to the provisions of Chapter VI; referred to as "health services operations" in Article 7-29-2), JHIA must conduct them appropriately and effectively, taking into consideration the age, sex, state of health, and other circumstances of insured persons and their dependents.
machine translation, not official
### 第七条の三（法人格） — (Legal Personality)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-3
**第一項** 協会は、法人とする。
art-7-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-3/par-1
JHIA is a corporation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の四（事務所） — (Offices)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-4
**第一項** 協会は、主たる事務所を東京都に、従たる事務所（以下「支部」という。）を各都道府県に設置する。
art-7-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-4/par-1
JHIA establishes a principal office in Tokyo and secondary offices (hereinafter referred to as "branches") in each prefecture.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会の住所は、その主たる事務所の所在地にあるものとする。
art-7-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-4/par-2
JHIA's address is the location of its principal office.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の五（資本金） — (Stated Capital)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-5
**第一項** 協会の資本金は、健康保険法等の一部を改正する法律（平成十八年法律第八十三号。以下「改正法」という。）附則第十八条第二項の規定により政府から出資があったものとされた金額とする。
art-7-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-5/par-1
The stated capital of JHIA is the amount contributed by the government pursuant to the provisions of Article 18, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 83 of 2006; hereinafter referred to as "Amending Act").
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の六（定款） — (Articles of Incorporation)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6
**第一項** 協会は、定款をもって、次に掲げる事項を定めなければならない。
art-7-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1
JHIA must specify the particulars listed below in its articles of incorporation:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 目的
art-7-6/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-1
its purpose;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 名称
art-7-6/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-2
its name;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 事務所の所在地
art-7-6/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-3
the locations of its offices;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 役員に関する事項
art-7-6/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-4
particulars relating to its officers;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 運営委員会に関する事項
art-7-6/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-5
particulars relating to its management board;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 評議会に関する事項
art-7-6/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-6
particulars relating to its council;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 保健事業に関する事項
art-7-6/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-7
particulars relating to healthcare services;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 福祉事業に関する事項
art-7-6/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-8
particulars relating to welfare services;
Ministry of Justice translation — Japanese Law Translation Database System
**九** 資産の管理その他財務に関する事項
art-7-6/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-9
particulars relating to asset management and other finances; and
Ministry of Justice translation — Japanese Law Translation Database System
**十** その他組織及び業務に関する重要事項として厚生労働省令で定める事項
art-7-6/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-1/item-10
other important matters related to organization and operations as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の定款の変更（厚生労働省令で定める事項に係るものを除く。）は、厚生労働大臣の認可を受けなければ、その効力を生じない。
art-7-6/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-2
No alternation to the articles of incorporation referred to in the preceding paragraph (except those pertaining to matters specified by Order of the Ministry of Health, Labour and Welfare) is effected without authorization by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 協会は、前項の厚生労働省令で定める事項に係る定款の変更をしたときは、遅滞なく、これを厚生労働大臣に届け出なければならない。
art-7-6/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-3
When JHIA makes any amendment to the articles of incorporation with regard to matters specified by Order of the Ministry of Health, Labour and Welfare referred to in the preceding paragraph, it must notify the Minister of Health, Labour and Welfare of the amendment without delay.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 協会は、定款の変更について第二項の認可を受けたとき、又は同項の厚生労働省令で定める事項に係る定款の変更をしたときは、遅滞なく、これを公告しなければならない。
art-7-6/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-6/par-4
When JHIA is authorized for an amendment to the articles of incorporation referred to in paragraph (2) or makes any amendment to the articles of incorporation with regard to matters specified by Order of the Ministry of Health, Labour and Welfare referred to in the same paragraph, it must give publicly notice of the amendment without delay.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の七（登記） — (Registration)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-7
**第一項** 協会は、政令で定めるところにより、登記しなければならない。
art-7-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-7/par-1
JHIA must complete its registration as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により登記しなければならない事項は、登記の後でなければ、これをもって第三者に対抗することができない。
art-7-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-7/par-2
The matters that must be registered pursuant to the provisions of the preceding paragraph cannot be asserted against a third party until after they are registered.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の八（名称） — (Name)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-8
**第一項** 協会でない者は、全国健康保険協会という名称を用いてはならない。
art-7-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-8/par-1
No person other than JHIA may use the name "Japan Health Insurance Association".
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の九（役員） — (Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-9
**第一項** 協会に、役員として、理事長一人、理事六人以内及び監事二人を置く。
art-7-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-9/par-1
JHIA has one president, not more than six directors, and two auditors as its officers.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十（役員の職務） — (Duties of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-10
**第一項** 理事長は、協会を代表し、その業務を執行する。
art-7-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-10/par-1
The president of JHIA represents JHIA and executes its operations.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 理事長に事故があるとき、又は理事長が欠けたときは、理事のうちから、あらかじめ理事長が指定する者がその職務を代理し、又はその職務を行う。
art-7-10/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-10/par-2
If the president is incapacitated or the position of president is vacant, another director appointed by the president in advance represents the president or performs the president's duties.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 理事は、理事長の定めるところにより、理事長を補佐して、協会の業務を執行することができる。
art-7-10/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-10/par-3
The directors may assist the president in executing the operations of JHIA as determined by the president.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 監事は、協会の業務の執行及び財務の状況を監査する。
art-7-10/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-10/par-4
An auditor audits the execution of business and the financial status of JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十一（役員の任命） — (Appointment of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-11
**第一項** 理事長及び監事は、厚生労働大臣が任命する。
art-7-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-11/par-1
The president and auditors are appointed by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の規定により理事長を任命しようとするときは、あらかじめ、第七条の十八第一項に規定する運営委員会の意見を聴かなければならない。
art-7-11/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-11/par-2
The Minister of Health, Labour and Welfare, when intending to appoint the president pursuant to the provisions of the preceding paragraph, must hear the opinions of the Management Board in advance as provided for by Article 7-18, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 理事は、理事長が任命する。
art-7-11/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-11/par-3
The directors are appointed by the president.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 理事長は、前項の規定により理事を任命したときは、遅滞なく、厚生労働大臣に届け出るとともに、これを公表しなければならない。
art-7-11/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-11/par-4
When the president appoints a director pursuant to the provisions of the preceding paragraph, the president must notify the Minister of Health, Labour and Welfare of the appointment and publicize it without delay.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十二（役員の任期） — (Terms of Office)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-12
**第一項** 役員の任期は三年とする。ただし、補欠の役員の任期は、前任者の残任期間とする。
art-7-12/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-12/par-1
The term of office for an officer is three years; however, the term for a substitute officer is the remaining term of the predecessor.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 役員は、再任されることができる。
art-7-12/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-12/par-2
An officer may be reappointed.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十三（役員の欠格条項） — (Ineligibility of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-13
**第一項** 政府又は地方公共団体の職員（非常勤の者を除く。）は、役員となることができない。
art-7-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-13/par-1
A government official or an official of a local public entity (excluding a part-time official) is ineligible to be an officer.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十四（役員の解任） — (Dismissal of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14
**第一項** 厚生労働大臣又は理事長は、それぞれその任命に係る役員が前条の規定により役員となることができない者に該当するに至ったときは、その役員を解任しなければならない。
art-7-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14/par-1
When an officer appointed by the Minister of Health, Labour and Welfare or the president becomes a person who is ineligible to be an officer pursuant to the provisions of the preceding Article, the Minister of Health, Labour and Welfare or the president, respectively, must dismiss the officer.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣又は理事長は、それぞれその任命に係る役員が次の各号のいずれかに該当するとき、その他役員たるに適しないと認めるときは、その役員を解任することができる。
art-7-14/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14/par-2
If an officer appointed by the Minister of Health, Labour and Welfare or the president falls under any of the following items or is otherwise found to be unfit to serve as an officer, the minister or the president, respectively, may dismiss the officer:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 心身の故障のため職務の遂行に堪えないと認められるとき。
art-7-14/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14/par-2/item-1
the officer is incapable of performing official duties due to physical or mental disability; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 職務上の義務違反があるとき。
art-7-14/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14/par-2/item-2
the officer committed a violation of obligation in the course of duties.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 理事長は、前項の規定により理事を解任したときは、遅滞なく、厚生労働大臣に届け出るとともに、これを公表しなければならない。
art-7-14/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-14/par-3
If the president dismisses a director pursuant to the provisions of the preceding paragraph, the president must notify the Minister of Health, Labour and Welfare of the dismissal and publicize it without delay.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十五（役員の兼職禁止） — (Prohibition of Concurrent Holding of Positions by Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-15
**第一項** 役員（非常勤の者を除く。）は、営利を目的とする団体の役員となり、又は自ら営利事業に従事してはならない。ただし、厚生労働大臣の承認を受けたときは、この限りでない。
art-7-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-15/par-1
An officer (excluding a part-time officer) must not serve as an officer of an organization for profit or engage in a business for profit independently; however, this does not apply if the officer obtains approval from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十六（代表権の制限） — (Restrictions on Authority of Representation)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-16
**第一項** 協会と理事長又は理事との利益が相反する事項については、これらの者は、代表権を有しない。この場合には、監事が協会を代表する。
art-7-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-16/par-1
Regarding any matter in which the president or the director has a conflict of interest with the JHIA, the president or the director have no authority of representation. In this case, an auditor represents JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十七（代理人の選任） — (Appointment of Agents)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-17
**第一項** 理事長は、理事又は職員のうちから、協会の業務の一部に関し一切の裁判上又は裁判外の行為をする権限を有する代理人を選任することができる。
art-7-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-17/par-1
The president may appoint an agent from among the directors or employees and authorize the agent to conduct all judicial or extra-judicial acts concerning a part of the operations of JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十八（運営委員会） — (Management Board)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-18
**第一項** 事業主（被保険者を使用する適用事業所の事業主をいう。以下この節において同じ。）及び被保険者の意見を反映させ、協会の業務の適正な運営を図るため、協会に運営委員会を置く。
art-7-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-18/par-1
In order to reflect opinions of employers (meaning employers of an applicable place of business at which insured persons are employed; the same applies hereinafter in this section) and insured persons, and to ensure that JHIA's operations are appropriate, JHIA has a management board.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 運営委員会の委員は、九人以内とし、事業主、被保険者及び協会の業務の適正な運営に必要な学識経験を有する者のうちから、厚生労働大臣が各同数を任命する。
art-7-18/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-18/par-2
The management board has nine or less members who are appointed by the Minister of Health, Labor and Welfare from among employers, insured persons, and persons with relevant knowledge and experience for properly operating JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の委員の任期は、二年とする。
art-7-18/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-18/par-3
The term of the members in the preceding paragraph is two years.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第七条の十二第一項ただし書及び第二項の規定は、運営委員会の委員について準用する。
art-7-18/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-18/par-4
The proviso to Article 7-12, paragraph (1) and the provisions of paragraph (2) of the same Article apply mutatis mutandis to members of the management board.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の十九（運営委員会の職務） — (Duties of the Management Board)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19
**第一項** 次に掲げる事項については、理事長は、あらかじめ、運営委員会の議を経なければならない。
art-7-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1
With regard to the particulars listed below, the president must obtain a resolution at the management board in advance:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 定款の変更
art-7-19/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-1
amendments to the articles of incorporation;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第七条の二十二第二項に規定する運営規則の変更
art-7-19/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-2
changes to the operation rules referred to in Article 7-22, paragraph (2);
Ministry of Justice translation — Japanese Law Translation Database System
**三** 協会の毎事業年度の事業計画並びに予算及び決算
art-7-19/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-3
JHIA's business plan as well as budget and settlement in each fiscal year;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 重要な財産の処分又は重大な債務の負担
art-7-19/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-4
disposition of important property or burden of significant debt;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第七条の三十五第二項に規定する役員に対する報酬及び退職手当の支給の基準の変更
art-7-19/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-5
changes to the standards for payment of remuneration and retirement allowance for officers prescribed in Article 7-35, paragraph (2); and
Ministry of Justice translation — Japanese Law Translation Database System
**六** その他協会の組織及び業務に関する重要事項として厚生労働省令で定めるもの
art-7-19/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-1/item-6
other important matters related to the organization and operations of JHIA as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に規定する事項のほか、運営委員会は、理事長の諮問に応じ、又は必要と認める事項について、理事長に建議することができる。
art-7-19/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-2
Beyond the matters prescribed in the preceding paragraph, the management board may consult with the president and make proposals to the president when it finds it necessary.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前二項に定めるもののほか、運営委員会の組織及び運営に関し必要な事項は、厚生労働省令で定める。
art-7-19/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-19/par-3
Beyond the matters covered by the preceding two paragraphs, other matters relating to the organization and operation of the management board are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十（委員の地位） — (Position of Members)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-20
**第一項** 運営委員会の委員は、刑法（明治四十年法律第四十五号）その他の罰則の適用については、法令により公務に従事する職員とみなす。
art-7-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-20/par-1
A member of the management board is deemed to be an official engaged in public service under acts and regulations, with respect to the application of the Penal Code (Act No. 45 of 1907) and other penal provisions.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十一（評議会） — (Council)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-21
**第一項** 協会は、都道府県ごとの実情に応じた業務の適正な運営に資するため、支部ごとに評議会を設け、当該支部における業務の実施について、評議会の意見を聴くものとする。
art-7-21/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-21/par-1
In order to contribute to proper operations that meet prefectural demands, JHIA establishes a council for each branch and hears the opinions of each council about the operation status at its branch.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 評議会の評議員は、定款で定めるところにより、当該評議会が設けられる支部の都道府県に所在する適用事業所（第三十四条第一項に規定する一の適用事業所を含む。以下同じ。）の事業主及び被保険者並びに当該支部における業務の適正な実施に必要な学識経験を有する者のうちから、支部の長（以下「支部長」という。）が委嘱する。
art-7-21/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-21/par-2
The council members are commissioned by the head of their branch (hereinafter referred to as "branch head") pursuant to the articles of incorporation from among employers and insured persons at an applicable place of business (including an applicable place of business prescribed in Article 34, paragraph (1); the same applies hereinafter) located in the prefecture in which the council is established as well as persons with relevant knowledge and experience for properly operating the branch.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十二（運営規則） — (Operation Rules)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-22
**第一項** 協会は、業務を執行するために必要な事項で厚生労働省令で定めるものについて、運営規則を定めるものとする。
art-7-22/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-22/par-1
JHIA is to determine operation rules with regard to matters necessary for the execution of duties specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 理事長は、運営規則を変更しようとするときは、あらかじめ、厚生労働大臣に届け出なければならない。
art-7-22/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-22/par-2
The president, when intending to make a change to the operation rules, must notify the Minister of Health, Labour and Welfare in advance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十三（職員の任命） — (Appointment of Employees)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-23
**第一項** 協会の職員は、理事長が任命する。
art-7-23/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-23/par-1
JHIA's employees are appointed by the president.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十四（役員及び職員の公務員たる性質） — (Status of Officers and Officials as Public Employees)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-24
**第一項** 第七条の二十の規定は、協会の役員及び職員について準用する。
art-7-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-24/par-1
The provisions of Article 7-20 apply mutatis mutandis to JHIA's officers and officials.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十五（事業年度） — (Business Year)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-25
**第一項** 協会の事業年度は、毎年四月一日に始まり、翌年三月三十一日に終わる。
art-7-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-25/par-1
JHIA's business year begins on April 1 each year and ends on March 31 of the following year.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十六（企業会計原則） — (Corporate Accounting Principles)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-26
**第一項** 協会の会計は、厚生労働省令で定めるところにより、原則として企業会計原則によるものとする。
art-7-26/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-26/par-1
JHIA's accounting is to be conducted pursuant to corporate accounting principles, as a general rule, pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十七（事業計画等の認可） — (Authorization of Business Plans)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-27 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-27
**第一項** 協会は、毎事業年度、事業計画及び予算を作成し、当該事業年度開始前に、厚生労働大臣の認可を受けなければならない。これを変更しようとするときも、同様とする。
art-7-27/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-27/par-1
JHIA must prepare a business plan and budget for every business year and obtain authorization from the Minister of Health, Labour, and Welfare prior to the beginning of the relevant business year. The same applies when JHIA intends to make a change to the business plan or budget.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十八（財務諸表等） — (Financial Statements)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-28 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-28
**第一項** 協会は、毎事業年度の決算を翌事業年度の五月三十一日までに完結しなければならない。
art-7-28/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-28/par-1
JHIA must complete the settlement for each business year by May 31 in the following business year.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、毎事業年度、貸借対照表、損益計算書、利益の処分又は損失の処理に関する書類その他厚生労働省令で定める書類及びこれらの附属明細書（以下「財務諸表」という。）を作成し、これに当該事業年度の事業報告書及び決算報告書（以下この条及び第二百十七条の二第四号において「事業報告書等」という。）を添え、監事及び次条第二項の規定により選任された会計監査人の意見を付けて、決算完結後二月以内に厚生労働大臣に提出し、その承認を受けなければならない。
art-7-28/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-28/par-2
For each business year, JHIA must prepare a balance sheet, a profit and loss statement, documents concerning the appropriation of profits and the disposal of losses, other documents specified by Order of the Minister of Health, Labour and Welfare, and any annex statements thereof (hereinafter collectively referred to as "financial statements"), accompanied by the business report and statement of accounts for the relevant business year (referred to as "business reports" hereinafter in this Article and Article 217-2, item (iv)) and with statements by the auditor and the accounting auditor selected pursuant to the provisions of paragraph (2) of the following Article attached, and submit them to the Minister of Health, Labour and Welfare within two months after completion of the settlement to obtain approval from the minister.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 財務諸表及び事業報告書等には、支部ごとの財務及び事業の状況を示すために必要な事項として厚生労働省令で定めるものを記載しなければならない。
art-7-28/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-28/par-3
Financial statements and business reports must contain required information to show the financial and business status of each branch as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 協会は、第二項の規定による厚生労働大臣の承認を受けたときは、遅滞なく、財務諸表を官報に公告し、かつ、財務諸表及び事業報告書等並びに同項の監事及び会計監査人の意見を記載した書面を、各事務所に備えて置き、厚生労働省令で定める期間、一般の閲覧に供しなければならない。
art-7-28/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-28/par-4
When JHIA obtains the approval from the Minister of Health, Labour, and Welfare pursuant to the provisions of paragraph (2), it must provide public notice of the financial statements published in an official gazette without delay, maintain those financial statements and business reports as well as written statements by the auditor and accounting auditor referred to in the same paragraph at each office, and provide public access to them for a period specified by Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十九（会計監査人の監査） — (Audit by Accounting Auditor)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29
**第一項** 協会は、財務諸表、事業報告書（会計に関する部分に限る。）及び決算報告書について、監事の監査のほか、会計監査人の監査を受けなければならない。
art-7-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-1
JHIA must be audited by an accounting auditor, beyond being audited by an auditor, with regard to the financial statements, the business report (limited to the portion related to accounting), and the statement of accounts.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 会計監査人は、厚生労働大臣が選任する。
art-7-29/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-2
An accounting auditor is appointed by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 会計監査人は、公認会計士（公認会計士法（昭和二十三年法律第百三号）第十六条の二第五項に規定する外国公認会計士を含む。）又は監査法人でなければならない。
art-7-29/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-3
An accounting auditor must be a certified public accountant (including a foreign certified public accountant provided for in Article 16-2, paragraph (5) of the Certified Public Accountants Act (Act No. 103 of 1948)) or auditing corporation.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 公認会計士法の規定により、財務諸表について監査をすることができない者は、会計監査人となることができない。
art-7-29/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-4
A person who is ineligible to audit financial statements pursuant to the provisions of the Certified Public Accountant Act is ineligible to become an accounting auditor.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 会計監査人の任期は、その選任の日以後最初に終了する事業年度の財務諸表についての厚生労働大臣の前条第二項の承認の時までとする。
art-7-29/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-5
The term of office of an accounting auditor is until the Minister of Health, Labour and Welfare gives approval under paragraph (2) of the preceding Article for financial statements for the first business year that ends after the date of the appointment.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 厚生労働大臣は、会計監査人が次の各号のいずれかに該当するときは、その会計監査人を解任することができる。
art-7-29/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-6
If an accounting auditor falls under any of the following items, the Minister of Health, Labour and Welfare may dismiss the accounting auditor:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 職務上の義務に違反し、又は職務を怠ったとき。
art-7-29/par-6/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-6/item-1
the accounting auditor has violated the obligations of the accounting auditor's duties or has been negligent in the performance thereof;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 会計監査人たるにふさわしくない非行があったとき。
art-7-29/par-6/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-6/item-2
the accounting auditor has committed a conduct unbecoming of an accounting auditor; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 心身の故障のため、職務の遂行に支障があり、又はこれに堪えないとき。
art-7-29/par-6/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29/par-6/item-3
due to a mental or physical disorder, the accounting auditor is unable to perform the accounting auditor's duties or is incapable of bearing the demands of the duties.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の二十九の二（保健事業業務の実施状況に係る報告） — Report on the Status of Implementation of Health Services Operations
caption: machine translation, not official
art-7-29-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29-2
**第一項** 協会は、保健事業業務の実施状況について、毎事業年度、厚生労働大臣に報告しなければならない。
art-7-29-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-29-2/par-1
JHIA must report the status of implementation of health services operations to the Minister of Health, Labour and Welfare for every business year.
machine translation, not official
### 第七条の三十（各事業年度に係る業績評価） — (Evaluation on Operational Performance in Each Business Year)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-30
**第一項** 厚生労働大臣は、協会の事業年度ごとの業績について、評価を行わなければならない。
art-7-30/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-30/par-1
The Minister of Health, Labour and Welfare must evaluate JHIA's operational performance in each business year.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の評価を行ったときは、遅滞なく、協会に対し、当該評価の結果を通知するとともに、これを公表しなければならない。
art-7-30/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-30/par-2
When the Minister of Health, Labour and Welfare conducts the evaluation referred to in the preceding paragraph, the Minister must give notice of the results to JHIA and provide public notice thereof without delay.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十一（借入金） — (Debt)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-31
**第一項** 協会は、その業務に要する費用に充てるため必要な場合において、厚生労働大臣の認可を受けて、短期借入金をすることができる。
art-7-31/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-31/par-1
JHIA may incur short-term debt with authorization from the Minister of Health, Labour and Welfare if it is necessary for the allocation of expenses for its operations.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定による短期借入金は、当該事業年度内に償還しなければならない。ただし、資金の不足のため償還することができないときは、その償還することができない金額に限り、厚生労働大臣の認可を受けて、これを借り換えることができる。
art-7-31/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-31/par-2
Short-term debt pursuant to the provisions of the preceding paragraph must be repaid within the relevant business year; provided, however that if the short-term debt fails to be repaid due to a lack of funds, only the amount of funds lacking may be refinanced, after obtaining authorization from the Minister of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項ただし書の規定により借り換えた短期借入金は、一年以内に償還しなければならない。
art-7-31/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-31/par-3
Short-term debt that is refinanced pursuant to the proviso to the preceding paragraph must be repaid within one year.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十二（債務保証） — (Obligation Guarantee)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-32 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-32
**第一項** 政府は、法人に対する政府の財政援助の制限に関する法律（昭和二十一年法律第二十四号）第三条の規定にかかわらず、国会の議決を経た金額の範囲内で、その業務の円滑な運営に必要があると認めるときは、前条の規定による協会の短期借入金に係る債務について、必要と認められる期間の範囲において、保証することができる。
art-7-32/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-32/par-1
Notwithstanding the provisions of Article 3 of the Act on Limitations of Government Financial Assistance to Corporations (Act No. 24 of 1946), when the national government determines it necessary for the smooth operation of its services, it may provide guarantees within the limit of an amount approved by the Diet and within the period determined to be necessary with regard to liabilities pertaining to short-term debt incurred by JHIA pursuant to the provisions of the preceding Article.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十三（資金の運用） — (Investment of Funds)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-33 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-33
**第一項** 協会の業務上の余裕金の運用は、政令で定めるところにより、事業の目的及び資金の性質に応じ、安全かつ効率的にしなければならない。
art-7-33/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-33/par-1
JHIA's operational surplus funds must be safely and efficiently operated according to the purpose and nature of the funds as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十四（重要な財産の処分） — (Disposition of Important Property)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-34 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-34
**第一項** 協会は、厚生労働省令で定める重要な財産を譲渡し、又は担保に供しようとするときは、厚生労働大臣の認可を受けなければならない。
art-7-34/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-34/par-1
When intending to transfer or provide as collateral important property specified by Order of the Ministry of Health, Labour and Welfare, JHIA must obtain authorization from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十五（役員の報酬等） — (Remuneration of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-35 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-35
**第一項** 協会の役員に対する報酬及び退職手当は、その役員の業績が考慮されるものでなければならない。
art-7-35/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-35/par-1
The remuneration and retirement allowance for JHIA's officers must take into consideration the officers' performance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、その役員に対する報酬及び退職手当の支給の基準を定め、これを厚生労働大臣に届け出るとともに、公表しなければならない。これを変更したときも、同様とする。
art-7-35/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-35/par-2
JHIA must specify standards for the payment of the remuneration and retirement allowance for its officers, notify the Minister of Health, Labour and Welfare of the standards, and publicize them. The same applies when JHIA revises the standards.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十六（職員の給与等） — (Salaries of Employees)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-36 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-36
**第一項** 協会の職員の給与は、その職員の勤務成績が考慮されるものでなければならない。
art-7-36/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-36/par-1
The salaries of JHIA's employees must take into consideration the employees' work performance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、その職員の給与及び退職手当の支給の基準を定め、これを厚生労働大臣に届け出るとともに、公表しなければならない。これを変更したときも、同様とする。
art-7-36/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-36/par-2
JHIA must specify standards for the payment of salaries and retirement allowance for its employees, notify the Minister of Health, Labour and Welfare of the standards, and publicize them. The same applies when JHIA revises the standards.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十七（秘密保持義務） — (Security Obligation)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-37
**第一項** 協会の役員若しくは職員又はこれらの職にあった者は、健康保険事業に関して職務上知り得た秘密を正当な理由がなく漏らしてはならない。
art-7-37/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-37/par-1
A current or former officer or official of JHIA must not divulge confidential information concerning the health insurance business learned in the course of duty without justifiable reasons.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定は、協会の運営委員会の委員又は委員であった者について準用する。
art-7-37/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-37/par-2
The provisions of the preceding paragraph apply mutatis mutandis to a person who is, or has been, a member of JHIA's management board.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十八（報告の徴収等） — (Collection of Reports)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-38
**第一項** 厚生労働大臣は、協会について、必要があると認めるときは、その事業及び財産の状況に関する報告を徴し、又は当該職員をして協会の事務所に立ち入って関係者に質問させ、若しくは実地にその状況を検査させることができる。
art-7-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-38/par-1
When the Minister of Health, Labour and Welfare finds it necessary in relation to JHIA, the Minister may collect reports on the status of its business or property, or have the ministry's officials enter JHIA's office to ask persons concerned questions or to inspect that status.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定によって質問又は検査を行う当該職員は、その身分を示す証明書を携帯し、かつ、関係者の請求があるときは、これを提示しなければならない。
art-7-38/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-38/par-2
The relevant official who asks questions or conducts inspections pursuant to the provisions of the preceding paragraph must carry an identification card and present it at the request of any person concerned.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定による権限は、犯罪捜査のために認められたものと解釈してはならない。
art-7-38/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-38/par-3
The authority under paragraph (1) must not be construed as being granted for criminal investigation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の三十九（監督） — (Supervision)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-39 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-39
**第一項** 厚生労働大臣は、協会の事業若しくは財産の管理若しくは執行が法令、定款若しくは厚生労働大臣の処分に違反していると認めるとき、確保すべき収入を不当に確保せず、不当に経費を支出し、若しくは不当に財産を処分し、その他協会の事業若しくは財産の管理若しくは執行が著しく適正を欠くと認めるとき、又は協会の役員がその事業若しくは財産の管理若しくは執行を明らかに怠っていると認めるときは、期間を定めて、協会又はその役員に対し、その事業若しくは財産の管理若しくは執行について違反の是正又は改善のため必要な措置を採るべき旨を命ずることができる。
art-7-39/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-39/par-1
If the Minister of Health, Labour and Welfare finds that JHIA's management or execution of its business or assets violates any law or regulation, its articles of incorporation, or any disposition of the Minister of Health, Labour and Welfare, or that JHIA has unjustly failed to secure income that it should have secured, has unjustly incurred expenses, has unjustly disposed of its assets or has otherwise significantly failed to appropriately manage or execute its business or assets, or that the officers of JHIA have evidently failed to manage or execute its business or assets, then the Minister may order JHIA or its officers to take measures necessary to rectify the violation or improve the management or performance of its business or assets within a specified period.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会又はその役員が前項の命令に違反したときは、厚生労働大臣は、協会に対し、期間を定めて、当該違反に係る役員の全部又は一部の解任を命ずることができる。
art-7-39/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-39/par-2
If JHIA or its officers violate an order referred to in the preceding paragraph, the Minister of Health, Labour and Welfare may order JHIA to dismiss all or some of its officers involved in the violation after a certain period.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 協会が前項の命令に違反したときは、厚生労働大臣は、同項の命令に係る役員を解任することができる。
art-7-39/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-39/par-3
If JHIA violates an order referred to in the preceding paragraph, the Minister of Health, Labour and Welfare may dismiss the officers to which the order pertained.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の四十（解散） — (Dissolution)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-40 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-40
**第一項** 協会の解散については、別に法律で定める。
art-7-40/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-40/par-1
The rules for the dissolution of JHIA are provided separately by law.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の四十一（厚生労働省令への委任） — (Delegation to Order of the Ministry of Health, Labour and Welfare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-41 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-41
**第一項** この法律及びこの法律に基づく政令に規定するもののほか、協会の財務及び会計その他協会に関し必要な事項は、厚生労働省令で定める。
art-7-41/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-41/par-1
Beyond what is provided for in this Act and any Cabinet Order based on this Act, matters concerning the finance and accounting of JHIA, and other necessary matters are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条の四十二（財務大臣との協議） — (Consultation with the Minister of Finance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-7-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-42
**第一項** 厚生労働大臣は、次の場合には、あらかじめ、財務大臣に協議しなければならない。
art-7-42/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-42/par-1
The Minister of Health, Labour, and Welfare must consult with the Minister of Finance in advance, in the following cases:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第七条の二十七、第七条の三十一第一項若しくは第二項ただし書又は第七条の三十四の規定による認可をしようとするとき。
art-7-42/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-42/par-1/item-1
when intending to grant authorization pursuant to the provisions of Article 7-27, Article 7-31, paragraph (1), the proviso to Article 7-31, paragraph (2), or the Article 7-34; and
Ministry of Justice translation — Japanese Law Translation Database System
**二** 前条の規定により厚生労働省令を定めようとするとき。
art-7-42/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-7-42/par-1/item-2
when intending to issue an Order of the Ministry of Health, Labour and Welfare pursuant to the provisions of the preceding Article;
Ministry of Justice translation — Japanese Law Translation Database System
## 第三節 健康保険組合 — Section 3 Health Insurance Societies
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-2/sec-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-2/sec-3
### 第八条（組織） — (Organization)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-8
**第一項** 健康保険組合は、適用事業所の事業主、その適用事業所に使用される被保険者及び任意継続被保険者をもって組織する。
art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-8/par-1
A health insurance society is composed of employers of applicable places of business, insured persons employed at the applicable places of business, and insured persons with optional and continued coverage.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九条（法人格） — (Legal Personality)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-9
**第一項** 健康保険組合は、法人とする。
art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-9/par-1
A health insurance society is a corporation.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合の住所は、その主たる事務所の所在地にあるものとする。
art-9/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-9/par-2
The address of a health insurance society is at the location of its principal office.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十条（名称） — (Name)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-10
**第一項** 健康保険組合は、その名称中に健康保険組合という文字を用いなければならない。
art-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-10/par-1
A health insurance society must use the characters "健康保険組合" (pronounced "kenko hoken kumiai" and literally meaning "health insurance society") in its name.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合でない者は、健康保険組合という名称を用いてはならない。
art-10/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-10/par-2
No person other than a health insurance society may use the name "健康保険組合".
Ministry of Justice translation — Japanese Law Translation Database System
### 第十一条（設立） — (Establishment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-11
**第一項** 一又は二以上の適用事業所について常時政令で定める数以上の被保険者を使用する事業主は、当該一又は二以上の適用事業所について、健康保険組合を設立することができる。
art-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-11/par-1
An employer who has one or more applicable places of business regularly employing a total number of insured persons equal to or above a figure specified by Cabinet Order may establish a health insurance society for those applicable places of business.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 適用事業所の事業主は、共同して健康保険組合を設立することができる。この場合において、被保険者の数は、合算して常時政令で定める数以上でなければならない。
art-11/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-11/par-2
Employers of applicable places of business may jointly establish a health insurance society. In this case, the total number of insured persons must always be no less than the number specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十二条
art-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-12
**第一項** 適用事業所の事業主は、健康保険組合を設立しようとするときは、健康保険組合を設立しようとする適用事業所に使用される被保険者の二分の一以上の同意を得て、規約を作り、厚生労働大臣の認可を受けなければならない。
art-12/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-12/par-1
When intending to establish a health insurance society, the employer of an applicable place of business must prepare a constitution with the consent of half or more of the insured persons employed at the applicable place of business for which the health insurance society is to be established, and obtain authorization from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 二以上の適用事業所について健康保険組合を設立しようとする場合においては、前項の同意は、各適用事業所について得なければならない。
art-12/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-12/par-2
When intending to establish a health insurance society for two or more applicable places of business, the consent in the preceding paragraph must be obtained for each of those places of business.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十三条
art-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-13
**第一項** 第三十一条第一項の規定による認可の申請と同時に健康保険組合の設立の認可の申請を行う場合にあっては、前二条中「適用事業所」とあるのは「適用事業所となるべき事業所」と、「被保険者」とあるのは「被保険者となるべき者」とする。
art-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-13/par-1
If an application for the establishment of a health insurance society is submitted at the same time as an application pursuant to the provisions of Article 31, paragraph (1), the phrase "applicable place of business" in the preceding two Articles is replaced with "place that will be an applicable place of business" and "insured persons" with "persons to be insured".
Ministry of Justice translation — Japanese Law Translation Database System
### 第十四条
art-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-14
**第一項** 厚生労働大臣は、一又は二以上の適用事業所（第三十一条第一項の規定によるものを除く。）について常時政令で定める数以上の被保険者を使用する事業主に対し、健康保険組合の設立を命ずることができる。
art-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-14/par-1
The Minister of Health, Labour and Welfare may order an employer who has one or more applicable places of business (excluding those pursuant to Article 31, paragraph (1)) regularly employing a total number of insured persons equal to or above the figure specified by Cabinet Order to establish a health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により健康保険組合の設立を命ぜられた事業主は、規約を作り、その設立について厚生労働大臣の認可を受けなければならない。
art-14/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-14/par-2
An employer who has been ordered to establish a health insurance society pursuant to the provisions of the preceding paragraph must prepare a constitution for the society and obtain authorization from the Minister of Health, Labour and Welfare for the establishment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十五条（成立の時期） — (Time of Establishment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-15
**第一項** 健康保険組合は、設立の認可を受けた時に成立する。
art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-15/par-1
A health insurance society is incorporated when it receives authorization for its establishment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十六条（規約） — (Constitution)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16
**第一項** 健康保険組合は、規約において、次に掲げる事項を定めなければならない。
art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1
A health insurance society must specify the particulars listed below in its constitution:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 名称
art-16/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-1
its name;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 事務所の所在地
art-16/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-2
the location of its office;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 健康保険組合の設立に係る適用事業所の名称及び所在地
art-16/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-3
the name and location of the applicable place of business related to the establishment of the health insurance society;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 組合会に関する事項
art-16/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-4
particulars relating to its meetings;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 役員に関する事項
art-16/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-5
particulars relating to officers;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 組合員に関する事項
art-16/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-6
particulars relating to its members;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 保険料に関する事項
art-16/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-7
particulars relating to insurance premiums;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 準備金その他の財産の管理に関する事項
art-16/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-8
particulars relating to reserves and other particulars related to property management;
Ministry of Justice translation — Japanese Law Translation Database System
**九** 公告に関する事項
art-16/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-9
particulars relating to giving public notice; and
Ministry of Justice translation — Japanese Law Translation Database System
**十** 前各号に掲げる事項のほか、厚生労働省令で定める事項
art-16/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-1/item-10
beyond the particulars listed in each of the preceding items, particulars specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規約の変更（厚生労働省令で定める事項に係るものを除く。）は、厚生労働大臣の認可を受けなければ、その効力を生じない。
art-16/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-2
No change to the health insurance society's constitution referred to in the preceding paragraph (except those pertaining to matters specified by Order of the Ministry of Health, Labour and Welfare) has effect without the authorization of the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 健康保険組合は、前項の厚生労働省令で定める事項に係る規約の変更をしたときは、遅滞なく、これを厚生労働大臣に届け出なければならない。
art-16/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-16/par-3
If a health insurance society makes an amendment to its constitution with regard to matters specified by Order of the Ministry of Health, Labour and Welfare referred to in the preceding paragraph, it must notify the Minister of Health, Labour and Welfare of the amendment without delay.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If a health insurance society makes an amendment to its constitution with regard to matters specified by Order of the Ministry of Health, Labour and Welfare referred to in paragraph (1), it must notify the Minister of Health, Labour and Welfare of the amendment without delay." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第十七条（組合員） — (Society Members)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-17
**第一項** 健康保険組合が設立された適用事業所（以下「設立事業所」という。）の事業主及びその設立事業所に使用される被保険者は、当該健康保険組合の組合員とする。
art-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-17/par-1
The employer of an applicable place of business for which a health insurance society is established (hereinafter referred to as the "establishment") and insured persons who are employed at the establishment are members of the health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の被保険者は、当該設立事業所に使用されなくなったときであっても、任意継続被保険者であるときは、なお当該健康保険組合の組合員とする。
art-17/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-17/par-2
An insured person referred to in the preceding paragraph who has optional and continued coverage is a member of the health insurance society even if the person is no longer employed at the establishment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十八条（組合会） — (Society Meetings)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-18
**第一項** 健康保険組合に、組合会を置く。
art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-18/par-1
A health insurance society has society meetings.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 組合会は、組合会議員をもって組織する。
art-18/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-18/par-2
A society meeting is comprised of society meeting members.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 組合会議員の定数は、偶数とし、その半数は、設立事業所の事業主において設立事業所の事業主（その代理人を含む。）及び設立事業所に使用される者のうちから選定し、他の半数は、被保険者である組合員において互選する。
art-18/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-18/par-3
The fixed number of society meeting members is an even number; half of the members are selected from among employers of establishments (including their agents) and workers employed at establishments, and the other half are elected by vote from among society members who are insured persons.
Ministry of Justice translation — Japanese Law Translation Database System
### 第十九条（組合会の議決事項） — (Matters to be Decided by Society Meeting)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19
**第一項** 次に掲げる事項は、組合会の議決を経なければならない。
art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19/par-1
The matters listed below must be determined by a society meeting:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 規約の変更
art-19/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19/par-1/item-1
changes to the health insurance society's constitution;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 収入支出の予算
art-19/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19/par-1/item-2
budget for income and expenditure;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 事業報告及び決算
art-19/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19/par-1/item-3
business reports and settlement; and
Ministry of Justice translation — Japanese Law Translation Database System
**四** その他規約で定める事項
art-19/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-19/par-1/item-4
other particulars specified in the constitution.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十条（組合会の権限） — (Authority of Society Meetings)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-20
**第一項** 組合会は、健康保険組合の事務に関する書類を検査し、理事若しくは監事の報告を請求し、又は事務の管理、議決の執行若しくは出納を検査することができる。
art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-20/par-1
A society meeting may inspect documents concerning the health insurance society's affairs, request reports from directors or auditors, or inspect the management of affairs, execution of decisions, or revenue and expenditure of the society.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 組合会は、組合会議員のうちから選任した者に、前項の組合会の権限に属する事項を行わせることができる。
art-20/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-20/par-2
A society meeting may have a person appointed from among the society meeting members carry out any of the matters under the authority of the society meeting as referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十一条（役員） — (Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21
**第一項** 健康保険組合に、役員として理事及び監事を置く。
art-21/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21/par-1
A health insurance society has directors and auditors as its officers.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 理事の定数は、偶数とし、その半数は設立事業所の事業主の選定した組合会議員において、他の半数は被保険者である組合員の互選した組合会議員において、それぞれ互選する。
art-21/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21/par-2
The fixed number of directors is an even number; half of them are elected by votes cast by society meeting members selected by the employer of the establishment, and the other half are elected by votes cast by the society meeting members elected by vote from among society members who are insured persons.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 理事のうち一人を理事長とし、設立事業所の事業主の選定した組合会議員である理事のうちから、理事が選挙する。
art-21/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21/par-3
The president is elected by the directors from among the directors who are society meeting members selected by the employer of the establishment.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 監事は、組合会において、設立事業所の事業主の選定した組合会議員及び被保険者である組合員の互選した組合会議員のうちから、それぞれ一人を選挙する。
art-21/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21/par-4
At a society meeting, one auditor is elected by votes from among the society meeting members selected by the employers of the establishment, and the other auditor is elected from among society meeting members elected by vote from among society members who are insured persons.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 監事は、理事又は健康保険組合の職員と兼ねることができない。
art-21/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-21/par-5
An auditor may not act concurrently as a director or official of a health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十二条（役員の職務） — (Duties of Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22
**第一項** 理事長は、健康保険組合を代表し、その業務を執行する。理事長に事故があるとき、又は理事長が欠けたときは、設立事業所の事業主の選定した組合会議員である理事のうちから、あらかじめ理事長が指定する者がその職務を代理し、又はその職務を行う。
art-22/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22/par-1
The president of a health insurance society represents the health insurance society and executes its operations. If the president is incapacitated or the position of president is vacant, another director who is a society meeting member selected by the employer of the establishment and appointed by the president in advance represents or performs the president's duties.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合の業務は、規約に別段の定めがある場合を除くほか、理事の過半数により決し、可否同数のときは、理事長の決するところによる。
art-22/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22/par-2
Unless otherwise specified in the constitution, the operations of the health insurance society are determined by the majority of the directors, and by the president in the event of a tie.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 理事は、理事長の定めるところにより、理事長を補佐して、健康保険組合の業務を執行することができる。
art-22/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22/par-3
The directors may assist the president in executing the operations of the health insurance society as determined by the president.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 監事は、健康保険組合の業務の執行及び財産の状況を監査する。
art-22/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22/par-4
An auditor audits the execution of business and the status of the property of the health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十二条の二（協会の役員及び職員の秘密保持義務に関する規定の準用） — (Provisions Applied Mutatis Mutandis to Officers and Officials of JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-22-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22-2
**第一項** 第七条の三十七第一項の規定は、健康保険組合の役員及び職員について準用する。
art-22-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-22-2/par-1
The provisions of Article 7-37, paragraph (1) apply mutatis mutandis to officers and officials of the health insurance societies.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十三条（合併） — (Mergers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-23
**第一項** 健康保険組合は、合併しようとするときは、組合会において組合会議員の定数の四分の三以上の多数により議決し、厚生労働大臣の認可を受けなければならない。
art-23/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-23/par-1
A merger of a health insurance society must be adopted through a resolution by a three-quarter majority of the fixed number of society meeting members in a society meeting and authorization therefore must be obtained from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 合併によって健康保険組合を設立するには、各健康保険組合がそれぞれ組合会において役員又は組合会議員のうちから選任した設立委員が共同して規約を作り、その他設立に必要な行為をしなければならない。
art-23/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-23/par-2
In order to establish a health insurance society by a merger, committee members selected by each health insurance society to be merged from among officers or society meeting members in each of the society meetings must jointly prepare the constitution and take other actions necessary for the establishment.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 合併により設立された健康保険組合又は合併後存続する健康保険組合は、合併により消滅した健康保険組合の権利義務を承継する。
art-23/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-23/par-3
A health insurance society established by a merger or that remains after a merger succeeds to the rights and obligations of a health insurance society extinguished due to the merger.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十四条（分割） — (Split)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24
**第一項** 健康保険組合は、分割しようとするときは、組合会において組合会議員の定数の四分の三以上の多数により議決し、厚生労働大臣の認可を受けなければならない。
art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-1
Any split of a health insurance society must be adopted through a resolution by a three-quarter majority of the fixed number of society meeting members in a society meeting and authorization therefor must be obtained from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合の分割は、設立事業所の一部について行うことはできない。
art-24/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-2
A split of a health insurance society cannot be applied to a part of an establishment.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 分割を行う場合においては、分割により設立される健康保険組合の組合員となるべき被保険者又は分割後存続する健康保険組合の組合員である被保険者の数が、第十一条第一項（健康保険組合を共同して設立している場合にあっては、同条第二項）の政令で定める数以上でなければならない。
art-24/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-3
In performing a split, the number of insured persons who are to be society members of a health insurance society established by the split or insured persons who are society members of a health insurance society that remains after the split must be no less than the number specified by Cabinet Order under Article 11, paragraph (1) (paragraph (2) of the same Article if the health insurance society is jointly established).
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 分割によって健康保険組合を設立するには、分割により設立される健康保険組合の設立事業所となるべき適用事業所の事業主が規約を作り、その他設立に必要な行為をしなければならない。
art-24/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-4
In order to establish a health insurance society by a split, employers of applicable places of business that are to be an establishment must prepare the constitution and take other actions necessary for the establishment.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 分割により設立された健康保険組合は、分割により消滅した健康保険組合又は分割後存続する健康保険組合の権利義務の一部を承継する。
art-24/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-5
A health insurance society established by a split succeeds to some of the rights and obligations of a health insurance society extinguished due to the split or of a health insurance society that remains after the split.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 前項の規定により承継する権利義務の限度は、分割の議決とともに議決し、厚生労働大臣の認可を受けなければならない。
art-24/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-24/par-6
The limit to the rights and obligations succeeded to pursuant to the provisions of the preceding paragraph must be decided as a part of the resolution on the split and authorization therefor must be obtained from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十五条（設立事業所の増減） — (Increase or Decrease in Establishments)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-25
**第一項** 健康保険組合がその設立事業所を増加させ、又は減少させようとするときは、その増加又は減少に係る適用事業所の事業主の全部及びその適用事業所に使用される被保険者の二分の一以上の同意を得なければならない。
art-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-25/par-1
When intending to increase or decrease its number of establishments, a health insurance society must obtain consent from all employers of applicable places of business to which the increase or decrease pertains and from half or more of the insured persons employed at the applicable places of business.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第三十一条第一項の規定による認可の申請があった事業所に係る設立事業所の増加に関する規約の変更の認可の申請を行う場合にあっては、前項中「被保険者」とあるのは、「被保険者となるべき者」とする。
art-25/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-25/par-2
In the case of an application to make changes to the constitution relating to an increase in the number of establishments of a health insurance society which has applied for the authorization pursuant to the provisions of Article 31, paragraph (1), the phrase "insured persons" in the preceding paragraph is replaced with "persons to be insured".
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定により健康保険組合が設立事業所を減少させるときは、健康保険組合の被保険者である組合員の数が、設立事業所を減少させた後においても、第十一条第一項（健康保険組合を共同して設立している場合にあっては、同条第二項）の政令で定める数以上でなければならない。
art-25/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-25/par-3
When a health insurance society decreases its number of establishments pursuant to the provisions of paragraph (1), the number of members who are insured persons of the health insurance society must be no less than the number specified by Cabinet Order under Article 11, paragraph (1) (paragraph (2) of the same Article if the health insurance society is jointly established) even after the number of establishments has been decreased.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第十二条第二項の規定は、第一項の被保険者の同意を得る場合について準用する。
art-25/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-25/par-4
The provisions of Article 12, paragraph (2) apply mutatis mutandis when consent from insured persons is obtained under paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十六条（解散） — (Dissolution)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26
**第一項** 健康保険組合は、次に掲げる理由により解散する。
art-26/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-1
A health insurance society is dissolved for any of the reasons listed below:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 組合会議員の定数の四分の三以上の多数による組合会の議決
art-26/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-1/item-1
a resolution by a three-quarter majority of the fixed number of society meeting members in a society meeting;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 健康保険組合の事業の継続の不能
art-26/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-1/item-2
the impossibility of the continuation of the business of the health insurance society; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第二十九条第二項の規定による解散の命令
art-26/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-1/item-3
a dissolution order pursuant to the provisions of Article 29, paragraph (2).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合は、前項第一号又は第二号に掲げる理由により解散しようとするときは、厚生労働大臣の認可を受けなければならない。
art-26/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-2
Authorization must be obtained from the Minister of Health, Labour and Welfare for the dissolution of a health insurance society for a reason listed in item (i) or (ii) of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 健康保険組合が解散する場合において、その財産をもって債務を完済することができないときは、当該健康保険組合は、設立事業所の事業主に対し、政令で定めるところにより、当該債務を完済するために要する費用の全部又は一部を負担することを求めることができる。
art-26/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-3
If a health insurance society is dissolved and it is unable to pay its debts in full with its property, the health insurance society may request the employers of the establishments to bear all or part of the expenses required to pay its debts in full as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 協会は、解散により消滅した健康保険組合の権利義務を承継する。
art-26/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-26/par-4
JHIA succeeds to the rights and obligations of a health insurance society extinguished due to dissolution.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十七条 〔削除 / repealed〕
art-27 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-27
**第一項** 削除
art-27/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-27/par-1
Deleted
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十八条（指定健康保険組合による健全化計画の作成） — (Formulation of a Plan to Improve Soundness by a Designated Health Insurance Society)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-28 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-28
**第一項** 健康保険事業の収支が均衡しない健康保険組合であって、政令で定める要件に該当するものとして厚生労働大臣の指定を受けたもの（以下この条及び次条において「指定健康保険組合」という。）は、政令で定めるところにより、その財政の健全化に関する計画（以下この条において「健全化計画」という。）を定め、厚生労働大臣の承認を受けなければならない。これを変更しようとするときも、同様とする。
art-28/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-28/par-1
A health insurance society whose income and expenditure for health insurance services is imbalanced and which is designated by the Minister of Health, Labour and Welfare as meeting the requirements specified by Cabinet Order (hereinafter referred to as a "designated health insurance society" in this and the following Articles) must formulate a plan to improve its soundness (hereinafter referred to as "soundness improvement plan" in this Article) and obtain approval therefor from the Minister of Health, Labour and Welfare, as specified by Cabinet Order. The same applies when a health insurance society revises a soundness improvement plan.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の承認を受けた指定健康保険組合は、当該承認に係る健全化計画に従い、その事業を行わなければならない。
art-28/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-28/par-2
A designated health insurance society that receives the approval referred to in the provisions of the preceding paragraph must provide health insurance services in accordance with the approved soundness improvement plan.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、第一項の承認を受けた指定健康保険組合の事業及び財産の状況により、その健全化計画を変更する必要があると認めるときは、当該指定健康保険組合に対し、期限を定めて、当該健全化計画の変更を求めることができる。
art-28/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-28/par-3
If the Minister of Health, Labour and Welfare finds it necessary to change a soundness improvement plan due to the status of business and property of a designated health insurance society that has received the approval referred to in paragraph (1), the Minster may request the designated health insurance society to change the soundness improvement plan within a specified period.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二十九条（報告の徴収等） — (Collection of Reports)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-29
**第一項** 第七条の三十八及び第七条の三十九の規定は、健康保険組合について準用する。この場合において、同条第一項中「厚生労働大臣は」とあるのは「厚生労働大臣は、第二十九条第一項において準用する前条の規定により報告を徴し、又は質問し、若しくは検査した場合において」と、「定款」とあるのは「規約」と読み替えるものとする。
art-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-29/par-1
The provisions of Articles 7-38 and 7-39 apply mutatis mutandis to health insurance societies. In this case, the phrase "Minister of Health, Labour and Welfare" in Article 7-39, paragraph (1) is to be replaced with "Minister of Health, Labour and Welfare, when collecting reports, asking questions, or conducting inspections pursuant to the provisions of the preceding Article as applied mutatis mutandis to Article 29, paragraph (1)", and the phrase "articles of incorporation" is to be replaced with "constitution".
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合が前項において準用する第七条の三十九第一項の規定による命令に違反したとき、又は前条第二項の規定に違反した指定健康保険組合、同条第三項の求めに応じない指定健康保険組合その他政令で定める指定健康保険組合の事業若しくは財産の状況によりその事業の継続が困難であると認めるときは、厚生労働大臣は、当該健康保険組合の解散を命ずることができる。
art-29/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-29/par-2
If a health insurance society violates an order pursuant to the provisions of Article 7-39, paragraph (1) as applied mutatis mutandis to the preceding paragraph, or if it is found that the continuation of business of a designated health insurance society which has violated the provisions of paragraph (2) of the preceding Article, of a designated health insurance society which fails to follow the request referred to in paragraph (3) of the same Article, or of another designated health insurance society as specified by Cabinet Order is difficult due to the status of services or property or other reasons, the Minister of Health, Labour and Welfare may order the dissolution of the health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十条（政令への委任） — (Delegation to Cabinet Order)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-30
**第一項** この節に規定するもののほか、健康保険組合の管理、財産の保管その他健康保険組合に関して必要な事項は、政令で定める。
art-30/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-30/par-1
Beyond what is provided for in this Chapter, the management of health insurance societies, the retention of their assets, and other necessary matters concerning health insurance societies are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
## 第三章 被保険者 — Chapter III Insured Persons
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-3
## 第一節 資格 — Section 1 Eligibility
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-3/sec-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-3/sec-1
### 第三十一条（適用事業所） — (Applicable Places of Business)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-31
**第一項** 適用事業所以外の事業所の事業主は、厚生労働大臣の認可を受けて、当該事業所を適用事業所とすることができる。
art-31/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-31/par-1
An employer of a non-applicable place of business may operate the place of business as an applicable place of business with authorization from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の認可を受けようとするときは、当該事業所の事業主は、当該事業所に使用される者（被保険者となるべき者に限る。）の二分の一以上の同意を得て、厚生労働大臣に申請しなければならない。
art-31/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-31/par-2
When intending to obtain the authorization referred to in the preceding paragraph, the employer of a place of business must, with the consent of half or more of the workers employed at the place of business (limited to those to be insured persons), apply to the Minister of Health, Labour and Welfare for the authorization.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十二条
art-32 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-32
**第一項** 適用事業所が、第三条第三項各号に該当しなくなったときは、その事業所について前条第一項の認可があったものとみなす。
art-32/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-32/par-1
If an applicable place of business no longer falls under the items of Article 3, paragraph (3), it is deemed to be authorized under paragraph (1) of the preceding Article.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十三条
art-33 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-33
**第一項** 第三十一条第一項の事業所の事業主は、厚生労働大臣の認可を受けて、当該事業所を適用事業所でなくすることができる。
art-33/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-33/par-1
An employer of a place of business under Article 31, paragraph (1) may make the place of business a non-applicable place of business with authorization from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の認可を受けようとするときは、当該事業所の事業主は、当該事業所に使用される者（被保険者である者に限る。）の四分の三以上の同意を得て、厚生労働大臣に申請しなければならない。
art-33/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-33/par-2
When intending to obtain the authorization referred to in the preceding paragraph, the employer of the place of business must, with the consent of three-quarters or more of the workers employed at the place of business (limited to insured persons), apply to the Minister of Health, Labour and Welfare for the authorization.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十四条
art-34 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-34
**第一項** 二以上の適用事業所の事業主が同一である場合には、当該事業主は、厚生労働大臣の承認を受けて、当該二以上の事業所を一の適用事業所とすることができる。
art-34/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-34/par-1
When the employer of two or more applicable places of business is the same, the employer may merge the two or more places of business into one applicable place of business with approval from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の承認があったときは、当該二以上の適用事業所は、適用事業所でなくなったものとみなす。
art-34/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-34/par-2
When the approval referred to in the preceding paragraph is obtained, the relevant two or more places for business are no longer deemed to be applicable places for business.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十五条（資格取得の時期） — (Time of Acquisition of Eligibility)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-35 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-35
**第一項** 被保険者（任意継続被保険者を除く。以下この条から第三十八条までにおいて同じ。）は、適用事業所に使用されるに至った日若しくはその使用される事業所が適用事業所となった日又は第三条第一項ただし書の規定に該当しなくなった日から、被保険者の資格を取得する。
art-35/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-35/par-1
An insured person (excluding insured persons with optional and continued coverage; the same applies hereinafter from this Article through Article 38) obtains eligibility as an insured person from the day on which the person has become an employee of an applicable place of business, the day on which the place of business employing the person has become an applicable place of business, or the day on which the provisions of the proviso to Article 3, paragraph (1) are no longer applicable.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十六条（資格喪失の時期） — (Time of Loss of Eligibility)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-36 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36
**第一項** 被保険者は、次の各号のいずれかに該当するに至った日の翌日（その事実があった日に更に前条に該当するに至ったときは、その日）から、被保険者の資格を喪失する。
art-36/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36/par-1
An insured person loses eligibility as an insured person from the day immediately after the day on which the person falls under any of the following items (or the day on which the respective fact arises if the person also falls under the preceding Article):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 死亡したとき。
art-36/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36/par-1/item-1
the person dies;
Ministry of Justice translation — Japanese Law Translation Database System
**二** その事業所に使用されなくなったとき。
art-36/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36/par-1/item-2
the person is no longer employed at the place of business;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第三条第一項ただし書の規定に該当するに至ったとき。
art-36/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36/par-1/item-3
the person falls under the proviso to Article 3, paragraph (1); or
Ministry of Justice translation — Japanese Law Translation Database System
**四** 第三十三条第一項の認可があったとき。
art-36/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-36/par-1/item-4
authorization under Article 33, paragraph (1) is obtained.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十七条（任意継続被保険者） — (Insured Person with Optional and Continued Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-37
**第一項** 第三条第四項の申出は、被保険者の資格を喪失した日から二十日以内にしなければならない。ただし、保険者は、正当な理由があると認めるときは、この期間を経過した後の申出であっても、受理することができる。
art-37/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-37/par-1
A request referred to in Article 3, paragraph (4) must be made within 20 days after the date on which eligibility as an insured person is lost; however, when finding a justifiable reason, the insurer may accept a request even after the day on which that period expires.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第三条第四項の申出をした者が、初めて納付すべき保険料をその納付期日までに納付しなかったときは、同項の規定にかかわらず、その者は、任意継続被保険者とならなかったものとみなす。ただし、その納付の遅延について正当な理由があると保険者が認めたときは、この限りでない。
art-37/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-37/par-2
If the person who made a request referred to in Article 3, paragraph (4) fails to pay the first insurance premium by the due date, the person is deemed to not have become an insured person with optional and continued coverage, notwithstanding the provisions of the same paragraph; however, this does not apply if the insurer finds a justifiable reason for the delay in payment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三十八条（任意継続被保険者の資格喪失） — (Loss of Eligibility as an Insured Person with Optional and Continued Payment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38
**第一項** 任意継続被保険者は、次の各号のいずれかに該当するに至った日の翌日（第四号から第六号までのいずれかに該当するに至ったときは、その日）から、その資格を喪失する。
art-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1
An insured person with optional and continued payment loses eligibility from the day immediately after the day on which the person fell under any of the following items (in the case any of the items (iv) through (vi) from the day on which the person fell under the item):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 任意継続被保険者となった日から起算して二年を経過したとき。
art-38/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-1
two years have elapsed since the day on which the person became an insured person with optional and continued coverage;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 死亡したとき。
art-38/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-2
the person dies;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 保険料（初めて納付すべき保険料を除く。）を納付期日までに納付しなかったとき（納付の遅延について正当な理由があると保険者が認めたときを除く。）。
art-38/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-3
insurance premiums (excluding the first insurance premium) are not paid by the due date (excluding when the insurer finds a justifiable reason for the delay in payment);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 被保険者となったとき。
art-38/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-4
the person becomes an insured person;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 船員保険の被保険者となったとき。
art-38/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-5
the person becomes an insured person covered by Seamen's Insurance; or
Ministry of Justice translation — Japanese Law Translation Database System
**六** 後期高齢者医療の被保険者等となったとき。
art-38/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-6
the person becomes a person with late-stage elderly medical care insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**七** 任意継続被保険者でなくなることを希望する旨を、厚生労働省令で定めるところにより、保険者に申し出た場合において、その申出が受理された日の属する月の末日が到来したとき。
art-38/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-38/par-1/item-7
the person has notified the insurer, pursuant to Order of the Ministry of Health, Labour and Welfare, of the person's wish to cease to be an insured person with optional and continued coverage, and the last day of the month that includes the day on which that notification was accepted arrives.
machine translation, not official
### 第三十九条（資格の得喪の確認） — (Confirmation of Acquisition or Loss of Eligibility)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-39 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-39
**第一項** 被保険者の資格の取得及び喪失は、保険者等（被保険者が協会が管掌する健康保険の被保険者である場合にあっては厚生労働大臣、被保険者が健康保険組合が管掌する健康保険の被保険者である場合にあっては当該健康保険組合をいう。第百六十四条第二項及び第三項、第百八十条第一項、第二項及び第四項並びに第百八十一条第一項を除き、以下同じ。）の確認によって、その効力を生ずる。ただし、第三十六条第四号に該当したことによる被保険者の資格の喪失並びに任意継続被保険者の資格の取得及び喪失は、この限りでない。
art-39/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-39/par-1
The acquisition or loss of eligibility as an insured person takes effect through confirmation by an insurer (meaning the Minister of Health, Labour and Welfare if the person is an insured person with optional and continued coverage under the health insurance program administered by JHIA; a health insurance society if the insured person is under the health insurance program administered by the health insurance society; or otherwise, the Minister of Health, Labour and Welfare; the same applies hereinafter excluding in Article 164, paragraphs (2) and (3), Article 180, paragraph (1), paragraph (2) and paragraph (4), and Article 181, paragraph (1)); however, this does not apply to the loss of eligibility as an insured person due to falling under Article 36, item (iv) or the acquisition or loss of eligibility as an insured person with optional continued coverage.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の確認は、第四十八条の規定による届出若しくは第五十一条第一項の規定による請求により、又は職権で行うものとする。
art-39/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-39/par-2
The confirmation referred to in the preceding paragraph is to be made by a notification pursuant to the provisions of Article 48, a request pursuant to the provisions of Article 51, paragraph (1), or sua sponte.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の確認については、行政手続法（平成五年法律第八十八号）第三章（第十二条及び第十四条を除く。）の規定は、適用しない。
art-39/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-39/par-3
With regard to the confirmation referred to in paragraph (1), the provisions of Chapter III (excluding Articles 12 and 14) of the Administrative Procedure Act (Act No. 88 of 1993) do not apply.
Ministry of Justice translation — Japanese Law Translation Database System
## 第二節 標準報酬月額及び標準賞与額 — Section 2 Standard Monthly Remuneration Amount and Standard Bonus
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-3/sec-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-3/sec-2
### 第四十条（標準報酬月額） — (Standard Monthly Remuneration Amount)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-40 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-40
**第一項** 標準報酬月額は、被保険者の報酬月額に基づき、次の等級区分（次項の規定により等級区分の改定が行われたときは、改定後の等級区分）によって定める。
標準報酬月額等級 標準報酬月額 報酬月額
第一級 五八、〇〇〇円 六三、〇〇〇円未満
第二級 六八、〇〇〇円 六三、〇〇〇円以上七三、〇〇〇円未満
第三級 七八、〇〇〇円 七三、〇〇〇円以上八三、〇〇〇円未満
第四級 八八、〇〇〇円 八三、〇〇〇円以上九三、〇〇〇円未満
第五級 九八、〇〇〇円 九三、〇〇〇円以上一〇一、〇〇〇円未満
第六級 一〇四、〇〇〇円 一〇一、〇〇〇円以上一〇七、〇〇〇円未満
第七級 一一〇、〇〇〇円 一〇七、〇〇〇円以上一一四、〇〇〇円未満
第八級 一一八、〇〇〇円 一一四、〇〇〇円以上一二二、〇〇〇円未満
第九級 一二六、〇〇〇円 一二二、〇〇〇円以上一三〇、〇〇〇円未満
第一〇級 一三四、〇〇〇円 一三〇、〇〇〇円以上一三八、〇〇〇円未満
第一一級 一四二、〇〇〇円 一三八、〇〇〇円以上一四六、〇〇〇円未満
第一二級 一五〇、〇〇〇円 一四六、〇〇〇円以上一五五、〇〇〇円未満
第一三級 一六〇、〇〇〇円 一五五、〇〇〇円以上一六五、〇〇〇円未満
第一四級 一七〇、〇〇〇円 一六五、〇〇〇円以上一七五、〇〇〇円未満
第一五級 一八〇、〇〇〇円 一七五、〇〇〇円以上一八五、〇〇〇円未満
第一六級 一九〇、〇〇〇円 一八五、〇〇〇円以上一九五、〇〇〇円未満
第一七級 二〇〇、〇〇〇円 一九五、〇〇〇円以上二一〇、〇〇〇円未満
第一八級 二二〇、〇〇〇円 二一〇、〇〇〇円以上二三〇、〇〇〇円未満
第一九級 二四〇、〇〇〇円 二三〇、〇〇〇円以上二五〇、〇〇〇円未満
第二〇級 二六〇、〇〇〇円 二五〇、〇〇〇円以上二七〇、〇〇〇円未満
第二一級 二八〇、〇〇〇円 二七〇、〇〇〇円以上二九〇、〇〇〇円未満
第二二級 三〇〇、〇〇〇円 二九〇、〇〇〇円以上三一〇、〇〇〇円未満
第二三級 三二〇、〇〇〇円 三一〇、〇〇〇円以上三三〇、〇〇〇円未満
第二四級 三四〇、〇〇〇円 三三〇、〇〇〇円以上三五〇、〇〇〇円未満
第二五級 三六〇、〇〇〇円 三五〇、〇〇〇円以上三七〇、〇〇〇円未満
第二六級 三八〇、〇〇〇円 三七〇、〇〇〇円以上三九五、〇〇〇円未満
第二七級 四一〇、〇〇〇円 三九五、〇〇〇円以上四二五、〇〇〇円未満
第二八級 四四〇、〇〇〇円 四二五、〇〇〇円以上四五五、〇〇〇円未満
第二九級 四七〇、〇〇〇円 四五五、〇〇〇円以上四八五、〇〇〇円未満
第三〇級 五〇〇、〇〇〇円 四八五、〇〇〇円以上五一五、〇〇〇円未満
第三一級 五三〇、〇〇〇円 五一五、〇〇〇円以上五四五、〇〇〇円未満
第三二級 五六〇、〇〇〇円 五四五、〇〇〇円以上五七五、〇〇〇円未満
第三三級 五九〇、〇〇〇円 五七五、〇〇〇円以上六〇五、〇〇〇円未満
第三四級 六二〇、〇〇〇円 六〇五、〇〇〇円以上六三五、〇〇〇円未満
第三五級 六五〇、〇〇〇円 六三五、〇〇〇円以上六六五、〇〇〇円未満
第三六級 六八〇、〇〇〇円 六六五、〇〇〇円以上六九五、〇〇〇円未満
第三七級 七一〇、〇〇〇円 六九五、〇〇〇円以上七三〇、〇〇〇円未満
第三八級 七五〇、〇〇〇円 七三〇、〇〇〇円以上七七〇、〇〇〇円未満
第三九級 七九〇、〇〇〇円 七七〇、〇〇〇円以上八一〇、〇〇〇円未満
第四〇級 八三〇、〇〇〇円 八一〇、〇〇〇円以上八五五、〇〇〇円未満
第四一級 八八〇、〇〇〇円 八五五、〇〇〇円以上九〇五、〇〇〇円未満
第四二級 九三〇、〇〇〇円 九〇五、〇〇〇円以上九五五、〇〇〇円未満
第四三級 九八〇、〇〇〇円 九五五、〇〇〇円以上一、〇〇五、〇〇〇円未満
第四四級 一、〇三〇、〇〇〇円 一、〇〇五、〇〇〇円以上一、〇五五、〇〇〇円未満
第四五級 一、〇九〇、〇〇〇円 一、〇五五、〇〇〇円以上一、一一五、〇〇〇円未満
第四六級 一、一五〇、〇〇〇円 一、一一五、〇〇〇円以上一、一七五、〇〇〇円未満
第四七級 一、二一〇、〇〇〇円 一、一七五、〇〇〇円以上一、二三五、〇〇〇円未満
第四八級 一、二七〇、〇〇〇円 一、二三五、〇〇〇円以上一、二九五、〇〇〇円未満
第四九級 一、三三〇、〇〇〇円 一、二九五、〇〇〇円以上一、三五五、〇〇〇円未満
第五〇級 一、三九〇、〇〇〇円 一、三五五、〇〇〇円以上
art-40/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-40/par-1
The standard monthly remuneration amount is determined based on the insured person's monthly remuneration amount according to the following grading (if the grading has been revised pursuant to the provisions of the following paragraph, the revised grading).
Standard Monthly Remuneration Amount Grade Standard monthly remuneration amount Monthly remuneration amount
Level 1 58,000 yen Less than 63,000 yen
Level 2 68,000 yen 63,000 yen or more but less than 73,000 yen
Level 3 78,000 yen 73,000 yen or more but less than 83,000 yen
Level 4 88,000 yen 83,000 yen or more but less than 93,000 yen
Level 5 98,000 yen 93,000 yen or more but less than 101,000 yen
Level 6 104,000 yen 101,000 yen or more but less than 107,000 yen
Level 7 110,000 yen 107,000 yen or more but less than 114,000 yen
Level 8 118,000 yen 114,000 yen or more but less than 122,000 yen
Level 9 126,000 yen 122,000 yen or more but less than 130,000 yen
Level 10 134,000 yen 130,000 yen or more but less than 138,000 yen
Level 11 142,000 yen 138,000 yen or more but less than 146,000 yen
Level 12 150,000 yen 146,000 yen or more but less than 155,000 yen
Level 13 160,000 yen 155,000 yen or more but less than 165,000 yen
Level 14 170,000 yen 165,000 yen or more but less than 175,000 yen
Level 15 180,000 yen 175,000 yen or more but less than 185,000 yen
Level 16 190,000 yen 185,000 yen or more but less than 195,000 yen
Level 17 200,000 yen 195,000 yen or more but less than 210,000 yen
Level 18 220,000 yen 210,000 yen or more but less than 230,000 yen
Level 19 240,000 yen 230,000 yen or more but less than 250,000 yen
Level 20 260,000 yen 250,000 yen or more but less than 270,000 yen
Level 21 280,000 yen 270,000 yen or more but less than 290,000 yen
Level 22 300,000 yen 290,000 yen or more but less than 310,000 yen
Level 23 320,000 yen 310,000 yen or more but less than 330,000 yen
Level 24 340,000 yen 330,000 yen or more but less than 350,000 yen
Level 25 360,000 yen 350,000 yen or more but less than 370,000 yen
Level 26 380,000 yen 370,000 yen or more but less than 395,000 yen
Level 27 410,000 yen 395,000 yen or more but less than 425,000 yen
Level 28 440,000 yen 425,000 yen or more but less than 455,000 yen
Level 29 470,000 yen 455,000 yen or more but less than 485,000 yen
Level 30 500,000 yen 485,000 yen or more but less than 515,000 yen
Level 31 530,000 yen 515,000 yen or more but less than 545,000 yen
Level 32 560,000 yen 545,000 yen or more but less than 575,000 yen
Level 33 590,000 yen 575,000 yen or more but less than 605,000 yen
Level 34 620,000 yen 605,000 yen or more but less than 635,000 yen
Level 35 650,000 yen 635,000 yen or more but less than 665,000 yen
Level 36 680,000 yen 665,000 yen or more but less than 695,000 yen
Level 37 710,000 yen 695,000 yen or more but less than 730,000 yen
Level 38 750,000 yen 730,000 yen or more but less than 770,000 yen
Level 39 790,000 yen 770,000 yen or more but less than 810,000 yen
Level 40 830,000 yen 810,000 yen or more but less than 855,000 yen
Level 41 880,000 yen 855,000 yen or more but less than 905,000 yen
Level 42 930,000 yen 905,000 yen or more but less than 955,000 yen
Level 43 980,000 yen 955,000 yen or more but less than 1,005,000 yen
Level 44 1,030,000 yen 1,005,000 yen or more but less than 1,055,000 yen
Level 45 1,090,000 yen 1,055,000 yen or more but less than 1,115,000 yen
Level 46 1,150,000 yen 1,115,000 yen or more but less than 1,175,000 yen
Level 47 1,210,000 yen 1,175,000 yen or more but less than 1,235,000 yen
Level 48 1,270,000 yen 1,235,000 yen or more but less than 1,295,000 yen
Level 49 1,330,000 yen 1,295,000 yen or more but less than 1,355,000 yen
Level 50 1,390,000 yen 1,355,000 yen or more
machine translation, not official
**第二項** 毎年三月三十一日における標準報酬月額等級の最高等級に該当する被保険者数の被保険者総数に占める割合が百分の一・五を超える場合において、その状態が継続すると認められるときは、その年の九月一日から、政令で、当該最高等級の上に更に等級を加える標準報酬月額の等級区分の改定を行うことができる。ただし、その年の三月三十一日において、改定後の標準報酬月額等級の最高等級に該当する被保険者数の同日における被保険者総数に占める割合が百分の〇・五を下回ってはならない。
art-40/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-40/par-2
If the ratio of the number of insured persons with the highest grade of standard monthly remuneration amount to the total number of insured persons on March 31 in a year exceeds 0.015 and that status is found to continue, the grading of the standard monthly remuneration amount may be revised by adding another grade to that highest grade by Cabinet Order from September 1 in the same year; provided, however, that the ratio of the number of insured persons with the highest grade of the revised standard monthly remuneration amount to the total number of insured persons must not be less than 0.005 on March 31 in the same year.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、前項の政令の制定又は改正について立案を行う場合には、社会保障審議会の意見を聴くものとする。
art-40/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-40/par-3
When planning the establishment or amendment of Cabinet Order referred to in the preceding paragraph, the Minister of Health, Labour and Welfare is to hear the opinions of the Social Security Council.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十一条（定時決定） — (Scheduled Decision)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-41 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-41
**第一項** 保険者等は、被保険者が毎年七月一日現に使用される事業所において同日前三月間（その事業所で継続して使用された期間に限るものとし、かつ、報酬支払の基礎となった日数が十七日（厚生労働省令で定める者にあっては、十一日。第四十三条第一項、第四十三条の二第一項及び第四十三条の三第一項において同じ。）未満である月があるときは、その月を除く。）に受けた報酬の総額をその期間の月数で除して得た額を報酬月額として、標準報酬月額を決定する。
art-41/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-41/par-1
An insurer determines the standard monthly remuneration amount based on the monthly remuneration amount which is obtained by dividing the total amount of remuneration received by the insured person at the place of business at which the person is employed as of July 1 each year for the preceding three-month period (limited to a period of consecutive employment at the place of business, and excluding any month in which the number of days based on which remuneration is paid is less than 17 days (11 days for persons specified by Order of the Ministry of Health, Labour and Welfare; the same applies in Article 43, paragraph (1), Article 43-2, paragraph (1) and Article 43-3, paragraph (1))) by the number of months in that period.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "An insurer determines the standard monthly remuneration amount based on the monthly remuneration amount which is obtained by dividing the total amount of remuneration received by the insured person at the place of business at which the person is employed as of July 1 each year for the preceding three-month period (limited to a period of consecutive employment at the place of business, and excluding any month in which the number of days based on which remuneration is paid is less than 17 days (11 days for persons specified by Order of the Ministry of Health, Labour and Welfare; the same applies in Article 43, paragraph (1), Article 43-2, paragraph (1) and Article 43-3, paragraph (1))) by three." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 前項の規定によって決定された標準報酬月額は、その年の九月から翌年の八月までの各月の標準報酬月額とする。
art-41/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-41/par-2
A standard monthly remuneration amount determined pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount of each month from September in the relevant year until August in the following year.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定は、六月一日から七月一日までの間に被保険者の資格を取得した者及び第四十三条、第四十三条の二又は第四十三条の三の規定により七月から九月までのいずれかの月から標準報酬月額を改定され、又は改定されるべき被保険者については、その年に限り適用しない。
art-41/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-41/par-3
Regarding persons who obtained eligibility as an insured person during the period between June 1 and July 1 or insured persons whose standard monthly remuneration amount has been or is to be revised in any month from July through September pursuant to the provisions of Articles 43, 43-2 or 43-3, the provisions of paragraph (1) do not apply during that year.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十二条（被保険者の資格を取得した際の決定） — (Determination upon Acquisition of Eligibility as an Insured Person)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42
**第一項** 保険者等は、被保険者の資格を取得した者があるときは、次に掲げる額を報酬月額として、標準報酬月額を決定する。
art-42/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-1
When a person who obtains eligibility as an insured person, the insurer determines the standard monthly remuneration amount with the amounts listed below as the monthly remuneration amount:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 月、週その他一定期間によって報酬が定められる場合には、被保険者の資格を取得した日の現在の報酬の額をその期間の総日数で除して得た額の三十倍に相当する額
art-42/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-1/item-1
if the wages are determined on the basis of a monthly, weekly or other fixed period, the amount equivalent to thirty times the amount obtained by dividing the amount of the remuneration as of the day on which eligibility as an insured person is obtained by the total number of days in that period;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 日、時間、出来高又は請負によって報酬が定められる場合には、被保険者の資格を取得した月前一月間に当該事業所で、同様の業務に従事し、かつ、同様の報酬を受ける者が受けた報酬の額を平均した額
art-42/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-1/item-2
if the remuneration is determined on the basis of working days or hours, or in accordance with a piece rate or other contract price, the average of the amounts of remuneration received by persons engaged in similar work at the place of business for one month preceding the month in which eligibility as an insured person is obtained and who receive similar remuneration;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 前二号の規定によって算定することが困難であるものについては、被保険者の資格を取得した月前一月間に、その地方で、同様の業務に従事し、かつ、同様の報酬を受ける者が受けた報酬の額
art-42/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-1/item-3
if it is difficult to calculate pursuant to the provisions of the preceding two items, the amount of remuneration received by a person engaged in similar work in the region for one month preceding the month in which eligibility as an insured person is obtained and who receives similar remuneration; or
Ministry of Justice translation — Japanese Law Translation Database System
**四** 前三号のうち二以上に該当する報酬を受ける場合には、それぞれについて、前三号の規定によって算定した額の合算額
art-42/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-1/item-4
in the case of receiving remuneration corresponding to two or more of the preceding three items, the total sum of the amounts calculated for each pursuant to the provisions of the preceding three items.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定によって決定された標準報酬月額は、被保険者の資格を取得した月からその年の八月（六月一日から十二月三十一日までの間に被保険者の資格を取得した者については、翌年の八月）までの各月の標準報酬月額とする。
art-42/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-42/par-2
A standard monthly remuneration amount determined pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount of each month since the day on which the person obtained eligibility as an insured person until August in that year (August in the following year if the person obtained eligibility as an insured person between July 1 to December 31).
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十三条（改定） — (Revision)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-43 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43
**第一項** 保険者等は、被保険者が現に使用される事業所において継続した三月間（各月とも、報酬支払の基礎となった日数が、十七日以上でなければならない。）に受けた報酬の総額を三で除して得た額が、その者の標準報酬月額の基礎となった報酬月額に比べて、著しく高低を生じた場合において、必要があると認めるときは、その額を報酬月額として、その著しく高低を生じた月の翌月から、標準報酬月額を改定することができる。
art-43/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43/par-1
If the amount obtained by dividing the total amount of remuneration received for three consecutive months at the place of business employing an insured person (in each month, the number of days based on which remuneration is paid must be no less than 17 days) by three is significantly higher or lower than the person's monthly remuneration that is the basis of the standard monthly remuneration amount and the insurer finds it necessary, the insurer may revise the standard monthly remuneration amount by setting the first-mentioned amount as the monthly remuneration amount starting from the month following the months in which the monthly remuneration amount was significantly high or low.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定によって改定された標準報酬月額は、その年の八月（七月から十二月までのいずれかの月から改定されたものについては、翌年の八月）までの各月の標準報酬月額とする。
art-43/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43/par-2
A standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount for each month until August in that year (until August in the following year for a revision in any month from July to December).
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十三条の二（育児休業等を終了した際の改定） — (Amount Revised When Childcare Leave Ends)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-43-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-2
**第一項** 保険者等は、育児休業、介護休業等育児又は家族介護を行う労働者の福祉に関する法律（平成三年法律第七十六号）第二条第一号に規定する育児休業、同法第二十三条第二項の育児休業に関する制度に準ずる措置若しくは同法第二十四条第一項（第二号に係る部分に限る。）の規定により同項第二号に規定する育児休業に関する制度に準じて講ずる措置による休業又は政令で定める法令に基づく育児休業（以下「育児休業等」という。）を終了した被保険者が、当該育児休業等を終了した日（以下この条において「育児休業等終了日」という。）において当該育児休業等に係る三歳に満たない子を養育する場合において、その使用される事業所の事業主を経由して厚生労働省令で定めるところにより保険者等に申出をしたときは、第四十一条の規定にかかわらず、育児休業等終了日の翌日が属する月以後三月間（育児休業等終了日の翌日において使用される事業所で継続して使用された期間に限るものとし、かつ、報酬支払の基礎となった日数が十七日未満である月があるときは、その月を除く。）に受けた報酬の総額をその期間の月数で除して得た額を報酬月額として、標準報酬月額を改定する。ただし、育児休業等終了日の翌日に次条第一項に規定する産前産後休業を開始している被保険者は、この限りでない。
art-43-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-2/par-1
If childcare leave prescribed in Article 2, item (i) of the Act on the Welfare of Workers Taking Child Care or Family Care Leave to Care for Children or Other Family Members (Act No. 76 of 1991), leave through a measure equivalent to the system for childcare leave prescribed in Article 23, paragraph (2) of the same Act or a measure taken in the same manner as the system for childcare leave prescribed in item (ii) of the same paragraph pursuant to the provisions of Article 24, paragraph (1) of the same Act, or childcare leave based on laws and regulations specified by Cabinet Order (hereinafter referred to as "childcare leave") taken by an insured person ends and the person is taking care of a child less than three years of age to which the childcare leave pertains on the last day of the childcare leave (referred to as "last day of childcare leave" hereinafter in this Article) after submitting a request to the insurer via the employer of the place of business employing the person as specified by Order of the Ministry of Health, Labour and Welfare, the standard monthly remuneration amount is revised by setting the amount obtained by dividing the total amount of remuneration received for the three months beginning with the month which includes the day following the last day of childcare leave (limited to a period of consecutive employment at the place of business employing the person on the day following the last day of childcare leave; and excluding any month in which the number of days based on which remuneration is paid is less than 17 days) by the number of months in that period as the monthly remuneration amount, notwithstanding the provisions of Article 41; provided, however, that this does not apply to an insured person who commences the maternity leave prescribed in paragraph (1) of the following Article on the day following the last day of childcare leave.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If childcare leave prescribed in Article 2, item (i) of the Act on the Welfare of Workers Taking Child Care or Family Care Leave to Care for Children or Other Family Members (Act No. 76 of 1991), leave through a measure equivalent to the system for childcare leave prescribed in Article 23, paragraph (2) of the same Act or a measure taken in the same manner as the system for childcare leave prescribed in item (ii) of the same paragraph pursuant to the provisions of Article 24, paragraph (1) of the same Act, or childcare leave based on laws and regulations specified by Cabinet Order (hereinafter referred to as "childcare leave") taken by an insured person ends and the person is taking care of a child less than three years of age to which the childcare leave pertains on the last day of the childcare leave (referred to as "last day of childcare leave" hereinafter in this Article) after submitting a request to the insurer via the employer of the place of business employing the person as specified by Order of the Ministry of Health, Labour and Welfare, the standard monthly remuneration amount is revised by setting the amount obtained by dividing the total amount of remuneration received for the three months (limited to a period of consecutive employment at the place of business employing the person on the day following the last day of childcare leave; and excluding any month in which the number of days based on which remuneration is paid is less than 17 days) following the month which includes the day following the last day of childcare leave by three as the monthly remuneration amount, notwithstanding the provisions of Article 41; provided, however, that this does not apply to an insured person who commences the maternity leave prescribed in paragraph (1) of the following Article on the day following the last day of childcare leave." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 前項の規定によって改定された標準報酬月額は、育児休業等終了日の翌日から起算して二月を経過した日の属する月の翌月からその年の八月（当該翌月が七月から十二月までのいずれかの月である場合は、翌年の八月）までの各月の標準報酬月額とする。
art-43-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-2/par-2
A standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount for each month since the month following the month which includes the day on which two years have elapsed since the day following the last day of childcare leave until August in that year (August in the following year if that following month is any of September to December).
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十三条の三（産前産後休業を終了した際の改定） — (Amount Revised after End of Maternity Leave)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-43-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-3
**第一項** 保険者等は、産前産後休業（出産の日（出産の日が出産の予定日後であるときは、出産の予定日）以前四十二日（多胎妊娠の場合においては、九十八日）から出産の日後五十六日までの間において労務に服さないこと（妊娠又は出産に関する事由を理由として労務に服さない場合に限る。）をいう。以下同じ。）を終了した被保険者が、当該産前産後休業を終了した日（以下この条において「産前産後休業終了日」という。）において当該産前産後休業に係る子を養育する場合において、その使用される事業所の事業主を経由して厚生労働省令で定めるところにより保険者等に申出をしたときは、第四十一条の規定にかかわらず、産前産後休業終了日の翌日が属する月以後三月間（産前産後休業終了日の翌日において使用される事業所で継続して使用された期間に限るものとし、かつ、報酬支払の基礎となった日数が十七日未満である月があるときは、その月を除く。）に受けた報酬の総額をその期間の月数で除して得た額を報酬月額として、標準報酬月額を改定する。ただし、産前産後休業終了日の翌日に育児休業等を開始している被保険者は、この限りでない。
art-43-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-3/par-1
If maternity leave (meaning not engaging in labor for the period from 42 days (98 days in the case of multiple fetuses) before the day of childbirth (the due date of childbirth if the day of childbirth is after the due date of childbirth) to 56 days after the day of childbirth (limited to not engaging in labor for reasons relating to pregnancy or childbirth); hereinafter the same applies) taken by an insured person ends and the person is taking care of a child to which the maternity leave pertains on the last day of the maternity leave (referred to as "last day of maternity leave" hereinafter in this Article) after submitting a request to the insurer via the employer of the place of business employing the person as specified by Order of the Ministry of Health, Labour and Welfare, the standard monthly remuneration amount is revised by setting the amount obtained by dividing the total amount of remuneration received for the three months beginning with the month which includes the day following the last day of maternity leave (limited to a period of consecutive employment at the place of business employing the person on the day following the last day of maternity leave; and excluding any month in which the number of days based on which remuneration is paid is less than 17 days) by the number of months in that period as the monthly remuneration amount, notwithstanding the provisions of Article 41; provided, however, that this does not apply to an insured person who commences childcare leave on the day following the last day of maternity leave.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If maternity leave (meaning not engaging in labor for the period from 42 days (98 days in the case of multiple fetuses) before the day of childbirth (the due date of childbirth if the day of childbirth is after the due date of childbirth); hereinafter the same applies) to 56 days after the day of childbirth) taken by an insured person ends and the person is taking care of a child less than three years of age to which the maternity leave pertains on the last day of the maternity leave (referred to as "last day of maternity leave" hereinafter in this Article) after submitting a request to the insurer via the employer of the place of business employing the person as specified by Order of the Ministry of Health, Labour and Welfare, the standard monthly remuneration amount is revised by setting the amount obtained by dividing the total amount of remuneration received for the three months (limited to a period of consecutive employment at the place of business employing the person on the day following the last day of maternity leave; and excluding any month in which the number of days based on which remuneration is paid is less than 17 days) following the month which includes the day following the last day of maternity leave by three as the monthly remuneration amount, notwithstanding the provisions Article 41; provided, however, that this does not apply to an insured person who commences childcare leave on the day following the last day of maternity leave." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 前項の規定によって改定された標準報酬月額は、産前産後休業終了日の翌日から起算して二月を経過した日の属する月の翌月からその年の八月（当該翌月が七月から十二月までのいずれかの月である場合は、翌年の八月）までの各月の標準報酬月額とする。
art-43-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-43-3/par-2
A standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount for each month since the month following the month which includes the day on which two years have elapsed since the day following the last day of maternity leave until August in that year (August in the following year if that following month is any of September to December).
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十四条（報酬月額の算定の特例） — (Special Provisions for Calculation of Monthly Remuneration)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-44 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-44
**第一項** 保険者等は、被保険者の報酬月額が、第四十一条第一項、第四十二条第一項、第四十三条の二第一項若しくは前条第一項の規定によって算定することが困難であるとき、又は第四十一条第一項、第四十二条第一項、第四十三条第一項、第四十三条の二第一項若しくは前条第一項の規定によって算定した額が著しく不当であると認めるときは、これらの規定にかかわらず、その算定する額を当該被保険者の報酬月額とする。
art-44/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-44/par-1
If it is difficult to calculate an insured person's monthly remuneration amount pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43-2, paragraph (1) or paragraph (1) of the preceding Article, or if the amount calculated pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), Article 43-2, paragraph (1) or paragraph (1) of the preceding Article is found to be significantly unjustifiable, notwithstanding these provisions, the insured person's monthly remuneration amount is an amount determined by the insurer.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、保険者が健康保険組合であるときは、同項の算定方法は、規約で定めなければならない。
art-44/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-44/par-2
In the case of the preceding paragraph, if the insurer is a health insurance society, the calculation method in the same paragraph must be specified by the constitution.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 同時に二以上の事業所で報酬を受ける被保険者について報酬月額を算定する場合においては、各事業所について、第四十一条第一項、第四十二条第一項、第四十三条第一項、第四十三条の二第一項若しくは前条第一項又は第一項の規定によって算定した額の合算額をその者の報酬月額とする。
art-44/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-44/par-3
In calculating the monthly remuneration amount for an insured person who receives remuneration at two or more places of business at the same time, the total sum of the amounts calculated pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), Article 43-2, paragraph (1), or paragraph (1) of the preceding Article or paragraph (1) is the person's monthly remuneration amount.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十五条（標準賞与額の決定） — (Determination of the Amount of Standard Bonus)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-45
**第一項** 保険者等は、被保険者が賞与を受けた月において、その月に当該被保険者が受けた賞与額に基づき、これに千円未満の端数を生じたときは、これを切り捨てて、その月における標準賞与額を決定する。ただし、その月に当該被保険者が受けた賞与によりその年度（毎年四月一日から翌年三月三十一日までをいう。以下同じ。）における標準賞与額の累計額が五百七十三万円（第四十条第二項の規定による標準報酬月額の等級区分の改定が行われたときは、政令で定める額。以下この項において同じ。）を超えることとなる場合には、当該累計額が五百七十三万円となるようその月の標準賞与額を決定し、その年度においてその月の翌月以降に受ける賞与の標準賞与額は零とする。
art-45/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-45/par-1
An insurer determines the standard bonus amount in a month based on the amount of bonus received by the insured in the month in which the person received the bonus by rounding the amount down to the nearest 1,000 yen; provided, however, that if the cumulative amount of standard bonus during that fiscal year (from April 1 to the following March 31; the same applies hereinafter) exceeds 5,730,000 yen (an amount specified by Cabinet Order if the standard monthly remuneration amount grading has been revised pursuant to the provisions of Article 40, paragraph (2); the same applies in this paragraph) due to the bonus received by the insured person in that month, the standard bonus amount for the month is determined so that the cumulative amount is 5,730,000 yen and the standard amount of bonus received after the following month in the fiscal year is zero.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第四十条第三項の規定は前項の政令の制定又は改正について、前条の規定は標準賞与額の算定について準用する。
art-45/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-45/par-2
The provisions of Article 40, paragraph (3) apply mutatis mutandis to the establishment or amendment of Cabinet Order referred to in the preceding paragraph and the provisions of the preceding Article apply mutatis mutandis to the calculation of the amount of standard bonus.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十六条（現物給与の価額） — (Value of Allowance in Kind)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-46 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-46
**第一項** 報酬又は賞与の全部又は一部が、通貨以外のもので支払われる場合においては、その価額は、その地方の時価によって、厚生労働大臣が定める。
art-46/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-46/par-1
When all or part of remuneration or bonus should be paid other than in currency, the amount is specified by the Minister of Health, Labour and Welfare based on the local market price.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 健康保険組合は、前項の規定にかかわらず、規約で別段の定めをすることができる。
art-46/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-46/par-2
A health insurance society may establish different standards in its constitution notwithstanding the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十七条（任意継続被保険者の標準報酬月額） — (Standard Monthly Remuneration Amount of Insured Persons With Optional and Continued Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-47 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-47
**第一項** 任意継続被保険者の標準報酬月額については、第四十一条から第四十四条までの規定にかかわらず、次の各号に掲げる額のうちいずれか少ない額をもって、その者の標準報酬月額とする。
art-47/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-47/par-1
Notwithstanding the provisions of Articles 41 through 44, with respect to the standard monthly remuneration amount of an insured person with optional and continued coverage, the smaller amount between the amounts listed in the following items is the person's standard monthly remuneration amount:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該任意継続被保険者が被保険者の資格を喪失したときの標準報酬月額
art-47/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-47/par-1/item-1
the standard monthly remuneration amount to be paid when the insured person with optional and continued coverage has lost eligibility as an insured person; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 前年（一月から三月までの標準報酬月額については、前々年）の九月三十日における当該任意継続被保険者の属する保険者が管掌する全被保険者の同月の標準報酬月額を平均した額（健康保険組合が当該平均した額の範囲内においてその規約で定めた額があるときは、当該規約で定めた額）を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額
art-47/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-47/par-1/item-2
the standard monthly remuneration amount calculated when the average standard monthly remuneration amount of all insured persons administered by the insurer (if the health insurance association has any amount specified in its constitution within the range of the average amount, that amount) that provided insurance to the insured person with optional and continued coverage on September 30 in the preceding year (for the standard monthly remuneration amount from January to March, the year prior to the preceding year) is deemed to be the monthly remuneration amount that is the basis of the standard monthly remuneration amount.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険者が健康保険組合である場合においては、前項の規定にかかわらず、同項第一号に掲げる額が同項第二号に掲げる額を超える任意継続被保険者について、規約で定めるところにより、同項第一号に掲げる額（当該健康保険組合が同項第二号に掲げる額を超え同項第一号に掲げる額未満の範囲内においてその規約で定めた額があるときは、当該規約で定めた額を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額）をその者の標準報酬月額とすることができる。
art-47/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-47/par-2
In the case where the insurer is a health insurance society, notwithstanding the provisions of the preceding paragraph, with respect to an insured person with optional and continued coverage for whom the amount listed in item (i) of that paragraph exceeds the amount listed in item (ii) of that paragraph, the health insurance society may, as provided in its constitution, make the amount listed in item (i) of that paragraph (if the health insurance society has an amount that its constitution specifies within the range exceeding the amount listed in item (ii) of that paragraph and less than the amount listed in item (i) of that paragraph, the standard monthly remuneration amount calculated when the amount so specified in its constitution is deemed to be the monthly remuneration amount that is the basis of the standard monthly remuneration amount) the person's standard monthly remuneration amount.
machine translation, not official
## 第三節 届出等 — Section 3 Notification
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-3/sec-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-3/sec-3
### 第四十八条（届出） — (Notification)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-48
**第一項** 適用事業所の事業主は、厚生労働省令で定めるところにより、被保険者の資格の取得及び喪失並びに報酬月額及び賞与額に関する事項を保険者等に届け出なければならない。
art-48/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-48/par-1
The employer of an applicable place of business must notify the insurer of particulars relating to the acquisition and loss of eligibility as an insured person as well as the monthly remuneration amount and bonus amount pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四十九条（通知） — (Notice)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-49 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49
**第一項** 厚生労働大臣は、第三十三条第一項の規定による認可を行ったときは、その旨を当該事業主に通知するものとし、保険者等は、第三十九条第一項の規定による確認又は標準報酬（標準報酬月額及び標準賞与額をいう。以下同じ。）の決定若しくは改定を行ったときは、その旨を当該事業主に通知しなければならない。
art-49/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49/par-1
When the Minister of Health, Labour and Welfare gives authorization pursuant to the provisions of Article 33, paragraph (1), the Minister must notify the employer to that effect, and the insurer, upon performing confirmation pursuant to Article 39, paragraph (1), or determining or revising the standard remuneration amount (meaning the standard monthly remuneration amount and standard monthly bonus amount; the same applies hereinafter), must notify the employer to that effect.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 事業主は、前項の通知があったときは、速やかに、これを被保険者又は被保険者であった者に通知しなければならない。
art-49/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49/par-2
When a notice referred to in the preceding paragraph is given, the employer must promptly notify the person who is or was insured.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When a notice referred to in the preceding item is given, the employer must promptly notify the person who is or was insured." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第三項** 被保険者が被保険者の資格を喪失した場合において、その者の所在が明らかでないため前項の通知をすることができないときは、事業主は、厚生労働大臣又は保険者等にその旨を届け出なければならない。
art-49/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49/par-3
When an insured person loses eligibility as an insured person and a notice referred to in the preceding paragraph cannot be given since the whereabouts of the person are unknown, the employer must notify the Minister of Health, Labour and Welfare and the insurer to that effect.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生労働大臣は、前項の届出があったときは、所在が明らかでない者について第一項の規定により事業主に通知した事項を公告するものとし、保険者等は、前項の届出があったときは、所在が明らかでない者について第一項の規定により事業主に通知した事項を公告しなければならない。
art-49/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49/par-4
When the notification referred to in the preceding paragraph is given, the Minister of Health, Labour and Welfare and the insurer must give public notice of the matters stated in the notification given to the employer pursuant to the provisions of paragraph (1) about the person whose whereabouts are unknown.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 厚生労働大臣は、事業所が廃止された場合その他やむを得ない事情のため第一項の通知をすることができない場合においては、同項の通知に代えて、その通知すべき事項を公告するものとし、保険者等は、事業所が廃止された場合その他やむを得ない事情のため同項の通知をすることができない場合においては、同項の通知に代えて、その通知すべき事項を公告しなければならない。
art-49/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-49/par-5
If the Minister of Health, Labour and Welfare and the insurer fail to give a notice referred to in paragraph (1) due to abolishment of the place of business or other unavoidable circumstances, they must make a public notice of the matters to be notified in lieu of the notice referred to in paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十条
art-50 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-50
**第一項** 保険者等は、第四十八条の規定による届出があった場合において、その届出に係る事実がないと認めるときは、その旨をその届出をした事業主に通知しなければならない。
art-50/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-50/par-1
When a notification is given pursuant to the provisions of Article 48, if no fact pertaining the notice is found, the insurer must give notify to that effect the employer who gave the notification.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前条第二項から第五項までの規定は、前項の通知について準用する。
art-50/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-50/par-2
The provisions of paragraphs (2) through (5) of the preceding Article apply mutatis mutandis to the notice referred to the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十一条（確認の請求） — (Request for Confirmation)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-51 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51
**第一項** 被保険者又は被保険者であった者は、いつでも、第三十九条第一項の規定による確認を請求することができる。
art-51/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51/par-1
A person who is or was an insured person may at any time demand confirmation pursuant to the provisions of Article 39, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険者等は、前項の規定による請求があった場合において、その請求に係る事実がないと認めるときは、その請求を却下しなければならない。
art-51/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51/par-2
When an insurer receives a request referred to in the provisions of the preceding paragraph, the insurer must dismiss the request if no fact pertaining to it is found.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When an insurer receives a request referred to in the provisions of Article 48, the insurer must dismiss the request if no fact pertaining to it is found." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第五十一条の二（情報の提供等） — (Provision of Information)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-51-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51-2
**第一項** 厚生労働大臣は、協会に対し、厚生労働省令で定めるところにより、被保険者の資格に関する事項、標準報酬に関する事項その他協会の業務の実施に関して必要な情報の提供を行うものとする。
art-51-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51-2/par-1
The Minister of Health, Labour and Welfare provides information to JHIA on matters concerning the eligibility of insured persons and standard remuneration, and necessary information concerning the provision of JHIA's services, pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十一条の三（被保険者の資格の確認に必要な書面の交付等） — Delivery, etc. of Documents Necessary for Confirming Eligibility as an Insured Person
caption: machine translation, not official
art-51-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51-3
**第一項** 被保険者又はその被扶養者が電子資格確認を受けることができない状況にあるときは、当該被保険者は、厚生労働省令で定めるところにより、保険者に対し、当該状況にある被保険者若しくはその被扶養者の資格に係る情報として厚生労働省令で定める事項を記載した書面の交付又は当該事項の電磁的方法（電子情報処理組織を使用する方法その他の情報通信の技術を利用する方法であって厚生労働省令で定めるものをいう。以下この条において同じ。）による提供を求めることができる。この場合において、当該保険者は、厚生労働省令で定めるところにより、速やかに、当該書面の交付の求めを行った被保険者に対しては当該書面を交付するものとし、当該電磁的方法による提供の求めを行った被保険者に対しては当該事項を電磁的方法により提供するものとする。
art-51-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51-3/par-1
When an insured person or the insured person's dependent is in a situation where the insured person or dependent cannot undergo electronic eligibility confirmation, the insured person may, pursuant to Order of the Ministry of Health, Labour and Welfare, request the insurer to deliver a document stating the matters specified by Order of the Ministry of Health, Labour and Welfare as information relating to the eligibility of the insured person or the insured person's dependent who is in that situation, or to provide those matters by electronic or magnetic means (meaning a method using an electronic data processing system or another method using information and communications technology that is specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article). In this case, the insurer is, pursuant to Order of the Ministry of Health, Labour and Welfare, to promptly deliver the document to the insured person who has made the request for delivery of the document, and to provide the matters by electronic or magnetic means to the insured person who has made the request for provision by electronic or magnetic means.
machine translation, not official
**第二項** 前項の規定により同項の書面の交付を受け、若しくは電磁的方法により同項の厚生労働省令で定める事項の提供を受けた被保険者又はその被扶養者は、当該書面又は当該事項を厚生労働省令で定める方法により表示したものを提示することにより、第六十三条第三項（第百十条第七項において準用する場合を含む。）、第八十五条第一項、第八十五条の二第一項、第八十六条第一項又は第八十八条第三項（第百十一条第三項において準用する場合を含む。）の確認を受けることができる。
art-51-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-51-3/par-2
An insured person or the insured person's dependent who has received the document referred to in the preceding paragraph pursuant to the provisions of that paragraph, or who has been provided by electronic or magnetic means with the matters specified by Order of the Ministry of Health, Labour and Welfare referred to in that paragraph, may receive the confirmation referred to in Article 63, paragraph (3) (including as applied mutatis mutandis pursuant to Article 110, paragraph (7)), Article 85, paragraph (1), Article 85-2, paragraph (1), Article 86, paragraph (1), or Article 88, paragraph (3) (including as applied mutatis mutandis pursuant to Article 111, paragraph (3)) by presenting the document, or a display of those matters made by a method specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
## 第四章 保険給付 — Chapter IV Insurance Benefits
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4
## 第一節 通則 — Section 1 General Rules
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-1
### 第五十二条（保険給付の種類） — (Types of Insurance Benefits)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-52 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52
**第一項** 被保険者に係るこの法律による保険給付は、次のとおりとする。
art-52/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1
Insurance benefits for an insured person provided by this Act are as follows:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費及び移送費の支給
art-52/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-1
benefits for medical treatment, as well as payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, and transport expenses;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 傷病手当金の支給
art-52/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-2
payment of injury and sickness allowance;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 埋葬料の支給
art-52/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-3
payment of burial charges;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 出産育児一時金の支給
art-52/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-4
payment of lump-sum allowance for childbirth and childcare;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 出産手当金の支給
art-52/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-5
payment of childbirth allowance;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 家族療養費、家族訪問看護療養費及び家族移送費の支給
art-52/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-6
payment of dependent's medical expenses, dependent's medical expenses for home-nursing, and dependent's transport expenses;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 家族埋葬料の支給
art-52/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-7
payment of dependent's burial charges;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 家族出産育児一時金の支給
art-52/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-8
lump-sum allowance for dependent's childbirth and childcare; and
Ministry of Justice translation — Japanese Law Translation Database System
**九** 高額療養費及び高額介護合算療養費の支給
art-52/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-52/par-1/item-9
payment of high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care;
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十三条（健康保険組合の付加給付） — (Fringe Benefits of Health Insurance Societies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-53 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-53
**第一項** 保険者が健康保険組合である場合においては、前条各号に掲げる給付に併せて、規約で定めるところにより、保険給付としてその他の給付を行うことができる。
art-53/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-53/par-1
If the insurer is a health insurance society, other benefits may be made as insurance benefits beyond the insurance benefits listed in the items of the preceding Article, as prescribed in the constitution.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十三条の二（法人の役員である被保険者又はその被扶養者に係る保険給付の特例） — (Special Provisions for Insurance Benefits Pertaining to Officers of a Corporation Who are Insured Persons or Dependents Thereof)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-53-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-53-2
**第一項** 被保険者又はその被扶養者が法人の役員（業務を執行する社員、取締役、執行役又はこれらに準ずる者をいい、相談役、顧問その他いかなる名称を有する者であるかを問わず、法人に対し業務を執行する社員、取締役、執行役又はこれらに準ずる者と同等以上の支配力を有するものと認められる者を含む。以下この条において同じ。）であるときは、当該被保険者又はその被扶養者のその法人の役員としての業務（被保険者の数が五人未満である適用事業所に使用される法人の役員としての業務であって厚生労働省令で定めるものを除く。）に起因する疾病、負傷又は死亡に関して保険給付は、行わない。
art-53-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-53-2/par-1
If an insured person or a dependent thereof is an officer of a corporation (meaning an employee, director, executive officer who executes business, or person in an equivalent position, including those recognized as having the same or greater influence over a corporation as employees who execute business, directors, corporate officers, or person in an equivalent position, regardless of their titles, such as counselor, consultant, etc.; the same applies hereinafter in this Article), insurance benefits are not paid for sickness, injury or death resulting from the duty of the insured person or the person's dependent as an officer of the corporation (excluding duties as an officer of a corporation that is used as an applicable place of business in which the number of insured persons is less than five and is specified by Order of the Ministry of Health, Labor and Welfare).
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十四条（日雇特例被保険者に係る保険給付との調整） — (Coordination with Insurance Benefits Pertaining to Specially-Insured Day Laborers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-54 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-54
**第一項** 被保険者に係る家族療養費（第百十条第七項において準用する第八十七条第一項の規定により支給される療養費を含む。）、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、次章の規定により療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給を受けたときは、その限度において、行わない。
art-54/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-54/par-1
Dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 87, paragraph (1) as applied mutatis mutandis to Article 110, paragraph (7)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare in relation to an insured person are not paid to that extent if the insured person received medical benefits or dietary treatment expense for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare for the same sickness, injury, death, or childbirth pursuant to the provisions of the following Chapter.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 87, paragraph (1) as applied mutatis mutandis to Article 110, paragraph (7)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare in relation to an insured person are not paid to that extent if the insured person received medical benefits or dietary treatment expense for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare for the same sickness, injury, death, or child birth pursuant to the provisions of the following Article." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第五十五条（他の法令による保険給付との調整） — (Coordination with Insurance Benefit Pursuant to Other Laws and Regulations)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-55 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-55
**第一項** 被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、家族療養費、家族訪問看護療養費、家族移送費若しくは家族埋葬料の支給は、同一の疾病、負傷又は死亡について、労働者災害補償保険法、国家公務員災害補償法（昭和二十六年法律第百九十一号。他の法律において準用し、又は例による場合を含む。次項及び第百二十八条第二項において同じ。）又は地方公務員災害補償法（昭和四十二年法律第百二十一号）若しくは同法に基づく条例の規定によりこれらに相当する給付を受けることができる場合には、行わない。
art-55/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-55/par-1
Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, or dependent's burial charges in relation to an insured person are not paid if the insured person may receive payment corresponding to those for the same sickness, injury, or death pursuant to the provisions of the Industrial Accident Compensation Insurance Act, the National Public Officers' Accident Compensation Act (Act No. 191 of 1951; including when this is applied mutatis mutandis to other laws and the same rule governs; the same applies in the following paragraph and Article 128, paragraph (2)), the Local Public Officers Accident Compensation Act (Act No. 121 of 1967), or a Prefectural or Municipal Ordinance based on the same Act.
machine translation, not official
**第二項** 保険者は、傷病手当金の支給を行うにつき必要があると認めるときは、労働者災害補償保険法、国家公務員災害補償法又は地方公務員災害補償法若しくは同法に基づく条例の規定により給付を行う者に対し、当該給付の支給状況につき、必要な資料の提供を求めることができる。
art-55/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-55/par-2
When an insurer finds it necessary for the payment of injury and sickness allowance, the insurer may request those who pay benefits pursuant to the provisions of the Industrial Accident Compensation Insurance Act, the National Public Officers' Accident Compensation Act, or the Local Public Officers Accident Compensation Act, or a Prefectural or Municipal Ordinance based on the same Act, to provide necessary materials about the status of payment of those benefits.
machine translation, not official
**第三項** 被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給は、同一の疾病又は負傷について、介護保険法の規定によりこれらに相当する給付を受けることができる場合には、行わない。
art-55/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-55/par-3
Benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing in relation to an insured person are not paid if the insured person is eligible for benefits equivalent thereto for the same illness or injury pursuant to the provisions of the Long-Term Care Insurance Act.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing in relation to an insured person are not be paid if the insured person is eligible for benefits equivalent thereto for the same illness or injury pursuant to the provisions of the Long-Term Care Insurance Act." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第四項** 被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、家族療養費、家族訪問看護療養費若しくは家族移送費の支給は、同一の疾病又は負傷について、他の法令の規定により国又は地方公共団体の負担で療養又は療養費の支給を受けたときは、その限度において、行わない。
art-55/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-55/par-4
Benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, or dependent's transport expenses in relation to an insured person are not paid to that extent if the insured person received medical treatment or medical expenses for the same sickness or injury from the national government or local government pursuant to the provisions of other laws and regulations.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, or dependent's transport expenses in relation to an insured person are not paid made to that extent in cases if the insured person received medical treatment or medical expenses for the same sickness or injury from the national government or local government pursuant to the provisions of other laws and regulations." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第五十六条（保険給付の方法） — (Insurance Benefit Method)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-56 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-56
**第一項** 入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、出産育児一時金、出産手当金、家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料及び家族出産育児一時金の支給は、その都度、行わなければならない。第百条第二項（第百五条第二項において準用する場合を含む。）の規定による埋葬に要した費用に相当する金額の支給についても、同様とする。
art-56/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-56/par-1
Dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, and lump-sum allowance for dependent's childbirth and childcare must be paid on each occasion. This also applies to the payment of an amount equivalent to the cost of burial pursuant to the provisions of Article 100, paragraph (2) (including when applied mutatis mutandis to Article 105, paragraph (2)).
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, and lump-sum allowance for dependent's childbirth and childcare must be paid on each occasion. This also applies to the payment of an amount equivalent to the cost of burial charges pursuant to the provisions of Article 100, paragraph (2) (including when applied mutatis mutandis to Article 105, paragraph (2))." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 傷病手当金及び出産手当金の支給は、前項の規定にかかわらず、毎月一定の期日に行うことができる。
art-56/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-56/par-2
Injury and sickness allowance and childbirth allowance may be paid by a fixed date in every month notwithstanding the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十七条（損害賠償請求権） — (Right to Claim Compensation for Damages)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-57 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-57
**第一項** 保険者は、給付事由が第三者の行為によって生じた場合において、保険給付を行ったときは、その給付の価額（当該保険給付が療養の給付であるときは、当該療養の給付に要する費用の額から当該療養の給付に関し被保険者が負担しなければならない一部負担金に相当する額を控除した額。次条第一項において同じ。）の限度において、保険給付を受ける権利を有する者（当該給付事由が被保険者の被扶養者について生じた場合には、当該被扶養者を含む。次項において同じ。）が第三者に対して有する損害賠償の請求権を取得する。
art-57/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-57/par-1
When the grounds for an expense claim is caused consist of an act by a third party and an insurer provides insurance benefits, the insurer obtains the right to claim compensation for damages held by the person entitled to receive the benefits (if the grounds for an expense claim lie with a dependent of the insured person, the dependent is included; the same applies hereinafter in the following paragraph) against the third party, to the extent of the amount of the benefits (when the insurance benefits are benefits for medical treatment, the amount calculated by deducting, from the cost of the benefits for medical treatment, the amount of co-payment to be borne by the person with respect to the benefits for medical treatment; the same applies hereinafter in paragraph (1) of the following Article).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、保険給付を受ける権利を有する者が第三者から同一の事由について損害賠償を受けたときは、保険者は、その価額の限度において、保険給付を行う責めを免れる。
art-57/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-57/par-2
In the case referred to in the preceding paragraph, if the person entitled to receive the insurance benefits receives compensation for damages on the same ground from the third party, the insurer is exempt from the responsibility to pay the insurance benefit to the extent of the amount of the compensation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第五十八条（不正利得の徴収等） — (Collection of Fraudulent Gains)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-58 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-58
**第一項** 偽りその他不正の行為によって保険給付を受けた者があるときは、保険者は、その者からその給付の価額の全部又は一部を徴収することができる。
art-58/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-58/par-1
When a person receives an insurance benefit by means of deception or other wrongful conduct, the insurer may collect all or part of the amount of the benefit from the person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、事業主が虚偽の報告若しくは証明をし、又は第六十三条第三項第一号に規定する保険医療機関において診療に従事する第六十四条に規定する保険医若しくは第八十八条第一項に規定する主治の医師が、保険者に提出されるべき診断書に虚偽の記載をしたため、その保険給付が行われたものであるときは、保険者は、当該事業主、保険医又は主治の医師に対し、保険給付を受けた者に連帯して前項の徴収金を納付すべきことを命ずることができる。
art-58/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-58/par-2
In the case referred to in the preceding paragraph, if the insurance benefit is granted because the employer made a false report or certificate, or because a physician providing health insurance treatment as prescribed in Article 64 at a medical institution providing services covered by health insurance as prescribed in Article 63, paragraph (3), item (i) or an attending physician as prescribed in Article 88, paragraph (1) has made a false entry on the medical certificate to be submitted to the insurer, the insurer may order the employer, physician providing health insurance treatement, or attending physician to pay the money to be collected pursuant to the preceding paragraph jointly and severally with the person who received the insurance benefit.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 保険者は、第六十三条第三項第一号に規定する保険医療機関若しくは保険薬局又は第八十八条第一項に規定する指定訪問看護事業者が偽りその他不正の行為によって療養の給付に関する費用の支払又は第八十五条第五項（第八十五条の二第五項及び第八十六条第五項において準用する場合を含む。）、第八十八条第六項（第百十一条第三項において準用する場合を含む。）若しくは第百十条第四項の規定による支払を受けたときは、当該保険医療機関若しくは保険薬局又は指定訪問看護事業者に対し、その支払った額につき返還させるほか、その返還させる額に百分の四十を乗じて得た額を支払わせることができる。
art-58/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-58/par-3
If a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance as prescribed in Article 63, paragraph (3), item (i) or a designated home-nursing provider as prescribed in Article 88, paragraph (1) receives, by means of deception or other wrongful conduct, any payment of expenses relating to benefits for medical treatment or any payment pursuant to the provisions of Article 85, paragraph (5) (including when applied mutatis mutandis to Article 85-2, paragraph (5) or Article 86, paragraph (5)), Article 88, paragraph (6) (including when applied mutatis mutandis to Article 111, paragraph (3)) or Article 110, paragraph (4), the relevant insurer may cause the medical institution, pharmacy, or designated home-nursing provider to refund the amount so paid and to pay, in addition, an amount obtained by multiplying the amount to be refunded by four-tenths.
machine translation, not official
### 第五十九条（文書の提出等） — (Submission of Documents)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-59 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-59
**第一項** 保険者は、保険給付に関して必要があると認めるときは、保険給付を受ける者（当該保険給付が被扶養者に係るものである場合には、当該被扶養者を含む。第百二十一条において同じ。）に対し、文書その他の物件の提出若しくは提示を命じ、又は当該職員に質問若しくは診断をさせることができる。
art-59/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-59/par-1
When finding it necessary in relation to insurance benefits, an insurer may order a person who is to receive insurance benefits (including a dependent if the insurance benefits pertain to a dependent; the same applies in Article 121) to submit or present a document or other objects or may have the insurer's official question or diagnose the person.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十条（診療録の提示等） — (Presentation of medical records)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-60 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-60
**第一項** 厚生労働大臣は、保険給付を行うにつき必要があると認めるときは、医師、歯科医師、薬剤師若しくは手当を行った者又はこれを使用する者に対し、その行った診療、薬剤の支給又は手当に関し、報告若しくは診療録、帳簿書類その他の物件の提示を命じ、又は当該職員に質問させることができる。
art-60/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-60/par-1
If the Minister of Health, Labour and Welfare finds it necessary in relation to the payment of insurance benefits, the Minister may order a physician, dentist, pharmacist or person who provided medical care or a person who employs any of these to make a report or to present medical records, record books, and other documents or other objects concerning the provided medical care, provision of drugs, or medical treatment, or may order the ministry's official to ask the person questions.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、必要があると認めるときは、療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給を受けた被保険者又は被保険者であった者に対し、当該保険給付に係る診療、調剤又は第八十八条第一項に規定する指定訪問看護の内容に関し、報告を命じ、又は当該職員に質問させることができる。
art-60/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-60/par-2
If the Minister of Health, Labour and Welfare finds it necessary, the Minister may order a person who is or was an insured person and who received payment of benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing to make a report on or have the Ministry's official ask questions about the medical care or prescription pertaining to the insurance benefits, or designated home-nursing as prescribed in Article 88, paragraph (1).
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If the Minister of Health, Labour and Welfare finds it necessary, the Minister may order a person who is or was an insured person and who received payment of benefits for medical treatment, or expenses for dietary treatment for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing to make a report on or have the Ministry's official ask questions about the medical care or prescription pertaining to the insurance benefits, or designated home-nursing as prescribed in Article 88. paragraph (1)." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第三項** 第七条の三十八第二項の規定は前二項の規定による質問について、同条第三項の規定は前二項の規定による権限について準用する。
art-60/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-60/par-3
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions pursuant to the provisions of the preceding two paragraphs, and the provisions of paragraph (3) of the same Article apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding two paragraphs.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十一条（受給権の保護） — (Protection of Rights for Benefits)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-61 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-61
**第一項** 保険給付を受ける権利は、譲り渡し、担保に供し、又は差し押さえることができない。
art-61/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-61/par-1
The right to receive an insurance benefit may not be transferred, pledged as collateral, or levied.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十二条（租税その他の公課の禁止） — (Prohibition of Taxation and Other Public Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-62 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-62
**第一項** 租税その他の公課は、保険給付として支給を受けた金品を標準として、課することができない。
art-62/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-62/par-1
Taxes and other public charges may not be imposed on the basis of money and goods received as payment of insurance benefits.
Ministry of Justice translation — Japanese Law Translation Database System
## 第二節 療養の給付及び入院時食事療養費等の支給 — Section 2 Benefits for Medical Treatment and Payment of Dietary Treatment Expenses for Inpatients
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-2
## 第一款 療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費及び療養費の支給 — Subsection 1 Payment of benefits for medical treatment, as well as payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, and medical expenses
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-2/subsec-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-2/subsec-1
### 第六十三条（療養の給付） — (Benefits for Medical Treatment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-63 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63
**第一項** 被保険者の疾病又は負傷に関しては、次に掲げる療養の給付を行う。
art-63/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1
With regard to sickness and injury of insured persons, benefits for medical treatment are paid as listed below:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 診察
art-63/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1/item-1
medical examinations;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 薬剤又は治療材料の支給
art-63/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1/item-2
provision of medication or materials for medical treatment;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 処置、手術その他の治療
art-63/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1/item-3
treatment, operations or any other medical treatment;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 居宅における療養上の管理及びその療養に伴う世話その他の看護
art-63/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1/item-4
in-home medical care management as well as care and any other nursing involved in in-home medical care; and
Ministry of Justice translation — Japanese Law Translation Database System
**五** 病院又は診療所への入院及びその療養に伴う世話その他の看護
art-63/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-1/item-5
hospitalization or visiting a clinic, and care and other nursing involved in medical treatment provided there.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 次に掲げる療養に係る給付は、前項の給付に含まれないものとする。
art-63/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2
Benefits for the following types of medical treatment are not included in the benefits referred to in the preceding paragraph:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 食事の提供である療養であって前項第五号に掲げる療養と併せて行うもの（医療法（昭和二十三年法律第二百五号）第七条第二項第四号に規定する療養病床（以下「療養病床」という。）への入院及びその療養に伴う世話その他の看護であって、当該療養を受ける際、六十五歳に達する日の属する月の翌月以後である被保険者（以下「特定長期入院被保険者」という。）に係るものを除く。以下「食事療養」という。）
art-63/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-1
medical treatment consisting of the provision of meals and given in combination with the type of medical treatment listed in item (v) of the preceding paragraph (excluding hospitalization in a sanatorium ward (hereinafter referred to as "sanatorium ward") as prescribed in Article 7, paragraph (2), item (iv) of the Medical Care Act (Act No. 205 of 1948), and care and other nursing involved in the medical treatment there which is provided to an insured person whose 65th birthday is in any month before the month in which the person receives the relevant medical treatment (hereinafter referred to as "insured person undergoing special long-term hospitalization"); hereinafter referred to as "dietary treatment");
Ministry of Justice translation — Japanese Law Translation Database System
**二** 次に掲げる療養であって前項第五号に掲げる療養と併せて行うもの（特定長期入院被保険者に係るものに限る。以下「生活療養」という。）
art-63/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-2
the following types of medical treatment given in combination with the type of medical treatment listed in item (v) of the preceding paragraph (limited to medical treatment provided to an insured person undergoing special long-term hospitalization; hereinafter referred to as "living support"):
Ministry of Justice translation — Japanese Law Translation Database System
**イ** 食事の提供である療養
art-63/par-2/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-2/sub-1
medical treatment consisting of the provision of meals;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 温度、照明及び給水に関する適切な療養環境の形成である療養
art-63/par-2/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-2/sub-2
medical treatment consisting of the creation of an appropriate environment for medical treatment in terms of temperature, lighting and water supply;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 厚生労働大臣が定める高度の医療技術を用いた療養その他の療養であって、前項の給付の対象とすべきものであるか否かについて、適正な医療の効率的な提供を図る観点から評価を行うことが必要な療養（次号の患者申出療養を除く。）として厚生労働大臣が定めるもの（以下「評価療養」という。）
art-63/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-3
medical treatment using advanced medical care techniques specified by the Minister of Health, Labour and Welfare and other medical treatment which are specified by the Minister of Health, Labour and Welfare as treatment that requires evaluation to determine whether it should be subject to benefits referred to in the preceding paragraph from the viewpoint of efficiently providing appropriate medical care (excluding patient-requested treatment in the following item; hereinafter referred to as "evaluation treatment");
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "medical treatment using advanced medical care techniques specified by the Minister of Health, Labour and Welfare and other medical treatment which are specified by the Minister of Health, Labour and Welfare as treatment that requires evaluation to determine whether it should be subject to benefits referred to in the preceding paragraph from the viewpoint of efficiently providing appropriate medical care (excluding patient-requested treatment in the following paragraph; hereinafter referred to as "evaluation treatment");" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**四** 高度の医療技術を用いた療養であって、当該療養を受けようとする者の申出に基づき、前項の給付の対象とすべきものであるか否かについて、適正な医療の効率的な提供を図る観点から評価を行うことが必要な療養として厚生労働大臣が定めるもの（以下「患者申出療養」という。）
art-63/par-2/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-4
medical treatment using advanced medical care techniques and specified by the Minister of Health, Labour and Welfare as treatment that requires evaluation to determine whether it should be subject to benefits referred to in the preceding paragraph, based on a request by the person who intends to receive the medical treatment, from the viewpoint of efficiently providing appropriate medical care (hereinafter referred to as "patient-requested treatment"); and
Ministry of Justice translation — Japanese Law Translation Database System
**五** 被保険者の選定に係る特別の病室の提供その他の厚生労働大臣が定める療養（以下「選定療養」という。）
art-63/par-2/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-5
the provision of a special ward pertaining to the selection of insured persons and other medical treatment prescribed by the Minister of Health, Labour and Welfare (hereinafter referred to as "selective treatment").
Ministry of Justice translation — Japanese Law Translation Database System
**六** 要指導医薬品（医薬品、医療機器等の品質、有効性及び安全性の確保等に関する法律（昭和三十五年法律第百四十五号）第四条第九項第三号に規定する要指導医薬品をいう。）又は一般用医薬品（同項第四号に規定する一般用医薬品をいう。）との代替性が特に高い薬剤を用いた療養その他の適正な医療の提供を確保しつつ、公平かつ効率的な保険給付を行う必要性に鑑みその要する費用のうち一部を保険給付の対象としないものとする療養として厚生労働大臣が定めるもの（以下「一部保険外療養」という。）
art-63/par-2/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-2/item-6
treatment that the Minister of Health, Labour and Welfare specifies as treatment, such as treatment using a drug that has particularly high substitutability for a pharmaceutical requiring guidance (meaning a pharmaceutical requiring guidance as prescribed in Article 4, paragraph (9), item (iii) of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960)) or an over-the-counter pharmaceutical (meaning an over-the-counter pharmaceutical as prescribed in item (iv) of that paragraph), for which part of the cost is not covered by insurance benefits in view of the need to provide fair and efficient insurance benefits while ensuring the provision of appropriate medical care (hereinafter referred to as "partially uninsured treatment").
machine translation, not official
**第三項** 第一項の給付を受けようとする者は、厚生労働省令で定めるところにより、次に掲げる病院若しくは診療所又は薬局のうち、自己の選定するものから、電子資格確認その他厚生労働省令で定める方法（以下「電子資格確認等」という。）により、被保険者であることの確認を受け、同項の給付を受けるものとする。
art-63/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-3
A person who intends to receive benefits under paragraph (1) is, pursuant to Order of the Ministry of Health, Labour and Welfare, to receive confirmation that the person is an insured person from a hospital, clinic, or pharmacy that the person selects from those listed below, by electronic eligibility confirmation or another method specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "electronic eligibility confirmation, etc."), and to receive the benefits under that paragraph:
machine translation, not official
**一** 厚生労働大臣の指定を受けた病院若しくは診療所（第六十五条の規定により病床の全部又は一部を除いて指定を受けたときは、その除外された病床を除く。以下「保険医療機関」という。）又は薬局（以下「保険薬局」という。）
art-63/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-3/item-1
a hospital or clinic designated by the Minister of Health, Labour and Welfare (if the hospital or clinic has received a designation excluding all or some of its beds pursuant to the provisions of Article 65, excluding those beds; hereinafter referred to as "medical institution providing services covered by health insurance") or a pharmacy designated by the Minister of Health, Labour and Welfare (hereinafter referred to as "pharmacy providing services covered by health insurance");
Ministry of Justice translation — Japanese Law Translation Database System
**二** 特定の保険者が管掌する被保険者に対して診療又は調剤を行う病院若しくは診療所又は薬局であって、当該保険者が指定したもの
art-63/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-3/item-2
a hospital, clinic, or pharmacy which provides medical care or prescriptions to an insured person administered by a specific insurer and which is specified by the insurer; and
Ministry of Justice translation — Japanese Law Translation Database System
**三** 健康保険組合である保険者が開設する病院若しくは診療所又は薬局
art-63/par-3/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-3/item-3
a hospital, clinic, or pharmacy established by an insurer which is a health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第二項第四号の申出は、厚生労働大臣が定めるところにより、厚生労働大臣に対し、当該申出に係る療養を行う医療法第四条の三に規定する臨床研究中核病院（保険医療機関であるものに限る。）の開設者の意見書その他必要な書類を添えて行うものとする。
art-63/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-4
A request referred to in paragraph (2), item (iv), as prescribed by the Minister of Health, Labour and Welfare, is to be made to the Minister of Health, Labour and Welfare and accompanied by statements by the establisher of the core clinical research hospital provided for by Article 4-3 of the Medial Care Act (limited to a medical institution providing services covered by health insurance) which provides the medical treatment to which the request pertains and other necessary documents.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 厚生労働大臣は、第二項第四号の申出を受けた場合は、当該申出について速やかに検討を加え、当該申出に係る療養が同号の評価を行うことが必要な療養と認められる場合には、当該療養を患者申出療養として定めるものとする。
art-63/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-5
When the Minister of Health, Labour and Welfare receives a request under paragraph (2), item (iv), the Minister of Health, Labour and Welfare is to promptly examine the request and specify the medical treatment pertaining to the request as patient-requested treatment if it is found to require the evaluation provided for in that item.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 厚生労働大臣は、前項の規定により第二項第四号の申出に係る療養を患者申出療養として定めることとした場合には、その旨を当該申出を行った者に速やかに通知するものとする。
art-63/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-6
If Minister of Health, Labour and Welfare determines that the medical treatment to which the application referred to in paragraph (2), item (iv) pertains pursuant to the provisions of the preceding paragraph is patient-requested treatment, the Minister is to promptly notify the applicant to that effect.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 厚生労働大臣は、第五項の規定により第二項第四号の申出について検討を加え、当該申出に係る療養を患者申出療養として定めないこととした場合には、理由を付して、その旨を当該申出を行った者に速やかに通知するものとする。
art-63/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-7
If the Minister of Health, Labour and Welfare examines the application referred to in paragraph (2), item (iv) pursuant to the provisions of paragraph (5) and determines that the medical treatment pertaining to the application is not to be specified as patient-requested treatment, the Minister is to promptly notify the applicant to that effect and the reason therefor.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 厚生労働大臣は、第二項第六号の定めをするに当たっては、所得の状況、病状の程度、治療の内容その他の療養を受ける者の事情を踏まえた療養となるよう配慮するものとする。
art-63/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-63/par-8
In specifying matters under paragraph (2), item (vi), the Minister of Health, Labour and Welfare is to give consideration so that the treatment takes into account income status, extent of symptoms, contents of medical treatment, and other circumstances of the person receiving the treatment.
machine translation, not official
### 第六十四条（保険医又は保険薬剤師） — (Physicians Providing Health Insurance Treatment or Pharmacists Filling Health Insurance Prescriptions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-64 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-64
**第一項** 保険医療機関において健康保険の診療に従事する医師若しくは歯科医師又は保険薬局において健康保険の調剤に従事する薬剤師は、厚生労働大臣の登録を受けた医師若しくは歯科医師（以下「保険医」と総称する。）又は薬剤師（以下「保険薬剤師」という。）でなければならない。
art-64/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-64/par-1
A physician or dentist engaged in medical treatment covered by health insurance at a medical institution providing services covered by health insurance or a pharmacist engaged in prescription covered by health insurance at a pharmacy providing services covered by health insurance must be a physician or dentist registered by the Minister of Health, Labour and Welfare (hereinafter collectively referred to as a "physician providing health insurance treatment") or a pharmacist registered by the Minister (hereinafter referred to as a "pharmacist filling health insurance prescriptions").
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十五条（保険医療機関又は保険薬局の指定） — (Designation of Medical Institutions and Pharmacies Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-65 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65
**第一項** 第六十三条第三項第一号の指定は、政令で定めるところにより、病院若しくは診療所又は薬局の開設者の申請により行う。
art-65/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-1
A designation referred to in Article 63, paragraph (3), item (i) is provided upon an application by the establisher who opened a hospital, clinic, or pharmacy, as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、その申請が病院又は病床を有する診療所に係るものであるときは、当該申請は、医療法第七条第二項に規定する病床の種別（第四項及び次条第一項において単に「病床の種別」という。）ごとにその数を定めて行うものとする。
art-65/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-2
In the case of the preceding paragraph, if the application pertains to a hospital or to a clinic that has beds, the application is to be made by specifying the number of beds for each classification of bed prescribed in Article 7, paragraph (2) of the Medical Care Act (simply referred to as "bed classification" in paragraph (4) and paragraph (1) of the following Article).
machine translation, not official
**第三項** 厚生労働大臣は、第一項の申請があった場合において、次の各号のいずれかに該当するときは、第六十三条第三項第一号の指定をしないことができる。
art-65/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3
When an application referred to in paragraph (1) is filed and the application falls under any of the following items, the Minister of Health, Labour and Welfare may determine not to make the designation referred to in Article 63, paragraph (3), item (i):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該申請に係る病院若しくは診療所又は薬局が、この法律の規定により保険医療機関又は保険薬局に係る第六十三条第三項第一号の指定を取り消され、その取消しの日から五年を経過しないものであるとき。
art-65/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-1
the hospital, clinic, or pharmacy pertaining to the application is a place of business or facility whose designation under Article 63, paragraph (3), item (i) pertaining to a medical institution providing services covered by health insurance providing services covered by health insurance or a pharmacy providing services covered by health insurance has been rescinded pursuant to the provisions of this Act and five years have not elapsed from the date of the rescission;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 当該申請に係る病院若しくは診療所又は薬局が、保険給付に関し診療又は調剤の内容の適切さを欠くおそれがあるとして重ねて第七十三条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定による指導を受けたものであるとき。
art-65/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-2
the hospital, clinic or pharmacy pertaining to the relevant application has received repeated guidance due to a likelihood of inappropriate medical care or prescriptions with respect to insurance benefits pursuant to Article 73, paragraph (1) (including when applied mutatis mutandis to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149);
machine translation, not official
**三** 当該申請に係る病院若しくは診療所又は薬局の開設者又は管理者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-65/par-3/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-3
the establisher or administrator of the hospital, clinic or pharmacy pertaining to the application has been sentenced to a fine pursuant to the provisions of this Act or other laws pertaining to citizen's health and medical care which are specified by Cabinet Order and the execution of the sentence has not yet been completed or the execution of the sentence still applies;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 当該申請に係る病院若しくは診療所又は薬局の開設者又は管理者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-65/par-3/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-4
the establisher or administrator of the hospital, clinic or pharmacy pertaining to the application has been sentenced to imprisonment or a more severe penalty and the execution of the sentence has not been completed or the execution of the sentence still applies;
machine translation, not official
**五** 当該申請に係る病院若しくは診療所又は薬局の開設者又は管理者が、この法律、船員保険法、国民健康保険法（昭和三十三年法律第百九十二号）、高齢者の医療の確保に関する法律、地方公務員等共済組合法（昭和三十七年法律第百五十二号）、私立学校教職員共済法（昭和二十八年法律第二百四十五号）、厚生年金保険法（昭和二十九年法律第百十五号）又は国民年金法（昭和三十四年法律第百四十一号）（第八十九条第四項第七号において「社会保険各法」という。）の定めるところにより納付義務を負う保険料、負担金又は掛金（地方税法（昭和二十五年法律第二百二十六号）の規定による国民健康保険税を含む。以下この号、第八十九条第四項第七号及び第百九十九条第二項において「社会保険料」という。）について、当該申請をした日の前日までに、これらの法律の規定に基づく滞納処分を受け、かつ、当該処分を受けた日から正当な理由なく三月以上の期間にわたり、当該処分を受けた日以降に納期限の到来した社会保険料の全て（当該処分を受けた者が、当該処分に係る社会保険料の納付義務を負うことを定める法律によって納付義務を負う社会保険料に限る。第八十九条第四項第七号において同じ。）を引き続き滞納している者であるとき。
art-65/par-3/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-5
the establisher or administrator of the hospital, clinic, or pharmacy pertaining to the application has received a disposition of delinquency pursuant to this Act, the Seamen's Insurance Act, National Health Insurance Act (Act No. 192 of 1958), Act on Assurance of Medical Care for Elderly People, Local Public Employees Mutual Aid Association Act (Act No. 152 of 1962), Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953), Employees' Pension Insurance Act (Act No. 115 of 1954), or National Pension Act (Act No. 141 of 1959) (referred to as "the social insurance laws" in Article 89, paragraph (4), item (vii)) with regard to the insurance premiums, contribution charges, or premiums (including national insurance tax pursuant to the provisions of the Local Tax Act (Act No. 226 of 1950); referred to as "social insurance premiums" hereinafter in this item, Article 89, paragraph (4), item (vii) and Article 199, paragraph (2)) which the establisher or administrator is obliged to pay pursuant to the provisions of those Acts, before the application was filed, and has continued to be delinquent, without justifiable grounds, for three months or more from the date on which the establisher or administrator received the disposition with respect to all social insurance premiums the due dates of which came after the date on which the establisher or administrator received the disposition (limited to social insurance premiums which the person who received the disposition is obliged to pay pursuant to laws specifying the obligation to pay social insurance premiums to which the disposition pertains; the same applies in Article 89, paragraph (4), item (vii)); or
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the establisher or administrator of the hospital, clinic, or pharmacy pertaining to the application has received a disposition of delinquency pursuant to this Act, the Seamen's Insurance Act, National Health Insurance Act (Act No. 192 of 1958), Act on Assurance of Medical Care for Elderly People, Local Public Employees Mutual Aid Association Act (Act No. 152 of 1962), Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953), National Health Insurance Act (Act No. 115 of 1954), or National Pension Act (Act No. 141 of 1959) (referred to as "the social insurance laws" in Article 89, paragraph (4), item (vii)) with regard to the insurance premiums, contribution charges, or premiums (including national insurance tax pursuant to the provisions of the Local Tax Act (Act No. 226 of 1950); referred to as "social insurance premiums" hereinafter in this item, Article 89, paragraph (4), item (vii) and Article 99, paragraph (2)) which the establisher or administrator is obliged to pay pursuant to the provisions of those Acts, before the application was filed, and has continued to be delinquent, without justifiable grounds, for three months or more from the date on which the establisher or administrator received the disposition with respect to all social insurance premiums the due dates of which came after the date on which the establisher or administrator received the disposition (limited to social insurance premiums which the person who received the disposition is obliged to pay pursuant to laws specifying the obligation to pay social insurance premiums to which the disposition pertains; the same applies in Article 89, paragraph (4), item (vii)); or" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**六** 前各号のほか、当該申請に係る病院若しくは診療所又は薬局が、保険医療機関又は保険薬局として著しく不適当と認められるものであるとき。
art-65/par-3/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-3/item-6
beyond what is provided for in the preceding items, hospitals, clinics, or pharmacies to which the application pertains are deemed to be extremely inappropriate as a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生労働大臣は、第二項の病院又は診療所について第一項の申請があった場合において、次の各号のいずれかに該当するときは、その申請に係る病床の全部又は一部を除いて、第六十三条第三項第一号の指定を行うことができる。
art-65/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4
When an application referred to in paragraph (1) is filed pertaining to a hospital or clinic referred to in paragraph (2) and the application falls under any of the following items, the Minister of Health, Labour and Welfare may make the designation prescribed in Article 63, paragraph (3), item (i) excluding all or some of the beds pertaining to the application:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該病院又は診療所の医師、歯科医師、看護師その他の従業者の人員が、医療法第二十一条第一項第一号又は第二項第一号に規定する厚生労働省令で定める員数及び同条第三項に規定する厚生労働省令で定める基準を勘案して厚生労働大臣が定める基準により算定した員数を満たしていないとき。
art-65/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-1
the number of physicians, dentists, nurses and other employees at the hospital or clinic does not meet the requirements for the number specified by Order of the Ministry of Health, Labour and Welfare prescribed in Article 21, paragraph (1), item (i) or paragraph (2), item (i) of the Medical Care Act or the number calculated based on the standards specified by the Minister of Health, Labour and Welfare in consideration of the standards specified by Order of the Ministry of Health, Labour and Welfare prescribed in paragraph (3) of the same Article;
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the number of physicians, dentists, nurses and other employees at the hospital or clinic does not meet the requirements for the number specified by Order of the Ministry of Health, Labour prescribed in Article 21, paragraph (1), item (i) or paragraph (2), item (i) of the Medical Care Act or the number calculated based on the standards specified by the Minister of Health, Labour and Welfare in consideration of the standards specified by Order of the Ministry of Health, Labour and Welfare prescribed in paragraph (3) of the same Article;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**二** 当該申請に係る病床の種別に応じ、医療法第七条の二第一項に規定する地域における保険医療機関の病床数が、その指定により同法第三十条の四第一項に規定する医療計画において定める基準病床数を勘案して厚生労働大臣が定めるところにより算定した数を超えることになると認める場合（その数を既に超えている場合を含む。）であって、当該病院又は診療所の開設者又は管理者が同法第三十条の十一第一項の規定による都道府県知事の勧告を受け、これに従わないとき。
art-65/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-2
it is found that the number of beds, according to the bed classification related to the application, at a medical institution providing services covered by health insurance in a region prescribed by Article 7-2, paragraph (1) of the Medical Care Act will, as a result of the designation, exceed the number calculated as specified by the Minister of Health, Labour and Welfare in consideration of the standard number of beds specified in the medical care plan prescribed in Article 30-4, paragraph (1) of the same Act (including where that number is already exceeded), and the establisher or administrator of the hospital or clinic has received a recommendation from the prefectural governor pursuant to the provisions of Article 30-11, paragraph (1) of the same Act but does not comply with the recommendation;
machine translation, not official
**三** 次のいずれにも該当する場合であって、当該病院又は診療所の開設者又は管理者が医療法第三十条の十一第一項の規定による都道府県知事の勧告を受け、これに従わないとき。
art-65/par-4/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-3
if all of the following apply, and the establisher or administrator of the hospital or clinic has received a recommendation from the prefectural governor pursuant to the provisions of Article 30-11, paragraph (1) of the Medical Care Act and does not comply with it;
machine translation, not official
**イ** 当該申請に係る病床の種別に応じ、医療法第七条の二第一項に規定する地域における保険医療機関の病床数が、その指定により同法第三十条の四第一項に規定する医療計画において定める基準病床数を勘案して厚生労働大臣が定めるところにより算定した数に満たないことになると認める場合
art-65/par-4/item-3/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-3/sub-1
where it is found that, in accordance with the bed classification pertaining to the relevant application, the number of beds at medical institutions providing services covered by health insurance in the area prescribed in Article 7-2, paragraph (1) of the Medical Care Act would, as a result of the designation, fall short of the number calculated pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into account the standard number of beds determined in the medical care plan prescribed in Article 30-4, paragraph (1) of that Act;
machine translation, not official
**ロ** 当該申請に係る病床の種別に応じ、医療法第三十条の三の三第二項第二号に規定する構想区域における保険医療機関の病床数が、その指定により同条第一項に規定する地域医療構想において定める将来の病床数の必要量（同条第二項第四号に規定する将来の病床数の必要量をいう。次号において同じ。）を勘案して厚生労働大臣が定めるところにより算定した数を超えることになると認める場合（その数を既に超えている場合を含む。）
art-65/par-4/item-3/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-3/sub-2
where it is found that, in accordance with the bed classification pertaining to the relevant application, the number of beds at medical institutions providing services covered by health insurance in the vision area prescribed in Article 30-3-3, paragraph (2), item (ii) of the Medical Care Act would, as a result of the designation, exceed the number calculated pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into account the required number of beds in the future (meaning the required number of beds in the future prescribed in item (iv) of that paragraph; the same applies in the following item) determined in the regional medical care vision prescribed in paragraph (1) of that Article (including where that number has already been exceeded);
machine translation, not official
**四** 当該申請に係る病床の種別に応じ、医療法第三十条の三の三第二項第二号に規定する構想区域における保険医療機関の病床数が、その指定により同条第一項に規定する地域医療構想において定める将来の病床数の必要量を勘案して厚生労働大臣が定めるところにより算定した数を超えることになると認める場合（その数を既に超えている場合を含む。）であって、当該病院又は診療所の開設者又は管理者が同法第三十条の十一第一項の規定による都道府県知事の勧告を受け、これに従わないとき。
art-65/par-4/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-4
it is found that, in accordance with the bed classification pertaining to the application, the number of beds at a medical institution providing services covered by health insurance in a regional healthcare vision area prescribed in Article 30-3-3, paragraph (2), item (ii) of the Medical Care Act will, as a result of the designation, exceed the number calculated as specified by the Minister of Health, Labour and Welfare in consideration of the required number of beds in the future specified in the regional medical care vision prescribed in paragraph (1) of that Article (including where that number is already exceeded), and the establisher or administrator of the hospital or clinic has received a recommendation from the prefectural governor pursuant to the provisions of Article 30-11, paragraph (1) of the same Act but does not comply with the recommendation; or
machine translation, not official
**五** その他適正な医療の効率的な提供を図る観点から、当該病院又は診療所の病床の利用に関し、保険医療機関として著しく不適当なところがあると認められるとき。
art-65/par-4/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-65/par-4/item-5
it is found that the use of beds at the hospital or clinic is significantly inappropriate for a medical institution providing services covered by health insurance from the viewpoint of efficiently providing appropriate medical care.
machine translation, not official
### 第六十六条（保険医療機関の指定の変更） — (Change of Designation of Medical Institutions Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-66 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-66
**第一項** 前条第二項の病院又は診療所の開設者は、第六十三条第三項第一号の指定に係る病床数の増加又は病床の種別の変更をしようとするときは、厚生労働省令で定めるところにより、当該病院又は診療所に係る同号の指定の変更を申請しなければならない。
art-66/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-66/par-1
When intending to increase the number of beds or to alter bed classifications related to the designation pursuant to Article 63, paragraph (3), item (i), the establisher of the hospital or clinic referred to in paragraph (2) of the preceding Article must apply for a change of designation referred to in the same item pertaining to the hospital or clinic pursuant to Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前条第四項の規定は、前項の指定の変更の申請について準用する。
art-66/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-66/par-2
The provisions of paragraph (4) of the preceding Article apply mutatis mutandis to an application for alteration of designation referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十七条（地方社会保険医療協議会への諮問） — (Advisory to Local Social Insurance Medical Councils)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-67 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-67
**第一項** 厚生労働大臣は、保険医療機関に係る第六十三条第三項第一号の指定をしないこととするとき、若しくはその申請に係る病床の全部若しくは一部を除いて指定（指定の変更を含む。）を行おうとするとき、又は保険薬局に係る同号の指定をしないこととするときは、地方社会保険医療協議会の議を経なければならない。
art-67/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-67/par-1
When the Minister of Health, Labour and Welfare determines to not make a designation referred to in Article 63, paragraph (3), item (i) pertaining to a medical institution providing services covered by health insurance, determines to make a designation excluding all or some of the beds pertaining to that medical institution's application (including an alternation of such a designation), or determines to make a designation referred to in Article 63, paragraph (3), item (i) pertaining to a pharmacy providing services covered by health insurance, the Minister must undergo discussion at the relevant local social insurance medical council.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十八条（保険医療機関又は保険薬局の指定の更新） — (Renewal of Designation of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-68 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68
**第一項** 第六十三条第三項第一号の指定は、指定の日から起算して六年を経過したときは、その効力を失う。
art-68/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68/par-1
A designation as referred to in Article 63, paragraph (3), item (i) expires when six years have elapsed after the day of designation.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険医療機関（第六十五条第二項の病院及び診療所を除く。）又は保険薬局であって厚生労働省令で定めるものについては、前項の規定によりその指定の効力を失う日前六月から同日前三月までの間に、別段の申出がないときは、同条第一項の申請があったものとみなす。
art-68/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68/par-2
With regard to a medical institution providing services covered by health insurance (excluding hospitals and clinics referred to in Article 65, paragraph (2)) or a pharmacy providing services covered by health insurance that are specified by Order of the Ministry of Health, Labour and Welfare, unless otherwise notified during the period from since six months before the expiration date of the designation pursuant to the provisions of the preceding paragraph until three months before that date, the application under Article 65, paragraph (1) is deemed to have been made.
Ministry of Justice translation — Japanese Law Translation Database System
### 第六十八条の二（保険医療機関の期限付指定） — Time-Limited Designation of Medical Institutions Providing Services Covered by Health Insurance
caption: machine translation, not official
art-68-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68-2
**第一項** 厚生労働大臣は、診療所の開設者又は管理者が医療法第三十条の十八の六第六項の規定による都道府県知事の要請を受け、これに応じなかった場合、同条第九項の規定による都道府県知事の勧告を受けた場合又は当該勧告を受け、これに従わなかった場合には、前条第一項の規定にかかわらず、厚生労働省令で定めるところにより、第六十三条第三項第一号の指定を行うに当たっては、三年以内の期限を付することができる。
art-68-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68-2/par-1
If the establisher or administrator of a clinic has received a request from the prefectural governor pursuant to the provisions of Article 30-18-6, paragraph (6) of the Medical Care Act but did not comply with it, has received a recommendation from the prefectural governor pursuant to the provisions of paragraph (9) of that Article, or has received that recommendation but did not comply with it, the Minister of Health, Labour and Welfare may, notwithstanding the provisions of paragraph (1) of the preceding Article and pursuant to Order of the Ministry of Health, Labour and Welfare, attach a time limit of three years or less when making the designation referred to in Article 63, paragraph (3), item (i).
machine translation, not official
**第二項** 前項の規定により期限が付された第六十三条第三項第一号の指定については、前条第二項の規定は、適用しない。
art-68-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-68-2/par-2
With regard to a designation referred to in Article 63, paragraph (3), item (i) to which a time limit has been attached pursuant to the provisions of the preceding paragraph, the provisions of paragraph (2) of the preceding Article do not apply.
machine translation, not official
### 第六十九条（保険医療機関又は保険薬局のみなし指定） — (Deemed Designation of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-69 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-69
**第一項** 診療所又は薬局が医師若しくは歯科医師又は薬剤師の開設したものであり、かつ、当該開設者（医療法第三十条の十八の六第六項の規定による都道府県知事の要請を受け、これに応じなかった者を除く。）である医師若しくは歯科医師又は薬剤師のみが診療又は調剤に従事している場合において、当該医師若しくは歯科医師又は薬剤師について第六十四条の登録があったときは、当該診療所又は薬局について、第六十三条第三項第一号の指定があったものとみなす。ただし、当該診療所又は薬局が、第六十五条第三項又は第四項に規定する要件に該当する場合であって厚生労働大臣が同号の指定があったものとみなすことが不適当と認められるときは、この限りでない。
art-69/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-69/par-1
In the case where a clinic or pharmacy has been established by a physician, dentist or pharmacist, and only the establisher (excluding a person who received a request from the prefectural governor under Article 30-18-6, paragraph (6) of the Medical Care Act but did not comply with it) who is that physician, dentist or pharmacist is engaged in medical care or prescription, if a registration under Article 64 has been made with respect to the physician, dentist or pharmacist, it is deemed that a designation referred to in Article 63, paragraph (3), item (i) has been made with regard to the clinic or pharmacy; provided, however, this does not apply when the clinic or pharmacy meets the requirements prescribed in Article 65, paragraph (3) or (4) but the Minister of Health, Labour and Welfare finds it inappropriate to deem that the designation referred to in Article 63, paragraph (3), item (i) has been made.
machine translation, not official
### 第七十条（保険医療機関又は保険薬局の責務） — (Responsibilities of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-70 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70
**第一項** 保険医療機関又は保険薬局は、当該保険医療機関において診療に従事する保険医又は当該保険薬局において調剤に従事する保険薬剤師に、第七十二条第一項の厚生労働省令で定めるところにより、診療又は調剤に当たらせるほか、厚生労働省令で定めるところにより、療養の給付を担当しなければならない。
art-70/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70/par-1
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance must put physicians providing health insurance treatment who are engaging in medical care at the institution or pharmacists filling health insurance prescriptions who are engaging in prescription at the pharmacy in charge of medical care or prescription pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 72, paragraph (1) and must be responsible for benefits for medical treatment pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険医療機関又は保険薬局は、前項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定によるほか、船員保険法、国民健康保険法、国家公務員共済組合法（昭和三十三年法律第百二十八号。他の法律において準用し、又は例による場合を含む。）又は地方公務員等共済組合法（以下「この法律以外の医療保険各法」という。）による療養の給付並びに被保険者及び被扶養者の療養並びに高齢者の医療の確保に関する法律による療養の給付、入院時食事療養費に係る療養、入院時生活療養費に係る療養及び保険外併用療養費に係る療養を担当するものとする。
art-70/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70/par-2
Beyond the provisions of the preceding paragraph (including when applied mutatis mutandis to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149), a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance is responsible for benefits for medical treatment pursuant to the provisions of the Mariners Insurance Act, National Health Insurance Act, National Public Officers Mutual Aid Association Act (Act No. 128 of 1958; including when this is applied mutatis mutandis to other laws and the same rule governs), or Local Public Officers, etc. Mutual Aid Association Act (hereinafter referred to as "medical insurance laws other than this act") as well as medical treatment for insured persons and dependents, benefits for medical treatment pursuant to the provisions of the Act on Assurance of Medical Care for Elderly People, and treatment pertaining to dietary treatment expenses for inpatients, living support expenses for inpatients, and medical expenses combined with treatment outside insurance coverage.
machine translation, not official
**第三項** 保険医療機関のうち医療法第四条の二に規定する特定機能病院その他の病院であって厚生労働省令で定めるものは、患者の病状その他の患者の事情に応じた適切な他の保険医療機関を当該患者に紹介することその他の保険医療機関相互間の機能の分担及び業務の連携のための措置として厚生労働省令で定める措置を講ずるものとする。
art-70/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70/par-3
A medical institution providing services covered by health insurance which is an advanced treatment hospital prescribed by Article 4-2 of the Medial Care Act or otherwise specified by Order of the Ministry of Health, Labour and Welfare is to take measures specified by Order of the Ministry of Health, Labour and Welfare as measures for sharing functions and for operational cooperation between medical institutions providing services covered by health insurance, for instance, by referring patients to medical institutions providing services covered by health insurance appropriate for the patients' symptoms or other circumstances.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 保険医療機関又は保険薬局は、感染症の予防及び感染症の患者に対する医療に関する法律第六条第七項に規定する新型インフルエンザ等感染症その他の感染症に関する同法第三十七条第一項各号に掲げる医療その他必要な医療の実施について、国又は地方公共団体が講ずる措置に協力するものとする。
art-70/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70/par-4
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance is to cooperate with measures taken by the national government or a local government for the provision of the medical care listed in the items of Article 37, paragraph (1) of that Act and other necessary medical care concerning pandemic influenza or similar infectious disease prescribed in Article 6, paragraph (7) of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases and other infectious diseases.
machine translation, not official
**第五項** 保険医療機関は、国民が受ける医療の質の向上とその適正かつ効率的な提供を図るため、当該保険医療機関における業務の効率化及びその従業者の勤務環境の改善のための措置を講ずるように努めるものとする。
art-70/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70/par-5
In order to improve the quality of medical care received by citizens and ensure its appropriate and efficient provision, a medical institution providing services covered by health insurance is to endeavor to take measures for streamlining its operations and improving the working environment of its employees.
machine translation, not official
### 第七十条の二（保険医療機関の管理者の責務） — Responsibilities of the Administrator of a Medical Institution Providing Services Covered by Health Insurance
caption: machine translation, not official
art-70-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70-2
**第一項** 保険医療機関の管理者は、次に掲げる要件のいずれにも該当する者でなければならない。
art-70-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70-2/par-1
The administrator of a medical institution providing services covered by health insurance must be a person who satisfies all of the following requirements.
machine translation, not official
**一** 保険医であること。
art-70-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70-2/par-1/item-1
the person is a physician providing health insurance treatment;
machine translation, not official
**二** 医師法（昭和二十三年法律第二百一号）第十六条の二第一項の規定による臨床研修の修了後に保険医療機関（病院に限る。）において保険医として三年以上診療に従事した経験又は歯科医師法（昭和二十三年法律第二百二号）第十六条の二第一項の規定による臨床研修の修了後に保険医療機関において保険医として三年以上診療に従事した経験その他の厚生労働省令で定める要件を備える者であること。
art-70-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70-2/par-1/item-2
the person is equipped with the requirements specified by Order of the Ministry of Health, Labour and Welfare, such as the experience of having engaged in medical care as a physician providing health insurance treatment at a medical institution providing services covered by health insurance (limited to a hospital) for three years or more after completing clinical training under Article 16-2, paragraph (1) of the Medical Practitioners' Act (Act No. 201 of 1948), or the experience of having engaged in medical care as a physician providing health insurance treatment at a medical institution providing services covered by health insurance for three years or more after completing clinical training under Article 16-2, paragraph (1) of the Dental Practitioners Act (Act No. 202 of 1948).
machine translation, not official
**第二項** 保険医療機関の管理者は、適正な医療の効率的な提供を図るため、厚生労働省令で定めるところにより、当該保険医療機関に勤務する医師、歯科医師、薬剤師その他の従業者を監督するとともに、当該保険医療機関の管理及び運営につき、必要な注意をしなければならない。
art-70-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-70-2/par-2
In order to provide appropriate medical care efficiently, the administrator of a medical institution providing services covered by health insurance must, as specified by Order of the Ministry of Health, Labour and Welfare, supervise the physicians, dentists, pharmacists and other employees working at that medical institution providing services covered by health insurance, and exercise necessary care in the management and operation of that medical institution providing services covered by health insurance.
machine translation, not official
### 第七十一条（保険医又は保険薬剤師の登録） — (Registration of Physicians Providing Health Insurance Treatment or Pharmacists Providing Health Insurance Prescriptions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71
**第一項** 第六十四条の登録は、医師若しくは歯科医師又は薬剤師の申請により行う。
art-71/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-1
Registration under Article 64 is made upon an application by a physician, dentist or pharmacist.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の申請があった場合において、次の各号のいずれかに該当するときは、第六十四条の登録をしないことができる。
art-71/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-2
If an application referred to in the preceding paragraph that corresponds to any of the following items is filed, the Minister of Health, Labour and Welfare may not make a registration under Article 64:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 申請者が、この法律の規定により保険医又は保険薬剤師に係る第六十四条の登録を取り消され、その取消しの日から五年を経過しない者であるとき。
art-71/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-2/item-1
the applicant is a person whose registration under Article 64 pertaining to physicians providing health insurance treatment or pharmacists filling health insurance prescriptions pursuant to the provisions of this Act has been rescinded and five years have not elapsed from the date of rescission;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 申請者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-71/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-2/item-2
the applicant has been sentenced to a fine pursuant to the provisions of this Act or other laws pertaining to citizen's health and medical care which are specified by Cabinet Order, and the execution of the sentence has not yet been completed or the execution of the sentence still applies;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 申請者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-71/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-2/item-3
the applicant has been sentenced to imprisonment or a severer punishment and the execution of the sentence has not been completed or the execution of the sentence still applies; or
machine translation, not official
**四** 前三号のほか、申請者が、保険医又は保険薬剤師として著しく不適当と認められる者であるとき。
art-71/par-2/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-2/item-4
beyond what is provided in the preceding three items, the applicant is deemed extremely inappropriate as a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、保険医又は保険薬剤師に係る第六十四条の登録をしないこととするときは、地方社会保険医療協議会の議を経なければならない。
art-71/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-3
If the Minister of Health, Labour and Welfare determines not to make a registration referred to in Article 64 pertaining to a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions, the Minister must undergo discussion at the relevant local social insurance medical council.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第一項又は第二項に規定するもののほか、保険医及び保険薬剤師に係る第六十四条の登録に関して必要な事項は、政令で定める。
art-71/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-71/par-4
Beyond what is provided for in paragraphs (1) and (2), necessary matters concerning registration referred to in Article 64 pertaining to physicians providing insurance treatment and pharmacists filling insurance prescriptions are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十二条（保険医又は保険薬剤師の責務） — (Responsibilities of Physicians Providing Health Insurance Treatment or Pharmacists Filling Health Insurance Prescriptions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-72 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-72
**第一項** 保険医療機関において診療に従事する保険医又は保険薬局において調剤に従事する保険薬剤師は、厚生労働省令で定めるところにより、健康保険の診療又は調剤に当たらなければならない。
art-72/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-72/par-1
A physician providing health insurance treatment at a medical institution providing services covered by health insurance or a pharmacist filling health insurance prescriptions at a pharmacy providing services covered by health insurance must provide medical care or prescription services covered by health insurance pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険医療機関において診療に従事する保険医又は保険薬局において調剤に従事する保険薬剤師は、前項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定によるほか、この法律以外の医療保険各法又は高齢者の医療の確保に関する法律による診療又は調剤に当たるものとする。
art-72/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-72/par-2
A physician providing health insurance treatment at a medical institution providing services covered by health insurance or a pharmacist filling health insurance prescriptions at a pharmacy providing services covered by health insurance is to be in charge of medical care or prescription pursuant to the provisions of the preceding paragraph (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149) and pursuant to medical insurance laws other than this act and the Act on Assurance of Medical Care for Elderly People.
machine translation, not official
### 第七十三条（厚生労働大臣の指導） — (Guidance by the Minister of Health, Labour and Welfare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-73 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-73
**第一項** 保険医療機関及び保険薬局は療養の給付に関し、保険医及び保険薬剤師は健康保険の診療又は調剤に関し、厚生労働大臣の指導を受けなければならない。
art-73/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-73/par-1
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance, and the physician providing health insurance treatment or the pharmacist filling health insurance prescriptions, must receive guidance from the Minister of Health, Labour and Welfare with respect to benefits for medical treatment and with respect to medical care or prescription services provided under a national health insurance program, respectively.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の指導をする場合において、必要があると認めるときは、診療又は調剤に関する学識経験者をその関係団体の指定により指導に立ち会わせるものとする。ただし、関係団体が指定を行わない場合又は指定された者が立ち会わない場合は、この限りでない。
art-73/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-73/par-2
When the guidance referred to in the preceding paragraph is provided, and the Minister of Health, Labour and Welfare finds it necessary, the Minister is to have persons with knowledge and experience concerning medical care or prescription services attend during the guidance pursuant to designation by related organizations; provided, however, that this does not apply if related organizations make no designation or the designated persons do not attend.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十四条（一部負担金） — (Amount of Co-Payment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-74 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74
**第一項** 第六十三条第三項の規定により保険医療機関又は保険薬局から療養の給付を受ける者は、その給付を受ける際、次の各号に掲げる場合の区分に応じ、当該給付につき第七十六条第二項又は第三項の規定により算定した額に当該各号に定める割合を乗じて得た額を、一部負担金として、当該保険医療機関又は保険薬局に支払わなければならない。
art-74/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74/par-1
A person who receives benefits for medical treatment from a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance pursuant to the provisions of Article 63, paragraph (3) must pay, in accordance with the classifications listed in the following items, an amount obtained by multiplying the amount calculated pursuant to the provisions of Article 76, paragraph (2) or (3) with respect to the benefit by the ratio specified in the relevant item below, as the person's co-payment to the medical institution or the pharmacy when receiving the benefit:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 七十歳に達する日の属する月以前である場合 百分の三十
art-74/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74/par-1/item-1
if the month in which the person's 70th birthday falls has not yet begun:0.30;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 七十歳に達する日の属する月の翌月以後である場合（次号に掲げる場合を除く。） 百分の二十
art-74/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74/par-1/item-2
if the month in which the person's 70th birthday falls has elapsed (excluding the case listed in the following item):0.20; and
Ministry of Justice translation — Japanese Law Translation Database System
**三** 七十歳に達する日の属する月の翌月以後である場合であって、政令で定めるところにより算定した報酬の額が政令で定める額以上であるとき 百分の三十
art-74/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74/par-1/item-3
if the month in which the person's 70th birthday falls has elapsed and the amount of remuneration calculated as specified by Cabinet Order is not less than the amount specified by Cabinet Order:0.30.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険医療機関又は保険薬局は、前項の一部負担金（第七十五条の二第一項第一号の措置が採られたときは、当該減額された一部負担金）の支払を受けるべきものとし、保険医療機関又は保険薬局が善良な管理者と同一の注意をもってその支払を受けることに努めたにもかかわらず、なお療養の給付を受けた者が当該一部負担金の全部又は一部を支払わないときは、保険者は、当該保険医療機関又は保険薬局の請求に基づき、この法律の規定による徴収金の例によりこれを処分することができる。
art-74/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-74/par-2
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance is to receive the co-payment referred to in the preceding paragraph (if the reduction referred to in Article 75-2, paragraph (1), item (i) is made, the co-payment after the reduction) and, when a person who received the relevant benefit for medical treatment fails to make all or part of the co-payment despite the efforts of the medical institution or pharmacy to receive the payment with the same level of care as the due care of a prudent manager, the insurer may impose a disposition on the person pursuant to the same rules as those for the money to be collected pursuant to the provisions of this Act, at the request of the medical institution or pharmacy.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十五条
art-75 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75
**第一項** 前条第一項の規定により一部負担金を支払う場合においては、同項の一部負担金の額に五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。
art-75/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75/par-1
When co-payment is made pursuant to the provisions of paragraph (1) of the preceding Article, if the amount of co-payment referred to in the same paragraph is a figure with less than five, it is to be rounded down to the nearest ten yen, whereas if it is a figure with at least five yen but less than ten yen, it is to be rounded up to the nearest ten yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十五条の二（一部負担金の額の特例） — (Special Provisions for the Amount of Co-payment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-75-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2
**第一項** 保険者は、災害その他の厚生労働省令で定める特別の事情がある被保険者であって、保険医療機関又は保険薬局に第七十四条第一項の規定による一部負担金を支払うことが困難であると認められるものに対し、次の措置を採ることができる。
art-75-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-1
An insurer may take any of the following measures with respect to an insured person who is in a disaster or other special circumstances specified by Order of the Ministry of Health, Labour and Welfare and regarding whom it is found difficult to make co-payment to a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance pursuant to the provisions of Article 74, paragraph (1):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 一部負担金を減額すること。
art-75-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-1/item-1
to reduce the amount of co-payment;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 一部負担金の支払を免除すること。
art-75-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-1/item-2
to exempt the insured person from making co-payment; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 保険医療機関又は保険薬局に対する支払に代えて、一部負担金を直接に徴収することとし、その徴収を猶予すること。
art-75-2/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-1/item-3
to decide to collect co-payment directly from the insured person in lieu of co-payment to the medical institution medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance or to postpone the collection.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の措置を受けた被保険者は、第七十四条第一項の規定にかかわらず、前項第一号の措置を受けた被保険者にあってはその減額された一部負担金を保険医療機関又は保険薬局に支払うをもって足り、同項第二号又は第三号の措置を受けた被保険者にあっては一部負担金を保険医療機関又は保険薬局に支払うことを要しない。
art-75-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-2
Notwithstanding the provisions of Article 74, paragraph (1), if the measure referred to in item (i) of the preceding paragraph has been taken with respect to an insured person, it is sufficient for the person to pay the amount of co-payment so reduced to the relevant medical institution or pharmacy providing services covered by health insurance, and if the measure referred to in item (ii) or (iii) has been taken with respect to an insured person, the person is not required to make co-payment to the relevant medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前条の規定は、前項の場合における一部負担金の支払について準用する。
art-75-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-75-2/par-3
The provisions of the preceding Article apply mutatis mutandis to co-payment in the case referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十六条（療養の給付に関する費用） — (Expenses for Benefits for Medical Treatment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-76 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76
**第一項** 保険者は、療養の給付に関する費用を保険医療機関又は保険薬局に支払うものとし、保険医療機関又は保険薬局が療養の給付に関し保険者に請求することができる費用の額は、療養の給付に要する費用の額から、当該療養の給付に関し被保険者が当該保険医療機関又は保険薬局に対して支払わなければならない一部負担金に相当する額を控除した額とする。
art-76/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-1
Insurers is to pay expenses related to benefits for medical treatment to medical institutions providing services covered by health insurance and pharmacies providing services covered by health insurance. The amount of expenses which a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance may claim to an insurer in relation to benefits for medical treatment is calculated by deducting the amount of co-payment payable to the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance by the insured person in relation to the benefits for medical treatment from the amount of expenses incurred in providing the benefits for medical treatment.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の療養の給付に要する費用の額は、厚生労働大臣が定めるところにより、算定するものとする。
art-76/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-2
The amount of expenses for benefits for medical treatment referred to in the preceding paragraph is to be calculated as specified by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 保険者は、厚生労働大臣の認可を受けて、保険医療機関又は保険薬局との契約により、当該保険医療機関又は保険薬局において行われる療養の給付に関する第一項の療養の給付に要する費用の額につき、前項の規定により算定される額の範囲内において、別段の定めをすることができる。
art-76/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-3
An insurer may, with the authorization of the Minister of Health, Labour and Welfare, specify otherwise in a contract with a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance with respect to the amount of expenses incurred in providing the benefits for medical treatment referred to in paragraph (1) to be provided at the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance within the range of the amount calculated pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 保険者は、保険医療機関又は保険薬局から療養の給付に関する費用の請求があったときは、第七十条第一項及び第七十二条第一項の厚生労働省令並びに前二項の定めに照らして審査の上、支払うものとする。
art-76/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-4
When receiving a claim for expenses incurred in providing medical services from a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance, the insurer is to make payment after conducting an examination in light of the provisions of Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (1) and Article 72, paragraph (1) and the provisions of the preceding two paragraphs.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 保険者は、前項の規定による審査及び支払に関する事務を医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）による医療情報基盤・診療報酬審査支払機構（以下「基盤機構」という。）又は国民健康保険法第四十五条第五項に規定する国民健康保険団体連合会（以下「国保連合会」という。）に委託することができる。
art-76/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-5
An insurer may delegate affairs concerning the examination and payment pursuant to the provisions of the preceding paragraph to the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (hereinafter referred to as the "Infrastructure Organization") under the Medical Information Infrastructure and Medical Fee Examination and Payment Organization Act (Act No. 129 of 1948) or a federation of National Health Insurance Associations prescribed in Article 45, paragraph (5) of the National Health Insurance Act (hereinafter referred to as the "NHI federation").
machine translation, not official
**第六項** 前各項に定めるもののほか、保険医療機関又は保険薬局の療養の給付に関する費用の請求に関して必要な事項は、厚生労働省令で定める。
art-76/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-76/par-6
Beyond what is provided for in the preceding paragraphs, necessary matters concerning claims for expenses incurred in providing medical services at a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十七条（療養の給付に要する費用の額の定めに関する厚生労働大臣の調査） — Survey by the Minister of Health, Labour and Welfare Concerning the Determination of the Amount of Expenses Required for Benefits for Medical Treatment
caption: machine translation, not official
art-77 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-77
**第一項** 厚生労働大臣は、前条第二項の定めのうち薬剤に関する定めその他厚生労働大臣の定めを適正なものとするため、必要な調査を行うことができる。
art-77/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-77/par-1
The Minister of Health, Labour and Welfare may conduct a necessary survey to ensure the appropriateness of the provisions for chemicals among the provisions of paragraph (2) of the preceding Article and other provisions specified by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、保険医療機関のうち病院であって厚生労働省令で定めるものに関する前条第二項の定めを適正なものとするため、必要な調査を行うものとする。
art-77/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-77/par-2
The Minister of Health, Labour and Welfare is to conduct a necessary survey in order to ensure the appropriateness of the provisions of paragraph (2) of the preceding Article with regard to hospitals, among medical institutions providing services covered by health insurance, that are specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
**第三項** 前項に規定する病院は、同項の調査に資するため、当該病院に入院する患者に提供する医療の内容その他の厚生労働大臣が定める情報（第百五十条の二第一項及び第百五十条の三において「診療等関連情報」という。）を厚生労働大臣に報告しなければならない。
art-77/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-77/par-3
A hospital prescribed in the preceding paragraph must, in order to contribute to the survey under that paragraph, report to the Minister of Health, Labour and Welfare information specified by the Minister of Health, Labour and Welfare, such as the content of medical care provided to patients admitted to that hospital (referred to as "medical care-related information" in Article 150-2, paragraph (1) and Article 150-3).
machine translation, not official
### 第七十八条（保険医療機関又は保険薬局の報告等） — (Reports by Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-78 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-78
**第一項** 厚生労働大臣は、療養の給付に関して必要があると認めるときは、保険医療機関若しくは保険薬局若しくは保険医療機関若しくは保険薬局の開設者若しくは管理者、保険医、保険薬剤師その他の従業者であった者（以下この項において「開設者であった者等」という。）に対し報告若しくは診療録その他の帳簿書類の提出若しくは提示を命じ、保険医療機関若しくは保険薬局の開設者若しくは管理者、保険医、保険薬剤師その他の従業者（開設者であった者等を含む。）に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは保険医療機関若しくは保険薬局について設備若しくは診療録、帳簿書類その他の物件を検査させることができる。
art-78/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-78/par-1
When the Minister of Health, Labour and Welfare finds it necessary in relation to benefits for medical treatment, the minister or governor may order a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance, or a person who was an establisher or manager, physician who provided health insurance treatment, pharmacist who filled health insurance prescriptions, or another employee of a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance (hereinafter referred to as "former establisher, etc." in this paragraph) to make a report or submit or present medical records or other books and other documents, may request an establisher, manager, physician providing health insurance treatment, pharmacist filling health insurance prescriptions or another employee of a medical institution or pharmacy providing services covered by health insurance (including former establishers, etc.) to appear, or may have an official question persons involved or inspect any equipment or medical records, record books and documents or other objects of the medical institution or pharmacy providing services covered by health insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第七条の三十八第二項及び第七十三条第二項の規定は前項の規定による質問又は検査について、第七条の三十八第三項の規定は前項の規定による権限について準用する。
art-78/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-78/par-2
The provisions of Article 7-38, paragraph (2) and Article 73, paragraph (2) apply mutatis mutandis to questions or inspections pursuant to the provisions of the preceding paragraph, and the provisions of Article 7-38, paragraph (3) apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七十九条（保険医療機関等の指定の辞退又は保険医等の登録の抹消） — (Decline of Designation as a Medical Institution Providing Services Covered by Health Insurance, or Unregistration of a Physician Providing Health Insurance Treatments)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-79 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-79
**第一項** 保険医療機関又は保険薬局は、一月以上の予告期間を設けて、その指定を辞退することができる。
art-79/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-79/par-1
A medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance may decline its designation by giving notice not less than one month in advance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険医又は保険薬剤師は、一月以上の予告期間を設けて、その登録の抹消を求めることができる。
art-79/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-79/par-2
A physician providing health insurance treatment or pharmacist filling health insurance prescriptions may request deregistration by giving notice not less than one month in advance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十条（保険医療機関又は保険薬局の指定の取消し） — (Recession of Designation as a Medical Institution Providing Services Covered by Health Insuranceor Pharmacy Providing Services Covered by Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-80 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80
**第一項** 厚生労働大臣は、次の各号のいずれかに該当する場合においては、当該保険医療機関又は保険薬局に係る第六十三条第三項第一号の指定を取り消すことができる。
art-80/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1
The Minister of Health, Labour and Welfare may rescind the designation referred to in Article 63, paragraph (3), item (i) pertaining to a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance if the medical institution or pharmacy falls under any of the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 保険医療機関において診療に従事する保険医又は保険薬局において調剤に従事する保険薬剤師が、第七十二条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定に違反したとき（当該違反を防止するため、当該保険医療機関又は保険薬局が相当の注意及び監督を尽くしたときを除く。）。
art-80/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-1
a physician providing health insurance treatment at a medical institution providing services covered by health insurance or a pharmacist filling health insurance prescriptions at a pharmacy providing services covered by health insurance has violated the provisions of Article 72, paragraph (1) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149; excluding when the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance had made efforts to provide reasonable care and supervision so as to prevent that violation);
machine translation, not official
**二** 保険医療機関の管理者が、第七十条の二第二項の規定に違反したとき（当該違反を防止するため、当該保険医療機関の管理者として、相当の注意及び監督を尽くしたときを除く。）。
art-80/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-2
the administrator of a medical institution providing services covered by health insurance has violated the provisions of Article 70-2, paragraph (2) (excluding when the administrator has exercised reasonable care and supervision as the administrator of that medical institution providing services covered by health insurance in order to prevent that violation);
machine translation, not official
**三** 前二号のほか、保険医療機関又は保険薬局が、第七十条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定に違反したとき。
art-80/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-3
beyond the preceding two items, a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has violated the provisions of Article 70, paragraph (1) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149);
machine translation, not official
**四** 療養の給付に関する費用の請求又は第八十五条第五項（第八十五条の二第五項及び第八十六条第五項において準用する場合を含む。）若しくは第百十条第四項（これらの規定を第百四十九条において準用する場合を含む。）の規定による支払に関する請求について不正があったとき。
art-80/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-4
wrongdoing is found with regard to a claim for expenses incurred in providing medical services, or a claim for payment pursuant to the provisions of Article 85, paragraph (5) (including when these provisions are applied mutatis mutandis to Article 85-2, paragraph (5), and Article 86, paragraph (5)) or Article 110, paragraph (4) (including when applied mutatis mutandis to Article 149);
machine translation, not official
**五** 保険医療機関又は保険薬局が、第七十八条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。次号において同じ。）の規定により報告若しくは診療録その他の帳簿書類の提出若しくは提示を命ぜられてこれに従わず、又は虚偽の報告をしたとき。
art-80/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-5
the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance is requested to make a report, or to submit or present medical records, record books and other documents pursuant to the provisions of Article 78, paragraph (1) (including the cases where the same provision is applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149; the same applies in the following item) but fails to comply with the order or submits a false report;
machine translation, not official
**六** 保険医療機関又は保険薬局の開設者又は従業者が、第七十八条第一項の規定により出頭を求められてこれに応ぜず、同項の規定による質問に対して答弁せず、若しくは虚偽の答弁をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したとき（当該保険医療機関又は保険薬局の従業者がその行為をした場合において、その行為を防止するため、当該保険医療機関又は保険薬局が相当の注意及び監督を尽くしたときを除く。）。
art-80/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-6
the establisher or an employee of the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has been requested to appear pursuant to the provision of Article 78, paragraph (1) but failed to comply with the order or answer questions pursuant to the provisions of the same paragraph, answered untruthfully, or refused, obstructed, or evaded an inspection pursuant to the same paragraph (except if the medical institution or pharmacy had made efforts to provide reasonable care and supervision so as to prevent that conduct);
Ministry of Justice translation — Japanese Law Translation Database System
**七** この法律以外の医療保険各法による療養の給付若しくは被保険者若しくは被扶養者の療養又は高齢者の医療の確保に関する法律による療養の給付、入院時食事療養費に係る療養、入院時生活療養費に係る療養若しくは保険外併用療養費に係る療養に関し、前各号のいずれかに相当する事由があったとき。
art-80/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-7
there are grounds that correspond to any of the preceding items with respect to benefits for medical treatment pursuant to medical insurance laws other than this act, benefits for medical treatment pursuant to the Act on Assurance of Medical Treatment for Insured Persons or Dependents or Medical Care for Elderly People, or medical treatment pertaining to dietary treatment expenses for inpatients, to living support expenses for inpatients or to medical expenses combined with treatment outside insurance coverage;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 保険医療機関又は保険薬局の開設者又は管理者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-80/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-8
the establisher or administrator of the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has been sentenced to a fine pursuant to the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, and the execution of the sentence has not yet been completed or the execution of the sentence still applies;
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the establisher or administrator of the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has been sentenced to a fine pursuant to the provisions of this Act or medical insurance laws other than this act which are specified by Cabinet Order, and the execution of the sentence has not yet been completed or the execution of the sentence still applies;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**九** 保険医療機関又は保険薬局の開設者又は管理者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-80/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-9
the establisher or administrator of a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has come to fall under the category of a person who has been sentenced to imprisonment or a severer punishment, and the execution of the sentence has not yet been completed or the execution of the sentence still applies; or
machine translation, not official
**十** 前各号に掲げる場合のほか、保険医療機関又は保険薬局の開設者が、この法律その他国民の保健医療に関する法律で政令で定めるもの又はこれらの法律に基づく命令若しくは処分に違反したとき。
art-80/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-80/par-1/item-10
beyond what is provided for in the preceding items, the establisher of the medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance has violated the provisions of this Act or other medical insurance laws which are specified by Cabinet Order, or an order or disposition based thereon;
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十一条（保険医又は保険薬剤師の登録の取消し） — (Deregistration of a Physician Providing Health Insurance Treatment or Pharmacist Filling Health Insurance Prescriptions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-81 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81
**第一項** 厚生労働大臣は、次の各号のいずれかに該当する場合においては、当該保険医又は保険薬剤師に係る第六十四条の登録（第二号に掲げる場合にあっては、当該保険医療機関の管理者の保険医に係る同条の登録）を取り消すことができる。
art-81/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1
The Minister of Health, Labour and Welfare may cancel the registration under Article 64 pertaining to the physician providing health insurance treatment or pharmacist filling health insurance prescriptions concerned (in the case listed in item (ii), the registration under that Article pertaining to the physician providing health insurance treatment who is the administrator of the medical institution providing services covered by health insurance concerned) in the case where any of the following items applies:
machine translation, not official
**一** 保険医又は保険薬剤師が、第七十二条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の規定に違反したとき。
art-81/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-1
the physician providing health insurance treatment or pharmacist filling health insurance prescriptions has violated the provisions of Article 72, paragraph (1) (including when applied mutatis mutandis to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149);
machine translation, not official
**二** 保険医療機関の管理者が、第七十条の二第二項の規定に違反したとき（当該違反を防止するため、当該保険医療機関の管理者として、相当の注意及び監督を尽くしたときを除く。）。
art-81/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-2
the administrator of a medical institution providing services covered by health insurance has violated the provisions of Article 70-2, paragraph (2) (excluding when the administrator has exercised reasonable care and supervision as the administrator of that medical institution providing services covered by health insurance in order to prevent that violation);
machine translation, not official
**三** 保険医又は保険薬剤師が、第七十八条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。以下この号において同じ。）の規定により出頭を求められてこれに応ぜず、第七十八条第一項の規定による質問に対して答弁せず、若しくは虚偽の答弁をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したとき。
art-81/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-3
the physician providing health insurance treatment or pharmacist filling health insurance prescriptions had been requested to appear pursuant to the provisions of Article 78, paragraph (1) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149; the same applies hereinafter in this item) but failed to respond or to reply to questions pursuant to the provisions of Article 78, paragraph (1), or answered untruthfully, or refused, obstructed, or evaded an inspection pursuant to the provisions of the same paragraph;
machine translation, not official
**四** この法律以外の医療保険各法又は高齢者の医療の確保に関する法律による診療又は調剤に関し、前三号のいずれかに相当する事由があったとき。
art-81/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-4
there are grounds that correspond to any of the preceding three items with respect to medical care or prescription based on medical insurance laws other than this act or the Act on Assurance of Medical Care for Elderly People;
machine translation, not official
**五** 保険医又は保険薬剤師が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-81/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-5
the physician providing health insurance treatment or pharmacist filling health insurance prescriptions has been sentenced to a fine pursuant to the provisions of this Act and other laws concerning citizens' health and medical care which are specified by Cabinet Order, and the execution of the sentence has not yet been completed or the execution of the sentence still applies;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 保険医又は保険薬剤師が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-81/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-6
the physician providing health insurance treatment or pharmacist filling health insurance prescriptions has come to fall under the category of a person who has been sentenced to imprisonment or a severer punishment, and the execution of the sentence has not yet been completed or the execution of the sentence still applies; or
machine translation, not official
**七** 前各号に掲げる場合のほか、保険医又は保険薬剤師が、この法律その他国民の保健医療に関する法律で政令で定めるもの又はこれらの法律に基づく命令若しくは処分に違反したとき。
art-81/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-81/par-1/item-7
beyond the cases listed in the preceding items, the physician providing health insurance treatment or pharmacist filling health insurance prescriptions violates this Act, medical insurance laws other than this act which are specified by Cabinet Order, or an order or disposition based on these Acts.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十二条（社会保険医療協議会への諮問） — (Advisory to Social Insurance Medical Councils)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-82 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-82
**第一項** 厚生労働大臣は、第七十条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）若しくは第三項、第七十条の二若しくは第七十二条第一項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。）の厚生労働省令を定めようとするとき、又は第六十三条第二項第三号、第五号若しくは第六号若しくは第七十六条第二項（これらの規定を第百四十九条において準用する場合を含む。）の定めをしようとするときは、中央社会保険医療協議会に諮問するものとする。ただし、第六十三条第二項第三号の定めのうち高度の医療技術に係るものについては、この限りでない。
art-82/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-82/par-1
When intending to issue the Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (1) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149) or Article 70, paragraph (3), Article 70-2, or Article 72, paragraph (1) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149), or intending to make a determination under Article 63, paragraph (2), item (iii), (v) or (vi), or Article 76, paragraph (2) (including when these provisions are applied mutatis mutandis pursuant to Article 149), the Minister of Health, Labour and Welfare is to consult with the Central Social Insurance Medical Council; provided, however, that this does not apply to a determination under Article 63, paragraph (2), item (iii) pertaining to advanced medical care techniques.
machine translation, not official
**第二項** 厚生労働大臣は、保険医療機関若しくは保険薬局に係る第六十三条第三項第一号の指定を行おうとするとき、若しくはその指定を取り消そうとするとき、又は保険医若しくは保険薬剤師に係る第六十四条の登録を取り消そうとするときは、政令で定めるところにより、地方社会保険医療協議会に諮問するものとする。
art-82/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-82/par-2
When intending to make or rescind a designation referred to in Article 63, paragraph (3), item (i) pertaining to a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance, or to rescind a registration referred to in Article 64 pertaining to a physician providing health insurance covered treatment or pharmacist filling health insurance prescriptions, the Minister of Health, Labour and Welfare is to consult with the relevant Local Social Medical Insurance Council as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十三条（処分に対する弁明の機会の付与） — (Granting Opportunities to Explain Dispositions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-83 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-83
**第一項** 厚生労働大臣は、保険医療機関に係る第六十三条第三項第一号の指定をしないこととするとき、若しくはその申請に係る病床の全部若しくは一部を除いて指定（指定の変更を含む。）を行おうとするとき、若しくは保険薬局に係る同号の指定をしないこととするとき、又は保険医若しくは保険薬剤師に係る第六十四条の登録をしないこととするときは、当該医療機関若しくは薬局の開設者又は当該保険医若しくは保険薬剤師に対し、弁明の機会を与えなければならない。この場合においては、あらかじめ、書面で、弁明をすべき日時、場所及びその事由を通知しなければならない。
art-83/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-83/par-1
When the Minister of Health, Labour and Welfare determines not to make a designation referred to in Article 63, paragraph (3), item (i) pertaining to a medical institution providing services covered by health insurance, determines to make a designation excluding all or some of the beds pertaining to that medical institution's application (including an alternation of such a designation), or determines not to make a designation referred to in the same item pertaining to a pharmacy providing services covered by health insurance, or a registration referred to in Article 64 pertaining to a physician providing health insurance treatment or pharmacist filling health insurance prescriptions, the Minister must grant the establisher of the medical institution or pharmacy, or the physician or pharmacist, an opportunity to hear an explanation. In this case, the Minister must give notification of the date, time, and place for the explanation and the circumstances thereof in writing, in advance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十四条（保険者が指定する病院等における療養の給付） — (Benefits for Medical Treatment at Hospitals Designated by Insurers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-84 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-84
**第一項** 第六十三条第三項第二号及び第三号に掲げる病院若しくは診療所又は薬局において行われる療養の給付及び健康保険の診療又は調剤に関する準則については、第七十条第一項及び第七十二条第一項の厚生労働省令の例による。
art-84/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-84/par-1
Rules on benefits for medical treatment, and on medical care and prescription services covered by health insurance and provided by hospitals, clinics, and pharmacies listed in Article 63, paragraph (3), items (ii) and (iii) are governed by Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (1) and Article 72, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第六十三条第三項第二号に掲げる病院若しくは診療所又は薬局から療養の給付を受ける者は、その給付を受ける際、第七十四条の規定の例により算定した額を、一部負担金として当該病院若しくは診療所又は薬局に支払わなければならない。ただし、保険者が健康保険組合である場合においては、規約で定めるところにより、当該一部負担金を減額し、又はその支払を要しないものとすることができる。
art-84/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-84/par-2
A person who receives benefits for medical care from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (ii) must pay the amount calculated pursuant to the provisions of Article 74 as co-payment to the hospital, clinic, or pharmacy upon receiving the benefits; provided, however, that if the insurer is a health insurance society, the amount of the co-payment may be decreased or payment thereof may not be required, pursuant to the insurer's constitution.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 健康保険組合は、規約で定めるところにより、第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から療養の給付を受ける者に、第七十四条の規定の例により算定した額の範囲内において一部負担金を支払わせることができる。
art-84/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-84/par-3
A health insurance society may, pursuant to its constitution, have a person who receives benefits for medical treatment from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (iii) pay the amount of co-payment within the extent of the amount calculated pursuant to the provisions of Article 74.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十五条（入院時食事療養費） — (Dietary Treatment Expenses for Inpatients)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-85 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85
**第一項** 被保険者（特定長期入院被保険者を除く。）が、厚生労働省令で定めるところにより、第六十三条第三項各号に掲げる病院又は診療所のうち自己の選定するものから、電子資格確認等により、被保険者であることの確認を受け、同条第一項第五号に掲げる療養の給付と併せて受けた食事療養に要した費用について、入院時食事療養費を支給する。
art-85/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-1
Dietary treatment expenses for inpatients are paid to an insured person (excluding insured persons undergoing special long-term hospitalization) who, pursuant to Order of the Ministry of Health, Labour and Welfare, has received from a hospital or clinic that the person selected from those listed in the items of Article 63, paragraph (3) confirmation of being an insured person by electronic eligibility confirmation, etc., for expenses required for dietary treatment that the person received along with benefits for medical treatment listed in Article 63, paragraph (1), item (v).
machine translation, not official
**第二項** 入院時食事療養費の額は、当該食事療養につき食事療養に要する平均的な費用の額を勘案して厚生労働大臣が定める基準により算定した費用の額（その額が現に当該食事療養に要した費用の額を超えるときは、当該現に食事療養に要した費用の額）から、平均的な家計における食費の状況及び特定介護保険施設等（介護保険法第五十一条の三第一項に規定する特定介護保険施設等をいう。）における食事の提供に要する平均的な費用の額を勘案して厚生労働大臣が定める額（所得の状況その他の事情をしん酌して厚生労働省令で定める者については、別に定める額。以下「食事療養標準負担額」という。）を控除した額とする。
art-85/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-2
The amount of dietary treatment expenses for inpatients is the amount obtained by deducting the amount specified by the Minister of Health, Labor and Welfare taking into consideration the status of food expenses for an average household budget and the average amount of expenses required to provide meals at a specified facility for insured long-term care (meaning the specified facilities for insured long-term care prescribed in Article 51-3, paragraph (1) of the Long-Term Care Insurance Act) from the amount calculated based on standards specified by the Minister of Health, Labour and Welfare taking into account the average amount of expenses required for the dietary treatment (if the calculated amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred in the dietary treatment) (for a person specified by Order of Health, Labor and Welfare in consideration of income status and other circumstances, a separately determined amount; hereinafter referred to as "standard co-payment for dietary treatment").
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、前項の基準を定めようとするときは、中央社会保険医療協議会に諮問するものとする。
art-85/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-3
When intending to specify the standards referred to in the preceding paragraph, the Minister of Health, Labour, and Welfare is to consult with the Central Social Insurance Medical Council.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生労働大臣は、食事療養標準負担額を定めた後に勘案又はしん酌すべき事項に係る事情が著しく変動したときは、速やかにその額を改定しなければならない。
art-85/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-4
If the circumstances to be taken into consideration have changed significantly since the Minister of Health, Labour, and Welfare determines the amount of standard co-payment for dietary treatment, the Minister must promptly revise the amount.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 被保険者（特定長期入院被保険者を除く。以下この条において同じ。）が第六十三条第三項第一号又は第二号に掲げる病院又は診療所から食事療養を受けたときは、保険者は、その被保険者が当該病院又は診療所に支払うべき食事療養に要した費用について、入院時食事療養費として被保険者に対し支給すべき額の限度において、被保険者に代わり、当該病院又は診療所に支払うことができる。
art-85/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-5
When an insured person (excluding insured persons undergoing special long-term hospitalization; the same applies hereinafter in this Article) has received dietary treatment at or from a hospital or clinic listed in Article 63, paragraph (3), item (i) or (ii), the insurer may, on behalf of the insured person, pay to the hospital or clinic the expenses incurred for the dietary treatment payable by the insured person to the hospital or clinic within the limit of the amount payable to the insured person as expenses for dietary treatment for inpatients.
machine translation, not official
**第六項** 前項の規定による支払があったときは、被保険者に対し入院時食事療養費の支給があったものとみなす。
art-85/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-6
When a payment pursuant to the provisions of the preceding paragraph is paid, it is deemed that the relevant dietary treatment expenses for inpatients are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 被保険者が第六十三条第三項第三号に掲げる病院又は診療所から食事療養を受けた場合において、保険者がその被保険者の支払うべき食事療養に要した費用のうち入院時食事療養費として被保険者に支給すべき額に相当する額の支払を免除したときは、入院時食事療養費の支給があったものとみなす。
art-85/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-7
When an insured person receives dietary treatment from a hospital or clinic listed in Article 63, paragraph (3), item (iii), if the insurer exempts the insured person from payment of an amount equivalent to the amount to be paid as dietary treatment expenses for inpatients among the expenses required for dietary treatment to be paid by the insured person, it is deemed that dietary treatment expenses for inpatients are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 第六十三条第三項各号に掲げる病院又は診療所は、食事療養に要した費用につき、その支払を受ける際、当該支払をした被保険者に対し、厚生労働省令で定めるところにより、領収証を交付しなければならない。
art-85/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-8
Upon acceptance of a payment of expenses incurred for dietary treatment, the hospital or clinic listed in the items of Article 63, paragraph (3) must issue a receipt therefor to the relevant insured person who makes the payment, pursuant to Ordinance of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** 第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条及び前条第一項の規定は、第六十三条第三項各号に掲げる病院又は診療所から受けた食事療養及びこれに伴う入院時食事療養費の支給について準用する。
art-85/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85/par-9
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, and paragraph (1) of the preceding Article apply mutatis mutandis to payment of dietary treatment received at or from a hospital or clinic listed in the items of Article 63, paragraph (3) and dietary treatment expenses for inpatients associated with that dietary treatment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十五条の二（入院時生活療養費） — (Living Support Expenses for Inpatients)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-85-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2
**第一項** 特定長期入院被保険者が、厚生労働省令で定めるところにより、第六十三条第三項各号に掲げる病院又は診療所のうち自己の選定するものから、電子資格確認等により、被保険者であることの確認を受け、同条第一項第五号に掲げる療養の給付と併せて受けた生活療養に要した費用について、入院時生活療養費を支給する。
art-85-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2/par-1
Living support expenses for inpatients are paid to an insured person undergoing special long-term hospitalization who, pursuant to Order of the Ministry of Health, Labour and Welfare, has received from a hospital or clinic that the person selected from those listed in the items of Article 63, paragraph (3) confirmation of being an insured person by electronic eligibility confirmation, etc., for expenses required for living support that the person received along with benefits for medical treatment listed in Article 63, paragraph (1), item (v).
machine translation, not official
**第二項** 入院時生活療養費の額は、当該生活療養につき生活療養に要する平均的な費用の額を勘案して厚生労働大臣が定める基準により算定した費用の額（その額が現に当該生活療養に要した費用の額を超えるときは、当該現に生活療養に要した費用の額）から、平均的な家計における食費及び光熱水費の状況並びに病院及び診療所における生活療養に要する費用について介護保険法第五十一条の三第二項第一号に規定する食費の基準費用額及び同項第二号に規定する居住費の基準費用額に相当する費用の額を勘案して厚生労働大臣が定める額（所得の状況、病状の程度、治療の内容その他の事情をしん酌して厚生労働省令で定める者については、別に定める額。以下「生活療養標準負担額」という。）を控除した額とする。
art-85-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2/par-2
The amount of living support expenses for inpatients is the amount obtained by deducting the amount specified by the Minister of Health, Labor and Welfare taking into consideration an amount equivalent to the amount of base cost for meal expenses prescribed in Article 51-3, paragraph (2), item (i) of the Long-Term Care Insurance Act and the amount of base cost for residence expenses prescribed in item (ii) of the same paragraph with regard to the status of food expenses for an average household budget and fuel, lighting and water charges as well as expenses required for living support at hospitals and clinics from the amount calculated based on standards specified by the Minister of Health, Labour and Welfare taking into account the average amount of expenses required for the living support (when the calculated amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred in the living support) (for a person specified by Order of the Ministry of Health, Labor and Welfare in consideration of income status, extent of symptoms, contents of medical treatment, and other circumstances, a separately determined amount; hereinafter referred to as "standard co-payment for living support").
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、前項の基準を定めようとするときは、中央社会保険医療協議会に諮問するものとする。
art-85-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2/par-3
When intending to specify the standards referred to in the preceding paragraph, the Minister of Health, Labour, and Welfare is to consult with the Central Social Insurance Medical Council.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生労働大臣は、生活療養標準負担額を定めた後に勘案又はしん酌すべき事項に係る事情が著しく変動したときは、速やかにその額を改定しなければならない。
art-85-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2/par-4
If the circumstances to be taken into consideration have changed significantly since the Minister of Health, Labour, and Welfare determined the amount of standard co-payment for living support, the minister must promptly revise the amount.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条、第八十四条第一項及び前条第五項から第八項までの規定は、第六十三条第三項各号に掲げる病院又は診療所から受けた生活療養及びこれに伴う入院時生活療養費の支給について準用する。
art-85-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-85-2/par-5
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, Article 84, paragraph (1), and paragraphs (5) through (8) of the preceding Article apply mutatis mutandis to payment of living support received at or from a hospital or clinic listed in the items of Article 63, paragraph (3) and living support expenses for inpatients associated with the living support.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十六条（保険外併用療養費） — (Medical Expenses Combined with Treatment Outside Insurance Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-86 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86
**第一項** 被保険者が、厚生労働省令で定めるところにより、保険医療機関等のうち自己の選定するものから、電子資格確認等により、被保険者であることの確認を受け、評価療養、患者申出療養、選定療養又は一部保険外療養を受けたときは、その療養に要した費用について、保険外併用療養費を支給する。
art-86/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-1
When an insured person, pursuant to Order of the Ministry of Health, Labour and Welfare, receives confirmation of being an insured person by electronic eligibility confirmation, etc. from a medical institution providing services covered by health insurance, etc. that the person selected, and receives evaluation treatment, patient-requested treatment, selective treatment or partially uninsured treatment, medical expenses combined with treatment outside insurance coverage are paid for expenses required for that treatment.
machine translation, not official
**第二項** 評価療養、患者申出療養又は選定療養を受けた場合（当該評価療養、患者申出療養又は選定療養と併せて一部保険外療養を受けた場合を除く。）における保険外併用療養費の額は、第一号に掲げる額（当該療養に食事療養が含まれるときは当該額及び第二号に掲げる額の合算額、当該療養に生活療養が含まれるときは当該額及び第三号に掲げる額の合算額）とする。
art-86/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-2
The amount of medical expenses combined with treatment outside insurance coverage in the case where evaluation treatment, patient-requested treatment or selective treatment is received (excluding the case where partially uninsured treatment is received together with that evaluation treatment, patient-requested treatment or selective treatment) is the amount listed in item (i) below (the aggregate of that amount and the amount listed in item (ii) if the medical treatment includes dietary treatment, or the aggregate of that amount and the amount listed in item (iii) if the medical treatment includes living support):
machine translation, not official
**一** 当該療養（食事療養及び生活療養を除く。）につき第七十六条第二項の定めを勘案して厚生労働大臣が定めるところにより算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）から、その額に第七十四条第一項各号に掲げる場合の区分に応じ、同項各号に定める割合を乗じて得た額（療養の給付に係る同項の一部負担金について第七十五条の二第一項各号の措置が採られるべきときは、当該措置が採られたものとした場合の額）を控除した額
art-86/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-2/item-1
the amount calculated by deducting, from the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into account the provisions of Article 76, paragraph (2) (when the calculated amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred in the medical treatment), the amount obtained by multiplying that amount by the applicable ratio specified in the items of Article 74, paragraph (1) (if any of the measures listed in the items of Article 75-2, paragraph (1) need to be taken with respect to the co-payment referred to in the same paragraph for benefits for medical treatment, the amount calculated as if the relevant measures were taken), in accordance with the classifications listed in the in the same items;
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the amount calculated by deducting, from the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into account the provisions of Article 76, paragraph (2) (when the calculated amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred in the medical treatment), the amount obtained by multiplying that amount by the applicable ratio specified in the items of Article 74, paragraph (1) (if any of the measures listed in the items of Article 75, paragraph (1) need to be taken with respect to the co-payment referred to in the same paragraph for benefits for medical treatment, the amount calculated as if the relevant measures were taken), in accordance with the classifications listed in the in the same items;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**二** 当該食事療養につき第八十五条第二項に規定する厚生労働大臣が定める基準により算定した費用の額（その額が現に当該食事療養に要した費用の額を超えるときは、当該現に食事療養に要した費用の額）から食事療養標準負担額を控除した額
art-86/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-2/item-2
the amount calculated by deducting the amount of standard co-payment for dietary treatment from the amount calculated for the dietary treatment pursuant to the standards set by the Minister of Health, Labour and Welfare prescribed in the provisions of Article 85, paragraph (2) (when the calculated amount exceeds the amount of expenses actually incurred for the dietary treatment, the amount of expenses actually incurred for the dietary treatment); and
Ministry of Justice translation — Japanese Law Translation Database System
**三** 当該生活療養につき前条第二項に規定する厚生労働大臣が定める基準により算定した費用の額（その額が現に当該生活療養に要した費用の額を超えるときは、当該現に生活療養に要した費用の額）から生活療養標準負担額を控除した額
art-86/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-2/item-3
the amount calculated by deducting the amount of standard co-payment for living support from the amount calculated for the living support pursuant to the standards set by the Minister of Health, Labour and Welfare prescribed in the provisions of paragraph (2) of the preceding Article (when the amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred in the living support).
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 一部保険外療養を受けた場合（当該一部保険外療養と併せて評価療養、患者申出療養又は選定療養を受けた場合を含む。）における保険外併用療養費の額は、第一号に掲げる額から第二号に掲げる額を控除した額（当該療養に食事療養が含まれるときは当該控除した額及び前項第二号に掲げる額の合算額、当該療養に生活療養が含まれるときは当該控除した額及び同項第三号に掲げる額の合算額）とする。
art-86/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-3
The amount of medical expenses combined with treatment outside insurance coverage in the case where partially uninsured treatment is received (including the case where evaluation treatment, patient-requested treatment or selective treatment is received together with that partially uninsured treatment) is the amount obtained by deducting the amount listed in item (ii) below from the amount listed in item (i) below (the aggregate of that deducted amount and the amount listed in item (ii) of the preceding paragraph if the medical treatment includes dietary treatment, or the aggregate of that deducted amount and the amount listed in item (iii) of that paragraph if the medical treatment includes living support):
machine translation, not official
**一** イに掲げる額からロに掲げる額を控除した額
art-86/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-3/item-1
the amount obtained by deducting the amount listed in (b) from the amount listed in (a);
machine translation, not official
**イ** 当該療養（食事療養及び生活療養を除く。）につき第七十六条第二項の定めを勘案して厚生労働大臣が定めるところにより算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）
art-86/par-3/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-3/item-1/sub-1
the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into account the provisions of Article 76, paragraph (2) (when the calculated amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred in the medical treatment);
machine translation, not official
**ロ** 医療費の動向及び医療保険の財政状況並びに療養を受ける者の事情その他の事項を考慮して保険給付の対象としない費用として厚生労働大臣が定めるところにより算定した額
art-86/par-3/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-3/item-1/sub-2
the amount calculated, as costs not covered by insurance benefits, pursuant to the rules prescribed by the Minister of Health, Labour and Welfare taking into consideration trends in medical expenses, the financial condition of medical insurance, the circumstances of the person receiving the treatment, and other matters;
machine translation, not official
**二** 前号に掲げる額に第七十四条第一項各号に掲げる場合の区分に応じ、同項各号に定める割合を乗じて得た額（療養の給付に係る同項の一部負担金について第七十五条の二第一項各号の措置が採られるべきときは、当該措置が採られたものとした場合の額）
art-86/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-3/item-2
the amount obtained by multiplying the amount listed in the preceding item by the applicable ratio specified in the items of Article 74, paragraph (1) in accordance with the classifications listed in those items (if any of the measures listed in the items of Article 75-2, paragraph (1) need to be taken with respect to the co-payment referred to in Article 74, paragraph (1) for benefits for medical treatment, the amount calculated as if the relevant measures were taken).
machine translation, not official
**第四項** 厚生労働大臣は、第二項第一号又は前項第一号イ若しくはロの定めをしようとするときは、中央社会保険医療協議会に諮問するものとする。
art-86/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-4
When intending to specify the matters as prescribed in paragraph (2), item (i) or in item (i), sub-item (a) or (b) of the preceding paragraph, the Minister of Health, Labour, and Welfare is to consult with the Central Social Insurance Medical Council.
machine translation, not official
**第五項** 第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十七条、第七十八条、第八十四条第一項及び第八十五条第五項から第八項までの規定は、保険医療機関等から受けた評価療養、患者申出療養、選定療養及び一部保険外療養並びにこれらに伴う保険外併用療養費の支給について準用する。
art-86/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-5
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 77, Article 78, Article 84, paragraph (1), Article 85, paragraphs (5) through (8) apply mutatis mutandis to the payment of evaluation treatment, patient-requested treatment, selective treatment, and partially uninsured treatment received at or from a medical institution providing services covered by health insurance, etc., as well as medical expenses combined with treatment outside insurance coverage associated with the received treatment.
machine translation, not official
**第六項** 第七十五条の規定は、前項の規定により準用する第八十五条第五項の場合において第二項又は第三項の規定により算定した費用の額（その額が現に療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）から当該療養に要した費用について保険外併用療養費として支給される額に相当する額を控除した額の支払について準用する。
art-86/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-86/par-6
The provisions of Article 75 apply mutatis mutandis to payment of the amount calculated by deducting the amount payable as medical expenses combined with treatment outside insurance coverage with respect to expenses incurred in the relevant medical treatment from the amount of expenses calculated pursuant to the provisions of paragraph (2) or (3) in the case referred to in Article 85, paragraph (5) as applied mutatis mutandis pursuant to the preceding paragraph (when the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred in the medical treatment).
machine translation, not official
### 第八十七条（療養費） — (Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-87 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-87
**第一項** 保険者は、療養の給付若しくは入院時食事療養費、入院時生活療養費若しくは保険外併用療養費の支給（以下この項において「療養の給付等」という。）を行うことが困難であると認めるとき、又は被保険者が保険医療機関等以外の病院、診療所、薬局その他の者から診療、薬剤の支給若しくは手当を受けた場合において、保険者がやむを得ないものと認めるときは、療養の給付等に代えて、療養費を支給することができる。
art-87/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-87/par-1
When an insurer finds it difficult to pay benefits for medical treatment, expenses for dietary treatment for inpatients, living support expenses for inpatients, or medical expenses combined with treatment outside insurance coverage (hereinafter referred to as "benefits for medical treatment, etc." in this paragraph) or finds it unavoidable in cases where an insured person has received any medical care, medication or treatment at or from a hospital, clinic, pharmacy or any other person other than a medical institution providing services covered by health insurance, it may pay medical expenses in lieu of benefits for medical treatment, etc.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When an insurer finds it difficult to pay benefits for medical treatment, expenses for dietary treatment for inpatients, living support expenses for inpatients, or medical expenses combined with treatment outside insurance coverage (hereinafter referred to as "benefits for medical treatment" in this paragraph) or finds it unavoidable in cases where an insured person has received any medical care, medication or treatment at or from a hospital, clinic, pharmacy or any other person other than a medical institution providing services covered by health insurance, it may pay medical expenses in lieu of benefits for medical treatment." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 療養費の額は、当該療養（食事療養及び生活療養を除く。）について算定した費用の額（一部保険外療養を受けた場合（当該一部保険外療養と併せて評価療養、患者申出療養又は選定療養を受けた場合を含む。）にあっては、当該費用の額から前条第三項第一号ロの規定による厚生労働大臣の定めの例により算定した額を控除した額）から、その額に第七十四条第一項各号に掲げる場合の区分に応じ、同項各号に定める割合を乗じて得た額を控除した額及び当該食事療養又は生活療養について算定した費用の額から食事療養標準負担額又は生活療養標準負担額を控除した額を基準として、保険者が定める。
art-87/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-87/par-2
The amount of medical expenses is determined by the insurer based on: (a) the amount calculated by deducting, from the amount calculated for the medical treatment (excluding dietary treatment and living support) (in the case where partially uninsured treatment is received (including the case where evaluation treatment, patient-requested treatment or selective treatment is received together with that partially uninsured treatment), the amount obtained by deducting from that amount the amount calculated in accordance with the example of the determination by the Minister of Health, Labour and Welfare pursuant to the provisions of paragraph (3), item (i), (b) of the preceding Article), the amount calculated by multiplying the amount by the applicable ratio specified in the items of Article 74, paragraph (1) in accordance with the classifications listed in the items of the same paragraph; and (b) the amount calculated by deducting, from the amount of expenses calculated for the dietary treatment or living support, the amount of standard co-payment for dietary treatment or standard co-payment for living support, respectively.
machine translation, not official
**第三項** 前項の費用の額の算定については、療養の給付を受けるべき場合においては第七十六条第二項の費用の額の算定、入院時食事療養費の支給を受けるべき場合においては第八十五条第二項の費用の額の算定、入院時生活療養費の支給を受けるべき場合においては第八十五条の二第二項の費用の額の算定、保険外併用療養費の支給を受けるべき場合においては前条第二項又は第三項の費用の額の算定の例による。ただし、その額は、現に療養に要した費用の額を超えることができない。
art-87/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-87/par-3
The amount of expenses referred to in the preceding paragraph is calculated as the amount referred to in Article 76, paragraph (2) when a benefit for medical treatment is to be received, the amount referred to in Article 85, paragraph (2) when expenses for dietary treatment for inpatients are to be received, the amount referred to in Article 85-2, paragraph (2) when expenses for living support for inpatients are to be received, and the amount referred to in paragraph (2) or (3) of the preceding Article when medical expenses combined with treatment outside insurance coverage are to be received; however, the amount must not exceed the amount of expenses actually required for medical treatment.
machine translation, not official
## 第二款 訪問看護療養費の支給 — Subsection 2 Payment of Medical Expenses for Home-Nursing
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-2/subsec-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-2/subsec-2
### 第八十八条（訪問看護療養費） — (Medical Expenses for Home-Nursing)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-88 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88
**第一項** 被保険者が、厚生労働大臣が指定する者（以下「指定訪問看護事業者」という。）から当該指定に係る訪問看護事業（疾病又は負傷により、居宅において継続して療養を受ける状態にある者（主治の医師がその治療の必要の程度につき厚生労働省令で定める基準に適合していると認めたものに限る。）に対し、その者の居宅において看護師その他厚生労働省令で定める者が行う療養上の世話又は必要な診療の補助（保険医療機関等又は介護保険法第八条第二十七項に規定する介護老人保健施設若しくは同条第二十八項に規定する介護医療院によるものを除く。以下「訪問看護」という。）を行う事業をいう。）を行う事業所により行われる訪問看護（以下「指定訪問看護」という。）を受けたときは、その指定訪問看護に要した費用について、訪問看護療養費を支給する。
art-88/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-1
When an insured person receives, from a person designated by the Minister of Health, Labour and Welfare (hereinafter referred to as a "designated home-nursing provider"), care for medical treatment or necessary assistance with medical treatment provided at the home of a person who is in a condition of continuing to receive medical treatment at home due to sickness or injury (limited to a person whom the attending physician finds to conform to the standards specified by Order of the Ministry of Health, Labour and Welfare as to the degree of necessity for treatment) by a nurse or other person specified by Order of the Ministry of Health, Labour and Welfare (excluding that provided by a medical institution providing services covered by health insurance, etc., or a long-term care health facility prescribed in Article 8, paragraph (27) of the Long-Term Care Insurance Act or a long-term care medical institution prescribed in paragraph (28) of that Article; hereinafter referred to as "home-nursing") that is provided by an office operating the home-nursing business pertaining to that designation (meaning the business of providing home-nursing) (hereinafter referred to as "designated home nursing"), medical expenses for home-nursing are paid to the insured person for the expenses required for that designated home nursing.
machine translation, not official
**第二項** 前項の訪問看護療養費は、厚生労働省令で定めるところにより、保険者が必要と認める場合に限り、支給するものとする。
art-88/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-2
The medical expenses for home-nursing referred to in the preceding paragraph are paid only if the insurer finds it necessary pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 指定訪問看護を受けようとする者は、厚生労働省令で定めるところにより、自己の選定する指定訪問看護事業者から、電子資格確認等により、被保険者であることの確認を受け、当該指定訪問看護を受けるものとする。
art-88/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-3
A person who intends to receive designated home nursing is to, as specified by Order of the Ministry of Health, Labour and Welfare, receive confirmation of being an insured person by electronic eligibility confirmation, etc. from the designated home-nursing provider that the person selects, and receive that designated home nursing.
machine translation, not official
**第四項** 訪問看護療養費の額は、当該指定訪問看護につき指定訪問看護に要する平均的な費用の額を勘案して厚生労働大臣が定めるところにより算定した費用の額から、その額に第七十四条第一項各号に掲げる場合の区分に応じ、同項各号に定める割合を乗じて得た額（療養の給付に係る同項の一部負担金について第七十五条の二第一項各号の措置が採られるべきときは、当該措置が採られたものとした場合の額）を控除した額とする。
art-88/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-4
The amount of expenses for home nursing is calculated by deducting, from the amount specified by the Minister of Health, Labour and Welfare for the home nursing taking into account the average expenses required for home-nursing, the amount obtained by multiplying the specified amount by the applicable ratio specified in an item of Article 74, paragraph (1) (if any of the measures listed in the items of Article 75-2, paragraph (1) need to be taken with respect to the co-payment referred to in the same paragraph for benefits for medical treatment, the amount calculated as if the relevant measures were taken), in accordance with the classifications listed in the items of the same paragraph.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The amount of expenses for home nursing is calculated by deducting, from the amount specified by the Minister of Health, Labour and Welfare for the home nursing taking into account the average expenses required for home-nursing, the amount obtained by multiplying the specified amount by the applicable ratio specified in an item of Article 74, paragraph (1) (if any of the measures listed in the items of Article 75, paragraph (1) need to be taken with respect to the co-payment referred to in the same paragraph for benefits for medical treatment, the amount calculated as if the relevant measures were taken), in accordance with the classifications listed in the items of the same paragraph." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第五項** 厚生労働大臣は、前項の定めをしようとするときは、中央社会保険医療協議会に諮問するものとする。
art-88/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-5
When intending to specify the matters referred to in the preceding paragraph, the Minister of Health, Labour, and Welfare is to consult with the Central Social Insurance Medical Council.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 被保険者が指定訪問看護事業者から指定訪問看護を受けたときは、保険者は、その被保険者が当該指定訪問看護事業者に支払うべき当該指定訪問看護に要した費用について、訪問看護療養費として被保険者に対し支給すべき額の限度において、被保険者に代わり、当該指定訪問看護事業者に支払うことができる。
art-88/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-6
When an insured person has received designated home-nursing from a designated home-nursing provider, the insurer may, on behalf of the relevant insured person, pay to the designated home-nursing provider expenses incurred in the designated home-nursing payable by the insured person to the designated home-nursing provider, within the limit of the amount payable to the insured person as medical expenses for home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 前項の規定による支払があったときは、被保険者に対し訪問看護療養費の支給があったものとみなす。
art-88/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-7
When a payment pursuant to the provisions of the preceding paragraph is made, it is deemed that medical expenses for home-nursing are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 第七十五条の規定は、第六項の場合において第四項の規定により算定した費用の額から当該指定訪問看護に要した費用について訪問看護療養費として支給される額に相当する額を控除した額の支払について準用する。
art-88/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-8
The provisions of Article 75 apply mutatis mutandis to the payment of the amount calculated by deducting, from the amount of expenses calculated pursuant to the provisions of paragraph (4) in the case referred to in paragraph (6), the amount payable as medical expenses for home-nursing with respect to expenses incurred in the relevant designated home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** 指定訪問看護事業者は、指定訪問看護に要した費用につき、その支払を受ける際、当該支払をした被保険者に対し、厚生労働省令で定めるところにより、領収証を交付しなければならない。
art-88/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-9
Upon acceptance of the payment of expenses incurred in designated home-nursing, the designated home-nursing provider must issue a receipt therefor to the insured person who made the payment, pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第十項** 保険者は、指定訪問看護事業者から訪問看護療養費の請求があったときは、第四項の定め及び第九十二条第二項に規定する指定訪問看護の事業の運営に関する基準（指定訪問看護の取扱いに関する部分に限る。）に照らして審査の上、支払うものとする。
art-88/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-10
When requested to pay medical expenses for home-nursing expenses by a designated home-nursing provider, an insurer is to conduct an examination in light of the matters prescribed in paragraph (4) and standards for operations in home-nursing prescribed in Article 92, paragraph (2) (limited to the part regarding the handling of designated home-nursing).
Ministry of Justice translation — Japanese Law Translation Database System
**第十一項** 保険者は、前項の規定による審査及び支払に関する事務を基盤機構又は国保連合会に委託することができる。
art-88/par-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-11
An insurer may delegate affairs concerning the examination and payment pursuant to the provisions of the preceding paragraph to the Infrastructure Organization or an NHI federation.
machine translation, not official
**第十二項** 指定訪問看護は、第六十三条第一項各号に掲げる療養に含まれないものとする。
art-88/par-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-12
No designated home-nursing is to be included in any of the types of medical treatment listed in the items of Article 63, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
**第十三項** 前各項に定めるもののほか、指定訪問看護事業者の訪問看護療養費の請求に関して必要な事項は、厚生労働省令で定める。
art-88/par-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-88/par-13
Beyond what is provided for in the provisions of the preceding paragraphs, necessary matters concerning requests for medical expenses for home-nursing by a designated home-nursing provider are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第八十九条（指定訪問看護事業者の指定） — (Designation of Home-Nursing Providers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-89 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89
**第一項** 前条第一項の指定は、厚生労働省令で定めるところにより、訪問看護事業を行う者の申請により、訪問看護事業を行う事業所（以下「訪問看護事業所」という。）ごとに行う。
art-89/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-1
The designation referred to in paragraph (1) of the preceding Article is determined pursuant to Order of the Ministry of Health, Labour, and Welfare, upon application by a person that operates a home-nursing business, for each place of business that operates home-nursing business (hereinafter referred to as "home-nursing provider office").
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 指定訪問看護事業者以外の訪問看護事業を行う者について、介護保険法第四十一条第一項本文の規定による指定居宅サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定、同法第四十二条の二第一項本文の規定による指定地域密着型サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定又は同法第五十三条第一項本文の規定による指定介護予防サービス事業者（訪問看護事業を行う者のうち、厚生労働省令で定める基準に該当するものに限る。次項において同じ。）の指定があったときは、その指定の際、当該訪問看護事業を行う者について、前条第一項の指定があったものとみなす。ただし、当該訪問看護事業を行う者が、厚生労働省令で定めるところにより、別段の申出をしたときは、この限りでない。
art-89/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-2
With respect to a provider of home-nursing services other than a designated home-nursing provider, when a designation of an in-home service provider pursuant to the main clause of Article 41, paragraph (1) of the Long-Term Care Insurance Act (limited to a provider of home-nursing services which meets the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph), a designation of a community-based service provider pursuant to the provisions of the main clause of Article 42-2, paragraph (1) of the same Act (limited to a provider of home-nursing services which satisfies the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph), or a designation of a provider of services to prevent long-term care pursuant to the provisions of the main clause of Article 53, paragraph (1) of the same Act (limited to a provider of home-nursing services which meets the standards specified by Order of the Ministry of Health, Labor and Welfare; the same applies in the following paragraph) has been made, the designation referred to in paragraph (1) of the preceding Article is deemed to have been made for the relevant provider of home-nursing services; provided, however, that this does not apply if the provider of home-nursing services gives a different notification pursuant to Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 介護保険法第七十条の二第一項の規定による指定居宅サービス事業者の指定の失効若しくは同法第七十七条第一項若しくは第百十五条の三十五第六項の規定による指定居宅サービス事業者の指定の取消し若しくは効力の停止、同法第七十八条の十（同法第七十八条の十七の規定により読み替えて適用される場合を含む。）の規定による指定地域密着型サービス事業者の指定の取消し若しくは効力の停止若しくは同法第七十八条の十二において準用する同法第七十条の二第一項若しくは同法第七十八条の十五第一項若しくは第三項（同条第五項において準用する場合を含む。）の規定による指定地域密着型サービス事業者の指定の失効又は同法第百十五条の九第一項若しくは第百十五条の三十五第六項の規定による指定介護予防サービス事業者の指定の取消し若しくは効力の停止若しくは同法第百十五条の十一において準用する同法第七十条の二第一項の規定による指定介護予防サービス事業者の指定の失効は、前項本文の規定により受けたものとみなされた前条第一項の指定の効力に影響を及ぼさないものとする。
art-89/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-3
An expiration of the designation of a designated in-home service provider pursuant to the provisions of Article 70-2, paragraph (1) of the Long-Term Care Insurance Act or a rescission or suspension of validity of the designation of a designated in-home service provider pursuant to Article 77, paragraph (1) or Article 115-35, paragraph (6) of the same Act, a rescission or suspension of validity of the designation of a designated community-based service provider referred to in Article 78-10 of the same Act (including when applied by replacing terms pursuant to the provisions of Article 78-17 of the same Act), expiration of the designation of a designated community-based service provider referred to in Article 70-2, paragraph (1) of the same Act or Article 78-15, paragraph (1) or (3) of the same Act as applied mutatis mutandis to Article 78-12 of the same Act (including when applied mutatis mutandis to paragraph (5) of the same Act), rescission or expiration of the designation of a designated provider of services to prevent long-term care pursuant to Article 115-9, paragraph (1) of the same Act or Article 115-35, paragraph (6), or expiration of the designation of a designated provider of services to prevent long-term care service pursuant to Article 70-2, paragraph (1) of the same Act as applied mutatis mutandis to Article 115-11 of the same Act does not have any effect on the validity of a designation referred to in paragraph (1) of the preceding Article which is deemed to have been made pursuant to the provision of the main clause of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生労働大臣は、第一項の申請があった場合において、次の各号のいずれかに該当するときは、前条第一項の指定をしてはならない。
art-89/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4
When an application referred to in paragraph (1) corresponds to any of the following items, the Minister of Health, Labour and Welfare must not make a designation referred to in the main clause of paragraph (1) of the preceding Article:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 申請者が地方公共団体、医療法人、社会福祉法人その他厚生労働大臣が定める者でないとき。
art-89/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-1
the applicant is not a local government, a medical corporation, a social welfare corporation, or other person specified by the Minister of Health, Labour, and Welfare;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 当該申請に係る訪問看護事業所の看護師その他の従業者の知識及び技能並びに人員が、第九十二条第一項の厚生労働省令で定める基準及び同項の厚生労働省令で定める員数を満たしていないとき。
art-89/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-2
the knowledge and skills of the nurses and other employees at the home-nursing provider office to which the application pertains, and the number thereof, do not meet standards and number specified by Order of the Ministry of Health, Labour, and Welfare referred to in Article 92, paragraph (1);
Ministry of Justice translation — Japanese Law Translation Database System
**三** 申請者が、第九十二条第二項（第百十一条第三項及び第百四十九条において準用する場合を含む。）に規定する指定訪問看護の事業の運営に関する基準に従って適正な指定訪問看護事業の運営をすることができないと認められるとき。
art-89/par-4/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-3
it is determined that the applicant is unable to provide designated home-nursing services appropriately in accordance with standards for operations in home-nursing prescribed in Article 92, paragraph (2) (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 申請者が、この法律の規定により指定訪問看護事業者に係る前条第一項の指定を取り消され、その取消しの日から五年を経過しない者であるとき。
art-89/par-4/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-4
the applicant is a person whose designation referred to in paragraph (1) of the preceding Article pertaining to a designated home-nursing provider has been rescinded pursuant to the provisions of this Act and five years have not elapsed from the date of the rescission;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 申請者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-89/par-4/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-5
the applicant has been sentenced to a fine pursuant to the provisions of this Act or medical insurance laws other than this act which are specified by Cabinet Order, and the payment of the fine has not been completed or the fine still applies;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 申請者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。
art-89/par-4/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-6
the applicant has been sentenced to imprisonment or a more severe penalty and the sentence has not been completed or has not yet expired;
machine translation, not official
**七** 申請者が、社会保険料について、当該申請をした日の前日までに、社会保険各法又は地方税法の規定に基づく滞納処分を受け、かつ、当該処分を受けた日から正当な理由なく三月以上の期間にわたり、当該処分を受けた日以降に納期限の到来した社会保険料の全てを引き続き滞納している者であるとき。
art-89/par-4/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-7
with respect to social insurance premiums, the applicant has received a disposition of delinquency based on the provisions of social insurance laws or the Local Tax Act by the day preceding the day on which the application was filed, and has continued to be delinquent, without justifiable grounds, for three months or more from the date on which the applicant received the disposition with respect to all social insurance premiums the due dates of which came after the date on which the applicant received the disposition; or
Ministry of Justice translation — Japanese Law Translation Database System
**八** 前各号のほか、申請者が、指定訪問看護事業者として著しく不適当と認められる者であるとき。
art-89/par-4/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-89/par-4/item-8
beyond what is provided for in the preceding items, the applicant is deemed significantly inappropriate as a designated home-nursing provider.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十条（指定訪問看護事業者の責務） — (Responsibilities of Designated Home-Nursing Provider)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-90 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-90
**第一項** 指定訪問看護事業者は、第九十二条第二項に規定する指定訪問看護の事業の運営に関する基準に従い、訪問看護を受ける者の心身の状況等に応じて自ら適切な指定訪問看護を提供するものとする。
art-90/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-90/par-1
A home-nursing provider is to provide appropriate designated home-nursing itself according to the physical and mental conditions of the person receiving home-nursing, in accordance with the standards for operations in home-nursing prescribed in Article 92, paragraph (2).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 指定訪問看護事業者は、前項（第百十一条第三項及び第百四十九条において準用する場合を含む。）の規定によるほか、この法律以外の医療保険各法による被保険者及び被扶養者の指定訪問看護並びに高齢者の医療の確保に関する法律による被保険者の指定訪問看護を提供するものとする。
art-90/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-90/par-2
Beyond what is provided for in the provisions of the preceding paragraph (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149), a home-nursing provider is to provide insured persons and their dependents with designated home-nursing under medical insurance laws other than this act as well as the Act on Assurance of Medical Care for Elderly People.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十一条（厚生労働大臣の指導） — (Guidance by the Minister of Health, Labour and Welfare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-91 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-91
**第一項** 指定訪問看護事業者及び当該指定に係る訪問看護事業所の看護師その他の従業者は、指定訪問看護に関し、厚生労働大臣の指導を受けなければならない。
art-91/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-91/par-1
A designated home-nursing provider, and the nurses and other employees at the home-nursing provider's office to which the designation pertains must receive guidance from the Minister of Health, Labour and Welfare concerning designated home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十二条（指定訪問看護の事業の運営に関する基準） — (Standards for Operations in Designated Home-Nursing Services)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-92 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-92
**第一項** 指定訪問看護事業者は、当該指定に係る訪問看護事業所ごとに、厚生労働省令で定める基準に従い厚生労働省令で定める員数の看護師その他の従業者を有しなければならない。
art-92/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-92/par-1
A designated home-nursing provider must employ the number of employees, including nurses, specified by Order of the Ministry of Health, Labour, and Welfare in accordance with standards specified by Order of the Ministry of Health, Labour, and Welfare, at each home-nursing provider office to which the designation pertains.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に規定するもののほか、指定訪問看護の事業の運営に関する基準は、厚生労働大臣が定める。
art-92/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-92/par-2
Beyond what is provided for in the preceding paragraph, standards for operations of a designated home-nursing business are provided for by the Minister of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、前項に規定する指定訪問看護の事業の運営に関する基準（指定訪問看護の取扱いに関する部分に限る。）を定めようとするときは、中央社会保険医療協議会に諮問するものとする。
art-92/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-92/par-3
When specifying matters concerning the standards for operations of a designated home-nursing business prescribed in the preceding paragraph (limited to the part concerning the handling of designated home-nursing), the Minister of Health, Labour, and Welfare is to hear the opinions of the Central Social Insurance Medical Council.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十三条（変更の届出等） — (Notification of Change)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-93 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-93
**第一項** 指定訪問看護事業者は、当該指定に係る訪問看護事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は当該指定訪問看護の事業を廃止し、休止し、若しくは再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を厚生労働大臣に届け出なければならない。
art-93/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-93/par-1
When the name or location of a home-nursing provider office to which the designation of a designated home-nursing provider pertains or other matters specified by Order of the Ministry of Health, Labour and Welfare are changed, or when the home-nursing business is abolished, suspended, or recommenced, the designated home-nursing provider must provide notification of the change to the Minister of Health, Labour and Welfare within ten days pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十四条（指定訪問看護事業者等の報告等） — (Reports of Designated Home-Nursing Providers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-94 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-94
**第一項** 厚生労働大臣は、訪問看護療養費の支給に関して必要があると認めるときは、指定訪問看護事業者又は指定訪問看護事業者であった者若しくは当該指定に係る訪問看護事業所の看護師その他の従業者であった者（以下この項において「指定訪問看護事業者であった者等」という。）に対し報告若しくは帳簿書類の提出若しくは提示を命じ、指定訪問看護事業者若しくは当該指定に係る訪問看護事業所の看護師その他の従業者（指定訪問看護事業者であった者等を含む。）に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該指定訪問看護事業者の当該指定に係る訪問看護事業所について帳簿書類その他の物件を検査させることができる。
art-94/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-94/par-1
If the Minister of Health, Labour and Welfare finds it necessary in relation to the payment of medical expenses for home-nursing, the Minister may order a designated home-nursing provider or an entity which was a designated home-nursing provider, or a person who was a nurse or other employee at the home-nursing provider office to which the designation pertains (hereinafter referred to as a "former designated home-nursing business, etc." in this paragraph) to make a report, or submit or present the books and other documents, may request a designated home-nursing provider, or a nurse or other employee at the home-nursing provider office to which the designation pertains (including a former designated home-nursing businesses, etc.) to appear, or may have the ministry's official question the persons involved, or inspect the books and other documents or other articles of the designated home-nursing provider at the home-nursing provider office to which the designation pertains.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第七条の三十八第二項の規定は前項の規定による質問又は検査について、同条第三項の規定は前項の規定による権限について準用する。
art-94/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-94/par-2
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions or inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (3) of the same Article apply mutatis mutandis to the authority pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十五条（指定訪問看護事業者の指定の取消し） — (Recession of Designation of Designated Home-Nursing Provider)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-95 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95
**第一項** 厚生労働大臣は、次の各号のいずれかに該当する場合においては、当該指定訪問看護事業者に係る第八十八条第一項の指定を取り消すことができる。
art-95/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1
The Minister of Health, Labour and Welfare may rescind the designation referred to in Article 88, paragraph (1) pertaining to a designated home-nursing provider that falls under any of the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 指定訪問看護事業者が、当該指定に係る訪問看護事業所の看護師その他の従業者について、第九十二条第一項の厚生労働省令で定める基準又は同項の厚生労働省令で定める員数を満たすことができなくなったとき。
art-95/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-1
the designated home-nursing provider has become unable to meet the standards and number of employees specified by Order of the Ministry of Health, Labour, and Welfare referred to in Article 92, paragraph (1) with regard to nurses and other employees at a home-nursing provider office to which the designation pertains;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 指定訪問看護事業者が、第九十二条第二項（第百十一条第三項及び第百四十九条において準用する場合を含む。）に規定する指定訪問看護の事業の運営に関する基準に従って適正な指定訪問看護事業の運営をすることができなくなったとき。
art-95/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-2
the designated home-nursing provider is no longer able to appropriately operate designated home-nursing services in accordance with standards for operations of designated home-nursing services prescribed in Article 92, paragraph (2) (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149);
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第八十八条第六項（第百十一条第三項及び第百四十九条において準用する場合を含む。）の規定による支払に関する請求について不正があったとき。
art-95/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-3
there was a wrongful claim for payment pursuant to the provisions of Article 88, paragraph (6) (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 指定訪問看護事業者が、前条第一項（第百十一条第三項及び第百四十九条において準用する場合を含む。以下この条において同じ。）の規定により報告若しくは帳簿書類の提出若しくは提示を命ぜられてこれに従わず、又は虚偽の報告をしたとき。
art-95/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-4
the designated home-nursing provider has been ordered to make a report, or submit or present record books or documents pursuant to the provisions of paragraph (1) of the preceding Article (including when applied mutatis mutandis to Article 111, paragraph (3) and Article 149; the same applies hereinafter in this Article), but fails to comply with the order or submits a false report;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 指定訪問看護事業者又は当該指定に係る訪問看護事業所の看護師その他の従業者が、前条第一項の規定により出頭を求められてこれに応ぜず、同項の規定による質問に対して答弁せず、若しくは虚偽の答弁をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したとき（当該指定に係る訪問看護事業所の看護師その他の従業者がその行為をした場合において、その行為を防止するため、当該指定訪問看護事業者が相当の注意及び監督を尽くしたときを除く。）。
art-95/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-5
the designated home-nursing provider, or a nurse or employee at the home-nursing service office to which the designation pertains has been requested to appear pursuant to the provisions of paragraph (1) of the preceding Article but failed to respond or reply to questions pursuant to the provisions of the same paragraph, answered untruthfully, or refused, obstructed, or evaded an inspection pursuant to the provisions of the same paragraph (except when a nurse or employee at the home-nursing service office to which the designation pertains performed that conduct but the designated home-nursing provider had made efforts to provide reasonable care and supervision so as to prevent the conduct);
Ministry of Justice translation — Japanese Law Translation Database System
**六** この法律以外の医療保険各法による被保険者若しくは被扶養者の指定訪問看護又は高齢者の医療の確保に関する法律による被保険者の指定訪問看護に関し、第二号から前号までのいずれかに相当する事由があったとき。
art-95/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-6
there are grounds that correspond to any of item (ii) through the preceding item with respect to designated home-nursing for insured persons and their dependents pursuant to medical insurance laws other than this act or for insured persons pursuant to the Act on Assurance of Medical Care for Elderly People;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 指定訪問看護事業者が、不正の手段により指定訪問看護事業者の指定を受けたとき。
art-95/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-7
the designated home-nursing provider received its designation by wrongful means;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 指定訪問看護事業者が、この法律その他国民の保健医療に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-95/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-8
the designated home-nursing provider has been sentenced to a fine pursuant to the provisions of this Act or other medical insurance laws which are specified by Cabinet Order and the payment of the fine has not yet been completed or the fine still applies;
Ministry of Justice translation — Japanese Law Translation Database System
**九** 指定訪問看護事業者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者に該当するに至ったとき。
art-95/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-9
the designated home-nursing provider has come to fall under the category of a person who has been sentenced to imprisonment or a severer punishment, and the execution of the sentence has not been completed or the execution of the sentence still applies; or
machine translation, not official
**十** 前各号に掲げる場合のほか、指定訪問看護事業者が、この法律その他国民の保健医療に関する法律で政令で定めるもの又はこれらの法律に基づく命令若しくは処分に違反したとき。
art-95/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-95/par-1/item-10
beyond what is provided for in the preceding items, the designated home nursing service provider violates this Act, other medical insurance laws which are specified by Cabinet Order, or an order or disposition based thereon.
Ministry of Justice translation — Japanese Law Translation Database System
### 第九十六条（公示） — (Public Notice)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-96 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-96
**第一項** 厚生労働大臣は、次に掲げる場合には、その旨を公示しなければならない。
art-96/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-96/par-1
The Minister of Health, Labour and Welfare must make public notice of the cases listed below in those cases:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 指定訪問看護事業者の指定をしたとき。
art-96/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-96/par-1/item-1
a home-nursing provider is designated;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第九十三条の規定による届出（同条の厚生労働省令で定める事項の変更並びに同条に規定する事業の休止及び再開に係るものを除く。）があったとき。
art-96/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-96/par-1/item-2
there is a notification pursuant to the provisions of Article 93 (except for a change of matters specified by Order of the Ministry of Health, Labour, and Welfare referred to in the same Article and matters pertaining to suspension or recommencement of business provided by the same Article); or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 前条の規定により指定訪問看護事業者の指定を取り消したとき。
art-96/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-96/par-1/item-3
the designation of a designated home-nursing provider is rescinded pursuant to the provisions of the preceding Article.
Ministry of Justice translation — Japanese Law Translation Database System
## 第三款 移送費の支給 — Subsection 3 Payment of Transport Expenses
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-2/subsec-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-2/subsec-3
### 第九十七条
art-97 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-97
**第一項** 被保険者が療養の給付（保険外併用療養費に係る療養を含む。）を受けるため、病院又は診療所に移送されたときは、移送費として、厚生労働省令で定めるところにより算定した金額を支給する。
art-97/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-97/par-1
When an insured person has been transported to a hospital or clinic in order to receive medical treatment (including medical treatment covered by medical expenses combined with treatment outside insurance coverage), the insurer pays, as transport expenses, an amount calculated pursuant to Order of the Ministry of Health, Labour and Welfare to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の移送費は、厚生労働省令で定めるところにより、保険者が必要であると認める場合に限り、支給するものとする。
art-97/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-97/par-2
The transport expenses referred to in the preceding paragraph are to be paid only if the insurer finds it necessary pursuant to Order of Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
## 第四款 補則 — Subsection 4 Auxiliary Provisions
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-2/subsec-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-2/subsec-4
### 第九十八条（被保険者が日雇労働者又はその被扶養者となった場合） — (Insured Persons Who Have Become a Day Worker and Their Dependents)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-98 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98
**第一項** 被保険者が資格を喪失し、かつ、日雇特例被保険者又はその被扶養者となった場合において、その資格を喪失した際に療養の給付、入院時食事療養費に係る療養、入院時生活療養費に係る療養、保険外併用療養費に係る療養、療養費に係る療養若しくは訪問看護療養費に係る療養又は介護保険法の規定による居宅介護サービス費に係る指定居宅サービス（同法第四十一条第一項に規定する指定居宅サービスをいう。第百二十九条第二項第二号において同じ。）、特例居宅介護サービス費に係る居宅サービス（同法第八条第一項に規定する居宅サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービス、地域密着型介護サービス費に係る指定地域密着型サービス（同法第四十二条の二第一項に規定する指定地域密着型サービスをいう。同号において同じ。）、特例地域密着型介護サービス費に係る地域密着型サービス（同法第八条第十四項に規定する地域密着型サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービス、施設介護サービス費に係る指定施設サービス等（同法第四十八条第一項に規定する指定施設サービス等をいう。同号において同じ。）、特例施設介護サービス費に係る施設サービス（同法第八条第二十五項に規定する施設サービスをいう。同号及び第百三十五条第一項において同じ。）、介護予防サービス費に係る指定介護予防サービス（同法第五十三条第一項に規定する指定介護予防サービスをいう。同号において同じ。）若しくは特例介護予防サービス費に係る介護予防サービス（同法第八条の二第一項に規定する介護予防サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービスのうち、療養に相当するものを受けているときは、当該疾病又は負傷及びこれにより発した疾病につき、当該保険者から療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費若しくは移送費の支給を受けることができる。
art-98/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-1
If an insured person has lost eligibility and become a specially-insured day laborer or a dependent thereof, and, at the time of loss of the eligibility, the person is receiving, from among benefits for medical treatment, medical treatment covered by expenses for dietary treatment for inpatients, medical treatment covered by expenses for living support for inpatients, medical treatment covered by expenses for medical treatment combined with treatment outside insurance coverage, medical treatment covered by medical expenses, medical treatment covered by medical expenses for home-nursing, a designated in-home service covered by expenses for in-home long-term care service pursuant to the provisions of the Long-Term Care Insurance Act (meaning designated in-home service prescribed in Article 41, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), an in-home service covered by an exceptional allowance for in-home long-term care service (meaning in-home service prescribed in Article 8, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated community-based service covered by expenses for community-based long-term care service (meaning designated community-based service prescribed in Article 42-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a community-based service covered by an exceptional allowance for community-based long-term care service (meaning community-based service prescribed in Article 8, paragraph (14) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated facility service, etc. covered by expenses for long-term care facility service (meaning designated facility service, etc. prescribed in Article 48, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a facility service covered by an exceptional allowance for long-term care facility service (meaning facility service prescribed in Article 8, paragraph (25) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a designated service to prevent long-term care covered by expenses for service to prevent long-term care (meaning designated service to prevent long-term care prescribed in Article 53, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a service to prevent long-term care covered by exceptional allowance for service to prevent long-term care (meaning service to prevent long-term care prescribed in Article 8-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), or a service equivalent thereto, those equivalent to medical treatment, then the person may receive from the relevant insurer benefits for medical treatment, expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, or transport expenses with respect to the relevant illness or injury, and any illness arising therefrom.
machine translation, not official
**第二項** 前項の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費若しくは移送費の支給は、次の各号のいずれかに該当するに至ったときは、行わない。
art-98/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-2
Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, or transportation expenses pursuant to the provisions of the preceding paragraph are not paid when any of the events listed in the following items has occurred:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該疾病又は負傷について、次章の規定により療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、家族療養費、家族訪問看護療養費若しくは家族移送費の支給を受けることができるに至ったとき。
art-98/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-2/item-1
the relevant person has become eligible for payment of benefits for medical treatment, expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, or dependent's transport expenses pursuant to the provisions of the next chapter with respect to the relevant illness or injury;
Ministry of Justice translation — Japanese Law Translation Database System
**二** その者が、被保険者若しくは船員保険の被保険者若しくはこれらの者の被扶養者、国民健康保険の被保険者又は後期高齢者医療の被保険者等となったとき。
art-98/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-2/item-2
the person has become an insured person, insured person covered by Seamen's Insurance, a dependent thereof, an insured person covered by National Health Insurance, or a person with late-stage elderly medical care insurance; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 被保険者の資格を喪失した日から起算して六月を経過したとき。
art-98/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-2/item-3
six months have elapsed since the day on which the relevant person lost eligibility as an insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費若しくは移送費の支給は、当該疾病又は負傷について、次章の規定により特別療養費（第百四十五条第六項において準用する第百三十二条の規定により支給される療養費を含む。）又は移送費若しくは家族移送費の支給を受けることができる間は、行わない。
art-98/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-3
Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, or transport expenses pursuant to the provisions of paragraph (1) are not paid during the period in which the relevant person is eligible for payment of special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)), transport expenses, or dependent's transport expenses pursuant to the provisions of the next chapter with respect to the relevant illness or injury.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第一項の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費若しくは訪問看護療養費の支給は、当該疾病又は負傷について、介護保険法の規定によりそれぞれの給付に相当する給付を受けることができる場合には、行わない。
art-98/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-98/par-4
Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home-nursing pursuant to the provisions of paragraph (1) are not paid if the relevant person is eligible for any benefit corresponding to one of the above benefits pursuant to the provisions of the Long-Term Care Insurance Act with respect to the relevant illness or injury.
Ministry of Justice translation — Japanese Law Translation Database System
## 第三節 傷病手当金、埋葬料、出産育児一時金及び出産手当金の支給 — Section 3 Payment of Injury and Sickness Allowance, Burial Charges, Lump-Sum Allowance for Childbirth and Childcare Benefits, and Childbirth Allowance
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-3
### 第九十九条（傷病手当金） — (Injury and Sickness Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-99 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99
**第一項** 被保険者（任意継続被保険者を除く。第百二条第一項において同じ。）が療養のため労務に服することができないときは、その労務に服することができなくなった日から起算して三日を経過した日から労務に服することができない期間、傷病手当金を支給する。
art-99/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-1
When an insured person (excluding an insured person with optional and continued coverage; the same applies in Article 102, paragraph (1)) is unable to engage in labor due to medical treatment, the injury and sickness allowance is paid for the period during which the person is unable to engage in work, starting from the day on which three days elapsed after the day on which the person becomes unable to engage in work.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 傷病手当金の額は、一日につき、傷病手当金の支給を始める日の属する月以前の直近の継続した十二月間の各月の標準報酬月額（被保険者が現に属する保険者等により定められたものに限る。以下この項において同じ。）を平均した額の三十分の一に相当する額（その額に、五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。）の三分の二に相当する金額（その金額に、五十銭未満の端数があるときは、これを切り捨て、五十銭以上一円未満の端数があるときは、これを一円に切り上げるものとする。）とする。ただし、同日の属する月以前の直近の継続した期間において標準報酬月額が定められている月が十二月に満たない場合にあっては、次の各号に掲げる額のうちいずれか少ない額の三分の二に相当する金額（その金額に、五十銭未満の端数があるときは、これを切り捨て、五十銭以上一円未満の端数があるときは、これを一円に切り上げるものとする。）とする。
art-99/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-2
The amount of injury and sickness allowance per day is an amount equivalent to two-thirds of the amount equivalent to 1/30th of the average standard monthly remuneration amount (limited to the amount specified by the relevant insured person's insurer; the same applies hereinafter in this paragraph) of each month in the most recent 12 consecutive months before the month in which the payment of injury and sickness allowance starts (if the 1/30 amount is a figure with less than five yen in the ones place, it is to be rounded down, and if it is a figure with at least five yen but less than ten yen in the ones place, it is to be rounded up to the nearest ten yen; if the two-thirds amount is a figure with less than 0.5 yen in the ones place, it is rounded down, and if it is a figure with at least 0.5 yen but less than one yen in the ones place, it is to be rounded up to the nearest one yen); provided, however, that if the number of consecutive months for which the average standard monthly remuneration amount is determined is less than 12, an amount equivalent to two-thirds of an amount equivalent to smaller of the amounts listed in the following items (if the amount is a figure with less than 0.5 yen in the one place, it is to be rounded down, and if it is a figure with at least 0.5 yen but less than one yen in the ones place, it is to be rounded up to the nearest one yen).
Ministry of Justice translation — Japanese Law Translation Database System
**一** 傷病手当金の支給を始める日の属する月以前の直近の継続した各月の標準報酬月額を平均した額の三十分の一に相当する額（その額に、五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。）
art-99/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-2/item-1
an amount equivalent to 1/30th of the average standard monthly remuneration amount for each consecutive month before the month which includes the day on which the payment of injury and sickness allowance starts (if the amount is a figure with less than five, it is to be rounded down, and if it is a figure with at least five yen but less than ten yen, it is to be rounded up to the nearest ten yen); or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 傷病手当金の支給を始める日の属する年度の前年度の九月三十日における全被保険者の同月の標準報酬月額を平均した額を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額の三十分の一に相当する額（その額に、五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。）
art-99/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-2/item-2
an amount equivalent to 1/30th of the standard monthly remuneration amount calculated when the average standard monthly remuneration amount of all insured persons on September 30 in the year preceding the fiscal year which includes the day on which payment of injury and sickness allowance starts is deemed as the monthly remuneration amount which is the basis of the standard monthly amount remuneration (if the amount is a figure with less than five yen, it is to be rounded down, and if it is a figure with at least five yen but less than ten yen, it is to be rounded up to the nearest 10 yen).
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項に規定するもののほか、傷病手当金の額の算定に関して必要な事項は、厚生労働省令で定める。
art-99/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-3
Beyond what is provided for in the preceding paragraph, necessary matters concerning calculation of the amount of injury and sickness allowance are specified by Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 傷病手当金の支給期間は、同一の疾病又は負傷及びこれにより発した疾病に関しては、その支給を始めた日から通算して一年六月間とする。
art-99/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-99/par-4
The payment period for injury and sickness allowance is, with regard to the same sickness or injury as well as any sickness or injury caused thereby, one year and six months in total, counted from the day on which the payment starts.
machine translation, not official
### 第百条（埋葬料） — (Burial Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-100 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-100
**第一項** 被保険者が死亡したときは、その者により生計を維持していた者であって、埋葬を行うものに対し、埋葬料として、政令で定める金額を支給する。
art-100/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-100/par-1
In the case of the death of an insured person, an amount specified by Cabinet Order is paid as burial charges to the person whose livelihood depends on the income of the insured person and who arranged the burial.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により埋葬料の支給を受けるべき者がない場合においては、埋葬を行った者に対し、同項の金額の範囲内においてその埋葬に要した費用に相当する金額を支給する。
art-100/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-100/par-2
If there is no one to receive burial charges pursuant to the provisions of the preceding paragraph, an amount equivalent to the expenses required for the burial within the range of the amount in the same paragraph is paid to the person who arranged the burial.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百一条（出産育児一時金） — (Lump-sum Allowance for Childbirth and Childcare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-101 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-101
**第一項** 被保険者が出産したときは、出産育児一時金として、政令で定める金額を支給する。
art-101/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-101/par-1
When an insured person gives birth, the amount specified by Cabinet Order is paid as a lump-sum allowance for childbirth and childcare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二条（出産手当金） — (Childbirth Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-102 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-102
**第一項** 被保険者が出産したときは、出産の日（出産の日が出産の予定日後であるときは、出産の予定日）以前四十二日（多胎妊娠の場合においては、九十八日）から出産の日後五十六日までの間において労務に服さなかった期間、出産手当金を支給する。
art-102/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-102/par-1
When an insured person gives birth, childbirth allowance is paid in the period during which the person does not engage in work, including 42 days (98 days in the case of multiple fetuses) preceding the day of childbirth (the scheduled date of childbirth if the day of childbirth is after the scheduled date of childbirth) and 56 days following the day of childbirth.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第九十九条第二項及び第三項の規定は、出産手当金の支給について準用する。
art-102/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-102/par-2
The provisions of Article 99, paragraphs (2) and (3) apply mutatis mutandis to the payment of childbirth allowance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三条（出産手当金と傷病手当金との調整） — (Coordination of Childbirth Allowance with Injury and Sickness Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-103 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-103
**第一項** 出産手当金を支給する場合（第百八条第三項又は第四項に該当するときを除く。）においては、その期間、傷病手当金は、支給しない。ただし、その受けることができる出産手当金の額（同条第二項ただし書の場合においては、同項ただし書に規定する報酬の額と同項ただし書の規定により算定される出産手当金の額との合算額）が、第九十九条第二項の規定により算定される額より少ないときは、その差額を支給する。
art-103/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-103/par-1
Injury and sickness allowance is not paid during the period in which childbirth allowance is paid (excluding cases falling under Article 108, paragraph (3) or (4)); provided, however, that if the amount of childbirth allowance to be received (in the case of the proviso to paragraph (2) of the same Article, the total sum of the amount of remuneration prescribed in the proviso and the amount of childbirth allowance calculated pursuant to the proviso) is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2), the difference between those amounts is paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 出産手当金を支給すべき場合において傷病手当金が支払われたときは、その支払われた傷病手当金（前項ただし書の規定により支払われたものを除く。）は、出産手当金の内払とみなす。
art-103/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-103/par-2
If injury and sickness allowance is paid when childbirth allowance is to be paid, the injury and sickness allowance (excluding an allowance paid pursuant to the proviso to the preceding paragraph) is deemed as part payment of childbirth allowance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四条（傷病手当金又は出産手当金の継続給付） — (Continued Benefits for Injury and Sickness Allowance or Childbirth Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-104 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-104
**第一項** 被保険者の資格を喪失した日（任意継続被保険者の資格を喪失した者にあっては、その資格を取得した日）の前日まで引き続き一年以上被保険者（任意継続被保険者又は共済組合の組合員である被保険者を除く。）であった者（第百六条において「一年以上被保険者であった者」という。）であって、その資格を喪失した際に傷病手当金又は出産手当金の支給を受けているものは、被保険者として受けることができるはずであった期間、継続して同一の保険者からその給付を受けることができる。
art-104/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-104/par-1
A person who continued to have been an insured person for one year or more until the day preceding the day of loss of eligibility (in case of an insured person with optional and continued coverage, by the day of acquisition of eligibility) as an insured person (excluding insured persons with optional and continued coverage who are members of a mutual aid association) (referred to as a "person who was insured for one year or more" in Article 106) and who received payment of injury and sickness allowance or childbirth allowance at the time of loss of the eligibility may continue to receive the benefits from the same insurer for the period in which the person was eligible for the payment as an insured person.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五条（資格喪失後の死亡に関する給付） — (Payment of Benefits Concerning Death after Loss of Eligibility)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-105 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-105
**第一項** 前条の規定により保険給付を受ける者が死亡したとき、同条の規定により保険給付を受けていた者がその給付を受けなくなった日後三月以内に死亡したとき、又はその他の被保険者であった者が被保険者の資格を喪失した日後三月以内に死亡したときは、被保険者であった者により生計を維持していた者であって、埋葬を行うものは、その被保険者の最後の保険者から埋葬料の支給を受けることができる。
art-105/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-105/par-1
When a person receiving insurance benefits pursuant to the provisions of the preceding Article dies, a person who had been receiving insurance benefits pursuant to the provisions of the same Article dies within three days after the day of loss of the benefits, or a person who was an insured person dies within three days after the day of loss of a eligibility as an insured person, a person whose livelihood depends on the income of the insured person and who arranges the burial may receive burial charges from the last insurer of the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第百条の規定は、前項の規定により埋葬料の支給を受けるべき者がない場合及び同項の埋葬料の金額について準用する。
art-105/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-105/par-2
The provisions of Article 100 apply mutatis mutandis to a case in which no one is eligible to receive burial charges pursuant to the provisions of the preceding paragraph and to the amount of burial charges referred to in the same paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六条（資格喪失後の出産育児一時金の給付） — (Payment of Lump-sum Allowance for Childbirth and Childcare after Loss of Eligibility)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-106 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-106
**第一項** 一年以上被保険者であった者が被保険者の資格を喪失した日後六月以内に出産したときは、被保険者として受けることができるはずであった出産育児一時金の支給を最後の保険者から受けることができる。
art-106/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-106/par-1
A person who was an insured person for one year or more and gives birth within six months after the date of loss of the eligibility as an insured person may be paid the lump-sum allowance for childbirth and childcare that should have been received as an insured person from the person's last insurer.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七条（船員保険の被保険者となった場合） — (Cases where Persons have Become an Insured Person Covered by Seamen's Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-107 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-107
**第一項** 前三条の規定にかかわらず、被保険者であった者が船員保険の被保険者となったときは、保険給付は、行わない。
art-107/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-107/par-1
Notwithstanding the provisions of the preceding three Articles, when a person who was an insured person becomes an insured person covered by Seamen's Insurance, insurance benefits are not paid.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八条（傷病手当金又は出産手当金と報酬等との調整） — (Coordination of Injury and Sickness Allowance or Childbirth Allowance With Remuneration)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-108 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108
**第一項** 疾病にかかり、又は負傷した場合において報酬の全部又は一部を受けることができる者に対しては、これを受けることができる期間は、傷病手当金を支給しない。ただし、その受けることができる報酬の額が、第九十九条第二項の規定により算定される額より少ないとき（第百三条第一項又は第三項若しくは第四項に該当するときを除く。）は、その差額を支給する。
art-108/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-1
Injury and sickness allowance is not paid to a person who may receive all or part of the person's remuneration in case of sickness or injury during the period in which the person may receive the remuneration; provided, however, that if the amount of the remuneration to be received is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2) (excluding the cases falling under Article 103, paragraph (1) or , paragraph (3) or (4)), the difference between those amounts is paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 出産した場合において報酬の全部又は一部を受けることができる者に対しては、これを受けることができる期間は、出産手当金を支給しない。ただし、その受けることができる報酬の額が、出産手当金の額より少ないときは、その差額を支給する。
art-108/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-2
Childbirth allowance is not paid to a person who may receive all or part of the person's remuneration in case of childbirth during the period in which the person may receive the remuneration; provided, however, that if the amount of the remuneration to be received is less than the amount of childbirth allowance, the difference between those amounts is paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 傷病手当金の支給を受けるべき者が、同一の疾病又は負傷及びこれにより発した疾病につき厚生年金保険法による障害厚生年金の支給を受けることができるときは、傷病手当金は、支給しない。ただし、その受けることができる障害厚生年金の額（当該障害厚生年金と同一の支給事由に基づき国民年金法による障害基礎年金の支給を受けることができるときは、当該障害厚生年金の額と当該障害基礎年金の額との合算額）につき厚生労働省令で定めるところにより算定した額（以下この項において「障害年金の額」という。）が、第九十九条第二項の規定により算定される額より少ないときは、当該額と次の各号に掲げる場合の区分に応じて当該各号に定める額との差額を支給する。
art-108/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-3
Injury and sickness allowance is not paid when the person to receive injury and sickness allowance is eligible for a disability welfare pension pursuant to the Employee's Pension Insurance Act due to the same sickness and injury, and diseases caused thereby; provided, however, that if the amount of the disability welfare pension to be received (when it is possible to receive the disability basic pension pursuant to the National Pension Act based on the same payment reason as that for the disability welfare pension, the total sum of the amount of the disability welfare pension and the amount of the disability basic pension) calculated pursuant to Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as the "amount of disability pension" in this paragraph) is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2), the difference between the calculated amount and an amount specified in accordance with the classification of each of the following items is paid:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 報酬を受けることができない場合であって、かつ、出産手当金の支給を受けることができない場合 障害年金の額
art-108/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-3/item-1
if the person is ineligible for remuneration and ineligible to receive payment of childbirth allowance:the amount of disability pension;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 報酬を受けることができない場合であって、かつ、出産手当金の支給を受けることができる場合 出産手当金の額（当該額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額）と障害年金の額のいずれか多い額
art-108/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-3/item-2
if the person is ineligible for remuneration and eligible for childbirth allowance:the amount of childbirth allowance (that amount if it exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)) or the amount of disability pension, whichever is larger;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 報酬の全部又は一部を受けることができる場合であって、かつ、出産手当金の支給を受けることができない場合 当該受けることができる報酬の全部又は一部の額（当該額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額）と障害年金の額のいずれか多い額
art-108/par-3/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-3/item-3
if the person is entitled to all or part of the person's remuneration and not eligible for childbirth allowance:all or part of the remuneration (that amount if it exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)) or the amount of disability pension, whichever is larger; or
Ministry of Justice translation — Japanese Law Translation Database System
**四** 報酬の全部又は一部を受けることができる場合であって、かつ、出産手当金の支給を受けることができる場合 当該受けることができる報酬の全部又は一部の額及び前項ただし書の規定により算定される出産手当金の額の合算額（当該合算額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額）と障害年金の額のいずれか多い額
art-108/par-3/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-3/item-4
if the person is entitled to all or part of remuneration and eligible for childbirth allowance:the total sum of all or part of the remuneration and the amount of childbirth allowance calculated pursuant to the provision of the proviso to the preceding paragraph (that amount if it amount exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)), or the amount of disability pension, whichever is larger.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 傷病手当金の支給を受けるべき者が、同一の疾病又は負傷及びこれにより発した疾病につき厚生年金保険法による障害手当金の支給を受けることができるときは、当該障害手当金の支給を受けることとなった日からその者がその日以後に傷病手当金の支給を受けるとする場合の第九十九条第二項の規定により算定される額の合計額が当該障害手当金の額に達するに至る日までの間、傷病手当金は、支給しない。ただし、当該合計額が当該障害手当金の額に達するに至った日において当該合計額が当該障害手当金の額を超える場合において、報酬の全部若しくは一部又は出産手当金の支給を受けることができるときその他の政令で定めるときは、当該合計額と当該障害手当金の額との差額その他の政令で定める差額については、この限りでない。
art-108/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-4
When a person who is to receive injury and sickness allowance is eligible for disability allowance pursuant to the Employee's Pension Insurance Act due to the same sickness and injury, and diseases caused thereby, injury and sickness allowance is not paid during the period from day on which the person starts receiving the disability allowance until the day on which the total sum of the amounts calculated pursuant to the provisions of Article 99, paragraph (2) in the case where the person is to receive payment of injury and sickness allowance after that day reaches the amount of the disability allowance; provided, however, this does not apply to the difference between that total amount and the disability allowance or another difference specified by Cabinet Order if the person is entitled to all or some of remuneration or eligible for childbirth allowance, or in other cases specified by Cabinet Order on the day when the total amount reaches or exceeds the amount of the disability allowance.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 傷病手当金の支給を受けるべき者（第百四条の規定により受けるべき者であって、政令で定める要件に該当するものに限る。）が、国民年金法又は厚生年金保険法による老齢を支給事由とする年金たる給付その他の老齢又は退職を支給事由とする年金である給付であって政令で定めるもの（以下この項及び次項において「老齢退職年金給付」という。）の支給を受けることができるときは、傷病手当金は、支給しない。ただし、その受けることができる老齢退職年金給付の額（当該老齢退職年金給付が二以上あるときは、当該二以上の老齢退職年金給付の額の合算額）につき厚生労働省令で定めるところにより算定した額が、傷病手当金の額より少ないときは、その差額を支給する。
art-108/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-5
When a person who is to receive injury and sickness allowance (limited to a person who is to receive it pursuant to the provisions of Article 104 and who meets the requirements specified by Cabinet Order) is eligible for payment of pension benefits specified by Cabinet Order pursuant to the National Pension Act or the Employee's Pension Insurance Act with aging or retirement as the grounds for payment (hereinafter referred to as "superannuation benefits" in this paragraph and the following paragraph), injury and sickness allowance is not paid; provided, however, that if the amount of the superannuation benefits (if there are two or more superannuation benefits, the total sum of the benefits) calculated pursuant to Order of the Ministry of Health, Labour and Welfare is less than the amount of injury and sickness allowance, the difference between those amounts is paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 保険者は、前三項の規定により傷病手当金の支給を行うにつき必要があると認めるときは、老齢退職年金給付の支払をする者（次項において「年金保険者」という。）に対し、第二項の障害厚生年金若しくは障害基礎年金、第三項の障害手当金又は前項の老齢退職年金給付の支給状況につき、必要な資料の提供を求めることができる。
art-108/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-6
When finding it necessary for the payment of injury and sickness allowance pursuant to the provisions of the preceding three paragraphs, an insurer may request those who pay superannuation benefits (referred to as "pension insurers" in the next paragraph) to provide necessary materials about the status of payment of disability welfare pension or disability basic pension referred to in paragraph (2), disability allowance referred to in paragraph (3), or superannuation benefits referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 年金保険者（厚生労働大臣を除く。）は、厚生労働大臣の同意を得て、前項の規定による資料の提供の事務を厚生労働大臣に委託して行わせることができる。
art-108/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-108/par-7
Pension insurers (except for the Minister of Health, Labour and Welfare), with the consent of the Minister of Health, Labour and Welfare, may delegate affairs related to the provision of documents pursuant to the provisions of the preceding paragraph to the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九条
art-109 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-109
**第一項** 前条第一項から第四項までに規定する者が、疾病にかかり、負傷し、又は出産した場合において、その受けることができるはずであった報酬の全部又は一部につき、その全額を受けることができなかったときは傷病手当金又は出産手当金の全額、その一部を受けることができなかった場合においてその受けた額が傷病手当金又は出産手当金の額より少ないときはその額と傷病手当金又は出産手当金との差額を支給する。ただし、同条第一項ただし書、第二項ただし書、第三項ただし書又は第四項ただし書の規定により傷病手当金又は出産手当金の一部を受けたときは、その額を支給額から控除する。
art-109/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-109/par-1
When a person prescribed in any of paragraphs (1) through (4) of the preceding Article becomes sick or injured, or gives birth, with respect to all of part of the remuneration to which the person is entitled, the entire amount of injury and sickness allowance or childbirth allowance is paid if the person is unable to receive all of the remuneration, and the difference between the amount of remuneration received and the amount of injury and sickness allowance or childbirth allowance is paid if the person is unable to receive part of the remuneration and the received amount is less than the amount of injury and sickness allowance or childbirth allowance; provided, however, that if a part of injury and sickness allowance or childbirth allowance is received pursuant to the provisions of the proviso to paragraph (1), paragraph (2), paragraph (3) or paragraph (4) of the preceding article, an amount equivalent to the allowance is deducted from the amount to be paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により保険者が支給した金額は、事業主から徴収する。
art-109/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-109/par-2
The amount paid by the insurer pursuant to the provisions of the preceding paragraph is collected from the employer.
Ministry of Justice translation — Japanese Law Translation Database System
## 第四節 家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料及び家族出産育児一時金の支給 — Section 4 Payment of Dependent's Medical Expenses, Dependent's Medical Expenses for Home-Nursing, Dependent's Transport Expenses, Dependent's Burial Charges, and Lump-Sum Allowance for Dependent's Childbirth and Childcare
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-4
### 第百十条（家族療養費） — (Dependent's Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-110 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110
**第一項** 被保険者の被扶養者が保険医療機関等のうち自己の選定するものから療養を受けたときは、被保険者に対し、その療養に要した費用について、家族療養費を支給する。
art-110/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-1
When a dependent of an insured person receives medical treatment from a medical institution providing services covered by health insurance that is selected by the dependent, dependent's medical expenses are paid to the insured person for expenses required for the medical treatment.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 家族療養費の額は、第一号に掲げる額（当該療養に食事療養が含まれるときは当該額及び第二号に掲げる額の合算額、当該療養に生活療養が含まれるときは当該額及び第三号に掲げる額の合算額）とする。
art-110/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2
The amount of dependent medical expenses is the amount specified in item (i) below (the aggregate of that amount and the amount specified in item (ii) or (iii) if the medical treatment includes dietary treatment or living support, respectively):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該療養（食事療養及び生活療養を除く。）につき算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、当該現に療養に要した費用の額。以下この号において同じ。）（保険医療機関等から一部保険外療養を受けた場合（当該一部保険外療養と併せて評価療養、患者申出療養又は選定療養を受けた場合を含む。）にあっては、当該費用の額から第八十六条第三項第一号ロの規定による厚生労働大臣の定めの例により算定した額を控除した額）に次のイからニまでに掲げる場合の区分に応じ、当該イからニまでに定める割合を乗じて得た額
art-110/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-1
the amount obtained by multiplying the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) (if the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred; the same applies hereinafter in this item) (in the case where partially uninsured treatment is received from a medical institution providing services covered by health insurance, etc. (including the case where evaluation treatment, patient-requested treatment or selective treatment is received together with that partially uninsured treatment), the amount obtained by deducting from that amount of expenses the amount calculated in accordance with the example of the determination by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (3), item (i), (b)) by the ratio prescribed in (a) through (d) listed below in accordance with the classifications in (a) through (d):
machine translation, not official
**イ** 被扶養者が六歳に達する日以後の最初の三月三十一日の翌日以後であって七十歳に達する日の属する月以前である場合 百分の七十
art-110/par-2/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-1/sub-1
if the first March 31 after the dependent's 6th birthday has passed and the month which contains the dependent's 70th birthday has not yet began:0.70;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 被扶養者が六歳に達する日以後の最初の三月三十一日以前である場合 百分の八十
art-110/par-2/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-1/sub-2
if the first March 31 after the dependent's 6th birthday has not yet passed:0.80;
Ministry of Justice translation — Japanese Law Translation Database System
**ハ** 被扶養者（ニに規定する被扶養者を除く。）が七十歳に達する日の属する月の翌月以後である場合 百分の八十
art-110/par-2/item-1/sub-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-1/sub-3
if the month which contains the dependent's 70th birthday has elapsed (excluding dependents prescribed in (d)):0.80;
Ministry of Justice translation — Japanese Law Translation Database System
**ニ** 第七十四条第一項第三号に掲げる場合に該当する被保険者その他政令で定める被保険者の被扶養者が七十歳に達する日の属する月の翌月以後である場合 百分の七十
art-110/par-2/item-1/sub-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-1/sub-4
if the month which contains the 70th birthday of the dependent of an insured person listed in Article 74, paragraph (1), item (iii) or another insured person specified by Cabinet Order has elapsed:0.70;
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if the month which contains the 70th birthday of the dependent of an insured person listed in Article 74, paragraph (1), item (iii) or another insured person specified by Cabinet Order has elapsed (excluding the case listed in the following item):0.70;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**二** 当該食事療養につき算定した費用の額（その額が現に当該食事療養に要した費用の額を超えるときは、当該現に食事療養に要した費用の額）から食事療養標準負担額を控除した額
art-110/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-2
the amount calculated by deducting, from the amount calculated for the dietary treatment (when that amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred), the amount of standard co-payment for dietary treatment; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 当該生活療養につき算定した費用の額（その額が現に当該生活療養に要した費用の額を超えるときは、当該現に生活療養に要した費用の額）から生活療養標準負担額を控除した額
art-110/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-2/item-3
the amount calculated by deducting, from the amount calculated for the living support (when the amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred), the amount of standard co-payment for living support.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項第一号の療養についての費用の額の算定に関しては、保険医療機関等から療養（評価療養、患者申出療養、選定療養及び一部保険外療養を除く。）を受ける場合にあっては第七十六条第二項の費用の額の算定、保険医療機関等から評価療養、患者申出療養又は選定療養を受ける場合（当該評価療養、患者申出療養又は選定療養と併せて一部保険外療養を受ける場合を除く。）にあっては第八十六条第二項第一号の費用の額の算定、保険医療機関等から一部保険外療養を受ける場合（当該一部保険外療養と併せて評価療養、患者申出療養又は選定療養を受ける場合を含む。）にあっては同条第三項第一号の費用の額の算定、前項第二号の食事療養についての費用の額の算定に関しては、第八十五条第二項の費用の額の算定、前項第三号の生活療養についての費用の額の算定に関しては、第八十五条の二第二項の費用の額の算定の例による。
art-110/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-3
The amount of expenses for medical treatment referred to in item (i) of the preceding paragraph is calculated pursuant to the provisions of Article 76, paragraph (2) when medical treatment (excluding evaluation treatment, patient-requested treatment, selective treatment, and partially uninsured treatment) is received from a medical institution providing services covered by health insurance, etc., the provisions of Article 86, paragraph (2), item (i) when evaluation treatment, patient-requested treatment or selective treatment is received from a medical institution providing services covered by health insurance, etc. (excluding when partially uninsured treatment is received together with that evaluation treatment, patient-requested treatment or selective treatment), and the provisions of paragraph (3), item (i) of the same Article when partially uninsured treatment is received from a medical institution providing services covered by health insurance, etc. (including when evaluation treatment, patient-requested treatment or selective treatment is received together with that partially uninsured treatment), the amount of expenses for dietary treatment for inpatients referred to in item (ii) of the preceding paragraph is calculated pursuant to the provisions of Article 85, paragraph (2), and the amount of expenses for living support for inpatients referred to in item (iii) of the preceding paragraph is calculated pursuant to the provisions of Article 85-2, paragraph (2).
machine translation, not official
**第四項** 被扶養者が第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局から療養を受けたときは、保険者は、その被扶養者が当該病院若しくは診療所又は薬局に支払うべき療養に要した費用について、家族療養費として被保険者に対し支給すべき額の限度において、被保険者に代わり、当該病院若しくは診療所又は薬局に支払うことができる。
art-110/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-4
When a dependent receives medical treatment at or from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (i) or (ii), the insurer may, on behalf of the relevant insured person, pay to the hospital, clinic or pharmacy expenses incurred for the medical treatment payable by the dependent to the hospital, clinic or pharmacy within the limit of the amount payable to the insured person as expenses for dependent's medical treatment.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 前項の規定による支払があったときは、被保険者に対し家族療養費の支給があったものとみなす。
art-110/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-5
When a payment pursuant to the provisions of the preceding paragraph is made, it is deemed that dependent's medical expenses are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 被扶養者が第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から療養を受けた場合において、保険者がその被扶養者の支払うべき療養に要した費用のうち家族療養費として被保険者に支給すべき額に相当する額の支払を免除したときは、被保険者に対し家族療養費の支給があったものとみなす。
art-110/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-6
When a dependent receives medical treatment from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (iii), and the insurer exempts the insured person from payment of an amount equivalent to the amount to be paid as dependent's medical expenses among the expenses required for medical treatment to be paid by the dependent, it is deemed that dependent's medical expenses are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 第六十三条、第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条、第八十四条第一項、第八十五条第八項、第八十七条及び第九十八条の規定は、家族療養費の支給及び被扶養者の療養について準用する。
art-110/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-7
The provisions of Article 63, Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, Article 84, paragraph (1), Article 85, paragraph (8), Article 87, and Article 98 apply mutatis mutandis to the payment of dependent's medical expenses and to dependent's medical treatment.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 第七十五条の規定は、第四項の場合において療養につき第三項の規定により算定した費用の額（その額が現に療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）から当該療養に要した費用について家族療養費として支給される額に相当する額を控除した額の支払について準用する。
art-110/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110/par-8
The provisions of Article 75 apply mutatis mutandis to payment of the amount calculated by deducting, from the amount of expenses calculated for the relevant medical treatment pursuant to the provisions of paragraph (3) in the case referred to in paragraph (4) (when the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred), the amount payable as dependent's medical expenses with respect to expenses incurred in the medical treatment.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十条の二（家族療養費の額の特例） — (Special Provisions for the Amount of Dependent's Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-110-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110-2
**第一項** 保険者は、第七十五条の二第一項に規定する被保険者の被扶養者に係る家族療養費の支給について、前条第二項第一号イからニまでに定める割合を、それぞれの割合を超え百分の百以下の範囲内において保険者が定めた割合とする措置を採ることができる。
art-110-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110-2/par-1
With regard to the payment of dependent's medical expenses pertaining to a dependent of an insured person as prescribed in Article 75-2, paragraph (1), an insurer my take measures consisting of setting rates exceeding those specified in paragraph (2), item (i), sub-items (a) through (d) of the preceding Article but less than 100/100.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に規定する被扶養者に係る前条第四項の規定の適用については、同項中「家族療養費として被保険者に対し支給すべき額」とあるのは、「当該療養につき算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）」とする。この場合において、保険者は、当該支払をした額から家族療養費として被保険者に対し支給すべき額を控除した額をその被扶養者に係る被保険者から直接に徴収することとし、その徴収を猶予することができる。
art-110-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-110-2/par-2
With regard to the application of the provisions of paragraph (4) of the preceding Article pertaining to the dependent prescribed in the preceding paragraph, the phrase "the amount payable to the insured person as expenses for dependent's medical treatment" in paragraph (4) is replaced with "the amount of expenses calculated for the medical treatment (if the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred). In this case, the insurer may to decide to collect an amount obtained by deducting the amount to be paid to the insured person as expenses for dependent's medical treatment from the amount that was paid directly from the insured person pertaining to the dependent or to postpone the collection.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十一条（家族訪問看護療養費） — (Dependent's Medical Expenses for Home-Nursing)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-111 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-111
**第一項** 被保険者の被扶養者が指定訪問看護事業者から指定訪問看護を受けたときは、被保険者に対し、その指定訪問看護に要した費用について、家族訪問看護療養費を支給する。
art-111/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-111/par-1
When a dependent of an insured person has received designated home-nursing from a designated home-nursing provider, with regard to expenses incurred in the designated home-nursing, dependent's medical expenses for home-nursing are paid to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 家族訪問看護療養費の額は、当該指定訪問看護につき第八十八条第四項の厚生労働大臣の定めの例により算定した費用の額に第百十条第二項第一号イからニまでに掲げる場合の区分に応じ、同号イからニまでに定める割合を乗じて得た額（家族療養費の支給について前条第一項又は第二項の規定が適用されるべきときは、当該規定が適用されたものとした場合の額）とする。
art-111/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-111/par-2
The amount of dependent's medical expenses for home-nursing is obtained by multiplying the amount of expenses calculated pursuant to the provisions specified by the Minister of Health, Labor and Welfare referred to in Article 88, paragraph (4) pertaining to the designated home-nursing by the ratio specified in Article 110, paragraph (2), item (i), sub-items (a) through (d) in accordance with the classifications listed in the same items (if the provisions of paragraph (1) or (2) of the preceding Article are to be applied, the amount when the provisions are deemed to have been applied).
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第八十八条第二項、第三項、第六項から第十一項まで及び第十三項、第九十条第一項、第九十一条、第九十二条第二項及び第三項、第九十四条並びに第九十八条の規定は、家族訪問看護療養費の支給及び被扶養者の指定訪問看護について準用する。
art-111/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-111/par-3
The provisions of Article 88, paragraphs (2), (3), (6) through (11), and (13), Article 90, paragraph (1), Article 91, Article 92, paragraphs (2) and (3), Article 94, and Article 98 apply mutatis mutandis to payment of dependent's medical expenses for home-nursing and to designated home-nursing for dependents.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十二条（家族移送費） — (Dependent's Transport Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-112 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-112
**第一項** 被保険者の被扶養者が家族療養費に係る療養を受けるため、病院又は診療所に移送されたときは、家族移送費として、被保険者に対し、第九十七条第一項の厚生労働省令で定めるところにより算定した金額を支給する。
art-112/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-112/par-1
When a dependent of an insured person is transported to a hospital or clinic in order to receive medical treatment, the insurer pays, as dependent's transport expenses, an amount calculated pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 97, paragraph (1) to the insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第九十七条第二項及び第九十八条の規定は、家族移送費の支給について準用する。
art-112/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-112/par-2
The provisions of Article 97, paragraphs (2) and Article 98 apply mutatis mutandis to the payment of dependent's transport expenses.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十三条（家族埋葬料） — (Dependent's Burial Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-113 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-113
**第一項** 被保険者の被扶養者が死亡したときは、家族埋葬料として、被保険者に対し、第百条第一項の政令で定める金額を支給する。
art-113/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-113/par-1
When a dependent of an insured person dies, the amount specified by Cabinet Order referred to in Article 100, paragraph (1) is paid to the insured person as dependent's burial charges.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十四条（家族出産育児一時金） — (Lump-Sum Allowance for Dependent's Childbirth and Childcare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-114 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-114
**第一項** 被保険者の被扶養者が出産したときは、家族出産育児一時金として、被保険者に対し、第百一条の政令で定める金額を支給する。
art-114/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-114/par-1
When a dependent of an insured person gives birth, an amount specified by Cabinet Order referred to in Article 101 is paid to the insured person as lump-sum allowance for dependent's childbirth and childcare.
Ministry of Justice translation — Japanese Law Translation Database System
## 第五節 高額療養費及び高額介護合算療養費の支給 — Section 5 Payment of High-Cost Medical Expenses and Expenses for High-Cost Medical Treatment Combined with Long-Term Care
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-5
### 第百十五条（高額療養費） — (High-Cost Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-115 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115
**第一項** 療養の給付について支払われた一部負担金の額又は療養（食事療養及び生活療養を除く。次項において同じ。）に要した費用の額からその療養に要した費用につき保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費として支給される額に相当する額を控除した額（次条第一項において「一部負担金等の額」という。）が著しく高額であるときは、その療養の給付又はその保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給を受けた者に対し、高額療養費を支給する。
art-115/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115/par-1
When the amount of co-payment made in relation to benefits for medical treatment or the amount calculated by deducting, from the amount of expenses incurred in medical treatment (excluding dietary treatment and living support; the same applies hereinafter in the following paragraph), an amount equivalent to the amount paid as medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing in relation to the medical treatment (referred to as the "amount of co-payment, etc." in paragraph (1) of the following Article) is extremely large, the insurer pays high-cost medical expenses to the person who received payment of the benefits for medical treatment, or medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing expenses, dependent's medical expenses, or dependent's medical expenses for home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 高額療養費の支給要件、支給額その他高額療養費の支給に関して必要な事項は、療養に必要な費用の負担の家計、とりわけ長期にわたって継続的に療養を受ける者の家計に与える影響及び療養に要した費用の額を考慮して、政令で定める。
art-115/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115/par-2
The requirements for payment of high-cost medical expenses, the amount thereof, and other necessary matters concerning the payment of high-cost medical expenses are specified by Cabinet Order by taking into consideration the impact of sharing of costs necessary for the relevant medical treatment on household finances, in particular the household finances of persons who receive medical treatment continuously over a long period, and the amount of expenses incurred in the medical treatment.
machine translation, not official
### 第百十五条の二（高額介護合算療養費） — (Expenses for High-Cost Medical Treatment Combined with Long-Term Care)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-115-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115-2
**第一項** 一部負担金等の額（前条第一項の高額療養費が支給される場合にあっては、当該支給額に相当する額を控除して得た額）並びに介護保険法第五十一条第一項に規定する介護サービス利用者負担額（同項の高額介護サービス費が支給される場合にあっては、当該支給額を控除して得た額）及び同法第六十一条第一項に規定する介護予防サービス利用者負担額（同項の高額介護予防サービス費が支給される場合にあっては、当該支給額を控除して得た額）の合計額が著しく高額であるときは、当該一部負担金等の額に係る療養の給付又は保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給を受けた者に対し、高額介護合算療養費を支給する。
art-115-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115-2/par-1
When the amount of co-payment, etc. (if high-cost medical expenses referred to in paragraph (1) of the preceding Article is to be paid, the amount obtained by deducting the amount so paid from the amount of co-payment, etc.), or the sum of the amount to be borne by a user of long-term care service prescribed in Article 51, paragraph (1) of the Long-Term Care Insurance Act (if expenses for high-cost long-term care service referred to in the same paragraph are paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of long-term care service), and the amount to be borne by a user of a service to prevent long-term care prescribed in Article 61, paragraph (1) of the same Act (if expenses for high-cost service to prevent long-term care referred to in the same paragraph are to be paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of the service to prevent long-term care) is extremely large, expenses for high-cost medical treatment combined with long-term care are paid to the person who received benefits for medical treatment to which the amount of the co-payment pertained, or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前条第二項の規定は、高額介護合算療養費の支給について準用する。
art-115-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-115-2/par-2
The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to the payment of expenses for high-cost medical treatment combined with long-term care.
Ministry of Justice translation — Japanese Law Translation Database System
## 第六節 保険給付の制限 — Section 6 Limitation of Insurance Benefits
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-4/sec-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-4/sec-6
### 第百十六条
art-116 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-116
**第一項** 被保険者又は被保険者であった者が、自己の故意の犯罪行為により、又は故意に給付事由を生じさせたときは、当該給付事由に係る保険給付は、行わない。
art-116/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-116/par-1
When the grounds for a benefit claim are caused by intentional criminal conduct committed by a person who is or was an insured person, or were intentionally caused thereby, no insurance benefits are paid based on those grounds.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十七条
art-117 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-117
**第一項** 被保険者が闘争、泥酔又は著しい不行跡によって給付事由を生じさせたときは、当該給付事由に係る保険給付は、その全部又は一部を行わないことができる。
art-117/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-117/par-1
When the grounds for a benefit claim are caused by a conflict, state of drunkenness or significant misconduct by the insured person, the insurer may refrain from paying, in whole or in part, insurance benefits based on those grounds.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十八条
art-118 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-118
**第一項** 被保険者又は被保険者であった者が、次の各号のいずれかに該当する場合には、疾病、負傷又は出産につき、その期間に係る保険給付（傷病手当金及び出産手当金の支給にあっては、厚生労働省令で定める場合に限る。）は、行わない。
art-118/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-118/par-1
Insurance benefits are not provided for sickness, injury or childbirth for a period in which the relevant person who is or was an insured person falls under any of the following items (limited to cases specified by Order of the Ministry of Health, Labour and Welfare for payment of injury and sickness allowance or childbirth allowance):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 少年院その他これに準ずる施設に収容されたとき。
art-118/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-118/par-1/item-1
the person is committed to a juvenile training school or any other institution equivalent thereto; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 刑事施設、労役場その他これらに準ずる施設に拘禁されたとき。
art-118/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-118/par-1/item-2
the person is confined to a penal institution, work facility, or any other facility equivalent thereto.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険者は、被保険者又は被保険者であった者が前項各号のいずれかに該当する場合であっても、被扶養者に係る保険給付を行うことを妨げない。
art-118/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-118/par-2
An insurer may not prevent insurance benefits pertaining to a dependent of an insured person from being paid even if the person who is or was an insured person falls under any of the items of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百十九条
art-119 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-119
**第一項** 保険者は、被保険者又は被保険者であった者が、正当な理由なしに療養に関する指示に従わないときは、保険給付の一部を行わないことができる。
art-119/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-119/par-1
When a person who is or was an insured person fails to follow instructions concerning medical treatment without a justifiable reason, the insurer may refrain from providing part of the applicable insurance benefits.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十条
art-120 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-120
**第一項** 保険者は、偽りその他不正の行為により保険給付を受け、又は受けようとした者に対して、六月以内の期間を定め、その者に支給すべき傷病手当金又は出産手当金の全部又は一部を支給しない旨の決定をすることができる。ただし、偽りその他不正の行為があった日から一年を経過したときは、この限りでない。
art-120/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-120/par-1
An insurer may determine not to pay all or some of the injury and sickness allowance or childbirth allowance to a person who received or intended to receive insurance benefits by means of deception or other wrongful conduct for a specified period no longer than six months; however, this does not apply when one year or more has elapsed after the day of the deception or wrongful conduct.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十一条
art-121 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-121
**第一項** 保険者は、保険給付を受ける者が、正当な理由なしに、第五十九条の規定による命令に従わず、又は答弁若しくは受診を拒んだときは、保険給付の全部又は一部を行わないことができる。
art-121/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-121/par-1
When a person who is to receive insurance benefits fails to comply with an order issued pursuant to the provisions of Article 59 or refuses to answer questions or to undergo a medical examination without a justifiable reason, the insurer may refrain from providing all or part of the applicable insurance benefits.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十二条
art-122 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-122
**第一項** 第百十六条、第百十七条、第百十八条第一項及び第百十九条の規定は、被保険者の被扶養者について準用する。この場合において、これらの規定中「保険給付」とあるのは、「当該被扶養者に係る保険給付」と読み替えるものとする。
art-122/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-122/par-1
The provisions of Article 116, Article 117, Article 118, paragraph (1) and Article 119 apply mutatis mutandis to dependents of an insured person. In this case, the phrase "insurance benefits" in those provisions is deemed to be replaced with "insurance benefits pertaining to the dependent".
Ministry of Justice translation — Japanese Law Translation Database System
## 第五章 日雇特例被保険者に関する特例 — Chapter V Special Provisions Concerning Specially-Insured Day Laborers
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-5
## 第一節 日雇特例被保険者の保険の保険者 — Section 1 Insurer Providing Insurance for Specially-Insured Day Laborers
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-5/sec-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-5/sec-1
### 第百二十三条
art-123 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-123
**第一項** 日雇特例被保険者の保険の保険者は、協会とする。
art-123/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-123/par-1
The insurer providing insurance for specially-insured day laborers is JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 日雇特例被保険者の保険の保険者の業務のうち、日雇特例被保険者手帳の交付、日雇特例被保険者に係る保険料の徴収及び日雇拠出金の徴収並びにこれらに附帯する業務は、厚生労働大臣が行う。
art-123/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-123/par-2
Of the services imposed on insurers providing insurance for specially-insured day laborers, the issuance of an insurance book for a specifically insured day laborer, collection of insurance premiums pertaining to a specially-insured day laborer and collection of day laborer contributions, as well as services incidental to these are covered by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
## 第二節 標準賃金日額等 — Section 2 Standard Daily Wages
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-5/sec-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-5/sec-2
### 第百二十四条（標準賃金日額） — (Daily Amount of Standard Wages)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-124 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-124
**第一項** 標準賃金日額は、日雇特例被保険者の賃金日額に基づき、次の等級区分（次項の規定により等級区分の改定が行われたときは、改定後の等級区分）による。
標準賃金日額等級 標準賃金日額 賃金日額
第一級 三、〇〇〇円 三、五〇〇円未満
第二級 四、四〇〇円 三、五〇〇円以上五、〇〇〇円未満
第三級 五、七五〇円 五、〇〇〇円以上六、五〇〇円未満
第四級 七、二五〇円 六、五〇〇円以上八、〇〇〇円未満
第五級 八、七五〇円 八、〇〇〇円以上九、五〇〇円未満
第六級 一〇、七五〇円 九、五〇〇円以上一二、〇〇〇円未満
第七級 一三、二五〇円 一二、〇〇〇円以上一四、五〇〇円未満
第八級 一五、七五〇円 一四、五〇〇円以上一七、〇〇〇円未満
第九級 一八、二五〇円 一七、〇〇〇円以上一九、五〇〇円未満
第一〇級 二一、二五〇円 一九、五〇〇円以上二三、〇〇〇円未満
第一一級 二四、七五〇円 二三、〇〇〇円以上
art-124/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-124/par-1
The standard daily wage amount is based on the relevant insured person's daily wage amount according to the following grading (if the grading has been revised pursuant to the provisions of the following paragraph, the revised grading).
Standard Daily Wage Grade Standard daily wages Daily Amount of Wages
Level 1 3,000 yen Less than 3,500 yen
Level 2 4,400 yen Not less than 3,500 yen but less than 5,000 yen
Level 3 5,750 yen Not less than 5,000 yen but less than 6,500 yen
Level 4 7,250 yen Not less than 6,500 yen but less than 8,000 yen
Level 5 8,750 yen Not less than 8,000 yen but less than 9,500 yen
Level 6 10,750 yen Not less than 9,500 yen but less than 12,000 yen
Level 7 13,250 yen Not less than 12,000 yen but less than 14,500 yen
Level 8 15,750 yen Not less than 14,500 yen but less than 17,000 yen
Level 9 18,250 yen Not less than 17,000 yen but less than 19,500 yen
Level 10 21,250 yen Not less than 19,500 yen but less than 23,000 yen
Level 11 24,750 yen Not less than 23,000 yen
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 一の年度における標準賃金日額等級の最高等級に対応する標準賃金日額に係る保険料の延べ納付日数の当該年度における日雇特例被保険者に関する保険料の総延べ納付日数に占める割合が百分の三を超える場合において、その状態が継続すると認められるときは、翌年度の九月一日から、政令で、当該最高等級の上に更に等級を加える標準賃金日額の等級区分の改定を行うことができる。ただし、当該一の年度において、改定後の標準賃金日額等級の最高等級に対応する標準賃金日額に係る保険料の延べ納付日数の日雇特例被保険者に関する保険料の総延べ納付日数に占める割合が百分の一を下回ってはならない。
art-124/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-124/par-2
If the ratio of the total number of days of payment of insurance premiums pertaining to the standard daily wage amount corresponding to the highest grade of standard daily wage amount to the total number of days of payment of insurance premiums pertaining to specially-insured day laborers in one fiscal year exceeds 0.03, and it is found that the status will continue, the grading of standard daily wage amount may be revised by adding another grade above the highest grade from September 1 in the following fiscal year by Cabinet Order; however, the ratio of the total number of days of payment of insurance premiums pertaining to the standard daily wage amount corresponding to the highest grade of standard daily wage amount to the total number of days of payment of insurance premiums pertaining to specially-insured day laborers in that fiscal year must not fall below 0.01.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第四十条第三項の規定は、前項の政令の制定又は改正について準用する。
art-124/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-124/par-3
The provisions of Article 40, paragraph (3) apply mutatis mutandis to the establishment or amendment of Cabinet Order referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十五条（賃金日額） — (Daily Amount of Wages)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-125 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125
**第一項** 賃金日額は、次の各号によって算定する。
art-125/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1
The daily amount of wages is calculated pursuant to the following items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 賃金が日又は時間によって定められる場合、一日における出来高によって定められる場合その他日雇特例被保険者が使用された日の賃金を算出することができる場合には、その額
art-125/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-1
if the wages are determined on the basis of working days or hours, or daily output, or it is otherwise possible to calculate the daily wages for a specially-insured day laborer, the determined or calculated amount;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 賃金が二日以上の期間における出来高によって定められる場合その他日雇特例被保険者が使用された日の賃金を算出することができない場合（次号に該当する場合を除く。）には、当該事業所において同様の業務に従事し同様の賃金を受ける者のその前日（その前日において同様の業務に従事し同様の賃金を受ける者がなかったときは、これに該当する者のあったその直近の日）における賃金日額の平均額
art-125/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-2
if the wages are determined in accordance with total output over a period of two days or more, or it is otherwise not possible to calculate the daily wages for a specially-insured day laborer (excluding cases that fall under the following item), the average amount of daily wages received on the preceding day (if no person received a similar wage for engaging in similar work on the preceding day, the most recent day on which any person does so) by persons who engaged in similar work at the same place of business and receive similar wages;
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "if the wages are determined in accordance with total output over a period of two days or more, or it is otherwise not possible to calculate the daily wages for a specially-insured day laborer (excluding cases that fall under the following item), the average amount of daily wages received on the preceding day (if no person received a similar wage for engaging in similar work on the preceding day, the most recent day on which any person does so) by persons who engaged in similar work at a the same place of business and receive similar wages;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**三** 賃金が二日以上の期間によって定められる場合には、その額をその期間の総日数（月の場合は、一月を三十日として計算する。）で除して得た額
art-125/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-3
if the amount of wages is based on a period of two days or more, the amount obtained by dividing that amount by the number of days in the period concerned (30 days if the period is one month);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 前三号の規定により算定することができないものについては、その地方において同様の業務に従事し同様の賃金を受ける者が一日において受ける賃金の額
art-125/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-4
if it is not possible to calculate pursuant to the provisions of the preceding three items, the amount of a wages received by persons who engaged in similar work and receive similar wages in a day in that region;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 前各号のうち二以上に該当する賃金を受ける場合には、それぞれの賃金につき、前各号によって算定した額の合算額
art-125/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-5
if the relevant person receives wages corresponding to two or more of each of the preceding items, the total sum of the amounts calculated for each of the wages in accordance with the preceding items; and
Ministry of Justice translation — Japanese Law Translation Database System
**六** 一日において二以上の事業所に使用される場合には、初めに使用される事業所から受ける賃金につき、前各号によって算定した額
art-125/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-1/item-6
if the person is employed at two or more places of business in a day, the amount calculated pursuant to the preceding items for wages paid from the first place of business employing the person.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、賃金のうち通貨以外のもので支払われるものについては、その価額は、その地方の時価により、厚生労働大臣が定める。
art-125/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-125/par-2
In the case of the preceding paragraph, with regard to a wage to be paid other than in currency, the amount is specified by the Minister of Health, Labour and Welfare based on the local market price.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十六条（日雇特例被保険者手帳） — (Specially-Insured Day Laborer's Insurance Book)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-126 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-126
**第一項** 日雇労働者は、日雇特例被保険者となったときは、日雇特例被保険者となった日から起算して五日以内に、厚生労働大臣に日雇特例被保険者手帳の交付を申請しなければならない。ただし、既に日雇特例被保険者手帳の交付を受け、これを所持している場合において、その日雇特例被保険者手帳に健康保険印紙をはり付けるべき余白があるときは、この限りでない。
art-126/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-126/par-1
A day worker who becomes a specially-insured day laborer must request the Minister of Health, Labour and Welfare to issue a specially-insured day laborer's insurance book within five days since the day on which the person becomes a specially-insured day laborer; however, this does not apply if the person already has a specially-insured day laborer's insurance book issued that contains a blank space for stamps for proof of health insurance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の申請があったときは、日雇特例被保険者手帳を交付しなければならない。
art-126/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-126/par-2
When the Minister of Health, Labour, and Welfare receives a request referred to in the preceding paragraph, the Minister must issue a specially-insured day laborer's insurance book.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 日雇特例被保険者手帳の交付を受けた者は、その日雇特例被保険者手帳に健康保険印紙をはり付けるべき余白の残存する期間内において日雇特例被保険者となる見込みのないことが明らかになったとき、又は第三条第二項ただし書の規定による承認を受けたときは、厚生労働大臣に日雇特例被保険者手帳を返納しなければならない。
art-126/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-126/par-3
A person who has received a specially-insured day laborer's insurance book must return it to the Minister of Health, Labour and Welfare if it has become obvious that the person is unlikely to become a specially-insured day laborer within the period during which a blank space for stamps for proof of health insurance remains in the insurance book, or receives approved pursuant to the proviso to Article 3, paragraph (2).
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 日雇特例被保険者手帳の様式、交付及び返納その他日雇特例被保険者手帳に関して必要な事項は、厚生労働省令で定める。
art-126/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-126/par-4
The form, issuance and return of and other necessary matters concerning an specifically insured day laborer's insurance book are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
## 第三節 日雇特例被保険者に係る保険給付 — Section 3 Insurance Benefits Pertaining to Specially-Insured Day Laborers
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-5/sec-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-5/sec-3
### 第百二十七条（保険給付の種類） — (Types of Insurance Benefits)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-127 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127
**第一項** 日雇特例被保険者（日雇特例被保険者であった者を含む。以下この節において同じ。）に係るこの法律による保険給付は、次のとおりとする。
art-127/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1
Insurance benefits pursuant to this Act pertaining to specially-insured day laborers (including former specially-insured day laborers; the same applies hereinafter in this Section) are as follows:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費及び移送費の支給
art-127/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-1
benefits for medical treatment, as well as payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, and transport expenses;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 傷病手当金の支給
art-127/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-2
payment of injury and sickness allowance;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 埋葬料の支給
art-127/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-3
payment of burial charges;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 出産育児一時金の支給
art-127/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-4
payment of lump-sum allowance for childbirth and childcare;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 出産手当金の支給
art-127/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-5
payment of childbirth allowance;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 家族療養費、家族訪問看護療養費及び家族移送費の支給
art-127/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-6
payment of dependent's medical expenses, dependent's medical expenses for home-nursing, and dependent's transport expenses;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 家族埋葬料の支給
art-127/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-7
payment of dependent's burial charges;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 家族出産育児一時金の支給
art-127/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-8
lump-sum allowance for dependent's childbirth and childcare;
Ministry of Justice translation — Japanese Law Translation Database System
**九** 特別療養費の支給
art-127/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-9
payment of special medical expenses; and
Ministry of Justice translation — Japanese Law Translation Database System
**十** 高額療養費及び高額介護合算療養費の支給
art-127/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-127/par-1/item-10
payment of high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十八条（他の医療保険による給付等との調整） — (Coordination with Benefits by Medical Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-128 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128
**第一項** 日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、出産育児一時金若しくは出産手当金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定、この法律以外の医療保険各法（国民健康保険法を除く。以下この条において同じ。）の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこれらに相当する給付を受けることができる場合には、行わない。
art-128/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-1
Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, or childbirth allowance, pertaining to a specially-insured day laborer, are not paid if the specially-insured day laborer may receive payment equivalent to these for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this Act (excluding the National Health Insurance Act; the same applies hereinafter in this Article), the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, or childbirth allowance, pertaining to a specially-insured day laborer, are not paid if the specially-insured day laborer may receive payment equivalent to these for the same sickness, injury, or death pursuant to the provisions of the preceding Chapter, medical insurance laws other than this Act (excluding the National Health Insurance Act; the same applies hereinafter in this Article), Cabinet Order prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 協会は、日雇特例被保険者に係る傷病手当金の支給を行うにつき必要があると認めるときは、労働者災害補償保険法、国家公務員災害補償法又は地方公務員災害補償法若しくは同法に基づく条例の規定により給付を行う者に対し、当該給付の支給状況につき、必要な資料の提供を求めることができる。
art-128/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-2
When the JHIA finds it necessary for the payment of injury and sickness allowance pertaining to specially-insured day laborers, it may request persons who provide benefits pursuant to the provisions of the Industrial Accident Compensation Insurance Act, the National Public Officers' Accident Compensation Act, or the Local Public Officers Accident Compensation Act or a Prefectural or Municipal Ordinance based on that Act to provide necessary materials about the status of payment of those benefits.
machine translation, not official
**第三項** 日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定又はこの法律以外の医療保険各法の規定によりこの章の規定による家族療養費（第百四十条第二項において準用する第百三十二条の規定により支給される療養費を含む。次項において同じ。）、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給に相当する給付を受けたときは、その限度において、行わない。
art-128/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-3
Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid, to that extent, if the relevant person has received a benefit equivalent to payment of dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 140, paragraph (2)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter or the provisions of medical insurance laws other than this Act.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid if the relevant person received a benefit equivalent to payment of dependent's medical treatment (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 140, paragraph (2)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter or the provisions of this Chapter pursuant to the provisions of medical insurance laws other than this act." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第四項** 日雇特例被保険者に係る家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定若しくはこの法律以外の医療保険各法の規定又は介護保険法の規定によりこれらに相当する給付又はこの章の規定による療養の給付若しくは入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給に相当する給付を受けることができる場合には、行わない。
art-128/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-4
Dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or dependent's lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid if the relevant person may receive a benefit equivalent to payment of those expenses or allowances, or benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare under this Chapter for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Dependent's medical expenses, dependent's medical expenses for home-nursing, transport expenses, dependent's burial charges, or dependent's lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid if the relevant person received a benefit equivalent to payment of those expenses or allowances, or benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for dependent's childbirth and childcare for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第五項** 特別療養費（第百四十五条第六項において準用する第百三十二条の規定により支給される療養費を含む。）の支給は、同一の疾病又は負傷について、前章の規定、この法律以外の医療保険各法の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこの章の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給に相当する給付を受けることができる場合には、行わない。
art-128/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-5
Special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)) are not paid if the relevant person may receive benefits equivalent to benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing under this Chapter for the same sickness or injury pursuant to the provisions of the preceding Chapter, the provisions of medical insurance laws other than this Act, the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)) are not paid if the relevant person received benefits equivalent to benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing for the same sickness or injury, death or childbirth pursuant to the provisions of the preceding Chapter, the provisions of medical insurance laws other than this act, Cabinet Order prescribed in Article 55, paragraph (1), or this Chapter pursuant to the provisions of the Long-Term Care Insurance Act." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第六項** 日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、家族療養費、家族訪問看護療養費、家族移送費若しくは特別療養費の支給は、同一の疾病又は負傷について、他の法令の規定により国又は地方公共団体の負担で療養又は療養費の支給を受けたときは、その限度において、行わない。
art-128/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-128/par-6
Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, or special medical expenses, pertaining to a specially-insured day laborer, are not made to that extent if the specially-insured day laborer received medical treatment or medical expenses for the same sickness or injury borne by the national government or a local government pursuant to the provisions of other Acts.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百二十九条（療養の給付） — (Benefits for Medical Treatment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-129 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129
**第一項** 日雇特例被保険者の疾病又は負傷に関しては、第六十三条第一項各号に掲げる療養の給付を行う。
art-129/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-1
With regard to sickness and injury of a specially-insured day laborer, benefits for medical treatment listed in each item of Article 63, paragraph (1) are paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 日雇特例被保険者が療養の給付を受けるには、これを受ける日において次の各号のいずれかに該当していなければならない。ただし、第二号に該当する場合においては、第一号に該当したことにより療養の給付を受けた疾病又は負傷及びこれにより発した疾病以外の疾病又は負傷については、療養の給付を行わない。
art-129/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-2
To receive benefits for medical treatment, a specially-insured day laborer must fall under any of the following items on the day on which the benefits are received; provided, however, that in the case of item (ii), benefits for medical treatment are not provided for sickness or injury for which a benefit for medical treatment was provided under item (i) or any sickness or injury caused thereby:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該日の属する月の前二月間に通算して二十六日分以上又は当該日の属する月の前六月間に通算して七十八日分以上の保険料が、その日雇特例被保険者について、納付されていること。
art-129/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-2/item-1
insurance premiums have been paid for the specially-insured day laborer for 26 days or more in total in the two months preceding the month including the day on which the benefits are received or for 78 days or more in total in the six months preceding the month including that day; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 前号に該当することにより当該疾病（その原因となった疾病又は負傷を含む。以下この項において同じ。）又は負傷につき受けた療養の給付の開始の日（その開始の日前に当該疾病又は負傷につき特別療養費（第百四十五条第六項において準用する第百三十二条の規定により支給される療養費を含む。以下この号において同じ。）の支給又は介護保険法の規定による居宅介護サービス費の支給（その支給のうち療養に相当する指定居宅サービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、特例居宅介護サービス費の支給（その支給のうち療養に相当する居宅サービス又はこれに相当するサービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、地域密着型介護サービス費の支給（その支給のうち療養に相当する指定地域密着型サービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、特例地域密着型介護サービス費の支給（その支給のうち療養に相当する地域密着型サービス又はこれに相当するサービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、施設介護サービス費の支給（その支給のうち療養に相当する指定施設サービス等に係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、特例施設介護サービス費の支給（その支給のうち療養に相当する施設サービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）、介護予防サービス費の支給（その支給のうち療養に相当する指定介護予防サービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）若しくは特例介護予防サービス費の支給（その支給のうち療養に相当する介護予防サービス又はこれに相当するサービスに係るものに限る。以下この号、第百三十五条第四項及び第百四十五条第一項において同じ。）が行われたときは、特別療養費の支給又は介護保険法の規定による居宅介護サービス費の支給、特例居宅介護サービス費の支給、地域密着型介護サービス費の支給、特例地域密着型介護サービス費の支給、施設介護サービス費の支給、特例施設介護サービス費の支給、介護予防サービス費の支給若しくは特例介護予防サービス費の支給の開始の日）から一年（厚生労働大臣が指定する疾病に関しては、五年）を経過していないこと（前号に該当する場合を除く。）。
art-129/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-2/item-2
one year (five years with regard to the sicknesses designated by the Minister of Health, Labour and Welfare) has not passed since the date of commencement of the benefit for medical treatment received for the relevant sickness or injury (including those that caused the sickness or injury; the same applies hereinafter in this paragraph) pursuant to the preceding item (if special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 applied mutatis mutandis to Article 145, paragraph (6); the same applies hereinafter in this item), expenses for in-home long-term care services pursuant to the provisions of the Long-Term Care Insurance Act (limited to expenses for services equivalent to designated in-home services; the same applies hereinafter in this item, Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for special in-home long-term care services (limited to expenses for services equivalent to in-home services or services equivalent thereto; the same applies hereinafter in Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for community-based long-term care services (limited to expenses for services equivalent to designated community-based services; the same applies hereinafter in this Article, Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for special community-based long-term care services (limited to the payment pertaining to services equivalent to community-based services or pertaining to services equivalent thereto; the same applies hereinafter in this item, Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for long-term care facility services (limited to expenses for services equivalent to designated facility services; the same applies hereinafter in this item, Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for special long-term care facility services (limited to expenses for services equivalent to facility services; the same applies hereinafter in this item, Article 135, paragraph (4), and Article 145, paragraph (1)), expenses for services to prevent long-term care (limited to expenses for services equivalent to designated services to prevent long-term care; the same applies hereinafter in this item, Article 135, paragraph (4), and Article 145, paragraph (1)), or expenses for special services to prevent long-term care (limited to expenses for services equivalent to services to prevent long-term care or services equivalent thereto; the same applies in this paragraph, Article 135, paragraph (4), and Article 145, paragraph (1)) were paid for the relevant sickness or injury before that date of commencement, the date of commencement of payment of special medical expenses, or payment of expenses for in-home long-term care services, expenses for special in-home long-term care services, expenses for community-based long-term care services, expenses for special community-based long-term care services, expenses for long-term care facility services, expenses for special long-term care facility services, expenses for services to prevent long-term care, or expenses for special services to prevent long-term care, pursuant to the provisions of the Long-Term Care Insurance Act) (excluding cases that fall under the preceding item);
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 保険者は、日雇特例被保険者が、前項第一号に該当することを、日雇特例被保険者手帳によって証明して申請したときは、これを確認したことを表示した受給資格者票を発行し、又は既に発行した受給資格者票にこれを確認したことを表示しなければならない。
art-129/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-3
When a specially-insured day laborer proves that the laborer falls under item (i) of the preceding Article with a specially-insured day laborer's insurance book and applies, the insurer must issue a qualified recipient card which shows confirmation of the proof or add the confirmation to a qualified recipient card which has already been issued.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 日雇特例被保険者が第六十三条第一項各号に掲げる療養の給付を受けようとするときは、受給資格者票を同条第三項第一号又は第二号に掲げるもののうち自己の選定するものに提出して、そのものから受けるものとする。
art-129/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-4
When intending to receive benefits for medical treatment listed in each item of Article 63, paragraph (1), a specially-insured day laborer is to select a hospital, clinic, or pharmacy from those listed in paragraph (3), item (i) or (ii) of the same Article, submit the laborer's qualified recipient card thereto, and receive the benefits therefrom.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 前項の受給資格者票は、第三項の規定による確認を受けたものでなければならず、かつ、その確認によって、当該疾病又は負傷につき第二項に規定する受給要件が満たされていることが証明されるものでなければならない。
art-129/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-5
The qualified recipient card referred to in the preceding paragraph must have been confirmed pursuant to the provisions of paragraph (3) and thereby prove that the recipient requirements for sickness and injury prescribed in paragraph (2) are met.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 受給資格者票の様式、第三項の規定による確認その他受給資格者票に関して必要な事項は、厚生労働省令で定める。
art-129/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-129/par-6
The form of a qualified recipient card, the confirmation pursuant to the provisions of paragraph (3), and other necessary matters concerning a qualified recipient card are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十条（入院時食事療養費） — (Dietary Treatment Expenses for Inpatients)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-130 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130
**第一項** 日雇特例被保険者（療養病床への入院及びその療養に伴う世話その他の看護である療養を受ける際、六十五歳に達する日の属する月の翌月以後である者（次条第一項において「特定長期入院日雇特例被保険者」という。）を除く。）が第六十三条第三項第一号又は第二号に掲げる病院又は診療所のうち自己の選定するものに受給資格者票を提出して、そのものから同条第一項第五号に掲げる療養の給付と併せて受けた食事療養に要した費用について、入院時食事療養費を支給する。
art-130/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130/par-1
When a specially-insured day laborer (excluding a person who receives medical treatment consisting of hospitalization in a sanatorium ward and care and other nursing incidental to that medical treatment after the month which contains the person's 65th birthday (hereinafter referred to as a "specially-insured day laborer receiving specified long-term hospitalization")) submits the laborer's qualified recipient card to a hospital or clinic which the laborer selected from those listed in Article 63, paragraph (3), item (i) or (ii) and receives dietary treatment along with benefits for medical treatment listed in paragraph (1), item (v) of the same Article from the hospital or clinic, dietary treatment expenses for inpatients pertaining to the dietary treatment are paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前条第二項、第四項及び第五項の規定は、入院時食事療養費の支給について準用する。
art-130/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130/par-2
The provisions of Article 129, paragraphs (2), (4) and (5) apply mutatis mutandis to the payment of dietary treatment expenses for inpatients.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十条の二（入院時生活療養費） — (Living Support Expenses for Inpatients)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-130-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130-2
**第一項** 特定長期入院日雇特例被保険者が第六十三条第三項第一号又は第二号に掲げる病院又は診療所のうち自己の選定するものに受給資格者票を提出して、そのものから同条第一項第五号に掲げる療養の給付と併せて受けた生活療養に要した費用について、入院時生活療養費を支給する。
art-130-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130-2/par-1
When a specially-insured day laborer receiving specified long-term and hospitalization submits the laborer's qualified recipient card to a hospital or clinic which the laborer selected from those listed in Article 63, paragraph (3), item (i) or (ii) and receives living support along with benefits for medical treatment listed in paragraph (1), item (v) of the same Article from the hospital or clinic, living support expenses for inpatients pertaining to the living support are paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第百二十九条第二項、第四項及び第五項の規定は、入院時生活療養費の支給について準用する。
art-130-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-130-2/par-2
The provisions of Article 129, paragraphs (2), (4) and (5) apply mutatis mutandis to the payment of living support expenses for inpatients.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十一条（保険外併用療養費） — (Medical Expenses Combined with Treatment Outside Insurance Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-131 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-131
**第一項** 日雇特例被保険者が受給資格者票を提出して、第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局のうち自己の選定するものから、評価療養、患者申出療養、選定療養又は一部保険外療養を受けたときは、その療養に要した費用について、保険外併用療養費を支給する。
art-131/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-131/par-1
When a specially-insured day laborer submits the laborer's qualified recipient card and receives evaluation treatment, patient-requested treatment, selective treatment, or partially uninsured treatment from a hospital, clinic, or pharmacy that the laborer selected from those listed in Article 63, paragraph (3), item (i) or (ii), medical expenses combined with treatment outside insurance coverage are paid for expenses required for that treatment.
machine translation, not official
**第二項** 第百二十九条第二項、第四項及び第五項の規定は、保険外併用療養費の支給について準用する。
art-131/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-131/par-2
The provisions of Article 129, paragraphs (2), (4) and (5) apply mutatis mutandis to the payment of medical expenses combined with treatment outside insurance coverage.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十二条（療養費） — (Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-132 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-132
**第一項** 保険者は、療養の給付若しくは入院時食事療養費、入院時生活療養費若しくは保険外併用療養費の支給（以下この項において「療養の給付等」という。）を行うことが困難であると認めるとき、又は日雇特例被保険者が第六十三条第三項第一号若しくは第二号に掲げる病院若しくは診療所若しくは薬局以外の病院、診療所、薬局その他の者から診療、薬剤の支給若しくは手当を受けた場合において、保険者がやむを得ないものと認めるときは、療養の給付等に代えて、療養費を支給することができる。
art-132/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-132/par-1
When an insurer finds it difficult to pay benefits for medical treatment or expenses for dietary treatment for inpatients, living support expenses for inpatients, or medical expenses combined with treatment outside insurance coverage (hereinafter referred to as a "benefits for medical treatment, etc." in this paragraph) or finds it unavoidable in cases where a specially-insured day laborer has received any medical care, medication or treatment from a hospital, clinic, pharmacy or other person not listed in Article 63, paragraph (3), items (i) and (ii), it may pay medical expenses in lieu of benefits for medical treatment, etc.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 日雇特例被保険者が、第百二十九条第三項に規定する確認を受けないで、第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局から診療又は薬剤の支給を受けた場合において、保険者が、その確認を受けなかったことを緊急やむを得ない理由によるものと認めるときも、前項と同様とする。
art-132/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-132/par-2
The provisions of the preceding paragraph apply when a specially-insured day laborer receives medical care or medication from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (i) or (ii) without the confirmation prescribed in Article 129, paragraph (3) and the insurer finds that the lack of confirmation was due to urgent and unavoidable reasons.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The provisions of the preceding paragraph apply when a specially-insured day laborer receives medical care or medication from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (i) or (ii) without the confirmation prescribed in Article 29 and the insurer finds that the lack of confirmation was due to urgent and unavoidable reasons." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百三十三条（訪問看護療養費） — (Medical Expenses for Home-Nursing)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-133 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-133
**第一項** 日雇特例被保険者が指定訪問看護事業者のうち自己の選定するものに受給資格者票を提出して、指定訪問看護を受けたときは、その指定訪問看護に要した費用について、訪問看護療養費を支給する。
art-133/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-133/par-1
When a specially-insured day laborer submits the laborer's qualified recipient card to a designated home-nursing provider selected by the laborer, and receives designated home-nursing from the provider, with regard to expenses incurred in the designated home-nursing, medical expenses for home-nursing are paid.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第百二十九条第二項及び第五項の規定は、訪問看護療養費の支給について準用する。
art-133/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-133/par-2
The provisions of Article 129, paragraphs (2) and (5) apply mutatis mutandis to the payment of medical expenses for home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十四条（移送費） — (Transport Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-134 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-134
**第一項** 日雇特例被保険者が療養の給付（保険外併用療養費に係る療養及び特別療養費に係る療養を含む。）を受けるため、病院又は診療所に移送されたときは、移送費として、第九十七条第一項の厚生労働省令で定めるところにより算定した金額を支給する。
art-134/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-134/par-1
When a specially-insured day laborer has been transported to a hospital or clinic in order to receive medical treatment (including medical treatment covered by medical expenses combined with treatment outside insurance coverage or by special medical expenses), an amount calculated pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 97, paragraph (1) as transport expenses.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十五条（傷病手当金） — (Injury and Sickness Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-135 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135
**第一項** 日雇特例被保険者が療養の給付（保険外併用療養費、療養費及び訪問看護療養費の支給並びに介護保険法の規定による居宅介護サービス費、特例居宅介護サービス費、地域密着型介護サービス費、特例地域密着型介護サービス費、施設介護サービス費、特例施設介護サービス費、介護予防サービス費及び特例介護予防サービス費の支給（これらの支給のうち療養に相当する居宅サービス若しくはこれに相当するサービス、地域密着型サービス若しくはこれに相当するサービス、施設サービス又は介護予防サービス若しくはこれに相当するサービスに係るものに限る。）であって、第百二十九条第三項の受給資格者票（同条第五項の規定に該当するものに限る。）を有する者に対して行われるものを含む。次項及び次条において同じ。）を受けている場合において、その療養（居宅サービス及びこれに相当するサービス並びに施設サービス並びに介護予防サービス及びこれに相当するサービスのうち、療養に相当するものを含む。）のため労務に服することができないときは、その労務に服することができなくなった日から起算して三日を経過した日から労務に服することができない期間、傷病手当金を支給する。
art-135/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-1
When a specially-insured day laborer receives benefits for medical treatment (including benefits in the form of medical expenses combined with treatment outside insurance coverage, medical expenses, and medical expenses for home nursing, as well as in-home long-term care service expenses, special in-home long-term care service expenses, community-based long-term care service expenses, special community-based long-term care service expenses, long-term care facility service expenses, exceptional allowance for long-term care facility services, expenses for services to prevent long-term care, and exceptional allowance for services to prevent long-term care, pursuant to the provisions of the Long-Term Care Insurance Act (limited to those equivalent to medical treatment pertaining to in-home services or equivalent services, community-based services or equivalent services, facility services, or services to prevent long-term care or equivalent services), paid to persons who have a qualified recipient card referred to in Article 129, paragraph (3) (limited to cards falling under the provisions of paragraph (5) of the same Article); the same applies in the following paragraph and following Article) and is unable to engage in labor due to the medical treatment (including in-home services and services equivalent thereto, facility services, and long-term care preventive services equivalent to medical care, and services equivalent thereto), the injury and sickness allowance is paid for the period during which the specially-insured day laborer is unable to engage in work, starting from the day on which three days elapsed after the day on which the laborer became unable to engage in work.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When a specially-insured day laborer receives benefits for medical treatment (including benefits in the form of medical expenses combined with treatment outside insurance coverage, medical expenses, and medical expenses for home nursing, as well as in-home long-term care service expenses, special in-home long-term care service expenses, community-based long-term care service expenses, special community-based long-term care service expenses, long-term care facility service expenses, exceptional allowance for long-term care facility services, expenses for services to prevent long-term care, and exceptional allowance for services to prevent long-term care, pursuant to the provisions of the Long-Term Care Insurance Act (limited to those equivalent to medical treatment pertaining to in-home services or equivalent services, community-based services or equivalent services, facility services, or services to prevent long-term care or equivalent services), paid to persons who have a qualified recipient card referred to in Article 129, paragraph (3) (limited to cards falling under the provisions of paragraph (5) of the same Article); the same applies in the following paragraph and following item) and is unable to engage in labor due to the medical treatment (including in-home services and services equivalent thereto, facility services, and long-term care preventive services equivalent to medical care, and services equivalent thereto), the injury and sickness allowance is paid for the period during which the specially-insured day laborer is unable to engage in work, starting from the day on which three days elapsed after the day on which the laborer became unable to engage in work." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 傷病手当金の額は、次の各号に掲げる場合の区分に応じ、一日につき、当該各号に定める金額とする。ただし、次の各号のいずれにも該当するときは、いずれか高い金額とする。
art-135/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-2
The amount of sickness and injury allowance per day is an amount prescribed in the following items, in accordance with the classifications in the following items; provided, however, that if both items are applicable, the larger of the amounts is paid:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該日雇特例被保険者について、その者が初めて当該療養の給付を受けた日の属する月の前二月間に通算して二十六日分以上の保険料が納付されている場合 当該期間において保険料が納付された日に係るその者の標準賃金日額の各月ごとの合算額のうち最大のものの四十五分の一に相当する金額
art-135/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-2/item-1
with respect to the relevant specially-insured day laborer, insurance premiums had been paid for 26 days or more in the two months before the month including the day on which the laborer received the relevant benefit for medical treatment for the first time:an amount equivalent to 1/45th of the largest of the monthly total of the laborer's standard daily wages pertaining the days for which insurance premiums were paid in the period; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 当該日雇特例被保険者について、その者が初めて当該療養の給付を受けた日の属する月の前六月間に通算して七十八日分以上の保険料が納付されている場合 当該期間において保険料が納付された日に係るその者の標準賃金日額の各月ごとの合算額のうち最大のものの四十五分の一に相当する金額
art-135/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-2/item-2
with respect to the specially-insured day laborer, insurance premiums had been paid for 78 days or more in the six months before the month including the day on which the laborer received the benefit for medical treatment for the first time:an amount equivalent to 1/45th of the largest of the monthly total of the laborer's standard daily wages pertaining to the days for which insurance premiums were paid in the period.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 日雇特例被保険者に係る傷病手当金の支給期間は、同一の疾病又は負傷及びこれにより発した疾病に関しては、その支給を始めた日から起算して六月（厚生労働大臣が指定する疾病に関しては、一年六月）を超えないものとする。
art-135/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-3
The payment period for injury and sickness allowance pertaining to a specially-insured day laborer is not to exceed six months (one year and six months for sickness and injury designated by the Minister of Health, Labour and Welfare) from the day on which the payment started, with regard to the same sickness and injury as well as any sickness and injury caused thereby.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 日雇特例被保険者が、その疾病又は負傷について、第百二十八条の規定により療養の給付若しくは保険外併用療養費、療養費若しくは訪問看護療養費の支給の全部を受けることができない場合又は介護保険法第二十条の規定により同法の規定による居宅介護サービス費の支給、特例居宅介護サービス費の支給、地域密着型介護サービス費の支給、特例地域密着型介護サービス費の支給、施設介護サービス費の支給、特例施設介護サービス費の支給、介護予防サービス費の支給若しくは特例介護予防サービス費の支給（これらの給付のうち第百二十九条第三項の受給資格者票（同条第五項の規定に該当するものに限る。）を有する者に対して行われるものに限る。以下この項において同じ。）の全部を受けることができない場合においては、療養の給付若しくは保険外併用療養費、療養費若しくは訪問看護療養費の支給又は介護保険法の規定による居宅介護サービス費の支給、特例居宅介護サービス費の支給、地域密着型介護サービス費の支給、特例地域密着型介護サービス費の支給、施設介護サービス費の支給、特例施設介護サービス費の支給、介護予防サービス費の支給若しくは特例介護予防サービス費の支給に相当する当該給付又は当該療養若しくは療養費の支給をこの章の規定による療養の給付若しくは保険外併用療養費、療養費若しくは訪問看護療養費の支給又は介護保険法の規定による居宅介護サービス費の支給、特例居宅介護サービス費の支給、地域密着型介護サービス費の支給、特例地域密着型介護サービス費の支給、施設介護サービス費の支給、特例施設介護サービス費の支給、介護予防サービス費の支給若しくは特例介護予防サービス費の支給とみなして、第一項及び第二項の規定を適用する。
art-135/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-135/par-4
If a specially-insured day laborer is, with regard to sickness or injury, unable to receive all of the benefits for medical treatment or all of the payment of medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home nursing pursuant to the provisions of Article 128, or unable to receive all of the payment, pursuant to Article 20 of the Long-Term Care Insurance Act, of expenses for in-home long-term care services, expenses for special in-home long-term care services, expenses for community-based long-term care services, expenses for special community-based long-term care services, expenses for long-term facility care services, expenses for special long-term care facility services, expenses for services to prevent long-term care, or expenses for special services to prevent long-term care pursuant to the provisions of that Act (limited to payment made to those who have a qualified recipient card under Article 129, paragraph (3) (limited to cards falling under paragraph (5) of the same Article); the same applies hereinafter in this paragraph), then benefits for medical treatment or payment for medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home nursing, and relevant benefits equivalent to payment of expenses for in-home long-term care services, payment of expenses for special in-home long-term care services, payment of community-based long-term care services, payment of expenses for special community-based long-term care services, payment of long-term care facility service expenses, payment of expenses for special long-term care facility services, payment of expenses for services to prevent long-term care, or payment of expenses for special services to prevent long-term care, pursuant to the provisions of the Long-Term Care Insurance Act, as well as payment of expenses for the relevant medical treatment and other medical treatment are deemed to be benefits for medical treatment or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home nursing pursuant to the provisions of this Chapter, or payment of expenses for in-home long-term care services, payment of expenses for special in-home long-term care services, payment of expenses for community-based long-term care services, payment of expenses for special community-based long-term care services, payment of expenses for long-term care services, payment of expenses for special long-term care facility services, payment of expenses for services to prevent long-term care, or payment of expenses for special services to prevent long-term care, pursuant to the provisions of the Long-Term Care Insurance Act, and the provisions of paragraphs (1) and (2) apply.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十六条（埋葬料） — (Burial Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-136 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-136
**第一項** 日雇特例被保険者が死亡した場合において、その死亡の日の属する月の前二月間に通算して二十六日分以上若しくは当該月の前六月間に通算して七十八日分以上の保険料がその者について納付されているとき、その死亡の際その者が療養の給付若しくは保険外併用療養費、療養費若しくは訪問看護療養費の支給を受けていたとき、又はその死亡が療養の給付若しくは保険外併用療養費、療養費若しくは訪問看護療養費の支給を受けなくなった日後三月以内であったときは、その者により生計を維持していた者であって、埋葬を行うものに対し、第百条第一項の政令で定める金額の埋葬料を支給する。
art-136/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-136/par-1
When a specially-insured day laborer dies, insurance premiums had been paid for the laborer for 26 days or more in total in the two months preceding the month including the day of death or for 78 days or more in total in the six months preceding that month, and the laborer received benefits for medical treatment, or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home nursing at the time of death, or the death was within three days since the day of loss of benefits for medical treatment, or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, or medical expenses for home nursing, the amount of burial charges specified by Cabinet Order referred to in Article 100, paragraph (1) is paid to the person whose livelihood depends on the income of the laborer and who arranged the burial.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により埋葬料の支給を受けるべき者がない場合においては、埋葬を行った者に対し、同項の埋葬料の金額の範囲内においてその埋葬に要した費用に相当する金額を支給する。
art-136/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-136/par-2
If there is no one to receive burial charges pursuant to the provisions of the preceding paragraph, an amount equivalent to the expenses required for the burial within the range of amount of burial charges referred to in the preceding paragraph is paid to the person who arranged the burial.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十七条（出産育児一時金） — (Lump-sum Allowance for Childbirth and Childcare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-137 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-137
**第一項** 日雇特例被保険者が出産した場合において、その出産の日の属する月の前四月間に通算して二十六日分以上の保険料がその者について納付されているときは、出産育児一時金として、第百一条の政令で定める金額を支給する。
art-137/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-137/par-1
When a specially-insured day laborer gives birth and insurance premiums have been paid for the laborer for 26 days or more in total during the two months preceding the month including the day of childbirth, an amount specified by Cabinet Order referred to in Article 101 is paid as a lump-sum allowance for childbirth and childcare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十八条（出産手当金） — (Childbirth Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-138 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-138
**第一項** 出産育児一時金の支給を受けることができる日雇特例被保険者には、出産の日（出産の日が出産の予定日後であるときは、出産の予定日）以前四十二日（多胎妊娠の場合においては、九十八日）から出産の日後五十六日までの間において労務に服さなかった期間、出産手当金を支給する。
art-138/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-138/par-1
Childbirth allowance is paid to a specially-insured day laborer eligible for payment of lump-sum allowance for childbirth and childcare in the period during which the laborer does not engage in labor, starting 42 days (98 days in the case of multiple fetuses) preceding the day of childbirth (the scheduled date of childbirth if the day of childbirth is after the scheduled date of childbirth) and ending 56 days following the day of childbirth.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 出産手当金の額は、一日につき、出産の日の属する月の前四月間の保険料が納付された日に係る当該日雇特例被保険者の標準賃金日額の各月ごとの合算額のうち最大のものの四十五分の一に相当する金額とする。
art-138/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-138/par-2
The amount of childbirth allowance per day is an amount equivalent to 1/45th of the largest of the monthly total of the specially-insured laborer's standard daily wages pertaining to the days for which insurance premiums were paid in the four months preceding the month including the day of childbirth.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百三十九条（出産手当金と傷病手当金との調整） — (Coordination of Childbirth Allowance with Injury and Sickness Allowance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-139 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-139
**第一項** 日雇特例被保険者に対し出産手当金を支給する場合においては、その期間、その者に対し、傷病手当金は、支給しない。ただし、傷病手当金の額が出産手当金の額を超えるときは、その超える部分については、この限りでない。
art-139/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-139/par-1
Injury and sickness allowance is not paid to a specially-insured day laborer during the period in which the laborer receives childbirth allowance; provided, however, that if the amount of injury and sickness allowance exceeds the amount of childbirth allowance, this does not apply to the amount in excess.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十条（家族療養費） — (Dependent's Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-140 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-140
**第一項** 日雇特例被保険者の被扶養者が受給資格者票を第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局のうち自己の選定するものに提出して、そのものから療養を受けたときは、日雇特例被保険者に対し、その療養に要した費用について、家族療養費を支給する。
art-140/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-140/par-1
When a dependent of an insured person submits the dependent's qualified recipient card to a hospital, clinic, or pharmacy that the dependent selected from those listed in Article 63, paragraph (3), item (i) or (ii) and receives evaluation treatment, patient-requested treatment, or selective treatment from that hospital, clinic, or pharmacy, dependent's medical expenses are paid to the specially-insured day laborer for the expenses required for the treatment.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第百二十九条第二項、第四項及び第五項並びに第百三十二条の規定は、家族療養費の支給について準用する。
art-140/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-140/par-2
The provisions of Article 129, paragraphs (2), (4) and (5) as well as Article 132 apply mutatis mutandis to the payment of dependent's medical expenses.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第八十七条第二項及び第三項の規定は、前項において準用する第百三十二条第一項又は第二項の規定により支給する療養費の額の算定について準用する。
art-140/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-140/par-3
The provisions of Article 87, paragraphs (2) and (3) apply mutatis mutandis to the calculation of the amount of medical expenses paid pursuant to the provisions of Article 132, paragraph (1) or (2) as applied mutatis mutandis pursuant to the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十一条（家族訪問看護療養費） — (Dependent Medical's Expenses for Home-Nursing)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-141 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-141
**第一項** 日雇特例被保険者の被扶養者が指定訪問看護事業者のうち自己の選定するものに受給資格者票を提出して、指定訪問看護を受けたときは、日雇特例被保険者に対し、その指定訪問看護に要した費用について、家族訪問看護療養費を支給する。
art-141/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-141/par-1
When a dependent of a specially-insured day laborer submits the dependent's qualified recipient card to a designated home-nursing provider selected by the dependent, and receives designated home-nursing from the provider, with regard to expenses incurred in the designated home-nursing, dependent's medical expenses for home-nursing are paid to the specially-insured day laborer.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第百二十九条第二項及び第五項の規定は、家族訪問看護療養費の支給について準用する。
art-141/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-141/par-2
The provisions of Article 129, paragraphs (2) and (5) apply mutatis mutandis to the payment of dependent's medical expenses for home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十二条（家族移送費） — (Dependent's Transport Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-142 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-142
**第一項** 日雇特例被保険者の被扶養者が家族療養費に係る療養（特別療養費に係る療養を含む。）を受けるため、病院又は診療所に移送されたときは、家族移送費として、日雇特例被保険者に対し、第九十七条第一項の厚生労働省令で定めるところにより算定した金額を支給する。
art-142/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-142/par-1
When a dependent of a specially-insured day laborer is transported to a hospital or clinic in order to receive medical treatment to which expenses for dependent's medical treatment pertain (including medical treatment covered by special medical expenses), an amount calculated pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 97, paragraph (1) is paid, as dependent's transport expenses, to the specially-insured day laborer.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十三条（家族埋葬料） — (Dependent's Burial Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-143 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-143
**第一項** 日雇特例被保険者の被扶養者が死亡したときは、日雇特例被保険者に対し、家族埋葬料を支給する。
art-143/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-143/par-1
When a dependent of a specially-insured day laborer dies, dependent's burial charges are paid to the specially-insured day laborer.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 日雇特例被保険者が家族埋葬料の支給を受けるには、死亡の日の属する月の前二月間に通算して二十六日分以上又は当該月の前六月間に通算して七十八日分以上の保険料が、その日雇特例被保険者について、納付されていなければならない。
art-143/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-143/par-2
In order for a specially-insured day laborer to receive dependent's burial charges, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total during the two months preceding the month including the day of death or for 78 days or more in total during the six months preceding that month.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 家族埋葬料の額は、第百十三条の政令で定める金額とする。
art-143/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-143/par-3
The amount of dependent's burial charges is an amount specified by Cabinet Order referred to in Article 113.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十四条（家族出産育児一時金） — (Lump-sum Allowance for Dependent's Childbirth and Childcare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-144 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-144
**第一項** 日雇特例被保険者の被扶養者が出産したときは、日雇特例被保険者に対し、家族出産育児一時金を支給する。
art-144/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-144/par-1
When a dependent of a specially-insured day laborer gives birth to a child, lump-sum allowance for dependent's childbirth and childcare is paid to the specially-insured day laborer.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 日雇特例被保険者が家族出産育児一時金の支給を受けるには、出産の日の属する月の前二月間に通算して二十六日分以上又は当該月の前六月間に通算して七十八日分以上の保険料が、その日雇特例被保険者について、納付されていなければならない。
art-144/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-144/par-2
In order for a specially-insured day laborer to receive lump-sum allowance for dependent's childbirth and childcare, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total in the two months preceding the month including the day of childbirth or for 78 days or more in total in the six months preceding that month.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 家族出産育児一時金の額は、第百一条の政令で定める金額とする。
art-144/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-144/par-3
The amount of lump-sum allowance for dependent's childbirth and childcare is the amount specified by Cabinet Order referred to in Article 101.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十五条（特別療養費） — (Special Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-145 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145
**第一項** 次の各号のいずれかに該当する日雇特例被保険者でその該当するに至った日の属する月の初日から起算して三月（月の初日に該当するに至った者については、二月。第五項において同じ。）を経過しないもの又はその被扶養者が、特別療養費受給票を第六十三条第三項第一号若しくは第二号に掲げる病院若しくは診療所若しくは薬局のうち自己の選定するものに提出して、そのものから療養を受けたとき、又は特別療養費受給票を指定訪問看護事業者のうち自己の選定するものに提出して、そのものから指定訪問看護を受けたときは、日雇特例被保険者に対し、その療養又は指定訪問看護に要した費用について、特別療養費を支給する。ただし、当該疾病又は負傷につき、療養の給付若しくは入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給又は介護保険法の規定による居宅介護サービス費の支給、特例居宅介護サービス費の支給、地域密着型介護サービス費の支給、特例地域密着型介護サービス費の支給、施設介護サービス費の支給、特例施設介護サービス費の支給、介護予防サービス費の支給若しくは特例介護予防サービス費の支給を受けることができるときは、この限りでない。
art-145/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-1
If a specially-insured day laborer falls under any of the following items, and three months (two months if the day on which the laborer fell under the item is the first day of the month; the same applies in paragraph (5)) have not elapsed since the first day of the month including the day on which the laborer fell under the item, or the laborer's dependent submitted a special medical expense card for a hospital, clinic or pharmacy that the dependent selected from those listed in Article 63, paragraph (3), item (i) or (ii) and received medical treatment therefrom, or submitted the special medical expense card to a designated home-nursing provider that the dependent selected and received designated home-nursing, special medical expenses required for the medical treatment or designated home-nursing are paid to the specially-insured day laborer; provided, however, that this does not apply if, with respect to the relevant sickness or injury, the specially-insured day laborer is eligible for benefits for medical treatment, for payment of expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing, or is eligible for payment of expenses for in-home long-term care services, expenses for special in-home long-term care services, expenses for community-based long-term care services, expenses for special community-based long-term care services, expenses for long-term care facility services, allowance for special long-term care facility service expenses, expenses for services to prevent long-term care, or expenses for special services to prevent long-term care pursuant to the provisions of the Long-Term Care Insurance Act:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 初めて日雇特例被保険者手帳の交付を受けた者
art-145/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-1/item-1
the specially-insured day laborer receives a specially-insured day laborer's insurance book for the first time;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 一月間若しくは継続する二月間に通算して二十六日分以上又は継続する三月ないし六月間に通算して七十八日分以上の保険料が納付されるに至った月において日雇特例被保険者手帳に健康保険印紙をはり付けるべき余白がなくなり、又はその月の翌月中に第百二十六条第三項の規定により日雇特例被保険者手帳を返納した後、初めて日雇特例被保険者手帳の交付を受けた者
art-145/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-1/item-2
the relevant specially insured day laborer's insurance book no longer contains blank space for stamps for proof of health insurance in the month in which insurance premiums for 26 days or more have been paid in total in the previous one month or two consecutive months or insurance premiums for 78 days or more have been paid in total in the previous three to six consecutive months, or was returned within the following month pursuant to the provisions of Article 126, paragraph (3), and the specially-insured day laborer then received a new specially-insured day laborer's insurance book; or
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the relevant specially insured day laborer's insurance book no longer contains blank space for stamps for proof of health insurance in the month in which insurance premiums for 26 days or more have been paid in total in the previous one month or two consecutive months or insurance premiums for 78 days or more have been paid in total in the previous three to six consecutive months, and was returned within the following month pursuant to the provisions of Article 126, paragraph (3), and the specially-insured day laborer then received a new specifically insured day laborer's insurance book; or" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**三** 前に交付を受けた日雇特例被保険者手帳（前に二回以上にわたり日雇特例被保険者手帳の交付を受けたことがある場合においては、最後に交付を受けた日雇特例被保険者手帳）に健康保険印紙をはり付けるべき余白がなくなった日又は第百二十六条第三項の規定によりその日雇特例被保険者手帳を返納した日から起算して一年以上を経過した後に日雇特例被保険者手帳の交付を受けた者
art-145/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-1/item-3
the specially-insured day laborer receives a specially-insured day laborer's insurance book after one year or more has elapsed since the day on which the laborer's previous insurance book ceased to contain blank space for stamps for proof of health insurance or the day on which the laborer's previous insurance book was returned pursuant to the provisions of Article 126, paragraph (3) (the most recent specially-insured day laborer's insurance book if two or more insurance books have been issued).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 特別療養費の額は、第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局から受けた療養については第一号に掲げる額（当該療養に食事療養が含まれるときは当該額及び第二号に掲げる額の合算額、当該療養に生活療養が含まれるときは当該額及び第三号に掲げる額の合算額）とし、指定訪問看護事業者から受けた指定訪問看護については第四号に掲げる額とする。
art-145/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-2
The amount of special medical expenses is the amount stated in item (i) below for medical treatment provided by a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (i) or (ii) (if dietary treatment is included in the treatment, the sum of the amount stated in item (i) below and the amount stated in item (ii); if living support is included in the treatment, the sum of the amount stated in item (i) below and the amount stated in item (iii)), or the amount listed in item (iv) for designated home-nursing provided by a designated home-nursing provider:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 当該療養（食事療養及び生活療養を除く。）につき算定された費用の額（その額が、現に当該療養に要した費用の額を超えるときは、当該現に療養に要した費用の額）の百分の七十に相当する額
art-145/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-2/item-1
an amount equivalent to 0.70 of the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) (if the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred);
Ministry of Justice translation — Japanese Law Translation Database System
**二** 当該食事療養につき算定された費用の額（その額が、現に当該食事療養に要した費用の額を超えるときは、当該現に食事療養に要した費用の額）から食事療養標準負担額を控除した額
art-145/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-2/item-2
the amount calculated by deducting the amount of standard co-payment for dietary treatment from the amount calculated for the dietary treatment (when the amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred);
Ministry of Justice translation — Japanese Law Translation Database System
**三** 当該生活療養につき算定された費用の額（その額が、現に当該生活療養に要した費用の額を超えるときは、当該現に生活療養に要した費用の額）から生活療養標準負担額を控除した額
art-145/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-2/item-3
the amount calculated by deducting the amount of standard co-payment for living support from the amount calculated for the living support (when the amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred); and
Ministry of Justice translation — Japanese Law Translation Database System
**四** 当該指定訪問看護につき算定された費用の額の百分の七十に相当する額
art-145/par-2/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-2/item-4
an amount equivalent to 0.70 of the amount of expenses calculated for designated home-nursing.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の療養又は指定訪問看護を受ける者が六歳に達する日以後の最初の三月三十一日以前である場合における前項の規定の適用については、同項第一号及び第四号中「百分の七十」とあるのは、「百分の八十」とする。
art-145/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-3
When applying the provisions of the preceding paragraph to a person who receives medical treatment or designated home-nursing referred to in paragraph (1) before the first March 31 after the person's 6th birthday, "0.70" in items (i) and (iv) of the same paragraph is replaced with "0.80".
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第一項の療養又は指定訪問看護を受ける者（第百四十九条において準用する第七十四条第一項第三号に掲げる場合に該当する被保険者若しくはその被扶養者又は政令で定める被保険者の被扶養者を除く。）が七十歳に達する日の属する月の翌月以後である場合における第二項の規定の適用については、同項第一号及び第四号中「百分の七十」とあるのは、「百分の八十」とする。
art-145/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-4
When applying the provisions of paragraph (2) to a person who receives medical treatment or designated home-nursing referred to in paragraph (1) (excluding insured persons who fall under the cases listed in Article 74, paragraph (1), item (iii) as applied mutatis mutandis to Article 149 and their dependents, and the dependents of insured persons specified by Cabinet Order) after the month following the month which included the person's 70th birthday, "0.70" in paragraph (2), items (i) and (iv) are replaced with "0.80".
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 特別療養費受給票は、第一項各号のいずれかに該当する日雇特例被保険者でその該当するに至った日の属する月の初日から起算して三月を経過していないものの申請により、保険者が交付する。
art-145/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-5
An insurer issued a special medical expense card upon application by a specially-insured day laborer who falls under any of the items of paragraph (1) if three months have not elapsed since the first day of the month in which the laborer acquired the eligibility.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 第百三十二条の規定は、特別療養費の支給について準用する。この場合において、同条第二項中「第百二十九条第三項に規定する確認」及び「その確認」とあるのは、「特別療養費受給票の交付」と読み替えるものとする。
art-145/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-6
The provisions of Article 132 apply mutatis mutandis to the payment of special medical expenses. In this case, the phrases "confirmation prescribed in Article 129, paragraph (3)" and "lack of confirmation" in Article 132, paragraph (2) are deemed to be replaced with "issuance of a special medical expense card" and "lack of issuance".
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 第八十七条第二項及び第三項の規定は、前項において準用する第百三十二条第一項又は第二項の規定により支給する療養費の額の算定について準用する。
art-145/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-7
The provisions of Article 87, paragraphs (2) and (3) apply mutatis mutandis to the calculation of the amount of medical expenses paid pursuant to the provisions of Article 132, paragraph (1) and (2) as applied mutatis mutandis pursuant to the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 特別療養費受給票の様式及び交付その他特別療養費受給票に関して必要な事項は、厚生労働省令で定める。
art-145/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-145/par-8
The form and issuance of special medical expense cards and other necessary matters concerning them are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十六条
art-146 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-146
**第一項** 特別療養費の支給は、日雇特例被保険者が第三条第二項ただし書の承認を受けたときは、その承認により日雇特例被保険者とならないこととなった日以後、日雇特例被保険者が第百二十六条第三項の規定により日雇特例被保険者手帳を返納したときは、返納の日の翌日以後は、行わない。
art-146/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-146/par-1
Special medical expenses for a specially-insured day laborer who received approval pursuant to the proviso to Article 3, paragraph (2) are not paid from the day on which the laborer becomes no longer a specially-insured day laborer, and special medical expenses for a specially-insured day laborer who returns the relevant specially-insured day laborer's insurance book pursuant to the provisions of Article 126, paragraph (3) are not paid from the day following the day on which that insurance book was returned.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十七条（高額療養費） — (High-Cost Medical Expenses)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-147 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-147
**第一項** 日雇特例被保険者に係る療養の給付について支払われた一部負担金の額又は日雇特例被保険者若しくはその被扶養者の療養（食事療養及び生活療養を除く。）に要した費用の額からその療養に要した費用につき保険外併用療養費、療養費、訪問看護療養費、家族療養費、家族訪問看護療養費若しくは特別療養費として支給される額に相当する額を控除した額（次条において「日雇特例被保険者に係る一部負担金等の額」という。）が著しく高額であるときは、その療養の給付又はその保険外併用療養費、療養費、訪問看護療養費、家族療養費、家族訪問看護療養費若しくは特別療養費の支給を受けた日雇特例被保険者に対し、高額療養費を支給する。
art-147/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-147/par-1
When the amount of co-payment made in relation to the payment of benefits for medical treatment or the amount calculated by deducting, from the amount of expenses incurred in medical treatment (excluding dietary treatment and living support), an amount equivalent to the amount paid as medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, dependent's medical expenses for home-nursing, or special medical expenses (in the following Article referred to as the "amount of co-payment pertaining to specially-insured day laborer") pertaining to a specially-insured day laborer is extremely large, high-cost medical expenses are paid to the specially-insured day laborer who received benefits for that medical treatment, or the payment of the medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing expenses, dependent's medical expenses, or dependent's medical expenses for home-nursing, or special medical expenses.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When the amount of co-payment made in relation to the payment of benefits for medical treatment or the amount calculated by deducting, from the amount of expenses incurred in medical treatment (excluding dietary treatment and living support), an amount equivalent to the amount paid as medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, dependent's medical expenses for home-nursing, or special medical expenses (in the following paragraph referred to as the "amount of co-payment pertaining to specially-insured day laborer") pertaining to a specially-insured day laborer is extremely large, high-cost medical expenses are paid to the specially-insured day laborer who received benefits for that medical treatment, or the payment of the medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing expenses, dependent's medical expenses, or dependent's medical expenses for home-nursing, or special medical expenses." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百四十七条の二（高額介護合算療養費） — (Expenses for High-Cost Medical Treatment Combined with Long-Term Care)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-147-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-147-2
**第一項** 日雇特例被保険者に係る一部負担金等の額（前条の高額療養費が支給される場合にあっては、当該支給額に相当する額を控除して得た額）並びに介護保険法第五十一条第一項に規定する介護サービス利用者負担額（同項の高額介護サービス費が支給される場合にあっては、当該支給額を控除して得た額）及び同法第六十一条第一項に規定する介護予防サービス利用者負担額（同項の高額介護予防サービス費が支給される場合にあっては、当該支給額を控除して得た額）の合計額が著しく高額であるときは、当該一部負担金等の額に係る療養の給付又は保険外併用療養費、療養費、訪問看護療養費、家族療養費、家族訪問看護療養費若しくは特別療養費の支給を受けた日雇特例被保険者に対し、高額介護合算療養費を支給する。
art-147-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-147-2/par-1
When the amount of co-payment, etc. pertaining to a specially-insured day laborer (when high-cost medical expenses referred to in the preceding Article are paid, the amount obtained by deducting an amount equivalent to the amount so paid from the amount of co-payment, etc.) or the sum of the amount to be borne by a user of a long-term care service pursuant to the provisions of Article 51, paragraph (1) of the Long-Term Care Insurance Act (when expenses for high-cost long-term care service referred to in the same paragraph are paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of long-term care service) and the amount to be borne by a user of a service to prevent long-term care pursuant to the provisions of Article 61, paragraph (1) of the same Act (when expenses for high-cost preventive long-term care service referred to in the same paragraph are paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of preventive long-term care service) is extremely large, expenses for high-cost medical treatment combined with long-term care are paid to the specially-insured day laborer who received benefits for medical treatment pertaining to the amount of the co-payment, or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, dependent's medical expenses for home-nursing, or special medical expenses.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百四十八条（受給方法） — (Receiving Method)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-148 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-148
**第一項** 日雇特例被保険者に係る入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、出産育児一時金、出産手当金、家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料、家族出産育児一時金又は特別療養費の支給を受けようとする者は、厚生労働省令で定めるところにより、受給要件を備えることを証明できる日雇特例被保険者手帳又は受給資格者票及びその他の書類を添えて、申請しなければならない。
art-148/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-148/par-1
A person who intends to receive payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, lump-sum allowance for dependent's childbirth and childcare, or special medical expenses pertaining to a specially-insured day laborer must submit an application for the payment with a specially-insured day laborer's insurance book, qualified recipient card, or other documents that prove that the person meets the recipient requirements pursuant to Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "A person who intends to receive payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, lump-sum allowance for dependent's childbirth and childcare, or special medical expenses pertaining to a specially-insured day laborers must submit an application for the payment with a specially-insured day laborer's insurance book, qualified recipient card, or other documents that prove that the person meets the recipient requirements pursuant to Order of the Ministry of Health, Labour and Welfare." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百四十九条（準用） — (Application Mutatis Mutandis)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-149 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-149
**第一項** 次の表の上欄に掲げる規定は、それぞれ同表の下欄に掲げる日雇特例被保険者に係る事項について準用する。
第五十六条から第六十二条まで 保険給付
第六十三条第二項、第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条及び第八十四条第一項 療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、家族療養費及び特別療養費の支給
第七十四条、第七十五条、第七十五条の二、第七十六条第一項及び第二項並びに第八十四条第二項 療養の給付
第七十七条 療養の給付及び保険外併用療養費の支給
第八十五条第二項及び第四項 入院時食事療養費の支給
第八十五条第五項及び第六項 入院時食事療養費、入院時生活療養費及び保険外併用療養費の支給
第八十五条第八項 入院時食事療養費、入院時生活療養費、保険外併用療養費、家族療養費及び特別療養費の支給
第八十五条の二第二項及び第四項 入院時生活療養費の支給
第八十六条第二項、第三項及び第六項 保険外併用療養費の支給
第八十七条第二項及び第三項 療養費の支給
第八十八条第二項、第六項から第十一項まで及び第十三項、第九十条第一項、第九十一条、第九十二条第二項及び第三項並びに第九十四条 訪問看護療養費、家族訪問看護療養費及び特別療養費の支給
第八十八条第四項及び第十二項 訪問看護療養費の支給
第九十七条第二項 移送費及び家族移送費の支給
第百三条第二項、第百八条第一項から第三項まで及び第五項並びに第百九条 傷病手当金及び出産手当金の支給
第百十条第二項 家族療養費の支給
第百十条第三項から第五項まで及び第八項並びに第百十条の二 家族療養費及び特別療養費の支給
第百十一条第二項 家族訪問看護療養費の支給
第百十五条第二項 高額療養費及び高額介護合算療養費の支給
第百十六条から第百二十一条まで 日雇特例被保険者又はその被扶養者
art-149/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-149/par-1
The provisions listed in the left-hand column of the following table apply mutatis mutandis to affairs pertaining to the specially-insured day laborers listed in the right-hand column of the same table.
Articles 56 through 62 Insurance benefits
Article 63, paragraph (2), Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, and Article 84, paragraph (1) Benefits for medical treatment, as well as payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, dependent medical expenses and special medical expenses
Articles 74, 75 and 75-2, Article 76, paragraphs (1) and (2), as well as Article 84, paragraph (2) Benefits for Medical Treatment
Article 77 Benefits of Medical Treatment and Payment of Medical Expenses Combined with Treatment Outside Insurance Coverage
Article 85, paragraphs (2) and (4) Payment of Dietary Treatment Expenses for Inpatients
Article 85, paragraphs (5) and (6) Payment of dietary treatment expenses for inpatients, living support expenses for inpatients, and medical expenses combined with treatment outside insurance coverage
Article 85, paragraph (8) Payment of Dietary Treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, dependent medical expenses and special medical expenses
Article 85-2, paragraphs (2) and (4) Payment of Living Support Expenses for Inpatients
Article 86, paragraphs (2), (3) and (6) Payment of Medical Expenses Combined with Treatment Outside Insurance Coverage
Article 87, paragraphs (2) and (3) Payment of medical expenses
Article 88, paragraphs (2), (3), (6) through (11) and (13), Article 90, paragraph (1), Article 91, Article 92, paragraphs (2) and (3), as well as Article 94 payment of medical expenses for home-nursing, dependent medical expenses for home-nursing, and special medical expenses
Article 88, paragraphs (4) and (12) Payment of Medical Expenses for Home-Nursing
Article 97, paragraph (2) Payment of transport expenses and dependent transport expenses
Article 103, paragraph (2), Article 108 paragraphs (1) through (3) and (5), as well as Article 109 Payment of injury and sickness allowance and childbirth allowance
Article 110, paragraph (2) Payment of dependent medical expenses
Article 110, paragraphs (3) through (5) and (8), as well as Article 110-2 Payment of dependent medical expenses and special medical expenses
Article 111, paragraph (2) Payment of Dependent Medical Expenses for Home-Nursing
Article 115, paragraph (2) Payment of High-Cost Medical Expenses and Expenses for High-Cost Benefits for Medical Treatment Combined with Long-Term Care
Articles 116 through 121 Specially-insured day laborer or a dependent thereof
machine translation, not official
## 第六章 保健事業及び福祉事業 — Chapter VI Healthcare Services and Welfare Services
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-6
### 第百五十条（保健事業及び福祉事業） — Healthcare Services and Welfare Services
caption: machine translation, not official
art-150 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150
**第一項** 保険者は、高齢者の医療の確保に関する法律第二十条の規定による特定健康診査（次項において単に「特定健康診査」という。）及び同法第二十四条の規定による特定保健指導（以下この項及び第百五十四条の二において「特定健康診査等」という。）を行うものとするほか、特定健康診査等以外の事業であって、健康教育、健康相談及び健康診査並びに健康管理及び疾病の予防に係る被保険者及びその被扶養者（以下この条において「被保険者等」という。）の自助努力についての支援その他の被保険者等の健康の保持増進のために必要な事業を行うように努めなければならない。
art-150/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-1
An insurer must provide specified health checks pursuant to the provisions of Article 20 of the Act on Assurance of Medical Care for Elderly People (referred to simply as "specified health checks" in the following paragraph) and specified health guidance pursuant to the provisions of Article 24 of the same Act (referred to as "specified health checks, etc." hereinafter in this paragraph and Article 154-2), and must endeavor to provide services other than specified health checks, etc., such as health education, health consulting, and health checks, as well as support for the self-help efforts of insured persons and their dependents (hereinafter referred to as "insured persons, etc." in this Article) concerning health management and disease prevention, and other necessary services for the maintenance and promotion of the health of insured persons, etc.
machine translation, not official
**第二項** 保険者は、前項の規定により被保険者等の健康の保持増進のために必要な事業を行うに当たって必要があると認めるときは、被保険者等を使用している事業者等（労働安全衛生法（昭和四十七年法律第五十七号）第二条第三号に規定する事業者その他の法令に基づき健康診断（特定健康診査に相当する項目を実施するものに限る。）を実施する責務を有する者その他厚生労働省令で定める者をいう。以下この条において同じ。）又は使用していた事業者等に対し、厚生労働省令で定めるところにより、同法その他の法令に基づき当該事業者等が保存している当該被保険者等に係る健康診断に関する記録の写しその他これに準ずるものとして厚生労働省令で定めるものを提供するよう求めることができる。
art-150/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-2
When an insurer finds it necessary in providing the services necessary for maintaining and promoting the health of insured persons, etc. pursuant to the provisions of the preceding paragraph, it may, as specified by Order of the Ministry of Health, Labour and Welfare, request a business operator, etc. that employs insured persons, etc. (meaning an employer prescribed in Article 2, item (iii) of the Industrial Safety and Health Act (Act No. 57 of 1972), any other person who has the duty to conduct health examinations (limited to those that cover items corresponding to specified health checks) under laws and regulations, and any other person specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article) or a business operator, etc. that formerly employed them to provide a copy of the records on health examinations pertaining to those insured persons, etc. that the business operator, etc. keeps pursuant to that Act or other laws and regulations, or anything specified by Order of the Ministry of Health, Labour and Welfare as equivalent thereto.
machine translation, not official
**第三項** 前項の規定により、労働安全衛生法その他の法令に基づき保存している被保険者等に係る健康診断に関する記録の写しの提供を求められた事業者等は、厚生労働省令で定めるところにより、当該記録の写しを提供しなければならない。
art-150/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-3
A business operator, etc. that is requested pursuant to the provisions of the preceding paragraph to provide a copy of the records on health examinations pertaining to insured persons, etc. that it keeps pursuant to the Industrial Safety and Health Act or other laws and regulations must provide a copy of those records as specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
**第四項** 保険者は、第一項の事業を行うに当たっては、高齢者の医療の確保に関する法律第十六条第一項に規定する医療保険等関連情報、事業者等から提供を受けた被保険者等に係る健康診断に関する記録の写しその他必要な情報を活用し、適切かつ有効に行うものとする。
art-150/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-4
In providing the services referred to in paragraph (1), an insurer is to make use of the medical insurance-related information prescribed in Article 16, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, copies of records on health examinations pertaining to insured persons, etc. provided by business operators, etc., and other necessary information, for the appropriate and effective provision of the services.
machine translation, not official
**第五項** 保険者は、被保険者等の療養のために必要な費用に係る資金若しくは用具の貸付けその他の被保険者等の療養若しくは療養環境の向上又は被保険者等の出産のために必要な費用に係る資金の貸付けその他の被保険者等の福祉の増進のために必要な事業を行うことができる。
art-150/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-5
An insurers may provide services such as the loaning of funds or equipment necessary for medical treatment for insured persons, etc. and funds necessary for improving medical treatment and the medical care environment for insured persons, etc. and childbirth for insured persons, etc. or other services for promoting the welfare of insured persons.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 保険者は、第一項及び前項の事業に支障がない場合に限り、被保険者等でない者にこれらの事業を利用させることができる。この場合において、保険者は、これらの事業の利用者に対し、厚生労働省令で定めるところにより、利用料を請求することができる。
art-150/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-6
An insurer may allow persons other than insured persons, etc. to use the services referred to in paragraph (1) and the preceding paragraph, only if the services will not be impeded. In this case, the insurer may request a user of these services to pay a fee pursuant to Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 厚生労働大臣は、健康保険組合に対し、厚生労働省令で定めるところにより、第一項又は第五項の事業を行うことを命ずることができる。
art-150/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-7
The Minister of Health, Labour and Welfare may, as specified by Order of the Ministry of Health, Labour and Welfare, order a health insurance society to provide the services referred to in paragraph (1) or (5).
machine translation, not official
**第八項** 厚生労働大臣は、第一項の規定により保険者が行う被保険者等の健康の保持増進のために必要な事業に関して、その適切かつ有効な実施を図るため、指針の公表、情報の提供その他の必要な支援を行うものとする。
art-150/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-8
The Minister of Health, Labour and Welfare is to publish guidelines, and provide information and other support services regarding services that insurers provide pursuant to the provisions of paragraph (1) that are necessary for maintaining and promoting insured persons' health, in order for those services to be provided appropriately and effectively.
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** 前項の指針は、健康増進法（平成十四年法律第百三号）第九条第一項に規定する健康診査等指針と調和が保たれたものでなければならない。
art-150/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150/par-9
The guidelines referred to in the preceding paragraph must be in harmony with health check guidelines prescribed by Article 9, paragraph (1) of the Health Promotion Act (Act No. 103 of 2002).
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十条の二（国民保健の向上のための匿名診療等関連情報の利用又は提供） — Use or Provision of Anonymized Medical Care-Related Information to Improve the Health of the People
caption: machine translation, not official
art-150-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2
**第一項** 厚生労働大臣は、国民保健の向上に資するため、匿名診療等関連情報（診療等関連情報に係る特定の被保険者その他の厚生労働省令で定める者（次条において「本人」という。）を識別すること及びその作成に用いる診療等関連情報を復元することができないようにするために厚生労働省令で定める基準に従い加工した診療等関連情報をいう。以下同じ。）を利用し、又は厚生労働省令で定めるところにより、次の各号に掲げる者であって、匿名診療等関連情報の提供を受けて行うことについて相当の公益性を有すると認められる業務としてそれぞれ当該各号に定めるものを行うものに提供することができる。
art-150-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-1
In order to contribute to improving the health of the people, the Minister of Health, Labour and Welfare may use anonymized medical care-related information (meaning medical care-related information processed in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare so as to make it impossible to identify a specific insured person or other person specified by Order of the Ministry of Health, Labour and Welfare to whom the medical care-related information pertains (referred to as "the person themselves" in the following Article) and to restore the medical care-related information used in producing it; the same applies hereinafter), or may, as specified by Order of the Ministry of Health, Labour and Welfare, provide it to a person listed in the following items who conducts the business specified respectively in those items as business found to have considerable public interest in being conducted upon receipt of anonymized medical care-related information:
machine translation, not official
**一** 国の他の行政機関及び地方公共団体 適正な保健医療サービスの提供に資する施策の企画及び立案に関する調査
art-150-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-1/item-1
other administrative organs of the national government and local governments: surveys concerning the planning and drafting of policies that contribute to the provision of appropriate health and medical services;
machine translation, not official
**二** 大学その他の研究機関 疾病の原因並びに疾病の予防、診断及び治療の方法に関する研究その他の公衆衛生の向上及び増進に関する研究
art-150-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-1/item-2
universities and other research institutions: research on the causes of diseases and on methods of preventing, diagnosing and treating diseases, and other research on the improvement and promotion of public health;
machine translation, not official
**三** 民間事業者その他の厚生労働省令で定める者 医療分野の研究開発に資する分析その他の厚生労働省令で定める業務（特定の商品又は役務の広告又は宣伝に利用するために行うものを除く。）
art-150-2/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-1/item-3
private business operators and other persons specified by Order of the Ministry of Health, Labour and Welfare: analysis contributing to research and development in the medical field and other business specified by Order of the Ministry of Health, Labour and Welfare (excluding that conducted for use in advertising or promoting specific goods or services).
machine translation, not official
**第二項** 厚生労働大臣は、前項の規定による利用又は提供を行う場合には、当該匿名診療等関連情報を高齢者の医療の確保に関する法律第十六条の二第一項に規定する匿名医療保険等関連情報、介護保険法第百十八条の三第一項に規定する匿名介護保険等関連情報その他の厚生労働省令で定めるものと連結して利用し、又は連結して利用することができる状態で提供することができる。
art-150-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-2
When using or providing information pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may use the anonymized medical care-related information concerned in linkage with the anonymized medical insurance-related information prescribed in Article 16-2, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, the anonymized long-term care insurance-related information prescribed in Article 118-3, paragraph (1) of the Long-Term Care Insurance Act, or other information specified by Order of the Ministry of Health, Labour and Welfare, or provide it in a state in which it can be used in linkage with such information.
machine translation, not official
**第三項** 厚生労働大臣は、第一項の規定により匿名診療等関連情報を提供しようとする場合には、あらかじめ、社会保障審議会の意見を聴かなければならない。
art-150-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-2/par-3
When intending to provide anonymized medical care-related information pursuant to the provisions of paragraph (1), the Minister of Health, Labour and Welfare must hear the opinions of the Social Security Council in advance.
machine translation, not official
### 第百五十条の三（照合等の禁止） — Prohibition of Collation, etc.
caption: machine translation, not official
art-150-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-3
**第一項** 前条第一項の規定により匿名診療等関連情報の提供を受け、これを利用する者（以下「匿名診療等関連情報利用者」という。）は、匿名診療等関連情報を取り扱うに当たっては、当該匿名診療等関連情報の作成に用いられた診療等関連情報に係る本人を識別するために、当該診療等関連情報から削除された記述等（文書、図画若しくは電磁的記録（電磁的方式（電子的方式、磁気的方式その他人の知覚によっては認識することができない方式をいう。）で作られる記録をいう。）に記載され、若しくは記録され、又は音声、動作その他の方法を用いて表された一切の事項をいう。）若しくは匿名診療等関連情報の作成に用いられた加工の方法に関する情報を取得し、又は当該匿名診療等関連情報を他の情報と照合してはならない。
art-150-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-3/par-1
A person who receives provision of anonymized medical care-related information pursuant to the provisions of paragraph (1) of the preceding Article and uses it (hereinafter referred to as a "user of anonymized medical care-related information") must not, in handling anonymized medical care-related information, acquire descriptions, etc. deleted from the medical care-related information used in producing that anonymized medical care-related information (meaning all matters stated or recorded in a document, drawing or electronic or magnetic record (meaning a record made in an electronic or magnetic form (meaning an electronic form, a magnetic form or any other form that cannot be recognized by human perception)), or expressed by using voice, movement or any other method) or information on the processing method used in producing the anonymized medical care-related information, in order to identify the person themselves to whom the medical care-related information used in producing that anonymized medical care-related information pertains, or collate that anonymized medical care-related information with other information.
machine translation, not official
### 第百五十条の四（消去） — Deletion
caption: machine translation, not official
art-150-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-4
**第一項** 匿名診療等関連情報利用者は、提供を受けた匿名診療等関連情報を利用する必要がなくなったときは、遅滞なく、当該匿名診療等関連情報を消去しなければならない。
art-150-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-4/par-1
A user of anonymized medical care-related information must, when it is no longer necessary to use the anonymized medical care-related information provided to the user, delete that anonymized medical care-related information without delay.
machine translation, not official
### 第百五十条の五（安全管理措置） — Security Control Measures
caption: machine translation, not official
art-150-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-5
**第一項** 匿名診療等関連情報利用者は、匿名診療等関連情報の漏えい、滅失又は毀損の防止その他の当該匿名診療等関連情報の安全管理のために必要かつ適切なものとして厚生労働省令で定める措置を講じなければならない。
art-150-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-5/par-1
A user of anonymized medical care-related information must take the measures specified by Order of the Ministry of Health, Labour and Welfare as necessary and appropriate for preventing the leakage, loss or damage of anonymized medical care-related information and for otherwise ensuring the security control of that anonymized medical care-related information.
machine translation, not official
### 第百五十条の六（利用者の義務） — Obligations of Users
caption: machine translation, not official
art-150-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-6
**第一項** 匿名診療等関連情報利用者又は匿名診療等関連情報利用者であった者は、匿名診療等関連情報の利用に関して知り得た匿名診療等関連情報の内容をみだりに他人に知らせ、又は不当な目的に利用してはならない。
art-150-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-6/par-1
A user of anonymized medical care-related information or a person who was such a user must not make known to another person without good reason, or use for an unjust purpose, the content of anonymized medical care-related information that the person came to know in connection with the use of anonymized medical care-related information.
machine translation, not official
### 第百五十条の七（立入検査等） — On-site Inspections
caption: machine translation, not official
art-150-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-7
**第一項** 厚生労働大臣は、この章の規定の施行に必要な限度において、匿名診療等関連情報利用者（国の他の行政機関を除く。以下この項及び次条において同じ。）に対し報告若しくは帳簿書類の提出若しくは提示を命じ、又は当該職員に匿名診療等関連情報利用者の事務所その他の事業所に立ち入って関係者に質問させ、若しくは帳簿書類その他の物件を検査させることができる。
art-150-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-7/par-1
To the extent necessary for the enforcement of the provisions of this Chapter, the Minister of Health, Labour and Welfare may order a user of anonymized medical care-related information (excluding other administrative organs of the national government; the same applies hereinafter in this paragraph and the following Article) to make a report or submit or present books and other documents, or may have an official enter the offices or other places of business of a user of anonymized medical care-related information and question the persons involved or inspect books and other documents or other articles.
machine translation, not official
**第二項** 第七条の三十八第二項の規定は前項の規定による質問又は検査について、同条第三項の規定は前項の規定による権限について、それぞれ準用する。
art-150-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-7/par-2
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions or inspections under the provisions of the preceding paragraph, and the provisions of paragraph (3) of that Article apply mutatis mutandis to the authority under the provisions of the preceding paragraph.
machine translation, not official
### 第百五十条の八（是正命令） — Corrective Orders
caption: machine translation, not official
art-150-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-8
**第一項** 厚生労働大臣は、匿名診療等関連情報利用者が第百五十条の三から第百五十条の六までの規定に違反していると認めるときは、その者に対し、当該違反を是正するため必要な措置をとるべきことを命ずることができる。
art-150-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-8/par-1
When the Minister of Health, Labour and Welfare finds that a user of anonymized medical care-related information is in violation of the provisions of Articles 150-3 through 150-6, the Minister may order that person to take measures necessary to correct the violation.
machine translation, not official
### 第百五十条の九（基盤機構等への委託） — Delegation to the Infrastructure Organization, etc.
caption: machine translation, not official
art-150-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-9
**第一項** 厚生労働大臣は、第七十七条第二項に規定する調査及び第百五十条の二第一項の規定による利用又は提供に係る事務の全部又は一部を基盤機構又は国保連合会その他厚生労働省令で定める者（次条において「基盤機構等」という。）に委託することができる。
art-150-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-9/par-1
The Minister of Health, Labour and Welfare may delegate all or part of the affairs concerning the survey prescribed in Article 77, paragraph (2) and the use or provision under the provisions of Article 150-2, paragraph (1) to the Infrastructure Organization, an NHI federation, or any other person specified by Order of the Ministry of Health, Labour and Welfare (referred to as the "Infrastructure Organization, etc." in the following Article).
machine translation, not official
### 第百五十条の十（手数料） — Fees
caption: machine translation, not official
art-150-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-10
**第一項** 匿名診療等関連情報利用者は、実費を勘案して政令で定める額の手数料を国（前条の規定により厚生労働大臣からの委託を受けて、基盤機構等が第百五十条の二第一項の規定による匿名診療等関連情報の提供に係る事務の全部を行う場合にあっては、基盤機構等）に納めなければならない。
art-150-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-10/par-1
A user of anonymized medical care-related information must pay a fee in the amount specified by Cabinet Order, taking actual expenses into consideration, to the national government (or, in the case where the Infrastructure Organization, etc., having been delegated by the Minister of Health, Labour and Welfare pursuant to the provisions of the preceding Article, performs all of the affairs concerning the provision of anonymized medical care-related information under the provisions of Article 150-2, paragraph (1), to the Infrastructure Organization, etc.).
machine translation, not official
**第二項** 厚生労働大臣は、前項の手数料を納めようとする者が都道府県その他の国民保健の向上のために特に重要な役割を果たす者として政令で定める者であるときは、政令で定めるところにより、当該手数料を減額し、又は免除することができる。
art-150-10/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-10/par-2
When a person who intends to pay the fee under the preceding paragraph is a prefecture or any other person specified by Cabinet Order as playing a particularly important role in improving the health of the people, the Minister of Health, Labour and Welfare may, as specified by Cabinet Order, reduce or waive the fee.
machine translation, not official
**第三項** 第一項の規定により基盤機構等に納められた手数料は、基盤機構等の収入とする。
art-150-10/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-150-10/par-3
A fee paid to the Infrastructure Organization, etc. pursuant to the provisions of paragraph (1) is to be the revenue of the Infrastructure Organization, etc.
machine translation, not official
## 第七章 費用の負担 — Chapter VII Sharing of Costs
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-7
### 第百五十一条（国庫負担） — (Share of National Treasury)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-151 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-151
**第一項** 国庫は、毎年度、予算の範囲内において、健康保険事業の事務（前期高齢者納付金等、後期高齢者支援金等及び第百七十三条の規定による拠出金、介護納付金、感染症の予防及び感染症の患者に対する医療に関する法律の規定による流行初期医療確保拠出金（第百五十三条及び第百五十四条第一項において「流行初期医療確保拠出金」という。）並びに子ども・子育て支援納付金の納付に関する事務を含む。）の執行に要する費用を負担する。
art-151/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-151/par-1
The national treasury bears the expenses required for the execution of the affairs of health insurance services each fiscal year (including affairs concerning the payment of young-old payments, etc., aid for the old-old, etc., the contributions under the provisions of Article 173, the long-term care payment, the contribution for securing medical care in the early phase of an epidemic under the provisions of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (referred to as "contribution for securing medical care in the early phase of an epidemic" in Article 153 and Article 154, paragraph (1)), and the children and child-rearing support levy), within the scope of the budget.
machine translation, not official
### 第百五十二条
art-152 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152
**第一項** 健康保険組合に対して交付する国庫負担金は、各健康保険組合における被保険者数を基準として、厚生労働大臣が算定する。
art-152/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152/par-1
The share of the national treasury delivered to a health insurance society is calculated by the Minister of Health, Labour and Welfare based on the number of insured persons in that health insurance society.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の国庫負担金については、概算払をすることができる。
art-152/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152/par-2
The share of the national treasury referred to in the preceding paragraph may be paid based on an estimation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十二条の二（出産育児交付金） — Childbirth and Childcare Grants
caption: machine translation, not official
art-152-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-2
**第一項** 出産育児一時金及び家族出産育児一時金（第百五十二条の四及び第百五十二条の五において「出産育児一時金等」という。）の支給に要する費用（第百一条の政令で定める金額に係る部分に限る。第百五十二条の四において同じ。）の一部については、政令で定めるところにより、高齢者の医療の確保に関する法律第百二十四条の四第一項の規定により基盤機構が保険者に対して交付する出産育児交付金をもって充てる。
art-152-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-2/par-1
Part of the expenses required for payment of the lump-sum allowance for childbirth and childcare and the lump-sum allowance for dependent's childbirth and childcare (referred to as "lump-sum allowance for childbirth and childcare, etc." in Article 152-4 and Article 152-5) (limited to the portion pertaining to the amount specified by Cabinet Order in Article 101; the same applies in Article 152-4) is to be covered, as specified by Cabinet Order, by the childbirth and childcare grant that the Infrastructure Organization grants to insurers pursuant to the provisions of Article 124-4, paragraph (1) of the Act on Assurance of Medical Care for Elderly People.
machine translation, not official
### 第百五十二条の三（出産育児交付金の額） — Amount of Childbirth and Childcare Grants
caption: machine translation, not official
art-152-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-3
**第一項** 前条に規定する出産育児交付金の額は、当該年度の概算出産育児交付金の額とする。ただし、前々年度の概算出産育児交付金の額が同年度の確定出産育児交付金の額を超えるときは、当該年度の概算出産育児交付金の額からその超える額とその超える額に係る出産育児交付調整金額との合計額を控除して得た額とするものとし、前々年度の概算出産育児交付金の額が同年度の確定出産育児交付金の額に満たないときは、当該年度の概算出産育児交付金の額にその満たない額とその満たない額に係る出産育児交付調整金額との合計額を加算して得た額とする。
art-152-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-3/par-1
The amount of the childbirth and childcare grant prescribed in the preceding Article is the amount of the estimated childbirth and childcare grant for the relevant fiscal year; provided, however, that where the amount of the estimated childbirth and childcare grant for the fiscal year before last exceeds the amount of the finalized childbirth and childcare grant for that fiscal year, it is to be the amount obtained by deducting from the amount of the estimated childbirth and childcare grant for the relevant fiscal year the total amount of the excess amount and the childbirth and childcare grant adjustment amount pertaining to the excess amount, and where the amount of the estimated childbirth and childcare grant for the fiscal year before last falls short of the amount of the finalized childbirth and childcare grant for that fiscal year, it is to be the amount obtained by adding to the amount of the estimated childbirth and childcare grant for the relevant fiscal year the total amount of the shortfall and the childbirth and childcare grant adjustment amount pertaining to the shortfall.
machine translation, not official
**第二項** 前項ただし書の出産育児交付調整金額は、前々年度における高齢者の医療の確保に関する法律第七条第二項に規定する保険者（国民健康保険法の定めるところにより都道府県が当該都道府県内の市町村（特別区を含む。）とともに行う国民健康保険にあっては、都道府県）の全てに係る概算出産育児交付金の額と確定出産育児交付金の額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各保険者ごとに算定される額とする。
art-152-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-3/par-2
The childbirth and childcare grant adjustment amount in the proviso to the preceding paragraph is the amount calculated for each insurer, as specified by Order of the Ministry of Health, Labour and Welfare, taking into consideration interest and other circumstances arising from the excess or shortfall between the amount of the estimated childbirth and childcare grant and the amount of the finalized childbirth and childcare grant for all insurers prescribed in Article 7, paragraph (2) of the Act on Assurance of Medical Care for Elderly People (in the case of national health insurance operated by a prefecture together with the municipalities (including special wards) within that prefecture as provided for in the National Health Insurance Act, the prefecture) in the fiscal year before last.
machine translation, not official
### 第百五十二条の四（概算出産育児交付金） — Estimated Childbirth and Childcare Grants
caption: machine translation, not official
art-152-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-4
**第一項** 前条第一項の概算出産育児交付金の額は、当該年度における当該保険者に係る出産育児一時金等の支給に要する費用の見込額として厚生労働省令で定めるところにより算定した額に同年度における高齢者の医療の確保に関する法律第百二十四条の三第一項の出産育児支援金率（次条において単に「出産育児支援金率」という。）を乗じて得た額とする。
art-152-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-4/par-1
The amount of the estimated childbirth and childcare grant in paragraph (1) of the preceding Article is the amount obtained by multiplying the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the prospective amount of expenses required for payment of the lump-sum allowance for childbirth and childcare, etc. pertaining to the insurer in the relevant fiscal year by the childbirth and childcare support payment rate under Article 124-3, paragraph (1) of the Act on Assurance of Medical Care for Elderly People for that fiscal year (referred to simply as the "childbirth and childcare support payment rate" in the following Article).
machine translation, not official
### 第百五十二条の五（確定出産育児交付金） — Finalized Childbirth and Childcare Grants
caption: machine translation, not official
art-152-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-5
**第一項** 第百五十二条の三第一項ただし書の確定出産育児交付金の額は、前々年度における当該保険者に係る出産育児一時金等の支給に要した費用（第百一条の政令で定める金額に係る部分に限る。）の額に同年度における出産育児支援金率を乗じて得た額とする。
art-152-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-5/par-1
The amount of the finalized childbirth and childcare grant in the proviso to Article 152-3, paragraph (1) is the amount obtained by multiplying the amount of expenses required for payment of the lump-sum allowance for childbirth and childcare, etc. pertaining to the insurer in the fiscal year before last (limited to the portion pertaining to the amount specified by Cabinet Order in Article 101) by the childbirth and childcare support payment rate for that fiscal year.
machine translation, not official
### 第百五十二条の六（準用） — Application Mutatis Mutandis
caption: machine translation, not official
art-152-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-6
**第一項** 高齢者の医療の確保に関する法律第四十一条及び第四十二条の規定は、出産育児交付金について準用する。この場合において、必要な技術的読替えは、政令で定める。
art-152-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-152-6/par-1
The provisions of Articles 41 and 42 of the Act on Assurance of Medical Care for Elderly People apply mutatis mutandis to childbirth and childcare grants. In this case, the necessary technical replacement of terms is specified by Cabinet Order.
machine translation, not official
### 第百五十三条（国庫補助） — (Government Subsidy)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-153 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-153
**第一項** 国庫は、第百五十一条に規定する費用のほか、協会が管掌する健康保険の事業の執行に要する費用のうち、被保険者に係る療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、出産手当金、家族療養費、家族訪問看護療養費、家族移送費、高額療養費及び高額介護合算療養費の支給に要する費用（療養の給付については、一部負担金に相当する額を控除するものとする。）の額（高齢者の医療の確保に関する法律第三十四条第一項各号の調整対象給付費見込額（第一号及び次条第一項において「調整対象給付費見込額」という。）の三分の一に相当する額を除く。）、同法の規定による前期高齢者納付金（以下「前期高齢者納付金」という。）の納付に要する費用の額に同号に掲げる額の第二号に掲げる額に対する割合を乗じて得た額並びに流行初期医療確保拠出金の納付に要する費用の額の合算額（同法の規定による前期高齢者交付金（以下「前期高齢者交付金」という。）がある場合には、当該合算額から当該前期高齢者交付金の額を基準として政令で定める額を控除した額）に千分の百三十から千分の二百までの範囲内において政令で定める割合を乗じて得た額を補助する。
art-153/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-153/par-1
In addition to the expenses prescribed in Article 151, the national treasury subsidizes the amount obtained by multiplying, by a rate specified by Cabinet Order within a range from 0.13 to 0.20, the sum (or, if there is a young-old subsidy under the provisions of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as "young-old subsidy"), the amount obtained by deducting from that sum the amount specified by Cabinet Order on the basis of the amount of that young-old subsidy) of the following, from among the expenses required for the execution of health insurance services administered by JHIA: the amount of expenses required for payment of benefits for medical treatment pertaining to insured persons and of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care (in the case of benefits for medical treatment, an amount equivalent to the amount of co-payment is to be deducted) (excluding an amount equivalent to one third of the estimated benefit expenses subject to adjustment in each item of Article 34, paragraph (1) of that Act (referred to as "estimated benefit expenses subject to adjustment" in item (i) and Article 154, paragraph (1))); the amount obtained by multiplying the amount of expenses required for payment of the young-old payment under the provisions of that Act (hereinafter referred to as "young-old payment") by the ratio of the amount listed in that item to the amount listed in item (ii); and the amount of expenses required for payment of the contribution for securing medical care in the early phase of an epidemic.
machine translation, not official
**一** 調整対象給付費見込額の三分の二に相当する額に高齢者の医療の確保に関する法律第三十四条第七項に規定する概算加入者調整率を乗じて得た額から調整対象給付費見込額の三分の二に相当する額を控除した額（当該額が零を下回る場合には、零とする。）
art-153/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-153/par-1/item-1
the amount obtained by deducting an amount equivalent to two thirds of the estimated benefit expenses subject to adjustment from the amount obtained by multiplying an amount equivalent to two thirds of the estimated benefit expenses subject to adjustment by the estimated participant adjustment rate prescribed in Article 34, paragraph (7) of the Act on Assurance of Medical Care for Elderly People (if that amount is less than zero, zero);
machine translation, not official
**二** 高齢者の医療の確保に関する法律第三十八条第二項第一号イ及びロに掲げる額の合計額
art-153/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-153/par-1/item-2
the total amount of the amounts listed in Article 38, paragraph (2), item (i), (a) and (b) of the Act on Assurance of Medical Care for Elderly People.
machine translation, not official
### 第百五十四条
art-154 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-154
**第一項** 国庫は、第百五十一条及び前条に規定する費用のほか、毎年度、健康保険事業の執行に要する費用のうち、日雇特例被保険者に係る療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、出産手当金、家族療養費、家族訪問看護療養費、家族移送費、特別療養費、高額療養費及び高額介護合算療養費の支給に要する費用（療養の給付については、一部負担金に相当する額を控除するものとする。）の額、前期高齢者納付金の納付に要する費用の額に給付費割合（調整対象給付費見込額及び高齢者の医療の確保に関する法律第三十四条第一項第一号イ（２）に規定する前期高齢者に係る後期高齢者支援金の概算額の合計額に対する調整対象給付費見込額の割合をいう。以下この条において同じ。）を乗じて得た額並びに流行初期医療確保拠出金の納付に要する費用の額の合算額（前期高齢者交付金がある場合には、当該合算額から当該前期高齢者交付金の額に給付費割合を乗じて得た額を控除した額）に健康保険組合（第三条第一項第八号の申出をした者の国民健康保険を行う国民健康保険の保険者を含む。第百七十一条第二項及び第三項において同じ。）を設立する事業主以外の事業主から当該年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数を当該年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数で除して得た率を乗じて得た額に前条に規定する政令で定める割合を乗じて得た額を補助する。
art-154/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-154/par-1
In addition to the expenses prescribed in Article 151 and the preceding Article, the national treasury subsidizes every fiscal year the amount obtained by multiplying, by the rate specified by Cabinet Order prescribed in the preceding Article, the amount obtained by multiplying by the following ratio the sum (or, if there is a young-old subsidy, the amount obtained by deducting from that sum the amount obtained by multiplying the amount of that young-old subsidy by the benefit expense ratio) of the amount of expenses required for payment of benefits for medical treatment pertaining to specially-insured day laborers and of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, childbirth allowance, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, special medical expenses, high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care (in the case of benefits for medical treatment, an amount equivalent to the amount of co-payment is to be deducted), from among the expenses required for the execution of health insurance services, the amount obtained by multiplying the amount of expenses required for payment of the young-old payment by the benefit expense ratio (meaning the ratio of the estimated benefit expenses subject to adjustment to the total amount of the estimated benefit expenses subject to adjustment and the estimated amount of aid for the old-old pertaining to the young-old prescribed in Article 34, paragraph (1), item (i), (a)(2) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article), and the amount of expenses required for payment of the contribution for securing medical care in the early phase of an epidemic: the ratio obtained by dividing the total number of payment days of insurance premiums relating to specially-insured day laborers paid in the relevant fiscal year by employers other than employers who establish a health insurance society (including insurers of national health insurance providing national health insurance to persons who have made the request referred to in Article 3, paragraph (1), item (viii); the same applies in Article 171, paragraphs (2) and (3)) by the total number of payment days of insurance premiums relating to specially-insured day laborers paid in that fiscal year.
machine translation, not official
**第二項** 国庫は、第百五十一条、前条及び前項に規定する費用のほか、協会が拠出すべき前期高齢者納付金及び高齢者の医療の確保に関する法律の規定による後期高齢者支援金、介護納付金並びに子ども・子育て支援納付金のうち日雇特例被保険者に係るものの納付に要する費用の額の合算額（当該前期高齢者納付金の額に給付費割合を乗じて得た額を除き、前期高齢者交付金がある場合には、当該前期高齢者交付金の額から当該額に給付費割合を乗じて得た額を控除して得た額を当該合算額から控除した額）に同項に規定する率を乗じて得た額に同条に規定する政令で定める割合を乗じて得た額を補助する。
art-154/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-154/par-2
In addition to the expenses prescribed in Article 151, the preceding Article and the preceding paragraph, the national treasury subsidizes the amount obtained by multiplying, by the rate specified by Cabinet Order prescribed in that Article, the amount obtained by multiplying by the ratio prescribed in that paragraph the sum of the amounts of expenses required for payment of those, among the young-old payment that JHIA is to contribute, the aid for the old-old under the provisions of the Act on Assurance of Medical Care for Elderly People, the long-term care payment and the children and child-rearing support levy, that pertain to specially-insured day laborers (excluding the amount obtained by multiplying the amount of that young-old payment by the benefit expense ratio, and, if there is a young-old subsidy, the amount obtained by deducting from that sum the amount obtained by deducting from the amount of that young-old subsidy the amount obtained by multiplying that amount by the benefit expense ratio).
machine translation, not official
### 第百五十四条の二
art-154-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-154-2
**第一項** 国庫は、第百五十一条及び前二条に規定する費用のほか、予算の範囲内において、健康保険事業の執行に要する費用のうち、特定健康診査等の実施に要する費用の一部を補助することができる。
art-154-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-154-2/par-1
Beyond he expenses prescribed in Article 151 and the preceding two Articles, the national treasury may assist by providing a portion of the expenses required for the provision of specific health checkups from among the expenses required for the execution of health insurance businesses, within the scope of the budget.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十五条（保険料） — (Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-155 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-155
**第一項** 保険者等は、健康保険事業に要する費用（前期高齢者納付金等及び後期高齢者支援金等、介護納付金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金並びに健康保険組合においては、第百七十三条の規定による拠出金の納付に要する費用を含む。）に充てるため、保険料を徴収する。
art-155/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-155/par-1
An insurer, etc. collects insurance premiums to be allocated for the expenses required for health insurance services (including the expenses required for the payment of young-old payments, etc., aid for the old-old, etc., the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. and the children and child-rearing support levy, and, in the case of a health insurance society, the contributions pursuant to the provisions of Article 173).
machine translation, not official
**第二項** 前項の規定にかかわらず、協会が管掌する健康保険の任意継続被保険者に関する保険料は、協会が徴収する。
art-155/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-155/par-2
Notwithstanding the provisions of the preceding paragraph, insurance premiums related to insured persons with optional and continued coverage administered by JHIA are collected by JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十五条の二（保険料等の交付） — (Delivery of Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-155-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-155-2
**第一項** 政府は、協会が行う健康保険事業に要する費用に充てるため、協会に対し、政令で定めるところにより、厚生労働大臣が徴収した保険料その他この法律の規定による徴収金の額及び印紙をもつてする歳入金納付に関する法律（昭和二十三年法律第百四十二号）の規定による納付金に相当する額から厚生労働大臣が行う健康保険事業の事務の執行に要する費用に相当する額（第百五十一条の規定による当該費用に係る国庫負担金の額を除く。）を控除した額を交付する。
art-155-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-155-2/par-1
The Government, as specified by Cabinet Order, delivers the amount obtained by deducting an amount equivalent to the expenses required for the execution of affairs concerning health insurance services administered by the Minister of Health, Labor and Welfare (excluding the amount of the national treasury benefits pertaining to expenses pursuant to the provisions of Article 151) from the sum of the amount of insurance premiums collected by the Minister of Health, Labor and Welfare, other amounts collected pursuant to this Act, and an amount equivalent to the payments pursuant to the provisions of the Act on Payment of Government Charges with Revenue Stamps (Act No. 142 of 1948) to JHIA in order to allocate that amount for expenses required for health insurance services provided by JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十六条（被保険者の保険料額） — (Insured Person's Amount of Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-156 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156
**第一項** 被保険者に関する保険料額は、各月につき、次の各号に掲げる被保険者の区分に応じ、当該各号に定める額とする。
art-156/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156/par-1
The amount of insurance premium relating to an insured person is the amount per month prescribed respectively in the following items in accordance with the classification of persons listed in the items:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 介護保険法第九条第二号に規定する被保険者（以下「介護保険第二号被保険者」という。）である被保険者 一般保険料等額（各被保険者の標準報酬月額及び標準賞与額にそれぞれ一般保険料率（基本保険料率と特定保険料率とを合算した率をいう。）と子ども・子育て支援金率とを合算した率を乗じて得た額をいう。以下同じ。）と介護保険料額（各被保険者の標準報酬月額及び標準賞与額にそれぞれ介護保険料率を乗じて得た額をいう。以下同じ。）との合算額
art-156/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156/par-1/item-1
an insured person who is an insured person prescribed in Article 9, item (ii) of the Long-Term Care Insurance Act (hereinafter referred to as an "item (ii) insured person"): the sum of the amount of general insurance premium, etc. (meaning the amount obtained by multiplying the standard monthly remuneration amount and standard bonus amount of each insured person respectively by the combined rate of the general insurance rate (meaning the combined rate of the basic insurance rate and the specified insurance rate) and the children and child-rearing support payment rate; hereinafter the same applies) and the amount of long-term care insurance premium (meaning the amount obtained by multiplying the standard monthly remuneration amount and standard bonus amount of each insured person respectively by the long-term care insurance rate; hereinafter the same applies); or
machine translation, not official
**二** 介護保険第二号被保険者である被保険者以外の被保険者 一般保険料等額
art-156/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156/par-1/item-2
an insured person other than an item (ii) insured person: the amount of general insurance premium, etc.
machine translation, not official
**第二項** 前項第一号の規定にかかわらず、介護保険第二号被保険者である被保険者が介護保険第二号被保険者に該当しなくなった場合においては、その月分の保険料額は、一般保険料等額とする。ただし、その月に再び介護保険第二号被保険者となった場合その他政令で定める場合は、この限りでない。
art-156/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156/par-2
Notwithstanding the provisions of item (i) of the preceding paragraph, when an insured person who is an item (ii) insured person ceases to fall under the category of item (ii) insured person, the amount of insurance premium for that month is the amount of general insurance premium, etc.; provided, however, that this does not apply if the person becomes an item (ii) insured person again within the same month or in other cases specified by Cabinet Order.
machine translation, not official
**第三項** 前二項の規定にかかわらず、前月から引き続き被保険者である者がその資格を喪失した場合においては、その月分の保険料は、算定しない。
art-156/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-156/par-3
Notwithstanding the provisions of the preceding two paragraphs, when a person who continues to be insured from the previous month loses the eligibility, the insurance premium for the month is not included in the calculation of premium amount.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十七条（任意継続被保険者の保険料） — (Insurance Premiums of Insured Persons with Optional and Continued Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-157 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-157
**第一項** 任意継続被保険者に関する保険料は、任意継続被保険者となった月から算定する。
art-157/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-157/par-1
Insurance premiums related to an insured person with optional and continued coverage are calculated starting from the month in which the person became an insured person with optional and continued coverage.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、各月の保険料の算定方法は、前条の例による。
art-157/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-157/par-2
In the case of the preceding paragraph, the method for calculating monthly insurance premiums is governed by the preceding Article.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百五十八条（保険料の徴収の特例） — (Special Provisions for Insurance Premium Collection)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-158 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-158
**第一項** 前月から引き続き被保険者（任意継続被保険者を除く。以下この条、次条及び第百五十九条の三において同じ。）である者が第百十八条第一項各号のいずれかに該当するに至った場合はその月以後、被保険者がその資格を取得した月に同項各号のいずれかに該当するに至った場合はその翌月以後、同項各号のいずれかに該当しなくなった月の前月までの期間、保険料を徴収しない。ただし、被保険者が同項各号のいずれかに該当するに至った月に同項各号のいずれかに該当しなくなったときは、この限りでない。
art-158/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-158/par-1
If a person who has continued to be an insured person from the preceding month (excluding an insured person with optional and continued coverage; hereinafter the same applies to the following Article and Article 159-3) or who becomes eligible to be an insured person falls under any of the items in Article 118, paragraph (1), insurance premiums are not collected from the month in which the person first falls under the item until the month preceding the month in which the person no longer falls under any of the items of the same paragraph; however, this does not apply if the insured person falls under any of the items of the same paragraph and then no longer falls under any of those items in the same month.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If a person who has continued to be an insured person from the preceding month (excluding an insured person with optional and continued coverage; hereinafter the same applies to the following Article and Article 159-3) or who becomes eligible to be an insured person falls under any of the items in Article 108, paragraph (1), insurance premiums are not be collected from the month in which the person first falls under the item until the month preceding the month in which the person no longer falls under any of the items of the same paragraph; however, this does not apply if the insured person falls under any of the items of the same paragraph and then no longer falls under any of those items in the same month." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百五十九条
art-159 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159
**第一項** 育児休業等をしている被保険者（第百五十九条の三の規定の適用を受けている被保険者を除く。次項において同じ。）が使用される事業所の事業主が、厚生労働省令で定めるところにより保険者等に申出をしたときは、次の各号に掲げる場合の区分に応じ、当該各号に定める月の当該被保険者に関する保険料（その育児休業等の期間が一月以下である者については、標準報酬月額に係る保険料に限る。）は、徴収しない。
art-159/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159/par-1
When the employer of the place of business at which an insured person who is taking childcare leave (excluding insured persons to whom the provisions of Article 159-3 apply; the same applies in the following paragraph) is employed makes a request to an insurer, etc. as specified by Order of the Ministry of Health, Labour and Welfare, insurance premiums relating to the insured person for the month specified in each of the following items in accordance with the classification of cases listed in those items (for a person whose period of childcare leave is one month or less, limited to insurance premiums on the standard monthly remuneration amount) are not collected.
machine translation, not official
**一** その育児休業等を開始した日の属する月とその育児休業等が終了する日の翌日が属する月とが異なる場合 その育児休業等を開始した日の属する月からその育児休業等が終了する日の翌日が属する月の前月までの月
art-159/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159/par-1/item-1
in the case where the month including the date on which the childcare leave begins differs from the month including the day after the last day of the childcare leave: the months from the month including the date on which the childcare leave begins until the month preceding the month including the day after the last day of the childcare leave;
machine translation, not official
**二** その育児休業等を開始した日の属する月とその育児休業等が終了する日の翌日が属する月とが同一であり、かつ、当該月における育児休業等の日数として厚生労働省令で定めるところにより計算した日数が十四日以上である場合 当該月
art-159/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159/par-1/item-2
in the case where the month including the date on which the childcare leave begins is the same as the month including the day after the last day of the childcare leave, and the number of days of childcare leave in that month, calculated as specified by Order of the Ministry of Health, Labour and Welfare, is 14 days or more: that month.
machine translation, not official
**第二項** 被保険者が連続する二以上の育児休業等をしている場合（これに準ずる場合として厚生労働省令で定める場合を含む。）における前項の規定の適用については、その全部を一の育児休業等とみなす。
art-159/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159/par-2
With regard to the application of the provisions of the preceding paragraph in the case where an insured person takes two or more consecutive periods of childcare leave (including cases specified by Order of the Ministry of Health, Labour and Welfare as equivalent thereto), all of them are deemed to be a single period of childcare leave.
machine translation, not official
### 第百五十九条の二
art-159-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159-2
**第一項** 厚生労働大臣が保険料を徴収する場合において、適用事業所の事業主から保険料、厚生年金保険法第八十一条に規定する保険料（以下「厚生年金保険料」という。）及び子ども・子育て支援法第六十九条に規定する拠出金（以下「子ども・子育て拠出金」という。）の一部の納付があったときは、当該事業主が納付すべき保険料、厚生年金保険料及び子ども・子育て拠出金の額を基準として按分した額に相当する保険料の額が納付されたものとする。
art-159-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159-2/par-1
When the Minister of Health, Labour and Welfare collects insurance premiums and the employer of an applicable place of business pays part of the insurance premiums, the premiums prescribed in Article 81 of the Employees' Pension Insurance Act (hereinafter referred to as "employees' pension insurance premiums") and the contributions prescribed in Article 69 of the Act on Support for Children and Child-rearing (hereinafter referred to as "children and child-rearing contributions"), it is deemed that an amount of insurance premiums equivalent to an amount proportional to the amounts of insurance premiums, employees' pension insurance premiums, and children and child-rearing contributions to be paid by the employer has been paid.
machine translation, not official
### 第百五十九条の三
art-159-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159-3
**第一項** 産前産後休業をしている被保険者が使用される事業所の事業主が、厚生労働省令で定めるところにより保険者等に申出をしたときは、その産前産後休業を開始した日の属する月からその産前産後休業が終了する日の翌日が属する月の前月までの期間、当該被保険者に関する保険料を徴収しない。
art-159-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-159-3/par-1
When the employer of an insured person who is taking maternity leave applies to an insurer as specified by Order of the Ministry of Health, Labour and Welfare, no insurance premiums relating to the insured person are collected during the period from the month including the date on which the maternity leave begins until the month preceding the month including the day after the last day of the maternity leave.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十条（保険料率） — (Insurance Premium Rate)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-160 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160
**第一項** 協会が管掌する健康保険の被保険者に関する一般保険料率は、千分の三十から千分の百三十までの範囲内において、支部被保険者（各支部の都道府県に所在する適用事業所に使用される被保険者及び当該都道府県の区域内に住所又は居所を有する任意継続被保険者をいう。以下同じ。）を単位として協会が決定するものとする。
art-160/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-1
The general insurance premium rate for insured persons covered by health insurance administered by JHIA is to be determined in the range from 0.03 to 0.13 by JHIA on the basis of a single branch-insured person (meaning insured persons employed at a place of business located in the same prefecture as the relevant branch office and insured persons with optional and continued coverage with a domicile or residence in the prefecture; the same applies hereinafter).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により支部被保険者を単位として決定する一般保険料率（以下「都道府県単位保険料率」という。）は、当該支部被保険者に適用する。
art-160/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-2
The general insurance rate determined on the basis of a single branch-insured person pursuant to the provisions of the preceding paragraph (hereinafter referred to as "insurance premium rate for each prefecture") applies to the relevant branch-insured persons.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 都道府県単位保険料率は、支部被保険者を単位として、次に掲げる額に照らし、毎事業年度において財政の均衡を保つことができるものとなるよう、政令で定めるところにより算定するものとする。
art-160/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-3
The insurance premium rate for each prefecture is calculated on the basis of a single branch-insured person in light of the amounts listed below in order to be able to maintain the fiscal balance of revenue and expenses as specified by Cabinet Order:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第五十二条第一号に掲げる療養の給付その他の厚生労働省令で定める保険給付（以下この項及び次項において「療養の給付等」という。）のうち、当該支部被保険者に係るものに要する費用の額（当該支部被保険者に係る療養の給付等に関する第百五十三条の規定による国庫補助の額を除く。）に次項の規定に基づく調整を行うことにより得られると見込まれる額
art-160/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-3/item-1
the amount expected to be obtained by adjusting, based on the provisions of the following paragraph, the amount of expenses required for those of the benefits for medical treatment listed in Article 52, item (i) and other insurance benefits specified by Order of the Ministry of Health, Labour and Welfare (referred to as "benefits for medical treatment, etc." hereinafter in this paragraph and the following paragraph) that pertain to the relevant single branch-insured persons (excluding the amount of national subsidies pursuant to the provisions of Article 153 with respect to benefits for medical treatment, etc. pertaining to the single branch-insured persons);
machine translation, not official
**二** 保険給付（支部被保険者に係る療養の給付等を除く。）、前期高齢者納付金等及び後期高齢者支援金等並びに流行初期医療確保拠出金等に要する費用の予想額（第百五十二条の二に規定する出産育児交付金の額、第百五十三条及び第百五十四条の規定による国庫補助の額（前号の国庫補助の額を除く。）並びに第百七十三条の規定による拠出金の額を除く。）に総報酬按分率（当該都道府県の支部被保険者の総報酬額（標準報酬月額及び標準賞与額の合計額をいう。以下同じ。）の総額を協会が管掌する健康保険の被保険者の総報酬額の総額で除して得た率をいう。）を乗じて得た額
art-160/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-3/item-2
the amount obtained by multiplying the estimated amount of expenses required for insurance benefits (excluding benefits for medical treatment, etc. pertaining to single branch-insured persons), young-old payments, etc., aid for the old-old, etc., and contributions for securing medical care in the early phase of an epidemic, etc. (excluding the amount of the childbirth and childcare grant prescribed in Article 152-2, the amount of national subsidies pursuant to the provisions of Articles 153 and 154 (excluding the amount of national subsidies referred to in the preceding item), and the amount of contributions pursuant to the provisions of Article 173) by the total remuneration proportion ratio (the ratio obtained by dividing the total amount of the total remuneration of single branch-insured persons in the relevant prefecture (meaning the total sum of the standard monthly remuneration and standard bonus; the same applies hereinafter) by the total amount of the total remuneration of insured persons covered by health insurance administered by JHIA);
machine translation, not official
**三** 保健事業及び福祉事業に要する費用の額（第百五十四条の二の規定による国庫補助の額を除く。）並びに健康保険事業の事務の執行に要する費用及び第百六十条の三第一項の規定による準備金の積立ての予定額（第百五十一条の規定による国庫負担金の額を除く。）のうち当該支部被保険者が分担すべき額として協会が定める額
art-160/par-3/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-3/item-3
the amount of expenses required for healthcare and welfare business (excluding the amount of national subsidies pursuant to the provisions of Article 154-2) as well as expenses required for the execution of affairs concerning health insurance business and the estimated amount of reserve funds pursuant to the provisions of Article 160-3, paragraph (1) (excluding the amount of national treasury benefits pursuant to the provisions of Article 151) as determined by JHIA as the amount to be shared among the relevant single branch-insured persons.
machine translation, not official
**第四項** 協会は、支部被保険者及びその被扶養者の年齢階級別の分布状況と協会が管掌する健康保険の被保険者及びその被扶養者の年齢階級別の分布状況との差異によって生ずる療養の給付等に要する費用の額の負担の不均衡並びに支部被保険者の総報酬額の平均額と協会が管掌する健康保険の被保険者の総報酬額の平均額との差異によって生ずる財政力の不均衡を是正するため、政令で定めるところにより、支部被保険者を単位とする健康保険の財政の調整を行うものとする。
art-160/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-4
JHIA is to adjust finances for health insurance on the basis of a single branch-insured person as specified by Cabinet Order in order to correct any imbalances in the share of the amount of expenses required for benefits for medical treatment, etc., caused by differences in distribution status by age group of branch-insured persons and their dependents and in distribution status by age of insured persons and their dependents administered by JHIA or any imbalances in financial capability caused by differences in the average amount of total remuneration of branch-insured persons and their dependents and the average amount of total remuneration of insured persons and their dependents administered by JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 協会は、毎事業年度、翌事業年度以降の五年間についての協会が管掌する健康保険の被保険者数及び総報酬額の見通し並びに保険給付に要する費用の額、保険料の額（各事業年度において財政の均衡を保つことができる保険料率の水準を含む。）その他の健康保険事業の収支の見通しを作成し、公表するものとする。
art-160/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-5
JHIA is to create and publicize, in each fiscal year, the outlook of revenues and expenditures of health insurance services, including the estimated number of insured persons and total remuneration for health insurance administered by JHIA, the amount of expenses required for insurance benefits, and the amount of insurance premiums (including the level of insurance premium rate that would enable the fiscal balance of revenue and expenditure in each business year to be maintained) for a five-year period starting from the following business year.
machine translation, not official
**第六項** 協会が都道府県単位保険料率を変更しようとするときは、あらかじめ、理事長が当該変更に係る都道府県に所在する支部の支部長の意見を聴いた上で、運営委員会の議を経なければならない。
art-160/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-6
When JHIA intends to alter the insurance premium rate for a prefecture, the president must in advance hear the opinion of the chief of the branch office located in that prefecture and then undergo discussion at the management board.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 支部長は、前項の意見を求められた場合のほか、都道府県単位保険料率の変更が必要と認める場合には、あらかじめ、当該支部に設けられた評議会の意見を聴いた上で、理事長に対し、当該都道府県単位保険料率の変更について意見の申出を行うものとする。
art-160/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-7
Other than when being asked for an opinion referred to in the preceding paragraph, when the chief of a branch office finds it necessary to change the insurance premium rate for a prefecture, the chief is to hear the opinion of the council established at the branch, and then offer an opinion about the insurance premium rate for the prefecture to the president of the JHIA.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 協会が都道府県単位保険料率を変更しようとするときは、理事長は、その変更について厚生労働大臣の認可を受けなければならない。
art-160/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-8
When JHIA intends to make a change to the insurance premium rate for a prefecture, the president of JHIA must obtain authorization for the change from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** 厚生労働大臣は、前項の認可をしたときは、遅滞なく、その旨を告示しなければならない。
art-160/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-9
The Minister of Health, Labour, and Welfare gives the authorization referred to in the preceding paragraph, the Minister must make publicize that fact without delay.
Ministry of Justice translation — Japanese Law Translation Database System
**第十項** 厚生労働大臣は、都道府県単位保険料率が、当該都道府県における健康保険事業の収支の均衡を図る上で不適当であり、協会が管掌する健康保険の事業の健全な運営に支障があると認めるときは、協会に対し、相当の期間を定めて、当該都道府県単位保険料率の変更の認可を申請すべきことを命ずることができる。
art-160/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-10
When the Minister of Health, Labour and Welfare finds that the insurance premium rate for a prefecture is inappropriate from the viewpoint of balancing the revenue and expenditure of health insurance services or finds that there is a hindrance to the sound operation of health insurance business administered by JHIA, the Minister may order JHIA to apply for authorization to change the insurance premium rate for the prefecture within a specified reasonable period.
Ministry of Justice translation — Japanese Law Translation Database System
**第十一項** 厚生労働大臣は、協会が前項の期間内に同項の申請をしないときは、社会保障審議会の議を経て、当該都道府県単位保険料率を変更することができる。
art-160/par-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-11
If JHIA does not apply as referred to in the preceding paragraph during the period referred to in the same paragraph, the Minister of Health, Labour and Welfare may change the insurance premium rate for the prefecture by undergoing discussion at the Social Security Council.
Ministry of Justice translation — Japanese Law Translation Database System
**第十二項** 第九項の規定は、前項の規定により行う都道府県単位保険料率の変更について準用する。
art-160/par-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-12
The provisions of paragraph (9) apply mutatis mutandis to changes in insurance premium rate for a prefecture made pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第十三項** 第一項及び第八項の規定は、健康保険組合が管掌する健康保険の一般保険料率について準用する。この場合において、第一項中「支部被保険者（各支部の都道府県に所在する適用事業所に使用される被保険者及び当該都道府県の区域内に住所又は居所を有する任意継続被保険者をいう。以下同じ。）を単位として協会が決定するものとする」とあるのは「決定するものとする」と、第八項中「都道府県単位保険料率」とあるのは「健康保険組合が管掌する健康保険の一般保険料率」と読み替えるものとする。
art-160/par-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-13
The provisions of paragraphs (1) and (8) apply mutatis mutandis to the general insurance premium rate for health insurance administered by a health insurance society. In this case, the phrase "is determined in the range from 0.03 through 0.13 by JHIA on the basis of a single branch-insured person (meaning insured persons employed at a place of business located in the same prefecture as the relevant branch office and insured persons with optional and continued coverage with a domicile or residence in the prefecture; the same applies hereinafter)" in paragraph (1) is replaced with "is determined in the range from 0.03 through 0.13", "insurance premium rate for a prefecture" in paragraph (8) with "general insurance premium rate for health insurance administered by a health insurance society".
Ministry of Justice translation — Japanese Law Translation Database System
**第十四項** 特定保険料率は、各年度において保険者が納付すべき前期高齢者納付金等の額及び後期高齢者支援金等の額並びに流行初期医療確保拠出金等の額（協会が管掌する健康保険及び日雇特例被保険者の保険においては、その額から第百五十三条及び第百五十四条の規定による国庫補助額を控除した額）の合算額（前期高齢者交付金がある場合には、これを控除した額）を当該年度における当該保険者が管掌する被保険者の総報酬額の総額の見込額で除して得た率を基準として、保険者が定める。
art-160/par-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-14
The insurer specifies the specific insurance rate based on the rate obtained by dividing the sum of the amount of young-old payments, etc., the amount of aid for the old-old, etc., and the amount of contributions for securing medical care in the early phase of an epidemic, etc. to be paid by the insurer each fiscal year (in the case of health insurance and insurance for specially-insured day laborers administered by JHIA, the amount remaining after deducting the amount of national subsidies pursuant to the provisions of Articles 153 and 154 from that amount) (if there is a young-old subsidy, the amount remaining after deducting it) by the estimated total amount of the total remuneration of insured persons administered by the insurer in the relevant fiscal year.
machine translation, not official
**第十五項** 基本保険料率は、一般保険料率から特定保険料率を控除した率を基準として、保険者が定める。
art-160/par-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-15
The insurer specifies a basic insurance rate based on the rate obtained by deducting the specific insurance rate from the general insurance rate.
Ministry of Justice translation — Japanese Law Translation Database System
**第十六項** 介護保険料率は、各年度において保険者が納付すべき介護納付金（日雇特例被保険者に係るものを除く。）の額を当該年度における当該保険者が管掌する介護保険第二号被保険者である被保険者の総報酬額の総額の見込額で除して得た率を基準として、保険者が定める。
art-160/par-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-16
The insurer determines a long-term care insurance rate based on the rate obtained by dividing the amount of long-term care payments to be paid by the insurer each fiscal year (excluding those pertaining to specially-insured day laborers) by the estimated total amount of the total remuneration of the insured persons administered by the insurer who are item (ii) insured persons in the relevant fiscal year.
machine translation, not official
**第十七項** 協会は、第十四項及び第十五項の規定により基本保険料率及び特定保険料率を定め、又は前項の規定により介護保険料率を定めたときは、遅滞なく、その旨を厚生労働大臣に通知しなければならない。
art-160/par-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160/par-17
When JHIA specifies a basic insurance rate or specific insurance rate pursuant to the provisions of paragraphs (14) and (15), or a long-term care insurance rate pursuant to the provisions of the preceding paragraph, it must notify the Minister of Health, Labour and Welfare to that effect without delay.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When JHIA specifies a basic insurance rate or specific insurance rate pursuant to the provisions of Articles 14 and 15, or a long-term care insurance rate pursuant to the provisions of the preceding paragraph, it must notify the Minister of Health, Labour and Welfare to that effect without delay." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百六十条の二（子ども・子育て支援金率） — Children and Child-rearing Support Payment Rate
caption: machine translation, not official
art-160-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-2
**第一項** 子ども・子育て支援金率は、各年度において全ての保険者が納付すべき子ども・子育て支援納付金の総額を当該年度における全ての保険者が管掌する被保険者の総報酬額の総額の見込額で除した率を基礎として政令で定める率の範囲内において、保険者が定める。
art-160-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-2/par-1
The children and child-rearing support payment rate is determined by the insurer within the range of the rate specified by Cabinet Order on the basis of the rate obtained by dividing the total amount of children and child-rearing support levies to be paid by all insurers each fiscal year by the estimated total amount of the total remuneration of insured persons administered by all insurers in the relevant fiscal year.
machine translation, not official
**第二項** 協会は、前項の規定により子ども・子育て支援金率を定めたときは、厚生労働省令で定めるところにより、遅滞なく、その旨を厚生労働大臣に通知しなければならない。
art-160-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-2/par-2
When JHIA has determined the children and child-rearing support payment rate pursuant to the provisions of the preceding paragraph, it must notify the Minister of Health, Labour and Welfare to that effect without delay, as specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
### 第百六十条の三（準備金） — (Reserves)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-160-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-3
**第一項** 保険者は、政令で定めるところにより、健康保険事業に要する費用の支出に備えるため、毎事業年度末において、準備金を積み立てなければならない。
art-160-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-3/par-1
An insurer must fund reserves to be spent for expenses for health insurance services at the end of each business year as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、第百六十条第五項に規定する健康保険事業の収支の見通しを踏まえ、少なくとも、当該収支の見通しを公表したときから二年以内に前項の規定による準備金の積立ての状況から健康保険事業の運営に支障が生ずると見込まれる場合には、厚生労働大臣に対しその旨を報告するとともに、必要な措置を講ずるものとする。
art-160-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-160-3/par-2
Based on the outlook for the revenue and expenditure of health insurance services prescribed in Article 160, paragraph (5), if it is expected that, at least within two years from the time when the outlook for revenue and expenditure is publicized, the state of funding of reserves pursuant to the provisions of the preceding paragraph will cause a hindrance to the operation of health insurance services, JHIA is to report to that effect to the Minister of Health, Labour and Welfare and take necessary measures.
machine translation, not official
### 第百六十一条（保険料の負担及び納付義務） — (Share and Payment Obligation for Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-161 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-161
**第一項** 被保険者及び被保険者を使用する事業主は、それぞれ保険料額の二分の一を負担する。ただし、任意継続被保険者は、その全額を負担する。
art-161/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-161/par-1
Insured persons and their employers each bear half of the amount of insurance premiums; however, insured persons with optional and continued coverage bear the entire amount.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 事業主は、その使用する被保険者及び自己の負担する保険料を納付する義務を負う。
art-161/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-161/par-2
An employer is obliged to pay the insurance premiums shared between itself and the insured persons it employs.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 任意継続被保険者は、自己の負担する保険料を納付する義務を負う。
art-161/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-161/par-3
An insured person with optional and continued coverage is obliged to pay the insurance premiums the person shares.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 被保険者が同時に二以上の事業所に使用される場合における各事業主の負担すべき保険料の額及び保険料の納付義務については、政令で定めるところによる。
art-161/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-161/par-4
The amount of insurance premiums to be borne by each employer and the payment obligation for insurance premiums when an insured person is employed at two or more places of business at the same time are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十二条（健康保険組合の保険料の負担割合の特例） — (Special Provisions for Rate of Insurance Premiums Shared by Health Insurance Societies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-162 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-162
**第一項** 健康保険組合は、前条第一項の規定にかかわらず、規約で定めるところにより、事業主の負担すべき一般保険料等額又は介護保険料額の負担の割合を増加することができる。
art-162/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-162/par-1
Notwithstanding the provisions of paragraph (1) of the preceding Article, a health insurance society may increase the percentage of the burden of the amount of general insurance premium, etc. or the amount of long-term care insurance premium to be borne by an employer, as prescribed in the society's constitution.
machine translation, not official
### 第百六十三条 〔削除 / repealed〕
art-163 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-163
**第一項** 削除
art-163/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-163/par-1
Deleted
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十四条（保険料の納付） — (Payment of Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-164 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-164
**第一項** 被保険者に関する毎月の保険料は、翌月末日までに、納付しなければならない。ただし、任意継続被保険者に関する保険料については、その月の十日（初めて納付すべき保険料については、保険者が指定する日）までとする。
art-164/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-164/par-1
Monthly insurance premiums related to insured persons must be paid by the last day of the following month; provided however, that insurance premiums relating to insured persons with optional and continued coverage must be made by the 10th day of the following (a day specified by the insurer for the first payment of an insurance premium).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険者等（被保険者が協会が管掌する健康保険の任意継続被保険者である場合は協会、被保険者が健康保険組合が管掌する健康保険の被保険者である場合は当該健康保険組合、これら以外の場合は厚生労働大臣をいう。次項において同じ。）は、被保険者に関する保険料の納入の告知をした後に告知をした保険料額が当該納付義務者の納付すべき保険料額を超えていることを知ったとき、又は納付した被保険者に関する保険料額が当該納付義務者の納付すべき保険料額を超えていることを知ったときは、その超えている部分に関する納入の告知又は納付を、その告知又は納付の日の翌日から六月以内の期日に納付されるべき保険料について納期を繰り上げてしたものとみなすことができる。
art-164/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-164/par-2
When an insurer (meaning JHIA if the relevant insured person has optional and continued coverage under the health insurance program administered by JHIA; a health insurance society if the relevant insured person is covered by a health insurance program administered by a health insurance society; or otherwise, the Minister of Health, Labour and Welfare; the same applies in the following paragraph) finds that the notified amount of insurance premium exceeds the amount to be paid for the insurance premium after the notice of insurance premium payment concerning an insured person is given, or that an insured person has paid an amount of insurance premium that exceeds the amount to be paid for the insurance premium, the notice of payment or the payment of the excessive amount may be deemed as prepayment for the insurance premium to be paid before the due date within six months after the day of the notice or payment.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の規定によって、納期を繰り上げて納入の告知又は納付をしたものとみなしたときは、保険者等は、その旨を当該納付義務者に通知しなければならない。
art-164/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-164/par-3
When a notice of payment or payment of an excessive amount may be deemed as prepayment, the insurer must notify the person obliged to pay to that effect.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十五条（任意継続被保険者の保険料の前納） — (Prepaid Insurance Premiums for Insured Persons with Optional and Continued Coverage)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-165 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-165
**第一項** 任意継続被保険者は、将来の一定期間の保険料を前納することができる。
art-165/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-165/par-1
An insured person with optional and conditional coverage may prepay insurance premiums for a certain period.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において前納すべき額は、当該期間の各月の保険料の額から政令で定める額を控除した額とする。
art-165/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-165/par-2
The amount of tax to be prepaid in the case of the preceding paragraph is the amount of monthly insurance premiums for the period after deducting the amount specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定により前納された保険料については、前納に係る期間の各月の初日が到来したときに、それぞれその月の保険料が納付されたものとみなす。
art-165/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-165/par-3
With respect to insurance premiums prepaid pursuant to the provisions of paragraph (1), the insurance premium for each month is deemed to have been paid on the first day of each month in the period pertaining to the prepayment.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 前三項に定めるもののほか、保険料の前納の手続、前納された保険料の還付その他保険料の前納に関して必要な事項は、政令で定める。
art-165/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-165/par-4
Beyond what is provided for in the preceding three paragraphs, the procedure for prepaying insurance premiums, contribution refunds, and other necessary matters relating to prepaid insurance premiums are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十六条（口座振替による納付） — (Payment by Account Transfer)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-166 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-166
**第一項** 厚生労働大臣は、納付義務者から、預金又は貯金の払出しとその払い出した金銭による保険料の納付をその預金口座又は貯金口座のある金融機関に委託して行うことを希望する旨の申出があった場合においては、その納付が確実と認められ、かつ、その申出を承認することが保険料の徴収上有利と認められるときに限り、その申出を承認することができる。
art-166/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-166/par-1
When the Minister of Health, Labour and Welfare receives a request, from a person obliged to pay, for deposits or savings be deposited and for the payment of insurance premiums with the money paid out to be delegated to a financial institution with which the related deposit or savings account is held, the Minister may approve the request only when the payment is ensured and the approval is found to be advantageous for the collection of insurance premiums.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十七条（保険料の源泉控除） — (Deduction at Source of Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-167 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-167
**第一項** 事業主は、被保険者に対して通貨をもって報酬を支払う場合においては、被保険者の負担すべき前月の標準報酬月額に係る保険料（被保険者がその事業所に使用されなくなった場合においては、前月及びその月の標準報酬月額に係る保険料）を報酬から控除することができる。
art-167/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-167/par-1
When paying remuneration to an insured person in currency, an employer may deduct the insurance premium pertaining to the standard monthly remuneration amount to be borne by the insured person for the preceding month (insurance premiums pertaining to the standard monthly remuneration amount for the preceding month and the current month if the insured person is no longer employed at the place of business) from the remuneration.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 事業主は、被保険者に対して通貨をもって賞与を支払う場合においては、被保険者の負担すべき標準賞与額に係る保険料に相当する額を当該賞与から控除することができる。
art-167/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-167/par-2
When paying a bonus to an insured person in currency, an employer may deduct an amount equivalent to the insurance premium pertaining to the standard bonus to be borne by the insured person from the bonus.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 事業主は、前二項の規定によって保険料を控除したときは、保険料の控除に関する計算書を作成し、その控除額を被保険者に通知しなければならない。
art-167/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-167/par-3
In case of an insurance deduction pursuant to the provisions of the preceding two paragraphs, the employer must prepare financial statements on insurance premium deduction and notify the insured person of the amount of the deduction.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百六十八条（日雇特例被保険者の保険料額） — (Amount of Insurance Premium for Specially-Insured Day Laborers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-168 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168
**第一項** 日雇特例被保険者に関する保険料額は、一日につき、次に掲げる額の合算額とする。
art-168/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-1
The amount of insurance premium per day relating to a specially-insured day laborer is the sum of the amounts listed below:
Ministry of Justice translation — Japanese Law Translation Database System
**一** その者の標準賃金日額の等級に応じ、次に掲げる額の合算額を基準として政令で定めるところにより算定した額
art-168/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-1/item-1
the amount calculated as specified by Cabinet Order based on the sum of the amounts listed below according to the specially-insured day laborer's standard daily wage grade:
Ministry of Justice translation — Japanese Law Translation Database System
**イ** 標準賃金日額に平均保険料等率（各都道府県単位保険料率に各支部被保険者の総報酬額の総額を乗じて得た額の総額を協会が管掌する健康保険の被保険者の総報酬額の総額で除して得た率と子ども・子育て支援金率とを合算した率をいう。以下同じ。）と介護保険料率とを合算した率（介護保険第二号被保険者である日雇特例被保険者以外の日雇特例被保険者については、平均保険料等率）を乗じて得た額
art-168/par-1/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-1/item-1/sub-1
the amount obtained by multiplying the standard daily wage amount by the combined rate of the average insurance rate, etc. (meaning the rate obtained by combining the children and child-rearing support payment rate with the rate obtained by dividing the total amount of the amounts obtained by multiplying the insurance premium rate for each prefecture by the total amount of the total remuneration of single branch-insured persons by the total amount of the total remuneration of insured persons covered by health insurance administered by JHIA; the same applies hereinafter) and the long-term care insurance rate (in the case of specially-insured day laborers who are not item (ii) insured persons, the average insurance rate, etc.); and
machine translation, not official
**ロ** イに掲げる額に百分の三十一を乗じて得た額
art-168/par-1/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-1/item-1/sub-2
the amount obtained by multiplying the amount listed in (a) by 0.31; and
Ministry of Justice translation — Japanese Law Translation Database System
**二** 賞与額（その額に千円未満の端数がある場合には、これを切り捨てるものとし、その額が四十万円（第百二十四条第二項の規定による標準賃金日額の等級区分の改定が行われたときは、政令で定める額。以下この号において同じ。）を超える場合には、四十万円とする。）に平均保険料等率と介護保険料率とを合算した率（介護保険第二号被保険者である日雇特例被保険者以外の日雇特例被保険者については、平均保険料等率）を乗じて得た額
art-168/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-1/item-2
the amount obtained by multiplying the amount of bonus (the amount is to be rounded down to the nearest 1,000 yen; if the amount exceeds 400,000 yen (an amount specified by Cabinet Order if the grades of the standard daily wages have been altered pursuant to the provisions of Article 124, paragraph (2); the same applies hereinafter in this item) the amount is to be 400,000 yen) by the combined rate of the average insurance rate, etc. and the long-term care insurance rate (by the average insurance rate, etc. in the case of specially-insured day laborers who are not item (ii) insured persons);
machine translation, not official
**第二項** 第四十条第三項の規定は前項第二号の政令の制定又は改正について、第四十八条の規定は日雇特例被保険者の賞与額に関する事項について、第百二十五条第二項の規定は賞与の全部又は一部が通貨以外のもので支払われる場合におけるその価額の算定について準用する。
art-168/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-168/par-2
The provisions of Article 40, paragraph (3) apply mutatis mutandis to the establishment or amendment of Cabinet Order referred to in item (ii) of the preceding paragraph, the provisions of Article 48 apply mutatis mutandis to particulars relating to the amount of bonus for specially-insured day laborers, and the provisions of Article 125, paragraph (2) apply mutatis mutandis to the calculation of the amount of bonus in cases where all or part the bonus is to be paid by means other than currency.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The provisions of Article 43, paragraph (3) apply mutatis mutandis to the establishment or amendment of Cabinet Order referred to in item (ii) of the preceding paragraph, the provisions of Article 48 apply mutatis mutandis to particulars relating to the amount of bonus for specially-insured day laborers, and the provisions of Article 125, paragraph (2) apply mutatis mutandis to the calculation of the amount of bonus in cases where all or part the bonus is to be paid by means other than currency." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百六十九条（日雇特例被保険者に係る保険料の負担及び納付義務） — (Share and Payment Obligation for Insurance Premiums Pertaining to Specially-Insured Day Laborers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-169 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169
**第一項** 日雇特例被保険者は前条第一項第一号イの額の二分の一に相当する額として政令で定めるところにより算定した額及び同項第二号の額の二分の一の額の合算額を負担し、日雇特例被保険者を使用する事業主は当該算定した額、同項第一号ロの額に相当する額として政令で定めるところにより算定した額及び同項第二号の額の二分の一の額の合算額を負担する。
art-169/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-1
A specially-insured day laborer bears the sum of the amount calculated as specified by Cabinet Order as an amount equivalent to half the amount referred to in paragraph (1), item (i), sub-item (a) of the preceding Article and an amount which is half the amount referred to in item (ii) of the same paragraph, and an employer of specially-insured day laborers bears the sum of the calculated amount, the amount calculated as prescribed by Cabinet Order as an amount equivalent to half the amount referred to in paragraph (1), item (i), (b) of the preceding Article and an amount which is half the amount referred to in item (ii) of the same paragraph;
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 事業主（日雇特例被保険者が一日において二以上の事業所に使用される場合においては、初めにその者を使用する事業主。第四項から第六項まで、次条第一項及び第二項並びに第百七十一条において同じ。）は、日雇特例被保険者を使用する日ごとに、その者及び自己の負担すべきその日の標準賃金日額に係る保険料を納付する義務を負う。
art-169/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-2
An employer (if the specially-insured day laborer is employed at two or more places of business on the same day, the first employer employing the laborer; the same applies in paragraphs (4) through (6) of this Article, paragraphs (1) and (2) of the following Article, and Article 171) is obliged to pay insurance premiums to be borne by the employer and a specially-insured day laborer for each day on which the laborer is employed.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の規定による保険料の納付は、日雇特例被保険者が提出する日雇特例被保険者手帳に健康保険印紙をはり、これに消印して行わなければならない。
art-169/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-3
The payment of insurance premiums pursuant to the provisions of the preceding paragraph must be made by affixing a health insurance stamp to the specially insured day laborer's insurance book submitted by a specially-insured day laborer and apply a cancelation mark thereto.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The payment of insurance premiums pursuant to the provisions of the preceding paragraph must be made by affixing a health insurance stamp to the specially insured day laborer's insurance book submitted by a specially-insured day laborer pursuant to the provisions of Article 44 of the Employment Insurance Act and apply a cancelation mark thereto." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第四項** 日雇特例被保険者手帳を所持する日雇特例被保険者は、適用事業所に使用される日ごとに、その日雇特例被保険者手帳を事業主に提出しなければならない。
art-169/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-4
A specially-insured day laborer who possesses a specially insured day laborer's insurance book must submit it to the employer every day of the laborer's employment at the applicable place of business.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 事業主は、日雇特例被保険者を使用する日ごとに、日雇特例被保険者にその所持する日雇特例被保険者手帳の提出を求めなければならない。
art-169/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-5
An employer must request a specially-insured day laborer to submit the specially insured day laborer's insurance book that the laborer possesses every day of the laborer's employment.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 事業主は、第二項の規定により保険料を納付したときは、日雇特例被保険者の負担すべき保険料額に相当する額をその者に支払う賃金から控除することができる。この場合においては、事業主は、その旨を日雇特例被保険者に告げなければならない。
art-169/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-6
When an insurance premium is paid pursuant to the provisions of paragraph (2), an employer may deduct an amount equivalent to the insurance premium to be borne by the specially-insured day laborer from the laborer's wages. In this case, the employer must notify the specially-insured day laborer to that effect.
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 事業主は、日雇特例被保険者に対して賞与を支払った日の属する月の翌月末日までに、その者及び自己の負担すべきその日の賞与額に係る保険料を納付する義務を負う。
art-169/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-7
An employer is obliged to pay insurance premiums pertaining to the amount of bonus for a day to be borne by a specially-insured day laborer and the employer by the last day of the month following the month which includes the date on which the bonus is paid to the laborer.
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 第百六十四条第二項及び第三項並びに第百六十六条の規定は前項の規定による保険料の納付について、第百六十七条第二項及び第三項の規定は日雇特例被保険者に対して通貨をもって賞与を支払う場合について準用する。
art-169/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-169/par-8
The provisions of Article 164, paragraphs (2) and (3), and Article 166 apply mutatis mutandis to payment of insurance premiums pursuant to the provisions of the preceding paragraph, and the provisions of Article 167, paragraphs (2) and (3) apply to payment of a bonus to a specially-insured day laborer in currency.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十条（日雇特例被保険者の標準賃金日額に係る保険料額の告知等） — (Notification of the Amount of Insurance Premiums Pertaining to Standard Daily Wages of Specially-Insured Day Laborers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-170 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-170
**第一項** 事業主が前条第二項の規定による保険料の納付を怠ったときは、厚生労働大臣は、その調査に基づき、その納付すべき保険料額を決定し、これを事業主に告知する。
art-170/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-170/par-1
If an employer fails to pay insurance premiums pursuant to the provisions of paragraph (2) of the preceding Article, the Minister of Health, Labour and Welfare determines the amount of insurance premiums to be paid by the employer based on the Minister's investigation and notifies the employer of the amount.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 事業主が、正当な理由がないと認められるにもかかわらず、前条第二項の規定による保険料の納付を怠ったときは、厚生労働大臣は、厚生労働省令で定めるところにより、前項の規定により決定された保険料額の百分の二十五に相当する額の追徴金を徴収する。ただし、決定された保険料額が千円未満であるときは、この限りでない。
art-170/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-170/par-2
If an employer fails to pay insurance premiums pursuant to the provisions of paragraph (2) of the preceding Article despite no justifiable grounds being found, the Minister of Health, Labour and Welfare collects penalty fees, as specified by Order of the Ministry of Health, Labour and Welfare, in an amount equal to one-quarter of the amount of the insurance premiums determined pursuant to the provisions of the preceding paragraph; however, this does not apply is the settled amount of insurance premium is less than 1,000 yen.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If an employer fails to pay insurance premiums pursuant to the provisions of paragraph (2) of the preceding paragraph despite no justifiable grounds being found, the Minister of Health, Labour and Welfare collects penalty fees, as specified by Order of the Ministry of Health, Labour and Welfare, in an amount equal to one-quarter of the amount of the insurance premiums determined pursuant to the provisions of the preceding paragraph; however, this does not apply is the settled amount of insurance premium is less than 1,000 yen." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第三項** 追徴金を計算するに当たり、決定された保険料額に千円未満の端数があるときは、その端数は、切り捨てる。
art-170/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-170/par-3
In calculations of the penalty fees, the amount of determined insurance premium is to be rounded down to the nearest 1,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第二項に規定する追徴金は、その決定された日から十四日以内に、厚生労働大臣に納付しなければならない。
art-170/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-170/par-4
The penalty fees prescribed in paragraph (2) must be paid to the Minister of Health, Labour and Welfare within 14 days from the day on which they were determined.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十一条（健康保険印紙の受払等の報告） — (Report of Receipts and Payments of Health Insurance Stamps)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-171 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-171
**第一項** 事業主は、その事業所ごとに健康保険印紙の受払及び前条第一項に規定する告知に係る保険料の納付（以下この条において「受払等」という。）に関する帳簿を備え付け、その受払等の都度、その受払等の状況を記載し、かつ、翌月末日までに、厚生労働大臣にその受払等の状況を報告しなければならない。
art-171/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-171/par-1
Employers must keep record books for each of their places of business relating to the receipt and payment of health insurance stamps and payment of insurance premiums to which the notification prescribed in paragraph (1) of the preceding Article pertains (referred to as "receipts and payments" hereinafter in this Article), state the status of all receipts and payments on each occasion of receipts and payments, and report the status to the Minister of Health, Labor and Welfare by the last day of the following month.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、健康保険組合を設立する事業主は、併せて当該健康保険組合に同項の報告をしなければならない。
art-171/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-171/par-2
In the case of the preceding paragraph, an employer who has established a health insurance society must make a report referred to in the preceding paragraph to the health insurance society as well.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の規定により報告を受けた健康保険組合は、厚生労働省令で定めるところにより、毎年度、厚生労働大臣に当該健康保険組合を設立する事業主の前年度の受払等の報告をしなければならない。
art-171/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-171/par-3
Each fiscal year, the health insurance society which received a report pursuant to the provisions of the preceding paragraph must report on the previous fiscal year's payments and receipts of the employer who established the health insurance society to the Minister of Health, Labour and Welfare, as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十二条（保険料の繰上徴収） — (Advance Collection of Insurance Premiums)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-172 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172
**第一項** 保険料は、次に掲げる場合においては、納期前であっても、全て徴収することができる。
art-172/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1
Even before the due date, all insurance premiums may be collected in the following cases:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 納付義務者が、次のいずれかに該当する場合
art-172/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1
a person obliged to pay falls under any of the following:
Ministry of Justice translation — Japanese Law Translation Database System
**イ** 国税、地方税その他の公課の滞納によって、滞納処分を受けるとき。
art-172/par-1/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-1
the person receives a disposition of delinquency due to delinquency in payment of national tax, local tax, or other public charges;
Ministry of Justice translation — Japanese Law Translation Database System
**ロ** 強制執行を受けるとき。
art-172/par-1/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-2
compulsory execution is implemented;
Ministry of Justice translation — Japanese Law Translation Database System
**ハ** 破産手続開始の決定を受けたとき。
art-172/par-1/item-1/sub-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-3
notice of a decision to commence bankruptcy proceedings has been given;
Ministry of Justice translation — Japanese Law Translation Database System
**ニ** 企業担保権の実行手続の開始があったとき。
art-172/par-1/item-1/sub-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-4
the exercise of an enterprise mortgage has begun;
Ministry of Justice translation — Japanese Law Translation Database System
**ホ** 企業価値担保権の実行手続の開始があったとき。
art-172/par-1/item-1/sub-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-5
proceedings for the exercise of an enterprise value charge have begun;
machine translation, not official
**ヘ** 競売の開始があったとき。
art-172/par-1/item-1/sub-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-1/sub-6
an auction has begun;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 法人である納付義務者が、解散をした場合
art-172/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-2
a corporation obliged to pay is dissolved; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 被保険者の使用される事業所が、廃止された場合
art-172/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-172/par-1/item-3
the office at which an insured person is employed is abolished.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十三条（日雇拠出金の徴収及び納付義務） — (Collection and Payment Obligation of Day Laborer Contributions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-173 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-173
**第一項** 厚生労働大臣は、日雇特例被保険者に係る健康保険事業に要する費用（前期高齢者納付金等及び後期高齢者支援金等、介護納付金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金の納付に要する費用を含む。第百七十五条において同じ。）に充てるため、第百五十五条の規定により保険料を徴収するほか、毎年度、日雇特例被保険者を使用する事業主の設立する健康保険組合（以下「日雇関係組合」という。）から拠出金を徴収する。
art-173/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-173/par-1
In order to allocate them to expenses required for health insurance services pertaining to specially-insured day laborers (including expenses required for payment of young-old payments, etc., aid for the old-old, etc., long-term care payments, contributions for securing medical care in the early phase of an epidemic, etc., and children and child-rearing support levies; the same applies in Article 175), the Minister of Health, Labour and Welfare, beyond collecting insurance premiums pursuant to the provisions of Article 155, collects contributions every fiscal year from health insurance societies established by employers of specially-insured day laborers (hereinafter referred to as "day laborer health societies").
machine translation, not official
**第二項** 日雇関係組合は、前項に規定する拠出金（以下「日雇拠出金」という。）を納付する義務を負う。
art-173/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-173/par-2
A day laborer health society is obliged to pay the contributions prescribed in the preceding paragraph (hereinafter referred to as "day laborer contributions").
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十四条（日雇拠出金の額） — (Amounts of Day Laborer Contributions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-174 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-174
**第一項** 前条第一項の規定により日雇関係組合から徴収する日雇拠出金の額は、当該年度の概算日雇拠出金の額とする。ただし、前年度の概算日雇拠出金の額が前年度の確定日雇拠出金の額を超えるときは、当該年度の概算日雇拠出金の額からその超える額を控除して得た額とするものとし、前年度の概算日雇拠出金の額が前年度の確定日雇拠出金の額に満たないときは、当該年度の概算日雇拠出金の額にその満たない額を加算して得た額とする。
art-174/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-174/par-1
The amount of day laborer contributions collected from a day labor health society pursuant to the provisions of paragraph (1) of the preceding Article is the estimated amount of day laborer contributions for the relevant fiscal year; provided, however, that when the amount of estimated day laborer contributions for the preceding fiscal year exceeds the fixed amount of day laborer contributions in that fiscal year, the amount is the amount obtained by deducting the amount of excess from the amount of estimated day laborer contributions for that year, and when the amount of estimated day laborer contributions for the preceding fiscal year is less than the fixed amount of day laborer contributions in that fiscal year, the amount is the amount obtained by adding that amount of deficit to the amount of estimated day laborer contributions for that year.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The amount of day laborer contributions collected from a day labor health society pursuant to the provisions of the preceding paragraph is the estimated amount of day laborer contributions for the relevant fiscal year; provided, however, that when the amount of estimated day laborer contributions for the preceding fiscal year exceeds the fixed amount of day laborer contributions in that fiscal year, the amount is the amount obtained by deducting the amount of excess from the amount of estimated day laborer contributions for that year, and when the amount of estimated day laborer contributions for the preceding fiscal year is less than the fixed amount of day laborer contributions in that fiscal year, the amount is the amount obtained by adding that amount of deficit to the amount of estimated day laborer contributions for that year." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百七十五条（概算日雇拠出金） — (Estimated Day Laborer Contributions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-175 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-175
**第一項** 前条の概算日雇拠出金の額は、当該年度の日雇特例被保険者に係る健康保険事業に要する費用の見込額から当該年度の日雇特例被保険者に関する保険料相当額の見込額を控除した額として厚生労働省令で定めるところにより算定する額に、当該日雇関係組合を設立する事業主から前年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数を前年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数で除して得た率を乗じて得た額とする。
art-175/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-175/par-1
The estimated amount of day laborer contributions referred to in the preceding Article is the amount obtained by multiplying the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the amount obtained by deducting an amount equivalent to insurance premiums relating to specially-insured day laborers in the relevant fiscal year from the prospective amount of expenses required for health insurance services in that fiscal year pertaining to specially-insured day laborers by the rate obtained by dividing the total number of days of payment of insurance premiums relating to specially-insured day laborers paid by the employer who established the day laborer health society in the previous fiscal year by the total number of days of payment of insurance premiums relating to specially-insured day laborers in that fiscal year.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十六条（確定日雇拠出金） — (Fixed Day Laborer Contributions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-176 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-176
**第一項** 第百七十四条の確定日雇拠出金の額は、前年度の日雇特例被保険者に係る健康保険事業に要した費用（前期高齢者納付金等及び後期高齢者支援金等、介護納付金、流行初期医療確保拠出金等並びに子ども・子育て支援納付金の納付に要した費用を含む。）から前年度の日雇特例被保険者に関する保険料相当額を控除した額として厚生労働省令で定めるところにより算定した額に、当該日雇関係組合を設立する事業主から前年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数を前年度に納付された日雇特例被保険者に関する保険料の総延べ納付日数で除して得た率を乗じて得た額とする。
art-176/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-176/par-1
The amount of fixed day laborer contributions referred to in Article 174 is the amount obtained by multiplying the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare as the amount obtained by deducting an amount equivalent to insurance premiums relating to specially-insured day laborers in the previous fiscal year from the amount of expenses required for health insurance services in the previous fiscal year pertaining to specially-insured day laborers (including expenses required for payment of young-old payments, etc., aid for the old-old, etc., long-term care payments, contributions for securing medical care in the early phase of an epidemic, etc., and children and child-rearing support levies) by the rate obtained by dividing the total number of days of payment of insurance premiums relating to specially-insured day laborers paid in the previous fiscal year by the employer who established the relevant day laborer health society by the total number of days of payment of insurance premiums relating to specially-insured day laborers paid in the previous fiscal year.
machine translation, not official
### 第百七十七条（日雇拠出金の額の算定の特例） — (Special Provisions for Calculation of Amount of Day Laborer Contributions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-177 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-177
**第一項** 合併又は分割により成立した日雇関係組合、合併又は分割後存続する日雇関係組合及び解散をした日雇関係組合の権利義務を承継した健康保険組合に係る日雇拠出金の額の算定の特例については、高齢者の医療の確保に関する法律第四十一条に規定する前期高齢者交付金及び前期高齢者納付金等の額の算定の特例の例による。
art-177/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-177/par-1
Regarding special provisions on the calculation of the amount of day laborer contributions pertaining to a day laborer health society that is incorporated by merger or split, remains after a merger or split, or succeeds to the rights and obligations of a dissolved day laborer health society, the special provisions on the calculation of the amount of young-old subsidies and young-old payments prescribed in Article 41 of the Act on Assurance of Medical Care for Elderly People apply.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百七十八条（政令への委任） — (Delegation to Cabinet Order)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-178 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-178
**第一項** 第百七十三条から前条までに定めるもののほか、日雇拠出金の額の決定、納付の方法、納付の期限、納付の猶予その他日雇拠出金の納付に関して必要な事項は、政令で定める。
art-178/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-178/par-1
Beyond the provisions from Article 173 through the preceding Article, determination of the amount of day laborer contributions, payment methods, due dates, grace periods, and other necessary matters concerning payment of day laborer contributions are specified by Cabinet Order.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "Beyond the provisions from Article 73 through the preceding Article, determination of the amount of day laborer contributions, payment methods, due dates, grace periods, and other necessary matters concerning payment of day laborer contributions are specified by Cabinet Order." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百七十九条（国民健康保険の保険者への適用） — (Application to Insurers Providing National Health Insurance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-179 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-179
**第一項** 第三条第一項第八号の申出をした者の国民健康保険を行う国民健康保険の保険者は、健康保険組合とみなして、第百七十三条から前条までの規定を適用する。
art-179/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-179/par-1
An insurer providing national health insurance to a person who has made a request pursuant to Article 3, paragraph (1), item (viii) is deemed to be a health insurance society, and the provisions from Article 173 through the preceding Article apply.
machine translation, not official
### 第百八十条（保険料等の督促及び滞納処分） — (Demand for Payment of Insurance Premiums and Disposition of Delinquency)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-180 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180
**第一項** 保険料その他この法律の規定による徴収金（第二百四条の二第一項及び第二百四条の六第一項を除き、以下「保険料等」という。）を滞納する者（以下「滞納者」という。）があるときは、保険者等（被保険者が協会が管掌する健康保険の任意継続被保険者である場合、協会が管掌する健康保険の被保険者若しくは日雇特例被保険者であって第五十八条、第七十四条第二項及び第百九条第二項（第百四十九条においてこれらの規定を準用する場合を含む。）の規定による徴収金を納付しなければならない場合又は解散により消滅した健康保険組合の権利を第二十六条第四項の規定により承継した場合であって当該健康保険組合の保険料等で未収のものに係るものがあるときは協会、被保険者が健康保険組合が管掌する健康保険の被保険者である場合は当該健康保険組合、これら以外の場合は厚生労働大臣をいう。以下この条及び次条第一項において同じ。）は、期限を指定して、これを督促しなければならない。ただし、第百七十二条の規定により保険料を徴収するときは、この限りでない。
art-180/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-1
If there is a person who is delinquent in payment of insurance premiums or any other money to be collected by the due date pursuant to the provisions of this Act (hereinafter referred to as "insurance premiums, etc." except in Article 204-2, paragraph (1) and Article 204-6, paragraph (1)) (hereinafter referred to as "person delinquent in payment"), the insurer (meaning JHIA if the person is an insured person with optional and continued coverage under the health insurance program administered by JHIA, if the person is an insured person under the health insurance program administered by JHIA or is a specially-insured day laborer who must pay the money to be collected, pursuant to the provisions of Article 58, Article 74, paragraph (2), and Article 109, paragraph (2) (including cases where these provisions are applied mutatis mutandis to Article 149), or if JHIA succeeded to the rights of a health insurance society that is extinct due to dissolution, pursuant to the provisions of Article 26, paragraph (4) and there are uncollected insurance premiums, etc. of the health insurance society, and a health insurance society if the insured person is under the health insurance program administered by the health insurance society, or otherwise, the Minister of Health, Labour and Welfare; the same applies hereinafter in this Article and paragraph (1) of the following Article) must demand payment thereof and designate a due date; provided, however, that this does not apply when the insurance premiums are collected pursuant to the provisions of Article 172.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If there is a person who is delinquent in payment of insurance premiums or any other money to be collected by the due date pursuant to the provisions of this Act (hereinafter referred to as "insurance premiums, etc." except in Article 204-2, paragraph (1) and Article 204-6, paragraph (1)) (hereinafter referred to as "person delinquent in payment"), the insurer (meaning JHIA if the person is an insured person with optional and continued coverage under the health insurance program administered by JHIA, if the person is an insured person under the health insurance program administered by JHIA or is a specially-insured day laborer who must pay the money to be collected, pursuant to the provisions of Article 58, Article 74, paragraph (2), and Article 109, paragraph (2) (including cases where these provisions are applied mutatis mutandis to Article 149), or if JHIA succeeded to the rights of a health insurance society that is extinct due to dissolution, pursuant to the provisions of Article 26, paragraph (4) and there are uncollected insurance premiums, etc. of the health insurance society, and a health insurance society if the insured person is under the health insurance program administered by the health insurance society, or otherwise, the Minister of Health, Labour and Welfare; the same applies hereinafter in this and the following Articles) must demand payment thereof and designate a due date; provided, however, that this does not apply when the insurance premiums are collected pursuant to the provisions of Article 172." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 前項の規定によって督促をしようとするときは、保険者等は、納付義務者に対して、督促状を発する。
art-180/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-2
When intending to make a demand pursuant to the provisions of the preceding paragraph, the insurer issues a written demand to the person obliged to pay.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の督促状により指定する期限は、督促状を発する日から起算して十日以上を経過した日でなければならない。ただし、第百七十二条各号のいずれかに該当する場合は、この限りでない。
art-180/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-3
The time limit specified in the written demand referred to in the preceding paragraph must be a day after the lapse of 10 days or more from the day on which the written demand is issued; provided, however, that this does not apply if any of the items in Article 172 is applicable.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 保険者等は、納付義務者が次の各号のいずれかに該当する場合においては、国税滞納処分の例によってこれを処分し、又は納付義務者の居住地若しくはその者の財産所在地の市町村（特別区を含むものとし、地方自治法（昭和二十二年法律第六十七号）第二百五十二条の十九第一項の指定都市にあっては、区又は総合区とする。第六項において同じ。）に対して、その処分を請求することができる。
art-180/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-4
If a person obliged to pay falls under any of the following items, the insurer may effect a disposition as governed by the same rules as the disposition of national tax delinquency, or may request the municipality (including special wards, and a ward or administratively consolidated ward of a city designated under Article 252-19, paragraph (1) of the Local Autonomy Act (Act No. 67 of 1947); the same applies in paragraph (6)) in which the person liable for payment is domiciled or in which the person's assets are located to effect the disposition against the person.
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第一項の規定による督促を受けた者がその指定の期限までに保険料等を納付しないとき。
art-180/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-4/item-1
the person who is demanded to pay insurance premiums, etc. pursuant to the provisions of paragraph (1) does not pay the insurance premiums, etc. demanded by the specified due date; or
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第百七十二条各号のいずれかに該当したことにより納期を繰り上げて保険料納入の告知を受けた者がその指定の期限までに保険料を納付しないとき。
art-180/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-4/item-2
the person who received a notice about payment of insurance premiums before the due date due to falling under any of the items of Article 172 fails to pay an insurance premium by the due date.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 前項の規定により協会又は健康保険組合が国税滞納処分の例により処分を行う場合においては、厚生労働大臣の認可を受けなければならない。
art-180/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-5
When JHIA or a health insurance society effects a disposition governed by the same rules as the disposition of national tax delinquency pursuant to the provisions of the preceding paragraph, authorized for the disposition must be obtained from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 市町村は、第四項の規定による処分の請求を受けたときは、市町村税の例によってこれを処分することができる。この場合においては、保険者は、徴収金の百分の四に相当する額を当該市町村に交付しなければならない。
art-180/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-180/par-6
When receiving a demand to effect a disposition pursuant to the provisions of paragraph (4), a municipality may do so as governed by the same rules as municipal tax. In this case, the insurer must deliver an amount equivalent to 0.04% of the money to be collected to the municipality.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十一条（延滞金） — (Delinquent Charges)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-181 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181
**第一項** 前条第一項の規定によって督促をしたときは、保険者等は、徴収金額に、納期限の翌日から徴収金完納又は財産差押えの日の前日までの期間の日数に応じ、年十四・六パーセント（当該督促が保険料に係るものであるときは、当該納期限の翌日から三月を経過する日までの期間については、年七・三パーセント）の割合を乗じて計算した延滞金を徴収する。ただし、次の各号のいずれかに該当する場合又は滞納につきやむを得ない事情があると認められる場合は、この限りでない。
art-181/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-1
When payment is demanded pursuant to the provisions of paragraph (1) of the preceding Article, the insurer collects delinquent charges that are calculated by multiplying the money to be collected by 14.6% per year (if the demand pertains to insurance premiums, 7.3% per year for the period from the day following the due date to the day when three months have elapsed) in accordance with the number of days from the date following the due date of the payment until the date of full payment or the date prior to the date of attachment of property; provided, however, this does not apply in the case of any of the following items or when unavoidable reasons for the delinquency are found:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 徴収金額が千円未満であるとき。
art-181/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-1/item-1
the amount of money to be collected is less than 1,000 yen;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 納期を繰り上げて徴収するとき。
art-181/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-1/item-2
the money is collected before the due date; or
Ministry of Justice translation — Japanese Law Translation Database System
**三** 納付義務者の住所若しくは居所が国内にないため、又はその住所及び居所がいずれも明らかでないため、公示送達の方法によって督促をしたとき。
art-181/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-1/item-3
the demand was made through service by publication since the domicile or residence of the person obliged to pay is located outside Japan or both the domicile and residence are unknown.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、徴収金額の一部につき納付があったときは、その納付の日以後の期間に係る延滞金の計算の基礎となる徴収金は、その納付のあった徴収金額を控除した金額による。
art-181/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-2
In case of the preceding paragraph, when a portion of the amount to be collected is paid, the amount to be collected that is the principal amount for the calculation of the delinquent charges pertaining to the period after the date of the payment is the amount remaining after deducting the amount of the payment from the amount to be collected.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 延滞金を計算するに当たり、徴収金額に千円未満の端数があるときは、その端数は、切り捨てる。
art-181/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-3
In calculating the delinquent charges, the amount of the money collected is to be rounded down to the nearest 1,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 督促状に指定した期限までに徴収金を完納したとき、又は前三項の規定によって計算した金額が百円未満であるときは、延滞金は、徴収しない。
art-181/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-4
No delinquent charges are collected when the money to be collected is paid in full by the due date specified in the demand note, or when the amount calculated pursuant to the provisions of the preceding three paragraphs is less than 100 yen.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 延滞金の金額に百円未満の端数があるときは、その端数は、切り捨てる。
art-181/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181/par-5
The amount of delinquent charges is to be rounded down to the nearest.100 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十一条の二（協会による広報及び保険料の納付の勧奨等） — (Public Relations and Recommendation of Payment of Insurance Premiums by JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-181-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-2
**第一項** 協会は、その管掌する健康保険の事業の円滑な運営が図られるよう、当該事業の意義及び内容に関する広報を実施するとともに、保険料の納付の勧奨その他厚生労働大臣の行う保険料の徴収に係る業務に対する適切な協力を行うものとする。
art-181-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-2/par-1
In order to facilitate smooth operation of the health insurance business that JHIA administers, JHIA is to conduct public relations on the significance and content of the business, while appropriately cooperating with the Minister of Health, Labour and Welfare in recommending the payment of insurance premiums and in conducting other affairs pertaining to the collection of insurance premiums.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十一条の三（協会による保険料の徴収） — (Insurance Premium Collection by JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-181-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3
**第一項** 厚生労働大臣は、協会と協議を行い、効果的な保険料の徴収を行うために必要があると認めるときは、協会に保険料の滞納者に関する情報その他必要な情報を提供するとともに、当該滞納者に係る保険料の徴収を行わせることができる。
art-181-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3/par-1
When discussing with JHIA and finding it necessary for the effective collection of insurance premiums, the Minister of Health, Labour and Welfare may provide information to JHIA on persons delinquent in payment of insurance premiums and other necessary information, and have JHIA collect insurance premiums pertaining to those persons.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣は、前項の規定により協会に滞納者に係る保険料の徴収を行わせることとしたときは、当該滞納者に対し、協会が当該滞納者に係る保険料の徴収を行うこととなる旨その他の厚生労働省令で定める事項を通知しなければならない。
art-181-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3/par-2
When the Minister of Health, Labour and Welfare decides to have JHIA collect insurance premiums pertaining to persons delinquent in payment pursuant to the provisions of the preceding paragraph, the Minister must notify the persons delinquent in payment to the effect that JHIA will collect the insurance premiums and of other matters specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の規定により協会が保険料の徴収を行う場合においては、協会を保険者等とみなして、第百八十条及び第百八十一条の規定を適用する。
art-181-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3/par-3
When JHIA collects insurance premiums pursuant to the provisions of paragraph (1), JHIA is deemed to be the insurer, and the provisions of Article 180 and Article 181 apply.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 第一項の規定により協会が保険料を徴収したときは、その徴収した額に相当する額については、第百五十五条の二の規定により、政府から協会に対し、交付されたものとみなす。
art-181-3/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3/par-4
When JHIA collects insurance premiums pursuant to the provisions of paragraph (1), an amount equivalent to the collected amount is deemed to have been delivered from the government to JHIA pursuant to the provisions of Article 155-2.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When JHIA collects insurance premiums pursuant to the provisions of paragraph (1), an amount equivalent to the collected amount is deemed to have been delivered from the government to JHIA pursuant to the provisions of Article 155, paragraph (2)." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第五項** 前各項に定めるもののほか、協会による保険料の徴収に関し必要な事項は、政令で定める。
art-181-3/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-181-3/par-5
Beyond what is provided for in the preceding paragraphs of this Article, other necessary matters pertaining to the collection of insurance premiums by JHIA are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十二条（先取特権の順位） — (Lien Priority)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-182 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-182
**第一項** 保険料等の先取特権の順位は、国税及び地方税に次ぐものとする。
art-182/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-182/par-1
A lien for insurance premiums, etc. is after national tax and local tax in terms of priority.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十三条（徴収に関する通則） — (General Rules Concerning Collection)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-183 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-183
**第一項** 保険料等は、この法律に別段の規定があるものを除き、国税徴収の例により徴収する。
art-183/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-183/par-1
Insurance premiums, etc. are collected as governed by the same rules as national tax, unless otherwise prescribed by this Act.
Ministry of Justice translation — Japanese Law Translation Database System
## 第八章 健康保険組合連合会 — Chapter VIII Federation of Health Insurance Societies
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-8
### 第百八十四条（設立、人格及び名称） — (Establishment, Personality and Name)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-184 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-184
**第一項** 健康保険組合は、共同してその目的を達成するため、健康保険組合連合会（以下「連合会」という。）を設立することができる。
art-184/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-184/par-1
Health insurance societies may establish a federation of health insurance societies (hereinafter referred to as a "federation") to achieve their purpose jointly.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 連合会は、法人とする。
art-184/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-184/par-2
A federation is a corporation.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 連合会は、その名称中に健康保険組合連合会という文字を用いなければならない。
art-184/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-184/par-3
A federation must use the characters健康保険組合連合会 (meaning "federation of health insurance societies" and pronounced "kenko hoken kumiai rengoukai") in its name.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 連合会でない者は、健康保険組合連合会という名称を用いてはならない。
art-184/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-184/par-4
No person other than the federation may use the name 健康保険組合連合会"federation of health insurance societies".
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十五条（設立の認可等） — (Authorization of Establishment)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-185 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-185
**第一項** 連合会を設立しようとするときは、規約を作り、厚生労働大臣の認可を受けなければならない。
art-185/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-185/par-1
When health insurance societies intend to establish a federation, they must prepare its constitution and obtain authorization therefor from the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 連合会は、設立の認可を受けた時に成立する。
art-185/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-185/par-2
A federation is incorporated at the time of authorization of its establishment.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、健康保険組合に対し、組合員である被保険者の共同の福祉を増進するため必要があると認めるときは、連合会に加入することを命ずることができる。
art-185/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-185/par-3
When finding it necessary for promoting the common welfare of insured persons who are members of a health insurance society, the Minister of Health, Labour and Welfare may order the health insurance society to join a federation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十六条（規約の記載事項） — (Particulars to be Included in the Constitution)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-186 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186
**第一項** 連合会は、規約において、次に掲げる事項を定めなければならない。
art-186/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1
A federation must specify the particulars listed below in its constitution:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 目的及び事業
art-186/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-1
its purpose and business;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 名称
art-186/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-2
its name;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 事務所の所在地
art-186/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-3
the location of its office;
Ministry of Justice translation — Japanese Law Translation Database System
**四** 総会に関する事項
art-186/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-4
particulars relating to general meetings;
Ministry of Justice translation — Japanese Law Translation Database System
**五** 役員に関する事項
art-186/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-5
particulars relating to officers;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 会員の加入及び脱退に関する事項
art-186/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-6
particulars relating to the joining and withdrawal of members;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 資産及び会計に関する事項
art-186/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-7
particulars relating to assets and accounting;
Ministry of Justice translation — Japanese Law Translation Database System
**八** 公告に関する事項
art-186/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-8
particulars relating to giving public notice; and
Ministry of Justice translation — Japanese Law Translation Database System
**九** 前各号に掲げる事項のほか、厚生労働省令で定める事項
art-186/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-186/par-1/item-9
beyond the particulars listed in the preceding items, particulars specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十七条（役員） — (Officers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-187 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187
**第一項** 連合会に、役員として会長、副会長、理事及び監事を置く。
art-187/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187/par-1
A federation has a president, vice presidents, directors and auditors as officers.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 会長は、連合会を代表し、その業務を執行する。
art-187/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187/par-2
The president represents the federation and executes its operations.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 副会長は、会長を補佐して連合会の業務を執行し、会長に事故があるときはその職務を代理し、会長が欠員のときはその職務を行う。
art-187/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187/par-3
The vice presidents assist the president in administering the operations of the federation and perform the president's duties if the president is incapacitated or when the post is vacant.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 理事は、会長の定めるところにより、会長及び副会長を補佐して連合会の業務を掌理し、会長及び副会長に事故があるときはその職務を代理し、会長及び副会長が欠員のときはその職務を行う。
art-187/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187/par-4
The directors assist the president and vice presidents, as specified by the president, in administering the operations of the federation, perform the duties of the president and vice presidents if they are incapacitated or when the posts are vacant.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 監事は、連合会の業務の執行及び財産の状況を監査する。
art-187/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-187/par-5
An auditor audits the performance of the business and status of the property of the federation.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百八十八条（準用） — (Application Mutatis Mutandis)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-188 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-188
**第一項** 第七条の三十八、第七条の三十九、第九条第二項、第十六条第二項及び第三項、第十八条第一項及び第二項、第十九条、第二十条、第二十六条第一項（第二号に係る部分を除く。）及び第二項、第二十九条第二項、第三十条、第百五十条並びに第百九十五条の規定は、連合会について準用する。この場合において、これらの規定中「組合会」とあるのは「総会」と、第七条の三十九第一項中「厚生労働大臣は」とあるのは「厚生労働大臣は、第百八十八条において準用する前条の規定により報告を徴し、又は質問し、若しくは検査した場合において」と、「定款」とあるのは「規約」と、第十六条第二項中「前項」とあるのは「第百八十六条」と、第二十九条第二項中「前項」とあるのは「第百八十八条」と、「前条第二項の規定に違反した指定健康保険組合、同条第三項の求めに応じない指定健康保険組合その他政令で定める指定健康保険組合の事業」とあるのは「その事業」と、第百五十条第二項中「前項の規定により被保険者等の健康の保持増進のために必要な事業」とあるのは「前項の事業」と、「被保険者等を」とあるのは「健康保険組合又は被保険者等を」と、「又は」とあるのは「若しくは」と、「同法」とあるのは「それぞれ当該健康保険組合が保存している医療保険等関連情報（高齢者の医療の確保に関する法律第十六条第一項に規定する医療保険等関連情報をいう。次項及び第四項において同じ。）又は労働安全衛生法」と、同条第三項中「労働安全衛生法」とあるのは「医療保険等関連情報の提供を求められた健康保険組合又は労働安全衛生法」と、「当該」とあるのは「当該医療保険等関連情報又は当該」と、同条第四項中「高齢者の医療の確保に関する法律第十六条第一項に規定する」とあるのは「健康保険組合から提供を受けた」と読み替えるものとする。
art-188/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-188/par-1
The provisions of Article 7-38, Article 7-39, Article 9, paragraph (2), Article 16, paragraphs (2) and (3), Article 18, paragraphs (1) and (2), Article 19, Article 20, Article 26, paragraph (1) (excluding the part concerning item (ii)) and paragraph (2), Article 29, paragraph (2), Article 30, Article 150, and Article 195 apply mutatis mutandis to a federation. In this case, the phrase "society meeting" in those provisions is deemed to be replaced with "general meeting", "If the Minister of Health, Labour and Welfare finds" in Article 7-39, paragraph (1) is deemed to be replaced with "If the Minister of Health, Labour and Welfare finds, when collecting reports, raising questions, or conducting inspection pursuant to the provisions of the preceding Article as applied mutatis mutandis pursuant to Article 188," "articles of incorporation" in the same paragraph is deemed to be replaced with "constitution", "the preceding paragraph" in Article 16, paragraph (2) is deemed to be replaced with "Article 186", "the preceding paragraph" in Article 29, paragraph (2) is deemed to be replaced with "Article 188", "a designated health insurance society which has violated the provisions of paragraph (2) of the preceding Article, of a designated health insurance society which fails to follow the request referred to in paragraph (3) of the same Article, or of another designated health insurance society as specified by Cabinet Order" in the same paragraph is deemed to be replaced with "a health insurance society", "the services necessary for maintaining and promoting the health of insured persons, etc. pursuant to the provisions of the preceding paragraph" in Article 150, paragraph (2) is deemed to be replaced with "the services referred to in the preceding paragraph", "employs insured persons, etc." in the same paragraph is deemed to be replaced with "employs health insurance societies or insured persons, etc.", the term "又は" (or) in the same paragraph is deemed to be replaced with "若しくは" (or, joining a smaller group of alternatives), "that Act" in the same paragraph is deemed to be replaced with "the medical insurance-related information (meaning the medical insurance-related information prescribed in Article 16, paragraph (1) of the Act on Assurance of Medical Care for Elderly People; the same applies in the following paragraph and paragraph (4)) that the relevant health insurance society keeps, or the Industrial Safety and Health Act, respectively", "the Industrial Safety and Health Act" in paragraph (3) of that Article is deemed to be replaced with "a health insurance society requested to provide medical insurance-related information or the Industrial Safety and Health Act", "those records" in the same paragraph is deemed to be replaced with "that medical insurance-related information or those records", and "prescribed in Article 16, paragraph (1) of the Act on Assurance of Medical Care for Elderly People" in paragraph (4) of that Article is deemed to be replaced with "provided by a health insurance society".
machine translation, not official
## 第九章 不服申立て — Chapter IX Appeals
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-9
### 第百八十九条（審査請求及び再審査請求） — (Applications for Examination or Reexamination)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-189 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-189
**第一項** 被保険者の資格、標準報酬又は保険給付に関する処分に不服がある者は、社会保険審査官に対して審査請求をし、その決定に不服がある者は、社会保険審査会に対して再審査請求をすることができる。
art-189/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-189/par-1
A person who has an objection to a disposition relating to eligibility as an insured person, standard remuneration, or insurance benefits may request a social insurance examiner to conduct an examination, and if the person has any objection to the examiner's determination, the person may request the Social Insurance Examination Committee to conduct a re-examination.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 審査請求をした日から二月以内に決定がないときは、審査請求人は、社会保険審査官が審査請求を棄却したものとみなすことができる。
art-189/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-189/par-2
If a determination has not been made within two months from the date on which a request for examination was made, the applicant may deem that the social insurance examiner has dismissed the request.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 第一項の審査請求及び再審査請求は、時効の完成猶予及び更新に関しては、裁判上の請求とみなす。
art-189/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-189/par-3
The request for examination and the request for re-examination referred to in paragraph (1) are deemed to be a judicial claim with regard to the postponement of the completion of prescription and the renewal of prescription.
machine translation, not official
**第四項** 被保険者の資格又は標準報酬に関する処分が確定したときは、その処分についての不服を当該処分に基づく保険給付に関する処分についての不服の理由とすることができない。
art-189/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-189/par-4
When a disposition for eligibility or standard remuneration of an insured person becomes final and binding, an objection to the disposition may not be permitted as a reason for an objection to a disposition for the payment of insurance benefits based on the final and binding disposition.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十条
art-190 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-190
**第一項** 保険料等の賦課若しくは徴収の処分又は第百八十条の規定による処分に不服がある者は、社会保険審査会に対して審査請求をすることができる。
art-190/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-190/par-1
A person who has an objection to an imposition of insurance premiums, etc., a disposition of collection, or a disposition pursuant to the provisions of Article 180 may request the Social Insurance Examination Committee to conduct an examination.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十一条（行政不服審査法の適用関係） — (Application of the Administrative Appeal Act)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-191 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-191
**第一項** 前二条の審査請求及び第百八十九条第一項の再審査請求については、行政不服審査法（平成二十六年法律第六十八号）第二章（第二十二条を除く。）及び第四章の規定は、適用しない。
art-191/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-191/par-1
Chapter II (excluding Article 22) and Chapter IV of the Administrative Appeal Act (Act No. 68 of 1951) do not apply to the provisions pertaining to application for examination referred to in the preceding two Articles or application for re-examination referred to in Article 189, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十二条（審査請求と訴訟との関係） — (Relationship between Application for Examination and Litigation)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-192 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-192
**第一項** 第百八十九条第一項に規定する処分の取消しの訴えは、当該処分についての審査請求に対する社会保険審査官の決定を経た後でなければ、提起することができない。
art-192/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-192/par-1
An action for rescission of a disposition prescribed in Article 189, paragraph (1) may not be filed until a ruling with regard to the application for examination pertaining to the disposition has been determined by a social insurance examiner.
Ministry of Justice translation — Japanese Law Translation Database System
## 第十章 雑則 — Chapter X Miscellaneous Provisions
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-10
### 第百九十三条（時効） — (Prescription)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-193 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-193
**第一項** 保険料等を徴収し、又はその還付を受ける権利及び保険給付を受ける権利は、これらを行使することができる時から二年を経過したときは、時効によって消滅する。
art-193/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-193/par-1
The right to collect insurance premiums, etc. or to receive a refund thereof, and the right to receive an insurance benefit expire by prescription when two years have elapsed from the time when those rights become exercisable.
machine translation, not official
**第二項** 保険料等の納入の告知又は督促は、時効の更新の効力を有する。
art-193/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-193/par-2
A notice of payment or a demand for payment of insurance premiums, etc. has the effect of renewal of prescription.
machine translation, not official
### 第百九十四条（期間の計算） — (Calculation of Period)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-194 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194
**第一項** この法律又はこの法律に基づく命令に規定する期間の計算については、民法（明治二十九年法律第八十九号）の期間に関する規定を準用する。
art-194/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194/par-1
The provisions of the Civil Code (Act No. 89 of 1896) concerning periods apply mutatis mutandis to the calculation of periods prescribed in this Act or orders based on this Act.
machine translation, not official
### 第百九十四条の二（被保険者等記号・番号等の利用制限等） — Restrictions, etc. on Use of Insured Person's Symbol and Number, etc.
caption: machine translation, not official
art-194-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2
**第一項** 厚生労働大臣、保険者、保険医療機関等、指定訪問看護事業者その他の健康保険事業又は当該事業に関連する事務の遂行のため保険者番号及び被保険者等記号・番号（以下この条において「被保険者等記号・番号等」という。）を利用する者として厚生労働省令で定める者（以下この条において「厚生労働大臣等」という。）は、当該事業又は事務の遂行のため必要がある場合を除き、何人に対しても、その者又はその者以外の者に係る被保険者等記号・番号等を告知することを求めてはならない。
art-194-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-1
The Minister of Health, Labour and Welfare, insurers, medical institutions providing services covered by health insurance, etc., designated home-nursing providers, and other persons specified by Order of the Ministry of Health, Labour and Welfare as persons who use the insurer number and insured person's symbol and number (hereinafter in this Article referred to as "insured person's symbol and number, etc.") for the performance of health insurance services or affairs related to those services (hereinafter in this Article referred to as the "Minister of Health, Labour and Welfare, etc.") must not request anyone to disclose the insured person's symbol and number, etc. pertaining to that person or a person other than that person, except where necessary for the performance of those services or affairs.
machine translation, not official
**第二項** 厚生労働大臣等以外の者は、健康保険事業又は当該事業に関連する事務の遂行のため被保険者等記号・番号等の利用が特に必要な場合として厚生労働省令で定める場合を除き、何人に対しても、その者又はその者以外の者に係る被保険者等記号・番号等を告知することを求めてはならない。
art-194-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-2
A person other than the Minister of Health, Labour and Welfare, etc. must not request anyone to disclose the insured person's symbol and number, etc. pertaining to that person or a person other than that person, except in a case specified by Order of the Ministry of Health, Labour and Welfare as a case where the use of the insured person's symbol and number, etc. is particularly necessary for the performance of health insurance services or affairs related to those services.
machine translation, not official
**第三項** 何人も、次に掲げる場合を除き、その者が業として行う行為に関し、その者に対し売買、貸借、雇用その他の契約（以下この項において「契約」という。）の申込みをしようとする者若しくは申込みをする者又はその者と契約の締結をした者に対し、当該者又は当該者以外の者に係る被保険者等記号・番号等を告知することを求めてはならない。
art-194-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-3
No person may, except in the following cases, with regard to an act that the person conducts as a business, request a person who intends to make an application for a contract of sale, lease, employment, or otherwise (hereinafter in this paragraph referred to as a "contract") with the person, a person who makes such an application, or a person who has concluded a contract with the person, to disclose the insured person's symbol and number, etc. pertaining to the person requested or a person other than the person requested.
machine translation, not official
**一** 厚生労働大臣等が、第一項に規定する場合に、被保険者等記号・番号等を告知することを求めるとき。
art-194-2/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-3/item-1
where the Minister of Health, Labour and Welfare, etc. requests the disclosure of the insured person's symbol and number, etc. in a case prescribed in paragraph (1);
machine translation, not official
**二** 厚生労働大臣等以外の者が、前項に規定する厚生労働省令で定める場合に、被保険者等記号・番号等を告知することを求めるとき。
art-194-2/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-3/item-2
where a person other than the Minister of Health, Labour and Welfare, etc. requests the disclosure of the insured person's symbol and number, etc. in a case specified by Order of the Ministry of Health, Labour and Welfare prescribed in the preceding paragraph.
machine translation, not official
**第四項** 何人も、次に掲げる場合を除き、業として、被保険者等記号・番号等の記録されたデータベース（その者以外の者に係る被保険者等記号・番号等を含む情報の集合物であって、それらの情報を電子計算機を用いて検索することができるように体系的に構成したものをいう。）であって、当該データベースに記録された情報が他に提供されることが予定されているもの（以下この項において「提供データベース」という。）を構成してはならない。
art-194-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-4
No person may, except in the following cases, constitute as a business a database in which the insured person's symbol and number, etc. are recorded (meaning a collection of information including the insured person's symbol and number, etc. pertaining to persons other than that person, systematically structured so that such information can be retrieved using a computer) and in which the information recorded is intended to be provided to others (hereinafter in this paragraph referred to as a "database for provision").
machine translation, not official
**一** 厚生労働大臣等が、第一項に規定する場合に、提供データベースを構成するとき。
art-194-2/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-4/item-1
where the Minister of Health, Labour and Welfare, etc. constitutes a database for provision in a case prescribed in paragraph (1);
machine translation, not official
**二** 厚生労働大臣等以外の者が、第二項に規定する厚生労働省令で定める場合に、提供データベースを構成するとき。
art-194-2/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-4/item-2
where a person other than the Minister of Health, Labour and Welfare, etc. constitutes a database for provision in a case specified by Order of the Ministry of Health, Labour and Welfare prescribed in paragraph (2).
machine translation, not official
**第五項** 厚生労働大臣は、前二項の規定に違反する行為が行われた場合において、当該行為をした者が更に反復してこれらの規定に違反する行為をするおそれがあると認めるときは、当該行為をした者に対し、当該行為を中止することを勧告し、又は当該行為が中止されることを確保するために必要な措置を講ずることを勧告することができる。
art-194-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-5
When an act in violation of the provisions of the preceding two paragraphs has been committed and the Minister of Health, Labour and Welfare finds that the person who committed the act is likely to commit further acts in violation of those provisions repeatedly, the Minister may recommend that the person who committed the act cease the act, or recommend that the person take measures necessary to ensure that the act is ceased.
machine translation, not official
**第六項** 厚生労働大臣は、前項の規定による勧告を受けた者がその勧告に従わないときは、その者に対し、期限を定めて、当該勧告に従うべきことを命ずることができる。
art-194-2/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-2/par-6
When a person who has received a recommendation pursuant to the provisions of the preceding paragraph does not comply with the recommendation, the Minister of Health, Labour and Welfare may, by specifying a time limit, order that person to comply with the recommendation.
machine translation, not official
### 第百九十四条の三（報告及び検査） — Reports and Inspections
caption: machine translation, not official
art-194-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-3
**第一項** 厚生労働大臣は、前条第五項及び第六項の規定による措置に関し必要があると認めるときは、その必要と認められる範囲内において、同条第三項若しくは第四項の規定に違反していると認めるに足りる相当の理由がある者に対し、必要な事項に関し報告を求め、又は当該職員に当該者の事務所若しくは事業所に立ち入って質問させ、若しくは帳簿書類その他の物件を検査させることができる。
art-194-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-3/par-1
When the Minister of Health, Labour and Welfare finds it necessary with regard to the measures pursuant to the provisions of paragraphs (5) and (6) of the preceding Article, the Minister may, within the scope found necessary, request a report on necessary matters from a person for whom there are reasonable grounds to find that the person is in violation of the provisions of paragraph (3) or (4) of that Article, or have an official enter the offices or places of business of that person to question the person or inspect record books, documents and other objects.
machine translation, not official
**第二項** 第七条の三十八第二項の規定は前項の規定による質問又は検査について、同条第三項の規定は前項の規定による権限について、それぞれ準用する。
art-194-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-194-3/par-2
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions or inspections under the provisions of the preceding paragraph, and the provisions of paragraph (3) of that Article apply mutatis mutandis to the authority under the provisions of the preceding paragraph.
machine translation, not official
### 第百九十五条（印紙税の非課税） — (Stamp Tax Exemption)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-195 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-195
**第一項** 健康保険に関する書類には、印紙税を課さない。
art-195/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-195/par-1
No stamp tax is imposed on documents relating to health insurance.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十六条（戸籍事項の無料証明） — (Free Certification of Family Registers)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-196 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-196
**第一項** 市町村長（特別区の区長を含むものとし、地方自治法第二百五十二条の十九第一項の指定都市にあっては、区長又は総合区長とする。第二百三条において同じ。）は、保険者又は保険給付を受けるべき者に対して、当該市町村（特別区を含む。）の条例で定めるところにより、被保険者又は被保険者であった者の戸籍に関し、無料で証明を行うことができる。
art-196/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-196/par-1
The mayor of a municipality (including the mayor of a special ward, and in the case of a designated city referred to in Article 252-19, paragraph (1) of the Local Autonomy Act, the mayor of a ward or mayor of a consolidated ward; the same applies in Article 203) may issue a certificate concerning the family register of a person who is or was an insured person to an insurer or a person to be granted insurance benefits, as specified by ordinance of the municipality (including a special ward).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定は、被扶養者に係る保険給付を行う場合においては、被扶養者又は被扶養者であった者の戸籍について準用する。
art-196/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-196/par-2
In the case of providing an insurance benefit pertaining to a dependent, the provisions of the preceding paragraph apply mutatis mutandis to the family register of the dependent or person who was the dependent.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十七条（報告等） — (Reports)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-197 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-197
**第一項** 保険者（厚生労働大臣が行う第五条第二項及び第百二十三条第二項に規定する業務に関しては、厚生労働大臣。次項において同じ。）は、厚生労働省令で定めるところにより、被保険者を使用する事業主に、第四十八条に規定する事項以外の事項に関し報告をさせ、又は文書を提示させ、その他この法律の施行に必要な事務を行わせることができる。
art-197/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-197/par-1
An insurer (the Minister of Health, Labor and Welfare with respect to affairs administered by the Minister of Health, Labor and Welfare as prescribed in Article 5, paragraph (2) and Article 123, paragraph (2); the same applies in the following paragraph) may have the employer of an insured person report on matters other than those prescribed in Article 48, present a document, or administer other affairs necessary for enforcing this Act as specified by Order of the Ministry of Health, Labor and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 保険者は、厚生労働省令で定めるところにより、被保険者（日雇特例被保険者であった者を含む。）又は保険給付を受けるべき者に、保険者又は事業主に対して、この法律の施行に必要な申出若しくは届出をさせ、又は文書を提出させることができる。
art-197/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-197/par-2
An insurer may have an insured person (including former specially-insured day laborers) or a person who is to receive insurance benefits make a request or a notification, or submit documents necessary for the enforcement of this Act to the insurer or employer, as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十八条（立入検査等） — (On-site Inspections)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-198 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-198
**第一項** 厚生労働大臣は、被保険者の資格、標準報酬、保険料又は保険給付に関して必要があると認めるときは、事業主に対し、文書その他の物件の提出若しくは提示を命じ、又は当該職員をして事業所に立ち入って関係者に質問し、若しくは帳簿書類その他の物件を検査させることができる。
art-198/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-198/par-1
When the Minister of Health, Labour and Welfare finds it necessary in relation to an insured person's eligibility, standard remuneration, insurance premiums, or insurance benefits, the Minister may order the employer to submit or present documents or other objects, or have the ministry's official enter the business site to ask the persons concerned questions or to inspect record books, documents, and other objects.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 第七条の三十八第二項の規定は前項の規定による質問又は検査について、同条第三項の規定は前項の規定による権限について準用する。
art-198/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-198/par-2
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions or inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (3) of the same Article apply mutatis mutandis to the authority pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第百九十九条（資料の提供） — (Provision of Materials)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-199 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-199
**第一項** 厚生労働大臣は、被保険者の資格、標準報酬又は保険料に関し必要があると認めるときは、官公署に対し、事業所の名称、所在地その他必要な資料の提供を求め、又は銀行、信託会社その他の機関に対し、被保険者若しくは被保険者であると認められる者の収入の状況その他の事項につき、報告を求めることができる。
art-199/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-199/par-1
When the Minister of Health, Labour and Welfare finds it necessary in relation to an insured person's eligibility, standard remuneration amount, or insurance premiums, the Minister may request a public agency to provide the name, location, and other necessary materials of a place of business, or request a bank, trust company, or other institution to make a report on the status of income of an insured person or a person found to be an insured person and other matters.
machine translation, not official
**第二項** 厚生労働大臣は、第六十三条第三項第一号又は第八十八条第一項の指定に関し必要があると認めるときは、当該指定に係る開設者若しくは管理者又は申請者の社会保険料の納付状況につき、当該社会保険料を徴収する者に対し、必要な書類の閲覧又は資料の提供を求めることができる。
art-199/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-199/par-2
When the Minister of Health, Labour and Welfare finds it necessary in relation to a designation referred to in Article 63, paragraph (3), item (i) or Article 88, paragraph (1), the Minister may request the person who collects the social insurance premiums to provide access to necessary documents or to provide materials about the status of payment of the social insurance premiums of the establisher or administrator to which the designation pertains or the applicant.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When the Minister of Health, Labour and Welfare finds it necessary in relation to a designation referred to in Article 63, paragraph (3), item (i) or Article 88, paragraph (1), the Minister may request the establisher or administrator to which the designation pertains or the person who collects the applicant's social insurance premiums to provide access to necessary documents or to provide materials about the status of payment." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第百九十九条の二（厚生労働大臣と協会の連携） — (Coordination between the Minister of Health, Labour and Welfare and Association)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-199-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-199-2
**第一項** 厚生労働大臣及び協会は、この法律に基づく協会が管掌する健康保険の事業が、適正かつ円滑に行われるよう、必要な情報交換を行う等、相互の緊密な連携の確保に努めるものとする。
art-199-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-199-2/par-1
The Minister of Health, Labour and Welfare and JHIA are to endeavor to ensure mutual close cooperation including the exchange of necessary information to enable the health insurance services administered by JHIA based on this Act to be provided appropriately and smoothly.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百条（共済組合に関する特例） — (Special Provisions Concerning Mutual Aid Associations)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-200 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-200
**第一項** 国に使用される被保険者、地方公共団体の事務所に使用される被保険者又は法人に使用される被保険者であって共済組合の組合員であるものに対しては、この法律による保険給付は、行わない。
art-200/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-200/par-1
Insurance benefits pursuant to this Act are not provided to insured persons employed by the government, insured persons employed at offices of local governments, or insured persons who are employed by a corporation and are members of a mutual aid association.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 共済組合の給付の種類及び程度は、この法律の給付の種類及び程度以上であることを要する。
art-200/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-200/par-2
The type and level of benefits from a mutual aid association must not be lower than the type and level of benefits referred to in this Act.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百一条
art-201 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-201
**第一項** 厚生労働大臣は、共済組合について、必要があると認めるときは、その事業及び財産に関する報告を徴し、又はその運営に関する指示をすることができる。
art-201/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-201/par-1
When the Minister of Health, Labour, and Welfare finds it necessary in relation to a mutual aid association, the Minister may collect reports on the business and property thereof and give instructions on the operations thereof.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百二条
art-202 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-202
**第一項** 第二百条第一項の規定により保険給付を受けない者に関しては、保険料を徴収しない。
art-202/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-202/par-1
No insurance premiums are collected with respect to persons who do not receive insurance benefits pursuant to the provisions of Article 200, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百三条（市町村が処理する事務等） — (Affairs Handled by Municipalities)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-203 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-203
**第一項** 日雇特例被保険者の保険の保険者の事務のうち厚生労働大臣が行うものの一部は、政令で定めるところにより、市町村長が行うこととすることができる。
art-203/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-203/par-1
Some of the affairs concerning insurers covering specially-insured day laborers that are administered by the Minister of Health, Labour and Welfare may be administered by the mayor of a municipality as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 協会は、市町村（特別区を含む。）に対し、政令で定めるところにより、日雇特例被保険者の保険の保険者の事務のうち協会が行うものの一部を委託することができる。
art-203/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-203/par-2
JHIA may delegate some of the affairs concerning insurers of specially-insured day laborers that are administered by JHIA to municipalities (including special wards), as specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条（機構への厚生労働大臣の権限に係る事務の委任） — (Delegation of Affairs under the Authority of the Minister of Health, Labour and Welfare to an Organization)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204
**第一項** 次に掲げる厚生労働大臣の権限に係る事務（第百八十一条の三第一項の規定により協会が行うこととされたもの、前条第一項の規定により市町村長が行うこととされたもの及び第二百四条の七第一項に規定するものを除く。）は、日本年金機構（以下「機構」という。）に行わせるものとする。ただし、第十八号から第二十号までに掲げる権限は、厚生労働大臣が自ら行うことを妨げない。
art-204/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1
The following affairs under the authority of the Minister of Health, Labour and Welfare (excluding those to be administered by JHIA pursuant to the provisions of Article 181-3, paragraph (1), those to be administered by the mayor of a municipality pursuant to the provisions of the preceding Article, paragraph (1), and those prescribed in Article 204-7, paragraph (1)) are to be administered by the Japan Pension Service (hereinafter referred to as "JPS"); however, the authorities listed in items (xviii) through (xx) do not preclude the Minister of Health, Labour and Welfare from personally administering the affairs:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第三条第一項第八号の規定による申出の受理
art-204/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-1
acceptance of a request pursuant to the provisions of Article 3, paragraph (1), item (viii);
machine translation, not official
**二** 第三条第二項ただし書（同項第一号及び第二号に係る部分に限る。）の規定による承認
art-204/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-2
approval pursuant to the proviso to Article 3, paragraph (2) (limited to the portion pertaining to items (i) and (ii) of the same paragraph);
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第三十一条第一項及び第三十三条第一項の規定による認可（健康保険組合に係る場合を除く。）、第三十四条第一項の規定による承認（健康保険組合に係る場合を除く。）並びに第三十一条第二項及び第三十三条第二項の規定による申請の受理（健康保険組合に係る場合を除く。）
art-204/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-3
authorization pursuant to the provisions of Article 31, paragraph (1) and Article 33, paragraph (1) (excluding those pertaining to health insurance societies), approval pursuant to the provisions of Article 34, paragraph (1) (excluding those pertaining to health insurance societies), and acceptance of requests pursuant to the provisions Article 31, paragraph (2) and Article 33, paragraph (2) (excluding those pertaining to health insurance societies);
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "authorization pursuant to the provisions of Article 31, paragraph (1) and Article 33, paragraph (1) (excluding those pertaining to health insurance societies), approval pursuant to the provisions of Article 34, paragraph (1) (excluding those pertaining to health insurance societies), and acceptance of requests pursuant to the provisions Article 30, paragraph (2) and Article 33, paragraph (2) (excluding those pertaining to health insurance societies);" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**四** 第三十九条第一項の規定による確認
art-204/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-4
confirmation pursuant to the provisions of Article 39, paragraph (1);
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第四十一条第一項、第四十二条第一項、第四十三条第一項、第四十三条の二第一項及び第四十三条の三第一項の規定による標準報酬月額の決定又は改定（第四十三条の二第一項及び第四十三条の三第一項の規定による申出の受理を含み、第四十四条第一項の規定により算定する額を報酬月額として決定又は改定する場合を含む。）
art-204/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-5
determination or revision of standard monthly remuneration amounts pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), Article 43-2, paragraph (1), and Article 43-3, paragraph (1) (including acceptance of a request pursuant to Article 43-2, paragraph (1) and Article 43-3, paragraph (1), and including a case where an amount calculated is determined or revised as a monthly standard remuneration pursuant to Article 44, paragraph (1));
Ministry of Justice translation — Japanese Law Translation Database System
**六** 第四十五条第一項の規定による標準賞与額の決定（同条第二項において準用する第四十四条第一項の規定により算定する額を標準賞与額として決定する場合を含む。）
art-204/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-6
determination of amounts of standard bonus pursuant to the provisions of Article 45, paragraph (1) (including when an amount is determined by calculating pursuant to the provisions of Article 44, paragraph (1) as applied mutatis mutandis to paragraph (2) of Article 45);
Ministry of Justice translation — Japanese Law Translation Database System
**七** 第四十八条（第百六十八条第二項において準用する場合を含む。）の規定による届出の受理及び第五十条第一項の規定による通知
art-204/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-7
acceptance of requests pursuant to the provisions of Article 48 (including when applied mutatis mutandis to Article 168, paragraph (2)) and giving notifications pursuant to the provisions of Article 50, paragraph (1);
Ministry of Justice translation — Japanese Law Translation Database System
**八** 第四十九条第一項の規定による認可に係る通知（健康保険組合に係る場合を除く。）、同条第三項の規定による届出の受理（健康保険組合に係る場合を除く。）並びに同条第四項及び第五項の規定による公告（健康保険組合に係る場合を除く。）
art-204/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-8
giving notice pertaining to authorization pursuant to the provisions of Article 49, paragraph (1) (excluding those pertaining to health insurance societies), acceptance of notifications pursuant to the provisions paragraph (3) of the same Article (excluding those pertaining to health insurance societies), and giving public notice pursuant to the provisions of paragraphs (4) and (5) of the same Article (excluding those pertaining to health insurance societies);
Ministry of Justice translation — Japanese Law Translation Database System
**九** 第四十九条第一項の規定による確認又は標準報酬の決定若しくは改定に係る通知、同条第三項（第五十条第二項において準用する場合を含む。）の規定による届出の受理並びに第四十九条第四項及び第五項（第五十条第二項においてこれらの規定を準用する場合を含む。）の規定による公告
art-204/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-9
confirmation or giving notice about determination or revision of standard remuneration pursuant to the provisions of Article 49, paragraph (1), acceptance of notifications pursuant to the provisions of paragraph (3) of the same Article (including when applied mutatis mutandis to Article 50, paragraph (2)), and public notice pursuant to the provisions of Article 49, paragraphs (4) and (5) (including when applied mutatis mutandis to Article 50, paragraph (2));
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "confirmation or giving notice about determination or revision of standard remuneration pursuant to the provisions of Article 49, paragraph (1), acceptance of notifications pursuant to the provisions of paragraph (3) of the same Article (including when applied mutatis mutandis to Article 50, paragraph (2), and public notice pursuant to the provisions of Article 49, paragraphs (4) and (5) (including when applied mutatis mutandis to Article 50, paragraph (2));" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**十** 第五十一条第一項の規定による請求の受理及び同条第二項の規定による請求の却下
art-204/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-10
acceptance of requests pursuant to the provisions of Article 51, paragraph (1) and dismissal of requests pursuant to the provisions of paragraph (2) of the same Article;
Ministry of Justice translation — Japanese Law Translation Database System
**十一** 第百二十六条第一項の規定による申請の受理、同条第二項の規定による交付及び同条第三項の規定による日雇特例被保険者手帳の受領
art-204/par-1/item-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-11
acceptance of applications pursuant to the provisions of Article 126, paragraph (1), delivery thereof pursuant to the provisions of paragraph (2) of the same Article, and receipt of specially-insured day laborer's insurance books pursuant to the provisions of paragraph (3) of the same Article;
Ministry of Justice translation — Japanese Law Translation Database System
**十二** 第百五十九条第一項及び第百五十九条の三の規定による申出の受理
art-204/par-1/item-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-12
acceptance of a request pursuant to the provisions of Article 159, paragraph (1) and Article 159-3;
machine translation, not official
**十三** 第百六十六条（第百六十九条第八項において準用する場合を含む。）の規定による申出の受理及び承認
art-204/par-1/item-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-13
acceptance of and approval for a request pursuant to the provisions of Article 166 (including when applied mutatis mutandis to Article 169, paragraph (8));
Ministry of Justice translation — Japanese Law Translation Database System
**十四** 第百七十一条第一項及び第三項の規定による報告の受理
art-204/par-1/item-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-14
acceptance of reports pursuant to the provisions of Article 171, paragraphs (1) and (3);
Ministry of Justice translation — Japanese Law Translation Database System
**十五** 第百八十条第四項の規定による国税滞納処分の例による処分及び同項の規定による市町村に対する処分の請求
art-204/par-1/item-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-15
dispositions as governed by the same rules as dispositions of a national tax delinquency pursuant to the provisions of Article 180, paragraph (4) and requests toward a municipality pursuant to the provisions of the same paragraph;
Ministry of Justice translation — Japanese Law Translation Database System
**十六** 第百八十三条の規定により国税徴収の例によるものとされる徴収に係る権限（国税通則法（昭和三十七年法律第六十六号）第三十六条第一項の規定の例による納入の告知、同法第四十二条において準用する民法第四百二十三条第一項の規定の例による納付義務者に属する権利の行使、国税通則法第四十六条の規定の例による納付の猶予その他の厚生労働省令で定める権限並びに次号に掲げる質問、検査及び提示又は提出の要求、物件の留置き並びに捜索を除く。）
art-204/par-1/item-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-16
authority pertaining to collection as governed by the same rules as national tax collection pursuant to the provisions of Article 183 (excluding notification of payment pursuant to the provisions of Article 36, paragraph (1) of the Act on General Rules for National Taxes (Act No. 66 of 1962), exercise of rights belonging to persons obliged to pay pursuant to the provisions of Article 423, paragraph (1) of the Civil Code as applied mutatis mutandis pursuant to Article 42 of the Act on General Rules for National Taxes, grace periods for payment pursuant to the provisions of Article 46 of the Act on General Rules for National Taxes, and other authority specified by Order of the Ministry of Health, Labour and Welfare as well as questioning, inspection, requests for presentation or submission, retention of articles, and searching listed in the following item);
machine translation, not official
**十七** 第百八十三条の規定によりその例によるものとされる国税徴収法（昭和三十四年法律第百四十七号）第百四十一条の規定による質問、検査及び提示又は提出の要求、同法第百四十一条の二の規定による物件の留置き並びに同法第百四十二条の規定による捜索
art-204/par-1/item-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-17
questioning, inspection, and requests for presentation or submission pursuant to the provisions of Article 141 of the National Tax Collection Act (Act No. 147 of 1959) as governed by the provisions of Article 183, retention of articles pursuant to the provisions of Article 141-2 of the same Act, as well as searching pursuant to the provisions of Article 142 of the same Act;
machine translation, not official
**十八** 第百九十七条第一項の規定による報告、文書の提示その他この法律の施行に必要な事務を行わせること並びに同条第二項の規定による申出及び届出並びに文書の提出をさせること。
art-204/par-1/item-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-18
having an employer report, present documents, and administer other affairs necessary for enforcement of this Act pursuant to the provisions of Article 197, paragraph (1), and having an insured person make a request or notification, or submit documents pursuant to the provisions of paragraph (2) of the same Article;
Ministry of Justice translation — Japanese Law Translation Database System
**十九** 第百九十八条第一項の規定による命令並びに質問及び検査（健康保険組合に係る場合を除く。）
art-204/par-1/item-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-19
orders, questions, and inspections pursuant to the provisions of Article 198, paragraph (1) (excluding cases pertaining to health insurance societies);
Ministry of Justice translation — Japanese Law Translation Database System
**二十** 第百九十九条第一項の規定による資料の提供の求め及び報告の求め
art-204/par-1/item-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-20
requests for the provision of materials and requests for reports pursuant to the provisions of Article 199, paragraph (1);
machine translation, not official
**二十一** 附則第八条の三の二第二項及び第五項の規定による申出の受理
art-204/par-1/item-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-21
acceptance of a request pursuant to the provisions of Article 8-3-2, paragraphs (2) and (5) of the Supplementary Provisions; and
machine translation, not official
**二十二** 前各号に掲げるもののほか、厚生労働省令で定める権限
art-204/par-1/item-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-1/item-22
beyond the matters listed in the preceding items, the authority specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 機構は、前項第十五号に掲げる国税滞納処分の例による処分及び同項第十七号に掲げる権限（以下「滞納処分等」という。）その他同項各号に掲げる権限のうち厚生労働省令で定める権限に係る事務を効果的に行うため必要があると認めるときは、厚生労働省令で定めるところにより、厚生労働大臣に当該権限の行使に必要な情報を提供するとともに、厚生労働大臣自らその権限を行うよう求めることができる。
art-204/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-2
When JPS finds it necessary for effectively administering affairs concerning dispositions as governed by the same rules as dispositions of national tax delinquency and listed in item (xv) of the preceding paragraph and the authorities listed in item (xvii) of the same paragraph (hereinafter referred to as "dispositions of delinquency") and other authorities specified by Order of the Ministry of Health, Labor and Welfare among the authorities listed in the items of the same paragraph, JPS may provide information necessary for the exercise of the authorities to the Minister of Health, Labour and Welfare and request the Minister to personally exercise the authorities, as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 厚生労働大臣は、前項の規定による求めがあった場合において必要があると認めるとき、又は機構が天災その他の事由により第一項各号に掲げる権限に係る事務の全部若しくは一部を行うことが困難若しくは不適当となったと認めるときは、同項各号に掲げる権限の全部又は一部を自ら行うものとする。
art-204/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-3
When a request is made pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare is to personally exercise all or part of the authorities listed in the items of the paragraph (1) if the Minister finds it necessary or finds it difficult or inappropriate for JPS to administer all or some of the affairs pertaining to those authorities due to a natural disaster or other reasons.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 厚生年金保険法第百条の四第四項から第七項までの規定は、機構による第一項各号に掲げる権限に係る事務の実施又は厚生労働大臣による同項各号に掲げる権限の行使について準用する。
art-204/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204/par-4
The provisions of Article 100-4, paragraphs (4) through (7) of the Employee's Pension Insurance Act apply mutatis mutandis to JPS's administration of affairs concerning the authorities listed in the items of paragraph (1) or the exercise of those authorities by the Minister of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の二（財務大臣への権限の委任） — (Delegation of Authorities to the Minister of Finance)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-2
**第一項** 厚生労働大臣は、前条第三項の規定により滞納処分等及び同条第一項第十六号に掲げる権限の全部又は一部を自らが行うこととした場合におけるこれらの権限並びに同号に規定する厚生労働省令で定める権限のうち厚生労働省令で定めるもの（以下この項において「滞納処分等その他の処分」という。）に係る納付義務者が滞納処分等その他の処分の執行を免れる目的でその財産について隠ぺいしているおそれがあることその他の政令で定める事情があるため保険料その他この法律の規定による徴収金（第五十八条、第七十四条第二項及び第百九条第二項（第百四十九条においてこれらの規定を準用する場合を含む。）の規定による徴収金を除く。第二百四条の六第一項において「保険料等」という。）の効果的な徴収を行う上で必要があると認めるときは、政令で定めるところにより、財務大臣に、当該納付義務者に関する情報その他必要な情報を提供するとともに、当該納付義務者に係る滞納処分等その他の処分の権限の全部又は一部を委任することができる。
art-204-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-2/par-1
When the Minister of Health, Labour and Welfare decides to personally exercise all or part of dispositions of delinquency pursuant to the provisions of paragraph (3) of the preceding Article or the authorities listed in paragraph (1), item (xvi) of the same Article, and finds it necessary for the effective collection of insurance premiums and other money to be collected pursuant to the provisions of this Act (excluding money collected pursuant to the provisions of Article 58, Article 74, paragraph (2) and Article 109, paragraph (2) (including when applied mutatis mutandis in Article 149); referred to as "insurance premiums, etc." in Article 204-6, paragraph (1)) because a person obliged to pay in relation to those authorities as well as the authorities specified by Order of the Ministry of Health, Labour and Welfare among those specified by Order of the Ministry of Health, Labour and Welfare as prescribed by the same items (referred to as "dispositions of delinquency and other dispositions" hereinafter in this paragraph) is likely to be concealing property for the purpose of avoiding execution of a disposition of delinquency or other dispositions or there are other similar circumstances specified by Cabinet Order, the Minister may provide information on the person obliged to pay and other necessary information to the Minister of Finance and delegate all or part of authorities for the disposition of delinquency and other dispositions pertaining to the person obliged to pay to the Minister of Finance, as specified by Cabinet Order.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "When the Minister of Health, Labour and Welfare decides to personally exercise all or part of dispositions of delinquency pursuant to the provisions of paragraph (3) of the preceding Article or the authorities listed in paragraph (1), item (xvi) of the same Article, and finds it necessary for the effective collection of insurance premiums and other money to be collected pursuant to the provisions of this Act (excluding money collected pursuant to the provisions of Article 58, Article 74, paragraph (2) and Article 109, paragraph (2) (including when applied mutatis mutandis in Article 149); referred to as "Insurance Premiums" in Article 124-6, paragraph (1)) because a person obliged to pay in relation to those authorities as well as the authorities specified by Order of the Ministry of Health, Labour and Welfare among those specified by Order of the Ministry of Health, Labour and Welfare as prescribed by the same items (referred to as "dispositions of delinquency and other dispositions" hereinafter in this paragraph) is likely to be concealing property for the purpose of avoiding execution of a disposition of delinquency or other dispositions or there are other similar circumstances specified by Cabinet Order, the Minister may provide information on the person obliged to pay and other necessary information to the Minister of Finance and delegate all or part of authorities for the disposition of delinquency and other dispositions pertaining to the person obliged to pay to the Minister of Finance, as specified by Cabinet Order." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**第二項** 厚生年金保険法第百条の五第二項から第七項までの規定は、前項の規定による財務大臣への権限の委任について準用する。
art-204-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-2/par-2
The provisions of Article 100-5, paragraphs (2) through (7) of the Employees' Pension Insurance Act apply mutatis mutandis to the delegation of authority to the Minister of Finance pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "The provisions of Article 105-2, paragraphs (2) through (7) of the Employee's Pension Insurance Act apply mutatis mutandis to the delegation of authority to the Minister of Finance pursuant to the provisions of the preceding paragraph." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第二百四条の三（機構が行う滞納処分等に係る認可等） — (Authorization Pertaining to Disposition of Delinquency Executed by JPS)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-3
**第一項** 機構は、滞納処分等を行う場合には、あらかじめ、厚生労働大臣の認可を受けるとともに、次条第一項に規定する滞納処分等実施規程に従い、徴収職員に行わせなければならない。
art-204-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-3/par-1
When executing a disposition of delinquency, JPS must obtain authorization from the Minister of Health, Labour and Welfare in advance and have its official responsible for collection execute the disposition in accordance with regulations for disposition of delinquency as prescribed in paragraph (1) of the following Article.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生年金保険法第百条の六第二項及び第三項の規定は、前項の規定による機構が行う滞納処分等について準用する。
art-204-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-3/par-2
The provisions of Article 100-6, paragraphs (2) and (3) of the Employee's Pension Insurance Act apply mutatis mutandis to a disposition of delinquency executed by JPS pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の四（滞納処分等実施規程の認可等） — (Authorization of Regulations for Disposition of Delinquency)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-4
**第一項** 機構は、滞納処分等の実施に関する規程（次項において「滞納処分等実施規程」という。）を定め、厚生労働大臣の認可を受けなければならない。これを変更しようとするときも、同様とする。
art-204-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-4/par-1
JPS must specify regulations for disposition of delinquency (referred to as "regulations for disposition of delinquency" in the following paragraph) and obtain authorization therefor from the Minister of Health, Labour and Welfare. The same applies when JPS revises the standards.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生年金保険法第百条の七第二項及び第三項の規定は、滞納処分等実施規程の認可及び変更について準用する。
art-204-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-4/par-2
The provisions of Article 100-7, paragraphs (2) and (3) of the Employee's Pension Insurance Act apply mutatis mutandis to authorization of and revision to regulations for disposition to delinquency.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の五（機構が行う立入検査等に係る認可等） — (Authorization Pertaining to On-Site Inspection Executed by JPS)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-5
**第一項** 機構は、第二百四条第一項第十九号に掲げる権限に係る事務を行う場合には、あらかじめ、厚生労働大臣の認可を受けなければならない。
art-204-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-5/par-1
When JPS administers affairs pertaining to the authorities listed in Article 204, paragraph (1), item (xix), it must obtain authorization from the Minister of Health, Labour and Welfare in advance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に規定する場合における第百九十八条第一項の規定の適用については、同項中「、保険料又は保険給付」とあるのは「又は保険料」と、「当該職員」とあるのは「日本年金機構の職員」とする。
art-204-5/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-5/par-2
When applying the provisions of Article 198, paragraph (1) in the case prescribed in the preceding paragraph, the phrase "insurance premiums, or insurance benefits" in the same paragraph is replaced with "or insurance premiums", and "the ministry's official" is replaced with "an employee of the Japan Pension Service".
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の六（機構が行う収納） — (Collection Executed by JPS)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-6
**第一項** 厚生労働大臣は、会計法（昭和二十二年法律第三十五号）第七条第一項の規定にかかわらず、政令で定める場合における保険料等の収納を、政令で定めるところにより、機構に行わせることができる。
art-204-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-6/par-1
Notwithstanding the provisions of Article 7, paragraph (1) of the Public Accounting Act (Act No. 35 of 1947), the Minister of Health, Labour and Welfare may have JPS collect insurance premiums as specified by Cabinet Order in cases of collection specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生年金保険法第百条の十一第二項から第六項までの規定は、前項の規定による機構が行う収納について準用する。この場合において、必要な技術的読替えは、政令で定める。
art-204-6/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-6/par-2
The provisions of Article 100-11, paragraphs (2) through (6) of the Employee's Pension Insurance Act apply mutatis mutandis to collection executed by JPS pursuant to the provisions of the preceding paragraph. In this case, the necessary technical replacement of terms is specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の七（協会への厚生労働大臣の権限に係る事務の委任） — (Delegation of Affairs Pertaining to Authority of the Minister of Health, Labour and Welfare to JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-7
**第一項** 第百九十八条第一項の規定による厚生労働大臣の命令並びに質問及び検査の権限（健康保険組合に係る場合を除き、保険給付に関するものに限る。）に係る事務は、協会に行わせるものとする。ただし、当該権限は、厚生労働大臣が自ら行うことを妨げない。
art-204-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-7/par-1
Affairs concerning the authorities of the Minister of Health, Labour and Welfare for ordering, questioning, and inspection pursuant to the provisions of Article 198, paragraph (1) (excluding those concerning health insurance societies and limited to those concerning insurance benefits) are administered by JHIA; provided, however, that this does not preclude the Minister of Health, Labour and Welfare from personally exercising the authorities.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に定めるもののほか、協会による同項に規定する権限に係る事務の実施に関し必要な事項は、厚生労働省令で定める。
art-204-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-7/par-2
Beyond what is provided for in the preceding paragraph, necessary matters concerning JHIA administering of affairs pertaining to the authorities prescribed in the same paragraph are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百四条の八（協会が行う立入検査等に係る認可等） — (Authorization Pertaining to On-site Inspection Executed by JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-204-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-8
**第一項** 協会は、前条第一項に規定する権限に係る事務を行う場合には、あらかじめ、厚生労働大臣の認可を受けなければならない。
art-204-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-8/par-1
When JHIA administers affairs pertaining to the authorities prescribed in paragraph (1) of the preceding Article, it must obtain authorization from the Minister of Health, Labour and Welfare in advance.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項に規定する場合における第百九十八条第一項の規定の適用については、同項中「被保険者の資格、標準報酬、保険料又は保険給付」とあるのは「保険給付」と、「当該職員」とあるのは「協会の職員」とする。
art-204-8/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-204-8/par-2
When applying the provisions of Article 198, paragraph (1) in the case prescribed in the preceding paragraph, the phrase "insured person's eligibility, standard remuneration, insurance premiums, or insurance benefits" in the same paragraph is replaced with "insurance benefits", and "the ministry's official" with "an employee of JHIA".
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百五条（地方厚生局長等への権限の委任） — (Delegation of Authorities to Chiefs of Regional Bureaus of Health and Welfare)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-205 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205
**第一項** この法律に規定する厚生労働大臣の権限（第二百四条の二第一項及び同条第二項において準用する厚生年金保険法第百条の五第二項に規定する厚生労働大臣の権限を除く。）は、厚生労働省令で定めるところにより、地方厚生局長に委任することができる。
art-205/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205/par-1
The authorities of the Minister of Health, Labour and Welfare as prescribed in this Act (excluding the authorities of the Minister of Health, Labor and Welfare provided for in Article 204-2, paragraph (2) and in Article 100-5, paragraph (2) of the Employees' Pension Insurance Act as applied mutatis mutandis to Article 204-2, paragraph (1)) may be delegated to the chief of a relevant regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の規定により地方厚生局長に委任された権限は、厚生労働省令で定めるところにより、地方厚生支局長に委任することができる。
art-205/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205/par-2
The authorities delegated to the chief of a regional bureau of health and welfare pursuant to the provisions of the preceding paragraph, as specified by Order of the Ministry of Health, Labour, and Welfare, may be delegated to a branch manager of the regional bureau of health and welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百五条の二（機構への事務の委託） — (Delegation of Administration to JPS)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-205-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2
**第一項** 厚生労働大臣は、機構に、次に掲げる事務（第百八十一条の三第一項の規定により協会が行うこととされたもの及び第二百三条第一項の規定により市町村長が行うこととされたものを除く。）を行わせるものとする。
art-205-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1
The Minister of Health, Labour and Welfare is to have JPS administer the affairs listed below (excluding those to be administered by JHIA pursuant to the provisions of Article 181-3, paragraph (1) and those to be administered by the mayor of a municipality pursuant to the provisions of Article 203, paragraph (1)):
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第三条第二項ただし書（同項第三号に係る部分に限る。）の規定による承認に係る事務（当該承認を除く。）
art-205-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-1
affairs pertaining to approval pursuant to the proviso to Article 3, paragraph (2) (limited to the portion pertaining to item (iii) of the same paragraph) (excluding the approval);
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第四十六条第一項及び第百二十五条第二項（第百六十八条第二項において準用する場合を含む。）の規定による価額の決定に係る事務（当該決定を除く。）
art-205-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-2
affairs concerning valuation pursuant to the provisions of Article 46, paragraph (1) and Article 125, paragraph (2) (including when applied mutatis mutandis to Article 168, paragraph (2));
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第五十一条の二の規定による情報の提供に係る事務（当該情報の提供を除く。）
art-205-2/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-3
affairs pertaining to the provision of information pursuant to the provisions of Article 51-2 (excluding the provision of the information);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 第百八条第六項の規定による資料の提供に係る事務（当該資料の提供を除く。）
art-205-2/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-4
affairs pertaining to the provision of materials pursuant to the provisions of Article 108, paragraph (6) (excluding the provision of the materials);
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第百五十五条第一項、第百五十八条、第百五十九条、第百五十九条の三及び第百七十二条の規定による保険料の徴収に係る事務（第二百四条第一項第十二号、第十三号及び第十五号から第十七号までに掲げる権限を行使する事務並びに第二百四条の六第一項の規定により機構が行う収納、第百八十条第一項の規定による督促その他の厚生労働省令で定める権限を行使する事務並びに次号、第七号、第九号及び第十一号に掲げる事務を除く。）
art-205-2/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-5
affairs concerning the collection of insurance premiums pursuant to the provisions of Article 155, paragraph (1), Article 158, Article 159, Article 159-3, and Article 172 (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xii), (xiii), and (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of authorities specified by Order of the Ministry of Health, Labour and Welfare, and the affairs listed in the following item and items (vii), (ix) and (xi));
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "affairs concerning the collection of insurance premiums pursuant to the provisions of Article 155, paragraph (1), Article 158, Article 159, Article 159-3, and Article 172 (excluding affairs concerning the exercise of the authorities listed in Article 204-6, paragraph (1), items (xii), (xiii), and (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of authorities specified by Order of the Ministry of Health, Labour and Welfare, and the affairs listed in the following item and items (vii), (ix) and (xi));" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**六** 第百六十四条第二項及び第三項（第百六十九条第八項においてこれらの規定を準用する場合を含む。）の規定による納付に係る事務（納期を繰り上げて納入の告知又は納付をしたものとみなす決定及びその旨の通知を除く。）
art-205-2/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-6
affairs pertaining to payment pursuant to the provisions of Article 164, paragraphs (2) and (3) (including when applied mutatis mutandis to Article 169, paragraph (8)) (excluding a notice of advance payment or determination of payment and notice to that effect);
Ministry of Justice translation — Japanese Law Translation Database System
**七** 第百七十条第一項の規定による保険料額の決定及び告知に係る事務（当該保険料額の決定及び告知を除く。）並びに同条第二項の規定による追徴金の徴収に係る事務（第二百四条第一項第十五号から第十七号までに掲げる権限を行使する事務及び第二百四条の六第一項の規定により機構が行う収納、第百八十条第一項の規定による督促その他の厚生労働省令で定める権限を行使する事務並びに第九号及び第十一号に掲げる事務を除く。）
art-205-2/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-7
affairs concerning the determination and notification of the amount of insurance premiums pursuant to the provisions of Article 170, paragraph (1) (excluding the determination and notification of the amount of insurance premiums), affairs concerning the collection of penalty fees pursuant to the provisions of paragraph (2) of the same Article (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of the authorities specified by Order of the Ministry of Health, Labour and Welfare, and the affairs listed in items (ix) and (xi));
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "affairs concerning the determination and notification of the amount of insurance premiums pursuant to the provisions of Article 70, paragraph (1) (excluding the determination and notification of the amount of insurance premiums), affairs concerning the collection of penalty fees pursuant to the provisions of paragraph (2) of the same Article (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 124-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of the authorities specified by Order of the Ministry of Health, Labour and Welfare, and the affairs listed in items (ix) and (xi));" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**八** 第百七十三条第一項の規定による拠出金の徴収に係る事務（第二百四条第一項第十五号から第十七号までに掲げる権限を行使する事務及び第二百四条の六第一項の規定により機構が行う収納、第百八十条第一項の規定による督促その他の厚生労働省令で定める権限を行使する事務並びに次号及び第十一号に掲げる事務を除く。）
art-205-2/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-8
affairs concerning the collection of contributions pursuant to the provisions of Article 173, paragraph (1) (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of authorities specified by Order of the Ministry of Health, Labour and Welfare, and affairs listed in the following item and item (xi));
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "affairs concerning the collection of contributions pursuant to the provisions of Article 73, paragraphs (1) (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of authorities specified by Order of the Ministry of Health, Labour and Welfare, and affairs listed in the following item and item (xi));" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**九** 第百八十条第一項及び第二項の規定による督促に係る事務（当該督促及び督促状を発すること（督促状の発送に係る事務を除く。）を除く。）
art-205-2/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-9
affairs concerning demands for payment pursuant to the provisions of Article 180, paragraphs (1) and (2) (excluding the demands and issuance of demand notes (excluding affairs concerning the sending of a demand note));
Ministry of Justice translation — Japanese Law Translation Database System
**十** 第百八十一条第一項及び第四項の規定による延滞金の徴収に係る事務（第二百四条第一項第十五号から第十七号までに掲げる権限を行使する事務及び第二百四条の六第一項の規定により機構が行う収納、第百八十条第一項の規定による督促その他の厚生労働省令で定める権限を行使する事務並びに前号及び次号に掲げる事務を除く。）
art-205-2/par-1/item-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-10
affairs concerning collection of delinquent charges pursuant to the provisions of Article 181, paragraphs (1) and (4) (excluding affairs concerning the exercise of the authorities listed in Article 204, paragraph (1), items (xv) through (xvii), collection executed by JPS pursuant to the provisions of Article 204-6, paragraph (1), demands for payment pursuant to the provisions of Article 180, paragraph (1), other affairs concerning the exercise of authorities specified by Order of the Ministry of Health, Labour and Welfare affairs, and affairs listed in the preceding and following items);
Ministry of Justice translation — Japanese Law Translation Database System
**十一** 第二百四条第一項第十六号に規定する厚生労働省令で定める権限に係る事務（当該権限を行使する事務を除く。）
art-205-2/par-1/item-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-11
affairs concerning authorities specified by Order of the Ministry of Health, Labour and Welfare prescribed in Article 204, paragraph (1), item (xvi) (excluding affairs concerning the exercise of those authorities);
Ministry of Justice translation — Japanese Law Translation Database System
**十二** 介護保険法第六十八条第五項その他の厚生労働省令で定める法律の規定による求めに応じたこの法律の実施に関し厚生労働大臣が保有する情報の提供に係る事務（当該情報の提供及び厚生労働省令で定める事務を除く。）
art-205-2/par-1/item-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-12
affairs concerning the provision of information held by the Minister of Health, Labour and Welfare relating to the enforcement of this Act required by the provisions of Acts prescribed by Article 68, paragraph (5) of the Long-Term Care Insurance Act and other Orders of the Ministry of Health, Labour and Welfare (excluding the provision of information and affairs specified by Order of the Ministry of Health, Labour and Welfare); and
Ministry of Justice translation — Japanese Law Translation Database System
**十三** 前各号に掲げるもののほか、厚生労働省令で定める事務
art-205-2/par-1/item-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-1/item-13
beyond what is provided for in the preceding items, affairs specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生年金保険法第百条の十第二項及び第三項の規定は、前項の規定による機構への事務の委託について準用する。この場合において、必要な技術的読替えは、政令で定める。
art-205-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-2/par-2
The provisions of Article 100-10, paragraphs (2) and (3) of the Employee's Pension Insurance Act apply mutatis mutandis to the delegation of administration to JPS pursuant to the provisions in the preceding paragraph. In this case, the necessary technical replacement of terms is specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百五条の三（情報の提供等） — (Provision of Information)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-205-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-3
**第一項** 機構は、厚生労働大臣に対し、厚生労働省令で定めるところにより、被保険者の資格に関する事項、標準報酬に関する事項その他厚生労働大臣の権限の行使に関して必要な情報の提供を行うものとする。
art-205-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-3/par-1
JPS is to provide information to the Minister of Health, Labour and Welfare on matters concerning the eligibility of insured persons, matters concerning standard remuneration, and necessary matters concerning the exercise of authorities of the Minister of Health, Labour and Welfare, as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 厚生労働大臣及び機構は、この法律に基づく協会が管掌する健康保険の事業が、適正かつ円滑に行われるよう、必要な情報交換を行うことその他相互の密接な連携の確保に努めるものとする。
art-205-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-3/par-2
The Minister of Health, Labour and Welfare and JPS are to endeavor to ensure mutual close cooperation, including the exchange of necessary information, to ensure the appropriate and smooth administration of health insurance services by JHIA based on this Act.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百五条の四（基盤機構等への事務の委託） — Delegation of Administration to the Infrastructure Organization, etc.
caption: machine translation, not official
art-205-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4
**第一項** 保険者は、第七十六条第五項（第八十五条第九項、第八十五条の二第五項、第八十六条第五項、第百十条第七項及び第百四十九条において準用する場合を含む。第一号において同じ。）及び第八十八条第十一項（第百十一条第三項及び第百四十九条において準用する場合を含む。同号において同じ。）に規定する事務のほか、次に掲げる事務を基盤機構又は国保連合会に委託することができる。
art-205-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4/par-1
Beyond the affairs prescribed in Article 76, paragraph (5) (including when applied mutatis mutandis pursuant to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (5), Article 110, paragraph (7), and Article 149; the same applies in item (i)) and in Article 88, paragraph (11) (including when applied mutatis mutandis pursuant to Article 111, paragraph (3) and Article 149; the same applies hereinafter in the same item), an insurer may delegate the following affairs to the Infrastructure Organization or an NHI federation:
machine translation, not official
**一** 第四章の規定による保険給付及び第五章第三節の規定による日雇特例被保険者に係る保険給付のうち厚生労働省令で定めるものの支給に関する事務（第七十六条第五項及び第八十八条第十一項に規定する事務を除く。）
art-205-4/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4/par-1/item-1
among insurance benefits pursuant to the provisions of Chapter IV and insurance benefits pertaining to specially-insured day laborers pursuant to the provisions of Chapter V, Section 3, affairs pertaining to payment specified by Order of the Ministry of Health, Labour and Welfare (excluding affairs pursuant to the provisions of Article 76, paragraph (5) and Article 88, paragraph (11));
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第四章の規定による保険給付及び第五章第三節の規定による日雇特例被保険者に係る保険給付の支給、第六章の規定による保健事業及び福祉事業の実施、第百五十五条の規定による保険料の徴収その他の厚生労働省令で定める事務に係る被保険者若しくは被保険者であった者又はこれらの被扶養者（次号において「被保険者等」という。）に係る情報の収集又は整理に関する事務
art-205-4/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4/par-1/item-2
affairs pertaining to the collection or compilation of information on persons who are or were insured or their dependents (referred to as "insured persons, etc." in the next item) and to whom the following pertain: the payment of insurance benefits pursuant to the provisions of Chapter IV and insurance benefits pertaining to specially-insured day laborers pursuant to the provisions of Chapter V, Section 3; the provision of insurance services and welfare services pursuant to the provisions of Chapter VI: the collection of insurance premiums pursuant to the provisions of Article 155; and other affairs specified by Order of the Ministry of Health, Labour and Welfare; and
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第四章の規定による保険給付及び第五章第三節の規定による日雇特例被保険者に係る保険給付の支給、第六章の規定による保健事業及び福祉事業の実施、第百五十五条の規定による保険料の徴収その他の厚生労働省令で定める事務に係る被保険者等に係る情報の利用又は提供に関する事務
art-205-4/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4/par-1/item-3
affairs pertaining to the use or provision of information on insured persons, etc. to whom the following pertain: the payment of insurance benefits pursuant to the provisions of Chapter IV and insurance benefits pertaining to specially-insured day laborers pursuant to the provisions of Chapter V, Section 3; the implementation of healthcare services and welfare services pursuant to the provisions of Chapter VI; the collection of insurance premiums pursuant to the provisions of Article 155; and other affairs specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
**第二項** 保険者は、前項の規定により同項第二号又は第三号に掲げる事務を委託する場合は、他の医療情報基盤・診療報酬審査支払機構法第一条に規定する保険者、法令の規定により医療に関する給付に係る事務を行う者であって厚生労働省令で定めるもの並びに介護保険法第三条の規定により介護保険を行う市町村及び特別区その他厚生労働省令で定める者と共同して委託するものとする。
art-205-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-4/par-2
When an insurer delegates the affairs listed in item (ii) or (iii) of the preceding paragraph pursuant to the provisions of that paragraph, the insurer is to delegate them jointly with other insurers prescribed in Article 1 of the Medical Information Infrastructure and Medical Fee Examination and Payment Organization Act, persons specified by Order of the Ministry of Health, Labour and Welfare as persons who perform affairs pertaining to benefits relating to medical care pursuant to laws and regulations, and municipalities and special wards that operate long-term care insurance pursuant to the provisions of Article 3 of the Long-Term Care Insurance Act and other persons specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
### 第二百五条の五（関係者の連携及び協力） — Collaboration and Cooperation of Persons Concerned
caption: machine translation, not official
art-205-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-5
**第一項** 国、協会及び健康保険組合並びに保険医療機関等その他の関係者は、電子資格確認の仕組みの導入その他手続における情報通信の技術の利用の推進により、医療保険各法等（高齢者の医療の確保に関する法律第七条第一項に規定する医療保険各法及び高齢者の医療の確保に関する法律をいう。）その他医療に関する給付を定める法令の規定により行われる事務が円滑に実施されるよう、相互に連携を図りながら協力するものとする。
art-205-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-205-5/par-1
The national government, JHIA and health insurance societies, medical institutions providing services covered by health insurance, etc., and other persons concerned are to cooperate with one another while coordinating among themselves, through the introduction of a system of electronic eligibility confirmation and otherwise promoting the use of information and communications technology in procedures, so that affairs carried out pursuant to the provisions of medical insurance laws, etc. (meaning the medical insurance laws prescribed in Article 7, paragraph (1) of the Act on Assurance of Medical Care for Elderly People and the Act on Assurance of Medical Care for Elderly People) and other laws and regulations providing for benefits relating to medical care are implemented smoothly.
machine translation, not official
### 第二百六条（経過措置） — (Transitional Measures)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-206 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-206
**第一項** この法律に基づき命令を制定し、又は改廃する場合においては、その命令で、その制定又は改廃に伴い合理的に必要と判断される範囲内において、所要の経過措置（罰則に関する経過措置を含む。）を定めることができる。
art-206/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-206/par-1
When an order is enacted, revised or abolished based on this Act, a required transitional measure (including a transitional measure concerning penal provisions) may be determined by the order to the extent that it is judged to be rationally necessary in relation to the enactment, revision or abolition.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百七条（実施規定） — (Enforcement Provisions)
caption: Ministry of Justice translation — Japanese Law Translation Database System
art-207 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207
**第一項** この法律に特別の規定があるものを除くほか、この法律の実施のための手続その他その執行について必要な細則は、厚生労働省令で定める。
art-207/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207/par-1
Beyond the special provisions in this Act, procedures for the enforcement of this Act and other detailed regulations necessary with regard to the enforcement are specified by Order of the Ministry of Health, Labour, and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
## 第十一章 罰則 — Chapter XI Penal Provisions
heading: Ministry of Justice translation — Japanese Law Translation Database System
ch-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#ch-11
### 第二百七条の二
art-207-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-2
**第一項** 第七条の三十七第一項（同条第二項及び第二十二条の二において準用する場合を含む。）の規定に違反して秘密を漏らした者は、一年以下の拘禁刑又は百万円以下の罰金に処する。
art-207-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-2/par-1
A person who divulges a secret in violation of the provisions of Article 7-37, paragraph (1) (including when applied mutatis mutandis pursuant to paragraph (2) of the same Article and Article 22-2) is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen.
machine translation, not official
### 第二百七条の三
art-207-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-3
**第一項** 次の各号のいずれかに該当する場合には、その違反行為をした者は、一年以下の拘禁刑若しくは五十万円以下の罰金に処し、又はこれを併科する。
art-207-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-3/par-1
In the case where any of the following items applies, the person who committed the violation is subject to imprisonment for not more than one year or a fine of not more than 500,000 yen, or both:
machine translation, not official
**一** 第百五十条の六の規定に違反して、匿名診療等関連情報の利用に関して知り得た匿名診療等関連情報の内容をみだりに他人に知らせ、又は不当な目的に利用したとき。
art-207-3/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-3/par-1/item-1
where a person, in violation of the provisions of Article 150-6, makes known to another person without good reason, or uses for an unjust purpose, the content of anonymized medical care-related information that the person came to know in connection with the use of anonymized medical care-related information; or
machine translation, not official
**二** 第百五十条の八の規定による命令に違反したとき。
art-207-3/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-3/par-1/item-2
where a person violates an order pursuant to the provisions of Article 150-8.
machine translation, not official
### 第二百七条の四
art-207-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-4
**第一項** 第百九十四条の二第六項の規定による命令に違反したときは、その違反行為をした者は、一年以下の拘禁刑又は五十万円以下の罰金に処する。
art-207-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-207-4/par-1
When an order pursuant to the provisions of Article 194-2, paragraph (6) is violated, the person who committed the violation is subject to imprisonment for not more than one year or a fine of not more than 500,000 yen.
machine translation, not official
### 第二百八条
art-208 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208
**第一項** 事業主が、正当な理由がなくて次の各号のいずれかに該当するときは、六月以下の拘禁刑又は五十万円以下の罰金に処する。
art-208/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1
If an employer falls under any of the following items without justifiable grounds, the employer is subject to imprisonment for not more than six months or a fine of not more than 500,000 yen:
machine translation, not official
**一** 第四十八条（第百六十八条第二項において準用する場合を含む。）の規定に違反して、届出をせず、又は虚偽の届出をしたとき。
art-208/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1/item-1
the employer fails to submit a notification, in violation of the provisions of Article 48 (including when applied mutatis mutandis to Article 168, paragraph (2)), or submits a false notification;
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第四十九条第二項（第五十条第二項において準用する場合を含む。）の規定に違反して、通知をしないとき。
art-208/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1/item-2
the employer fails to give notice, in violation of the provisions of Article 49, paragraph (2) (including when applied mutatis mutandis in Article 50, paragraph (2)), or submits a false notice;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第百六十一条第二項又は第百六十九条第七項の規定に違反して、督促状に指定する期限までに保険料を納付しないとき。
art-208/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1/item-3
the employer does not pay an insurance premium by the due date prescribed by a demand notice in violation of the provisions of Article 161, paragraph (2) or Article 169, paragraph (7);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 第百六十九条第二項の規定に違反して、保険料を納付せず、又は第百七十一条第一項の規定に違反して、帳簿を備え付けず、若しくは同項若しくは同条第二項の規定に違反して、報告せず、若しくは虚偽の報告をしたとき。
art-208/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1/item-4
the employer fails to pay an insurance premium in violation of the provisions of Article 169, paragraph (2), fails to keep record books in violation of the provisions of Article 171, paragraph (1), or fails to make a report or makes a false report in violation of the provisions of the same paragraph or paragraph (2) of the same Article; or
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第百九十八条第一項の規定による文書その他の物件の提出若しくは提示をせず、又は同項の規定による当該職員（第二百四条の五第二項において読み替えて適用される第百九十八条第一項に規定する機構の職員及び第二百四条の八第二項において読み替えて適用される第百九十八条第一項に規定する協会の職員を含む。次条において同じ。）の質問に対して、答弁せず、若しくは虚偽の答弁をし、若しくは第百九十八条第一項の規定による検査を拒み、妨げ、若しくは忌避したとき。
art-208/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-208/par-1/item-5
the employer fails to submit or present reports or materials pursuant to Article 198, paragraph (1) (including officials of JPS prescribed in Article 198, paragraph (1) applied by replacing terms pursuant to the provisions of Article 204-5, paragraph (2), and the staff of JHIA prescribed in Article 198, paragraph (1) by replacing terms pursuant to the provisions of Article 204-8, paragraph (2); the same applies in the following Article), fails to answer a question asked by the relevant official pursuant to the same paragraph, or answers the question untruthfully thereto, or refuses, obstructs, or evades an inspection conducted pursuant to the same paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百九条
art-209 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-209
**第一項** 事業主以外の者が、正当な理由がなくて第百九十八条第一項の規定による当該職員の質問に対して、答弁せず、若しくは虚偽の答弁をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したときは、六月以下の拘禁刑又は三十万円以下の罰金に処する。
art-209/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-209/par-1
When a person other than an employer, without justifiable grounds, fails to answer a question asked by the relevant official pursuant to the provisions of Article 198, paragraph (1) or answers the question untruthfully, or refuses, obstructs, or evades an inspection conducted pursuant to the same paragraph, the person is subject to imprisonment for not more than six months or a fine of not more than 300,000 yen.
machine translation, not official
### 第二百十条
art-210 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-210
**第一項** 被保険者又は被保険者であった者が、第六十条第二項（第百四十九条において準用する場合を含む。）の規定により、報告を命ぜられ、正当な理由がなくてこれに従わず、又は同項の規定による当該職員の質問に対して、正当な理由がなくて答弁せず、若しくは虚偽の答弁をしたときは、三十万円以下の罰金に処する。
art-210/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-210/par-1
When a person who is or was an insured person is ordered to make a report pursuant to the provisions of Article 60, paragraph (2) (including when applied mutatis mutandis pursuant to Article 149), but fails to follow the order without justifiable grounds, or without justifiable grounds fails to answer a question asked by the relevant official pursuant to the provisions of the same paragraph or answers the question untruthfully, the person is subject to a fine of not more than 300,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十一条
art-211 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-211
**第一項** 第百二十六条第一項の規定による申請に関し虚偽の申請をした者は、六月以下の拘禁刑又は三十万円以下の罰金に処する。
art-211/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-211/par-1
A person who provides false statements in relation to an application pursuant to the provisions of Article 126, paragraph (1) is subject to imprisonment for not more than six months or a fine of not more than 300,000 yen.
machine translation, not official
### 第二百十二条
art-212 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-212
**第一項** 第百二十六条第一項の規定に違反して、申請をせず、又は第百六十九条第四項の規定に違反して、日雇特例被保険者手帳を提出しなかった者は、三十万円以下の罰金に処する。
art-212/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-212/par-1
A person who fails to make an application in violation of Article 126, paragraph (1) or fails to submit a specially-insured day laborer's insurance book in violation of the provisions of Article 169, paragraph (4) is subject to a fine of not more than 300,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十二条の二
art-212-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-212-2
**第一項** 第七条の三十八第一項の規定による報告をせず、若しくは虚偽の報告をし、若しくは同項の規定による当該職員の質問に対して、答弁をせず、若しくは虚偽の答弁をし、若しくは同項の規定による検査を拒み、妨げ、若しくは忌避し、又は第七条の三十九第一項の規定による命令に違反したときは、その違反行為をした協会の役員又は職員は、三十万円以下の罰金に処する。
art-212-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-212-2/par-1
If an officer or employee of JHIA who fails to make a report in violation of the provision of Article 7-38, paragraph (1) or makes a false report, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, refuses, obstructs, or interferes with an inspection, or violates an order pursuant to the provisions of Article 7-39, paragraph (1) is subject to a fine of not more than 300,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十三条
art-213 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213
**第一項** 健康保険組合又は第百五十四条第一項に規定する国民健康保険の保険者である国民健康保険組合の役員、清算人又は職員が、第百七十一条第三項の規定に違反して、報告をせず、又は虚偽の報告をしたときは、五十万円以下の罰金に処する。
art-213/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213/par-1
A health insurance society or an officer, liquidator or employee of a national health insurance society that is an insurer providing national health insurance as prescribed in Article 154, paragraph (1) who fails to make a report or makes a false report in violation of the provisions of Article 171, paragraph (3) is subject to a fine of not more than 500,000 yen.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "A health insurance society or an officer, liquidator or employee of a national health insurance society that is an insurer providing national health insurance as prescribed in Article 154, paragraph (1) who fails to make a report or makes a false report in violation of the provisions of Article 71, paragraph (3) is subject to a fine of not more than 500,000 yen." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第二百十三条の二
art-213-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2
**第一項** 次の各号のいずれかに該当する場合には、その違反行為をした者は、五十万円以下の罰金に処する。
art-213-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2/par-1
In the case where any of the following items applies, the person who committed the violation is subject to a fine of not more than 500,000 yen:
machine translation, not official
**一** 第百五十条の七第一項の規定による報告若しくは帳簿書類の提出若しくは提示をせず、若しくは虚偽の報告若しくは虚偽の帳簿書類の提出若しくは提示をし、又は同項の規定による当該職員の質問に対して、答弁をせず、若しくは虚偽の答弁をし、若しくは同項の規定による検査を拒み、妨げ、若しくは忌避したとき。
art-213-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2/par-1/item-1
where a person fails to make a report or to submit or present record books or documents pursuant to the provisions of Article 150-7, paragraph (1), makes a false report or submits or presents false record books or documents, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, or refuses, obstructs, or evades an inspection pursuant to the same paragraph;
machine translation, not official
**二** 第百八十三条の規定によりその例によるものとされる国税徴収法第百四十一条の規定による徴収職員の質問（協会又は健康保険組合の職員が行うものを除く。）に対して答弁をせず、又は偽りの陳述をしたとき。
art-213-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2/par-1/item-2
where a person fails to answer a question (excluding those given by an employee of JHIA or a health insurance society) asked by an employee responsible for collection pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183, or answers the question untruthfully;
machine translation, not official
**三** 第百八十三条の規定によりその例によるものとされる国税徴収法第百四十一条の規定による検査（協会又は健康保険組合の職員が行うものを除く。）を拒み、妨げ、又は忌避したとき。
art-213-2/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2/par-1/item-3
where a person refuses, obstructs or evades an inspection (excluding those conducted by employees of JHIA or a health insurance society) conducted pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183; or
machine translation, not official
**四** 第百八十三条の規定によりその例によるものとされる国税徴収法第百四十一条の規定による物件の提示又は提出の要求（協会又は健康保険組合の職員が行うものを除く。）に対し、正当な理由がなくこれに応じず、又は偽りの記載若しくは記録をした帳簿書類その他の物件を提示し、若しくは提出したとき。
art-213-2/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-2/par-1/item-4
where a person, without justifiable grounds, fails to comply with a request to present or submit articles pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183 (excluding those made by an employee of JHIA or a health insurance society), or presents or submits record books, documents or other objects containing false statements or records.
machine translation, not official
### 第二百十三条の三
art-213-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-3
**第一項** 正当な理由がなくて第百九十四条の三第一項の規定による報告をせず、若しくは虚偽の報告をし、又は同項の規定による当該職員の質問に対して、正当な理由がなくて答弁をせず、若しくは虚偽の答弁をし、若しくは正当な理由がなくて同項の規定による検査を拒み、妨げ、若しくは忌避したときは、その違反行為をした者は、三十万円以下の罰金に処する。
art-213-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-3/par-1
When a person, without justifiable grounds, fails to make a report pursuant to the provisions of Article 194-3, paragraph (1) or makes a false report, or, without justifiable grounds, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, or, without justifiable grounds, refuses, obstructs, or evades an inspection pursuant to the same paragraph, the person who committed the violation is subject to a fine of not more than 300,000 yen.
machine translation, not official
### 第二百十三条の四
art-213-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-4
**第一項** 第二百七条の三の罪は、日本国外において同条の罪を犯した者にも適用する。
art-213-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-213-4/par-1
The offense referred to in Article 207-3 also applies to a person who commits the offense referred to in that Article outside Japan.
machine translation, not official
### 第二百十四条
art-214 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-214
**第一項** 法人（法人でない社団又は財団で代表者又は管理人の定めがあるもの（以下この条において「人格のない社団等」という。）を含む。以下この項において同じ。）の代表者（人格のない社団等の管理人を含む。）又は法人若しくは人の代理人、使用人その他の従業者が、その法人又は人の業務又は財産に関して、第二百七条の三から第二百八条まで、第二百十三条の二又は第二百十三条の三の違反行為をしたときは、行為者を罰するほか、その法人又は人に対しても、各本条の罰金刑を科する。
art-214/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-214/par-1
If a representative of a corporation (including an association or foundation that is not a corporation and has a provision on a representative or administrator (hereinafter in this Article referred to as an "association or foundation without legal personality"); the same applies hereinafter in this paragraph) (including an administrator of an association or foundation without legal personality), or an agent, employee or other worker of a corporation or individual, commits a violation of Articles 207-3 through 208, Article 213-2 or Article 213-3 with regard to the business or property of that corporation or individual, not only the offender but also that corporation or individual is subject to the fine referred to in the applicable article.
machine translation, not official
**第二項** 人格のない社団等について前項の規定の適用がある場合においては、その代表者又は管理人がその訴訟行為につき当該人格のない社団等を代表するほか、法人を被告人又は被疑者とする場合の刑事訴訟に関する法律の規定を準用する。
art-214/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-214/par-2
When the provisions of the preceding paragraph are applied to an unincorporated association or foundation, its representative or administrator represents an unincorporated association or foundation in a procedural act, and legal provisions concerning criminal procedure apply mutatis mutandis when a corporation is the accused or suspect.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十五条
art-215 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-215
**第一項** 医師、歯科医師、薬剤師若しくは手当を行った者又はこれを使用する者が、第六十条第一項（第百四十九条において準用する場合を含む。）の規定により、報告若しくは診療録、帳簿書類その他の物件の提示を命ぜられ、正当な理由がなくてこれに従わず、又は同項の規定による当該職員の質問に対して、正当な理由がなくて答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料に処する。
art-215/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-215/par-1
If a physician, dentist, pharmacist or a person who provided medical care or the employer thereof is ordered to make a report or present a medical record, record book or other document pursuant to the provisions of Article 60, paragraph (1) (including when applied mutatis mutandis pursuant to Article 149), and disobeys the order without justifiable grounds, without justifiable grounds fails to answer a question asked by the relevant official pursuant to the provisions of the same paragraph, or answers the question untruthfully, the person is subject to a civil fine of not more than 100,000 yen.
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If a physician, dentist, pharmacist or a person who provided medical care or the employer thereof is ordered to make a report or present a medical record, record book or other document pursuant to the provisions of Article 60, paragraph (1) (including when applied mutatis mutandis pursuant to Article 149), and disobeys the order without justifiable grounds, fails to answer a question asked by the relevant official pursuant to the provisions of the same paragraph, or answers the question untruthfully, the person is subject to a civil fine of not more than 100,000 yen." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第二百十六条
art-216 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-216
**第一項** 事業主が、正当な理由がなくて第百九十七条第一項の規定に違反して、報告をせず、若しくは虚偽の報告をし、文書の提示をせず、又はこの法律の施行に必要な事務を行うことを怠ったときは、十万円以下の過料に処する。
art-216/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-216/par-1
An employer who fails to submit a report or submits a false report in violation of the provisions of Article 197, paragraph (1), fails to present documents, or fails to administer affairs necessary for enforcement of this Act without justifiable grounds, is subject to a civil fine of not more than 100,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十七条
art-217 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217
**第一項** 被保険者又は保険給付を受けるべき者が、正当な理由がなくて第百九十七条第二項の規定に違反して、申出をせず、若しくは虚偽の申出をし、届出をせず、若しくは虚偽の届出をし、又は文書の提出を怠ったときは、十万円以下の過料に処する。
art-217/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217/par-1
An insured person or person to be granted insurance benefits who fails to give a notification or gives a false notification in violation of the provisions of Article 197, paragraph (2), or fails to submit documents without justifiable grounds, is subject to a civil fine of not more than 100,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十七条の二
art-217-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2
**第一項** 次の各号のいずれかに該当する場合には、その違反行為をした協会の役員は、二十万円以下の過料に処する。
art-217-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1
An officer of JHIA who falls under any of the following items is subject to a civil fine of not more than 200,000 yen:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第七条の七第一項の規定による政令に違反して登記することを怠ったとき。
art-217-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-1
the person fails to make a registration in violation of Cabinet Order prescribed in Article 7-7, paragraph (1);
Ministry of Justice translation — Japanese Law Translation Database System
**二** 第七条の二十七、第七条の三十一第一項若しくは第二項又は第七条の三十四の規定により厚生労働大臣の認可を受けなければならない場合において、その認可を受けなかったとき。
art-217-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-2
the person fails to receive authorization when authorization must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 7-27, Article 7-31, paragraphs (1) or (2), or Article 7-34;
Ministry of Justice translation — Japanese Law Translation Database System
**三** 第七条の二十八第二項の規定により厚生労働大臣の承認を受けなければならない場合において、その承認を受けなかったとき。
art-217-2/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-3
the person fails to obtain approval when approval must be obtained from the Minister of Health, Labour, and Welfare pursuant to the provisions of Article 7-28, paragraph (2);
Ministry of Justice translation — Japanese Law Translation Database System
**四** 第七条の二十八第四項の規定に違反して財務諸表、事業報告書等若しくは監事及び会計監査人の意見を記載した書面を備え置かず、又は閲覧に供しなかったとき。
art-217-2/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-4
the person fails to maintain the financial statements and business reports or written statements by the auditor or accounting auditor, or to provide public access to them in violation of the provisions of Article 7-28, paragraph (4);
Ministry of Justice translation — Japanese Law Translation Database System
**五** 第七条の三十三の規定に違反して協会の業務上の余裕金を運用したとき。
art-217-2/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-5
the person invests surplus funds that accrue in the course of JHIA's operations, in violation of the provisions of Article 7-33;
Ministry of Justice translation — Japanese Law Translation Database System
**六** 第七条の三十五第二項又は第七条の三十六第二項の規定による届出をせず、又は虚偽の届出をしたとき。
art-217-2/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-6
the person fails to give a notification pursuant to the provisions of Article 7-35, paragraph (2) or Article 7-36, paragraph (2), or gives false notification;
Ministry of Justice translation — Japanese Law Translation Database System
**七** 第七条の三十五第二項又は第七条の三十六第二項の規定による公表をせず、又は虚偽の公表をしたとき。
art-217-2/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-7
the person fails to make an announcement pursuant to the provisions of Article 7-35, paragraph (2) or Article 7-36, paragraph (2) or makes a false announcement; or
Ministry of Justice translation — Japanese Law Translation Database System
**八** この法律に規定する業務又は他の法律により協会が行うものとされた業務以外の業務を行ったとき。
art-217-2/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-217-2/par-1/item-8
the person engages in any operations other than those prescribed by this Act or those specified by other laws as JHIA's operations.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十八条
art-218 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-218
**第一項** 健康保険組合の設立を命ぜられた事業主が、正当な理由がなくて厚生労働大臣が指定する期日までに設立の認可を申請しなかったときは、その手続の遅延した期間、その負担すべき保険料額の二倍に相当する金額以下の過料に処する。
art-218/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-218/par-1
When an employer is ordered to establish a health insurance society and fails to apply for authorization of establishment by the due date specified by the Minister of Health, Labor and Welfare without justifiable grounds, the employer is subject to a civil fine in an amount equivalent to twice the amount of insurance premiums to be borne for the period in which the procedure is delayed.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百十九条
art-219 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-219
**第一項** 健康保険組合又は連合会が、第十六条第三項（第百八十八条において準用する場合を含む。）の規定による届出をせず、若しくは虚偽の届出をし、第二十九条第一項若しくは第百八十八条において準用する第七条の三十八の規定による報告をせず、若しくは虚偽の報告をし、若しくは第二十九条第一項若しくは第百八十八条において準用する第七条の三十八の規定による当該職員の質問に対して、答弁せず、若しくは虚偽の答弁をし、若しくは同条の規定による検査を拒み、妨げ、若しくは忌避し、又は第二十九条第一項若しくは第百八十八条において準用する第七条の三十九第一項の規定による命令に違反したときは、その役員を二十万円以下の過料に処する。
art-219/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-219/par-1
When a health insurance society or federation fails to give a notification or gives a false notification in violation of the provisions of Article 16, paragraph (3) (including when applied mutatis mutandis to Article 188), fails to submit a report or submits a false report in violation of the provisions of Article 7-38 as applied mutatis mutandis to Article 29, paragraph (1) or Article 188, fails to answer a question asked by an official pursuant to the provisions of Article 7-38 as applied mutatis mutandis to Article 29, paragraph (1) or Article 188 or answers the question untruthfully, refuses, obstructs or evades an inspection conducted pursuant to the provisions of Article 7-38, or violates an order pursuant to the provisions of Article 7-39, paragraph (1) as applied mutatis mutandis to Article 29, paragraph (1) or Article 188, the relevant officer is subject to a civil fine of not more than 200,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百二十条
art-220 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-220
**第一項** 第七条の八、第十条第二項又は第百八十四条第四項の規定に違反して、全国健康保険協会という名称、健康保険組合という名称又は健康保険組合連合会という名称を用いた者は、十万円以下の過料に処する。
art-220/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-220/par-1
A person who uses the name全国健康保険協会 (meaning "Japan Health Insurance Association), 健康保険組合 (meaning "health insurance society"), or健康保険組合連合会 (meaning "federation of health insurance societies") in violation of the provisions of Article 7-8, Article 10, paragraph (2), or Article 184, paragraph (4) is subject to a civil fine of not more than 100,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百二十一条
art-221 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-221
**第一項** 機構の役員は、次の各号のいずれかに該当する場合には、二十万円以下の過料に処する。
art-221/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-221/par-1
An officer of JPS who falls under any of the following items is subject to a non-criminal fine of not more than 200,000 yen:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 第二百四条の三第一項、同条第二項において準用する厚生年金保険法第百条の六第二項、第二百四条の四第一項、第二百四条の五第一項及び第二百四条の六第二項において準用する同法第百条の十一第二項の規定により厚生労働大臣の認可を受けなければならない場合において、その認可を受けなかったとき。
art-221/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-221/par-1/item-1
the officer fails to obtain authorization when authorization must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 204-3, paragraph (1), Article 100-6, paragraph (2) of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 204-3, paragraph (2), Article 204-4, paragraph (1), Article 204-5, paragraph (1), or Article 100-11, paragraph (2) of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 204-6, paragraph (2); or
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "the officer fails to obtain authorization when authorization must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 204-3, paragraph (1), Article 100-6, paragraph (2) of the Welfare Pension Insurance Act as applied mutatis mutandis to Article 204-3, paragraph (2), Article 204-4, paragraph (1), Article 204-5, paragraph (1), or Article 100-11, paragraph (2) of the Welfare Pension Insurance Act as applied mutatis mutandis pursuant to Article 204-6, paragraph (2); or" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
**二** 第二百四条の四第二項において準用する厚生年金保険法第百条の七第三項の規定による命令に違反したとき。
art-221/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-221/par-1/item-2
the officer violates an order pursuant to the provisions of Article 100-7, paragraph (3) of the Employee's Pension Insurance Act as applied mutatis mutandis to Article 204-4, paragraph (2).
Ministry of Justice translation — Japanese Law Translation Database System
### 第二百二十二条
art-222 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-222
**第一項** 協会の役員は、第二百四条の八第一項の規定により厚生労働大臣の認可を受けなければならない場合において、その認可を受けなかったときは、二十万円以下の過料に処する。
art-222/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text#art-222/par-1
If an officer of JHIA fails to obtain authorization when approval must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 204-8, paragraph (1), the officer is subject to a civil fine of not more than 200,000 yen.
Ministry of Justice translation — Japanese Law Translation Database System
---
# 附則・別表・様式 (supplementary provisions, appended tables and forms)
## 附 則
suppl-2111-70 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — (Date of Enforcement)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、大正十五年七月一日から施行する。ただし、保険給付及び費用の負担に関する規定は、大正十六年一月一日から施行する。
suppl-2111-70/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of July 1, 1926; provided, however, that the provisions on insurance benefits and sharing of costs are enforced from January 1, 1927.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二条（健康保険組合の財政調整） — (Financial Coordination of Health Insurance Societies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険組合が管掌する健康保険の医療に関する給付、保健事業及び福祉事業の実施又は健康保険組合に係る前期高齢者納付金等、後期高齢者支援金等、日雇拠出金、介護納付金、流行初期医療確保拠出金等若しくは子ども・子育て支援納付金の納付に要する費用の財源の不均衡を調整するため、連合会は、政令で定めるところにより、会員である健康保険組合（以下この条及び次条において「組合」という。）に対する交付金の交付の事業を行うものとする。
suppl-2111-70/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In order to adjust the imbalance in financial resources for the benefits relating to medical care of health insurance administered by health insurance societies, the provision of healthcare services and welfare services, or the expenses required for the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. or the children and child-rearing support levy pertaining to health insurance societies, the federation is to, as specified by Cabinet Order, conduct a project of granting subsidies to health insurance societies that are its members (hereinafter referred to as "societies" in this Article and the following Article).
machine translation, not official
**第二項** 組合は、前項の事業に要する費用に充てるため、連合会に対し、政令で定めるところにより、拠出金を拠出するものとする。
suppl-2111-70/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A society is to contribute funds to federations as specified by Cabinet Order in order to allocate the funds for expenses required for the business referred to in the previous paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 組合は、前項の規定による拠出金の拠出に要する費用に充てるため、調整保険料を徴収する。
suppl-2111-70/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A society collects adjusted insurance premiums to allocate for the expenses required for the funds contributed pursuant to the provisions of the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 調整保険料額は、各月につき、各被保険者の標準報酬月額及び標準賞与額にそれぞれ調整保険料率を乗じて得た額とする。
suppl-2111-70/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The adjusted insurance premium amount for an insured person is the amount obtained per month by multiplying both the person's standard monthly remuneration amount and the person's amount of standard bonus by the adjustment rate for insurance premiums.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 調整保険料率は、交付金の交付に要する費用並びに組合の組合員である被保険者の数及び標準報酬を基礎として、政令で定める。
suppl-2111-70/art-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The adjustment rate for insurance premiums is specified by Cabinet Order based on expenses required for granting subsidies as well as the number of society members who are insured persons and their standard remunerations.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 第七条の三十九、第二十九条第二項及び第百八十五条第三項の規定は、第一項の事業について準用する。この場合において、第七条の三十九第一項中「事業若しくは財産」とあるのは「事業」と、「定款」とあるのは「規約」と、第二十九条第二項中「前項」とあるのは「附則第二条第六項」と、「とき、又は前条第二項の規定に違反した指定健康保険組合、同条第三項の求めに応じない指定健康保険組合その他政令で定める指定健康保険組合の事業若しくは財産の状況によりその事業の継続が困難であると認めるとき」とあるのは「とき」と、第百八十五条第三項中「組合員である被保険者の共同の福祉を増進するため」とあるのは「附則第二条第一項の事業を推進するため」と読み替えるものとする。
suppl-2111-70/art-2/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 7-39, Article 29, paragraph (2), and Article 185, paragraph (3) apply to the business referred to in paragraph (1). In this case, "business or assets" in Article 7-39, paragraph (1) is deemed to be replaced with "business", "articles of incorporation" in the same paragraph is deemed to be replaced with "constitution", "the preceding paragraph, or if it is found that the continuation of business of a designated health insurance society which has violated the provisions of paragraph (2) of the preceding Article, of a designated health insurance society which fails to follow the request referred to in paragraph (3) of the same Article, or of another designated health insurance society as specified by Cabinet Order is difficult due to the status of services or property or other reasons" in Article 29, paragraph (2) is deemed to be replaced with "Article 2, paragraph (6) of the Supplementary Provisions", and "promoting the common welfare of insured persons who are members of a health insurance society" in Article 185, paragraph (3) is deemed to be replaced with "promoting the business referred to in Article 2, paragraph (1) of the Supplementary Provisions".
Ministry of Justice translation — Japanese Law Translation Database System
**第七項** 第百五十八条、第百五十九条、第百五十九条の三、第百六十一条、第百六十二条、第百六十四条、第百六十五条、第百六十七条及び第百九十三条の規定は、第三項の規定による調整保険料について準用する。
suppl-2111-70/art-2/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 158, Article 159, Article 159-3, Article 161, Article 162, Article 164, Article 165, Article 167 and Article 193 apply mutatis mutandis to the adjusted insurance premium pursuant to the provisions of paragraph (3).
Ministry of Justice translation — Japanese Law Translation Database System
**第八項** 一般保険料率と調整保険料率とを合算した率の変更が生じない一般保険料率の変更の決定は、第百六十条第十三項において準用する同条第八項の規定にかかわらず、同項の認可を受けることを要しない。
suppl-2111-70/art-2/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Article 160, paragraph (8) as applied mutatis mutandis to paragraph (13) of the same article, the authorization referred to in Article 160, paragraph (8) is not required for the determination of a change in the general insurance rate that does not cause a change in the combined rate of the general insurance rate and adjustment rate for insurance premiums.
Ministry of Justice translation — Japanese Law Translation Database System
**第九項** 前項の規定による決定をしたときは、当該変更後の一般保険料率を厚生労働大臣に届け出なければならない。
suppl-2111-70/art-2/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When a determination is made pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare must be notified of the general insurance rate after the change.
Ministry of Justice translation — Japanese Law Translation Database System
### 第二条の二（国庫負担） — Share of National Treasury
caption: machine translation, not official
suppl-2111-70/art-2-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 国は、政令で定めるところにより、連合会に対し、政令で定める組合に対する前条第一項の交付金の交付に要する費用について、予算の範囲内で、その一部を負担する。
suppl-2111-70/art-2-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The national government is to, as specified by Cabinet Order, bear, with respect to the federation, part of the expenses required for the granting of the subsidies under paragraph (1) of the preceding Article to the societies specified by Cabinet Order, within the scope of the budget.
machine translation, not official
### 第三条（特定健康保険組合） — (Specified Health Insurance Society)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働省令で定める要件に該当するものとして厚生労働大臣の認可を受けた健康保険組合（以下この条において「特定健康保険組合」という。）の組合員である被保険者であった者であって、改正法第十三条の規定による改正前の国民健康保険法第八条の二第一項に規定する退職被保険者であるべきもののうち当該特定健康保険組合の規約で定めるものは、当該特定健康保険組合に申し出て、当該特定健康保険組合の被保険者（以下この条において「特例退職被保険者」という。）となることができる。ただし、任意継続被保険者であるときは、この限りでない。
suppl-2111-70/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who was an insured person with membership in a health insurance society authorized by the Minister of Health, Labour and Welfare as meeting the requirements specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "specified health insurance society" in this Article) and who is specified by the specified health insurance society among those who should be persons with retirement insurance as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act may become an insured person of the specified health insurance society (hereinafter referred to as a "special retired insured person") by submitting a request to the specified health insurance society; provided, however, that this does not apply in cases of an insured person with optional and continued coverage.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 特例退職被保険者は、同時に二以上の保険者（共済組合を含む。）の被保険者となることができない。
suppl-2111-70/art-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A special retired insured person may not be insured by two or more insurers (including mutual aid associations) at the same time.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 特例退職被保険者は、第一項の申出が受理された日から、その資格を取得する。
suppl-2111-70/art-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A special retired insured person acquires such eligibility on the date on which the request referred to in paragraph (1) is accepted.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 特例退職被保険者の標準報酬月額については、第四十一条から第四十四条までの規定にかかわらず、当該特定健康保険組合が管掌する前年（一月から三月までの標準報酬月額については、前々年）の九月三十日における特例退職被保険者以外の全被保険者の同月の標準報酬月額を平均した額の範囲内においてその規約で定めた額を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額とする。
suppl-2111-70/art-3/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the standard monthly remuneration amount of a special retired insured person, notwithstanding the provisions of Articles 41 through 44, when the amount specified by the specified health insurance society in the range of the average standard monthly remuneration amount for the same month of all insured persons other than special retired insured persons administered by the specified health insurance society on September 30 in the preceding year (for the standard monthly remuneration amount from January to March, the year prior to the preceding year) is deemed to be the monthly remuneration amount forming the basis of the standard monthly remuneration amount, that standard monthly remuneration amount is applied.
Ministry of Justice translation — Japanese Law Translation Database System
**第五項** 第百四条の規定にかかわらず、特例退職被保険者には、傷病手当金は、支給しない。
suppl-2111-70/art-3/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Article 104, injury and sickness allowance is not paid to a special retired insured person.
Ministry of Justice translation — Japanese Law Translation Database System
**第六項** 特例退職被保険者は、この法律の規定（第三十八条第二号、第四号及び第五号を除く。）の適用については、任意継続被保険者とみなす。この場合において、同条第一号中「任意継続被保険者となった日から起算して二年を経過したとき」とあるのは「改正法第十三条の規定による改正前の国民健康保険法第八条の二第一項に規定する退職被保険者であるべき者に該当しなくなったとき」と、同条第三号中「保険者」とあるのは「附則第三条第一項に規定する特定健康保険組合」と、同条第七号中「保険者に」とあるのは「附則第三条第一項に規定する特定健康保険組合に」とする。
suppl-2111-70/art-3/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A special retired insured person is deemed to be an insured person with optional and continued coverage for the purpose of the application of the provisions of this Act (excluding Article 38, items (ii), (iv) and (v)). In this case, the phrase "two years have elapsed since the day on which the person became an insured person with optional and continued coverage" in item (i) of that Article is deemed to be replaced with "the person ceases to fall under those who should be persons with retirement insurance as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act", the term "insurer" in item (iii) of that Article with "specified health insurance society prescribed in Article 3, paragraph (1) of the Supplementary Provisions", and the phrase "to the insurer" in item (vii) of that Article with "to the specified health insurance society prescribed in Article 3, paragraph (1) of the Supplementary Provisions".
machine translation, not official
**第七項** 特例退職被保険者に対する保険給付の特例その他特例退職被保険者に関して必要な事項は、政令で定める。
suppl-2111-70/art-3/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Special provisions concerning insurance benefits for special retired insured persons and other necessary matters concerning special retired insured persons are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第三条の二（地域型健康保険組合） — (Regional Health Insurance Societies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-3-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二十三条第三項の合併により設立された健康保険組合又は合併後存続する健康保険組合のうち次の要件のいずれにも該当する合併に係るもの（以下この条において「地域型健康保険組合」という。）は、当該合併が行われた日の属する年度及びこれに続く五箇年度に限り、第百六十条第十三項において準用する同条第一項に規定する範囲内において、不均一の一般保険料率を決定することができる。
suppl-2111-70/art-3-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A health insurance society established by a merger referred to in Article 23, paragraph (3) or a health insurance society that remains after a merger falling under all of the following requirements (hereinafter referred to as "regional health insurance society " in this Article) may determine unequal general insurance rates in the range prescribed in Article 160, paragraph (1) as applied mutatis mutandis to paragraph (13) of the same paragraph within the fiscal year in which the merger occurred and the subsequent five years:
Ministry of Justice translation — Japanese Law Translation Database System
**一** 合併前の健康保険組合の設立事業所がいずれも同一都道府県の区域にあること。
suppl-2111-70/art-3-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
all of the establishments of the health insurance society before the merger are located in the same prefecture; and
Ministry of Justice translation — Japanese Law Translation Database System
**二** 当該合併が第二十八条第一項に規定する指定健康保険組合、被保険者の数が第十一条第一項又は第二項の政令で定める数に満たなくなった健康保険組合その他事業運営基盤の安定が必要と認められる健康保険組合として厚生労働省令で定めるものを含むこと。
suppl-2111-70/art-3-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the merger includes a society specified by Order of the Ministry of Health, Labour and Welfare as a designated health insurance society prescribed in Article 28, paragraph (1), a health insurance society whose number of insured persons has become less than the number prescribed by Cabinet Order referred to in Article 11, paragraph (1) or (2), or another health insurance society which is found to require a stable operational foundation.
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の一般保険料率の決定は、厚生労働大臣の認可を受けなければならない。
suppl-2111-70/art-3-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Authorization must be obtained from the Minister of Health, Labour and Welfare for the determination of the insurance premium rate referred to in the preceding paragraph.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 地域型健康保険組合の一般保険料率の認可の手続その他地域型健康保険組合に関して必要な事項は、政令で定める。
suppl-2111-70/art-3-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The authorization procedure for the general insurance premium rate of a regional health insurance society and other necessary matters concerning a regional health insurance society are specified by Cabinet Order.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四条（協会が管掌する健康保険の被保険者に係る給付の事業） — (Benefits for Insured Persons Covered by Health Insurance Administered by JHIA)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 被保険者を使用する事業主（健康保険組合が組織されている事業所の事業主を除く。）及び当該被保険者で組織する法人その他の政令で定めるもの（次項において「法人等」という。）であって、政令で定める要件に該当するものとして厚生労働大臣の承認を受けたもの（以下この条において「承認法人等」という。）は、当該被保険者の療養に関して保険給付があった場合において、第七十四条第一項の規定により当該被保険者が支払った一部負担金に相当する額の範囲内において、当該被保険者に対し、給付をすることができる。
suppl-2111-70/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A corporation organized by an employer of insured persons (excluding employers of a place of business at which a health insurance society is organized) and those insured persons or another organization specified by Cabinet Order (referred to as a "corporation") and approved by the Minister of Health, Labour and Welfare as one that meets the requirements prescribed by Cabinet Order (hereinafter referred to as an "approved corporation" in this Article) may provide payment to an insured person for insurance benefits relating to medical treatment for the insured person up to an amount equivalent to the amount of co-payment paid by the insured person pursuant to the provisions of Article 74, paragraph (1).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の法人等が承認を受けようとするときは、あらかじめ、協会の同意を得なければならない。
suppl-2111-70/art-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When a corporation referred to in the preceding paragraph intends to receive approval, it must obtain consent from JHIA in advance.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 承認法人等は、第一項の給付に要する費用に充てるため、厚生労働省令で定めるところにより、事業主又は被保険者から費用を徴収することができる。
suppl-2111-70/art-4/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An approved corporation may collect expenses to allocate for payment referred to in paragraph (1) from employers or insured persons as specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 承認法人等の事業に関して必要な事項は、厚生労働省令で定める。
suppl-2111-70/art-4/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Necessary matters concerning the business of approved corporations are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
### 第四条の二（病床転換支援金の経過措置） — Transitional Measures for Bed Conversion Support Payments
caption: machine translation, not official
suppl-2111-70/art-4-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 高齢者の医療の確保に関する法律附則第二条に規定する政令で定める日までの間、第七条の二第三項中「並びに同法」とあるのは「、同法」と、「、介護保険法」とあるのは「並びに同法附則第七条第一項に規定する病床転換支援金等（以下「病床転換支援金等」という。）、介護保険法」と、第百五十一条中「及び第百七十三条」とあるのは「、病床転換支援金等及び第百七十三条」と、附則第五条の規定により読み替えられた第百五十四条第二項中「及び高齢者の医療の確保に関する法律の規定による後期高齢者支援金」とあるのは「、高齢者の医療の確保に関する法律の規定による後期高齢者支援金及び同法附則第七条第一項に規定する病床転換支援金」と、第百五十五条第一項及び第百六十条第三項第二号中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び病床転換支援金等」と、同条第十四項中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等の額及び病床転換支援金等」と、第百七十三条第一項及び第百七十六条中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び病床転換支援金等」と、附則第二条第一項中「後期高齢者支援金等」とあるのは「後期高齢者支援金等、病床転換支援金等」とする。
suppl-2111-70/art-4-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until the date specified by Cabinet Order prescribed in Article 2 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People, in Article 7-2, paragraph (3), the phrase "and the same Act" is deemed to be replaced with ", the same Act" and the phrase ", the Long-Term Care Insurance Act" with "and the bed conversion support payment, etc. prescribed in Article 7, paragraph (1) of the Supplementary Provisions of the same Act (hereinafter referred to as "bed conversion support payment, etc."), the Long-Term Care Insurance Act"; in Article 151, the phrase "the contributions under the provisions of Article 173" with "bed conversion support payment, etc. and the contributions under the provisions of Article 173"; in Article 154, paragraph (2) as replaced pursuant to Article 5 of the Supplementary Provisions, the phrase "the aid for the old-old under the provisions of the Act on Assurance of Medical Care for Elderly People" with "the aid for the old-old under the provisions of the Act on Assurance of Medical Care for Elderly People and the bed conversion support payment prescribed in Article 7, paragraph (1) of the Supplementary Provisions of that Act"; in Article 155, paragraph (1) and Article 160, paragraph (3), item (ii), the phrase "aid for the old-old, etc." with "aid for the old-old, etc. and bed conversion support payment, etc."; in paragraph (14) of Article 160, the phrase "the amount of aid for the old-old, etc." with "the amount of aid for the old-old, etc. and bed conversion support payment, etc."; in Article 173, paragraph (1) and Article 176, the phrase "aid for the old-old, etc." with "aid for the old-old, etc. and bed conversion support payment, etc."; and in Article 2, paragraph (1) of the Supplementary Provisions, the phrase "aid for the old-old, etc." with "aid for the old-old, etc., bed conversion support payment, etc.".
machine translation, not official
### 第四条の三（令和六年度及び令和七年度の概算出産育児交付金及び確定出産育児交付金の額の算定の特例） — Special Provisions for Calculation of the Amounts of Estimated Childbirth and Childcare Grants and Finalized Childbirth and Childcare Grants for Fiscal Years 2024 and 2025
caption: machine translation, not official
suppl-2111-70/art-4-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和六年度及び令和七年度においては、第百五十二条の四及び第百五十二条の五中「に同年度」とあるのは、「の二分の一に相当する額に同年度」とする。
suppl-2111-70/art-4-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2024 and fiscal year 2025, in Article 152-4, the phrase "multiplying the amount calculated" is deemed to be replaced with "multiplying an amount equivalent to one half of the amount calculated", and in Article 152-5, the phrase "multiplying the amount of expenses required" with "multiplying an amount equivalent to one half of the amount of expenses required".
machine translation, not official
### 第五条（国庫補助の経過措置） — (Transitional Measures for National Subsidies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 当分の間、第百五十三条中「千分の百三十から千分の二百までの範囲内において政令で定める割合」とあり、第百五十四条第一項中「前条に規定する政令で定める割合」とあり、同条第二項中「同条に規定する政令で定める割合」とあり、及び次条中「第百五十三条に規定する政令で定める割合」とあるのは、「千分の百六十四」とする。
suppl-2111-70/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For the time being, the phrase "a rate specified by Cabinet Order within a range from 0.13 to 0.20" in Article 153, the phrase "the rate specified by Cabinet Order prescribed in the preceding Article" in Article 154, paragraph (1), the phrase "the rate specified by Cabinet Order prescribed in that Article" in paragraph (2) of that Article, and the phrase "the rate specified by Cabinet Order prescribed in Article 153" in the following Article are deemed to be replaced with "0.164".
machine translation, not official
### 第五条の二（国庫補助の特例） — (Special Provisions for National Subsidies)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-5-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 高齢者の医療の確保に関する法律附則第二条に規定する政令で定める日までの間、国庫は、第百五十一条、第百五十三条及び第百五十四条に規定する費用のほか、協会が拠出すべき同法附則第七条第一項に規定する病床転換支援金（日雇特例被保険者に係るものを除く。）の納付に要する費用の額に第百五十三条に規定する政令で定める割合を乗じて得た額を補助する。
suppl-2111-70/art-5-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until the date specified by Cabinet Order prescribed in Article 2 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People, in addition to the expenses prescribed in Articles 151, 153 and 154, the national treasury subsidizes the amount obtained by multiplying the amount of expenses required for the payment of the bed conversion support payment prescribed in Article 7, paragraph (1) of the Supplementary Provisions of that Act that JHIA is to contribute (excluding that pertaining to specially-insured day laborers) by the rate specified by Cabinet Order prescribed in Article 153.
machine translation, not official
### 第五条の三
suppl-2111-70/art-5-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和八年度においては、第百五十三条及び第百五十四条並びに附則第四条の二及び第五条並びに前条の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される前条の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額に五百億八百五十九万七千円を加えて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2026, notwithstanding the provisions of Articles 153 and 154, Articles 4-2 and 5 of the Supplementary Provisions and the preceding Article, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and the preceding Article as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by adding 50,008,597,000 yen to the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 持続可能な医療保険制度を構築するための国民健康保険法等の一部を改正する法律（平成二十七年法律第三十一号。以下「国保法等一部改正法」という。）第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用しないとしたならば積み立てられることとなる令和七年度末における協会の準備金の額
suppl-2111-70/art-5-3/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of fiscal year 2025 that would be accumulated if the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the Act Partially Amending the National Health Insurance Act, etc. to Establish a Sustainable Medical Insurance System (Act No. 31 of 2015; hereinafter referred to as the "National Health Insurance Act, etc. Partial Amendment Act") were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-3/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 平成二十六年度末における協会の準備金の額及び平成二十六年度において独立行政法人年金・健康保険福祉施設整理機構法の一部を改正する法律（平成二十三年法律第七十三号）附則第五条の規定によりなお従前の例によることとされた同法による改正前の独立行政法人年金・健康保険福祉施設整理機構法（平成十七年法律第七十一号）第十五条第一項の規定により年金特別会計の健康勘定に納付された額を原資として平成二十七年度中に協会に対して交付された額の合算額
suppl-2111-70/art-5-3/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the total of the amount of JHIA's reserves at the end of fiscal year 2014 and the amount granted to JHIA during fiscal year 2015 using as its source the amount paid into the health account of the pension special account in fiscal year 2014 pursuant to Article 15, paragraph (1) of the Act on the Pension and Health Insurance Welfare Facilities Reorganization Organization, Independent Administrative Agency (Act No. 71 of 2005) prior to the amendment by the Act Partially Amending the Act on the Pension and Health Insurance Welfare Facilities Reorganization Organization, Independent Administrative Agency (Act No. 73 of 2011), with respect to which the provisions then in force continue to govern pursuant to Article 5 of the Supplementary Provisions of that Act; or
machine translation, not official
**ロ** 国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和六年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において独立行政法人通則法（平成十一年法律第百三号）第四十六条の二第一項から第三項まで及び独立行政法人地域医療機能推進機構法（平成十七年法律第七十一号）第十六条第二項の規定により年金特別会計の健康勘定に納付された額（以下「納付額」という。）を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-3/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2024 that would be accumulated if the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied (where there is an amount granted to JHIA using as its source the amount paid into the health account of the pension special account pursuant to Article 46-2, paragraphs (1) through (3) of the Act on General Rules for Incorporated Administrative Agencies (Act No. 103 of 1999) and Article 16, paragraph (2) of the Act on Japan Community Health Care Organization, Incorporated Administrative Agency (Act No. 71 of 2005) between fiscal year 2015 and each such business year (hereinafter referred to as the "amount paid in"), the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から令和七年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-3/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2025 using the amount paid in as its source.
machine translation, not official
### 第五条の四
suppl-2111-70/art-5-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和九年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額に五百億八百五十九万七千円を加えて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2027, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by adding 50,008,597,000 yen to the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、前条の規定を適用しないとしたならば積み立てられることとなる令和八年度末における協会の準備金の額
suppl-2111-70/art-5-4/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of fiscal year 2026 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of the preceding Article were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-4/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 前条第二号イに掲げる額
suppl-2111-70/art-5-4/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount listed in item (ii), (a) of the preceding Article; or
machine translation, not official
**ロ** 国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和七年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-4/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2025 that would be accumulated if the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から令和八年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-4/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2026 using the amount paid in as its source.
machine translation, not official
### 第五条の五
suppl-2111-70/art-5-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額に五百億八百五十九万七千円を加えて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2028, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by adding 50,008,597,000 yen to the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、前二条の規定を適用しないとしたならば積み立てられることとなる令和九年度末における協会の準備金の額
suppl-2111-70/art-5-5/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of fiscal year 2027 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of the preceding two Articles were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-5/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 附則第五条の三第二号イに掲げる額
suppl-2111-70/art-5-5/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or
machine translation, not official
**ロ** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三の規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和八年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-5/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2026 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Article 5-3 of the Supplementary Provisions (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から令和九年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-5/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2027 using the amount paid in as its source.
machine translation, not official
### 第五条の六
suppl-2111-70/art-5-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十一年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2029, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、前三条の規定を適用しないとしたならば積み立てられることとなる令和十年度末における協会の準備金の額
suppl-2111-70/art-5-6/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of fiscal year 2028 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of the preceding three Articles were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-6/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 附則第五条の三第二号イに掲げる額
suppl-2111-70/art-5-6/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or
machine translation, not official
**ロ** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三及び第五条の四の規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和九年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-6/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2027 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Articles 5-3 and 5-4 of the Supplementary Provisions (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から令和十年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-6/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2028 using the amount paid in as its source.
machine translation, not official
### 第五条の七
suppl-2111-70/art-5-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十二年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2030, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三から前条までの規定を適用しないとしたならば積み立てられることとなる令和十一年度末における協会の準備金の額
suppl-2111-70/art-5-7/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of fiscal year 2029 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Article 5-3 through the preceding Article of the Supplementary Provisions were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-7/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 附則第五条の三第二号イに掲げる額
suppl-2111-70/art-5-7/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or
machine translation, not official
**ロ** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三から第五条の五までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和十年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-7/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2028 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Articles 5-3 through 5-5 of the Supplementary Provisions (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から令和十一年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-7/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2029 using the amount paid in as its source.
machine translation, not official
### 第五条の八
suppl-2111-70/art-5-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十三年度以降の一の事業年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額（第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額）から第二号に掲げる額を控除して得た額（当該額が零を下回る場合には、零とする。）に千分の百六十四を乗じて得た額を控除して得た額を補助する。
suppl-2111-70/art-5-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In any one business year in or after fiscal year 2031, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).
machine translation, not official
**一** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三からこの条までの規定を適用しないとしたならば積み立てられることとなる当該一の事業年度の前事業年度末における協会の準備金の額
suppl-2111-70/art-5-8/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of JHIA's reserves at the end of the business year preceding that one business year that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Article 5-3 through this Article of the Supplementary Provisions were not applied;
machine translation, not official
**二** 次に掲げる額のうちいずれか高い額
suppl-2111-70/art-5-8/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the higher of the following amounts:
machine translation, not official
**イ** 附則第五条の三第二号イに掲げる額
suppl-2111-70/art-5-8/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or
machine translation, not official
**ロ** 平成二十七年度から令和七年度までの間において国保法等一部改正法第六条の規定による改正前の附則第五条の四から第五条の六までの規定を適用せず、かつ、附則第五条の三からこの条までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から当該一の事業年度の前々事業年度までの間の各事業年度の事業年度末における協会の準備金の額（平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額）のうち最も高い額
suppl-2111-70/art-5-8/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through the business year before last of that one business year that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of Articles 5-4 through 5-6 of the Supplementary Provisions prior to the amendment by Article 6 of the National Health Insurance Act, etc. Partial Amendment Act were not applied and the provisions of Article 5-3 through this Article of the Supplementary Provisions were not applied (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and
machine translation, not official
**三** 平成二十七年度から当該一の事業年度の前事業年度までの間における納付額を原資として、協会に対して交付された額の累計額
suppl-2111-70/art-5-8/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and the business year preceding that one business year using the amount paid in as its source.
machine translation, not official
### 第五条の九（検討） — Review
caption: machine translation, not official
suppl-2111-70/art-5-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、協会が作成する第百六十条第五項に規定する健康保険事業の収支の見通しを踏まえ、その財政の均衡を保つために協会の一般保険料率を引き上げる必要があると見込まれる場合において、協会以外の保険者の一般保険料率の動向、国の財政状況その他の社会経済情勢の変化等を勘案し、第百五十三条及び第百五十四条並びに附則第五条の規定について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-2111-70/art-5-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where it is expected that it will be necessary to raise JHIA's general insurance rate in order to maintain its fiscal balance, in light of the outlook for revenue and expenditure of health insurance services prepared by JHIA as prescribed in Article 160, paragraph (5), the government is to conduct a review of the provisions of Articles 153 and 154 and Article 5 of the Supplementary Provisions, taking into account trends in the general insurance rates of insurers other than JHIA, the fiscal situation of the national government, and other changes in the socioeconomic situation, etc., and, if it finds it necessary, to take required measures based on the results.
machine translation, not official
### 第六条（日本私立学校振興・共済事業団等の適用） — (Application Concerning the Promotion and Mutual Aid Corporation for Private Schools of Japan)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の適用については、日本私立学校振興・共済事業団は共済組合と、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は共済組合の組合員とみなす。
suppl-2111-70/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of this Act, the Promotion and Mutual Aid Corporation for Private Schools of Japan is deemed to be a mutual aid association, and subscribers to the Private School Personnel Mutual Aid System pursuant to the provisions of the Private School Personnel Mutual Aid Association Act are deemed to be members of the mutual aid association.
Ministry of Justice translation — Japanese Law Translation Database System
### 第七条（特定被保険者） — (Specified Insured Person)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険組合は、第百五十六条第一項第二号及び第百五十七条第二項の規定にかかわらず、規約で定めるところにより、介護保険第二号被保険者である被保険者以外の被保険者（介護保険第二号被保険者である被扶養者があるものに限る。以下この条及び次条において「特定被保険者」という。）に関する保険料額を一般保険料等額と介護保険料額との合算額とすることができる。
suppl-2111-70/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Article 156, paragraph (1), item (ii) and Article 157, paragraph (2), a health insurance society may, as specified by its articles of incorporation, make the amount of insurance premium relating to an insured person other than an item (ii) insured person (limited to a person who has a dependent who is an item (ii) insured person; hereinafter referred to as a "specified insured person" in this Article and the following Article) the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium.
machine translation, not official
**第二項** 前項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者に対する第百五十六条第三項の規定の適用については、同項中「前二項」とあるのは、「附則第七条第一項及び第三項」とする。
suppl-2111-70/art-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of Article 156, paragraph (3) to a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of the preceding paragraph, the phrase "the preceding two paragraphs" in that paragraph is deemed to be replaced with "Article 7, paragraphs (1) and (3) of the Supplementary Provisions".
machine translation, not official
**第三項** 第百五十六条第二項の規定は、介護保険第二号被保険者である被扶養者（第一項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者の被扶養者に限る。）が介護保険第二号被保険者に該当しなくなった場合について準用する。
suppl-2111-70/art-7/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 156, paragraph (2) apply mutatis mutandis to the case where a dependent who is an item (ii) insured person (limited to a dependent of a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of paragraph (1)) ceases to fall under the category of item (ii) insured person.
machine translation, not official
**第四項** 第一項の規定により特定被保険者に関する保険料額を一般保険料等額と介護保険料額との合算額とした健康保険組合の介護保険料率の算定の特例に関して必要な事項は、政令で定める。
suppl-2111-70/art-7/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Necessary matters concerning special provisions on the calculation of the long-term care insurance rate of a health insurance society that has made the amount of insurance premium relating to specified insured persons the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of paragraph (1) are specified by Cabinet Order.
machine translation, not official
### 第八条（承認健康保険組合） — (Approved Health Insurance Society)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政令で定める要件に該当するものとして厚生労働大臣の承認を受けた健康保険組合（以下この条において「承認健康保険組合」という。）は、第百五十六条第一項第一号、第百五十七条第二項、第百六十条第十六項及び前条第一項の規定にかかわらず、介護保険第二号被保険者である被保険者（同項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者を含む。第四項において同じ。）に関する保険料額を一般保険料等額と特別介護保険料額との合算額とすることができる。
suppl-2111-70/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A health insurance society approved by the Minister of Health, Labour and Welfare as meeting the requirements specified by Cabinet Order (hereinafter referred to as an "approved health insurance society" in this Article) may, notwithstanding the provisions of Article 156, paragraph (1), item (i), Article 157, paragraph (2), Article 160, paragraph (16) and paragraph (1) of the preceding Article, make the amount of insurance premium relating to an insured person who is an item (ii) insured person (including a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of that paragraph; the same applies in paragraph (4)) the sum of the amount of general insurance premium, etc. and the amount of special long-term care insurance premium.
machine translation, not official
**第二項** 前項の特別介護保険料額の算定方法は、政令で定める基準に従い、各年度における当該承認健康保険組合の特別介護保険料額の総額と当該承認健康保険組合が納付すべき介護納付金の額とが等しくなるように規約で定めるものとする。
suppl-2111-70/art-8/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The method for calculating the amount of special long-term care insurance premiums referred to in the preceding paragraph is to be specified in the constitution in accordance with standards specified by Cabinet Order so that the total amount of special long-term care insurance premiums of an approved health insurance society each fiscal year and the amount of long-term care payments to be paid by the approved health insurance society are equal.
Ministry of Justice translation — Japanese Law Translation Database System
**第三項** 前項の政令は、介護保険法第百二十九条第二項に規定する政令で定める基準を勘案して定める。
suppl-2111-70/art-8/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Cabinet Order referred to in the preceding paragraph is specified in consideration of standards specified by Cabinet Order prescribed in Article 129, paragraph (2) of the Long-Term Care Insurance Act.
Ministry of Justice translation — Japanese Law Translation Database System
**第四項** 承認健康保険組合の介護保険第二号被保険者である被保険者に対する第百六十二条の規定の適用については、同条中「介護保険料額」とあるのは、「特別介護保険料額」とする。
suppl-2111-70/art-8/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Regarding the application of the provisions of Article 162 to an insured person who is an item 2 insured person of an approved health insurance society, the phrase "long-term care insurance premiums" in the same Article is replaced with "special long-term care insurance premiums".
Ministry of Justice translation — Japanese Law Translation Database System
### 第八条の二（平成二十二年度等における子ども手当の支給に関する法律により適用される旧児童手当法の特例） — (Special Provisions for the Old Child Allowance Act Applied Pursuant to the Act on Child Allowance Payments in Fiscal Year 2010)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-8-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十二年度等における子ども手当の支給に関する法律（平成二十二年法律第十九号）第二十条第一項の規定により適用される児童手当法の一部を改正する法律（平成二十四年法律第二十四号）附則第十一条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法（昭和四十六年法律第七十三号。以下「旧児童手当法」という。）第二十条の拠出金に関しては、第百五十九条の二の規定を準用する。この場合において、同条中「子ども・子育て支援法第六十九条」とあるのは「平成二十二年度等における子ども手当の支給に関する法律（平成二十二年法律第十九号）第二十条第一項の規定により適用される児童手当法の一部を改正する法律（平成二十四年法律第二十四号）附則第十一条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法（昭和四十六年法律第七十三号）第二十条」と、「子ども・子育て拠出金」とあるのは「子ども手当拠出金」と読み替えるものとする。
suppl-2111-70/art-8-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the contributions under Article 20 of the Child Allowance Act (Act No. 73 of 1971) prior to the amendment by Article 1 of the Act Partially Amending the Child Allowance Act (Act No. 24 of 2012) (hereinafter referred to as the "Former Child Allowance Act"), which remains in force pursuant to Article 11 of the Supplementary Provisions of the Act Partially Amending the Child Allowance Act as applied pursuant to Article 20, paragraph (1) of the Act on the Payment of Children's Allowance in Fiscal 2010, etc. (Act No. 19 of 2010), the provisions of Article 159-2 apply mutatis mutandis. In this case, the phrase "Article 69 of the Act on Support for Children and Child-rearing" in that Article is deemed to be replaced with "Article 20 of the Child Allowance Act (Act No. 73 of 1971) prior to the amendment by Article 1 of the Act Partially Amending the Child Allowance Act (Act No. 24 of 2012), which remains in force pursuant to Article 11 of the Supplementary Provisions of the Act Partially Amending the Child Allowance Act as applied pursuant to Article 20, paragraph (1) of the Act on the Payment of Children's Allowance in Fiscal 2010, etc. (Act No. 19 of 2010)", and the phrase "children and child-rearing contribution" with "children's allowance contribution".
machine translation, not official
### 第八条の三（平成二十三年度における子ども手当の支給等に関する特別措置法により適用される旧児童手当法の特例） — (Special Provisions for the Old Child Allowance Act Applied Pursuant to the Act on Special Measures for Child Allowance Payments in Fiscal Year 2011)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-8-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十三年度における子ども手当の支給等に関する特別措置法（平成二十三年法律第百七号）第二十条第一項、第三項及び第五項の規定により適用される児童手当法の一部を改正する法律附則第十二条の規定によりなおその効力を有するものとされた旧児童手当法第二十条の拠出金に関しては、第百五十九条の二の規定を準用する。この場合において、同条中「及び子ども・子育て支援法第六十九条」とあるのは「並びに平成二十三年度における子ども手当の支給等に関する特別措置法（平成二十三年法律第百七号）第二十条第一項、第三項及び第五項の規定により適用される児童手当法の一部を改正する法律（平成二十四年法律第二十四号）附則第十二条の規定によりなおその効力を有するものとされた同法第一条の規定による改正前の児童手当法（昭和四十六年法律第七十三号）第二十条」と、「子ども・子育て拠出金」とあるのは「子ども手当拠出金」と読み替えるものとする。
suppl-2111-70/art-8-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the contributions under Article 20 of the Former Child Allowance Act that remains in force pursuant to Article 12 of the Supplementary Provisions of the Act Partially Amending the Child Allowance Act as applied pursuant to Article 20, paragraphs (1), (3) and (5) of the Act on Special Measures Concerning the Payment of Children's Allowance, etc. in Fiscal 2011 (Act No. 107 of 2011), the provisions of Article 159-2 apply mutatis mutandis. In this case, the phrase "and Article 69 of the Act on Support for Children and Child-rearing" in that Article is deemed to be replaced with "as well as Article 20 of the Child Allowance Act (Act No. 73 of 1971) prior to the amendment by Article 1 of the Act Partially Amending the Child Allowance Act (Act No. 24 of 2012), which remains in force pursuant to Article 12 of the Supplementary Provisions of the Act Partially Amending the Child Allowance Act as applied pursuant to Article 20, paragraphs (1), (3) and (5) of the Act on Special Measures Concerning the Payment of Children's Allowance, etc. in Fiscal 2011 (Act No. 107 of 2011)", and the phrase "children and child-rearing contribution" with "children's allowance contribution".
machine translation, not official
### 第八条の三の二（適用除外の特例） — Special Provisions on Exemption from Application
caption: machine translation, not official
suppl-2111-70/art-8-3-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 当分の間、適用事業所に使用される、短時間労働者のうち、最低賃金法（昭和三十四年法律第百三十七号）第七条の規定の適用を受ける同条各号に掲げる労働者であって、その者の報酬（同法第四条第三項各号に掲げる賃金に相当するものとして厚生労働省令で定めるものを除く。）について、厚生労働省令で定めるところにより、第四十二条第一項の規定の例により算定した額が、八万八千円未満であるもの（以下この条において「特定減額特例対象者」という。）については、第三条第一項（ただし書を除く。）の規定にかかわらず、被保険者となることができない。
suppl-2111-70/art-8-3-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For the time being, a part-time worker employed at an applicable place of business who is a worker listed in the items of Article 7 of the Minimum Wage Act (Act No. 137 of 1959) to whom that Article applies, and whose amount of remuneration (excluding what is specified by Order of the Ministry of Health, Labour and Welfare as equivalent to the wages listed in the items of Article 4, paragraph (3) of that Act), as calculated pursuant to Order of the Ministry of Health, Labour and Welfare in the same manner as provided in Article 42, paragraph (1), is less than 88,000 yen (hereinafter in this Article referred to as a "specified person under the reduced minimum wage exception"), may not become an insured person, notwithstanding Article 3, paragraph (1) (excluding the proviso).
machine translation, not official
**第二項** 特定減額特例対象者は、厚生労働省令で定めるところによりその事業所に使用される被保険者の保険を管掌する者（当該者が協会である場合にあっては、厚生労働大臣）に申出をしたときは、その者は、前項の規定にかかわらず、被保険者となることができる。
suppl-2111-70/art-8-3-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
If a specified person under the reduced minimum wage exception makes a request, pursuant to Order of the Ministry of Health, Labour and Welfare, to the person who administers the insurance of the insured persons employed at that place of business (in the case where that person is the JHIA, the Minister of Health, Labour and Welfare), the specified person may become an insured person, notwithstanding the preceding paragraph.
machine translation, not official
**第三項** 前項の申出をした者は、その申出が受理されたときは、その日から、同項の規定による被保険者の資格を取得する。
suppl-2111-70/art-8-3-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who has made the request under the preceding paragraph acquires eligibility as an insured person under the provisions of that paragraph from the day on which the request is accepted, when it is accepted.
machine translation, not official
**第四項** 被保険者が、特定減額特例対象者に該当するに至り、かつ、同一の事業所に引き続き使用される場合には、第一項及び第二項の規定にかかわらず、その該当するに至った日から、同項の規定による被保険者となったものとみなす。
suppl-2111-70/art-8-3-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where an insured person comes to fall under a specified person under the reduced minimum wage exception and continues to be employed at the same place of business, the person is deemed to have become an insured person under the provisions of paragraph (2) from the day on which the person came to fall under that category, notwithstanding paragraphs (1) and (2).
machine translation, not official
**第五項** 第二項の規定による被保険者（前項の規定により当該被保険者とみなされた者を含む。次項において同じ。）は、いつでも、厚生労働省令で定めるところにより保険者等に申出をし、当該被保険者の資格を喪失することができる。
suppl-2111-70/art-8-3-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An insured person under the provisions of paragraph (2) (including a person deemed to be such an insured person under the provisions of the preceding paragraph; the same applies in the following paragraph) may at any time make a request to the insurer, etc. pursuant to Order of the Ministry of Health, Labour and Welfare and lose eligibility as that insured person.
machine translation, not official
**第六項** 第二項の規定による被保険者は、第三十六条各号のいずれかに該当するに至った日又は次の各号のいずれかに該当するに至った日の翌日（その事実があった日に更に被保険者の資格を取得したときは、その日）から、当該被保険者の資格を喪失する。
suppl-2111-70/art-8-3-2/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An insured person under the provisions of paragraph (2) loses eligibility as that insured person from the day following the day on which the person comes to fall under any of the items of Article 36 or any of the following items (or, if the person acquires eligibility as an insured person again on the day on which that fact arose, that day).
machine translation, not official
**一** 前項の申出が受理されたとき。
suppl-2111-70/art-8-3-2/par-6/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The request under the preceding paragraph has been accepted; or
machine translation, not official
**二** 特定減額特例対象者でなくなったとき。
suppl-2111-70/art-8-3-2/par-6/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The person is no longer a specified person under the reduced minimum wage exception.
machine translation, not official
**第七項** 第二項の申出は、厚生年金保険法附則第四条の六第二項の申出をすることができる特定減額特例対象者にあっては同項の申出と、第五項の申出は、同条第五項の申出をすることができる特定減額特例対象者にあっては同項の申出と、それぞれ同時に行わなければならない。
suppl-2111-70/art-8-3-2/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The request under paragraph (2) must be made at the same time as the request under paragraph (2) of Article 4-6 of the Supplementary Provisions of the Employees' Pension Insurance Act in the case of a specified person under the reduced minimum wage exception who is able to make that request, and the request under paragraph (5) must be made at the same time as the request under paragraph (5) of that Article in the case of a specified person under the reduced minimum wage exception who is able to make the request under paragraph (5) of that Article.
machine translation, not official
**第八項** 第一項から第六項までに規定するもののほか、被保険者の資格の取得及び喪失に関し必要な事項は、政令で定める。
suppl-2111-70/art-8-3-2/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in paragraphs (1) through (6), necessary matters concerning the acquisition and loss of eligibility as an insured person are specified by Cabinet Order.
machine translation, not official
**第九項** 第一項において「短時間労働者」とは、次の各号のいずれかに該当する者であって、第三条第一項各号のいずれにも該当しないものをいう。
suppl-2111-70/art-8-3-2/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In paragraph (1), "part-time worker" means a person who falls under any of the following items and does not fall under any of the items of Article 3, paragraph (1).
machine translation, not official
**一** 一週間の所定労働時間が同一の事業所に使用される通常の労働者（第三条第一項第九号に規定する通常の労働者をいう。次号において同じ。）の一週間の所定労働時間の四分の三未満である短時間労働者（同項第九号に規定する短時間労働者をいう。次号において同じ。）
suppl-2111-70/art-8-3-2/par-9/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker (meaning a part-time worker prescribed in Article 3, paragraph (1), item (ix); the same applies in the following item) whose prescribed weekly scheduled working hours are less than three-fourths of the prescribed weekly scheduled working hours of an ordinary worker employed at the same place of business (meaning an ordinary worker prescribed in item (ix) of that paragraph; the same applies in the following item); or
machine translation, not official
**二** 一月間の所定労働日数が同一の事業所に使用される通常の労働者の一月間の所定労働日数の四分の三未満である短時間労働者
suppl-2111-70/art-8-3-2/par-9/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker whose prescribed working days per month are less than three-fourths of the prescribed working days per month of an ordinary worker employed at the same place of business.
machine translation, not official
### 第九条（延滞金の割合の特例） — (Special Provisions for Delinquent Charges Rate)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第百八十一条第一項に規定する延滞金の年十四・六パーセントの割合及び年七・三パーセントの割合は、当分の間、同項の規定にかかわらず、各年の延滞税特例基準割合（租税特別措置法（昭和三十二年法律第二十六号）第九十四条第一項に規定する延滞税特例基準割合をいう。以下この条において同じ。）が年七・三パーセントの割合に満たない場合には、その年中においては、年十四・六パーセントの割合にあっては当該延滞税特例基準割合に年七・三パーセントの割合を加算した割合とし、年七・三パーセントの割合にあっては当該延滞税特例基準割合に年一パーセントの割合を加算した割合（当該加算した割合が年七・三パーセントの割合を超える場合には、年七・三パーセントの割合）とする。
suppl-2111-70/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The rate of 14.6% per year and the rate of 7.3% per year for the delinquent charges prescribed in Article 181, paragraph (1) are, for the time being and notwithstanding the provisions of that paragraph, in the case where the special base rate for delinquent tax for each year (meaning the special base rate for delinquent tax prescribed in Article 94, paragraph (1) of the Act on Special Measures Concerning Taxation (Act No. 26 of 1957); the same applies hereinafter in this Article) is less than 7.3% per year, during that year, for the rate of 14.6% per year, the rate obtained by adding 7.3% per year to that special base rate for delinquent tax, and for the rate of 7.3% per year, the rate obtained by adding 1% per year to that special base rate for delinquent tax (if the rate so added exceeds 7.3% per year, 7.3% per year).
machine translation, not official
### 第十条（郵政会社等に関する経過措置） — (Transitional Measures Concerning Japan Post Holdings)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 国家公務員共済組合法附則第二十条の二第二項に規定する郵政会社等が保険医療機関、保険薬局又は指定訪問看護事業者の指定の申請を行う場合におけるこの法律の適用については、次の表の上欄に掲げる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。
第六十五条第三項第五号 高齢者の医療の確保に関する法律 高齢者の医療の確保に関する法律、国家公務員共済組合法（昭和三十三年法律第百二十八号）
第七十条第二項 国家公務員共済組合法（昭和三十三年法律第百二十八号。 国家公務員共済組合法（
suppl-2111-70/art-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of this Act when Japan Post Holdings, etc. as prescribed in Article 20-2, paragraph (2) of the Supplementary Provisions of the National Public Employees Mutual Aid Association Act applies for designation as a medical institution providing services covered by health insurance, a pharmacy providing services covered by health insurance, or a designated home-nursing provider, the phrases listed in the middle column of the following table pursuant to the provisions listed in the left column of the same table are replaced with the phrases listed in the right column of the table.
Article 65, paragraph (3), item (v) The Act on Assurance of Medical Care for Elderly People The Act on Assurance of Medical Care for Elderly People, the National Public Employees Mutual Aid Association Act (Act No. 128 of 1958)
Article 70, paragraph (2) National Public Employees Mutual Aid Association Act (Act No. 128 of 1958 National Public Employees Mutual Aid Association Act (
Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "With regard to the application of this Act when Japan Post Holdings, etc. as prescribed in Article 20-2, paragraph (2) of the Supplementary Provisions of the National Public Employees Mutual Aid Association Act applies for designation as a medical institution providing services covered by health insurance, a pharmacy providing services covered by health insurance, or a designated home-nursing provider, the phrases listed in the middle column of the following table pursuant to the provisions listed in the right column of the same table are replaced with the phrases listed in the left columns of the table.
Article 65, paragraph (3), item (v) The Act on Assurance of Medical Care for Elderly People The Act on Assurance of Medical Care for Elderly People, the National Public Employees Mutual Aid Association Act (Act No. 128 of 1958)
Article 70, paragraph (2) National Public Employees Mutual Aid Association Act (Act No. 128 of 1958 National Public Employees Mutual Aid Association Act (" — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb
### 第十一条（機構への厚生労働大臣の権限に係る事務の委任等） — (Delegation of Affairs Pertaining to Authority of the Minister of Health, Labour and Welfare to JPS)
caption: Ministry of Justice translation — Japanese Law Translation Database System
suppl-2111-70/art-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 改正法附則第二十五条その他この法律の改正に伴う経過措置を定める規定であって厚生労働省令で定めるものによる厚生労働大臣の権限については、日本年金機構法（平成十九年法律第百九号）附則第二十三条の規定による改正後の健康保険法（次項において「新健康保険法」という。）第二百四条から第二百五条の三までの規定の例により、当該権限に係る事務を機構に行わせるものとする。
suppl-2111-70/art-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the authority of the Minister of Health, Labour and Welfare pursuant to the provisions of Article 25 of the Supplementary Provisions of the Amending Act and other provisions that specify transitional measures and that are specified by Order of the Ministry of Health, Labour and Welfare, the affairs to which the authority pertains are to be implemented by JPS, pursuant to the provisions of Articles 204 through 205-3 of Health Insurance Act (referred to as "New Health Insurance Act" in the following paragraph) after amendment pursuant to the provisions of Article 23 of the Supplementary Provisions of the Japan Pension Service Act (Act No. 109 of 2007).
Ministry of Justice translation — Japanese Law Translation Database System
**第二項** 前項の場合において、新健康保険法第二百四条から第二百五条の三までの規定の適用についての技術的読替えその他これらの規定の適用に関し必要な事項は、厚生労働省令で定める。
suppl-2111-70/art-11/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case of the preceding paragraph, necessary matters concerning technical replacement of terms regarding the application of the provisions of Article 204 through Article 205-3 of the New Health Insurance Act and other matters necessary for the application of those provisions are specified by Order of the Ministry of Health, Labour and Welfare.
Ministry of Justice translation — Japanese Law Translation Database System
## 附 則 昭和四年三月二八日法律第二〇号
suppl-3041-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 本法施行ノ期日ハ勅令ヲ以テ之ヲ定ム
suppl-3041-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The date on which this Act comes into effect is specified by Imperial Ordinance.
machine translation, not official
## 附 則 昭和九年三月二六日法律第一三号
suppl-3091-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 本法ハ昭和十年四月一日ヨリ之ヲ施行ス但シ本法実施ノ為ニ予メ必要ナル事項ニ関シテハ昭和十年一月一日ヨリ之ヲ施行ス
suppl-3091-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1935; provided, however, that with regard to matters necessary in advance for the implementation of this Act, it comes into effect on January 1, 1935.
machine translation, not official
## 附 則 昭和一四年四月六日法律第七四号
suppl-3141-74 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 本法施行ノ期日ハ各規定ニ付勅令ヲ以テ之ヲ定ム
suppl-3141-74/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The date on which this Act comes into effect is specified for each provision by Imperial Ordinance.
machine translation, not official
## 附 則 昭和一七年二月二一日法律第三八号
suppl-3171-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 本法施行ノ期日ハ各規定ニ付勅令ヲ以テ之ヲ定ム
suppl-3171-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The date on which this Act comes into effect is specified for each provision by Imperial Ordinance.
machine translation, not official
**第二項** 職員健康保険法ハ之ヲ廃止ス
suppl-3171-38/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The Staff Health Insurance Act is abolished.
machine translation, not official
**第三項** 前項ノ規定施行前ノ職員健康保険ノ保険給付及保険料其ノ他ノ徴収金ニ関シテハ仍旧法ニ依ル
suppl-3171-38/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits, insurance premiums and other collected money under staff health insurance before the enforcement of the provisions of the preceding paragraph, the former Act continues to apply.
machine translation, not official
**第四項** 第二項ノ規定施行ノ際現ニ存スル職員健康保険組合ハ同規定施行ノ日ヨリ健康保険組合ト為リ職員健康保険組合ノ権利義務ヲ承継スルモノトス
suppl-3171-38/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A staff health insurance society existing at the time of the enforcement of the provisions of paragraph (2) becomes a health insurance society from the day of the enforcement of those provisions and is to succeed to the rights and obligations of the staff health insurance society.
machine translation, not official
**第五項** 第二項ノ規定施行ノ際現ニ職員健康保険ノ被保険者タル者ハ命令ノ定ムル所ニ依リ健康保険ノ被保険者ト為リタルモノトス
suppl-3171-38/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who is an insured person of staff health insurance at the time of the enforcement of the provisions of paragraph (2) is to be treated as having become an insured person of health insurance, as provided by order.
machine translation, not official
**第六項** 第二項ノ規定施行ノ際現ニ職員健康保険ノ被保険者タリシ者ニシテ健康保険ノ被保険者ト為リタルモノノ受クル健康保険ノ保険給付ニ関シテハ其ノ者ガ職員健康保険ノ被保険者タリシ期間ハ健康保険ノ被保険者タリシ期間ト看做シ其ノ者ガ職員健康保険ノ被保険者トシテ保険給付ヲ受ケタル期間ハ健康保険ノ被保険者トシテ之ニ相当スル保険給付ヲ受ケタル期間ト看做ス
suppl-3171-38/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the insurance benefits of health insurance received by a person who was an insured person of staff health insurance at the time of the enforcement of the provisions of paragraph (2) and who has become an insured person of health insurance, the period during which the person was an insured person of staff health insurance is deemed to be a period during which the person was an insured person of health insurance, and the period during which the person received insurance benefits as an insured person of staff health insurance is deemed to be a period during which the person received corresponding insurance benefits as an insured person of health insurance.
machine translation, not official
**第七項** 第二項ノ規定施行前職員健康保険ノ被保険者ノ資格ヲ喪失シタル者ハ健康保険ノ保険給付及徴収金ニ関シテハ健康保険ノ被保険者タリシ者ト看做シ其ノ者ガ職員健康保険ノ被保険者トシテ受ケタル保険給付ハ健康保険ノ被保険者トシテ受ケタル之ニ相当スル保険給付ト看做ス
suppl-3171-38/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who lost eligibility as an insured person of staff health insurance before the enforcement of the provisions of paragraph (2) is deemed, with regard to the insurance benefits and collected money of health insurance, to have been an insured person of health insurance, and insurance benefits that the person received as an insured person of staff health insurance are deemed to be corresponding insurance benefits received as an insured person of health insurance.
machine translation, not official
**第八項** 第二項ノ規定施行前職員健康保険法ニ違反シタル者ノ処罰ニ付テハ仍旧法ニ依ル
suppl-3171-38/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the punishment of a person who violated the Staff Health Insurance Act before the enforcement of the provisions of paragraph (2), the former Act continues to apply.
machine translation, not official
**第九項** 前六項ニ定ムルモノノ外第二項ノ規定施行ノ際必要ナル事項ハ勅令ヲ以テ之ヲ定ム
suppl-3171-38/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in the preceding six paragraphs, matters necessary at the time of the enforcement of the provisions of paragraph (2) are specified by Imperial Ordinance.
machine translation, not official
## 附 則 昭和一九年二月一六日法律第二一号
suppl-3191-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条
suppl-3191-21/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 本法施行ノ期日ハ保険給付ニ関スル改正規定及其ノ他ノ各規定ニ付勅令ヲ以テ之ヲ定ム
suppl-3191-21/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The date on which this Act comes into effect is specified by Imperial Ordinance for the revised provisions concerning insurance benefits and for each of the other provisions.
machine translation, not official
## 附 則 昭和二二年四月一日法律第四五号
suppl-3221-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条
suppl-3221-45/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律施行の期日は、勅令で、これを定める。
suppl-3221-45/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The effective date of this Act is specified by Imperial Order.
machine translation, not official
### 第二条
suppl-3221-45/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 常時五人未満の従業員を使用する事業所で、従前の健康保険法第十三条第一号又は第二号に規定する事業所であつたもの又はこれらの事業所であつたため、従前の厚生年金保険法第十六条の規定による事業所であつたものについては、この法律施行の日において、健康保険法第十四条又は厚生年金保険法第十六条ノ二の認可があつたものとみなす。但しこの法律施行の日から一箇月以内に行政庁に被保険者の全部について、その資格を喪失させる旨の届出をした場合は、この限りではない。
suppl-3221-45/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A place of business that regularly employs fewer than five employees and that was a place of business prescribed in Article 13, item (i) or (ii) of the former Health Insurance Act, or that was a place of business under the provisions of Article 16 of the former Employees' Pension Insurance Act by reason of having been such a place of business, is deemed to have obtained, on the day this Act comes into effect, the approval under Article 14 of the Health Insurance Act or Article 16-2 of the Employees' Pension Insurance Act; provided, however, that this does not apply if, within one month from the day this Act comes into effect, a notification to the effect that eligibility is to be lost for all insured persons is submitted to the administrative agency.
machine translation, not official
### 第三条
suppl-3221-45/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険法による保険給付で、この法律施行の日前における業務上の事由に因る疾病又は負傷及びこれに因り発した疾病に関するものについては、なお従前の例による。
suppl-3221-45/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits under the Health Insurance Act for sickness or injury due to work-related causes before the day this Act comes into effect and for sickness arising therefrom, the provisions then in force continue to govern.
machine translation, not official
## 附 則 昭和二二年一二月一七日法律第二〇〇号
suppl-3221-200 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十三年一月一日から、これを施行する。
suppl-3221-200/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of January 1, 1948.
machine translation, not official
## 附 則 昭和二三年七月一〇日法律第一二六号
suppl-3231-126 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十三年八月一日から、これを施行する。但し、第七十条及び第七十条ノ二の改正規定は、昭和二十三年度分から、これを適用する。
suppl-3231-126/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on August 1, 1948; provided, however, that the provisions amending Article 70 and Article 70-2 apply from the portion for fiscal year 1948.
machine translation, not official
**第二項** この法律施行前に被保険者の資格を取得して、この法律施行の日まで引き続き被保険者の資格を有する者で、健康保険法施行令（大正十五年勅令第二百四十三号）第三条に規定する標準報酬の等級の第十七級に該当するものについては、この法律施行の日に被保険者の資格を取得したるものとみなして第三条第三項の改正規定を適用する。
suppl-3231-126/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who acquired eligibility as an insured person before this Act comes into effect and has continuously held eligibility as an insured person until the day this Act comes into effect, and who falls under grade 17 of the grades of the standard remuneration amount prescribed in Article 3 of the Order for Enforcement of the Health Insurance Act (Imperial Ordinance No. 243 of 1926), the provisions amending Article 3, paragraph (3) apply by deeming that person to have acquired eligibility as an insured person on the day this Act comes into effect.
machine translation, not official
**第三項** この法律施行の際、現に存する保険審査官、社会保険審査会及びその職員は、この法律に基く相当の機関及びその職員となり、同一性をもつて存続するものとする。
suppl-3231-126/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The insurance examiners, the Social Insurance Examination Committee, and their staff who exist at the time this Act comes into effect become the corresponding organs and staff under this Act and continue to exist as the same entities.
machine translation, not official
## 附 則 昭和二四年四月三〇日法律第三七号
suppl-3241-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十四年五月一日から施行する。但し、第七十一条の四第一項の改正規定は、昭和二十四年四月一日から適用する。
suppl-3241-37/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on May 1, 1949; provided, however, that the provisions amending Article 71-4, paragraph (1) apply from April 1, 1949.
machine translation, not official
**第二項** この法律の施行の日前に被保険者の資格を取得して、この法律施行の日まで引き続いて被保険者の資格のある者の標準報酬については、その者が同日において被保険者の資格を取得したものとみなして、これを算定する。
suppl-3241-37/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount of a person who acquired eligibility as an insured person before the day this Act comes into effect and has continuously held eligibility as an insured person until the day this Act comes into effect is calculated by deeming that person to have acquired eligibility as an insured person on that day.
machine translation, not official
**第三項** この法律施行の日前に督促状を発した保険料に対する延滞金については、なお従前の例による。
suppl-3241-37/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to delinquent charges on insurance premiums for which a demand notice was issued before the day this Act comes into effect, the provisions then in force continue to govern.
machine translation, not official
**第四項** この法律施行の日において現に健康保険委員会の委員、幹事及び書記の職にある者は、それぞれ健康保険審議会の委員、幹事、又は書記を命ぜられたものとみなす。但し、委員の任期は、その者が健康保険委員会の委員を命ぜられ、又は委嘱された時から起算する。
suppl-3241-37/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who currently holds the position of member, secretary, or clerk of the Health Insurance Committee on the day this Act comes into effect is deemed to have been ordered to be a member, secretary, or clerk of the Health Insurance Council, respectively; provided, however, that the term of office of a member is counted from the time that person was ordered or commissioned as a member of the Health Insurance Committee.
machine translation, not official
## 附 則 昭和二五年三月三一日法律第四七号
suppl-3251-47 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十五年四月一日から施行する。
suppl-3251-47/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1950.
machine translation, not official
## 附 則 昭和二五年三月三一日法律第七九号
suppl-3251-79 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十五年四月一日から施行する。
suppl-3251-79/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1950.
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## 附 則 昭和二五年五月一日法律第一二四号
suppl-3251-124 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。但し、改正後の健康保険法第十一条第三項、船員保険法第十二条第三項及び厚生年金保険法第十一条第五項の規定は、昭和二十五年四月一日以後の期間に対応する延滞金について適用する。
suppl-3251-124/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions of Article 11, paragraph (3) of the Health Insurance Act, Article 12, paragraph (3) of the Mariners Insurance Act, and Article 11, paragraph (5) of the Employees' Pension Insurance Act, as amended, apply to delinquent charges corresponding to periods on or after April 1, 1950.
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## 附 則 昭和二五年一二月二二日法律第二九六号
suppl-3251-296 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十六年一月一日から施行する。
suppl-3251-296/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 1951.
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**第二項** この法律の施行の際に、第五十五条（第五十九条ノ二第五項及び第五十九条ノ四第三項において準用する場合を含む。）又は第五十七条の規定により保険給付を受けている者については、第五十五条及び第五十七条の改正規定にかかわらず、なお従前の例による。
suppl-3251-296/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who is receiving insurance benefits pursuant to the provisions of Article 55 (including as applied mutatis mutandis pursuant to Article 59-2, paragraph (5) and Article 59-4, paragraph (3)) or Article 57 at the time this Act comes into effect, the provisions then in force continue to govern, notwithstanding the provisions amending Article 55 and Article 57.
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## 附 則 昭和二六年三月三一日法律第七八号
suppl-3261-78 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十六年四月一日から施行する。
suppl-3261-78/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1951.
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**第三十九項** 第三十四項から前項までの規定による改正後の健康保険法第四条第三項及び第十一条第二項、船員保険法第五条第二項及び第十二条第二項、厚生年金保険法第五条第二項及び第十一条第四項、労働者災害補償保険法第三十一条第二項及び第三項並びに失業保険法第三十五条第二項及び第三項の規定は、この法律施行後する督促について適用し、この法律施行前にした督促に係る督促手数料の徴収については、なお従前の例による。
suppl-3261-78/par-39 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 4, paragraph (3) and Article 11, paragraph (2) of the Health Insurance Act, Article 5, paragraph (2) and Article 12, paragraph (2) of the Mariners Insurance Act, Article 5, paragraph (2) and Article 11, paragraph (4) of the Employees' Pension Insurance Act, Article 31, paragraphs (2) and (3) of the Industrial Accident Compensation Insurance Act, and Article 35, paragraphs (2) and (3) of the Unemployment Insurance Act, as amended by the provisions of paragraph (34) through the preceding paragraph, apply to demands made after this Act comes into effect, and the provisions then in force continue to govern the collection of demand fees for demands made before this Act comes into effect.
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## 附 則 昭和二八年八月一日法律第一一六号
suppl-3281-116 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十八年九月一日から施行する。但し、第五十七条ノ三の改正規定及び附則第五項の規定は、同年十一月一日から施行する。
suppl-3281-116/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on September 1, 1953; provided, however, that the provisions amending Article 57-3 and the provisions of paragraph (5) of the Supplementary Provisions come into effect on November 1 of the same year.
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**第二項** 昭和二十八年九月一日前に被保険者の資格を取得して同年九月一日まで引き続いて被保険者の資格のある者については、その者が同年九月一日に被保険者の資格を取得したものとみなして、改正後の第三条第三項の規定を適用する。
suppl-3281-116/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who acquired eligibility as an insured person before September 1, 1953 and has continuously held eligibility as an insured person until September 1 of that year, the provisions of Article 3, paragraph (3) after amendment apply by deeming that person to have acquired eligibility as an insured person on September 1 of that year.
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**第三項** 前項の規定に該当する者及び昭和二十八年九月一日から同年十月三十一日までの間に第十三条第一号（イ）から（ル）まで若しくは第二号又は第十五条の規定によつて被保険者の資格を取得した者の同年十月三十一日までの標準報酬については、第三条の改正規定及び前項の規定にかかわらず、なお従前の例による。
suppl-3281-116/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the standard remuneration amount, until October 31 of that year, of persons who fall under the provisions of the preceding paragraph and persons who acquired eligibility as an insured person pursuant to the provisions of Article 13, item (i), (a) through (k) or item (ii) or Article 15 during the period from September 1, 1953 to October 31 of that year, the provisions then in force continue to govern, notwithstanding the provisions amending Article 3 and the provisions of the preceding paragraph.
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**第四項** 昭和二十八年九月一日から同年十月三十一日までの間に改正後の第十三条第一号（ヲ）から（タ）までの規定によつて被保険者の資格を取得した者は、保険給付及び費用の負担に関する規定の適用については、同年十月三十一日までの間は、被保険者とならなかつたものとみなす。
suppl-3281-116/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who acquired eligibility as an insured person pursuant to the provisions of Article 13, item (i), (l) through (p) after amendment during the period from September 1, 1953 to October 31 of that year is deemed not to have become an insured person until October 31 of that year, with regard to the application of the provisions on insurance benefits and sharing of costs.
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**第五項** 被保険者若しくは被保険者であつた者又は被扶養者若しくは被扶養者であつた者の疾病又は負傷及びこれにより発した疾病であつて、療養の給付又は家族療養費の支給の開始の日から起算して昭和二十八年十一月一日前に二年を経過したものに関する保険給付の支給については、第五十七条ノ三の改正規定にかかわらず、なお従前の例による。
suppl-3281-116/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of insurance benefits for the sickness or injury of an insured person or a person who was an insured person, or of a dependent or a person who was a dependent, and for any sickness arising therefrom, for which two years have elapsed before November 1, 1953, counted from the date of commencement of benefits for medical treatment or payment of dependent's medical expenses, the provisions then in force continue to govern, notwithstanding the provisions amending Article 57-3.
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## 附 則 昭和二八年八月一四日法律第二〇六号
suppl-3281-206 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十八年八月一日から施行する。
suppl-3281-206/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on August 1, 1953.
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## 附 則 昭和二八年八月一四日法律第二〇七号
suppl-3281-207 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十八年十一月一日から施行する。
suppl-3281-207/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on November 1, 1953.
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## 附 則 昭和二八年八月一五日法律第二一三号
suppl-3281-213 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十八年九月一日から施行する。
suppl-3281-213/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on September 1, 1953.
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**第二項** この法律施行前従前の法令の規定によりなされた許可、認可その他の処分又は申請、届出その他の手続は、それぞれ改正後の相当規定に基いてなされた処分又は手続とみなす。
suppl-3281-213/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Permits, authorizations and other dispositions, or applications, notifications and other procedures, made pursuant to the provisions of the laws and regulations then in force before this Act comes into effect are deemed to be dispositions or procedures made pursuant to the corresponding provisions after amendment, respectively.
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**第三項** この法律施行の際従前の法令の規定により置かれている機関又は職員は、それぞれ改正後の相当規定に基いて置かれたものとみなす。
suppl-3281-213/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Organs or staff established pursuant to the provisions of the laws and regulations then in force at the time this Act comes into effect are deemed to have been established pursuant to the corresponding provisions after amendment, respectively.
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## 附 則 昭和二八年八月二一日法律第二四五号
suppl-3281-245 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和二十九年一月一日から施行する。
suppl-3281-245/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 1954.
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## 附 則 昭和二九年五月一九日法律第一一五号
suppl-3291-115 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3291-115/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行し、昭和二十九年五月一日から適用する。
suppl-3291-115/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation and applies from May 1, 1954.
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## 附 則 昭和三〇年六月三〇日法律第三九号
suppl-3301-39 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十年七月一日から施行する。
suppl-3301-39/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on July 1, 1955.
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**第十三項** 前項の規定による改正後の同項各号に掲げる法律の規定は、この法律の施行後に徴収する延滞金について適用する。ただし、当該延滞金の全部又は一部でこの法律の施行前の期間に対応するものについては、なお従前の例による。
suppl-3301-39/par-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of the Acts listed in the items of that paragraph, after amendment pursuant to the provisions of the preceding paragraph, apply to delinquent charges collected after this Act comes into effect; provided, however, that the provisions then in force continue to govern delinquent charges, in whole or in part, corresponding to periods before this Act comes into effect.
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## 附 則 昭和三〇年八月一日法律第一一二号
suppl-3301-112 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3301-112/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和三〇年八月一日法律第一一六号
suppl-3301-116 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3301-116/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和三一年六月一二日法律第一四八号
suppl-3311-148 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、地方自治法の一部を改正する法律（昭和三十一年法律第百四十七号）の施行の日から施行する。
suppl-3311-148/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Act Partially Amending the Local Autonomy Act (Act No. 147 of 1956) comes into effect.
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## 附 則 昭和三二年三月三一日法律第四二号
suppl-3321-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3321-42/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律中健康保険法第七十条ノ三の改正規定は公布の日から、同法第三条の改正規定及び附則第三条の規定は昭和三十二年四月一日から、附則第六条、第七条及び第十条の規定は同年七月一日から、その他の規定は同年五月一日から施行する。ただし、この法律による改正後の健康保険法（以下「新法」という。）第四十三条ノ八並びに第四十三条ノ十六第二項及び第三項の規定は、同年六月三十日までは適用しない。
suppl-3321-42/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the provisions of this Act, the provisions amending Article 70-3 of the Health Insurance Act come into effect on the date of promulgation, the provisions amending Article 3 of that Act and the provisions of Article 3 of the Supplementary Provisions come into effect on April 1, 1957, the provisions of Articles 6, 7 and 10 of the Supplementary Provisions come into effect on July 1 of that year, and the other provisions come into effect on May 1 of that year; provided, however, that the provisions of Article 43-8 and Article 43-16, paragraphs (2) and (3) of the Health Insurance Act as amended by this Act (hereinafter referred to as the "New Act") do not apply until June 30 of that year.
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### 第二条（被扶養者に関する経過措置） — Transitional Measures Concerning Dependents
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suppl-3321-42/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険法第一条第二項の規定の改正により被扶養者でなくなる者であつて次の各号の一に該当するものの被扶養者としての資格については、その者が引き続き当該被保険者又は被保険者であつた者と同一の世帯に属し、もつぱらその者により生計を維持している間に限り、同条同項の改正規定にかかわらず、なお従前の例による。ただし、第一号に該当する者にあつては、当該傷病手当金及びその傷病手当金の支給事由たる疾病又は負傷により発した疾病による傷病手当金以外の保険給付、第二号に該当する者にあつては、当該疾病又は負傷及びこれにより発した疾病についての家族療養費以外の保険給付については、この限りでない。
suppl-3321-42/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the status as a dependent of a person who ceases to be a dependent due to the amendment of the provisions of Article 1, paragraph (2) of the Health Insurance Act and who falls under any one of the following items, the provisions then in force continue to govern, notwithstanding the provisions amending paragraph (2) of that Article, only while the person continues to belong to the same household as the insured person in question or the person who was an insured person and is financially supported exclusively by that person; provided, however, that this does not apply to insurance benefits other than the injury and sickness allowance concerned and injury and sickness allowance for a sickness arising from the sickness or injury that was the grounds for payment of that injury and sickness allowance in the case of a person who falls under item (i), or to insurance benefits other than dependent's medical expenses for the sickness or injury concerned and the sickness arising therefrom in the case of a person who falls under item (ii).
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**一** 昭和三十二年五月一日において現に傷病手当金の支給を受け、かつ、病院又は診療所に収容されている被保険者又は被保険者であつた者によつて生計を維持している者
suppl-3321-42/art-2/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a person who is financially supported by an insured person or a person who was an insured person who, as of May 1, 1957, is actually receiving payment of injury and sickness allowance and is accommodated in a hospital or clinic; or
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**二** その疾病又は負傷につき昭和三十二年五月一日において現に被保険者又は被保険者であつた者が家族療養費の支給を受けている者
suppl-3321-42/art-2/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a person for whose sickness or injury an insured person or a person who was an insured person is actually receiving payment of dependent's medical expenses as of May 1, 1957.
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### 第三条（標準報酬に関する経過措置） — Transitional Measures Concerning Standard Remuneration
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suppl-3321-42/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年四月一日前に被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者を除く。）のうち、昭和三十二年三月の標準報酬月額が三万六千円である者の同年四月一日から同年九月三十日までの標準報酬については、その者が同年四月一日に被保険者の資格を取得したものとみなして、新法第三条の規定を適用する。
suppl-3321-42/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among persons who acquired eligibility as an insured person before April 1, 1957 and have continued to have eligibility as an insured person until that day (excluding persons who have eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), with regard to the standard remuneration amount from April 1 to September 30 of that year of a person whose standard monthly remuneration amount for March 1957 is 36,000 yen, Article 3 of the New Act applies, deeming the person to have acquired eligibility as an insured person on April 1 of that year.
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### 第四条（保険料に関する経過措置） — Transitional Measures Concerning Insurance Premiums
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suppl-3321-42/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年四月以前の月に係る保険料の徴収については、なお従前の例による。ただし、新法第十一条及び第十一条ノ二の規定の適用を妨げない。
suppl-3321-42/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the collection of insurance premiums for months on or before April 1957, the provisions then in force continue to govern; provided, however, that this does not preclude the application of the provisions of Articles 11 and 11-2 of the New Act.
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### 第五条（一部負担金に関する経過措置） — Transitional Measures Concerning Co-Payments
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suppl-3321-42/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年五月一日から同年六月三十日までの間において新法第四十三条第三項各号に掲げる病院又は診療所について療養の給付を受ける被保険者又は被保険者であつた者は、その給付を受ける際、この法律による改正前の健康保険法（以下「旧法」という。）第四十三条ノ二第二項の規定の例により、当該病院又は診療所に一部負担金を支払わなければならない。この場合において、同条同項ただし書中「組合ノ指定スル者」とあるのは、「第四十三条第三項第二号ニ掲グル病院又ハ診療所」と読み替えるものとする。
suppl-3321-42/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An insured person or a person who was an insured person who receives benefits for medical treatment at a hospital or clinic listed in the items of Article 43, paragraph (3) of the New Act during the period from May 1 to June 30, 1957 must, upon receiving the benefits, pay a co-payment to that hospital or clinic in accordance with the provisions of Article 43-2, paragraph (2) of the Health Insurance Act prior to its amendment by this Act (hereinafter referred to as the "Former Act"). In this case, the phrase "a person designated by the society" in the proviso to paragraph (2) of that Article is deemed to be replaced with "a hospital or clinic listed in Article 43, paragraph (3), item (ii)".
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### 第六条
suppl-3321-42/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年七月一日において現に病院又は診療所に収容されている者は、当該疾病又は負傷及びこれにより発した疾病に関しては、新法第四十三条ノ八第一項第二号（新法第四十三条ノ十六第二項において例による場合を含む。）の規定による一部負担金を支払うことを要しない。ただし、その者が同日以後引き続き当該疾病又は負傷及びこれにより発した疾病により病院又は診療所に収容されている間に限る。
suppl-3321-42/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who is accommodated in a hospital or clinic as of July 1, 1957 is not required to pay the co-payment under the provisions of Article 43-8, paragraph (1), item (ii) of the New Act (including the case where it is applied in accordance with Article 43-16, paragraph (2) of the New Act) with regard to the sickness or injury concerned and the sickness arising therefrom; provided, however, that this is limited to the period during which the person continues, on or after that day, to be accommodated in a hospital or clinic by reason of the sickness or injury concerned and the sickness arising therefrom.
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### 第七条
suppl-3321-42/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険組合は、当分の間、健康保険法第七十四条第一項の規定により一部負担金を支払つた被保険者に対し、その支払つた一部負担金に相当する額の範囲内において、規約をもつて定める額の支給を行うことができる。
suppl-3321-42/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A health insurance society may, for the time being, pay to an insured person who has paid a co-payment pursuant to the provisions of Article 74, paragraph (1) of the Health Insurance Act an amount specified by its constitution, within the range of the amount equivalent to the co-payment that the person paid.
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### 第八条（保険医及び保険薬剤師に関する経過措置） — Transitional Measures Concerning Physicians Providing Health Insurance Treatment and Pharmacists Filling Health Insurance Prescriptions
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suppl-3321-42/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年五月一日において現に旧法第四十三条ノ三第一項又は船員保険法の一部を改正する法律（昭和三十二年法律第四十四号）による改正前の船員保険法（以下「旧船員保険法」という。）第二十八条ノ三第一項の規定による保険医又は保険薬剤師である者は、新法第四十三条ノ五第一項の規定による保険医又は保険薬剤師の登録を受けたものとみなす。
suppl-3321-42/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who, as of May 1, 1957, is actually a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions pursuant to the provisions of Article 43-3, paragraph (1) of the Former Act or Article 28-3, paragraph (1) of the Mariners Insurance Act prior to its amendment by the Act Partially Amending the Mariners Insurance Act (Act No. 44 of 1957) (hereinafter referred to as the "Former Mariners Insurance Act") is deemed to have received registration as a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions pursuant to the provisions of Article 43-5, paragraph (1) of the New Act.
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**第二項** 昭和三十二年五月一日前に旧法第四十三条ノ三第五項又は旧船員保険法第二十八条ノ三第五項の規定により行われた保険医又は保険薬剤師の辞退の予告は、新法第四十三条ノ十一第三項の規定による保険医又は保険薬剤師の登録のまつ消の予告とみなす。
suppl-3321-42/art-8/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Advance notice of withdrawal by a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions given before May 1, 1957 pursuant to the provisions of Article 43-3, paragraph (5) of the Former Act or Article 28-3, paragraph (5) of the Former Mariners Insurance Act is deemed to be advance notice of cancellation of the registration of a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions pursuant to the provisions of Article 43-11, paragraph (3) of the New Act.
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**第三項** 第一項の者であつて、昭和三十二年五月一日前に旧法第四十三条ノ四第一項又は旧船員保険法第二十八条ノ四第一項の規定による厚生大臣の定に違反したものについては、新法第四十三条ノ六第一項の規定による命令に違反したものとみなして、新法第四十三条ノ十三の規定を適用する。
suppl-3321-42/art-8/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person referred to in paragraph (1) who, before May 1, 1957, violated a determination by the Minister of Health and Welfare under the provisions of Article 43-4, paragraph (1) of the Former Act or Article 28-4, paragraph (1) of the Former Mariners Insurance Act, Article 43-13 of the New Act applies, deeming the person to have violated an order under the provisions of Article 43-6, paragraph (1) of the New Act.
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**第四項** 昭和三十二年五月一日前に旧法第四十三条ノ四第三項又は旧船員保険法第二十八条ノ四第三項の規定により保険医又は保険薬剤師の指定を取り消された者については、その取消の時に新法第四十三条ノ十三の規定により保険医又は保険薬剤師の登録を取り消されたものとみなして、新法第四十三条ノ五の規定を適用する。
suppl-3321-42/art-8/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person whose designation as a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions was revoked before May 1, 1957 pursuant to the provisions of Article 43-4, paragraph (3) of the Former Act or Article 28-4, paragraph (3) of the Former Mariners Insurance Act, Article 43-5 of the New Act applies, deeming the person to have had the person's registration as a physician providing health insurance treatment or a pharmacist filling health insurance prescriptions revoked pursuant to the provisions of Article 43-13 of the New Act at the time of that revocation.
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**第五項** 第一項の者が昭和三十二年五月一日において現に健康保険又は船員保険の診療又は調剤に従事している病院若しくは診療所又は薬局は、その者の行う診療又は調剤に関しては、昭和三十二年十月三十一日（同日前に当該病院若しくは診療所又は薬局につき新法第四十三条ノ三第一項の規定による指定が行われたときはその指定の日）までは、新法第四十三条ノ三第一項の規定による保険医療機関又は保険薬局の指定を受けたものとみなす。
suppl-3321-42/art-8/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A hospital, clinic or pharmacy at which a person referred to in paragraph (1) is actually engaged, as of May 1, 1957, in medical care or prescription under health insurance or Mariners Insurance is deemed, with regard to the medical care or prescription performed by that person, to have received designation as a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance pursuant to the provisions of Article 43-3, paragraph (1) of the New Act until October 31, 1957 (or, if the designation pursuant to the provisions of Article 43-3, paragraph (1) of the New Act is made for that hospital, clinic or pharmacy before that day, until the day of that designation).
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### 第九条（保険者の指定する者に関する経過措置） — Transitional Measures Concerning Persons Designated by Insurers
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suppl-3321-42/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年五月一日において現に保険者が旧法第四十三条ノ二第一項の規定による指定をしている者は、昭和三十二年七月三十一日までは、新法第四十三条第三項第二号に掲げる病院若しくは診療所又は薬局に該当しないものであつても、これに該当するものとみなし、旧法によるその指定は、新法第四十三条第三項第二号の規定による指定とみなす。
suppl-3321-42/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person that an insurer has actually designated pursuant to the provisions of Article 43-2, paragraph (1) of the Former Act as of May 1, 1957 is deemed, until July 31, 1957, to fall under a hospital, clinic or pharmacy listed in Article 43, paragraph (3), item (ii) of the New Act even if the person does not fall under it, and that designation under the Former Act is deemed to be a designation pursuant to the provisions of Article 43, paragraph (3), item (ii) of the New Act.
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### 第十一条（資格喪失後の期間に係る保険給付に関する経過措置） — Transitional Measures Concerning Insurance Benefits for Periods after Loss of Eligibility
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suppl-3321-42/art-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年五月一日において現に旧法第五十五条（旧法第五十七条第二項、第五十九条ノ二第五項及び第五十九条ノ四第三項において準用する場合を含む。）の規定により保険給付を受けている者については、新法第五十五条の規定にかかわらず、なお従前の例による。
suppl-3321-42/art-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who, as of May 1, 1957, is actually receiving insurance benefits pursuant to the provisions of Article 55 of the Former Act (including the case where it applies mutatis mutandis under Article 57, paragraph (2), Article 59-2, paragraph (5) and Article 59-4, paragraph (3) of the Former Act), the provisions then in force continue to govern, notwithstanding the provisions of Article 55 of the New Act.
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### 第十六条（従前の行為に対する罰則の適用） — Application of Penal Provisions to Prior Acts
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suppl-3321-42/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和三十二年五月一日前にした行為に対する罰則の適用については、なお従前の例による。
suppl-3321-42/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before May 1, 1957, the provisions then in force continue to govern.
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## 附 則 昭和三三年四月三〇日法律第一〇六号
suppl-3331-106 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十三年七月一日から施行する。
suppl-3331-106/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of July 1, 1958.
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## 附 則 昭和三三年五月一日法律第一二八号
suppl-3331-128 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3331-128/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十三年七月一日から施行する。
suppl-3331-128/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of July 1, 1958.
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## 附 則 昭和三三年五月一〇日法律第一四九号
suppl-3331-149 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律中第十条、第十五条第二項、第十七条第一項、第十七条の四、第三十条及び第三十五条の改正規定（第十七条の四の改正規定のうち、傷病手当金及び出産手当金に関する部分を除く。）並びに附則第二項、第三項及び第六項から第九項までの規定は昭和三十三年七月一日から、その他の規定は同年十月一日から施行し、改正後の第二十八条及び第二十八条の二の規定は、昭和三十三年度以降の費用について適用する。
suppl-3331-149/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the provisions of this Act, the provisions amending Article 10, Article 15, paragraph (2), Article 17, paragraph (1), Article 17-4, Article 30 and Article 35 (excluding, of the provisions amending Article 17-4, the part relating to injury and sickness allowance and childbirth allowance) and the provisions of paragraphs (2), (3) and (6) through (9) of the Supplementary Provisions come into effect on July 1, 1958, and the other provisions come into effect on October 1 of that year, and the provisions of Articles 28 and 28-2 as amended apply to expenses for fiscal year 1958 or any later fiscal year.
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## 附 則 昭和三三年一二月二七日法律第一九三号
suppl-3331-193 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、新法の施行の日（昭和三十四年一月一日）から施行する。
suppl-3331-193/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the New Act comes into effect (January 1, 1959).
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## 附 則 昭和三四年四月二〇日法律第一四八号
suppl-3341-148 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、国税徴収法（昭和三十四年法律第百四十七号）の施行の日から施行する。
suppl-3341-148/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date on which the National Tax Collection Act (Act No. 147 of 1959) comes into effect.
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## 附 則 昭和三六年六月一五日法律第一三五号
suppl-3361-135 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3361-135/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和三六年六月一五日法律第一三六号
suppl-3361-136 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3361-136/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和三六年一一月一六日法律第二二七号
suppl-3361-227 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3361-227/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和三七年四月二日法律第六七号
suppl-3371-67 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3371-67/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十七年四月一日から施行する。
suppl-3371-67/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1962.
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### 第二十条（延滞金に関する経過措置） — Transitional Measures Concerning Delinquent Charges
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suppl-3371-67/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第三十三条、第三十七条及び第三十八条の規定中延滞金に関する部分並びに第四十条の規定は、この法律の施行後に徴収する延滞金について適用する。ただし、当該延滞金の全部又は一部でこの法律の施行前の期間に対応するものについては、なお従前の例による。
suppl-3371-67/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The parts of the provisions of Articles 33, 37 and 38 concerning delinquent charges and the provisions of Article 40 apply to delinquent charges collected after this Act comes into effect. However, the provisions then in force continue to govern all or part of those delinquent charges that corresponds to the period before this Act comes into effect.
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## 附 則 昭和三七年五月一一日法律第一二三号
suppl-3371-123 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月をこえない範囲内において政令で定める日から施行する。
suppl-3371-123/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
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**第十三項** この法律の施行後は社会保険庁長官が行なうこととなる保険給付を受ける権利の裁定その他の処分であつて、この法律の施行前に厚生大臣が行なつたものは、社会保険庁長官が行なつた保険給付を受ける権利の裁定その他の処分とみなす。
suppl-3371-123/par-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A decision on the right to receive insurance benefits or any other disposition that, after this Act comes into effect, is to be made by the Director-General of the Social Insurance Agency, and that was made by the Minister of Health and Welfare before this Act comes into effect, is deemed to be a decision on the right to receive insurance benefits or other disposition made by the Director-General of the Social Insurance Agency.
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**第十四項** この法律の施行後は社会保険庁長官に対して行なうこととなる申請、届出その他の行為であつて、この法律の施行の際現に厚生大臣に対して行なわれているものは、社会保険庁長官に対して行なわれている申請、届出その他の行為とみなす。
suppl-3371-123/par-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An application, notification or other act that, after this Act comes into effect, is to be made to the Director-General of the Social Insurance Agency, and that has actually been made to the Minister of Health and Welfare at the time this Act comes into effect, is deemed to be an application, notification or other act made to the Director-General of the Social Insurance Agency.
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## 附 則 昭和三七年五月一六日法律第一四〇号
suppl-3371-140 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十七年十月一日から施行する。
suppl-3371-140/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 1962.
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**第二項** この法律による改正後の規定は、この附則に特別の定めがある場合を除き、この法律の施行前に生じた事項にも適用する。ただし、この法律による改正前の規定によつて生じた効力を妨げない。
suppl-3371-140/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Unless otherwise provided for in these Supplementary Provisions, the provisions as amended by this Act also apply to matters that arose before this Act comes into effect; provided, however, that this does not preclude the effect that has arisen under the provisions prior to amendment by this Act.
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**第三項** この法律の施行の際現に係属している訴訟については、当該訴訟を提起することができない旨を定めるこの法律による改正後の規定にかかわらず、なお従前の例による。
suppl-3371-140/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to actions pending at the time this Act comes into effect, the provisions then in force continue to govern, notwithstanding the provisions as amended by this Act that provide that the action may not be filed.
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**第四項** この法律の施行の際現に係属している訴訟の管轄については、当該管轄を専属管轄とする旨のこの法律による改正後の規定にかかわらず、なお従前の例による。
suppl-3371-140/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to jurisdiction over actions pending at the time this Act comes into effect, the provisions then in force continue to govern, notwithstanding the provisions as amended by this Act that provide that the jurisdiction is exclusive jurisdiction.
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**第五項** この法律の施行の際現にこの法律による改正前の規定による出訴期間が進行している処分又は裁決に関する訴訟の出訴期間については、なお従前の例による。ただし、この法律による改正後の規定による出訴期間がこの法律による改正前の規定による出訴期間より短い場合に限る。
suppl-3371-140/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the filing period for actions concerning an original administrative disposition or an administrative disposition on appeal for which the filing period under the provisions prior to amendment by this Act is running at the time this Act comes into effect, the provisions then in force continue to govern; provided, however, that this is limited to cases in which the filing period under the provisions as amended by this Act is shorter than the filing period under the provisions prior to amendment by this Act.
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**第六項** この法律の施行前にされた処分又は裁決に関する当事者訴訟で、この法律による改正により出訴期間が定められることとなつたものについての出訴期間は、この法律の施行の日から起算する。
suppl-3371-140/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For a public law-related action concerning an original administrative disposition or an administrative disposition on appeal made before this Act comes into effect, for which a filing period has come to be prescribed as a result of the amendment by this Act, the filing period is counted from the date on which this Act comes into effect.
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**第七項** この法律の施行の際現に係属している処分又は裁決の取消しの訴えについては、当該法律関係の当事者の一方を被告とする旨のこの法律による改正後の規定にかかわらず、なお従前の例による。ただし、裁判所は、原告の申立てにより、決定をもつて、当該訴訟を当事者訴訟に変更することを許すことができる。
suppl-3371-140/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to actions for the revocation of an original administrative disposition or an administrative disposition on appeal that are pending at the time this Act comes into effect, the provisions then in force continue to govern, notwithstanding the provisions as amended by this Act that provide that one of the parties to the relevant legal relationship is to be the defendant; provided, however, that the court may, upon petition by the plaintiff, permit by ruling the change of the action to a public law-related action.
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**第八項** 前項ただし書の場合には、行政事件訴訟法第十八条後段及び第二十一条第二項から第五項までの規定を準用する。
suppl-3371-140/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case referred to in the proviso to the preceding paragraph, the provisions of the second sentence of Article 18 and Article 21, paragraphs (2) through (5) of the Administrative Case Litigation Act apply mutatis mutandis.
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## 附 則 昭和三七年九月八日法律第一五二号
suppl-3371-152 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3371-152/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十七年十二月一日（以下「施行日」という。）から施行する。
suppl-3371-152/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on December 1, 1962 (hereinafter referred to as "the Effective Date").
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## 附 則 昭和三七年九月一五日法律第一六一号
suppl-3371-161 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十七年十月一日から施行する。
suppl-3371-161/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 1962.
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**第二項** この法律による改正後の規定は、この附則に特別の定めがある場合を除き、この法律の施行前にされた行政庁の処分、この法律の施行前にされた申請に係る行政庁の不作為その他この法律の施行前に生じた事項についても適用する。ただし、この法律による改正前の規定によつて生じた効力を妨げない。
suppl-3371-161/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Except in the case where these Supplementary Provisions provide otherwise, the provisions as amended by this Act also apply to dispositions by administrative agencies made before this Act comes into effect, inaction by administrative agencies with regard to applications filed before this Act comes into effect, and other matters that arose before this Act comes into effect; provided, however, that this does not preclude the effect that arose under the provisions prior to the amendment by this Act.
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**第三項** この法律の施行前に提起された訴願、審査の請求、異議の申立てその他の不服申立て（以下「訴願等」という。）については、この法律の施行後も、なお従前の例による。この法律の施行前にされた訴願等の裁決、決定その他の処分（以下「裁決等」という。）又はこの法律の施行前に提起された訴願等につきこの法律の施行後にされる裁決等にさらに不服がある場合の訴願等についても、同様とする。
suppl-3371-161/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to petitions, requests for review, objections and other appeals filed before this Act comes into effect (hereinafter referred to as "administrative appeals, etc."), the provisions then in force continue to govern even after this Act comes into effect. The same applies to administrative appeals, etc. in the case where there is further dissatisfaction with a determination, decision or other disposition on administrative appeals, etc. made before this Act comes into effect (hereinafter referred to as a "determination, etc.") or with a determination, etc. made after this Act comes into effect on administrative appeals, etc. filed before this Act comes into effect.
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**第四項** 前項に規定する訴願等で、この法律の施行後は行政不服審査法による不服申立てをすることができることとなる処分に係るものは、同法以外の法律の適用については、行政不服審査法による不服申立てとみなす。
suppl-3371-161/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Administrative appeals, etc. prescribed in the preceding paragraph that pertain to dispositions against which an appeal may be filed under the Administrative Complaint Review Act after this Act comes into effect are deemed to be appeals under the Administrative Complaint Review Act with regard to the application of laws other than that Act.
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**第五項** 第三項の規定によりこの法律の施行後にされる審査の請求、異議の申立てその他の不服申立ての裁決等については、行政不服審査法による不服申立てをすることができない。
suppl-3371-161/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An appeal under the Administrative Complaint Review Act may not be filed against a determination, etc. on a request for review, an objection or any other appeal made after this Act comes into effect pursuant to the provisions of paragraph (3).
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**第六項** この法律の施行前にされた行政庁の処分で、この法律による改正前の規定により訴願等をすることができるものとされ、かつ、その提起期間が定められていなかつたものについて、行政不服審査法による不服申立てをすることができる期間は、この法律の施行の日から起算する。
suppl-3371-161/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a disposition by an administrative agency made before this Act comes into effect against which administrative appeals, etc. were permitted to be filed under the provisions prior to the amendment by this Act and for which no period for filing them was specified, the period during which an appeal under the Administrative Complaint Review Act may be filed is counted from the date on which this Act comes into effect.
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**第八項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-3371-161/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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**第九項** 前八項に定めるもののほか、この法律の施行に関して必要な経過措置は、政令で定める。
suppl-3371-161/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to what is provided for in the preceding eight paragraphs, the transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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**第十項** この法律及び行政事件訴訟法の施行に伴う関係法律の整理等に関する法律（昭和三十七年法律第百四十号）に同一の法律についての改正規定がある場合においては、当該法律は、この法律によつてまず改正され、次いで行政事件訴訟法の施行に伴う関係法律の整理等に関する法律によつて改正されるものとする。
suppl-3371-161/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where this Act and the Act on the Arrangement, etc. of Related Acts upon the Enforcement of the Administrative Case Litigation Act (Act No. 140 of 1962) contain provisions amending the same Act, that Act is to be amended first by this Act and then by the Act on the Arrangement, etc. of Related Acts upon the Enforcement of the Administrative Case Litigation Act.
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## 附 則 昭和三八年三月三一日法律第六二号
suppl-3381-62 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3381-62/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十八年四月一日から施行する。
suppl-3381-62/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1963.
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### 第三条（健康保険の療養の給付等に関する経過措置） — Transitional Measures Concerning Benefits for Medical Treatment, etc. under Health Insurance
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suppl-3381-62/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の際現に健康保険法第二十条の規定による被保険者である者は、この法律の施行の日から一箇月以内に保険者に申し出て、この法律による改正前の健康保険法第二十一条第一号に規定する期間を経過した時に被保険者の資格を喪失することができる。
suppl-3381-62/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who is an insured person pursuant to the provisions of Article 20 of the Health Insurance Act at the time this Act comes into effect may, by making a request to the insurer within one month from the day this Act comes into effect, lose eligibility as an insured person at the time the period prescribed in Article 21, item (i) of the Health Insurance Act prior to its amendment by this Act has elapsed.
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**第二項** 健康保険の被保険者であつた者又は被扶養者であつた者の疾病又は負傷及びこれによつて発した疾病（以下「傷病」という。）であつて、療養の給付又は家族療養費の支給開始後この法律の施行前に三年を経過したものに関するこれらの給付の支給については、健康保険法第五十五条の改正規定にかかわらず、なお従前の例による。
suppl-3381-62/art-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of benefits for medical treatment or dependent's medical expenses for the sickness or injury, and the sickness arising therefrom (hereinafter referred to as "injury or illness"), of a person who was an insured person of health insurance or a person who was a dependent, for which three years have elapsed, before this Act comes into effect, after the start of the benefits for medical treatment or the payment of dependent's medical expenses, the provisions then in force continue to govern, notwithstanding the provisions amending Article 55 of the Health Insurance Act.
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**第三項** この法律の施行前に同一の傷病に関し療養の給付又は家族療養費の支給開始後三年を経過した健康保険の被保険者又は被扶養者の当該期間経過後この法律の施行までの期間に係る当該傷病及びこれによつて発した疾病に関する療養の給付又は家族療養費の支給については、なお従前の例による。
suppl-3381-62/art-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to benefits for medical treatment or the payment of dependent's medical expenses for the injury or illness concerned and sickness arising therefrom, for the period from the elapse of the relevant period until this Act comes into effect, for an insured person or dependent of health insurance for whom three years have elapsed after the start of benefits for medical treatment or the payment of dependent's medical expenses for the same injury or illness before this Act comes into effect, the provisions then in force continue to govern.
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## 附 則 昭和三九年七月六日法律第一五二号
suppl-3391-152 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3391-152/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和三十九年十月一日（以下「施行日」という。）から施行する。
suppl-3391-152/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 1964 (hereinafter referred to as "the Effective Date").
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## 附 則 昭和四一年四月二八日法律第六三号
suppl-3411-63 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日等） — Effective Date, etc.
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suppl-3411-63/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3411-63/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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**第二項** 第一条の規定による改正後の健康保険法第三条第一項及び第七十一条ノ四第一項の規定、第二条の規定による改正後の船員保険法第四条第一項、第五十九条第五項及び第六十条第一項の規定並びに附則第二条から附則第四条まで及び附則第十二条の規定は、昭和四十一年四月一日から適用する。
suppl-3411-63/art-1/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3, paragraph (1) and Article 71-4, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1, the provisions of Article 4, paragraph (1), Article 59, paragraph (5) and Article 60, paragraph (1) of the Mariners Insurance Act as amended by the provisions of Article 2, and the provisions of Articles 2 through 4 and Article 12 of the Supplementary Provisions apply from April 1, 1966.
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### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-3411-63/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和四十一年四月一日前に健康保険の被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者を除く。）のうち、同年三月の標準報酬月額が五万二千円である者の同年四月から同年九月までの標準報酬については、その者が同年四月一日に被保険者の資格を取得したものとみなして、第一条の規定による改正後の健康保険法第三条の規定を適用する。この場合において、その者が厚生年金保険の被保険者であつて、その者の同年四月における厚生年金保険法（昭和二十九年法律第百十五号）による標準報酬月額が五万二千円又は五万六千円であるときは、健康保険法第三条第三項の規定にかかわらず、その者の同年四月における厚生年金保険法による標準報酬の基礎となつた報酬月額を第一条の規定による改正後の健康保険法による標準報酬の基礎となる報酬月額とみなす。
suppl-3411-63/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among persons who acquired eligibility as an insured person of health insurance before April 1, 1966 and have continued to have eligibility as an insured person until that day (excluding persons who have eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), with regard to the standard remuneration amount from April to September of that year of a person whose standard monthly remuneration amount for March of that year is 52,000 yen, the provisions of Article 3 of the Health Insurance Act as amended by the provisions of Article 1 apply, deeming the person to have acquired eligibility as an insured person on April 1 of that year. In this case, if the person is an insured person of employees' pension insurance and the person's standard monthly remuneration amount for April of that year under the Employees' Pension Insurance Act (Act No. 115 of 1954) is 52,000 yen or 56,000 yen, the monthly remuneration amount that served as the basis of the person's standard remuneration amount under the Employees' Pension Insurance Act for April of that year is deemed to be the monthly remuneration amount that forms the basis of the standard remuneration amount under the Health Insurance Act as amended by the provisions of Article 1, notwithstanding the provisions of Article 3, paragraph (3) of the Health Insurance Act.
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## 附 則 昭和四二年六月一二日法律第三六号
suppl-3421-36 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、登録免許税法の施行の日から施行する。
suppl-3421-36/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day on which the Registration and License Tax Act comes into effect.
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## 附 則 昭和四四年八月七日法律第六九号
suppl-3441-69 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3441-69/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和四十四年九月一日から施行する。
suppl-3441-69/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of September 1, 1969.
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### 第二条（分娩費等の額に関する経過措置） — Transitional Measures Concerning the Amount of Delivery Expenses, etc.
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suppl-3441-69/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和四十四年九月一日前に分娩した健康保険又は船員保険の被保険者若しくは被保険者であつた者又は被扶養者に係る健康保険法又は船員保険法の規定による分娩費又は配偶者分娩費の額については、なお従前の例による。
suppl-3441-69/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of delivery expenses or spouse's delivery expenses under the provisions of the Health Insurance Act or the Mariners Insurance Act for an insured person of health insurance or Mariners Insurance, a person who was an insured person, or a dependent, who gave birth before September 1, 1969, the provisions then in force continue to govern.
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## 附 則 昭和四五年四月一日法律第一三号
suppl-3451-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3451-13/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3451-13/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和四五年六月一日法律第一一一号
suppl-3451-111 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-3451-111/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 昭和四八年八月一〇日法律第六九号
suppl-3481-69 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日等） — Effective Date, etc.
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suppl-3481-69/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、労働者災害補償保険法の一部を改正する法律（昭和四十八年法律第八十五号）の施行の日から施行する。
suppl-3481-69/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Act Partially Amending the Industrial Accident Compensation Insurance Act (Act No. 85 of 1973) comes into effect.
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## 附 則 昭和四八年九月一日法律第七六号
suppl-3481-76 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3481-76/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、労働者災害補償保険法の一部を改正する法律（昭和四十八年法律第八十五号）の施行の日から施行する。
suppl-3481-76/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Act Partially Amending the Industrial Accident Compensation Insurance Act (Act No. 85 of 1973) comes into effect.
machine translation, not official
## 附 則 昭和四八年九月二一日法律第八五号
suppl-3481-85 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3481-85/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月をこえない範囲内において政令で定める日から施行する。
suppl-3481-85/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
machine translation, not official
## 附 則 昭和四八年九月二六日法律第八九号
suppl-3481-89 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3481-89/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和四十八年十月一日から施行する。
suppl-3481-89/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of October 1, 1973.
machine translation, not official
### 第二条（健康保険法及び船員保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act and the Mariners Insurance Act
caption: machine translation, not official
suppl-3481-89/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和四十八年十月一日前に健康保険の被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者を除く。）のうち、同年七月一日から同年九月三十日までの間に被保険者の資格を取得した者又は同法第三条第四項の規定により同年八月若しくは同年九月から標準報酬が改定された者であつて、同年同月の標準報酬月額が一万八千円以下であるもの又は十万四千円であるもの（報酬月額が十万七千円未満であるものを除く。）の標準報酬は、当該標準報酬月額の基礎となつた報酬月額をこの法律による改正後の健康保険法第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-3481-89/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among persons who acquired eligibility as an insured person of health insurance before October 1, 1973 and have continued to have eligibility as an insured person until that day (excluding persons who have eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), the standard remuneration amount of a person who acquired eligibility as an insured person during the period from July 1 to September 30 of that year, or a person whose standard remuneration amount has been revised from August or September of that year pursuant to the provisions of Article 3, paragraph (4) of that Act, and whose standard monthly remuneration amount for that month of that year is 18,000 yen or less or 104,000 yen (excluding persons whose monthly remuneration amount is less than 107,000 yen), is revised by the insurer, deeming the monthly remuneration amount that served as the basis of that standard monthly remuneration amount to be the monthly remuneration amount that forms the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by this Act.
machine translation, not official
**第二項** 前項の規定により改定された標準報酬は、昭和四十八年十月一日から昭和四十九年九月三十日までの標準報酬とする。
suppl-3481-89/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard remuneration amount from October 1, 1973 to September 30, 1974.
machine translation, not official
**第三項** この法律による改正後の健康保険法第六十七条又はこの法律による改正後の船員保険法第二十五条の規定は、第三者の行為により昭和四十八年十月一日以後に保険事故が生じた場合について適用し、同日前に保険事故が生じた場合については、なお従前の例による。
suppl-3481-89/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 67 of the Health Insurance Act as amended by this Act or Article 25 of the Mariners Insurance Act as amended by this Act apply to cases where an insured event arises on or after October 1, 1973 due to the act of a third party, and in cases where an insured event arose before that day, the provisions then in force continue to govern.
machine translation, not official
**第四項** この法律による改正後の健康保険法第七十条ノ三第一項の規定は、昭和四十八年十月一日前に行なわれた療養の給付、同日前に行なわれた療養に係る家族療養費の支給並びに同日前の期間に係る傷病手当金及び出産手当金の支給に要する費用については、適用しない。
suppl-3481-89/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 70-3, paragraph (1) of the Health Insurance Act as amended by this Act do not apply to expenses required for benefits for medical treatment provided before October 1, 1973, the payment of dependent's medical expenses for medical treatment provided before that day, and the payment of injury and sickness allowance and childbirth allowance for periods before that day.
machine translation, not official
## 附 則 昭和五一年六月五日法律第六二号
suppl-3511-62 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3511-62/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和五十一年七月一日から施行する。
suppl-3511-62/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on July 1, 1976.
machine translation, not official
### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
caption: machine translation, not official
suppl-3511-62/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和五十一年七月一日前に健康保険の被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者及び同月から標準報酬を改定されるべき者を除く。）のうち、同年六月の標準報酬月額が二万八千円以下であるもの又は二十万円であるもの（当該標準報酬月額の基礎となつた報酬月額が二十一万円未満である者を除く。）の標準報酬は、当該標準報酬月額の基礎となつた報酬月額をこの法律による改正後の同法第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-3511-62/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among persons who acquired eligibility as an insured person of health insurance before July 1, 1976 and have continued to have eligibility as an insured person until that day (excluding persons who have eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act and persons whose standard remuneration amount is to be revised from that month), the standard remuneration amount of a person whose standard monthly remuneration amount for June of that year is 28,000 yen or less or 200,000 yen (excluding persons for whom the monthly remuneration amount that served as the basis of that standard monthly remuneration amount is less than 210,000 yen) is revised by the insurer, deeming the monthly remuneration amount that served as the basis of that standard monthly remuneration amount to be the monthly remuneration amount that forms the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of that Act as amended by this Act.
machine translation, not official
**第二項** 前項の規定により改定された標準報酬は、昭和五十一年七月一日から同年九月三十日までの標準報酬とする。
suppl-3511-62/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard remuneration amount from July 1 to September 30 of that year.
machine translation, not official
**第三項** この法律による改正後の健康保険法第二十条第一項の規定は、昭和五十一年七月一日以後に同法第十八条の規定により被保険者の資格を喪失した者について適用し、同日前に同条の規定により被保険者の資格を喪失した者については、なお従前の例による。
suppl-3511-62/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 20, paragraph (1) of the Health Insurance Act as amended by this Act apply to a person who loses eligibility as an insured person pursuant to the provisions of Article 18 of that Act on or after July 1, 1976, and in the case of a person who lost eligibility as an insured person pursuant to the provisions of that Article before that day, the provisions then in force continue to govern.
machine translation, not official
**第四項** 健康保険法第二十条の規定による被保険者に関する昭和五十一年六月以前の月分の保険料の納付期日及び当該保険料を納付しないことによるその被保険者の資格の喪失については、この法律による改正後の同法第二十一条第三号及び第七十九条第一項ただし書の規定にかかわらず、なお従前の例による。
suppl-3511-62/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the due date for payment of insurance premiums for months on or before June 1976 concerning an insured person under the provisions of Article 20 of the Health Insurance Act and the loss of eligibility as an insured person by that person due to non-payment of those insurance premiums, the provisions then in force continue to govern, notwithstanding the provisions of Article 21, item (iii) and the proviso to Article 79, paragraph (1) of that Act as amended by this Act.
machine translation, not official
**第五項** 昭和五十一年七月一日前に健康保険法第二十条の規定による被保険者の資格を取得して、同日まで引き続きその被保険者の資格を有する者に関する同月分の保険料の納付期日は、この法律による改正後の同法第七十九条第一項ただし書の規定にかかわらず、同年八月十日とする。
suppl-3511-62/art-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who acquired eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act before July 1, 1976 and has continued to have that eligibility until that day, the due date for payment of insurance premiums for that month is August 10 of that year, notwithstanding the provisions of the proviso to Article 79, paragraph (1) of that Act as amended by this Act.
machine translation, not official
## 附 則 昭和五二年一二月一六日法律第八六号
suppl-3521-86 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3521-86/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和五十三年一月一日から施行する。
suppl-3521-86/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of January 1, 1978.
machine translation, not official
### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
caption: machine translation, not official
suppl-3521-86/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和五十三年一月一日前に健康保険の被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者及び同月から標準報酬を改定されるべき者を除く。）のうち、昭和五十二年十二月の標準報酬月額が三十二万円であるもの（当該標準報酬月額の基礎となつた報酬月額が三十三万円未満である者を除く。）の標準報酬は、当該標準報酬月額の基礎となつた報酬月額をこの法律による改正後の同法第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-3521-86/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among persons who acquired eligibility as an insured person of health insurance before January 1, 1978 and have continued to have eligibility as an insured person until that day (excluding persons who have eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act and persons whose standard remuneration amount is to be revised from that month), the standard remuneration amount of a person whose standard monthly remuneration amount for December 1977 is 320,000 yen (excluding persons for whom the monthly remuneration amount that served as the basis of that standard monthly remuneration amount is less than 330,000 yen) is revised by the insurer, deeming the monthly remuneration amount that served as the basis of that standard monthly remuneration amount to be the monthly remuneration amount that forms the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of that Act as amended by this Act.
machine translation, not official
**第二項** 前項の規定により改定された標準報酬は、昭和五十三年一月一日から同年九月三十日までの標準報酬とする。
suppl-3521-86/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard remuneration amount from January 1 to September 30 of that year.
machine translation, not official
**第三項** この法律の施行の日において現に病院又は診療所に収容されている者が当該疾病又は負傷及びこれにより発した疾病により同日以後引き続き病院又は診療所に収容されている場合における一部負担金については、この法律による改正後の健康保険法第四十三条ノ八第一項第二号（同法第四十三条ノ十六第二項において例による場合を含む。）の規定にかかわらず、なお従前の例による。
suppl-3521-86/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to co-payments in the case where a person who is actually accommodated in a hospital or clinic on the day this Act comes into effect continues, on or after that day, to be accommodated in a hospital or clinic by reason of the sickness or injury concerned and the sickness arising therefrom, the provisions then in force continue to govern, notwithstanding the provisions of Article 43-8, paragraph (1), item (ii) of the Health Insurance Act as amended by this Act (including the case where it is applied in accordance with Article 43-16, paragraph (2) of that Act).
machine translation, not official
**第四項** この法律の施行の日前にこの法律による改正前の健康保険法第四十七条に規定する支給期間が満了した傷病手当金の支給期間については、なお従前の例による。
suppl-3521-86/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment period of injury and sickness allowance for which the payment period prescribed in Article 47 of the Health Insurance Act prior to its amendment by this Act expired before the day this Act comes into effect, the provisions then in force continue to govern.
machine translation, not official
## 附 則 昭和五五年一二月一〇日法律第一〇八号
suppl-3551-108 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3551-108/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月を超えない範囲内において政令で定める日から施行する。
suppl-3551-108/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
machine translation, not official
### 第二条（健康保険法及び船員保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act and the Mariners Insurance Act
caption: machine translation, not official
suppl-3551-108/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の日前に分娩した健康保険又は船員保険の被保険者又は被保険者であつた者であつて分娩に関し病院若しくは診療所又は助産所に収容したものに係る健康保険法又は船員保険法の規定による分娩費の額については、なお従前の例による。
suppl-3551-108/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of delivery expenses under the provisions of the Health Insurance Act or the Mariners Insurance Act for an insured person of health insurance or Mariners Insurance or a person who was an insured person, who gave birth before the day this Act comes into effect and was accommodated in a hospital, clinic or birthing center in connection with the delivery, the provisions then in force continue to govern.
machine translation, not official
**第二項** 健康保険又は船員保険の被保険者又は被保険者であつた者の疾病又は負傷及びこれにより発した疾病であつて、療養の給付の開始後この法律の施行の日前に三年を経過したものに関する健康保険法又は船員保険法の規定による傷病手当金の支給については、なお従前の例による。
suppl-3551-108/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of injury and sickness allowance under the provisions of the Health Insurance Act or the Mariners Insurance Act for the sickness or injury, and the sickness arising therefrom, of an insured person of health insurance or Mariners Insurance or a person who was an insured person, for which three years have elapsed after the start of benefits for medical treatment before the day this Act comes into effect, the provisions then in force continue to govern.
machine translation, not official
**第三項** この法律の施行の日前の療養に係るこの法律による改正前の健康保険法第五十九条ノ二ノ二又はこの法律による改正前の船員保険法第三十一条ノ三の規定に基づく高額療養費の支給については、なお従前の例による。
suppl-3551-108/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of high-cost medical expenses under the provisions of Article 59-2-2 of the Health Insurance Act prior to its amendment by this Act or Article 31-3 of the Mariners Insurance Act prior to its amendment by this Act for medical treatment before the day this Act comes into effect, the provisions then in force continue to govern.
machine translation, not official
## 附 則 昭和五七年八月一七日法律第八〇号
suppl-3571-80 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
caption: machine translation, not official
suppl-3571-80/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年六月を超えない範囲内において政令で定める日から施行する。
suppl-3571-80/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding one year and six months from the date of promulgation.
machine translation, not official
### 第十九条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
caption: machine translation, not official
suppl-3571-80/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険の被保険者又は被扶養者であつて第二十五条第一項各号のいずれかに該当するものが、施行日前に受けた療養に係る療養費若しくは高額療養費又は家族療養費若しくは家族高額療養費の支給については、なお従前の例による。
suppl-3571-80/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of medical expenses or high-cost medical expenses, or dependent's medical expenses or dependent's high-cost medical expenses, for medical treatment received before the Effective Date by a person who is an insured person covered by health insurance or a dependent and who falls under any of the items of Article 25, paragraph (1), the provisions then in force continue to govern.
machine translation, not official
**第二項** 健康保険法第四十三条第三項第一号に規定する保険医療機関又は保険薬局が施行日前にした詐欺その他不正の行為により支払われた療養の給付又は家族療養費の支給に関する費用の返還については、なお従前の例による。
suppl-3571-80/art-19/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the refund of expenses relating to benefits for medical treatment or the payment of dependent's medical expenses that were paid by reason of fraud or other wrongful conduct committed before the Effective Date by a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance prescribed in Article 43, paragraph (3), item (i) of the Health Insurance Act, the provisions then in force continue to govern.
machine translation, not official
**第三項** 施行日前にした行為に対する健康保険法の規定による罰則の適用については、なお従前の例による。
suppl-3571-80/art-19/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions under the provisions of the Health Insurance Act to acts committed before the Effective Date, the provisions then in force continue to govern.
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## 附 則 昭和五八年一二月三日法律第八二号
suppl-3581-82 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3581-82/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和五十九年四月一日から施行する。
suppl-3581-82/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1984.
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## 附 則 昭和五九年八月一四日法律第七七号
suppl-3591-77 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3591-77/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して三月を超えない範囲内において政令で定める日から施行する。ただし、第一条中健康保険法第三条第一項の改正規定（同項の表に係る部分に限る。）、第二条中船員保険法第四条第一項の改正規定、同法第五十九条の改正規定（年金保険料率に係る部分に限る。）、同法第五十九条の次に一条を加える改正規定、同法第五十九条ノ二の改正規定、同法第六十条の改正規定（年金保険料率に係る部分に限る。）、同法附則第十二項及び第十三項の改正規定、同法附則第十八項から第二十項までの改正規定並びに附則第九条から第十二条までの規定は昭和五十九年十月一日から、第一条中健康保険法附則に二条を加える改正規定、第二条中船員保険法附則に三項を加える改正規定、第三条中国民健康保険法附則に五項を加える改正規定、附則第四十六条中国家公務員等共済組合法（昭和三十三年法律第百二十八号）附則第十二条の改正規定、附則第四十八条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）附則第十七条の次に一条を加える改正規定並びに附則第五十条中私立学校教職員共済組合法（昭和二十八年法律第二百四十五号）第二十五条第一項の改正規定及び同項の表の改正規定（第百二十六条の五第二項の項に係る部分を除く。）は昭和六十年四月一日から、第二条中船員保険法第五十九条ノ三の改正規定は同年十月一日から、第一条中健康保険法第十三条第二号の改正規定及び附則第三条の規定は昭和六十一年四月一日から、第一条中健康保険法第四十三条ノ十四第一項の改正規定及び第四十四条ノ二の前に一条を加える改正規定（同法第四十四条第十一項に係る部分に限る。）、第三条中国民健康保険法第五十条第一項の改正規定、同法第五十三条の改正規定（同条第九項に係る部分に限る。）及び同法第五章中第八十一条の次に二節を加える改正規定（第八十一条の九から第八十一条の十二までに係る部分に限る。）並びに附則第六十一条（社会保険審議会及び社会保険医療協議会法（昭和二十五年法律第四十七号）第十四条の改正規定に限る。）の規定は公布の日から施行する。
suppl-3591-77/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation; provided, however, that the provisions of Article 1 amending Article 3, paragraph (1) of the Health Insurance Act (limited to the part pertaining to the table in that paragraph), the provisions of Article 2 amending Article 4, paragraph (1) of the Mariners Insurance Act, the provisions amending Article 59 of that Act (limited to the part pertaining to pension insurance premium rates), the provisions adding one Article after Article 59 of that Act, the provisions amending Article 59-2 of that Act, the provisions amending Article 60 of that Act (limited to the part pertaining to pension insurance premium rates), the provisions amending paragraphs (12) and (13) of the Supplementary Provisions of that Act, the provisions amending paragraphs (18) through (20) of the Supplementary Provisions of that Act, and the provisions of Articles 9 through 12 of the Supplementary Provisions come into effect as of October 1, 1984; the provisions of Article 1 adding two Articles to the Supplementary Provisions of the Health Insurance Act, the provisions of Article 2 adding three paragraphs to the Supplementary Provisions of the Mariners Insurance Act, the provisions of Article 3 adding five paragraphs to the Supplementary Provisions of the National Health Insurance Act, the provisions of Article 46 of the Supplementary Provisions amending Article 12 of the Supplementary Provisions of the National Public Officers, etc. Mutual Aid Association Act (Act No. 128 of 1958), the provisions of Article 48 of the Supplementary Provisions adding one Article after Article 17 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962), and the provisions of Article 50 of the Supplementary Provisions amending Article 25, paragraph (1) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) and amending the table in that paragraph (excluding the part pertaining to the entry for Article 126-5, paragraph (2)) come into effect as of April 1, 1985; the provisions of Article 2 amending Article 59-3 of the Mariners Insurance Act come into effect as of October 1 of the same year; the provisions of Article 1 amending Article 13, item (ii) of the Health Insurance Act and the provisions of Article 3 of the Supplementary Provisions come into effect as of April 1, 1986; and the provisions of Article 1 amending Article 43-14, paragraph (1) of the Health Insurance Act and adding one Article before Article 44-2 (limited to the part pertaining to Article 44, paragraph (11) of that Act), the provisions of Article 3 amending Article 50, paragraph (1) of the National Health Insurance Act, the provisions amending Article 53 of that Act (limited to the part pertaining to paragraph (9) of that Article) and the provisions adding two Sections after Article 81 in Chapter V of that Act (limited to the part pertaining to Articles 81-9 through 81-12), and the provisions of Article 61 of the Supplementary Provisions (limited to the provisions amending Article 14 of the Social Insurance Council and Social Insurance Medical Council Act (Act No. 47 of 1950)) come into effect as of the date of promulgation.
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### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-3591-77/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和五十九年十月一日前に健康保険の被保険者の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者を除く。）のうち、同年七月一日から同年九月三十日までの間に被保険者の資格を取得した者又は同法第三条第四項の規定により同年八月若しくは同年九月から標準報酬が改定された者であつて、同年同月の標準報酬月額が六万四千円以下であるものの標準報酬は、当該標準報酬月額の基礎となつた報酬月額をこの法律による改正後の健康保険法（以下「新健保法」という。）第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-3591-77/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of persons who acquired eligibility as an insured person under health insurance before October 1, 1984 and who continue to hold eligibility as an insured person until that day (excluding persons who hold eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), the standard remuneration amount of a person who acquired eligibility as an insured person during the period from July 1 to September 30 of that year, or whose standard remuneration amount was revised from August or September of that year pursuant to the provisions of Article 3, paragraph (4) of that Act, and whose standard monthly remuneration amount for the same month of the same year is 64,000 yen or less, is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration amount to be the monthly remuneration amount that is the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by this Act (hereinafter referred to as the "Revised Health Insurance Act").
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**第二項** 前項の規定により改定された標準報酬は、昭和五十九年十月一日から昭和六十年九月三十日までの標準報酬とする。
suppl-3591-77/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from October 1, 1984 to September 30, 1985.
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### 第三条
suppl-3591-77/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新健保法第十三条第二号に掲げる事業所に使用される者であつて、常時五人以上の従業員を使用する事業所以外の事業所に使用されるものについては、同条（同法第十四条、第十六条から第十八条まで、第二十条第一項、第二十一条、第三十一条、第五十五条第二項（第五十五条ノ二第二項、第五十七条第二項及び第五十九条ノ二第七項において準用する場合を含む。）及び第六十九条の七において適用する場合を含む。）の規定は、昭和六十四年三月三十一日までの間は、政令で定めるところにより、段階的に適用するものとする。
suppl-3591-77/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to persons employed at a place of business listed in Article 13, item (ii) of the Revised Health Insurance Act who are employed at a place of business other than a place of business at which five or more employees work regularly, the provisions of that Article (including where applied under Article 14, Articles 16 through 18, Article 20, paragraph (1), Article 21, Article 31, Article 55, paragraph (2) (including where applied mutatis mutandis in Article 55-2, paragraph (2), Article 57, paragraph (2) and Article 59-2, paragraph (7)) and Article 69-7 of that Act) are to be applied in stages, as specified by Cabinet Order, until March 31, 1989.
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### 第六条
suppl-3591-77/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の日（以下「施行日」という。）前に行われた診療、薬剤の支給又は手当に係る健康保険法の規定による療養費の額については、なお従前の例による。
suppl-3591-77/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of medical expenses under the provisions of the Health Insurance Act pertaining to medical care, medication or treatment given before the day on which this Act comes into effect (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.
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**第二項** 施行日前に行われた診療、薬剤の支給又は手当に係るこの法律による改正前の健康保険法の規定による高額療養費又は家族高額療養費の支給については、なお従前の例による。
suppl-3591-77/art-6/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of high-cost medical expenses or dependent's high-cost medical expenses under the provisions of the Health Insurance Act prior to amendment by this Act pertaining to medical care, medication or treatment given before the Effective Date, the provisions then in force continue to govern.
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**第三項** 新健保法第五十八条第二項及び第三項の規定（これらの規定を新健保法第六十九条の三十一において準用する場合を含む。）は、健康保険法の規定による傷病手当金を受けるべき者であつて、同一の疾病又は負傷及びこれにより発した疾病について厚生年金保険法（昭和二十九年法律第百十五号）の規定による障害年金又は障害手当金の支給を受けることができることとなつた日が施行日以後であるものについて適用する。
suppl-3591-77/art-6/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 58, paragraphs (2) and (3) of the Revised Health Insurance Act (including where these provisions apply mutatis mutandis in Article 69-31 of the Revised Health Insurance Act) apply to a person who is to receive injury and sickness allowance under the provisions of the Health Insurance Act and for whom the day on which the person became entitled to receive disability pension or disability allowance under the provisions of the Employees' Pension Insurance Act (Act No. 115 of 1954) in respect of the same sickness or injury and any sickness caused thereby is on or after the Effective Date.
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### 第七条
suppl-3591-77/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新健保法第七十九条ノ三及び第七十九条ノ四の規定にかかわらず、昭和六十年九月三十日までの間における日雇特例被保険者に関する保険料額並びに日雇特例被保険者及びその事業主の負担すべき額は、一日につき、日雇特例被保険者の標準賃金日額の等級に応じ次の表に定めるとおりとする。
標準賃金日額の等級 保険料額 日雇特例被保険者の負担すべき額 事業主の負担すべき額
第一級 一二〇円 五五円 六五円
第二級 一七〇円 八〇円 九〇円
第三級 二七〇円 一二五円 一四五円
第四級 三九〇円 一八〇円 二一〇円
第五級 五二〇円 二四〇円 二八〇円
第六級 六五〇円 三〇〇円 三五〇円
第七級 八〇〇円 三六五円 四三五円
第八級 九八〇円 四五〇円 五三〇円
第九級 一、二一〇円 五五五円 六五五円
第一〇級 一、四四〇円 六六〇円 七八〇円
第一一級 一、六七〇円 七六五円 九〇五円
suppl-3591-77/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Articles 79-3 and 79-4 of the Revised Health Insurance Act, the amount of insurance premiums for specially-insured day laborers, and the amounts to be borne by specially-insured day laborers and their employers, for the period until September 30, 1985 are, per day, as specified in the following table according to the grade of the specially-insured day laborer's standard daily wage.
Grade of standard daily wage Amount of insurance premium Amount to be borne by specially-insured day laborer Amount to be borne by employer
Grade 1 120 yen 55 yen 65 yen
Grade 2 170 yen 80 yen 90 yen
Grade 3 270 yen 125 yen 145 yen
Grade 4 390 yen 180 yen 210 yen
Grade 5 520 yen 240 yen 280 yen
Grade 6 650 yen 300 yen 350 yen
Grade 7 800 yen 365 yen 435 yen
Grade 8 980 yen 450 yen 530 yen
Grade 9 1,210 yen 555 yen 655 yen
Grade 10 1,440 yen 660 yen 780 yen
Grade 11 1,670 yen 765 yen 905 yen
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### 第八条
suppl-3591-77/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 昭和五十九年度の概算日雇拠出金に関する新健保法第七十九条ノ十一の規定の適用については、同条中「前年度ニ納付セラレタル日雇特例被保険者ニ関スル保険料」とあるのは、「昭和五十八年度ニ納付セラレタル旧日雇労働者健康保険法（昭和二十八年法律第二百七号）ノ規定ニ依ル保険料」とする。
suppl-3591-77/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of the provisions of Article 79-11 of the Revised Health Insurance Act to the estimated day laborer contributions for fiscal year 1984, the phrase "insurance premiums for specially-insured day laborers paid in the preceding fiscal year" in that Article is deemed to be replaced with "insurance premiums paid in fiscal year 1983 under the provisions of the Day Laborers Health Insurance Act (Act No. 207 of 1953) as it stood before its repeal".
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### 第十八条（日雇労働者健康保険法の廃止） — Repeal of the Day Laborers Health Insurance Act
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suppl-3591-77/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 日雇労働者健康保険法（昭和二十八年法律第二百七号）は、廃止する。
suppl-3591-77/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The Day Laborers Health Insurance Act (Act No. 207 of 1953) is repealed.
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### 第十九条（日雇労働者健康保険法の廃止に伴う経過措置） — Transitional Measures Accompanying Repeal of the Day Laborers Health Insurance Act
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suppl-3591-77/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前に旧日雇労働者健康保険法（以下「旧日雇健保法」という。）の規定によつてした処分及び旧日雇健保法の規定に基づき発行した文書等のうち次の表の上欄に掲げるものは、同表の下欄に掲げるものとみなす。
旧日雇健保法第四条第二項の規定による都道府県知事の決定 新健保法第六十九条の五第二項の規定による都道府県知事の決定
旧日雇健保法第七条に規定する社会保険庁長官の承認 新健保法第六十九条の八に規定する社会保険庁長官の承認
旧日雇健保法第八条第二項の規定により交付した日雇労働者健康保険被保険者手帳 新健保法第六十九条の九第二項の規定により交付した日雇特例被保険者手帳
旧日雇健保法の規定により納付された保険料の額に対応する賃金日額の等級に対応する給付基礎日額 新健保法第六十九条の六第一項に規定する同一の等級（特例第一級に対応する給付基礎日額については、第一級）の標準賃金日額
旧日雇健保法第十条第四項の規定により押印した日雇労働者健康保険受給資格者票 新健保法第六十九条の十二第三項の規定による表示をした受給資格者票
旧日雇健保法第十七条の四第二項の規定により交付した特別療養費受給票 新健保法第六十九条の二十六第三項の規定により交付した特別療養費受給票
suppl-3591-77/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among dispositions made before the Effective Date under the provisions of the Former Day Laborers Health Insurance Act (hereinafter referred to as the "Former Day Laborers Health Insurance Act") and documents, etc. issued pursuant to the provisions of the Former Day Laborers Health Insurance Act, those listed in the upper column of the following table are deemed to be those listed in the lower column of the same table.
Determination by a prefectural governor under the provisions of Article 4, paragraph (2) of the Former Day Laborers Health Insurance Act Determination by a prefectural governor under the provisions of Article 69-5, paragraph (2) of the Revised Health Insurance Act
Approval of the Director-General of the Social Insurance Agency prescribed in Article 7 of the Former Day Laborers Health Insurance Act Approval of the Director-General of the Social Insurance Agency prescribed in Article 69-8 of the Revised Health Insurance Act
Day laborer health insurance insured person handbook issued under the provisions of Article 8, paragraph (2) of the Former Day Laborers Health Insurance Act Specially-insured day laborer handbook issued under the provisions of Article 69-9, paragraph (2) of the Revised Health Insurance Act
Basic daily benefit amount corresponding to the grade of daily wage corresponding to the amount of insurance premiums paid under the provisions of the Former Day Laborers Health Insurance Act Standard daily wage of the same grade prescribed in Article 69-6, paragraph (1) of the Revised Health Insurance Act (for the basic daily benefit amount corresponding to Special Grade 1, Grade 1)
Day laborer health insurance eligibility card stamped under the provisions of Article 10, paragraph (4) of the Former Day Laborers Health Insurance Act Eligibility card bearing the indication under the provisions of Article 69-12, paragraph (3) of the Revised Health Insurance Act
Special medical expense card issued under the provisions of Article 17-4, paragraph (2) of the Former Day Laborers Health Insurance Act Special medical expense card issued under the provisions of Article 69-26, paragraph (3) of the Revised Health Insurance Act
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**第二項** 旧日雇健保法第六条の規定によつて被保険者となつた者の旧日雇健保法第八条第一項に規定する日雇労働者健康保険被保険者手帳の交付の申請については、なお従前の例による。この場合において、その申請は、新健保法第六十九条の九第一項に規定する申請とみなす。
suppl-3591-77/art-19/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to an application for the issuance of the day laborer health insurance insured person handbook prescribed in Article 8, paragraph (1) of the Former Day Laborers Health Insurance Act by a person who became an insured person pursuant to the provisions of Article 6 of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern. In this case, that application is deemed to be the application prescribed in Article 69-9, paragraph (1) of the Revised Health Insurance Act.
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### 第二十条
suppl-3591-77/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前に旧日雇健保法の規定によつてした保険給付は、新健保法の相当する規定によつてした保険給付とみなす。
suppl-3591-77/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Insurance benefits provided before the Effective Date under the provisions of the Former Day Laborers Health Insurance Act are deemed to be insurance benefits provided under the corresponding provisions of the Revised Health Insurance Act.
machine translation, not official
**第二項** 施行日前に給付事由が生じた旧日雇健保法の規定による保険給付（以下「旧保険給付」という。）については、附則第二十九条の規定によるもののほか、なお従前の例による。
suppl-3591-77/art-20/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits under the provisions of the Former Day Laborers Health Insurance Act for which the grounds for a benefit claim arose before the Effective Date (hereinafter referred to as "former insurance benefits"), except as provided for in Article 29 of the Supplementary Provisions, the provisions then in force continue to govern.
machine translation, not official
**第三項** 施行日前に行われた旧日雇健保法の規定による療養の給付又は家族療養費、特別療養費若しくは高額療養費の支給に係る療養に要した費用に関する旧日雇健保法第十条第五項第一号に掲げる病院若しくは診療所又は薬局の請求については、なお従前の例による。
suppl-3591-77/art-20/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a claim by a hospital, clinic or pharmacy listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act for the expenses required for medical treatment pertaining to benefits for medical treatment or the payment of dependent's medical expenses, special medical expenses or high-cost medical expenses under the provisions of the Former Day Laborers Health Insurance Act that were provided before the Effective Date, the provisions then in force continue to govern.
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### 第二十一条
suppl-3591-77/art-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の際現に疾病又は負傷に関して旧日雇健保法の規定による療養の給付（療養費の支給を含む。以下この条において同じ。）又は家族療養費の支給を受けている者であつて、当該疾病（その原因となつた疾病又は負傷を含む。）又は負傷についての療養の給付又は家族療養費の支給の開始の日（その開始の日前に当該疾病（その原因となつた疾病又は負傷を含む。）又は負傷につき旧日雇健保法の規定による特別療養費の支給が行われたときは、当該特別療養費の支給の開始の日。以下この条において同じ。）から起算して五年を経過しないものに対しては、新健保法第六十九条の十二第二項（第六十九条の二十二第二項において準用する場合を含む。）の規定に該当しない場合においても、当該療養の給付又は家族療養費の支給の開始の日から起算して五年を経過するまでの間、当該疾病又は負傷及びこれによつて発した疾病に関し、新健保法第六十九条の十二第一項若しくは第六十九条の十三第一項又は第六十九条の二十二第一項の規定による療養の給付若しくは特定療養費の支給又は家族療養費の支給を行うものとする。
suppl-3591-77/art-21/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who, at the time this Act comes into effect, is actually receiving benefits for medical treatment (including the payment of medical expenses; the same applies hereinafter in this Article) or the payment of dependent's medical expenses under the provisions of the Former Day Laborers Health Insurance Act in respect of a sickness or injury, and for whom five years have not elapsed from the day on which benefits for medical treatment or the payment of dependent's medical expenses for that sickness (including the sickness or injury that caused it) or injury began (if, before that starting day, special medical expenses were paid under the provisions of the Former Day Laborers Health Insurance Act for that sickness (including the sickness or injury that caused it) or injury, the day on which the payment of those special medical expenses began; the same applies hereinafter in this Article), benefits for medical treatment, the payment of specified medical expenses or the payment of dependent's medical expenses under the provisions of Article 69-12, paragraph (1), Article 69-13, paragraph (1) or Article 69-22, paragraph (1) of the Revised Health Insurance Act are to be provided in respect of that sickness or injury and any sickness caused thereby until five years have elapsed from the day on which those benefits for medical treatment or the payment of dependent's medical expenses began, even where the person does not fall under the provisions of Article 69-12, paragraph (2) of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 69-22, paragraph (2)).
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### 第二十二条
suppl-3591-77/art-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の際現に旧日雇健保法の規定により傷病手当金又は出産手当金を受けることができる者に対し、同一の疾病若しくは負傷又は出産に関し引き続き新健保法の規定により支給する傷病手当金又は出産手当金については、新健保法第六十九条の十五第二項第一号中「標準賃金日額の合算額のうち最大のものの五十分の一」とあるのは「標準賃金日額の合算額が最大となるように二十八の日を選んだ場合における当該合算額の二百八十分の六」と、同項第二号中「標準賃金日額の合算額のうち最大のものの五十分の一」とあるのは「標準賃金日額の合算額が最大となるように七十八の日を選んだ場合における当該合算額の七百八十分の六」と、新健保法第六十九条の十八第二項中「分べんの月前の標準賃金日額の合算額一月分の五十分の一」とあるのは「分べんの日の属する月の前四月間の保険料が納付された日のうちからその納付された日に係る当該日雇特例被保険者の標準賃金日額の合算額が最大となるように二十八の日を選んだ場合における当該合算額の二百八十分の六」とする。
suppl-3591-77/art-22/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to injury and sickness allowance or childbirth allowance to be paid continuously under the provisions of the Revised Health Insurance Act in respect of the same sickness, injury or childbirth to a person who, at the time this Act comes into effect, is actually entitled to receive injury and sickness allowance or childbirth allowance under the provisions of the Former Day Laborers Health Insurance Act, in Article 69-15, paragraph (2), item (i) of the Revised Health Insurance Act, the phrase "1/50th of the largest of the total amounts of standard daily wages" is deemed to be replaced with "6/280ths of the total amount of standard daily wages in the case where 28 days are selected so that the total amount of standard daily wages is the largest"; in item (ii) of that paragraph, the phrase "1/50th of the largest of the total amounts of standard daily wages" is deemed to be replaced with "6/780ths of the total amount of standard daily wages in the case where 78 days are selected so that the total amount of standard daily wages is the largest"; and in Article 69-18, paragraph (2) of the Revised Health Insurance Act, the phrase "1/50th of the total amount of standard daily wages for one month prior to the month of childbirth" is deemed to be replaced with "6/280ths of the total amount in the case where 28 days are selected, from among the days for which insurance premiums were paid in the four months preceding the month including the day of childbirth, so that the total amount of the standard daily wages of the specially-insured day laborer relating to those days of payment is the largest".
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### 第二十三条
suppl-3591-77/art-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 詐欺その他不正の行為によつて旧保険給付を受けた者からの当該旧保険給付に要した費用の全部又は一部の徴収、当該旧保険給付に関し虚偽の証明又は不正な健康保険印紙のちよう付若しくは消印をした事業主及び保険者に提出されるべき診断書に虚偽の記載をした保険医に対する徴収金を納付すべきことの命令並びに詐欺その他不正の行為によつて旧日雇健保法の規定による療養の給付に関する費用の支払又は旧日雇健保法第十七条第三項（旧日雇健保法第十七条の六において準用する場合を含む。）の規定による支払を受けた旧日雇健保法第十条第五項第一号に掲げる保険医療機関及び保険薬局からのその支払つた額の返還及びその額に百分の十を乗じた額の支払については、なお従前の例による。
suppl-3591-77/art-23/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the collection, from a person who received former insurance benefits by fraud or other wrongful conduct, of all or part of the expenses required for those former insurance benefits; an order to pay money to be collected, issued to an employer who made a false certification or improperly affixed or canceled health insurance stamps in relation to those former insurance benefits and to a physician providing health insurance treatment who made a false entry in a medical certificate to be submitted to the insurer; and the refund of the amount paid, and the payment of an amount obtained by multiplying that amount by one-tenth, by a medical institution providing services covered by health insurance and a pharmacy providing services covered by health insurance listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act that received, by fraud or other wrongful conduct, payment of expenses relating to benefits for medical treatment under the provisions of the Former Day Laborers Health Insurance Act or payment under the provisions of Article 17, paragraph (3) of the Former Day Laborers Health Insurance Act (including where applied mutatis mutandis in Article 17-6 of the Former Day Laborers Health Insurance Act), the provisions then in force continue to govern.
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### 第二十四条
suppl-3591-77/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前の期間に係る旧日雇健保法の規定による保険料に係る決定及び追徴金の徴収並びに当該保険料その他旧日雇健保法の規定による徴収金に係る督促、滞納処分及び延滞金の徴収については、なお従前の例による。
suppl-3591-77/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the determination of insurance premiums under the provisions of the Former Day Laborers Health Insurance Act for periods before the Effective Date and the collection of penalty fees, and the demand for payment, disposition of delinquency and collection of delinquent charges concerning those insurance premiums and other money to be collected under the provisions of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern.
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### 第二十五条
suppl-3591-77/art-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 旧日雇健保法の規定（これらの規定の例によることとされる場合を含む。）による処分であつて、旧日雇健保法第三十九条第一項及び第四十条に規定するものについての不服申立て及び当該処分の取消しの訴えについては、なお従前の例による。
suppl-3591-77/art-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to appeals against dispositions under the provisions of the Former Day Laborers Health Insurance Act (including cases where those provisions are to be followed) that are prescribed in Article 39, paragraph (1) and Article 40 of the Former Day Laborers Health Insurance Act, and actions for rescission of those dispositions, the provisions then in force continue to govern.
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### 第二十六条
suppl-3591-77/art-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 旧日雇健保法の規定（これらの規定の例によることとされる場合を含む。）に係る日雇労働者健康保険の施行に関し必要な旧日雇健保法第四十四条から第四十八条までにおいて規定する事項については、なお従前の例による。
suppl-3591-77/art-26/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the matters prescribed in Articles 44 through 48 of the Former Day Laborers Health Insurance Act that are necessary for the enforcement of day laborer health insurance under the provisions of the Former Day Laborers Health Insurance Act (including cases where those provisions are to be followed), the provisions then in force continue to govern.
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### 第二十七条
suppl-3591-77/art-27 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前に行われた旧日雇健保法の規定による療養の給付又は家族療養費、特別療養費若しくは高額療養費の支給に係る療養に要する費用のうち、施行日の属する月の末日までに旧日雇健保法第十条第五項第一号に掲げる病院若しくは診療所又は薬局が当該療養に関し請求したものに係る国庫の負担については、なお従前の例による。
suppl-3591-77/art-27/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the share of the national treasury in the expenses required for medical treatment pertaining to benefits for medical treatment or the payment of dependent's medical expenses, special medical expenses or high-cost medical expenses under the provisions of the Former Day Laborers Health Insurance Act that were provided before the Effective Date, being the expenses claimed for that medical treatment, by the last day of the month that includes the Effective Date, by a hospital or clinic, or a pharmacy, listed in Article 10, paragraph (5), item (i) of the Former Day Laborers Health Insurance Act, the provisions then in force continue to govern.
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**第二項** 旧日雇健保法の規定による日雇労働者健康保険の保険者が老人保健法の規定により納付すべきであつた拠出金であつて施行日の属する月の末日までに納付するものに係る国庫の負担については、なお従前の例による。
suppl-3591-77/art-27/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the share of the national treasury in contributions that the insurer of day laborer health insurance under the provisions of the Former Day Laborers Health Insurance Act was to pay pursuant to the provisions of the Act on Health and Medical Services for the Elderly and that are to be paid by the last day of the month that includes the Effective Date, the provisions then in force continue to govern.
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### 第二十八条
suppl-3591-77/art-28 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 旧日雇健保法の規定により納付された保険料は、新健保法の規定により納付された日雇特例被保険者に関する保険料とみなす。
suppl-3591-77/art-28/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Insurance premiums paid pursuant to the provisions of the Former Day Laborers Health Insurance Act are deemed to be insurance premiums for specially-insured day laborers paid pursuant to the provisions of the Revised Health Insurance Act.
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### 第二十九条
suppl-3591-77/art-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 旧保険給付のうち傷病手当金、出産手当金及び高額療養費の支給は、新健保法第七十条ノ四第一項の規定の適用については、同項に規定する傷病手当金、出産手当金及び高額療養費の支給とみなす。
suppl-3591-77/art-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the former insurance benefits, the payment of injury and sickness allowance, childbirth allowance and high-cost medical expenses is deemed, for the purpose of the application of Article 70-4, paragraph (1) of the Revised Health Insurance Act, to be the payment of injury and sickness allowance, childbirth allowance and high-cost medical expenses prescribed in that paragraph.
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### 第三十条
suppl-3591-77/art-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前にした行為及びこの法律の規定によりなお従前の例によることとされる場合における施行日以後にした行為に対する罰則の適用については、なお従前の例による。
suppl-3591-77/art-30/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before the Effective Date and to acts committed on or after the Effective Date in cases where the provisions then in force are to continue to govern pursuant to the provisions of this Act, the provisions then in force continue to govern.
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### 第六十三条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-3591-77/art-63 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-3591-77/art-63/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 昭和六〇年五月一日法律第三四号
suppl-3601-34 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3601-34/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和六十一年四月一日（以下「施行日」という。）から施行する。
suppl-3601-34/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 1986 (hereinafter referred to as "the Effective Date").
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### 第百十四条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-3601-34/art-114 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険法による傷病手当金の受給権者が当該傷病による障害について附則第七十八条第一項の規定によりなお従前の例によるものとされた第三条の規定による改正前の厚生年金保険法による障害年金を受けることができる場合における当該傷病手当金の支給については、なお従前の例による。
suppl-3601-34/art-114/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of injury and sickness allowance in the case where a person entitled to receive injury and sickness allowance under the Health Insurance Act may receive, for the disability due to the relevant sickness or injury, a disability pension under the Employees' Pension Insurance Act prior to its amendment by the provisions of Article 3, for which the provisions then in force are to continue to govern pursuant to the provisions of Article 78, paragraph (1) of the Supplementary Provisions, the provisions then in force continue to govern.
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## 附 則 昭和六〇年六月一日法律第四五号
suppl-3601-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3601-45/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和六十一年四月一日から施行する。
suppl-3601-45/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1986.
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### 第五条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-3601-45/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 分べんの日がこの法律の施行の日の前四十二日以前の日である被保険者及び被保険者であつた者については、前条の規定による改正後の健康保険法第五十条第二項及び第六十九条の十八第一項の規定は、適用しない。
suppl-3601-45/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to an insured person and a person who was an insured person whose date of delivery is a day on or before the 42nd day before the day this Act comes into effect, the provisions of Article 50, paragraph (2) and Article 69-18, paragraph (1) of the Health Insurance Act as amended by the provisions of the preceding Article do not apply.
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**第二項** この法律の施行前に分べんの日後労務に服すに至つた被保険者及び被保険者であつた者で、この法律の施行の際同日以後四十二日を経過していないものについては、前条の規定による改正後の健康保険法第五十条第二項及び第六十九条の十八第一項の規定にかかわらず、なお従前の例による。
suppl-3601-45/art-5/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to an insured person and a person who was an insured person who came to engage in work after the date of delivery before this Act comes into effect and for whom 42 days have not elapsed from that date at the time this Act comes into effect, the provisions then in force continue to govern, notwithstanding the provisions of Article 50, paragraph (2) and Article 69-18, paragraph (1) of the Health Insurance Act as amended by the provisions of the preceding Article.
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### 第十九条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-3601-45/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-3601-45/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 昭和六一年一二月二二日法律第一〇六号
suppl-3611-106 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-3611-106/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、昭和六十二年一月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-3611-106/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 1987; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 略
suppl-3611-106/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 第四条の規定（前号に掲げる改正規定を除く。）、第五条の規定及び第七条の規定並びに附則第十六条、第二十四条から第二十九条まで、第三十一条及び第三十五条の規定 公布の日から起算して一年六月を超えない範囲内において政令で定める日
suppl-3611-106/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 4 (excluding the amending provisions set forth in the preceding item), the provisions of Article 5 and the provisions of Article 7, and the provisions of Article 16, Articles 24 through 29, Article 31 and Article 35 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding one year and six months from the date of promulgation.
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## 附 則 平成三年一〇月四日法律第八九号
suppl-4031-89 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4031-89/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成四年一月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4031-89/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 1992; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 略
suppl-4031-89/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 第一条中老人保健法の目次の改正規定、同法第二条の改正規定、同法第六条に一項を加える改正規定、同法第七条の改正規定（「及び第四十六条の八第六項」を「、第四十六条の五の二第三項、第四十六条の八第六項及び第四十六条の十七の五第四項」に改める部分に限る。）、同法第三章の章名の改正規定、同法第十二条の改正規定、同法第十七条の三の次に一条を加える改正規定、同法第二十条、第三十三条及び第三十四条の改正規定、同法第三章中第四節の次に二節を加える改正規定、同法第三章の二の章名の改正規定、同法第三章の二中第四十六条の六の前に節名を付する改正規定、同法第四十六条の十七の改正規定、同法第三章の二中同条の次に一節を加える改正規定、同法第四十七条の改正規定、同法第四十八条の改正規定（「医療等」の下に「（医療（老人医療受給対象者が医療法第二十一条第一項ただし書の都道府県知事の許可を受けた病院その他のこれに準ずる病院であつて政令で定めるものの病床のうち、老人の心身の特性に応じた適切な看護が行われるもの（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）として政令で定めるもの（以下この項において「看護強化病床」という。）について受ける第十七条第四号に掲げる給付（当該給付に伴う同条第一号から第三号まで及び第七号に掲げる給付を含む。）に限る。）、特定療養費の支給（老人医療受給対象者が看護強化病床について受ける政令で定める療養に係るものに限る。）、老人保健施設療養費の支給及び老人訪問看護療養費の支給（以下「老人保健施設療養費等」という。）を除く。）」を加える部分のうち「（痴呆の状態にある老人の心身の特性に応じた適切な看護が行われるものを含む。）」に係る部分（附則第七条において「老健法第四十八条改正規定中痴呆性老人部分」という。）及び老人訪問看護療養費の支給に係る部分、「及び第四十六条の二第九項」を「、第四十六条の二第九項及び第四十六条の五の二第七項」に改める部分並びに「第四十六条の二第十項」の下に「（第四十六条の五の三において準用する場合を含む。）」を加える部分に限る。）、同法第五十二条の改正規定（「並びに」を「及び」に改める部分に限る。）並びに同法第五十七条、第八十二条及び第八十六条の改正規定、第二条の規定、第三条の規定（健康保険法附則に一条を加える改正規定を除く。）、第四条の規定（船員保険法附則に二項を加える改正規定を除く。）並びに第五条の規定（国民健康保険法附則に一項を加える改正規定を除く。）並びに附則第十六条の規定（国家公務員等共済組合法（昭和三十三年法律第百二十八号）附則第九条の次に一条を加える改正規定を除く。）、附則第十七条の規定（地方公務員等共済組合法（昭和三十七年法律第百五十二号）附則第十七条の次に一条を加える改正規定を除く。）並びに附則第十九条及び第二十条の規定 平成四年四月一日
suppl-4031-89/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amending provisions of the table of contents of the Act on Health and Medical Services for the Elderly in Article 1, the amending provisions of Article 2 of that Act, the amending provisions that add one paragraph to Article 6 of that Act, the amending provisions of Article 7 of that Act (limited to the part replacing "and Article 46-8, paragraph (6)" with ", Article 46-5-2, paragraph (3), Article 46-8, paragraph (6) and Article 46-17-5, paragraph (4)"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 12 of that Act, the amending provisions that add one Article after Article 17-3 of that Act, the amending provisions of Articles 20, 33 and 34 of that Act, the amending provisions that add two Sections after Section 4 of Chapter III of that Act, the amending provisions of the chapter title of Chapter III-2 of that Act, the amending provisions that add a section title before Article 46-6 in Chapter III-2 of that Act, the amending provisions of Article 46-17 of that Act, the amending provisions that add one Section after that Article in Chapter III-2 of that Act, the amending provisions of Article 47 of that Act, the amending provisions of Article 48 of that Act (limited to, of the part adding "(excluding medical care (limited to the benefits listed in Article 17, item (iv) (including the benefits listed in items (i) through (iii) and (vii) of that Article that accompany those benefits) that a person eligible to receive medical care for the aged receives in respect of the beds, among the beds of hospitals specified by Cabinet Order that are hospitals that have received the permission of the prefectural governor referred to in the proviso to Article 21, paragraph (1) of the Medical Care Act or other hospitals equivalent thereto, in which appropriate nursing suited to the physical and mental characteristics of the aged is provided (including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided), as specified by Cabinet Order (hereinafter in this paragraph referred to as "enhanced nursing beds")), payment of specific medical expenses (limited to that pertaining to medical treatment specified by Cabinet Order that a person eligible to receive medical care for the aged receives in respect of enhanced nursing beds), payment of medical expenses for health facilities for the aged, and payment of home-visit nursing care expenses for the aged (hereinafter referred to as "medical expenses for health facilities for the aged, etc."))" after "medical care, etc.", the part pertaining to "(including those in which appropriate nursing suited to the physical and mental characteristics of the aged with dementia is provided)" (referred to in Article 7 of the Supplementary Provisions as the "part of the amending provisions of Article 48 of the Act on Health and Medical Services for the Elderly concerning the aged with dementia") and the part pertaining to the payment of home-visit nursing care expenses for the aged, the part replacing "and Article 46-2, paragraph (9)" with ", Article 46-2, paragraph (9) and Article 46-5-2, paragraph (7)", and the part adding "(including the case where it applies mutatis mutandis pursuant to Article 46-5-3)" after "Article 46-2, paragraph (10)"), the amending provisions of Article 52 of that Act (limited to the part replacing "並びに" (and, joining larger groups) with "及び" (and, joining smaller groups)), and the amending provisions of Articles 57, 82 and 86 of that Act, the provisions of Article 2, the provisions of Article 3 (excluding the amending provisions that add one Article to the Supplementary Provisions of the Health Insurance Act), the provisions of Article 4 (excluding the amending provisions that add two paragraphs to the Supplementary Provisions of the Mariners Insurance Act), and the provisions of Article 5 (excluding the amending provisions that add one paragraph to the Supplementary Provisions of the National Health Insurance Act), and the provisions of Article 16 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 9 of the Supplementary Provisions of the National Public Officers, etc. Mutual Aid Association Act (Act No. 128 of 1958)), the provisions of Article 17 of the Supplementary Provisions (excluding the amending provisions that add one Article after Article 17 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962)), and the provisions of Articles 19 and 20 of the Supplementary Provisions: April 1, 1992.
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### 第十五条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4031-89/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4031-89/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成四年三月三一日法律第七号
suppl-4041-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4041-7/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成四年四月一日から施行する。ただし、第一条中健康保険法第一条の次に一条を加える改正規定、同法第三条ノ二第二項の改正規定、同法第二十四条ノ二を削る改正規定並びに同法第六十九条の十一、第七十一条ノ四第五項（「社会保険審議会」を「審議会」に改める部分に限る。）及び第七十九条ノ三第二項の改正規定、第二条の規定（船員保険法第四条第一項及び第三十二条第二項の改正規定を除く。）、第三条の規定並びに第四条の規定並びに附則第十七条から第十九条までの規定は公布の日から起算して三月を超えない範囲内において政令で定める日から、第一条中健康保険法第三条第一項の改正規定、第二条中船員保険法第四条第一項の改正規定並びに次条及び附則第七条の規定は同年十月一日から施行する。
suppl-4041-7/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1992; provided, however, that the amending provisions in Article 1 that insert one Article after Article 1 of the Health Insurance Act, the amending provisions of Article 3-2, paragraph (2) of that Act, the amending provisions that delete Article 24-2 of that Act, and the amending provisions of Article 69-11, Article 71-4, paragraph (5) (limited to the part replacing "Social Insurance Council" with "Council") and Article 79-3, paragraph (2) of that Act, the provisions of Article 2 (excluding the amending provisions of Article 4, paragraph (1) and Article 32, paragraph (2) of the Mariners Insurance Act), the provisions of Article 3, the provisions of Article 4, and the provisions of Articles 17 through 19 of the Supplementary Provisions come into effect on the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation, and the amending provisions of Article 3, paragraph (1) of the Health Insurance Act in Article 1, the amending provisions of Article 4, paragraph (1) of the Mariners Insurance Act in Article 2, and the provisions of the following Article and Article 7 of the Supplementary Provisions come into effect on October 1 of the same year.
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### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4041-7/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成四年十月一日前に健康保険の被保険者（日雇特例被保険者を除く。以下この条において同じ。）の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者を除く。）のうち、同年七月一日から同年九月三十日までの間に被保険者の資格を取得した者又は同法第三条第四項の規定により同年八月若しくは同年九月から標準報酬が改定された者であって、同月の標準報酬月額が七万六千円以下であるものの標準報酬は、当該標準報酬月額の基礎となった報酬月額を第一条の規定による改正後の健康保険法（以下「新健保法」という。）第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-4041-7/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the persons who acquired eligibility as an insured person of health insurance (excluding specially-insured day laborers; the same applies hereinafter in this Article) before October 1, 1992 and continue to have eligibility as an insured person until that date (excluding persons having eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act), the standard remuneration amount of persons who acquired eligibility as an insured person during the period from July 1 to September 30 of that year, or whose standard remuneration amount was revised from August or September of that year pursuant to the provisions of Article 3, paragraph (4) of that Act, and whose standard monthly remuneration amount for the same month is 76,000 yen or less, is revised by the insurer, deeming the monthly remuneration amount that formed the basis of that standard monthly remuneration amount to be the monthly remuneration amount forming the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised Health Insurance Act").
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**第二項** 前項の規定により改定された標準報酬は、平成四年十月一日から平成五年九月三十日までの標準報酬とする。
suppl-4041-7/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from October 1, 1992 to September 30, 1993.
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### 第三条
suppl-4041-7/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新健保法第五十条第二項及び第六十九条の十八第一項の規定は、分べんの日がこの法律の施行の日（以下「施行日」という。）以後である被保険者及び被保険者であった者に支給する出産手当金について適用し、分べんの日が施行日前である被保険者及び被保険者であった者に支給する出産手当金については、なお従前の例による。
suppl-4041-7/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 50, paragraph (2) and Article 69-18, paragraph (1) of the Revised Health Insurance Act apply to childbirth allowance paid to insured persons and former insured persons whose date of delivery is on or after the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), and with regard to childbirth allowance paid to insured persons and former insured persons whose date of delivery is before the Effective Date, the provisions then in force continue to govern.
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### 第四条
suppl-4041-7/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成四年三月以前の月（新健保法第二十条の規定による被保険者については、同年四月以前の月）に係る健康保険の保険料については、なお従前の保険料率による。
suppl-4041-7/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance premiums for health insurance for months on or before March 1992 (for insured persons under the provisions of Article 20 of the Revised Health Insurance Act, months on or before April of that year), the insurance premium rate previously in force continues to apply.
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### 第五条
suppl-4041-7/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新健保法附則第十二条の規定により読み替えられた新健保法第七十条ノ三第一項及び第七十条ノ四の規定は、平成四年度以降の国庫補助金について適用し、平成三年度以前の国庫補助金については、なお従前の例による。
suppl-4041-7/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 70-3, paragraph (1) and Article 70-4 of the Revised Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 12 of the Supplementary Provisions of the Revised Health Insurance Act, apply to national subsidies for fiscal years on or after fiscal year 1992, and with regard to national subsidies for fiscal years on or before fiscal year 1991, the provisions then in force continue to govern.
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### 第六条（検討） — Review
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suppl-4041-7/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後、政府の管掌する健康保険事業の中期的財政運営の状況等を勘案し、必要があると認めるときは、新健保法附則第十二条の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-4041-7/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
After this Act comes into effect, if the government, taking into account the conditions of medium-term financial management of the health insurance services administered by the government, etc., finds it necessary, it is to review the provisions of Article 12 of the Supplementary Provisions of the Revised Health Insurance Act and take required measures based on the results.
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### 第二十条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4041-7/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4041-7/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成五年一一月一二日法律第八九号
suppl-4051-89 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4051-89/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、行政手続法（平成五年法律第八十八号）の施行の日から施行する。
suppl-4051-89/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Administrative Procedure Act (Act No. 88 of 1993) comes into effect.
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### 第二条（諮問等がされた不利益処分に関する経過措置） — Transitional Measures Concerning Adverse Dispositions for Which Consultation, etc. Has Been Made
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suppl-4051-89/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前に法令に基づき審議会その他の合議制の機関に対し行政手続法第十三条に規定する聴聞又は弁明の機会の付与の手続その他の意見陳述のための手続に相当する手続を執るべきことの諮問その他の求めがされた場合においては、当該諮問その他の求めに係る不利益処分の手続に関しては、この法律による改正後の関係法律の規定にかかわらず、なお従前の例による。
suppl-4051-89/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where, before this Act comes into effect, a consultation or other request has been made, pursuant to laws and regulations, to a council or other collegial body to follow procedures equivalent to a hearing or the grant of an opportunity to explain as prescribed in Article 13 of the Administrative Procedure Act or other procedures for stating opinions, with regard to the procedures for the adverse disposition pertaining to that consultation or other request, the provisions then in force continue to govern, notwithstanding the provisions of the relevant Acts as amended by this Act.
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### 第十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4051-89/art-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4051-89/art-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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### 第十五条（政令への委任） — Delegation to Cabinet Order
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suppl-4051-89/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第二条から前条までに定めるもののほか、この法律の施行に関して必要な経過措置は、政令で定める。
suppl-4051-89/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to what is provided for in Article 2 through the preceding Article of the Supplementary Provisions, transitional measures necessary for the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成六年六月二九日法律第五六号
suppl-4061-56 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4061-56/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成六年十月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4061-56/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 1994; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第一条中健康保険法第二十三条の改正規定、同法第二十三条ノ二の改正規定、同法第三十七条ノ二の改正規定、同法第七十一条ノ三の改正規定、同法第七十一条ノ四の改正規定及び同法第七十六条の改正規定（同法附則第三条、第五条、第八条及び第九条第六項の改正規定を含む。）並びに第二条中船員保険法の目次の改正規定（「福祉施設」を「福祉事業」に改める部分に限る。）、同法第三章の章名の改正規定、同法第二十三条第二項の改正規定、同法第五十条ノ四の改正規定、同法第三章第九節の節名の改正規定、同法第五十七条ノ二の改正規定、同法第五十九条ノ二第一項の改正規定及び同法第六十条の次に一条を加える改正規定並びに第三条中国民健康保険法の目次の改正規定（「保健施設」を「保健事業」に改める部分に限る。）、同法第六章の章名の改正規定、同法第八十二条の改正規定及び同法第百十六条の次に一条を加える改正規定並びに第四条中老人保健法第五条の改正規定、同法第二十二条の改正規定及び同法第二十五条に一項を加える改正規定並びに附則第二十九条の規定並びに附則第三十条の規定並びに附則第五十六条の規定並びに附則第六十一条の規定 平成七年四月一日
suppl-4061-56/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amending provisions of Article 23 of the Health Insurance Act in Article 1, the amending provisions of Article 23-2 of that Act, the amending provisions of Article 37-2 of that Act, the amending provisions of Article 71-3 of that Act, the amending provisions of Article 71-4 of that Act, and the amending provisions of Article 76 of that Act (including the amending provisions of Articles 3, 5 and 8 and Article 9, paragraph (6) of the Supplementary Provisions of that Act), and the amending provisions of the table of contents of the Mariners Insurance Act in Article 2 (limited to the part replacing "Welfare Facilities" with "Welfare Services"), the amending provisions of the chapter title of Chapter III of that Act, the amending provisions of Article 23, paragraph (2) of that Act, the amending provisions of Article 50-4 of that Act, the amending provisions of the section title of Section 9 of Chapter III of that Act, the amending provisions of Article 57-2 of that Act, the amending provisions of Article 59-2, paragraph (1) of that Act, and the amending provisions that insert one Article after Article 60 of that Act, and the amending provisions of the table of contents of the National Health Insurance Act in Article 3 (limited to the part replacing "Healthcare Facilities" with "Healthcare Services"), the amending provisions of the chapter title of Chapter VI of that Act, the amending provisions of Article 82 of that Act, and the amending provisions that insert one Article after Article 116 of that Act, and the amending provisions of Article 5 of the Act on Health and Medical Services for the Elderly in Article 4, the amending provisions of Article 22 of that Act, and the amending provisions that add one paragraph to Article 25 of that Act, and the provisions of Article 29 of the Supplementary Provisions, the provisions of Article 30 of the Supplementary Provisions, the provisions of Article 56 of the Supplementary Provisions, and the provisions of Article 61 of the Supplementary Provisions: April 1, 1995;
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**二** 第一条中健康保険法第四章の二の改正規定（「二十八日」を「二十六日」に改める部分に限る。） 公布の日から起算して三月を超えない範囲内において政令で定める日
suppl-4061-56/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amending provisions of Chapter IV-2 of the Health Insurance Act in Article 1 (limited to the part replacing "28th" with "26th"): the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation.
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### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4061-56/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成六年十月一日前に健康保険の被保険者（日雇特例被保険者を除く。以下この条において同じ。）の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者及び同法附則第九条第一項に規定する特例退職被保険者の資格を有する者を除く。）のうち、同年七月一日から同年九月三十日までの間に被保険者の資格を取得した者又は同法第三条第四項の規定により同年八月若しくは同年九月から標準報酬が改定された者であって、同月の標準報酬月額が八万六千円以下であるものの標準報酬は、当該標準報酬月額の基礎となった報酬月額を第一条の規定による改正後の健康保険法（以下「新健保法」という。）第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-4061-56/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the persons who acquired eligibility as an insured person of health insurance (excluding specially-insured day laborers; the same applies hereinafter in this Article) before October 1, 1994 and continue to have eligibility as an insured person until that date (excluding persons having eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act and persons having eligibility as a special retired insured person prescribed in Article 9, paragraph (1) of the Supplementary Provisions of that Act), the standard remuneration amount of persons who acquired eligibility as an insured person during the period from July 1 to September 30 of that year, or whose standard remuneration amount was revised from August or September of that year pursuant to the provisions of Article 3, paragraph (4) of that Act, and whose standard monthly remuneration amount for the same month is 86,000 yen or less, is revised by the insurer, deeming the monthly remuneration amount that formed the basis of that standard monthly remuneration amount to be the monthly remuneration amount forming the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised Health Insurance Act").
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**第二項** 前項の規定により改定された標準報酬は、平成六年十月一日から平成七年九月三十日までの標準報酬とする。
suppl-4061-56/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from October 1, 1994 to September 30, 1995.
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### 第三条
suppl-4061-56/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の日（以下「施行日」という。）前に行われた食事の提供、看護又は移送に係る健康保険法の規定による給付については、なお従前の例による。
suppl-4061-56/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to benefits under the provisions of the Health Insurance Act pertaining to the provision of meals, nursing or transport provided before the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.
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### 第四条
suppl-4061-56/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生大臣の定める病院又は診療所（新健保法第四十四条第一項第一号に規定する特定承認保険医療機関を除く。）において、新健保法第四十三条第一項第五号に掲げる療養の給付を受ける被保険者又は被保険者であった者（老人保健法の規定による医療を受けることができる者を除き、厚生大臣の定める状態にある者に限る。）が、当該病院又は診療所の従業者以外の者が提供する看護（以下この項において「付添看護」という。）を受けたときは、平成八年三月三十一日（付添看護の状況その他の事情を勘案し、厚生省令で定める要件に該当する病院又は診療所として都道府県知事の承認を受けたものにおける付添看護については、その日後厚生省令で定める日）までの間、当該付添看護を新健保法第四十四条ノ二又は新健保法第六十九条の十四第一項（健康保険法第六十九条の二十六第五項において準用する場合を含む。）に規定する療養の給付等とみなしてこれらの規定を適用する。
suppl-4061-56/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When an insured person or former insured person (excluding a person who may receive medical care under the provisions of the Act on Health and Medical Services for the Elderly, and limited to a person in a condition specified by the Minister of Health and Welfare) who receives the benefits for medical treatment set forth in Article 43, paragraph (1), item (v) of the Revised Health Insurance Act at a hospital or clinic specified by the Minister of Health and Welfare (excluding a specially approved medical institution providing services covered by health insurance prescribed in Article 44, paragraph (1), item (i) of the Revised Health Insurance Act) receives nursing provided by a person other than an employee of that hospital or clinic (hereinafter in this paragraph referred to as "attendant nursing"), until March 31, 1996 (for attendant nursing at a hospital or clinic approved by the prefectural governor as one that falls under the requirements specified by Ministry of Health and Welfare Order in consideration of the state of attendant nursing and other circumstances, until the date specified by Ministry of Health and Welfare Order after that date), the provisions of Article 44-2 of the Revised Health Insurance Act or Article 69-14, paragraph (1) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-26, paragraph (5) of the Health Insurance Act) apply by deeming that attendant nursing to be the benefits for medical treatment, etc. prescribed in those provisions.
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**第二項** 前項の規定は、健康保険法の規定による家族療養費の支給及び被扶養者の療養について準用する。
suppl-4061-56/art-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of the preceding paragraph apply mutatis mutandis to the payment of dependent's medical expenses and to dependent's medical treatment under the provisions of the Health Insurance Act.
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**第三項** 新健保法第四十三条ノ十七第二項（新健保法第六十九条の三十一において準用する場合を含む。以下この項において同じ。）に規定する標準負担額は、新健保法第四十三条ノ十七第二項の規定にかかわらず、平成八年九月三十日までの間、六百円（同項の厚生省令で定める者については、厚生大臣が別に定める額）とする。
suppl-4061-56/art-4/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Article 43-17, paragraph (2) of the Revised Health Insurance Act, the amount of standard co-payment prescribed in Article 43-17, paragraph (2) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-31 of the Revised Health Insurance Act; hereinafter the same applies in this paragraph) is to be 600 yen until September 30, 1996 (for persons specified by the Ministry of Health and Welfare Order referred to in that paragraph, the amount separately specified by the Minister of Health and Welfare).
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### 第六条
suppl-4061-56/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の際現に老人保健法第四十六条の五の二第一項に規定する指定老人訪問看護事業者であるものについては、新健保法の施行日に、新健保法第四十四条ノ四第一項の指定訪問看護事業者の指定があったものとみなす。ただし、その指定老人訪問看護事業を行う者が施行日の前日までに、厚生省令の定めるところにより別段の申出をしたときは、この限りでない。
suppl-4061-56/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who, at the time this Act comes into effect, is a designated home-nursing provider for the elderly prescribed in Article 46-5-2, paragraph (1) of the Act on Health and Medical Services for the Elderly, the designation of a designated home-nursing provider under Article 44-4, paragraph (1) of the Revised Health Insurance Act is deemed to have been made on the Effective Date of the Revised Health Insurance Act; provided, however, that this does not apply if the person conducting that business of designated home nursing for the elderly has notified otherwise, as provided by Ministry of Health and Welfare Order, by the day before the Effective Date.
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### 第七条
suppl-4061-56/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前に入院していた健康保険の被保険者又は被保険者であった者であって、被扶養者がいないものに係る施行日前までの傷病手当金及び出産手当金の額については、なお従前の例による。
suppl-4061-56/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amounts of injury and sickness allowance and childbirth allowance for the period before the Effective Date for insured persons of health insurance or former insured persons who were hospitalized before the Effective Date and who have no dependents, the provisions then in force continue to govern.
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### 第八条
suppl-4061-56/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新健保法第五十条第一項、第五十九条ノ四、第六十九条の十七及び第六十九条の二十四の規定は、分べんの日が施行日以後である被保険者及び被保険者であった者について適用し、分べんの日が施行日前である被保険者及び被保険者であった者のこの法律による改正前の健康保険法の分娩費、育児手当金、配偶者分娩費及び配偶者育児手当金については、なお従前の例による。
suppl-4061-56/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 50, paragraph (1), Article 59-4, Article 69-17 and Article 69-24 of the Revised Health Insurance Act apply to insured persons and former insured persons whose date of delivery is on or after the Effective Date, and with regard to the delivery expenses, childcare allowance, spouse's delivery expenses and spouse's childcare allowance under the Health Insurance Act prior to amendment by this Act of insured persons and former insured persons whose date of delivery is before the Effective Date, the provisions then in force continue to govern.
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### 第九条（入院時食事療養費及び訪問看護療養費の支給等に関する規定の施行前の準備） — Preparation Prior to Enforcement of Provisions Concerning Payment, etc. of Dietary Treatment Expenses for Inpatients and Medical Expenses for Home-Nursing
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suppl-4061-56/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生大臣は、新健保法第四十三条ノ十七第二項の標準負担額、新健保法第四十四条ノ八第一項の厚生省令及び同条第二項に規定する指定訪問看護の事業の運営に関する基準（指定訪問看護の取扱いに関する部分を除く。）、その他新健保法に基づく制度の実施の大綱に関するものを定めようとするときは、施行日前においても新健保法第一条ノ二に規定する政令で定める審議会に諮問することができる。
suppl-4061-56/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health and Welfare intends to specify the amount of standard co-payment prescribed in Article 43-17, paragraph (2) of the Revised Health Insurance Act, the Ministry of Health and Welfare Order under Article 44-8, paragraph (1) of the Revised Health Insurance Act and the standards for the operation of the business of designated home nursing prescribed in paragraph (2) of that Article (excluding the part concerning the handling of designated home nursing), and other matters concerning the outline of the implementation of the system based on the Revised Health Insurance Act, the Minister may consult the council specified by Cabinet Order prescribed in Article 1-2 of the Revised Health Insurance Act even before the Effective Date.
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**第二項** 厚生大臣は、新健保法第四十三条ノ十七第二項の基準、同条第九項において準用する新健保法第四十三条ノ四第一項及び第四十三条ノ六第一項の厚生省令、新健保法第四十四条ノ四第四項に規定する定め並びに新健保法第四十四条ノ八第二項に規定する指定訪問看護の事業の運営に関する基準（指定訪問看護の取扱いに関する部分に限る。）を定めようとするときは、施行日前においても中央社会保険医療協議会に諮問することができる。
suppl-4061-56/art-9/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health and Welfare intends to specify the standards in Article 43-17, paragraph (2) of the Revised Health Insurance Act, the Ministry of Health and Welfare Order under Article 43-4, paragraph (1) and Article 43-6, paragraph (1) of the Revised Health Insurance Act as applied mutatis mutandis pursuant to paragraph (9) of that Article, the provisions prescribed in Article 44-4, paragraph (4) of the Revised Health Insurance Act, and the standards for the operation of the business of designated home nursing prescribed in Article 44-8, paragraph (2) of the Revised Health Insurance Act (limited to the part concerning the handling of designated home nursing), the Minister may consult the Central Social Insurance Medical Council even before the Effective Date.
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### 第六十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4061-56/art-65 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4061-56/art-65/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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### 第六十六条（検討） — Review
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suppl-4061-56/art-66 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 医療保険各法による医療保険制度及び老人保健法による老人保健制度については、この法律の施行後三年を目途として、これらの制度の目的を踏まえ、この法律の施行後におけるこれらの制度の実施状況、国民医療費の動向、社会経済情勢の推移等を勘案し、入院時食事療養費に係る患者負担の在り方を含め、給付及び費用負担の在り方等に関して検討が加えられるべきものとする。
suppl-4061-56/art-66/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the medical insurance system under the individual medical insurance Acts and the health service system for the elderly under the Act on Health and Medical Services for the Elderly, a review is to be made, with a view to doing so within three years after this Act comes into effect, in light of the purposes of those systems and taking into account the status of the implementation of those systems after this Act comes into effect, trends in national medical expenses, changes in the socioeconomic situation, etc., concerning the manner of benefits and cost sharing, etc., including the manner of patient burden pertaining to dietary treatment expenses for inpatients.
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### 第六十七条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4061-56/art-67 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4061-56/art-67/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成七年三月三一日法律第五四号
suppl-4071-54 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4071-54/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成八年四月一日から施行する。
suppl-4071-54/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1996.
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### 第三条（健康保険法の一部改正に伴う罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4071-54/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前条の規定による改正後の健康保険法の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4071-54/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before the Health Insurance Act as amended by the provisions of the preceding Article comes into effect, the provisions then in force continue to govern.
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## 附 則 平成七年五月八日法律第八七号
suppl-4071-87 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、更生保護事業法の施行の日から施行する。
suppl-4071-87/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date on which the Offender Rehabilitation Services Act comes into effect.
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## 附 則 平成七年六月九日法律第一〇七号
suppl-4071-107 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4071-107/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成七年十月一日から施行する。ただし、第二条並びに附則第三条、第五条、第七条、第十一条、第十三条、第十四条、第十六条、第十八条、第二十条及び第二十二条の規定は、平成十一年四月一日から施行する。
suppl-4071-107/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of October 1, 1995; provided, however, that the provisions of Article 2 and of Articles 3, 5, 7, 11, 13, 14, 16, 18, 20 and 22 of the Supplementary Provisions come into effect as of April 1, 1999.
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## 附 則 平成八年六月一四日法律第八二号
suppl-4081-82 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4081-82/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成九年四月一日から施行する。
suppl-4081-82/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 1997.
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## 附 則 平成九年五月九日法律第四八号
suppl-4091-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4091-48/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十年一月一日から施行する。
suppl-4091-48/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 1998.
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### 第七十五条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4091-48/art-75 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4091-48/art-75/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成九年六月一八日法律第九二号
suppl-4091-92 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4091-92/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十一年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4091-92/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 1999; provided, however, that the provisions set forth in the following items come into effect as of the day specified in the relevant item.
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**一** 略
suppl-4091-92/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 第一条中雇用の分野における男女の均等な機会及び待遇の確保等女子労働者の福祉の増進に関する法律第二十六条の前の見出しの改正規定、同条の改正規定（「事業主は」の下に「、労働省令で定めるところにより」を加える部分及び「できるような配慮をするように努めなければならない」を「できるようにしなければならない」に改める部分に限る。）、同法第二十七条の改正規定（「講ずるように努めなければならない」を「講じなければならない」に改める部分及び同条に二項を加える部分に限る。）、同法第三十四条の改正規定（「及び第十二条第二項」を「、第十二条第二項及び第二十七条第三項」に改める部分、「第十二条第一項」の下に「、第二十七条第二項」を加える部分及び「第十四条及び」を「第十四条、第二十六条及び」に改める部分に限る。）及び同法第三十五条の改正規定、第三条中労働基準法第六十五条第一項の改正規定（「十週間」を「十四週間」に改める部分に限る。）、第七条中労働省設置法第五条第四十一号の改正規定（「が講ずるように努めるべき措置についての」を「に対する」に改める部分に限る。）並びに附則第五条、第十二条及び第十三条の規定並びに附則第十四条中運輸省設置法（昭和二十四年法律第百五十七号）第四条第一項第二十四号の二の三の改正規定（「講ずるように努めるべき措置についての指針」を「講ずべき措置についての指針等」に改める部分に限る。） 平成十年四月一日
suppl-4091-92/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1 amending the heading preceding Article 26 of the Act on Securing, Etc. of Equal Opportunity and Treatment between Men and Women in Employment and Promotion of the Welfare of Female Workers, the provisions amending that Article (limited to the part adding ", as provided for by Ministry of Labour Order," after "a business operator" and the part replacing "must endeavor to give consideration so as to enable" with "must enable"), the provisions amending Article 27 of that Act (limited to the part replacing "must endeavor to take" with "must take" and the part adding two paragraphs to that Article), the provisions amending Article 34 of that Act (limited to the part replacing "and Article 12, paragraph (2)" with ", Article 12, paragraph (2) and Article 27, paragraph (3)", the part adding ", Article 27, paragraph (2)" after "Article 12, paragraph (1)", and the part replacing "Article 14 and" with "Article 14, Article 26 and") and the provisions amending Article 35 of that Act, the provisions of Article 3 amending Article 65, paragraph (1) of the Labor Standards Act (limited to the part replacing "10 weeks" with "14 weeks"), the provisions of Article 7 amending Article 5, item (xli) of the Act for Establishment of the Ministry of Labour (limited to the part replacing "concerning the measures that are to be endeavored to be taken by" with "for"), and the provisions of Articles 5, 12 and 13 of the Supplementary Provisions and the provisions of Article 14 of the Supplementary Provisions amending Article 4, paragraph (1), item (xxiv)-2-3 of the Act for Establishment of the Ministry of Transport (Act No. 157 of 1949) (limited to the part replacing "guidelines concerning the measures that are to be endeavored to be taken" with "guidelines, etc. concerning the measures that are to be taken"): April 1, 1998
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## 附 則 平成九年六月二〇日法律第九四号
suppl-4091-94 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日等） — Effective Date, etc.
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suppl-4091-94/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成九年九月一日から施行する。
suppl-4091-94/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on September 1, 1997.
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### 第二条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4091-94/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の日（以下「施行日」という。）前に行われた診療、薬剤の支給又は手当に係る健康保険法の規定による療養費、家族療養費、高額療養費又は特別療養費の額については、なお従前の例による。
suppl-4091-94/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amounts of medical expenses, dependent's medical expenses, high-cost medical expenses or special medical expenses under the provisions of the Health Insurance Act pertaining to medical care, provision of medication or treatment provided before the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.
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### 第三条
suppl-4091-94/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成九年八月以前の月に係る健康保険の保険料については、なお従前の保険料率による。
suppl-4091-94/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance premiums for health insurance for months on or before August 1997, the insurance premium rate previously in force continues to apply.
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### 第十五条（検討等） — Review, Etc.
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suppl-4091-94/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、薬剤の支給に係る一部負担その他この法律による改正に係る事項について、この法律の施行後の薬剤費を含む医療費の動向、医療保険の財政状況、社会経済情勢の変化等を勘案し、この法律の施行後三年以内に検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4091-94/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to review, within three years after this Act comes into effect, the co-payment pertaining to the provision of medication and other matters pertaining to the amendments by this Act, taking into account trends in medical expenses including medication costs after this Act comes into effect, the financial condition of medical insurance, changes in the socioeconomic situation, etc., and if it finds it necessary, take required measures based on the results.
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### 第十六条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4091-94/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4091-94/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成九年一一月二一日法律第一〇五号
suppl-4091-105 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-4091-105/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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**第六項** 第八条の規定の施行の際現に健康保険法第四十三条ノ三第一項の指定を受けている保険医療機関又は保険薬局の当該指定の有効期間については、第八条の規定による改正後の同法第四十三条ノ三第四項の規定にかかわらず、なお従前の例による。
suppl-4091-105/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the period of validity of the designation of a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance that, at the time the provisions of Article 8 come into effect, has actually received designation under Article 43-3, paragraph (1) of the Health Insurance Act, the provisions then in force continue to govern, notwithstanding the provisions of Article 43-3, paragraph (4) of that Act as amended by the provisions of Article 8.
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## 附 則 平成九年一二月一七日法律第一二四号
suppl-4091-124 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、介護保険法の施行の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4091-124/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date on which the Long-Term Care Insurance Act comes into effect; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一及び二** 略
suppl-4091-124/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 第四条ただし書、第五条ただし書、第十六条及び第三十条ただし書の規定 平成十一年十月一日
suppl-4091-124/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of the proviso to Article 4, the proviso to Article 5, Article 16 and the proviso to Article 30: October 1, 1999.
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## 附 則 平成一〇年六月一七日法律第一〇九号
suppl-4101-109 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4101-109/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4101-109/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第一条中国民健康保険法第二十七条及び第六十五条第三項の改正規定並びに第二条、第四条及び第五条の規定並びに次条から附則第四条まで、第九条、第十三条から第二十四条まで及び第三十条の規定 公布の日から起算して三月を超えない範囲内において政令で定める日
suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amending provisions of Article 27 and Article 65, paragraph (3) of the National Health Insurance Act in Article 1, the provisions of Articles 2, 4 and 5, and the provisions of the following Article through Article 4, Article 9, Articles 13 through 24 and Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation.
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### 第二条（保険医療機関の病床の指定等に当たっての公正の確保等） — Ensuring Fairness in Designating Beds of Medical Institutions Providing Services Covered by Health Insurance, etc.
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suppl-4101-109/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、健康保険法第六十五条第四項（同法第六十六条第二項（同法第八十六条第十三項において準用する場合を含む。）及び第八十六条第十三項において準用する場合を含む。）の規定の適用に当たっては、被保険者等医療を受ける者の必要を反映して、良質かつ適切な地域医療が確保されるよう十分配慮するとともに、その理由を明らかにする等、公正の確保及び手続の透明性の確保に努めるものとする。
suppl-4101-109/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In applying the provisions of Article 65, paragraph (4) of the Health Insurance Act (including as applied mutatis mutandis pursuant to Article 66, paragraph (2) of that Act (including as applied mutatis mutandis pursuant to Article 86, paragraph (13) of that Act) and Article 86, paragraph (13) of that Act), the government is to give full consideration to ensuring that good quality and appropriate community healthcare is secured, reflecting the needs of persons receiving medical care such as insured persons, and is to endeavor to ensure fairness and the transparency of procedures by, for example, clarifying the reasons.
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### 第十三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4101-109/art-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第一号に掲げる規定の施行の日前に旧健保法第四十三条ノ十二の規定により指定を取り消された病院若しくは診療所又は薬局に対する当該取消しに係る健康保険法第六十五条第三項第一号の規定の適用については、同号中「五年」とあるのは、「二年」とする。
suppl-4101-109/art-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of the provisions of Article 65, paragraph (3), item (i) of the Health Insurance Act, pertaining to the rescission, to a hospital, clinic or pharmacy whose designation was rescinded pursuant to the provisions of Article 43-12 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that item is deemed to be replaced with "two years".
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### 第十四条
suppl-4101-109/art-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第一号に掲げる規定の施行の際現に旧健保法第四十三条ノ三第一項の指定を受けている病院又は診療所については、医療法（昭和二十三年法律第二百五号）第七条第一項から第三項までの許可を受けている当該病院又は診療所の病床であって同号に掲げる規定の施行の際現に存するものに関し、第四条の規定による改正後の健康保険法（以下「新健保法」という。）第四十三条ノ三第一項の規定による保険医療機関の指定を受けたものとみなす。
suppl-4101-109/art-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, in relation to the beds of that hospital or clinic that have received the permission under Article 7, paragraphs (1) through (3) of the Medical Care Act (Act No. 205 of 1948) and that actually exist at the time of enforcement of the provisions set forth in that item, it is deemed to have received designation as a medical institution providing services covered by health insurance under the provisions of Article 43-3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 4 (hereinafter referred to as the "Revised Health Insurance Act").
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### 第十五条
suppl-4101-109/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第一号に掲げる規定の施行の際現に旧健保法第四十三条ノ三第一項の指定を受けている病院又は診療所については、新健保法第四十三条ノ三第四項（同条第六項において準用する場合を除く。）の規定は、公布の日から起算して二年を超えない範囲内において政令で定める日までの間は、適用しない。
suppl-4101-109/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, the provisions of Article 43-3, paragraph (4) of the Revised Health Insurance Act (excluding as applied mutatis mutandis pursuant to paragraph (6) of that Article) do not apply until the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.
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### 第十六条
suppl-4101-109/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前三条の規定は、健康保険法第八十六条第一項第一号に規定する特定承認保険医療機関の承認について準用する。
suppl-4101-109/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of the preceding three Articles apply mutatis mutandis to the approval of a specially approved medical institution providing services covered by health insurance prescribed in Article 86, paragraph (1), item (i) of the Health Insurance Act.
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### 第十七条
suppl-4101-109/art-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第一号に掲げる規定の施行の日前に旧健保法第四十三条ノ十三の規定により登録を取り消された医師若しくは歯科医師又は薬剤師に対する当該取消しに係る健康保険法第七十一条第二項の規定の適用については、同項中「五年」とあるのは、「二年」とする。
suppl-4101-109/art-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of the provisions of Article 71, paragraph (2) of the Health Insurance Act, pertaining to the rescission, to a physician, dentist or pharmacist whose registration was rescinded pursuant to the provisions of Article 43-13 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that paragraph is deemed to be replaced with "two years".
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### 第十八条
suppl-4101-109/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 旧健保法保険医療機関等が附則第一条第一号に掲げる規定の施行の日前にした詐欺その他不正の行為により支払われた療養の給付又は入院時食事療養費、特定療養費、家族療養費、訪問看護療養費若しくは家族訪問看護療養費の支給に関する費用の返還については、新健保法第六十七条ノ二第三項の規定にかかわらず、なお従前の例による。
suppl-4101-109/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the return of expenses pertaining to benefits for medical treatment, or to the payment of dietary treatment expenses for inpatients, medical expenses combined with treatment outside insurance coverage, dependent's medical expenses, medical expenses for home-nursing or dependent's medical expenses for home-nursing, that were paid as a result of fraud or other wrongful act committed by a Former Health Insurance Act medical institution providing services covered by health insurance, etc. before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, notwithstanding the provisions of Article 67-2, paragraph (3) of the Revised Health Insurance Act, the provisions then in force continue to govern.
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### 第三十一条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4101-109/art-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4101-109/art-31/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一一年七月一六日法律第八七号
suppl-4111-87 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4111-87/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十二年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4111-87/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2000; provided, however, that the provisions set forth in the following items come into effect as of the day specified in the relevant item.
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**一** 第一条中地方自治法第二百五十条の次に五条、節名並びに二款及び款名を加える改正規定（同法第二百五十条の九第一項に係る部分（両議院の同意を得ることに係る部分に限る。）に限る。）、第四十条中自然公園法附則第九項及び第十項の改正規定（同法附則第十項に係る部分に限る。）、第二百四十四条の規定（農業改良助長法第十四条の三の改正規定に係る部分を除く。）並びに第四百七十二条の規定（市町村の合併の特例に関する法律第六条、第八条及び第十七条の改正規定に係る部分を除く。）並びに附則第七条、第十条、第十二条、第五十九条ただし書、第六十条第四項及び第五項、第七十三条、第七十七条、第百五十七条第四項から第六項まで、第百六十条、第百六十三条、第百六十四条並びに第二百二条の規定 公布の日
suppl-4111-87/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1 amending the Local Autonomy Act by adding five Articles, a Section title, and two Subsections and Subsection titles after Article 250 of that Act (limited to the part pertaining to Article 250-9, paragraph (1) of that Act (limited to the part pertaining to obtaining the consent of both Houses)), the provisions of Article 40 amending paragraphs (9) and (10) of the Supplementary Provisions of the Natural Parks Act (limited to the part pertaining to paragraph (10) of the Supplementary Provisions of that Act), the provisions of Article 244 (excluding the part pertaining to the provisions amending Article 14-3 of the Agricultural Improvement Promotion Act) and the provisions of Article 472 (excluding the part pertaining to the provisions amending Articles 6, 8 and 17 of the Act on Special Provisions Concerning the Merger of Municipalities), and the provisions of Articles 7, 10 and 12, the proviso to Article 59, Article 60, paragraphs (4) and (5), Articles 73 and 77, Article 157, paragraphs (4) through (6), and Articles 160, 163, 164 and 202 of the Supplementary Provisions: the date of promulgation
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### 第百五十九条（国等の事務） — Affairs of the State, Etc.
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suppl-4111-87/art-159 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律による改正前のそれぞれの法律に規定するもののほか、この法律の施行前において、地方公共団体の機関が法律又はこれに基づく政令により管理し又は執行する国、他の地方公共団体その他公共団体の事務（附則第百六十一条において「国等の事務」という。）は、この法律の施行後は、地方公共団体が法律又はこれに基づく政令により当該地方公共団体の事務として処理するものとする。
suppl-4111-87/art-159/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in the respective Acts prior to amendment by this Act, the affairs of the State, other local governments or other public entities that, before this Act comes into effect, an organ of a local government managed or executed pursuant to an Act or a Cabinet Order based on it (referred to as "affairs of the State, etc." in Article 161 of the Supplementary Provisions) are, after this Act comes into effect, to be handled by the local government as affairs of that local government pursuant to an Act or a Cabinet Order based on it.
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### 第百六十条（処分、申請等に関する経過措置） — Transitional Measures Concerning Dispositions, Applications, Etc.
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suppl-4111-87/art-160 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下この条及び附則第百六十三条において同じ。）の施行前に改正前のそれぞれの法律の規定によりされた許可等の処分その他の行為（以下この条において「処分等の行為」という。）又はこの法律の施行の際現に改正前のそれぞれの法律の規定によりされている許可等の申請その他の行為（以下この条において「申請等の行為」という。）で、この法律の施行の日においてこれらの行為に係る行政事務を行うべき者が異なることとなるものは、附則第二条から前条までの規定又は改正後のそれぞれの法律（これに基づく命令を含む。）の経過措置に関する規定に定めるものを除き、この法律の施行の日以後における改正後のそれぞれの法律の適用については、改正後のそれぞれの法律の相当規定によりされた処分等の行為又は申請等の行為とみなす。
suppl-4111-87/art-160/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A disposition such as a permission or other act carried out before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter in this Article and in Article 163 of the Supplementary Provisions) comes into effect pursuant to the provisions of the respective Acts prior to amendment (hereinafter referred to in this Article as a "disposition or other act"), or an application for a permission or other act actually made pursuant to the provisions of the respective Acts prior to amendment at the time this Act comes into effect (hereinafter referred to in this Article as an "application or other act"), for which the person who is to carry out the administrative affairs pertaining to that act will differ as of the date on which this Act comes into effect, is, except as provided for in the provisions of Article 2 through the preceding Article of the Supplementary Provisions or in the provisions concerning transitional measures of the respective Acts after amendment (including orders based on them), deemed to be a disposition or other act or an application or other act carried out pursuant to the corresponding provisions of the respective Acts after amendment, with regard to the application of the respective Acts after amendment on or after the date on which this Act comes into effect.
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**第二項** この法律の施行前に改正前のそれぞれの法律の規定により国又は地方公共団体の機関に対し報告、届出、提出その他の手続をしなければならない事項で、この法律の施行の日前にその手続がされていないものについては、この法律及びこれに基づく政令に別段の定めがあるもののほか、これを、改正後のそれぞれの法律の相当規定により国又は地方公共団体の相当の機関に対して報告、届出、提出その他の手続をしなければならない事項についてその手続がされていないものとみなして、この法律による改正後のそれぞれの法律の規定を適用する。
suppl-4111-87/art-160/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to matters for which, before this Act comes into effect, a report, notification, submission or other procedure had to be made to an organ of the State or of a local government pursuant to the provisions of the respective Acts prior to amendment and for which that procedure has not been carried out before the date on which this Act comes into effect, except as otherwise provided for in this Act or a Cabinet Order based on it, the provisions of the respective Acts as amended by this Act apply by deeming those matters to be matters for which a report, notification, submission or other procedure must be made to the corresponding organ of the State or of a local government pursuant to the corresponding provisions of the respective Acts after amendment and for which that procedure has not been carried out.
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### 第百六十一条（不服申立てに関する経過措置） — Transitional Measures Concerning Appeals
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suppl-4111-87/art-161 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前にされた国等の事務に係る処分であって、当該処分をした行政庁（以下この条において「処分庁」という。）に施行日前に行政不服審査法に規定する上級行政庁（以下この条において「上級行政庁」という。）があったものについての同法による不服申立てについては、施行日以後においても、当該処分庁に引き続き上級行政庁があるものとみなして、行政不服審査法の規定を適用する。この場合において、当該処分庁の上級行政庁とみなされる行政庁は、施行日前に当該処分庁の上級行政庁であった行政庁とする。
suppl-4111-87/art-161/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to an appeal under the Administrative Complaint Review Act against a disposition pertaining to affairs of the State, etc. that was made before the Effective Date and for which the administrative agency that made the disposition (hereinafter referred to in this Article as "the agency that made the disposition") had, before the Effective Date, a higher administrative agency prescribed in that Act (hereinafter referred to in this Article as a "higher administrative agency"), the provisions of the Administrative Complaint Review Act apply by deeming the agency that made the disposition to continue to have a higher administrative agency even on or after the Effective Date. In this case, the administrative agency deemed to be the higher administrative agency of the agency that made the disposition is the administrative agency that was the higher administrative agency of that agency before the Effective Date.
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**第二項** 前項の場合において、上級行政庁とみなされる行政庁が地方公共団体の機関であるときは、当該機関が行政不服審査法の規定により処理することとされる事務は、新地方自治法第二条第九項第一号に規定する第一号法定受託事務とする。
suppl-4111-87/art-161/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case referred to in the preceding paragraph, if the administrative agency deemed to be the higher administrative agency is an organ of a local government, the affairs that the organ is to handle pursuant to the provisions of the Administrative Complaint Review Act are Type 1 statutory entrusted affairs prescribed in Article 2, paragraph (9), item (i) of the new Local Autonomy Act.
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### 第百六十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4111-87/art-163 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4111-87/art-163/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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### 第百六十四条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4111-87/art-164 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4111-87/art-164/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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### 第二百五十条（検討） — Review
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suppl-4111-87/art-250 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 新地方自治法第二条第九項第一号に規定する第一号法定受託事務については、できる限り新たに設けることのないようにするとともに、新地方自治法別表第一に掲げるもの及び新地方自治法に基づく政令に示すものについては、地方分権を推進する観点から検討を加え、適宜、適切な見直しを行うものとする。
suppl-4111-87/art-250/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to Type 1 statutory entrusted affairs prescribed in Article 2, paragraph (9), item (i) of the new Local Autonomy Act, care is to be taken to avoid establishing new ones as far as possible, and those set forth in Appended Table 1 of the new Local Autonomy Act and those indicated in Cabinet Orders based on the new Local Autonomy Act are to be reviewed from the standpoint of promoting decentralization and appropriately revised as needed.
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### 第二百五十一条
suppl-4111-87/art-251 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、地方公共団体が事務及び事業を自主的かつ自立的に執行できるよう、国と地方公共団体との役割分担に応じた地方税財源の充実確保の方途について、経済情勢の推移等を勘案しつつ検討し、その結果に基づいて必要な措置を講ずるものとする。
suppl-4111-87/art-251/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to consider ways of enhancing and securing local tax revenue sources in accordance with the division of roles between the State and local governments so that local governments are able to carry out their affairs and business autonomously and independently, while taking into consideration changes in economic conditions and other circumstances, and is to take necessary measures based on the results of that consideration.
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### 第二百五十二条
suppl-4111-87/art-252 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、医療保険制度、年金制度等の改革に伴い、社会保険の事務処理の体制、これに従事する職員の在り方等について、被保険者等の利便性の確保、事務処理の効率化等の視点に立って、検討し、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4111-87/art-252/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to review, in connection with the reform of the medical insurance system, the pension system and other systems, the system for processing social insurance affairs, the way the personnel engaged in it should be, and other matters, from the viewpoint of ensuring convenience for insured persons and others, making the processing of affairs more efficient and so on, and, when it finds it necessary, is to take the required measures based on the results.
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## 附 則 平成一一年一二月二二日法律第一六〇号
suppl-4111-160 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4111-160/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（第二条及び第三条を除く。）は、平成十三年一月六日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4111-160/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act (excluding Articles 2 and 3) comes into effect on January 6, 2001; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第九百九十五条（核原料物質、核燃料物質及び原子炉の規制に関する法律の一部を改正する法律附則の改正規定に係る部分に限る。）、第千三百五条、第千三百六条、第千三百二十四条第二項、第千三百二十六条第二項及び第千三百四十四条の規定 公布の日
suppl-4111-160/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 995 (limited to the part pertaining to the provisions amending the Supplementary Provisions of the Act Partially Amending the Act on the Regulation of Nuclear Source Material, Nuclear Fuel Material and Reactors), Articles 1305 and 1306, Article 1324, paragraph (2), Article 1326, paragraph (2), and Article 1344: the date of promulgation
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## 附 則 平成一二年六月七日法律第一一一号
suppl-4121-111 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4121-111/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-4121-111/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 平成一二年一二月六日法律第一四〇号
suppl-4121-140 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4121-140/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十三年一月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4121-140/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 2001; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items respectively.
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**一** 第一条中健康保険法第五十八条に三項を加える改正規定、同法第六十九条の三十一の改正規定及び同法附則第十二条の改正規定、第四条中船員保険法第三十条ノ二に二項を加える改正規定、附則第十九条中国家公務員共済組合法第六十六条の改正規定及び同法第七十四条第二項の改正規定、附則第二十一条中地方公務員等共済組合法第六十八条の改正規定及び同法第七十六条第二項の改正規定並びに附則第二十三条中私立学校教職員共済法第二十五条の改正規定 平成十三年四月一日
suppl-4121-140/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1 adding three paragraphs to Article 58 of the Health Insurance Act, amending Article 69-31 of that Act and amending Article 12 of the Supplementary Provisions of that Act, the provisions of Article 4 adding two paragraphs to Article 30-2 of the Mariners Insurance Act, the provisions of Article 19 of the Supplementary Provisions amending Article 66 of the National Public Officers Mutual Aid Association Act and amending Article 74, paragraph (2) of that Act, the provisions of Article 21 of the Supplementary Provisions amending Article 68 of the Local Public Officers, etc. Mutual Aid Association Act and amending Article 76, paragraph (2) of that Act, and the provisions of Article 23 of the Supplementary Provisions amending Article 25 of the Private School Personnel Mutual Aid Association Act: April 1, 2001
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### 第四条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-4121-140/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十三年一月一日前に健康保険の被保険者（日雇特例被保険者を除く。以下この項において同じ。）の資格を取得して、同日まで引き続き被保険者の資格を有する者（健康保険法第二十条の規定による被保険者の資格を有する者、同法附則第九条第一項に規定する特例退職被保険者の資格を有する者及び同月から標準報酬を改定されるべき者を除く。）のうち、平成十二年十二月の標準報酬月額が九万二千円であるものの標準報酬は、当該標準報酬月額の基礎となった報酬月額を第一条の規定による改正後の健康保険法（以下「新健保法」という。）第三条第一項の規定による標準報酬の基礎となる報酬月額とみなして、保険者が改定する。
suppl-4121-140/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of persons who acquired eligibility as an insured person under health insurance (excluding specially-insured day laborers; the same applies hereinafter in this paragraph) before January 1, 2001 and who continue to hold eligibility as an insured person until that day (excluding persons who hold eligibility as an insured person pursuant to the provisions of Article 20 of the Health Insurance Act, persons who hold eligibility as a special retired insured person prescribed in Article 9, paragraph (1) of the Supplementary Provisions of that Act, and persons whose standard remuneration amount is to be revised from that month), the standard remuneration amount of a person whose standard monthly remuneration amount in December 2000 is 92,000 yen is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration amount to be the monthly remuneration amount that is the basis of the standard remuneration amount under the provisions of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised Health Insurance Act").
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**第二項** 前項の規定により改定された標準報酬は、平成十三年一月一日から同年九月三十日までの標準報酬とする。
suppl-4121-140/art-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard remuneration amount for the period from January 1, 2001 to September 30 of that year.
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### 第六条
suppl-4121-140/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行の日（以下「施行日」という。）前に行われた診療、薬剤の支給又は手当に係る健康保険法の規定による高額療養費の支給については、なお従前の例による。
suppl-4121-140/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of high-cost medical expenses under the provisions of the Health Insurance Act pertaining to medical care, medication or treatment given before the day on which this Act comes into effect (hereinafter referred to as the "Effective Date"), the provisions then in force continue to govern.
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### 第七条
suppl-4121-140/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十三年一月一日前に、第一条の規定による改正前の健康保険法第七十六条の規定に基づく申出をした者であって、同月末日以後に育児休業、介護休業等育児又は家族介護を行う労働者の福祉に関する法律（平成三年法律第七十六号）その他政令で定める法令に基づく育児休業が終了したものについては、同月一日に、新健保法第七十一条ノ三ノ二（新健保法附則第八条第七項において準用する場合を含む。）の規定に基づく申出があったものとみなして、同月以後の期間のその者に係る保険料、新健保法附則第三条第一項に規定する特別保険料及び新健保法附則第八条第三項に規定する調整保険料について、新健保法第七十一条ノ三ノ二（新健保法附則第八条第七項において準用する場合を含む。）及び附則第三条第二項の規定を適用する。
suppl-4121-140/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who, before January 1, 2001, made a request under the provisions of Article 76 of the Health Insurance Act prior to amendment by the provisions of Article 1, and whose childcare leave under the Act on Childcare Leave, Caregiver Leave, and Other Measures for the Welfare of Workers Caring for Children or Other Family Members (Act No. 76 of 1991) or other laws and regulations specified by Cabinet Order ended on or after the last day of that month, the person is deemed to have made a request under the provisions of Article 71-3-2 of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 8, paragraph (7) of the Supplementary Provisions of the Revised Health Insurance Act) on the first day of that month, and the provisions of Article 71-3-2 of the Revised Health Insurance Act (including where applied mutatis mutandis in Article 8, paragraph (7) of the Supplementary Provisions of the Revised Health Insurance Act) and Article 3, paragraph (2) of the Supplementary Provisions apply with regard to the insurance premiums, the special insurance premiums prescribed in Article 3, paragraph (1) of the Supplementary Provisions of the Revised Health Insurance Act and the adjusted insurance premiums prescribed in Article 8, paragraph (3) of the Supplementary Provisions of the Revised Health Insurance Act pertaining to that person for the period on or after that month.
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### 第八条
suppl-4121-140/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険の保険者は、健康保険法第百六十条第十一項及び附則第十三条第二項の規定にかかわらず、政令で定めるところにより、平成十二年度から平成十四年度までの各年度における当該保険者の介護保険料額の総額又は特別介護保険料額の総額の合計額と当該保険者が介護保険法の規定により納付すべき納付金（日雇特例被保険者に係るものを除く。）の額（政府の管掌する健康保険においては、その額から健康保険法第百五十三条第二項の規定による国庫補助額を控除した額）の合計額とが等しくなるように介護保険料率又は特別介護保険料額の算定方法を定めることができる。
suppl-4121-140/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding the provisions of Article 160, paragraph (11) of the Health Insurance Act and Article 13, paragraph (2) of the Supplementary Provisions of that Act, an insurer of health insurance may, as provided by Cabinet Order, specify the method of calculating the long-term care insurance premium rate or the amount of special long-term care insurance premiums so that the sum, over each fiscal year from fiscal year 2000 through fiscal year 2002, of the total amount of long-term care insurance premium or the total amount of special long-term care insurance premiums of that insurer equals the sum of the amounts of payments (excluding those pertaining to specially-insured day laborers) that the insurer is to pay under the provisions of the Long-Term Care Insurance Act (for health insurance administered by the government, the amount obtained by deducting the national subsidy amount under the provisions of Article 153, paragraph (2) of the Health Insurance Act from that amount).
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### 第二十九条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4121-140/art-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第四条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4121-140/art-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to what is provided for in Article 4 through the preceding Article of the Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一二年一二月六日法律第一四一号
suppl-4121-141 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4121-141/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月を超えない範囲内において政令で定める日から施行する。
suppl-4121-141/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
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## 附 則 平成一三年七月四日法律第一〇一号
suppl-4131-101 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4131-101/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十四年四月一日から施行する。
suppl-4131-101/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2002.
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### 第百十四条（健康保険法及び船員保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act and the Mariners Insurance Act
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suppl-4131-101/art-114 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前条の規定による改正後の健康保険法第五十八条第四項及び船員保険法第三十条ノ二第五項の規定は、施行日以後に支給事由が生じた傷病手当金の支給について適用し、施行日前に支給事由が生じた傷病手当金の支給については、なお従前の例による。
suppl-4131-101/art-114/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 58, paragraph (4) of the Health Insurance Act and Article 30-2, paragraph (5) of the Mariners Insurance Act, as amended by the provisions of the preceding Article, apply to the payment of injury and sickness allowance for which the grounds for payment arise on or after the Effective Date, and with regard to the payment of injury and sickness allowance for which the grounds for payment arise before the Effective Date, the provisions then in force continue to govern.
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## 附 則 平成一三年一二月七日法律第一四三号
suppl-4131-143 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4131-143/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十四年四月一日から施行する。
suppl-4131-143/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2002.
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## 附 則 平成一三年一二月一二日法律第一五三号
suppl-4131-153 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4131-153/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月を超えない範囲内において政令で定める日から施行する。
suppl-4131-153/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
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### 第四十二条（処分、手続等に関する経過措置） — Transitional Measures for Dispositions, Procedures, etc.
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suppl-4131-153/art-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前に改正前のそれぞれの法律（これに基づく命令を含む。以下この条において同じ。）の規定によってした処分、手続その他の行為であって、改正後のそれぞれの法律の規定に相当の規定があるものは、この附則に別段の定めがあるものを除き、改正後のそれぞれの法律の相当の規定によってしたものとみなす。
suppl-4131-153/art-42/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Dispositions, procedures and other acts carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment (including orders based on it; the same applies hereinafter in this Article), for which there are equivalent provisions in each Act as amended, are deemed, unless otherwise provided for in these Supplementary Provisions, to have been carried out pursuant to the equivalent provisions of each Act as amended.
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### 第四十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4131-153/art-43 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4131-153/art-43/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第四十四条（経過措置の政令への委任） — Delegation of Transitional Measures to Cabinet Order
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suppl-4131-153/art-44 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4131-153/art-44/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一四年八月二日法律第一〇二号
suppl-4141-102 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4141-102/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十四年十月一日から施行する。ただし、第三条中老人保健法第七十九条の二の次に一条を加える改正規定は公布の日から、第二条、第五条及び第八条並びに附則第六条から第八条まで、第三十三条、第三十四条、第三十九条、第四十一条、第四十八条、第四十九条第三項、第五十一条、第五十二条第三項、第五十四条、第六十七条、第六十九条、第七十一条、第七十三条及び第七十七条の規定は平成十五年四月一日から、附則第六十一条の二の規定は行政手続等における情報通信の技術の利用に関する法律の施行に伴う関係法律の整備等に関する法律（平成十四年法律第百五十二号）第十五条の規定の施行の日又はこの法律の施行の日のいずれか遅い日から施行する。
suppl-4141-102/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2002; provided, however, that the provisions in Article 3 adding one Article after Article 79-2 of the Act on Health and Medical Services for the Elderly come into effect on the date of promulgation, the provisions of Articles 2, 5, and 8 and of Articles 6 through 8, 33, 34, 39, 41, and 48, Article 49, paragraph (3), Article 51, Article 52, paragraph (3), and Articles 54, 67, 69, 71, 73, and 77 of the Supplementary Provisions come into effect on April 1, 2003, and the provisions of Article 61-2 of the Supplementary Provisions come into effect on the date on which the provisions of Article 15 of the Act on the Arrangement of Related Acts for the Enforcement of the Act on the Use of Information and Communications Technology in Administrative Procedures, etc. (Act No. 152 of 2002) come into effect or the date on which this Act comes into effect, whichever is later.
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### 第二条（医療保険制度の改革等） — Reform of the Medical Insurance System, etc.
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suppl-4141-102/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 医療保険各法に規定する被保険者及び被扶養者の医療に係る給付の割合については、将来にわたり百分の七十を維持するものとする。
suppl-4141-102/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The proportion of benefits pertaining to the medical care of insured persons and dependents prescribed in the individual medical insurance Acts is to be maintained at 70 percent into the future.
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**第二項** 政府は、将来にわたって医療保険制度の安定的運営を図るため、平成十四年度中に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにした基本方針を策定するものとする。政府は、当該基本方針に基づいて、できるだけ速やかに（第二号に掲げる事項についてはおおむね二年を目途に）、所要の措置を講ずるものとする。
suppl-4141-102/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In order to ensure the stable operation of the medical insurance system into the future, the government is to formulate, within fiscal year 2002, a basic policy that clarifies the specific content, procedures and annual plan for the following matters. The government is to take required measures based on that basic policy as promptly as possible (for the matter set forth in item (ii), with a target of about two years).
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**一** 保険者の統合及び再編を含む医療保険制度の体系の在り方
suppl-4141-102/art-2/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the structure of the medical insurance system, including the integration and reorganization of insurers;
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**二** 新しい高齢者医療制度の創設
suppl-4141-102/art-2/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the creation of a new medical system for the elderly;
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**三** 診療報酬の体系の見直し
suppl-4141-102/art-2/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the review of the medical fee schedule.
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**第三項** 政府は、おおむね二年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
suppl-4141-102/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about two years.
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**一** 健康保険の保険者である政府が設置する病院の在り方の見直し
suppl-4141-102/art-2/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a review of the hospitals established by the government as the insurer of health insurance;
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**二** 社会保険庁の業務運営の効率化及び事務の合理化
suppl-4141-102/art-2/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
streamlining of the operations and rationalization of the administrative affairs of the Social Insurance Agency.
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**第四項** 政府は、おおむね三年を目途に、次に掲げる事項について、その具体的内容、手順及び年次計画を明らかにし、所要の措置を講ずるものとする。
suppl-4141-102/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to clarify the specific content, procedures and annual plan for the following matters, and take required measures, with a target of about three years.
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**一** 政府が保険者である社会保険及び労働保険に係る徴収事務の一元化
suppl-4141-102/art-2/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the unification of the collection affairs pertaining to social insurance and labor insurance for which the government is the insurer;
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**二** 医療保険各法、老人保健法及び介護保険法の規定による給付に伴う負担の家計における合計額が著しく高額になる場合の当該負担の軽減を図る仕組みの創設
suppl-4141-102/art-2/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the creation of a mechanism for reducing the burden accompanying benefits under the provisions of the individual medical insurance Acts, the Act on Health and Medical Services for the Elderly and the Long-Term Care Insurance Act where the total amount of that burden in a household becomes extremely high;
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**三** 社会保険診療報酬支払基金及び国民健康保険団体連合会による診療報酬の審査及び支払に関する事務処理の体制の見直し
suppl-4141-102/art-2/par-4/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the review of the system for handling affairs pertaining to the examination and payment of medical fees by the Social Insurance Medical Fee Payment Fund and the federations of National Health Insurance Associations.
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**第五項** 政府は、おおむね五年を目途に、政府が管掌する健康保険事業及び当該事業の組織形態の在り方の見直しについて検討を行い、その結果に基づいて所要の措置を講ずるものとする。
suppl-4141-102/art-2/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to review the health insurance services administered by the government and the organizational form of those services, with a target of about five years, and take required measures based on the results.
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**第六項** 政府は、次に掲げる事項について検討を行い、その結果に基づいて所要の措置を講ずるものとする。
suppl-4141-102/art-2/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to review the following matters and take required measures based on the results.
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**一** 医療に係る事故に迅速かつ適切に対応するための専門家による苦情の処理体制の整備
suppl-4141-102/art-2/par-6/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the development of a system for handling complaints by experts in order to respond promptly and appropriately to accidents related to medical care;
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**二** 医療及び医療に要する費用に関する情報の収集、分析、評価及び提供に係る体制の整備
suppl-4141-102/art-2/par-6/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the development of a system for the collection, analysis, evaluation and provision of information on medical care and the costs required for medical care;
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**三** 医療保険各法及び老人保健法の規定による保険給付の内容及び範囲の在り方
suppl-4141-102/art-2/par-6/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the content and scope of insurance benefits under the provisions of the individual medical insurance Acts and the Act on Health and Medical Services for the Elderly.
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**第七項** 政府は、第二項から前項までに規定する事項の検討に早急に着手し結論を得、逐次実施するものとする。
suppl-4141-102/art-2/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to promptly commence review of the matters prescribed in paragraph (2) through the preceding paragraph, reach conclusions, and implement them in sequence.
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### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4141-102/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条ただし書に規定する規定については、当該規定。以下この条において同じ。）の施行の日前に行われた診療、薬剤の支給又は手当に係るこの法律による改正前の健康保険法の規定による療養費又は高額療養費の支給については、なお従前の例による。
suppl-4141-102/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the payment of medical expenses or high-cost medical expenses under the provisions of the Health Insurance Act prior to amendment by this Act, pertaining to medical care, provision of medication or treatment provided before the date of enforcement of this Act (for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article), the provisions then in force continue to govern.
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### 第四条
suppl-4141-102/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定による改正後の健康保険法第百十四条及び第百四十四条の規定は、出産の日がこの法律の施行の日（以下「施行日」という。）以後である被保険者について適用し、出産の日が施行日前である被保険者の第一条の規定による改正前の健康保険法の配偶者出産育児一時金については、なお従前の例による。
suppl-4141-102/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 114 and Article 144 of the Health Insurance Act as amended by the provisions of Article 1 apply to insured persons whose date of childbirth is on or after the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), and with regard to the lump-sum allowance for spouse's childbirth and childcare under the Health Insurance Act prior to amendment by the provisions of Article 1 for insured persons whose date of childbirth is before the Effective Date, the provisions then in force continue to govern.
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### 第五条
suppl-4141-102/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前二条に規定するもののほか、施行日前に第一条の規定による改正前の健康保険法又はこれに基づく命令の規定によりした処分、手続その他の行為は、同条の規定による改正後の同法又はこれに基づく命令中の相当する規定によりした処分、手続その他の行為とみなす。
suppl-4141-102/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in the preceding two Articles, dispositions, procedures and other acts carried out before the Effective Date pursuant to the provisions of the Health Insurance Act prior to amendment by the provisions of Article 1 or orders based on it are deemed to be dispositions, procedures and other acts carried out pursuant to the equivalent provisions of that Act as amended by the provisions of that Article or orders based on it.
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### 第六条
suppl-4141-102/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二条の規定の施行の日前に任意継続被保険者（第一条の規定による改正後の健康保険法第三条第四項に規定する任意継続被保険者をいう。以下この条において同じ。）の資格を取得した者のその任意継続被保険者の資格の喪失については、第二条の規定による改正後の同法第三十八条の規定にかかわらず、なお従前の例による。
suppl-4141-102/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the loss of eligibility as an insured person with optional and continued coverage of a person who acquired eligibility as an insured person with optional and continued coverage (meaning an insured person with optional and continued coverage prescribed in Article 3, paragraph (4) of the Health Insurance Act as amended by the provisions of Article 1; the same applies hereinafter in this Article) before the date of enforcement of the provisions of Article 2, the provisions then in force continue to govern, notwithstanding the provisions of Article 38 of that Act as amended by the provisions of Article 2.
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### 第七条
suppl-4141-102/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十五年四月一日前の各月の健康保険の標準報酬については、なお従前の例による。
suppl-4141-102/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the standard remuneration amount of health insurance for each month before April 1, 2003, the provisions then in force continue to govern.
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**第二項** 平成十五年四月一日前に第二条の規定による改正前の健康保険法第四十一条第一項、第四十二条第一項又は第四十三条第一項の規定により決定され、又は改定された同年三月における標準報酬は、同年八月までの各月の標準報酬月額とする。
suppl-4141-102/art-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard remuneration amount for March of that year, determined or revised before April 1, 2003 pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1) or Article 43, paragraph (1) of the Health Insurance Act prior to amendment by the provisions of Article 2, is to be the standard monthly remuneration amount for each month through August of that year.
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### 第八条
suppl-4141-102/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十五年四月前の賞与等（第二条の規定による改正前の健康保険法附則第三条第二項に規定する賞与等をいう。）に係る届出及び特別保険料の納付については、なお従前の例による。
suppl-4141-102/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to notifications and the payment of special insurance premiums pertaining to bonus, etc. (meaning bonus, etc. prescribed in Article 3, paragraph (2) of the Supplementary Provisions of the Health Insurance Act prior to amendment by the provisions of Article 2) before April 2003, the provisions then in force continue to govern.
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### 第三十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4141-102/art-35 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条ただし書に規定する規定については、当該規定）の施行前にした行為及び附則第八条の規定によりなお従前の例によることとされる場合における附則第一条ただし書に規定する規定の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4141-102/art-35/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before the enforcement of this Act (for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions) and to acts committed after the enforcement of the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 8 of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第三十六条（政令への委任） — Delegation to Cabinet Order
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suppl-4141-102/art-36 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4141-102/art-36/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一四年八月二日法律第一〇三号
suppl-4141-103 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4141-103/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して九月を超えない範囲内において政令で定める日から施行する。ただし、第九条及び附則第八条から第十九条までの規定は、公布の日から起算して二年を超えない範囲内において政令で定める日から施行する。
suppl-4141-103/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date specified by Cabinet Order within a period not exceeding nine months from the date of promulgation; provided, however, that the provisions of Article 9 and Articles 8 through 19 of the Supplementary Provisions come into effect on the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.
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## 附 則 平成一四年一二月一三日法律第一五二号
suppl-4141-152 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4141-152/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、行政手続等における情報通信の技術の利用に関する法律（平成十四年法律第百五十一号）の施行の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4141-152/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date on which the Act on the Use of Information and Communications Technology in Administrative Procedures, etc. (Act No. 151 of 2002) comes into effect; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一から八まで** 略
suppl-4141-152/art-1/par-1/item-1-to-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**九** 附則第十条の規定 健康保険法等の一部を改正する法律（平成十四年法律第百二号）の公布の日又はこの法律の公布の日のいずれか遅い日
suppl-4141-152/art-1/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 10 of the Supplementary Provisions: the date of promulgation of the Act Partially Amending the Health Insurance Act, etc. (Act No. 102 of 2002) or the date of promulgation of this Act, whichever is later.
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## 附 則 平成一六年六月二日法律第七六号
suppl-4161-76 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4161-76/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、破産法（平成十六年法律第七十五号。次条第八項並びに附則第三条第八項、第五条第八項、第十六項及び第二十一項、第八条第三項並びに第十三条において「新破産法」という。）の施行の日から施行する。
suppl-4161-76/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Bankruptcy Act (Act No. 75 of 2004; referred to as "the new Bankruptcy Act" in paragraph (8) of the following Article and in Article 3, paragraph (8), Article 5, paragraphs (8), (16) and (21), Article 8, paragraph (3), and Article 13 of the Supplementary Provisions) comes into effect.
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### 第十二条（罰則の適用等に関する経過措置） — Transitional Measures Concerning Application of Penal Provisions and Other Matters
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suppl-4161-76/art-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前にした行為並びに附則第二条第一項、第三条第一項、第四条、第五条第一項、第九項、第十七項、第十九項及び第二十一項並びに第六条第一項及び第三項の規定によりなお従前の例によることとされる場合における施行日以後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4161-76/art-12/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before the effective date and to acts committed on or after the effective date in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 2, paragraph (1), Article 3, paragraph (1), Article 4, Article 5, paragraphs (1), (9), (17), (19) and (21), and Article 6, paragraphs (1) and (3) of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第十四条（政令への委任） — Delegation to Cabinet Order
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suppl-4161-76/art-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第二条から前条までに規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4161-76/art-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 2 through the preceding Article of the Supplementary Provisions, the transitional measures necessary for the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一六年六月一一日法律第一〇四号
suppl-4161-104 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4161-104/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十六年十月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4161-104/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2004; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
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**一** 第二条、第八条、第十五条、第二十二条、第二十八条、第三十二条、第三十六条、第三十九条、第四十二条、第四十四条の二、第四十九条、第五十一条及び第五十二条並びに附則第四条、第十七条から第二十四条まで、第三十四条から第三十八条まで、第五十七条、第五十八条及び第六十条から第六十四条までの規定 平成十七年四月一日
suppl-4161-104/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2, Article 8, Article 15, Article 22, Article 28, Article 32, Article 36, Article 39, Article 42, Article 44-2, Article 49, Article 51 and Article 52, and Article 4, Article 17 through Article 24, Article 34 through Article 38, Article 57, Article 58 and Article 60 through Article 64 of the Supplementary Provisions: April 1, 2005;
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**二及び三** 略
suppl-4161-104/art-1/par-1/item-2-to-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**四** 第四条、第十一条、第十八条、第四十一条、第四十三条、第四十八条及び第五十条並びに附則第九条第二項、第十条、第十三条第六項、第十四条、第五十六条の表平成十八年度（附則第一条第四号に掲げる規定の施行の日の属する月以後の期間に限る。）から特定年度の前年度までの各年度の項及び第六十五条の規定 平成十八年七月一日
suppl-4161-104/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 4, Article 11, Article 18, Article 41, Article 43, Article 48 and Article 50, and Article 9, paragraph (2), Article 10, Article 13, paragraph (6), Article 14, the row for each fiscal year from fiscal year 2006 (limited to the period on or after the month that includes the day of enforcement of the provisions listed in Article 1, item (iv) of the Supplementary Provisions) to the previous fiscal year of the specified fiscal year in the table in Article 56, and Article 65 of the Supplementary Provisions: July 1, 2006;
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### 第三条（検討） — Review
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suppl-4161-104/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、社会保障制度に関する国会の審議を踏まえ、社会保障制度全般について、税、保険料等の負担と給付の在り方を含め、一体的な見直しを行いつつ、これとの整合を図り、公的年金制度について必要な見直しを行うものとする。
suppl-4161-104/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is, based on the deliberations of the Diet concerning the social security system, to conduct an integrated review of the social security system as a whole, including the state of the burden of taxes, insurance premiums, etc. and of benefits, and, ensuring consistency with that review, to make the necessary review of the public pension system.
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**第二項** 前項の公的年金制度についての見直しを行うに当たっては、公的年金制度の一元化を展望し、体系の在り方について検討を行うものとする。
suppl-4161-104/art-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In conducting the review of the public pension system under the preceding paragraph, the state of the system is to be reviewed with a view to the unification of the public pension system.
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### 第五十七条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4161-104/art-57 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四十九条の規定による改正後の健康保険法第四十三条の二の規定は、平成十七年四月一日以後に終了した同条第一項に規定する育児休業等（第三項において「育児休業等」という。）について適用する。
suppl-4161-104/art-57/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 43-2 of the Health Insurance Act as amended by the provisions of Article 49 apply to childcare leave prescribed in paragraph (1) of that Article (referred to as "childcare leave" in paragraph (3)) that ended on or after April 1, 2005.
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**第二項** 平成十七年四月一日前に第四十九条の規定による改正前の健康保険法第百五十九条の規定に基づく申出をした者については、なお従前の例による。
suppl-4161-104/art-57/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who made an application under the provisions of Article 159 of the Health Insurance Act prior to amendment by the provisions of Article 49 before April 1, 2005, the provisions then in force continue to govern.
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**第三項** 平成十七年四月一日前に育児休業等を開始した者（平成十七年四月一日前に第四十九条の規定による改正前の健康保険法第百五十九条の規定に基づく申出をした者を除く。）については、その育児休業等を開始した日を平成十七年四月一日とみなして、第四十九条の規定による改正後の健康保険法第百五十九条の規定を適用する。
suppl-4161-104/art-57/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who began childcare leave before April 1, 2005 (excluding a person who made an application under the provisions of Article 159 of the Health Insurance Act prior to amendment by the provisions of Article 49 before April 1, 2005), the provisions of Article 159 of the Health Insurance Act as amended by the provisions of Article 49 apply, deeming the day on which that childcare leave began to be April 1, 2005.
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### 第七十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4161-104/art-73 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条ただし書に規定する規定については、当該規定）の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4161-104/art-73/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the application of penal provisions to conduct engaged in before this Act (or, for the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, those provisions) comes into effect.
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### 第七十四条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4161-104/art-74 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4161-104/art-74/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一六年六月一八日法律第一二六号
suppl-4161-126 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4161-126/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、協定の効力発生の日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4161-126/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date on which the Agreement takes effect; provided, however, that the provisions listed in the following items come into effect on the date specified in the respective items.
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**一** 略
suppl-4161-126/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 附則第四十一条の規定 国民年金法等の一部を改正する法律（平成十六年法律第百四号）の公布の日又は公布日のいずれか遅い日
suppl-4161-126/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 41 of the Supplementary Provisions: whichever is later of the date of promulgation of the Act Partially Amending the National Pension Act, etc. (Act No. 104 of 2004) or the date of promulgation.
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## 附 則 平成一六年一二月八日法律第一六〇号
suppl-4161-160 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4161-160/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十七年四月一日から施行する。
suppl-4161-160/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2005.
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## 附 則 平成一七年四月一日法律第二五号
suppl-4171-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4171-25/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十七年四月一日から施行する。
suppl-4171-25/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2005.
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## 附 則 平成一七年五月二五日法律第五〇号
suppl-4171-50 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4171-50/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年を超えない範囲内において政令で定める日から施行する。
suppl-4171-50/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding 1 year from the date of promulgation.
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## 附 則 平成一七年六月二二日法律第七一号
suppl-4171-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4171-71/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、附則第五条から第七条までの規定は、平成十七年十月一日から施行する。
suppl-4171-71/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions of Article 5 through Article 7 of the Supplementary Provisions come into effect on October 1, 2005.
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### 第八条（政令への委任） — Delegation to Cabinet Order
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suppl-4171-71/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第二条から第四条の二までに定めるもののほか、機構の設立に伴い必要な経過措置その他この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4171-71/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 2 through Article 4-2 of the Supplementary Provisions, transitional measures necessary in connection with the establishment of JPS and other transitional measures necessary for the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一七年六月二九日法律第七七号
suppl-4171-77 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4171-77/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十八年四月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4171-77/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:
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**一** 第一条、第五条、第八条、第十一条、第十三条及び第十五条並びに附則第四条、第十五条、第二十二条、第二十三条第二項、第三十二条、第三十九条及び第五十六条の規定 公布の日
suppl-4171-77/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1, Article 5, Article 8, Article 11, Article 13 and Article 15, and of Article 4, Article 15, Article 22, Article 23, paragraph (2), Article 32, Article 39 and Article 56 of the Supplementary Provisions: the date of promulgation;
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### 第五十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4171-77/art-55 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及び附則第九条の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4171-77/art-55/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, and to acts committed after this Act comes into effect in cases where the provisions then in force continue to govern pursuant to Article 9 of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第五十六条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4171-77/art-56 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から第二十七条まで、第三十六条及び第三十七条に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4171-77/art-56/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 3 through Article 27, Article 36 and Article 37 of the Supplementary Provisions, the transitional measures necessary incidental to the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成一八年三月三一日法律第二〇号
suppl-4181-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4181-20/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十八年四月一日から施行する。
suppl-4181-20/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2006.
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## 附 則 平成一八年六月二一日法律第八三号
suppl-4181-83 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4181-83/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十八年十月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4181-83/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:
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**一** 第十条並びに附則第四条、第三十三条から第三十六条まで、第五十二条第一項及び第二項、第百五条、第百二十四条並びに第百三十一条から第百三十三条までの規定 公布の日
suppl-4181-83/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 10, and Article 4, Articles 33 through 36, Article 52, paragraphs (1) and (2), Article 105, Article 124 and Articles 131 through 133 of the Supplementary Provisions: the date of promulgation;
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**二** 略
suppl-4181-83/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted;
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**三** 第二条、第十二条及び第十八条並びに附則第七条から第十一条まで、第四十八条から第五十一条まで、第五十四条、第五十六条、第六十二条、第六十三条、第六十五条、第七十一条、第七十二条、第七十四条及び第八十六条の規定 平成十九年四月一日
suppl-4181-83/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 2, 12 and 18, and Articles 7 through 11, Articles 48 through 51, Articles 54, 56, 62, 63, 65, 71, 72, 74 and 86 of the Supplementary Provisions: April 1, 2007;
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**四** 第三条、第七条、第十三条、第十六条、第十九条及び第二十四条並びに附則第二条第二項、第三十七条から第三十九条まで、第四十一条、第四十二条、第四十四条、第五十七条、第六十六条、第七十五条、第七十六条、第七十八条、第七十九条、第八十一条、第八十四条、第八十五条、第八十七条、第八十九条、第九十三条から第九十五条まで、第九十七条から第百条まで、第百三条、第百九条、第百十四条、第百十七条、第百二十条、第百二十三条、第百二十六条、第百二十八条及び第百三十条の規定 平成二十年四月一日
suppl-4181-83/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 3, 7, 13, 16, 19 and 24, and Article 2, paragraph (2), Articles 37 through 39, Articles 41, 42, 44, 57, 66, 75, 76, 78, 79, 81, 84, 85, 87 and 89, Articles 93 through 95, Articles 97 through 100, and Articles 103, 109, 114, 117, 120, 123, 126, 128 and 130 of the Supplementary Provisions: April 1, 2008;
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**五** 第四条、第八条及び第二十五条並びに附則第十六条、第十七条、第十八条第一項及び第二項、第十九条から第三十一条まで、第八十条、第八十二条、第八十八条、第九十二条、第百一条、第百四条、第百七条、第百八条、第百十五条、第百十六条、第百十八条、第百二十一条並びに第百二十九条の規定 平成二十年十月一日
suppl-4181-83/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 4, 8 and 25, and Articles 16 and 17, Article 18, paragraphs (1) and (2), Articles 19 through 31, and Articles 80, 82, 88, 92, 101, 104, 107, 108, 115, 116, 118, 121 and 129 of the Supplementary Provisions: October 1, 2008;
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**六** 第五条、第九条、第十四条、第二十条及び第二十六条並びに附則第五十三条、第五十八条、第六十七条、第九十条、第九十一条、第九十六条、第百十一条、第百十一条の二及び第百三十条の二の規定 平成二十四年四月一日
suppl-4181-83/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 5, 9, 14, 20 and 26, and Articles 53, 58, 67, 90, 91, 96, 111, 111-2 and 130-2 of the Supplementary Provisions: April 1, 2012.
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### 第二条（検討） — Review
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suppl-4181-83/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後五年を目途として、この法律の施行の状況等を勘案し、この法律により改正された医療保険各法及び第七条の規定による改正後の高齢者の医療の確保に関する法律（以下「高齢者医療確保法」という。）の規定に基づく規制の在り方について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4181-83/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Aiming at five years after the enforcement of this Act, the government is to take into account the status of the enforcement of this Act, etc., review how the regulations based on the provisions of the respective medical insurance Acts amended by this Act and the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 7 (hereinafter referred to as the "Elderly Medical Care Assurance Act") should be, and, if it finds it necessary, take required measures based on the results.
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### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4181-83/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条又は第三条の規定の施行の日前に行われた診療、薬剤の支給若しくは手当又は訪問看護に係るこれらの条の規定による改正前の健康保険法の規定による保険給付については、それぞれなお従前の例による。
suppl-4181-83/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits under the provisions of the Health Insurance Act before the amendment by the provisions of Article 1 or Article 3 that pertain to medical care, provision of drugs or medical treatment, or home-nursing provided before the date on which the provisions of Article 1 or Article 3 come into effect, the provisions then in force continue to govern respectively.
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### 第四条
suppl-4181-83/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、第一条の規定による改正後の健康保険法第六十三条第二項第三号及び第四号の定め（同項第三号の定めのうち高度の医療技術に係るものを除く。）、同法第八十五条の二第二項の基準、同法第八十六条第二項第一号の定め並びに同法第八十五条の二第五項及び第八十六条第四項において準用する同法第七十条第一項及び第七十二条第一項の厚生労働省令を定めようとするときは、この法律の施行の日（以下「施行日」という。）前においても中央社会保険医療協議会に諮問することができる。
suppl-4181-83/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare intends to specify the provisions of Article 63, paragraph (2), items (iii) and (iv) of the Health Insurance Act as amended by the provisions of Article 1 (excluding those of the provisions of item (iii) of that paragraph that pertain to advanced medical care techniques), the standards under Article 85-2, paragraph (2) of that Act, the provisions of Article 86, paragraph (2), item (i) of that Act, and the Order of the Ministry of Health, Labour and Welfare under Article 70, paragraph (1) and Article 72, paragraph (1) of that Act as applied mutatis mutandis pursuant to Article 85-2, paragraph (5) and Article 86, paragraph (4) of that Act, the Minister may consult with the Central Social Insurance Medical Council even before the date on which this Act comes into effect (hereinafter referred to as the "Effective Date").
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### 第五条
suppl-4181-83/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日において現に第一条の規定による改正前の健康保険法第八十六条第一項第一号の規定により特定承認保険医療機関の承認を受けている病院又は診療所は、施行日に、健康保険法第六十三条第三項第一号の指定を受けたものとみなす。ただし、当該開設者が施行日の前日までに、厚生労働省令で定めるところにより別段の申出をしたときは、この限りでない。
suppl-4181-83/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A hospital or clinic that, on the Effective Date, is actually approved as a specially approved medical institution providing services covered by health insurance pursuant to the provisions of Article 86, paragraph (1), item (i) of the Health Insurance Act before the amendment by the provisions of Article 1 is deemed to have received the designation referred to in Article 63, paragraph (3), item (i) of the Health Insurance Act on the Effective Date; provided, however, that this does not apply if its establisher has notified otherwise, as specified by Order of the Ministry of Health, Labour and Welfare, by the day before the Effective Date.
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**第二項** 前項本文の規定により指定を受けたものとみなされた病院又は診療所に係る当該指定の効力を有する期間は、健康保険法第六十八条第一項の規定にかかわらず、その病院又は診療所について第一条の規定による改正前の健康保険法第八十六条第十二項において準用する同法第六十八条第一項の規定により承認の効力を有するとされた期間の施行日における残存期間と同一の期間とする。
suppl-4181-83/art-5/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a hospital or clinic deemed to have received designation pursuant to the provisions of the main clause of the preceding paragraph, notwithstanding Article 68, paragraph (1) of the Health Insurance Act, the period during which the designation is effective is to be the same as the period remaining on the Effective Date of the period during which the approval was to be effective for that hospital or clinic pursuant to Article 68, paragraph (1) of that Act as applied mutatis mutandis pursuant to Article 86, paragraph (12) of the Health Insurance Act before the amendment by the provisions of Article 1.
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### 第六条
suppl-4181-83/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定による改正後の健康保険法第百条及び第百三十六条の規定は、死亡の日が施行日以後である被保険者及び日雇特例被保険者並びにこれらの者であった者について適用し、死亡の日が施行日前である被保険者及び日雇特例被保険者並びにこれらの者であった者の第一条の規定による改正前の健康保険法の埋葬料の支給については、なお従前の例による。
suppl-4181-83/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 100 and 136 of the Health Insurance Act as amended by the provisions of Article 1 apply to insured persons and specially-insured day laborers whose date of death is on or after the Effective Date and persons who were such persons, and the provisions then in force continue to govern the payment of burial charges under the Health Insurance Act before the amendment by the provisions of Article 1 to insured persons and specially-insured day laborers whose date of death is before the Effective Date and persons who were such persons.
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### 第七条
suppl-4181-83/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十九年四月一日前に健康保険の被保険者（日雇特例被保険者を除く。以下この項において同じ。）の資格を取得して、同日まで引き続き被保険者の資格を有する者（任意継続被保険者、特例退職被保険者及び同月から標準報酬月額を改定されるべき者を除く。）のうち、同年三月の標準報酬月額が九万八千円であるもの（当該標準報酬月額の基礎となった報酬月額が九万三千円以上である者を除く。）又は九十八万円であるもの（当該標準報酬月額の基礎となった報酬月額が百万五千円未満である者を除く。）の標準報酬月額は、当該標準報酬月額の基礎となった報酬月額を第二条の規定による改正後の健康保険法第四十条第一項の規定による標準報酬月額の基礎となる報酬月額とみなして、保険者が改定する。
suppl-4181-83/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of persons who acquired eligibility as an insured person of health insurance (excluding specially-insured day laborers; the same applies hereinafter in this paragraph) before April 1, 2007 and continue to hold eligibility as an insured person until that day (excluding insured persons with optional and continued coverage, special retired insured persons, and persons whose standard monthly remuneration is to be revised from that month), the standard monthly remuneration of those whose standard monthly remuneration for March of that year is 98,000 yen (excluding those for whom the monthly remuneration amount that was the basis of that standard monthly remuneration is 93,000 yen or more) or 980,000 yen (excluding those for whom the monthly remuneration amount that was the basis of that standard monthly remuneration is less than 1,005,000 yen) is revised by the insurer by deeming the monthly remuneration amount that was the basis of that standard monthly remuneration to be the monthly remuneration amount that is the basis of the standard monthly remuneration under Article 40, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 2.
machine translation, not official
**第二項** 前項の規定により改定された標準報酬月額は、平成十九年四月一日から同年八月三十一日までの標準報酬月額とする。
suppl-4181-83/art-7/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is to be the standard monthly remuneration amount for the period from April 1, 2007 through August 31, 2007.
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### 第八条
suppl-4181-83/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成十九年四月前の賞与に係る保険料の納付については、なお従前の例による。
suppl-4181-83/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to payment of insurance premiums pertaining to a bonus before April 2007, the provisions then in force continue to govern.
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### 第九条
suppl-4181-83/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二条の規定の施行の日の前日において傷病手当金の支給を受けていた者又は受けるべき者（支給事由が生じた際に任意継続被保険者であった者を除く。次項において同じ。）に係る同条の規定の施行の日前までの傷病手当金の額については、なお従前の例による。
suppl-4181-83/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of injury and sickness allowance up to the day preceding the date of enforcement of the provisions of Article 2 for a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (excluding a person who was an insured person with optional and continued coverage when the grounds for payment arose; the same applies in the following paragraph), the provisions then in force continue to govern.
machine translation, not official
**第二項** 第二条の規定の施行の日の前日において傷病手当金の支給を受けていた者又は受けるべき者（支給事由が生じた後に任意継続被保険者となった者に限る。）に係る傷病手当金の支給については、同条の規定による改正後の健康保険法第九十九条第一項の規定にかかわらず、これらの者を同項に規定する被保険者とみなして同条の規定を適用する。
suppl-4181-83/art-9/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to payment of injury and sickness allowance to a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who became an insured person with optional and continued coverage after the grounds for payment arose), notwithstanding the provisions of Article 99, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 2, the provisions of that Article apply by deeming those persons to be insured persons prescribed in that paragraph.
machine translation, not official
**第三項** 第二条の規定の施行の日の前日において傷病手当金の支給を受けていた者又は受けるべき者（支給事由が生じた際に任意継続被保険者であった者に限る。）に係る傷病手当金の支給については、なお従前の例による。
suppl-4181-83/art-9/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to payment of injury and sickness allowance to a person who was receiving, or was to receive, injury and sickness allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who was an insured person with optional and continued coverage when the grounds for payment arose), the provisions then in force continue to govern.
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### 第十条
suppl-4181-83/art-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二条の規定の施行の日の前日において出産手当金の支給を受けていた者又は受けるべき者（支給事由が生じた際に任意継続被保険者であった者及び同条の規定による改正前の健康保険法第百六条の規定による出産手当金の支給を受けていた者又は受けるべき者を除く。次項において同じ。）に係る第二条の規定の施行の日前までの出産手当金の額については、なお従前の例による。
suppl-4181-83/art-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of childbirth allowance up to the day preceding the date of enforcement of the provisions of Article 2 for a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (excluding a person who was an insured person with optional and continued coverage when the grounds for payment arose and a person who was receiving, or was to receive, childbirth allowance pursuant to the provisions of Article 106 of the Health Insurance Act before amendment by the provisions of Article 2; the same applies in the following paragraph), the provisions then in force continue to govern.
machine translation, not official
**第二項** 第二条の規定の施行の日の前日において出産手当金の支給を受けていた者又は受けるべき者（支給事由が生じた後に任意継続被保険者となった者に限る。）に係る出産手当金の支給については、同条の規定による改正後の健康保険法第百二条の規定にかかわらず、これらの者を同条に規定する被保険者とみなして同条の規定を適用する。
suppl-4181-83/art-10/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to payment of childbirth allowance to a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who became an insured person with optional and continued coverage after the grounds for payment arose), notwithstanding the provisions of Article 102 of the Health Insurance Act as amended by the provisions of Article 2, the provisions of that Article apply by deeming those persons to be insured persons prescribed in that Article.
machine translation, not official
**第三項** 第二条の規定の施行の日の前日において出産手当金の支給を受けていた者又は受けるべき者（支給事由が生じた際に任意継続被保険者であった者及び同条の規定による改正前の健康保険法第百六条の規定による出産手当金の支給を受けていた者又は受けるべき者に限る。）に係る出産手当金の支給については、なお従前の例による。
suppl-4181-83/art-10/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to payment of childbirth allowance to a person who was receiving, or was to receive, childbirth allowance on the day preceding the date of enforcement of the provisions of Article 2 (limited to a person who was an insured person with optional and continued coverage when the grounds for payment arose and a person who was receiving, or was to receive, childbirth allowance pursuant to the provisions of Article 106 of the Health Insurance Act before amendment by the provisions of Article 2), the provisions then in force continue to govern.
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### 第十一条
suppl-4181-83/art-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十年四月一日以降における政府が管掌する健康保険の被保険者に関する一般保険料率について第四条の規定による改正前の健康保険法（以下「平成二十年十月改正前健保法」という。）第百六十条の規定を適用する場合においては、同条第二項中「予定額」とあるのは「予定額、健康保険事業の事務の執行に要する費用の予定額、健康保険法等の一部を改正する法律（平成十八年法律第八十三号）第四条の規定による改正後の健康保険法第百六十条の二に規定する準備金の積立てに要する費用の予定額」と、「国庫補助」とあるのは「国庫負担、国庫補助」と、「おおむね五年を通じ」とあるのは「平成二十一年三月三十一日までの間」とするほか、同条第五項及び第六項の規定は、適用しない。
suppl-4181-83/art-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case of applying the provisions of Article 160 of the Health Insurance Act before amendment by the provisions of Article 4 (hereinafter referred to as the "Health Insurance Act Before the October 2008 Amendment") to the general insurance premium rate on or after April 1, 2008 for insured persons covered by health insurance administered by the government, the phrase "estimated amount" in paragraph (2) of that Article is deemed to be replaced with "estimated amount, estimated amount of expenses required for the execution of the affairs of health insurance services, estimated amount of expenses required for building up the reserves prescribed in Article 160-2 of the Health Insurance Act as amended by the provisions of Article 4 of the Act Partially Amending the Health Insurance Act, etc. (Act No. 83 of 2006)", the phrase "national subsidy" is deemed to be replaced with "share of the national treasury, national subsidy", and the phrase "throughout approximately five years" is deemed to be replaced with "during the period until March 31, 2009", and in addition, the provisions of paragraphs (5) and (6) of that Article do not apply.
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### 第十二条
suppl-4181-83/art-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、第四条の規定による改正後の健康保険法（以下「平成二十年十月改正健保法」という。）第七条の二第一項に規定する全国健康保険協会（以下「協会」という。）の理事長となるべき者及び監事となるべき者を指名する。
suppl-4181-83/art-12/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The Minister of Health, Labour and Welfare designates the person who is to become the president and the persons who are to become the auditors of the Japan Health Insurance Association (hereinafter referred to as "JHIA") prescribed in Article 7-2, paragraph (1) of the Health Insurance Act after amendment by the provisions of Article 4 (hereinafter referred to as the "Health Insurance Act as Amended in October 2008").
machine translation, not official
**第二項** 前項の規定により指名された理事長となるべき者及び監事となるべき者は、協会の成立の時において、平成二十年十月改正健保法第七条の十一第一項の規定により、それぞれ理事長及び監事に任命されたものとする。
suppl-4181-83/art-12/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The person who is to become the president and the persons who are to become the auditors designated pursuant to the provisions of the preceding paragraph are deemed to have been appointed as the president and the auditors, respectively, at the time of the establishment of JHIA pursuant to the provisions of Article 7-11, paragraph (1) of the Health Insurance Act as Amended in October 2008.
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### 第十三条
suppl-4181-83/art-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、設立委員を命じて、協会の設立に関する事務を処理させる。
suppl-4181-83/art-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The Minister of Health, Labour and Welfare appoints committee members and has them handle the affairs relating to the establishment of JHIA.
machine translation, not official
**第二項** 設立委員は、協会の職員の労働条件及び協会の職員の採用の基準を定めなければならない。
suppl-4181-83/art-13/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The committee members must determine the working conditions of JHIA's employees and the standards for hiring JHIA's employees.
machine translation, not official
**第三項** 設立委員は、定款を定め、並びに第四条の規定の施行の日を含む事業年度のうち同日以後の期間に係る事業計画及び予算を作成し、その定款、事業計画及び予算について厚生労働大臣の認可を受けなければならない。
suppl-4181-83/art-13/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The committee members must determine the constitution, prepare a business plan and budget for the period on or after the date of enforcement of the provisions of Article 4 within the business year that includes that date, and obtain authorization from the Minister of Health, Labour and Welfare for the constitution, business plan and budget.
machine translation, not official
**第四項** 設立委員は、第四条の規定の施行の日までに、平成二十年十月改正健保法第七条の二十二第一項に規定する運営規則を定め、これを厚生労働大臣に届け出なければならない。
suppl-4181-83/art-13/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The committee members must, by the date of enforcement of the provisions of Article 4, determine the operating rules prescribed in Article 7-22, paragraph (1) of the Health Insurance Act as Amended in October 2008 and notify the Minister of Health, Labour and Welfare of those rules.
machine translation, not official
**第五項** 設立委員は、協会の設立の準備を完了したときは、遅滞なく、その旨を厚生労働大臣に届け出るとともに、その事務を前条第一項の規定により指名された理事長となるべき者に引き継がなければならない。
suppl-4181-83/art-13/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the committee members have completed the preparations for the establishment of JHIA, they must without delay notify the Minister of Health, Labour and Welfare to that effect and hand over their affairs to the person who is to become the president designated pursuant to the provisions of paragraph (1) of the preceding Article.
machine translation, not official
**第六項** 厚生労働大臣は、第三項の認可をしたときは、直ちにその旨を告示するものとする。
suppl-4181-83/art-13/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare has given the authorization referred to in paragraph (3), the Minister is to give public notice to that effect immediately.
machine translation, not official
**第七項** 協会は、前項の告示があったときは、第四条の規定の施行の日に、成立する。この場合において、協会は、遅滞なく、その定款を公告しなければならない。
suppl-4181-83/art-13/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
JHIA is established on the date of enforcement of the provisions of Article 4 when the public notice referred to in the preceding paragraph has been given. In this case, JHIA must without delay give public notice of its constitution.
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### 第十四条
suppl-4181-83/art-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 設立委員又はその職にあった者は、協会の設立の事務に関して職務上知り得た秘密を正当な理由がなく漏らしてはならない。
suppl-4181-83/art-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A committee member or a person who has held that position must not divulge, without justifiable reasons, confidential information learned in the course of duty concerning the affairs of the establishment of JHIA.
machine translation, not official
**第二項** 前項の規定に違反して秘密を漏らした者は、一年以下の拘禁刑又は百万円以下の罰金に処する。
suppl-4181-83/art-14/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who divulges confidential information in violation of the provisions of the preceding paragraph is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen.
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### 第十五条
suppl-4181-83/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 設立委員は、社会保険庁長官を通じ、その職員に対し、協会の職員の労働条件及び協会の職員の採用の基準を提示して、職員の募集を行うものとする。
suppl-4181-83/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The committee members are to recruit employees by presenting the working conditions of JHIA's employees and the standards for hiring JHIA's employees to the employees of the Social Insurance Agency through the Director-General of the Social Insurance Agency.
machine translation, not official
**第二項** 社会保険庁長官は、前項の規定によりその職員に対し、協会の職員の労働条件及び協会の職員の採用の基準が提示されたときは、協会の職員となることに関する社会保険庁の職員の意思を確認し、協会の職員となる意思を表示した者の中から、当該協会の職員の採用の基準に従い、協会の職員となるべき者を選定し、その名簿を作成して設立委員に提出するものとする。
suppl-4181-83/art-15/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the working conditions of JHIA's employees and the standards for hiring JHIA's employees have been presented to the employees of the Social Insurance Agency pursuant to the provisions of the preceding paragraph, the Director-General of the Social Insurance Agency is to confirm the intentions of the employees of the Social Insurance Agency regarding becoming JHIA's employees, select, from among those who have expressed an intention to become JHIA's employees, the persons who are to become JHIA's employees in accordance with the standards for hiring JHIA's employees, prepare a roster of them, and submit it to the committee members.
machine translation, not official
**第三項** 前項の名簿に記載された社会保険庁の職員のうち、設立委員から採用する旨の通知を受けた者であって第四条の規定の施行の際現に社会保険庁の職員であるものは、協会の成立の時において、協会の職員として採用される。
suppl-4181-83/art-15/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Among the employees of the Social Insurance Agency listed in the roster referred to in the preceding paragraph, a person who has received notice from the committee members to the effect that the person is to be hired and who is an employee of the Social Insurance Agency at the time of the enforcement of the provisions of Article 4 is hired as an employee of JHIA at the time of the establishment of JHIA.
machine translation, not official
**第四項** 第一項の規定により提示する労働条件の内容となるべき事項、同項の規定による提示の方法、第二項の規定による職員の意思の確認の方法その他前三項の規定の実施に関し必要な事項は、厚生労働省令で定める。
suppl-4181-83/art-15/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The matters that are to constitute the content of the working conditions to be presented pursuant to the provisions of paragraph (1), the method of presentation pursuant to the provisions of that paragraph, the method of confirming the intentions of employees pursuant to the provisions of paragraph (2), and other matters necessary for the implementation of the provisions of the preceding three paragraphs are specified by Order of the Ministry of Health, Labour and Welfare.
machine translation, not official
**第五項** 協会の職員の採用について、設立委員がした行為及び設立委員に対してなされた行為は、それぞれ、協会がした行為及び協会に対してなされた行為とする。
suppl-4181-83/art-15/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the hiring of JHIA's employees, acts done by the committee members and acts done toward the committee members are deemed to be acts done by JHIA and acts done toward JHIA, respectively.
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### 第十六条
suppl-4181-83/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前条第三項の規定により協会の職員として採用される者に対しては、国家公務員退職手当法（昭和二十八年法律第百八十二号）に基づく退職手当は、支給しない。
suppl-4181-83/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
No retirement allowance based on the Act on National Public Officers' Retirement Allowance (Act No. 182 of 1953) is paid to a person hired as an employee of JHIA pursuant to the provisions of paragraph (3) of the preceding Article.
machine translation, not official
**第二項** 協会は、前項の規定の適用を受けた協会の職員の退職に際し、退職手当を支給しようとするときは、その者の国家公務員退職手当法第二条第一項に規定する職員（同条第二項の規定により職員とみなされる者を含む。）としての引き続いた在職期間を協会の職員としての在職期間とみなして取り扱うべきものとする。
suppl-4181-83/art-16/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When JHIA intends to pay a retirement allowance upon the retirement of an employee of JHIA to whom the provisions of the preceding paragraph have applied, it is to treat the person's continuous period of service as an employee prescribed in Article 2, paragraph (1) of the Act on National Public Officers' Retirement Allowance (including a person deemed to be an employee pursuant to the provisions of paragraph (2) of that Article) as a period of service as an employee of JHIA.
machine translation, not official
**第三項** 協会は、協会の成立の日の前日に社会保険庁の職員として在職し、前条第三項の規定により引き続いて協会の職員として採用された者のうち協会の成立の日から雇用保険法（昭和四十九年法律第百十六号）による失業等給付の受給資格を取得するまでの間に協会を退職したものであって、その退職した日まで社会保険庁の職員として在職したものとしたならば国家公務員退職手当法第十条の規定による退職手当の支給を受けることができるものに対しては、同条の規定の例により算定した退職手当の額に相当する額を退職手当として支給するものとする。
suppl-4181-83/art-16/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
JHIA is to pay, as a retirement allowance, an amount equivalent to the amount of retirement allowance calculated in accordance with Article 10 of the Act on National Public Officers' Retirement Allowance to a person who, among those who were in service as employees of the Social Insurance Agency on the day preceding the date of establishment of JHIA and were continuously hired as employees of JHIA pursuant to the provisions of paragraph (3) of the preceding Article, retired from JHIA during the period from the date of establishment of JHIA until acquiring eligibility to receive unemployment benefits, etc. under the Employment Insurance Act (Act No. 116 of 1974), and who would have been able to receive a retirement allowance pursuant to the provisions of Article 10 of the Act on National Public Officers' Retirement Allowance if the person had remained in service as an employee of the Social Insurance Agency until the day of that retirement.
machine translation, not official
### 第十七条
suppl-4181-83/art-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第十五条第三項の規定により協会の職員として採用された者であって、協会の成立の日の前日において厚生労働大臣又はその委任を受けた者から児童手当法（昭和四十六年法律第七十三号）第七条第一項（同法附則第六条第二項、第七条第五項又は第八条第四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。）の規定による認定を受けているものが、協会の成立の日において児童手当又は同法附則第六条第一項、第七条第一項若しくは第八条第一項の給付（以下この条において「特例給付等」という。）の支給要件に該当するときは、その者に対する児童手当又は特例給付等の支給に関しては、協会の成立の日において同法第七条第一項の規定による市町村長（特別区の区長を含む。以下同じ。）の認定があったものとみなす。この場合において、その認定があったものとみなされた児童手当又は特例給付等の支給は、同法第八条第二項（同法附則第六条第二項、第七条第五項又は第八条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、協会の成立の日の前日の属する月の翌月から始める。
suppl-4181-83/art-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
If a person who was hired as an employee of JHIA pursuant to the provisions of Article 15, paragraph (3) of the Supplementary Provisions and who, on the day preceding the date of establishment of JHIA, has received certification from the Minister of Health, Labour and Welfare or a person delegated by the Minister pursuant to the provisions of Article 7, paragraph (1) of the Child Allowance Act (Act No. 73 of 1971) (including as applied mutatis mutandis pursuant to Article 6, paragraph (2), Article 7, paragraph (5) or Article 8, paragraph (4) of the Supplementary Provisions of that Act; the same applies hereinafter in this Article) meets the requirements for payment of child allowance or the benefits under Article 6, paragraph (1), Article 7, paragraph (1) or Article 8, paragraph (1) of the Supplementary Provisions of that Act (hereinafter referred to as "special benefit, etc." in this Article) on the date of establishment of JHIA, then with regard to payment of child allowance or special benefit, etc. to that person, certification by the mayor of a municipality (including the mayor of a special ward; the same applies hereinafter) pursuant to the provisions of Article 7, paragraph (1) of that Act is deemed to have been given on the date of establishment of JHIA. In this case, payment of the child allowance or special benefit, etc. for which certification is deemed to have been given starts, notwithstanding the provisions of Article 8, paragraph (2) of that Act (including as applied mutatis mutandis pursuant to Article 6, paragraph (2), Article 7, paragraph (5) or Article 8, paragraph (4) of the Supplementary Provisions of that Act), from the month following the month that includes the day preceding the date of establishment of JHIA.
machine translation, not official
### 第十八条
suppl-4181-83/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会の成立の際現に厚生労働省設置法（平成十一年法律第九十七号）第四条第一項第九十四号に掲げる事務に関し国が有する権利及び義務は、政令で定めるものを除き、協会が承継する。
suppl-4181-83/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The rights and obligations that the State holds at the time of the establishment of JHIA in relation to the affairs listed in Article 4, paragraph (1), item (xciv) of the Act for Establishment of the Ministry of Health, Labour and Welfare (Act No. 97 of 1999) are succeeded to by JHIA, except for those specified by Cabinet Order.
machine translation, not official
**第二項** 前項の規定により協会が国の有する権利及び義務を承継したときは、協会に承継される権利に係る資産で政令で定めるものの価額の合計額から、承継される義務に係る負債で政令で定めるものの価額の合計額を差し引いた額に相当する金額は、政令で定めるところにより、政府から協会に対し出資されたものとする。
suppl-4181-83/art-18/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When JHIA has succeeded to the rights and obligations held by the national government pursuant to the preceding paragraph, an amount equivalent to the amount obtained by deducting the total value of the liabilities specified by Cabinet Order pertaining to the obligations to be succeeded to from the total value of the assets specified by Cabinet Order pertaining to the rights to be succeeded to by JHIA is deemed to have been contributed to JHIA by the government, as provided by Cabinet Order.
machine translation, not official
**第三項** 前項の資産の価額は、協会の成立の日現在における時価を基準として評価委員が評価した価額とする。
suppl-4181-83/art-18/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The value of the assets referred to in the preceding paragraph is the value appraised by the appraisal committee members on the basis of the market price as of the day of JHIA's establishment.
machine translation, not official
**第四項** 前項の評価委員その他評価に関し必要な事項は、政令で定める。
suppl-4181-83/art-18/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The appraisal committee members referred to in the preceding paragraph and other matters necessary for appraisal are specified by Cabinet Order.
machine translation, not official
### 第十九条
suppl-4181-83/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前条第一項の規定により協会が権利を承継する場合における当該承継に伴う登記又は登録については、登録免許税を課さない。
suppl-4181-83/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
No registration and license tax is imposed on registration or recording accompanying the succession in the case where JHIA succeeds to rights pursuant to paragraph (1) of the preceding Article.
machine translation, not official
### 第二十条
suppl-4181-83/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会が附則第十八条第一項の規定により不動産に関する権利を承継した場合において、その権利につきなすべき登記の手続については、政令で特例を設けることができる。
suppl-4181-83/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where JHIA has succeeded to rights concerning real estate pursuant to Article 18, paragraph (1) of the Supplementary Provisions, special provisions may be established by Cabinet Order regarding the procedures for registration to be made with respect to those rights.
machine translation, not official
### 第二十一条
suppl-4181-83/art-21 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の日の前日において平成二十年十月改正前健保法第五条第二項に規定する政府が管掌する健康保険（以下「旧政管健保」という。）の被保険者であった者（同日において、その者が平成二十年十月改正前健保法第三十六条各号又は第三十八条第一号から第三号までに掲げる事由に該当する場合を除く。）は、第四条の規定の施行の日において、平成二十年十月改正健保法第五条第二項に規定する全国健康保険協会が管掌する健康保険の被保険者になるものとする。
suppl-4181-83/art-21/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who was an insured person of the health insurance administered by the government prescribed in Article 5, paragraph (2) of the Health Insurance Act Before the October 2008 Amendment (hereinafter referred to as "former government-managed health insurance") on the day before the date of enforcement of the provisions of Article 4 (excluding a person who, on that day, falls under any of the grounds listed in the items of Article 36 or Article 38, items (i) through (iii) of the Health Insurance Act Before the October 2008 Amendment) is to become, on the date of enforcement of the provisions of Article 4, an insured person of the health insurance administered by the Japan Health Insurance Association prescribed in Article 5, paragraph (2) of the Health Insurance Act as Amended in October 2008.
machine translation, not official
### 第二十二条
suppl-4181-83/art-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の日前にその使用される事業所を退職し、同日前に平成二十年十月改正前健保法第三条第四項の規定による申出をしていない者が、第四条の規定の施行の日以後その退職の日から起算して二十日を経過する日（正当な理由があると協会が認めた場合には、その認めた日。次項において同じ。）までの間に当該申出を協会に行ったときは、その者は退職の日の翌日から同条の規定の施行の日の前日までの間は旧政管健保の任意継続被保険者であった者とする。
suppl-4181-83/art-22/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where a person who retired from the place of business where the person was employed before the date of enforcement of the provisions of Article 4, and who had not made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment before that date, makes that application to JHIA on or after the date of enforcement of the provisions of Article 4 by the day on which 20 days have elapsed counting from the day of retirement (if JHIA finds that there are justifiable grounds, the day on which it so finds; the same applies in the following paragraph), that person is to be treated as a person who was an insured person with optional and continued coverage under former government-managed health insurance during the period from the day following the day of retirement to the day before the date of enforcement of the provisions of that Article.
machine translation, not official
**第二項** 第四条の規定の施行の日前にその使用される事業所を退職し、同日の前日に平成二十年十月改正前健保法第三条第四項の規定による申出を社会保険庁長官に行った者（当該申出を退職の日から起算して二十日を経過する日までの間に行った者に限る。）は、退職の日の翌日から第四条の規定の施行の日の前日までの間は旧政管健保の任意継続被保険者であった者とする。
suppl-4181-83/art-22/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who retired from the place of business where the person was employed before the date of enforcement of the provisions of Article 4, and who made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment to the Director-General of the Social Insurance Agency on the day before that date (limited to a person who made that application by the day on which 20 days have elapsed counting from the day of retirement), is to be treated as a person who was an insured person with optional and continued coverage under former government-managed health insurance during the period from the day following the day of retirement to the day before the date of enforcement of the provisions of Article 4.
machine translation, not official
**第三項** 第四条の規定の施行の日の前日において旧政管健保の任意継続被保険者である者（前二項の規定により任意継続被保険者であった者とされた者を含み、同日において平成二十年十月改正前健保法第三十八条第一号から第三号までのいずれかに該当した者を除く。）は、第四条の規定の施行の日において協会が管掌する健康保険の任意継続被保険者になるものとする。この場合において、その者の旧政管健保の当該任意継続被保険者であった期間は、協会が管掌する健康保険の任意継続被保険者であった期間とみなす。
suppl-4181-83/art-22/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who is an insured person with optional and continued coverage under former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 (including a person treated as having been an insured person with optional and continued coverage pursuant to the preceding two paragraphs, but excluding a person who, on that day, fell under any of Article 38, items (i) through (iii) of the Health Insurance Act Before the October 2008 Amendment) is to become, on the date of enforcement of the provisions of Article 4, an insured person with optional and continued coverage under the health insurance administered by JHIA. In this case, the period during which that person was an insured person with optional and continued coverage under former government-managed health insurance is deemed to be a period during which the person was an insured person with optional and continued coverage under the health insurance administered by JHIA.
machine translation, not official
**第四項** 第四条の規定の施行の日の前日において旧政管健保の被保険者（任意継続被保険者を除く。）であった者であって、同日にその使用される事業所を退職し、かつ、同日に平成二十年十月改正前健保法第三条第四項の規定による申出を社会保険庁長官に行ったものは、第四条の規定の施行の日において協会が管掌する健康保険の任意継続被保険者になるものとする。
suppl-4181-83/art-22/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who was an insured person (excluding an insured person with optional and continued coverage) under former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4, and who retired from the place of business where the person was employed on that day and, on that day, made the application under Article 3, paragraph (4) of the Health Insurance Act Before the October 2008 Amendment to the Director-General of the Social Insurance Agency, is to become, on the date of enforcement of the provisions of Article 4, an insured person with optional and continued coverage under the health insurance administered by JHIA.
machine translation, not official
### 第二十三条
suppl-4181-83/art-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の日の前日において健康保険法第百二十三条第一項に規定する政府を保険者とする日雇特例被保険者の保険の被保険者であった者は、第四条の規定の施行の日において平成二十年十月改正健保法第百二十三条第一項の規定による協会を保険者とする日雇特例被保険者の保険の被保険者になるものとする。
suppl-4181-83/art-23/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A person who was an insured person of the insurance for specially-insured day laborers with the government as the insurer prescribed in Article 123, paragraph (1) of the Health Insurance Act on the day before the date of enforcement of the provisions of Article 4 is to become, on the date of enforcement of the provisions of Article 4, an insured person of the insurance for specially-insured day laborers with JHIA as the insurer under Article 123, paragraph (1) of the Health Insurance Act as Amended in October 2008.
machine translation, not official
### 第二十四条
suppl-4181-83/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の日前に社会保険庁長官が健康保険法の規定によってした保険給付は、協会が同法の相当する規定によってした保険給付とみなす。
suppl-4181-83/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Insurance benefits paid by the Director-General of the Social Insurance Agency pursuant to the provisions of the Health Insurance Act before the date of enforcement of the provisions of Article 4 are deemed to be insurance benefits paid by JHIA pursuant to the corresponding provisions of that Act.
machine translation, not official
**第二項** 第四条の規定の施行の日前に給付事由が生じた健康保険法の規定による保険給付のうち同日においてまだ支給していないものについては、協会によって支給するものとする。
suppl-4181-83/art-24/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Of the insurance benefits under the provisions of the Health Insurance Act for which the grounds for benefits arose before the date of enforcement of the provisions of Article 4, those not yet paid on that date are to be paid by JHIA.
machine translation, not official
### 第二十五条
suppl-4181-83/art-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の日前に徴収事由が生じた旧政管健保及び政府を保険者とする日雇特例被保険者の保険の保険料その他平成二十年十月改正前健保法の規定による同日以後の徴収金の徴収については、任意継続被保険者に係るもの及び健康保険法第四章に規定する徴収金（同法第百八十一条第一項に規定する延滞金を含む。）は協会が、それ以外のものは厚生労働大臣が行うものとする。
suppl-4181-83/art-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the collection of insurance premiums for former government-managed health insurance and for the insurance for specially-insured day laborers with the government as the insurer, for which grounds for collection arose before the date of enforcement of the provisions of Article 4, and of other amounts to be collected on or after that date pursuant to the provisions of the Health Insurance Act Before the October 2008 Amendment, the collection of amounts pertaining to insured persons with optional and continued coverage and of amounts to be collected prescribed in Chapter IV of the Health Insurance Act (including the delinquent charges prescribed in Article 181, paragraph (1) of that Act) is to be carried out by JHIA, and the collection of all other amounts is to be carried out by the Minister of Health, Labour and Welfare.
machine translation, not official
### 第二十六条
suppl-4181-83/art-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会の成立の際現に係属している平成二十年十月改正健保法第七条の二第二項及び第三項に規定する協会の業務に関する訴訟事件又は非訟事件であって協会が受け継ぐものについては、政令で定めるところにより、協会を国の利害に関係のある訴訟についての法務大臣の権限等に関する法律（昭和二十二年法律第百九十四号）に規定する国又は行政庁とみなし、同法を適用する。
suppl-4181-83/art-26/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to litigation cases or non-contentious cases concerning the business of JHIA prescribed in Article 7-2, paragraphs (2) and (3) of the Health Insurance Act as Amended in October 2008 that are pending at the time of JHIA's establishment and that JHIA takes over, JHIA is deemed, as provided by Cabinet Order, to be the state or the administrative agency prescribed in the Act on the Authority of the Minister of Justice over Suits Relating to the Interests of the State (Act No. 194 of 1947), and that Act applies.
machine translation, not official
### 第二十七条
suppl-4181-83/art-27 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四条の規定の施行の際現にその名称中に全国健康保険協会という文字を用いている者については、平成二十年十月改正健保法第七条の八の規定は、第四条の規定の施行後六月間は、適用しない。
suppl-4181-83/art-27/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who, at the time of enforcement of the provisions of Article 4, is actually using the words "Japan Health Insurance Association" in its name, the provisions of Article 7-8 of the Health Insurance Act as Amended in October 2008 do not apply for six months after the enforcement of the provisions of Article 4.
machine translation, not official
### 第二十八条
suppl-4181-83/art-28 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会の最初の事業年度は、平成二十年十月改正健保法第七条の二十五の規定にかかわらず、その成立の日に始まり、その後最初の三月三十一日に終わるものとする。
suppl-4181-83/art-28/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Notwithstanding Article 7-25 of the Health Insurance Act as Amended in October 2008, the first business year of JHIA begins on the day of its establishment and ends on the first March 31 thereafter.
machine translation, not official
### 第二十九条
suppl-4181-83/art-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会は、成立後一年内に、平成二十年十月改正健保法第百六十条第二項に規定する都道府県単位保険料率（以下「都道府県単位保険料率」という。）を決定しなければならない。
suppl-4181-83/art-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Within one year after its establishment, JHIA must determine the insurance premium rate for each prefecture prescribed in Article 160, paragraph (2) of the Health Insurance Act as Amended in October 2008 (hereinafter referred to as the "insurance premium rate for each prefecture").
machine translation, not official
**第二項** 協会が都道府県単位保険料率を決定するまでの間は、協会が管掌する健康保険の被保険者の保険料については、第四条の規定の施行の日の前日における旧政管健保の一般保険料率を用いる。
suppl-4181-83/art-29/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until JHIA determines the insurance premium rate for each prefecture, the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 is used for the insurance premiums of insured persons of the health insurance administered by JHIA.
machine translation, not official
**第三項** 協会が都道府県単位保険料率を決定するまでの間は、平成二十年十月改正健保法第百六十八条第一項第一号イに規定する平均保険料率は、第四条の規定の施行の日の前日における旧政管健保の一般保険料率とする。
suppl-4181-83/art-29/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until JHIA determines the insurance premium rate for each prefecture, the average insurance premium rate prescribed in Article 168, paragraph (1), item (i), (a) of the Health Insurance Act as Amended in October 2008 is the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4.
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### 第三十条
suppl-4181-83/art-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 協会の成立後最初の都道府県単位保険料率の決定については、平成二十年十月改正健保法第百六十条第六項から第八項までの規定を準用する。この場合において、同条第六項中「当該変更に係る都道府県」とあるのは「各都道府県」と、同条第七項中「前項の意見を求められた場合のほか、都道府県単位保険料率の変更が必要と認める場合」とあるのは「前項の意見を求められた場合」と読み替えるものとする。
suppl-4181-83/art-30/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the first determination of the insurance premium rate for each prefecture after the establishment of JHIA, the provisions of Article 160, paragraphs (6) through (8) of the Health Insurance Act as Amended in October 2008 apply mutatis mutandis. In this case, the phrase "that prefecture" in paragraph (6) of that Article is deemed to be replaced with "each prefecture", and the phrase "Other than when being asked for an opinion referred to in the preceding paragraph, when the chief of a branch office finds it necessary to change the insurance premium rate for a prefecture" in paragraph (7) of that Article is deemed to be replaced with "When being asked for an opinion referred to in the preceding paragraph".
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### 第三十一条
suppl-4181-83/art-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十年十月改正健保法第百六十条第三項の規定に基づき算定した都道府県単位保険料率のうち、第四条の規定の施行の日の前日における旧政管健保の一般保険料率との率の差が政令で定める基準を上回るものがある場合においては、同項の規定にかかわらず、協会は、成立の日から、被保険者及びその被扶養者の健康の保持増進並びに医療に要する費用の適正化に係る協会の各支部（健康保険法第百六十条第一項に規定する各支部をいう。）の取組の状況を勘案して令和六年三月三十一日までの間において政令で定める日までの間に限り、政令で定めるところにより、都道府県単位保険料率の調整を行い、運営委員会の議を経て、当該算定した都道府県単位保険料率とは異なる都道府県単位保険料率を定めるものとする。
suppl-4181-83/art-31/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Where, among the insurance premium rates for each prefecture calculated pursuant to Article 160, paragraph (3) of the Health Insurance Act as Amended in October 2008, there are any for which the difference from the general insurance premium rate of former government-managed health insurance on the day before the date of enforcement of the provisions of Article 4 exceeds the standard specified by Cabinet Order, notwithstanding that paragraph, JHIA is to, from the day of its establishment and only until the date specified by Cabinet Order within a period ending March 31, 2024, taking into account the status of the efforts of each of its branches (meaning the branches prescribed in Article 160, paragraph (1) of the Health Insurance Act) concerning the maintenance and promotion of the health of insured persons and their dependents and the optimization of expenses required for medical care, adjust the insurance premium rates for each prefecture as provided by Cabinet Order and, following discussion at the management board, determine insurance premium rates for each prefecture that differ from the insurance premium rates for each prefecture so calculated.
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### 第百三十条の二（健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act, etc.
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suppl-4181-83/art-130-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二十六条の規定の施行の際現に同条の規定による改正前の介護保険法（以下この条において「旧介護保険法」という。）第四十八条第一項第三号の指定を受けている旧介護保険法第八条第二十六項に規定する介護療養型医療施設については、第五条の規定による改正前の健康保険法の規定、第九条の規定による改正前の高齢者の医療の確保に関する法律の規定、第十四条の規定による改正前の国民健康保険法の規定、第二十条の規定による改正前の船員保険法の規定、旧介護保険法の規定、附則第五十八条の規定による改正前の国家公務員共済組合法の規定、附則第六十七条の規定による改正前の地方公務員等共済組合法の規定、附則第九十条の規定による改正前の船員職業安定法の規定、附則第九十一条の規定による改正前の生活保護法の規定、附則第九十六条の規定による改正前の船員の雇用の促進に関する特別措置法の規定、附則第百十一条の規定による改正前の高齢者虐待の防止、高齢者の養護者に対する支援等に関する法律の規定及び附則第百十一条の二の規定による改正前の道州制特別区域における広域行政の推進に関する法律の規定（これらの規定に基づく命令の規定を含む。）は、令和六年三月三十一日までの間、なおその効力を有する。
suppl-4181-83/art-130-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Long-Term Care Insurance Act before the amendment by the provisions of Article 26 (hereinafter in this Article referred to as the "Former Long-Term Care Insurance Act") that, at the time of enforcement of the provisions of Article 26, has actually received the designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act, the provisions of the Health Insurance Act before the amendment by the provisions of Article 5, the provisions of the Act on Assurance of Medical Care for Elderly People before the amendment by the provisions of Article 9, the provisions of the National Health Insurance Act before the amendment by the provisions of Article 14, the provisions of the Mariners Insurance Act before the amendment by the provisions of Article 20, the provisions of the Former Long-Term Care Insurance Act, the provisions of the National Public Officers Mutual Aid Association Act before the amendment by the provisions of Article 58 of the Supplementary Provisions, the provisions of the Local Public Officers, etc. Mutual Aid Association Act before the amendment by the provisions of Article 67 of the Supplementary Provisions, the provisions of the Mariners' Employment Security Act before the amendment by the provisions of Article 90 of the Supplementary Provisions, the provisions of the Public Assistance Act before the amendment by the provisions of Article 91 of the Supplementary Provisions, the provisions of the Act on Special Measures concerning Employment Promotion of Mariners before the amendment by the provisions of Article 96 of the Supplementary Provisions, the provisions of the Act on the Prevention of Elder Abuse and Support for Caregivers of Elderly Persons before the amendment by the provisions of Article 111 of the Supplementary Provisions, and the provisions of the Act on Promotion of Wide-Area Administration in Special Zones of the Doshu System before the amendment by the provisions of Article 111-2 of the Supplementary Provisions (including the provisions of orders based on these provisions) remain in force until March 31, 2024.
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**第二項** 前項の規定によりなおその効力を有するものとされた旧介護保険法第四十八条第一項第三号の規定により令和六年三月三十一日までに行われた指定介護療養施設サービスに係る保険給付については、同日後も、なお従前の例による。
suppl-4181-83/art-130-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits pertaining to designated long-term care sanatorium facility services provided by March 31, 2024 pursuant to Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act that is to remain in force pursuant to the provisions of the preceding paragraph, the provisions then in force continue to govern even after that date.
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**第三項** 第二十六条の規定の施行の日前にされた旧介護保険法第百七条第一項の指定の申請であって、第二十六条の規定の施行の際、指定をするかどうかの処分がなされていないものについての当該処分については、なお従前の例による。この場合において、同条の規定の施行の日以後に旧介護保険法第八条第二十六項に規定する介護療養型医療施設について旧介護保険法第四十八条第一項第三号の指定があったときは、第一項の介護療養型医療施設とみなして、同項の規定によりなおその効力を有するものとされた規定を適用する。
suppl-4181-83/art-130-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the disposition on whether or not to grant designation on an application for designation under Article 107, paragraph (1) of the Former Long-Term Care Insurance Act that was filed before the date of enforcement of the provisions of Article 26 and for which no such disposition has been made at the time of enforcement of the provisions of Article 26, the provisions then in force continue to govern. In this case, if, on or after the date of enforcement of the provisions of that Article, designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act is granted to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Former Long-Term Care Insurance Act, it is deemed to be the long-term care sanatorium-type medical facility referred to in paragraph (1), and the provisions that are to remain in force pursuant to that paragraph apply.
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### 第百三十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4181-83/art-131 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下同じ。）の施行前にした行為、この附則の規定によりなお従前の例によることとされる場合及びこの附則の規定によりなおその効力を有することとされる場合におけるこの法律の施行後にした行為並びにこの法律の施行後前条第一項の規定によりなおその効力を有するものとされる同項に規定する法律の規定の失効前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4181-83/art-131/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, each of those provisions; the same applies hereinafter) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions and in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect but before the provisions of the Acts prescribed in paragraph (1) of the preceding Article, which are to remain in force pursuant to the provisions of that paragraph, cease to be effective, the provisions then in force continue to govern.
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### 第百三十二条（処分、手続等に関する経過措置） — Transitional Measures for Dispositions, Procedures, etc.
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suppl-4181-83/art-132 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前に改正前のそれぞれの法律（これに基づく命令を含む。以下この条において同じ。）の規定によってした処分、手続その他の行為であって、改正後のそれぞれの法律の規定に相当の規定があるものは、この附則に別段の定めがあるものを除き、改正後のそれぞれの法律の相当の規定によってしたものとみなす。
suppl-4181-83/art-132/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Dispositions, procedures and other acts carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment (including orders based on it; the same applies hereinafter in this Article), for which there are equivalent provisions in each Act as amended, are deemed, unless otherwise provided for in these Supplementary Provisions, to have been carried out pursuant to the equivalent provisions of each Act as amended.
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**第二項** この法律の施行前に改正前のそれぞれの法律の規定により届出その他の手続をしなければならない事項で、この法律の施行の日前にその手続がされていないものについては、この法律及びこれに基づく命令に別段の定めがあるものを除き、これを、改正後のそれぞれの法律中の相当の規定により手続がされていないものとみなして、改正後のそれぞれの法律の規定を適用する。
suppl-4181-83/art-132/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to matters for which a notification or other procedure must be carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment and for which that procedure has not been carried out before the date on which this Act comes into effect, the provisions of each Act as amended apply by deeming the procedure not to have been carried out pursuant to the equivalent provisions of each Act as amended, unless otherwise provided for in this Act or orders based on it.
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### 第百三十三条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4181-83/art-133 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4181-83/art-133/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一八年六月二一日法律第八四号
suppl-4181-84 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4181-84/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十九年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4181-84/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2007; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 附則第十六条の規定、附則第三十一条の規定及び附則第三十二条の規定 公布の日
suppl-4181-84/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 16, the provisions of Article 31 and the provisions of Article 32 of the Supplementary Provisions: the date of promulgation;
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**二** 第一条の規定、附則第三条第一項から第三項までの規定及び附則第十七条の規定中健康保険法（大正十一年法律第七十号）第六十五条第二項の改正規定 平成十九年一月一日
suppl-4181-84/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1, the provisions of Article 3, paragraphs (1) through (3) of the Supplementary Provisions, and, among the provisions of Article 17 of the Supplementary Provisions, the provisions amending Article 65, paragraph (2) of the Health Insurance Act (Act No. 70 of 1922): January 1, 2007.
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### 第三十一条（罰則の適用に関する経過措置） — Transitional Measures Concerning the Application of Penal Provisions
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suppl-4181-84/art-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定）の施行前にした行為並びにこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為及びこの附則の規定によりなお効力を有することとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4181-84/art-31/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect in the cases where the provisions remain in effect pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第三十二条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4181-84/art-32 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から第十六条まで及び前条に定めるもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4181-84/art-32/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Articles 3 through 16 and the preceding Article of the Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一八年一二月二〇日法律第一一六号
suppl-4181-116 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日等） — Effective Date, etc.
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suppl-4181-116/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月を超えない範囲内において政令で定める日から施行する。
suppl-4181-116/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day specified by Cabinet Order within a period not exceeding six months from the date of promulgation.
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## 附 則 平成一九年三月三一日法律第二三号
suppl-4191-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-23/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十九年四月一日から施行し、平成十九年度の予算から適用する。
suppl-4191-23/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2007, and applies from the budget for fiscal year 2007.
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### 第三百九十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4191-23/art-391 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4191-23/art-391/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第三百九十二条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4191-23/art-392 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第二条から第六十五条まで、第六十七条から第二百五十九条まで及び第三百八十二条から前条までに定めるもののほか、この法律の施行に関し必要となる経過措置は、政令で定める。
suppl-4191-23/art-392/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 2 through Article 65, Article 67 through Article 259, and Article 382 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一九年三月三一日法律第二六号
suppl-4191-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-26/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成十九年四月一日から施行する。
suppl-4191-26/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2007.
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## 附 則 平成一九年四月二三日法律第三〇号
suppl-4191-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-30/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4191-30/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一から二まで** 略
suppl-4191-30/art-1/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted;
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**三** 第二条、第四条、第六条及び第八条並びに附則第二十七条、第二十八条、第二十九条第一項及び第二項、第三十条から第五十条まで、第五十四条から第六十条まで、第六十二条、第六十四条、第六十五条、第六十七条、第六十八条、第七十一条から第七十三条まで、第七十七条から第八十条まで、第八十二条、第八十四条、第八十五条、第九十条、第九十四条、第九十六条から第百条まで、第百三条、第百十五条から第百十八条まで、第百二十条、第百二十一条、第百二十三条から第百二十五条まで、第百二十八条、第百三十条から第百三十四条まで、第百三十七条、第百三十九条及び第百三十九条の二の規定 日本年金機構法の施行の日
suppl-4191-30/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 2, 4, 6 and 8, and Article 27, Article 28, Article 29, paragraphs (1) and (2), Articles 30 through 50, Articles 54 through 60, Article 62, Article 64, Article 65, Article 67, Article 68, Articles 71 through 73, Articles 77 through 80, Article 82, Article 84, Article 85, Article 90, Article 94, Articles 96 through 100, Article 103, Articles 115 through 118, Article 120, Article 121, Articles 123 through 125, Article 128, Articles 130 through 134, Article 137, Article 139 and Article 139-2 of the Supplementary Provisions: the date on which the Japan Pension Organization Act comes into effect.
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### 第百四十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4191-30/art-141 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下この項において同じ。）の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4191-30/art-141/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to an act committed before the enforcement of this Act (with respect to the provisions listed in the items of Article 1 of the Supplementary Provisions, the respective provisions concerned; the same applies hereinafter in this paragraph), and to an act committed after the enforcement of this Act in the case where the provisions then in force are to continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第百四十三条（政令への委任） — Delegation to Cabinet Order
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suppl-4191-30/art-143 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4191-30/art-143/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一九年六月一三日法律第八五号
suppl-4191-85 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-85/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4191-85/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一及び二** 略
suppl-4191-85/art-1/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted;
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**三** 附則第二十六条から第六十条まで及び第六十二条から第六十五条までの規定 平成二十年十月一日
suppl-4191-85/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 26 through 60 and Articles 62 through 65 of the Supplementary Provisions: October 1, 2008.
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## 附 則 平成一九年七月六日法律第一〇九号
suppl-4191-109 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-109/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十二年四月一日までの間において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4191-109/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period ending on April 1, 2010; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items:
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**一** 附則第三条から第六条まで、第八条、第九条、第十二条第三項及び第四項、第二十九条並びに第三十六条の規定、附則第六十三条中健康保険法等の一部を改正する法律（平成十八年法律第八十三号）附則第十八条第一項の改正規定、附則第六十四条中特別会計に関する法律（平成十九年法律第二十三号）附則第二十三条第一項、第六十七条第一項及び第百九十一条の改正規定並びに附則第六十六条及び第七十五条の規定 公布の日
suppl-4191-109/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3 to Article 6, Article 8, Article 9, Article 12, paragraphs (3) and (4), Article 29, and Article 36 of the Supplementary Provisions, the provision amending Article 18, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (Act No. 83 of 2006) in Article 63 of the Supplementary Provisions, the provisions amending Article 23, paragraph (1), Article 67, paragraph (1), and Article 191 of the Supplementary Provisions of the Act on Special Accounts (Act No. 23 of 2007) in Article 64 of the Supplementary Provisions, and the provisions of Article 66 and Article 75 of the Supplementary Provisions: the date of promulgation;
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**二** 附則第二十二条、第二十四条、第二十六条から第二十八条まで及び第三十条の規定、附則第四十四条中国民健康保険法第百九条及び第百十九条の二の改正規定並びに附則第七十一条の規定 平成二十年十月一日
suppl-4191-109/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 22, Article 24, Articles 26 through 28 and Article 30 of the Supplementary Provisions, the provisions amending Articles 109 and 119-2 of the National Health Insurance Act in Article 44 of the Supplementary Provisions, and the provisions of Article 71 of the Supplementary Provisions: October 1, 2008.
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### 第七十三条（処分、申請等に関する経過措置） — Transitional Measures Concerning Dispositions, Applications, Etc.
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suppl-4191-109/art-73 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下同じ。）の施行前に法令の規定により社会保険庁長官、地方社会保険事務局長又は社会保険事務所長（以下「社会保険庁長官等」という。）がした裁定、承認、指定、認可その他の処分又は通知その他の行為は、法令に別段の定めがあるもののほか、この法律の施行後は、この法律の施行後の法令の相当規定に基づいて、厚生労働大臣、地方厚生局長若しくは地方厚生支局長又は機構（以下「厚生労働大臣等」という。）がした裁定、承認、指定、認可その他の処分又は通知その他の行為とみなす。
suppl-4191-109/art-73/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A determination, approval, designation, authorization, or other disposition, or notification or other act, made before this Act (or, for the provisions listed in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter) comes into effect, by the Director-General of the Social Insurance Agency, the director of a Regional Social Insurance Bureau, or the head of a Social Insurance Office (hereinafter referred to as the "Director-General of the Social Insurance Agency, etc.") under the provisions of laws and regulations, is, except as otherwise provided by laws and regulations, deemed, after this Act comes into effect, to be a determination, approval, designation, authorization, or other disposition, or notification or other act, made by the Minister of Health, Labour and Welfare, the chief of a regional bureau of health and welfare, a branch manager of a regional bureau of health and welfare, or JPS (hereinafter referred to as the "Minister of Health, Labour and Welfare, etc."), based on the corresponding provisions of laws and regulations after this Act comes into effect.
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**第二項** この法律の施行の際現に法令の規定により社会保険庁長官等に対してされている申請、届出その他の行為は、法令に別段の定めがあるもののほか、この法律の施行後は、この法律の施行後の法令の相当規定に基づいて、厚生労働大臣等に対してされた申請、届出その他の行為とみなす。
suppl-4191-109/art-73/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An application, notification, or other act made to the Director-General of the Social Insurance Agency, etc. under the provisions of laws and regulations that is in effect at the time this Act comes into effect is, except as otherwise provided by laws and regulations, deemed, after this Act comes into effect, to be an application, notification, or other act made to the Minister of Health, Labour and Welfare, etc., based on the corresponding provisions of laws and regulations after this Act comes into effect.
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**第三項** この法律の施行前に法令の規定により社会保険庁長官等に対し報告、届出、提出その他の手続をしなければならないとされている事項で、施行日前にその手続がされていないものについては、法令に別段の定めがあるもののほか、この法律の施行後は、これを、この法律の施行後の法令の相当規定により厚生労働大臣等に対して、報告、届出、提出その他の手続をしなければならないとされた事項についてその手続がされていないものとみなして、この法律の施行後の法令の規定を適用する。
suppl-4191-109/art-73/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a matter for which a report, notification, submission, or other procedure is required to be made to the Director-General of the Social Insurance Agency, etc. under the provisions of laws and regulations before this Act comes into effect, and for which that procedure has not been made before the Effective Date, the provisions of laws and regulations after this Act comes into effect apply, except as otherwise provided by laws and regulations, by deeming it, after this Act comes into effect, to be a matter for which a report, notification, submission, or other procedure is required to be made to the Minister of Health, Labour and Welfare, etc. under the corresponding provisions of laws and regulations after this Act comes into effect, and for which that procedure has not been made.
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**第四項** なお従前の例によることとする法令の規定により、社会保険庁長官等がすべき裁定、承認、指定、認可その他の処分若しくは通知その他の行為又は社会保険庁長官等に対してすべき申請、届出その他の行為については、法令に別段の定めがあるもののほか、この法律の施行後は、この法律の施行後の法令の規定に基づく権限又は権限に係る事務の区分に応じ、それぞれ、厚生労働大臣等がすべきものとし、又は厚生労働大臣等に対してすべきものとする。
suppl-4191-109/art-73/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a determination, approval, designation, authorization, or other disposition, or notification or other act, to be made by the Director-General of the Social Insurance Agency, etc., or an application, notification, or other act to be made to the Director-General of the Social Insurance Agency, etc., under the provisions of laws and regulations for which the provisions then in force continue to govern, the Minister of Health, Labour and Welfare, etc. is, except as otherwise provided by laws and regulations, after this Act comes into effect, to make it, or it is to be made to the Minister of Health, Labour and Welfare, etc., respectively, according to the classification of the authority, or of affairs pertaining to the authority, based on the provisions of laws and regulations after this Act comes into effect.
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### 第七十四条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4191-109/art-74 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4191-109/art-74/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第七十五条（政令への委任） — Delegation to Cabinet Order
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suppl-4191-109/art-75 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4191-109/art-75/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary for the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一九年七月六日法律第一一〇号
suppl-4191-110 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-110/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十年四月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4191-110/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2008; provided, however, that the provisions listed in the following items come into effect as of the date specified in the relevant item:
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**一** 第一条、第六条、第十三条、第十六条及び第十九条並びに附則第二十三条、第二十五条、第二十七条及び第二十八条の規定 公布の日
suppl-4191-110/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1, Article 6, Article 13, Article 16 and Article 19, and Article 23, Article 25, Article 27 and Article 28 of the Supplementary Provisions: the date of promulgation;
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**二及び三** 略
suppl-4191-110/art-1/par-1/item-2-to-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted;
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**四** 第八条、第十八条及び第二十条から第二十三条まで並びに附則第七条から第九条まで、第十三条、第十六条及び第二十四条の規定 平成二十一年四月一日
suppl-4191-110/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 8, Article 18, and Article 20 to Article 23, and Article 7 to Article 9, Article 13, Article 16 and Article 24 of the Supplementary Provisions: April 1, 2009.
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### 第二条（検討） — Review
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suppl-4191-110/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後五年を目途として、この法律の施行の状況等を勘案し、この法律により改正された国民年金法等の規定に基づく規制の在り方について検討を加え、必要があると認めるときは、その結果に基づいて必要な措置を講ずるものとする。
suppl-4191-110/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of five years after this Act comes into effect, taking into consideration the state of enforcement of this Act and other circumstances, review the manner of the regulations based on the provisions of the National Pension Act, etc. as amended by this Act, and, when it finds it necessary, is to take the necessary measures based on the results of that review.
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### 第七条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4191-110/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二十一条の規定による改正後の健康保険法第六十五条及び第八十九条並びに附則第九条の規定は、第二十一条の規定の施行の日前に受けた滞納処分については、適用しない。
suppl-4191-110/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 65 and 89 of the Health Insurance Act and Article 9 of the Supplementary Provisions of that Act, as amended by the provisions of Article 21, do not apply to a disposition for delinquency received before the date of enforcement of the provisions of Article 21.
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### 第二十七条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4191-110/art-27 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。次条において同じ。）の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4191-110/art-27/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to an act committed before this Act (or, for the provisions listed in the items of Article 1 of the Supplementary Provisions, those provisions; the same applies in the following Article) comes into effect, the provisions then in force continue to govern.
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### 第二十八条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4191-110/art-28 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4191-110/art-28/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成一九年七月六日法律第一一一号
suppl-4191-111 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4191-111/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-4191-111/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 平成二〇年五月二八日法律第四二号
suppl-4201-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4201-42/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年を超えない範囲内において政令で定める日から施行する。
suppl-4201-42/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding 1 year from the date of promulgation.
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## 附 則 平成二一年五月一日法律第三六号
suppl-4211-36 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4211-36/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十二年一月一日から施行する。
suppl-4211-36/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 2010.
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### 第二条（適用区分） — Categories of Application
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suppl-4211-36/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律による改正後の厚生年金保険法第八十七条第一項及び附則第十七条の十四並びに公的年金制度の健全性及び信頼性の確保のための厚生年金保険法等の一部を改正する法律（平成二十五年法律第六十三号。以下「平成二十五年改正法」という。）附則第五条第一項の規定によりなおその効力を有するものとされた平成二十五年改正法第一条の規定による改正前の厚生年金保険法第百四十一条第一項において準用する平成二十五年改正法第一条の規定による改正前の厚生年金保険法第八十七条第一項（厚生年金保険の保険給付及び保険料の納付の特例等に関する法律（平成十九年法律第百三十一号。以下「厚生年金特例法」という。）第二条第八項、平成二十五年改正法附則第百四十一条第一項の規定によりなおその効力を有するものとされた平成二十五年改正法附則第百四十条の規定による改正前の厚生年金特例法第五条第八項若しくは平成二十五年改正法附則第百四十一条第二項の規定によりなおその効力を有するものとされた平成二十五年改正法附則第百四十条の規定による改正前の厚生年金特例法第八条第八項又は児童手当法（昭和四十六年法律第七十三号）第二十二条第一項の規定に基づきこれらの規定の例によることとされる場合を含む。）、国民年金法第九十七条第一項（第百三十四条の二第一項において準用する場合を含む。）及び附則第九条の二の五、国家公務員共済組合法附則第二十条の九第四項及び第五項、地方公務員等共済組合法第百四十四条の十三第三項及び附則第三十四条の二、私立学校教職員共済法第三十条第三項及び附則第三十五項、石炭鉱業年金基金法第二十二条第一項において準用する厚生年金保険法第八十七条第一項及び附則第十七条の十四、厚生年金保険制度及び農林漁業団体職員共済組合制度の統合を図るための農林漁業団体職員共済組合法等を廃止する等の法律（以下「平成十三年統合法」という。）附則第五十七条第四項において準用する厚生年金保険法第八十七条第一項及び附則第十七条の十四、独立行政法人農業者年金基金法第五十六条第一項及び附則第三条の二、健康保険法第百八十一条第一項及び附則第九条、船員保険法第百三十三条第一項及び附則第十条、労働保険の保険料の徴収等に関する法律（以下「徴収法」という。）第二十八条第一項及び附則第十二条、失業保険法及び労働者災害補償保険法の一部を改正する法律及び労働保険の保険料の徴収等に関する法律の施行に伴う関係法律の整備等に関する法律（以下「整備法」という。）第十九条第三項において準用する徴収法第二十八条第一項及び附則第十二条並びに石綿による健康被害の救済に関する法律（以下「石綿健康被害救済法」という。）第三十八条第一項において準用する徴収法第二十八条第一項及び附則第十二条の規定は、それぞれ、この法律の施行の日以後に納期限又は納付期限の到来する厚生年金保険の保険料及び平成二十五年改正法附則第三条第十二号に規定する厚生年金基金の掛金（平成二十五年改正法附則第五条第一項の規定によりなおその効力を有するものとされた平成二十五年改正法第一条の規定による改正前の厚生年金保険法第百四十条第一項の規定による徴収金を含む。）、厚生年金特例法第二条第二項に規定する特例納付保険料、平成二十五年改正法附則第百四十一条第一項の規定によりなおその効力を有するものとされた平成二十五年改正法附則第百四十条の規定による改正前の厚生年金特例法第四条第一項に規定する未納掛金に相当する額及び平成二十五年改正法附則第百四十一条第二項の規定によりなおその効力を有するものとされた平成二十五年改正法附則第百四十条の規定による改正前の厚生年金特例法第八条第二項に規定する特例掛金、児童手当法第二十条第一項の拠出金、国民年金の保険料及び国民年金基金の掛金、国家公務員共済組合法附則第二十条の四第一項に規定する日本郵政共済組合に払い込むべき掛金及び負担金、地方公務員等共済組合法第百四十四条の三第一項に規定する団体が納付すべき掛金及び負担金、私立学校教職員共済法の規定による掛金、石炭鉱業年金基金の掛金、平成十三年統合法附則第五十七条第一項に規定する特例業務負担金、農業者年金の保険料、健康保険の保険料、船員保険の保険料、徴収法第十条第二項に規定する労働保険料、整備法第十九条第一項の特別保険料並びに石綿健康被害救済法第三十七条第一項に規定する一般拠出金（以下「保険料等」という。）に係る延滞金について適用し、同日前に納期限又は納付期限の到来する保険料等に係る延滞金については、なお従前の例による。
suppl-4211-36/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 87, paragraph (1) and Article 17-14 of the Supplementary Provisions of the Employees' Pension Insurance Act as amended by this Act, the provisions of Article 87, paragraph (1) of the Employees' Pension Insurance Act before the amendment by the provisions of Article 1 of the Act Partially Amending the Employees' Pension Insurance Act, etc. to Ensure the Soundness and Reliability of the Public Pension System (Act No. 63 of 2013; hereinafter referred to as the "2013 Amendment Act") as applied mutatis mutandis pursuant to Article 141, paragraph (1) of the Employees' Pension Insurance Act before the amendment by the provisions of Article 1 of the 2013 Amendment Act, which is to remain in force pursuant to Article 5, paragraph (1) of the Supplementary Provisions of the 2013 Amendment Act (including the cases where the example of those provisions is to be followed pursuant to the provisions of Article 2, paragraph (8) of the Act on Special Provisions for Insurance Benefit and Insurance Premium Payment in Relation to Employee's Pension Insurance (Act No. 131 of 2007; hereinafter referred to as the "Employees' Pension Special Provisions Act"), Article 5, paragraph (8) of the Employees' Pension Special Provisions Act before the amendment by the provisions of Article 140 of the Supplementary Provisions of the 2013 Amendment Act, which is to remain in force pursuant to Article 141, paragraph (1) of the Supplementary Provisions of the 2013 Amendment Act, or Article 8, paragraph (8) of the Employees' Pension Special Provisions Act before the amendment by the provisions of Article 140 of the Supplementary Provisions of the 2013 Amendment Act, which is to remain in force pursuant to Article 141, paragraph (2) of the Supplementary Provisions of the 2013 Amendment Act, or Article 22, paragraph (1) of the Child Allowance Act (Act No. 73 of 1971)), Article 97, paragraph (1) of the National Pension Act (including as applied mutatis mutandis pursuant to Article 134-2, paragraph (1) of that Act) and Article 9-2-5 of the Supplementary Provisions of that Act, Article 20-9, paragraphs (4) and (5) of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act, Article 144-13, paragraph (3) of the Local Public Officers, etc. Mutual Aid Association Act and Article 34-2 of the Supplementary Provisions of that Act, Article 30, paragraph (3) of the Private School Personnel Mutual Aid Association Act and paragraph (35) of the Supplementary Provisions of that Act, Article 87, paragraph (1) and Article 17-14 of the Supplementary Provisions of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 22, paragraph (1) of the Coal Mining Pension Fund Act, Article 87, paragraph (1) and Article 17-14 of the Supplementary Provisions of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 57, paragraph (4) of the Supplementary Provisions of the Act to Abolish the Mutual Aid Association Act for Employees of Agricultural, Forestry and Fishery Organizations, etc. for the Integration of the Employees' Pension Insurance System and the Mutual Aid Association System for Employees of Agricultural, Forestry and Fishery Organizations (hereinafter referred to as the "2001 Integration Act"), Article 56, paragraph (1) and Article 3-2 of the Supplementary Provisions of the Act on the Farmers Pension Fund, Independent Administrative Agency, Article 181, paragraph (1) and Article 9 of the Supplementary Provisions of the Health Insurance Act, Article 133, paragraph (1) and Article 10 of the Supplementary Provisions of the Mariners Insurance Act, Article 28, paragraph (1) and Article 12 of the Supplementary Provisions of the Act on the Collection, etc. of Insurance Premiums of Labor Insurance (hereinafter referred to as the "Labor Insurance Premium Collection Act"), Article 28, paragraph (1) and Article 12 of the Supplementary Provisions of the Labor Insurance Premium Collection Act as applied mutatis mutandis pursuant to Article 19, paragraph (3) of the Act on the Re-arrangement of Relevant Acts Necessitated by the Enforcement of the Unemployment Insurance Act, the Act for Partially Revising the Workers' Accident Compensation Insurance Act and the Act on the Collection, etc. of the Insurance Premiums of Labor Insurance (hereinafter referred to as the "Arrangement Act"), and Article 28, paragraph (1) and Article 12 of the Supplementary Provisions of the Labor Insurance Premium Collection Act as applied mutatis mutandis pursuant to Article 38, paragraph (1) of the Act on Asbestos Health Damage Relief (hereinafter referred to as the "Asbestos Health Damage Relief Act"), apply, respectively, to delinquent charges on any of the following whose due date or payment deadline arrives on or after the date of enforcement of this Act, namely, Employees' Pension Insurance Act premiums and the contributions of the employees' pension funds prescribed in Article 3, item (xii) of the Supplementary Provisions of the 2013 Amendment Act (including the money collected pursuant to Article 140, paragraph (1) of the Employees' Pension Insurance Act before the amendment by the provisions of Article 1 of the 2013 Amendment Act, which is to remain in force pursuant to Article 5, paragraph (1) of the Supplementary Provisions of the 2013 Amendment Act), the special payment premiums prescribed in Article 2, paragraph (2) of the Employees' Pension Special Provisions Act, the amount equivalent to the unpaid contributions prescribed in Article 4, paragraph (1) of the Employees' Pension Special Provisions Act before the amendment by the provisions of Article 140 of the Supplementary Provisions of the 2013 Amendment Act, which is to remain in force pursuant to Article 141, paragraph (1) of the Supplementary Provisions of the 2013 Amendment Act, and the special contributions prescribed in Article 8, paragraph (2) of the Employees' Pension Special Provisions Act before the amendment by the provisions of Article 140 of the Supplementary Provisions of the 2013 Amendment Act, which is to remain in force pursuant to Article 141, paragraph (2) of the Supplementary Provisions of the 2013 Amendment Act, the levies under Article 20, paragraph (1) of the Child Allowance Act, National Pension premiums and National Pension Fund contributions, the contributions and charges to be paid to the Japan Post Mutual Aid Association prescribed in Article 20-4, paragraph (1) of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act, the contributions and charges to be paid by the organizations prescribed in Article 144-3, paragraph (1) of the Local Public Officers, etc. Mutual Aid Association Act, the contributions under the provisions of the Private School Personnel Mutual Aid Association Act, the contributions of the Coal Mining Pension Fund, the special operations charges prescribed in Article 57, paragraph (1) of the Supplementary Provisions of the 2001 Integration Act, farmers' pension premiums, health insurance premiums, Mariners Insurance premiums, the labor insurance premiums prescribed in Article 10, paragraph (2) of the Labor Insurance Premium Collection Act, the special insurance premiums under Article 19, paragraph (1) of the Arrangement Act, and the general levies prescribed in Article 37, paragraph (1) of the Asbestos Health Damage Relief Act (hereinafter referred to as "insurance premiums, etc."), and the provisions then in force continue to govern delinquent charges on insurance premiums, etc. for which the due date or payment deadline arrives before that date.
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### 第八条（調整規定） — Adjustment Provisions
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suppl-4211-36/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律及び日本年金機構法又は雇用保険法等の一部を改正する法律（平成十九年法律第三十号）に同一の法律の規定についての改正規定がある場合において、当該改正規定が同一の日に施行されるときは、当該法律の規定は、日本年金機構法又は雇用保険法等の一部を改正する法律によってまず改正され、次いでこの法律によって改正されるものとする。
suppl-4211-36/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
If this Act and the Japan Pension Organization Act or the Act Partially Amending the Employment Insurance Act, etc. (Act No. 30 of 2007) each contain a provision amending the same provision of a law, and those amending provisions come into effect on the same day, the provisions of that law are to be amended first by the Japan Pension Organization Act or the Act Partially Amending the Employment Insurance Act, etc., and then amended by this Act.
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## 附 則 平成二一年七月一日法律第六五号
suppl-4211-65 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4211-65/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年を超えない範囲内において政令で定める日から施行する。
suppl-4211-65/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding 1 year from the date of promulgation.
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## 附 則 平成二二年三月三一日法律第一五号
suppl-4221-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4221-15/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十二年四月一日から施行する。ただし、第一条中雇用保険法第十条の四第三項及び第十四条第二項の改正規定並びに同法第二十二条に一項を加える改正規定、第二条の規定（労働保険の保険料の徴収等に関する法律附則第十一条の改正規定を除く。）並びに附則第四条の規定、附則第五条の規定（労働者災害補償保険法（昭和二十二年法律第五十号）第三十一条第二項ただし書の改正規定を除く。）、附則第六条及び第九条から第十二条までの規定は、公布の日から起算して九月を超えない範囲内において政令で定める日から施行する。
suppl-4221-15/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2010; provided, however, that the provisions revising Article 10-4, paragraph (3) and Article 14, paragraph (2) of the Employment Insurance Act and the provisions adding one paragraph to Article 22 of that Act in Article 1, the provisions of Article 2 (excluding the provisions revising Article 11 of the Supplementary Provisions of the Act on the Collection, etc. of Insurance Premiums of Labor Insurance), and the provisions of Article 4 of the Supplementary Provisions, the provisions of Article 5 of the Supplementary Provisions (excluding the provisions revising the proviso to Article 31, paragraph (2) of the Industrial Accident Compensation Insurance Act (Act No. 50 of 1947)), and the provisions of Article 6 and Article 9 through Article 12 of the Supplementary Provisions come into effect as of the date specified by Cabinet Order within a period not exceeding nine months from the date of promulgation.
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### 第十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4221-15/art-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4221-15/art-13/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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## 附 則 平成二二年三月三一日法律第一九号
suppl-4221-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4221-19/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十二年四月一日から施行する。ただし、附則第二十条の規定は、公布の日から施行する。
suppl-4221-19/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2010; provided, however, that the provisions of Article 20 of the Supplementary Provisions come into effect on the date of promulgation.
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### 第二十条（政令への委任） — Delegation to Cabinet Order
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suppl-4221-19/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4221-19/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二二年五月一九日法律第三五号
suppl-4221-35 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4221-35/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、第一条中国民健康保険法第九条第六項、第十項及び第十一項の改正規定、同法第二十二条の改正規定、同法附則第二十一条の次に一条を加える改正規定、同法附則第二十二条の改正規定並びに同条の次に一条を加える改正規定、第二条中健康保険法附則第五条の次に一条を加える改正規定並びに第三条中高齢者の医療の確保に関する法律附則第十三条の次に五条を加える改正規定（同法附則第十三条の六に係る部分を除く。）及び同法附則第十四条の次に三条を加える改正規定（同法附則第十四条の二に係る部分を除く。）並びに附則第七条から第十七条までの規定は、平成二十二年七月一日から施行する。
suppl-4221-35/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions revising Article 9, paragraphs (6), (10) and (11) of the National Health Insurance Act, the provisions revising Article 22 of that Act, the provisions adding one Article after Article 21 of the Supplementary Provisions of that Act, the provisions revising Article 22 of the Supplementary Provisions of that Act, and the provisions adding one Article after that Article, in Article 1, the provisions adding one Article after Article 5 of the Supplementary Provisions of the Health Insurance Act in Article 2, the provisions adding five Articles after Article 13 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People in Article 3 (excluding the part pertaining to Article 13-6 of the Supplementary Provisions of that Act) and the provisions adding three Articles after Article 14 of the Supplementary Provisions of that Act (excluding the part pertaining to Article 14-2 of the Supplementary Provisions of that Act), and the provisions of Articles 7 through 17 of the Supplementary Provisions, come into effect on July 1, 2010.
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### 第二条（検討） — Review
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suppl-4221-35/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、第二条の規定による改正後の健康保険法（以下「改正後健保法」という。）附則第五条及び第五条の二（国庫補助率に係る部分に限る。）の規定について、全国健康保険協会が管掌する健康保険の財政状況、高齢者の医療に要する費用の負担の在り方についての検討の状況、国の財政状況その他の社会経済情勢の変化等を勘案し、平成二十四年度までの間に検討を行い、必要があると認めるときは、所要の措置を講ずるものとする。
suppl-4221-35/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the provisions of Article 5 and Article 5-2 (limited to the part pertaining to the national subsidy rate) of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 2 (hereinafter referred to as the "Amended Health Insurance Act"), the government is to conduct a review during the period until fiscal year 2012, taking into account changes in the socioeconomic situation, etc., such as the financial status of the health insurance administered by the Japan Health Insurance Association, the status of the review of how costs required for medical care of elderly people should be shared, and the financial status of the national government, and, if it finds it necessary, take required measures.
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### 第七条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-4221-35/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十二年度における改正後健保法附則第五条の二の規定により読み替えられた改正後健保法附則第五条及び改正後健保法附則第五条の二の規定により読み替えられた改正後健保法第百五十三条第一項の規定により補助する額は、同項の規定にかかわらず、同項の規定により算定される額の十二分の八に相当する額と同年度において改正後健保法附則第五条の二の規定の適用がないものとして改正後健保法附則第五条の規定により読み替えられた改正後健保法第百五十三条第一項の規定を適用するとしたならば同項の規定により算定されることとなる額の十二分の四に相当する額との合計額とする。
suppl-4221-35/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, and of Article 153, paragraph (1) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 153, paragraph (1) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.
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### 第八条
suppl-4221-35/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十二年度における改正後健保法附則第五条の二の規定により読み替えられた、改正後健保法附則第四条の四の規定により読み替えられた改正後健保法第百五十三条第二項の規定により補助する額は、同項の規定にかかわらず、同項の規定により算定される額の十二分の八に相当する額と同年度において改正後健保法附則第五条の二の規定の適用がないものとして改正後健保法附則第四条の四の規定により読み替えられた改正後健保法第百五十三条第二項の規定を適用するとしたならば同項の規定により算定されることとなる額の十二分の四に相当する額との合計額とする。
suppl-4221-35/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 153, paragraph (2) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 153, paragraph (2) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.
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### 第九条
suppl-4221-35/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十二年度における改正後健保法附則第五条の二の規定により読み替えられた改正後健保法附則第五条及び改正後健保法附則第五条の二の規定により読み替えられた改正後健保法第百五十四条第一項の規定により補助する額は、同項の規定にかかわらず、同項の規定により算定される額の十二分の八に相当する額と同年度において改正後健保法附則第五条の二の規定の適用がないものとして改正後健保法附則第五条の規定により読み替えられた改正後健保法第百五十四条第一項の規定を適用するとしたならば同項の規定により算定されることとなる額の十二分の四に相当する額との合計額とする。
suppl-4221-35/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, and of Article 154, paragraph (1) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 154, paragraph (1) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.
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### 第二十二条（政令への委任） — Delegation to Cabinet Order
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suppl-4221-35/art-22 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4221-35/art-22/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二三年三月三一日法律第一四号
suppl-4231-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-14/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十三年四月一日（この法律の公布の日が同月一日後となる場合には、公布の日）から施行する。
suppl-4231-14/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2011 (or, where the date of promulgation of this Act is after April 1, 2011, the date of promulgation).
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## 附 則 平成二三年六月二二日法律第七〇号
suppl-4231-70 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-70/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十四年四月一日から施行する。ただし、次条の規定は公布の日から、附則第十七条の規定は地域の自主性及び自立性を高めるための改革の推進を図るための関係法律の整備に関する法律（平成二十三年法律第百五号）の公布の日又はこの法律の公布の日のいずれか遅い日から施行する。
suppl-4231-70/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2012; provided, however, that the provisions of the following Article come into effect on the date of promulgation, and the provisions of Article 17 of the Supplementary Provisions come into effect on the date of promulgation of the Act on the Development of Related Acts for the Promotion of Reforms to Enhance Regional Autonomy and Independence (Act No. 105 of 2011) or the date of promulgation of this Act, whichever is later.
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## 附 則 平成二三年六月二二日法律第七二号
suppl-4231-72 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-72/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十四年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4231-72/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2012; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 第二条（老人福祉法目次の改正規定、同法第四章の二を削る改正規定、同法第四章の三を第四章の二とする改正規定及び同法第四十条第一号の改正規定（「第二十八条の十二第一項若しくは」を削る部分に限る。）に限る。）、第四条、第六条及び第七条の規定並びに附則第九条、第十一条、第十五条、第二十二条、第四十一条、第四十七条（東日本大震災に対処するための特別の財政援助及び助成に関する法律（平成二十三年法律第四十号）附則第一条ただし書の改正規定及び同条各号を削る改正規定並びに同法附則第十四条の改正規定に限る。）及び第五十条から第五十二条までの規定 公布の日
suppl-4231-72/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2 (limited to the provisions amending the table of contents of the Act on Social Welfare for the Elderly, deleting Chapter IV-2 of that Act, renumbering Chapter IV-3 of that Act as Chapter IV-2, and amending Article 40, item (i) of that Act (limited to the part deleting "Article 28-12, paragraph (1) or")), Articles 4, 6, and 7, and the provisions of Articles 9, 11, 15, 22, 41, 47 (limited to the provisions amending the proviso to Article 1 of the Supplementary Provisions of the Act on Special Financial Support and Subsidies to Deal with the Great East Japan Earthquake (Act No. 40 of 2011), deleting the items of that Article, and amending Article 14 of the Supplementary Provisions of that Act), and 50 through 52 of the Supplementary Provisions: the date of promulgation.
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### 第二条（検討） — Review
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suppl-4231-72/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後五年を目途として、この法律の規定による改正後の規定の施行の状況について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4231-72/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When approximately five years have passed after this Act comes into effect, the government is to review the status of enforcement of the provisions as amended by the provisions of this Act and, if it finds it necessary, is to take the required measures based on the results.
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### 第五十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4231-72/art-51 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条第一号に掲げる規定にあっては、当該規定）の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4231-72/art-51/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in Article 1, item (i) of the Supplementary Provisions, those provisions) comes into effect.
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### 第五十二条（政令への委任） — Delegation to Cabinet Order
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suppl-4231-72/art-52 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4231-72/art-52/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, the transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成二三年六月二四日法律第七三号
suppl-4231-73 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-73/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して三年を超えない範囲内において政令で定める日から施行する。ただし、第一条並びに次条並びに附則第三条第一項（厚生労働大臣が定めることに係る部分に限る。）、第四条及び第十四条の規定は、公布の日から施行する。
suppl-4231-73/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation; provided, however, that the provisions of Article 1, the following Article, Article 3, paragraph (1) of the Supplementary Provisions (limited to the part concerning what is specified by the Minister of Health, Labour and Welfare), and Article 4 and Article 14 of the Supplementary Provisions come into effect on the date of promulgation.
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### 第六条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4231-73/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4231-73/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the application of penal provisions to acts committed before the Effective Date.
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### 第十四条（政令への委任） — Delegation to Cabinet Order
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suppl-4231-73/art-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4231-73/art-14/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二三年八月三〇日法律第一〇五号
suppl-4231-105 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-105/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4231-105/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 略
suppl-4231-105/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 第二条、第十条（構造改革特別区域法第十八条の改正規定に限る。）、第十四条（地方自治法第二百五十二条の十九、第二百六十条並びに別表第一騒音規制法（昭和四十三年法律第九十八号）の項、都市計画法（昭和四十三年法律第百号）の項、都市再開発法（昭和四十四年法律第三十八号）の項、環境基本法（平成五年法律第九十一号）の項及び密集市街地における防災街区の整備の促進に関する法律（平成九年法律第四十九号）の項並びに別表第二都市再開発法（昭和四十四年法律第三十八号）の項、公有地の拡大の推進に関する法律（昭和四十七年法律第六十六号）の項、大都市地域における住宅及び住宅地の供給の促進に関する特別措置法（昭和五十年法律第六十七号）の項、密集市街地における防災街区の整備の促進に関する法律（平成九年法律第四十九号）の項及びマンションの建替えの円滑化等に関する法律（平成十四年法律第七十八号）の項の改正規定に限る。）、第十七条から第十九条まで、第二十二条（児童福祉法第二十一条の五の六、第二十一条の五の十五、第二十一条の五の二十三、第二十四条の九、第二十四条の十七、第二十四条の二十八及び第二十四条の三十六の改正規定に限る。）、第二十三条から第二十七条まで、第二十九条から第三十三条まで、第三十四条（社会福祉法第六十二条、第六十五条及び第七十一条の改正規定に限る。）、第三十五条、第三十七条、第三十八条（水道法第四十六条、第四十八条の二、第五十条及び第五十条の二の改正規定を除く。）、第三十九条、第四十三条（職業能力開発促進法第十九条、第二十三条、第二十八条及び第三十条の二の改正規定に限る。）、第五十一条（感染症の予防及び感染症の患者に対する医療に関する法律第六十四条の改正規定に限る。）、第五十四条（障害者自立支援法第八十八条及び第八十九条の改正規定を除く。）、第六十五条（農地法第三条第一項第九号、第四条、第五条及び第五十七条の改正規定を除く。）、第八十七条から第九十二条まで、第九十九条（道路法第二十四条の三及び第四十八条の三の改正規定に限る。）、第百一条（土地区画整理法第七十六条の改正規定に限る。）、第百二条（道路整備特別措置法第十八条から第二十一条まで、第二十七条、第四十九条及び第五十条の改正規定に限る。）、第百三条、第百五条（駐車場法第四条の改正規定を除く。）、第百七条、第百八条、第百十五条（首都圏近郊緑地保全法第十五条及び第十七条の改正規定に限る。）、第百十六条（流通業務市街地の整備に関する法律第三条の二の改正規定を除く。）、第百十八条（近畿圏の保全区域の整備に関する法律第十六条及び第十八条の改正規定に限る。）、第百二十条（都市計画法第六条の二、第七条の二、第八条、第十条の二から第十二条の二まで、第十二条の四、第十二条の五、第十二条の十、第十四条、第二十条、第二十三条、第三十三条及び第五十八条の二の改正規定を除く。）、第百二十一条（都市再開発法第七条の四から第七条の七まで、第六十条から第六十二条まで、第六十六条、第九十八条、第九十九条の八、第百三十九条の三、第百四十一条の二及び第百四十二条の改正規定に限る。）、第百二十五条（公有地の拡大の推進に関する法律第九条の改正規定を除く。）、第百二十八条（都市緑地法第二十条及び第三十九条の改正規定を除く。）、第百三十一条（大都市地域における住宅及び住宅地の供給の促進に関する特別措置法第七条、第二十六条、第六十四条、第六十七条、第百四条及び第百九条の二の改正規定に限る。）、第百四十二条（地方拠点都市地域の整備及び産業業務施設の再配置の促進に関する法律第十八条及び第二十一条から第二十三条までの改正規定に限る。）、第百四十五条、第百四十六条（被災市街地復興特別措置法第五条及び第七条第三項の改正規定を除く。）、第百四十九条（密集市街地における防災街区の整備の促進に関する法律第二十条、第二十一条、第百九十一条、第百九十二条、第百九十七条、第二百三十三条、第二百四十一条、第二百八十三条、第三百十一条及び第三百十八条の改正規定に限る。）、第百五十五条（都市再生特別措置法第五十一条第四項の改正規定に限る。）、第百五十六条（マンションの建替えの円滑化等に関する法律第百二条の改正規定を除く。）、第百五十七条、第百五十八条（景観法第五十七条の改正規定に限る。）、第百六十条（地域における多様な需要に応じた公的賃貸住宅等の整備等に関する特別措置法第六条第五項の改正規定（「第二項第二号イ」を「第二項第一号イ」に改める部分を除く。）並びに同法第十一条及び第十三条の改正規定に限る。）、第百六十二条（高齢者、障害者等の移動等の円滑化の促進に関する法律第十条、第十二条、第十三条、第三十六条第二項及び第五十六条の改正規定に限る。）、第百六十五条（地域における歴史的風致の維持及び向上に関する法律第二十四条及び第二十九条の改正規定に限る。）、第百六十九条、第百七十一条（廃棄物の処理及び清掃に関する法律第二十一条の改正規定に限る。）、第百七十四条、第百七十八条、第百八十二条（環境基本法第十六条及び第四十条の二の改正規定に限る。）及び第百八十七条（鳥獣の保護及び狩猟の適正化に関する法律第十五条の改正規定、同法第二十八条第九項の改正規定（「第四条第三項」を「第四条第四項」に改める部分を除く。）、同法第二十九条第四項の改正規定（「第四条第三項」を「第四条第四項」に改める部分を除く。）並びに同法第三十四条及び第三十五条の改正規定に限る。）の規定並びに附則第十三条、第十五条から第二十四条まで、第二十五条第一項、第二十六条、第二十七条第一項から第三項まで、第三十条から第三十二条まで、第三十八条、第四十四条、第四十六条第一項及び第四項、第四十七条から第四十九条まで、第五十一条から第五十三条まで、第五十五条、第五十八条、第五十九条、第六十一条から第六十九条まで、第七十一条、第七十二条第一項から第三項まで、第七十四条から第七十六条まで、第七十八条、第八十条第一項及び第三項、第八十三条、第八十七条（地方税法第五百八十七条の二及び附則第十一条の改正規定を除く。）、第八十九条、第九十条、第九十二条（高速自動車国道法第二十五条の改正規定に限る。）、第百一条、第百二条、第百五条から第百七条まで、第百十二条、第百十七条（地域における多様な主体の連携による生物の多様性の保全のための活動の促進等に関する法律（平成二十二年法律第七十二号）第四条第八項の改正規定に限る。）、第百十九条、第百二十一条の二並びに第百二十三条第二項の規定 平成二十四年四月一日
suppl-4231-105/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2, Article 10 (limited to the provision amending Article 18 of the Act on Special Districts for Structural Reform), Article 14 (limited to the provisions amending Article 252-19 and Article 260 of the Local Autonomy Act, the rows for the Noise Regulation Act (Act No. 98 of 1968), the City Planning Act (Act No. 100 of 1968), the Urban Renewal Act (Act No. 38 of 1969), the Basic Act on the Environment (Act No. 91 of 1993) and the Act on Promotion of Improvement of Disaster Control Districts in Populated Urban Districts (Act No. 49 of 1997) in Appended Table 1 of that Act, and the rows for the Urban Renewal Act (Act No. 38 of 1969), the Act on Advancement of Expansion of Public Lands (Act No. 66 of 1972), the Act on Special Measures concerning Promotion of Supply of Houses and Housing Lands in Urban Districts (Act No. 67 of 1975), the Act on Promotion of Improvement of Disaster Control Districts in Populated Urban Districts (Act No. 49 of 1997) and the Act on Facilitation of Reconstruction, etc. of Condominiums (Act No. 78 of 2002) in Appended Table 2 of that Act), Articles 17 through 19, Article 22 (limited to the provisions amending Articles 21-5-6, 21-5-15, 21-5-23, 24-9, 24-17, 24-28 and 24-36 of the Child Welfare Act), Articles 23 through 27, Articles 29 through 33, Article 34 (limited to the provisions amending Articles 62, 65 and 71 of the Social Welfare Act), Articles 35 and 37, Article 38 (excluding the provisions amending Articles 46, 48-2, 50 and 50-2 of the Water Supply Act), Article 39, Article 43 (limited to the provisions amending Articles 19, 23, 28 and 30-2 of the Vocational Abilities Development Promotion Act), Article 51 (limited to the provision amending Article 64 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases), Article 54 (excluding the provisions amending Articles 88 and 89 of the Act for Supporting Independence of Persons with Disabilities), Article 65 (excluding the provisions amending Article 3, paragraph (1), item (ix), Article 4, Article 5 and Article 57 of the Cropland Act), Articles 87 through 92, Article 99 (limited to the provisions amending Articles 24-3 and 48-3 of the Road Act), Article 101 (limited to the provision amending Article 76 of the Land Readjustment Act), Article 102 (limited to the provisions amending Articles 18 through 21, Article 27, Article 49 and Article 50 of the Act on Special Measures concerning Road Improvement), Article 103, Article 105 (excluding the provision amending Article 4 of the Parking Lot Act), Articles 107 and 108, Article 115 (limited to the provisions amending Articles 15 and 17 of the Act on the Conservation of Suburban Green Zones in the National Capital Region), Article 116 (excluding the provision amending Article 3-2 of the Act on the Improvement of Urban Distribution Centers), Article 118 (limited to the provisions amending Articles 16 and 18 of the Act on the Improvement of Conservation Areas in the Kinki Region), Article 120 (excluding the provisions amending Articles 6-2, 7-2 and 8, Articles 10-2 through 12-2, Article 12-4, Article 12-5, Article 12-10, Article 14, Article 20, Article 23, Article 33 and Article 58-2 of the City Planning Act), Article 121 (limited to the provisions amending Articles 7-4 through 7-7, Articles 60 through 62, Article 66, Article 98, Article 99-8, Article 139-3, Article 141-2 and Article 142 of the Urban Renewal Act), Article 125 (excluding the provision amending Article 9 of the Act on Advancement of Expansion of Public Lands), Article 128 (excluding the provisions amending Articles 20 and 39 of the Urban Green Space Conservation Act), Article 131 (limited to the provisions amending Article 7, Article 26, Article 64, Article 67, Article 104 and Article 109-2 of the Act on Special Measures concerning Promotion of Supply of Houses and Housing Lands in Urban Districts), Article 142 (limited to the provisions amending Article 18 and Articles 21 through 23 of the Act on Comprehensive Development of Regional Core Cities with Relocation of Office-Work Function), Article 145, Article 146 (excluding the provisions amending Article 5 and Article 7, paragraph (3) of the Act on Special Measures concerning Reconstruction of Urban Districts Damaged by Disaster), Article 149 (limited to the provisions amending Article 20, Article 21, Article 191, Article 192, Article 197, Article 233, Article 241, Article 283, Article 311 and Article 318 of the Act on Promotion of Improvement of Disaster Control Districts in Populated Urban Districts), Article 155 (limited to the provision amending Article 51, paragraph (4) of the Act on Special Measures concerning Urban Reconstruction), Article 156 (excluding the provision amending Article 102 of the Act on Facilitation of Reconstruction, etc. of Condominiums), Article 157, Article 158 (limited to the provision amending Article 57 of the Landscape Act), Article 160 (limited to the provision amending Article 6, paragraph (5) of the Act on Special Measures concerning Improvement, etc. of Public Rental Housing, etc. in Response to Diverse Demands in Local Communities (excluding the part replacing \"paragraph (2), item (ii), (a)\" with \"paragraph (2), item (i), (a)\") and the provisions amending Articles 11 and 13 of that Act), Article 162 (limited to the provisions amending Articles 10, 12 and 13, Article 36, paragraph (2) and Article 56 of the Act on Promotion of Smooth Transportation, etc. of Elderly Persons, Disabled Persons, etc.), Article 165 (limited to the provisions amending Articles 24 and 29 of the Act on Maintenance and Improvement of Traditional Scenery in Certain Districts), Article 169, Article 171 (limited to the provision amending Article 21 of the Act on Waste Management and Public Cleaning), Articles 174 and 178, Article 182 (limited to the provisions amending Articles 16 and 40-2 of the Basic Act on the Environment) and Article 187 (limited to the provision amending Article 15 of the Act on the Protection of Wildlife and the Proper Conduct of Hunting, the provision amending Article 28, paragraph (9) of that Act (excluding the part replacing \"Article 4, paragraph (3)\" with \"Article 4, paragraph (4)\"), the provision amending Article 29, paragraph (4) of that Act (excluding the part replacing \"Article 4, paragraph (3)\" with \"Article 4, paragraph (4)\"), and the provisions amending Articles 34 and 35 of that Act), and the provisions of Article 13, Articles 15 through 24, Article 25, paragraph (1), Article 26, Article 27, paragraphs (1) through (3), Articles 30 through 32, Articles 38 and 44, Article 46, paragraphs (1) and (4), Articles 47 through 49, Articles 51 through 53, Articles 55, 58 and 59, Articles 61 through 69, Article 71, Article 72, paragraphs (1) through (3), Articles 74 through 76, Article 78, Article 80, paragraphs (1) and (3), Article 83, Article 87 (excluding the provisions amending Article 587-2 of the Local Tax Act and Article 11 of the Supplementary Provisions of that Act), Articles 89 and 90, Article 92 (limited to the provision amending Article 25 of the National Highway Act), Articles 101 and 102, Articles 105 through 107, Article 112, Article 117 (limited to the provision amending Article 4, paragraph (8) of the Act on the Promotion, etc. of Activities for the Conservation of Biological Diversity through Collaboration among Diverse Entities in Local Communities (Act No. 72 of 2010)), Article 119, Article 121-2 and Article 123, paragraph (2) of the Supplementary Provisions: April 1, 2012.
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## 附 則 平成二三年八月三〇日法律第一〇七号
suppl-4231-107 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-107/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十三年十月一日から施行する。ただし、附則第二十四条の規定は、公布の日から施行する。
suppl-4231-107/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of October 1, 2011; provided, however, that the provisions of Article 24 of the Supplementary Provisions come into effect as of the date of promulgation.
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### 第二十四条（政令への委任） — Delegation to Cabinet Order
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suppl-4231-107/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4231-107/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二三年一二月一四日法律第一二二号
suppl-4231-122 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4231-122/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して二月を超えない範囲内において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4231-122/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding two months from the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 附則第六条、第八条、第九条及び第十三条の規定 公布の日
suppl-4231-122/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 6, 8, 9 and 13 of the Supplementary Provisions: the date of promulgation.
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## 附 則 平成二四年三月三一日法律第二四号
suppl-4241-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4241-24/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十四年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4241-24/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2012; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 附則第三十八条の規定 公布の日
suppl-4241-24/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 38 of the Supplementary Provisions: the date of promulgation.
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### 第三十七条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4241-24/art-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 施行日前にした行為及び附則第五条の規定によりなお従前の例によることとされる場合における施行日以後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4241-24/art-37/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to an act committed before the effective date, and to an act committed on or after the effective date in a case in which the provisions then in force are to continue to govern pursuant to the provisions of Article 5 of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第三十八条（政令への委任） — Delegation to Cabinet Order
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suppl-4241-24/art-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-4241-24/art-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二四年八月二二日法律第六二号
suppl-4241-62 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4241-62/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十九年八月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4241-62/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on August 1, 2017; provided, however, that the provisions listed in the following items come into effect on the date specified in the respective items.
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**一** 附則第二条の二から第二条の四まで、第五十七条及び第七十一条の規定 公布の日
suppl-4241-62/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 2-2 through Article 2-4, Article 57 and Article 71 of the Supplementary Provisions: the date of promulgation;
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**二及び三** 略
suppl-4241-62/art-1/par-1/item-2-to-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted;
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**四** 第一条の規定（前号に掲げる改正規定を除く。）、第三条中厚生年金保険法第二十一条第三項の改正規定、同法第二十三条の二第一項にただし書を加える改正規定、同条の次に一条を加える改正規定、同法第二十四条、第二十六条、第三十七条、第四十四条の三、第五十二条第三項及び第八十一条の二の改正規定、同条の次に一条を加える改正規定、同法第八十一条の三第二項、第九十八条第三項、第百条の四第一項、第百条の十第一項第二十九号、第百三十九条及び第百四十条の改正規定、同法附則第四条の二、第四条の三第一項、第四条の五第一項及び第九条の二の改正規定、同法附則第二十九条第一項第四号を削る改正規定並びに同法附則第三十二条第二項第三号の改正規定、第四条中昭和六十年国民年金等改正法附則第十八条第五項及び第四十三条第十二項の改正規定、第八条中平成十六年国民年金等改正法附則第十九条第二項の改正規定、第十条中国家公務員共済組合法第四十二条、第四十二条の二第二項、第七十三条の二、第七十八条の二及び第百条の二の改正規定、同条の次に一条を加える改正規定、同法第百二条第一項の改正規定、同法附則第十二条第九項及び第十二条の四の二の改正規定並びに同法附則第十三条の十第一項第四号を削る改正規定、第十五条中地方公務員等共済組合法第八十条の二及び第百十四条の二の改正規定、同条の次に一条を加える改正規定、同法第百十六条第一項及び第百四十四条の十二第一項の改正規定、同法附則第十八条第八項及び第二十条の二の改正規定並びに同法附則第二十八条の十三第一項第四号を削る改正規定、第十九条の規定（私立学校教職員共済法第三十九条第三号の改正規定を除く。）、第二十四条中協定実施特例法第八条第三項の改正規定（「附則第七条第一項」を「附則第九条第一項」に改める部分を除く。）及び協定実施特例法第十八条第一項の改正規定、第二十五条の規定（次号に掲げる改正規定を除く。）並びに第二十六条の規定（次号に掲げる改正規定を除く。）並びに次条第一項並びに附則第四条から第七条まで、第九条から第十二条まで、第十八条から第二十条まで、第二十二条から第三十四条まで、第三十七条から第三十九条まで、第四十二条、第四十三条、第四十四条、第四十七条から第五十条まで、第六十一条、第六十四条から第六十六条まで及び第七十条の規定 公布の日から起算して二年を超えない範囲内において政令で定める日
suppl-4241-62/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1 (excluding the amending provisions set forth in the preceding item); the provisions revising Article 21, paragraph (3) of the Employees' Pension Insurance Act, the provisions adding a proviso to Article 23-2, paragraph (1) of that Act, the provisions adding one Article after that Article, the provisions revising Article 24, Article 26, Article 37, Article 44-3, Article 52, paragraph (3) and Article 81-2 of that Act, the provisions adding one Article after that Article, the provisions revising Article 81-3, paragraph (2), Article 98, paragraph (3), Article 100-4, paragraph (1), Article 100-10, paragraph (1), item (xxix), Article 139 and Article 140 of that Act, the provisions revising Article 4-2, Article 4-3, paragraph (1), Article 4-5, paragraph (1) and Article 9-2 of the Supplementary Provisions of that Act, the provisions deleting Article 29, paragraph (1), item (iv) of the Supplementary Provisions of that Act, and the provisions revising Article 32, paragraph (2), item (iii) of the Supplementary Provisions of that Act, in Article 3; the provisions revising Article 18, paragraph (5) and Article 43, paragraph (12) of the Supplementary Provisions of the 1985 National Pension Amendment Act in Article 4; the provisions revising Article 19, paragraph (2) of the Supplementary Provisions of the 2004 National Pension Amendment Act in Article 8; the provisions revising Article 42, Article 42-2, paragraph (2), Article 73-2, Article 78-2 and Article 100-2 of the National Public Officers Mutual Aid Association Act, the provisions adding one Article after that Article, the provisions revising Article 102, paragraph (1) of that Act, the provisions revising Article 12, paragraph (9) and Article 12-4-2 of the Supplementary Provisions of that Act, and the provisions deleting Article 13-10, paragraph (1), item (iv) of the Supplementary Provisions of that Act, in Article 10; the provisions revising Article 80-2 and Article 114-2 of the Local Public Officers, etc. Mutual Aid Association Act, the provisions adding one Article after that Article, the provisions revising Article 116, paragraph (1) and Article 144-12, paragraph (1) of that Act, the provisions revising Article 18, paragraph (8) and Article 20-2 of the Supplementary Provisions of that Act, and the provisions deleting Article 28-13, paragraph (1), item (iv) of the Supplementary Provisions of that Act, in Article 15; the provisions of Article 19 (excluding the provisions revising Article 39, item (iii) of the Private School Personnel Mutual Aid Association Act); the provisions revising Article 8, paragraph (3) of the International Social Security Agreements Special Provisions Act (excluding the part replacing "Article 7, paragraph (1) of the Supplementary Provisions" with "Article 9, paragraph (1) of the Supplementary Provisions") and the provisions revising Article 18, paragraph (1) of the International Social Security Agreements Special Provisions Act in Article 24; the provisions of Article 25 (excluding the amending provisions set forth in the following item); and the provisions of Article 26 (excluding the amending provisions set forth in the following item); and paragraph (1) of the following Article, and the provisions of Article 4 through Article 7, Article 9 through Article 12, Article 18 through Article 20, Article 22 through Article 34, Article 37 through Article 39, Article 42, Article 43, Article 44, Article 47 through Article 50, Article 61, Article 64 through Article 66 and Article 70 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation;
machine translation, not official
**五** 第三条中厚生年金保険法第十二条に一号を加える改正規定並びに同法第二十条第一項及び第二十一条第一項の改正規定、第八条中平成十六年国民年金等改正法附則第三条第三項を削る改正規定、第十条中国家公務員共済組合法第二条第一項の改正規定、第十五条中地方公務員等共済組合法第二条第一項の改正規定、第十九条の二の規定、第二十五条中健康保険法第三条、第四十一条第一項及び附則第五条の三の改正規定、第二十六条中船員保険法第二条第九項第一号の改正規定並びに第二十七条から第二十九条までの規定並びに次条第二項並びに附則第十六条、第十七条、第四十五条、第四十六条、第五十一条から第五十六条まで、第五十九条、第六十条及び第六十七条の規定 平成二十八年十月一日
suppl-4241-62/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions adding one item to Article 12 of the Employees' Pension Insurance Act and the provisions revising Article 20, paragraph (1) and Article 21, paragraph (1) of that Act in Article 3; the provisions deleting Article 3, paragraph (3) of the Supplementary Provisions of the 2004 National Pension Amendment Act in Article 8; the provisions revising Article 2, paragraph (1) of the National Public Officers Mutual Aid Association Act in Article 10; the provisions revising Article 2, paragraph (1) of the Local Public Officers, etc. Mutual Aid Association Act in Article 15; the provisions of Article 19-2; the provisions revising Article 3, Article 41, paragraph (1) and Article 5-3 of the Supplementary Provisions of the Health Insurance Act in Article 25; the provisions revising Article 2, paragraph (9), item (i) of the Mariners Insurance Act in Article 26; and the provisions of Article 27 through Article 29; and paragraph (2) of the following Article, and the provisions of Article 16, Article 17, Article 45, Article 46, Article 51 through Article 56, Article 59, Article 60 and Article 67 of the Supplementary Provisions: October 1, 2016.
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### 第二条（検討等） — Review, Etc.
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suppl-4241-62/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後三年を目途として、この法律の施行の状況等を勘案し、基礎年金の最低保障機能の強化その他の事項について総合的に検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4241-62/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of three years after this Act comes into effect, taking into consideration the state of enforcement of this Act and other circumstances, comprehensively review the strengthening of the minimum guarantee function of the basic pension and other matters, and, when it finds it necessary, is to take the required measures based on the results of that review.
machine translation, not official
**第二項** 政府は、短時間労働者に対する厚生年金保険及び健康保険の適用範囲について、平成三十一年九月三十日までに検討を加え、その結果に基づき、必要な措置を講ずる。
suppl-4241-62/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to conduct a review of the scope of application of Employees' Pension Insurance and health insurance to part-time workers by September 30, 2019, and take required measures based on the results.
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### 第二条の二
suppl-4241-62/art-2-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 社会保障の安定財源の確保等を図る税制の抜本的な改革を行うための消費税法の一部を改正する等の法律の趣旨にのっとり、同法附則第一条第二号に掲げる規定の施行の日から、公的年金制度の年金受給者のうち、低所得である高齢者又は所得が一定額以下である障害者等に対する福祉的措置としての給付に係る制度を実施するため、同法の公布の日から六月以内に必要な法制上の措置が講ぜられるものとする。この場合において、その財源は、同法の施行により増加する消費税の収入を活用して確保するものとする。
suppl-4241-62/art-2-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In keeping with the purpose of the Act Partially Amending the Consumption Tax Act, etc., and Other Matters to Carry Out a Drastic Reform of the Tax System for Securing Stable Financial Resources for Social Security, etc., the necessary legislative measures are to be taken within six months from the date of promulgation of that Act, in order to implement, from the day on which the provisions set forth in Article 1, item (ii) of the Supplementary Provisions of that Act come into effect, a system concerning benefits as a welfare measure for elderly persons with low income or persons with disabilities and others whose income is equal to or less than a fixed amount, among the recipients of pensions under the public pension system. In this case, the financial resources for it are to be secured by using the increase in consumption tax revenue resulting from the enforcement of that Act.
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### 第四十五条（健康保険の短時間労働者への適用に関する経過措置） — Transitional Measures Concerning the Application of Health Insurance to Part-Time Workers
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suppl-4241-62/art-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第五号施行日前に健康保険の被保険者の資格を取得して、第五号施行日まで引き続き被保険者の資格を有する者については、健康保険法第三条第一項（同項第九号に係る部分に限る。）の規定は、第五号施行日以降引き続き第五号施行日において使用されていた事業所に使用されている間は、適用しない。
suppl-4241-62/art-45/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to a person who acquired eligibility as an insured person covered by health insurance before the Item (v) Effective Date and continues to hold eligibility as an insured person until the Item (v) Effective Date, the provisions of Article 3, paragraph (1) of the Health Insurance Act (limited to the part pertaining to item (ix) of that paragraph) do not apply for as long as the person, on or after the Item (v) Effective Date, continues to be employed at the place of business at which the person was employed on the Item (v) Effective Date.
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### 第四十六条
suppl-4241-62/art-46 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十七年九月三十日までの間、特定適用事業所以外の適用事業所（健康保険法第三条第三項に規定する適用事業所をいい、国又は地方公共団体の当該適用事業所を除く。以下この条において同じ。）に使用される、第一号又は第二号に掲げる者であって同法第三条第一項各号のいずれにも該当しないもの（前条の規定により同項（第九号に係る部分に限る。）の規定が適用されない者を除く。以下この条において「特定四分の三未満短時間労働者」という。）については、同項並びに同法附則第八条の三の二第二項及び第四項の規定にかかわらず、健康保険の被保険者としない。
suppl-4241-62/art-46/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until September 30, 2035, a person listed in item (i) or (ii) who is employed at an applicable place of business other than a specified applicable place of business (meaning an applicable place of business prescribed in Article 3, paragraph (3) of the Health Insurance Act, excluding such an applicable place of business of the national government or a local government; the same applies hereinafter in this Article) and who does not fall under any of the items of paragraph (1) of that Article (excluding a person to whom the provisions of that paragraph (limited to the part pertaining to item (ix)) do not apply pursuant to the preceding Article; hereinafter in this Article referred to as a "specified under-three-quarters part-time worker") is not to be an insured person covered by health insurance, notwithstanding that paragraph and Article 8-3-2, paragraphs (2) and (4) of the Supplementary Provisions of that Act.
machine translation, not official
**一** その一週間の所定労働時間が同一の事業所に使用される通常の労働者（健康保険法第三条第一項第九号に規定する通常の労働者をいう。次号において同じ。）の一週間の所定労働時間の四分の三未満である短時間労働者（同項第九号に規定する短時間労働者をいう。次号において同じ。）
suppl-4241-62/art-46/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker (meaning a part-time worker prescribed in Article 3, paragraph (1), item (ix) of the Health Insurance Act; the same applies in the following item) whose prescribed weekly scheduled working hours are less than three-quarters of the prescribed weekly scheduled working hours of an ordinary worker employed at the same place of business (meaning an ordinary worker prescribed in Article 3, paragraph (1), item (ix) of that Act; the same applies in the following item); or
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**二** その一月間の所定労働日数が同一の事業所に使用される通常の労働者の一月間の所定労働日数の四分の三未満である短時間労働者
suppl-4241-62/art-46/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker whose prescribed working days per month are less than three-quarters of the prescribed working days per month of an ordinary worker employed at the same place of business.
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**第二項** 令和十七年九月三十日までの間、特定適用事業所に該当しなくなった適用事業所に使用される特定四分の三未満短時間労働者については、前項の規定は、適用しない。ただし、当該適用事業所の事業主が、次の各号に掲げる場合に応じ、当該各号に定める同意を得て、保険者等（全国健康保険協会が管掌する健康保険にあっては厚生労働大臣、健康保険組合が管掌する健康保険にあっては当該健康保険組合をいう。以下この条において同じ。）に当該特定四分の三未満短時間労働者について同項の規定の適用を受ける旨の申出をした場合は、この限りでない。
suppl-4241-62/art-46/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until September 30, 2035, the provisions of the preceding paragraph do not apply to a specified under-three-quarters part-time worker employed at an applicable place of business that has ceased to be a specified applicable place of business; provided, however, that this does not apply if the employer of that applicable place of business has, in accordance with the cases listed in the following items, obtained the consent specified respectively in those items and made a request to the insurer, etc. (meaning the Minister of Health, Labour and Welfare in the case of health insurance administered by the Japan Health Insurance Association, and the health insurance society in the case of health insurance administered by a health insurance society; the same applies hereinafter in this Article) to the effect that the provisions of that paragraph are to apply to that specified under-three-quarters part-time worker.
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**一** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上で組織する労働組合があるとき 当該労働組合の同意
suppl-4241-62/art-46/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is a labor union organized by three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer: the consent of that labor union;
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**二** 前号に規定する労働組合がないとき イ又はロに掲げる同意
suppl-4241-62/art-46/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is no labor union prescribed in the preceding item: the consent listed in (a) or (b).
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**イ** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上を代表する者の同意
suppl-4241-62/art-46/par-2/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of a person representing three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer;
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**ロ** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上の同意
suppl-4241-62/art-46/par-2/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer.
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**第三項** 前項ただし書の申出は、附則第十七条第二項ただし書の規定により同項ただし書の申出をすることができる事業主にあっては、当該申出と同時に行わなければならない。
suppl-4241-62/art-46/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The request under the proviso to the preceding paragraph must, in the case of an employer who may make the request under the proviso to that paragraph pursuant to the provisions of the proviso to Article 17, paragraph (2) of the Supplementary Provisions, be made at the same time as that request.
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**第四項** 第二項ただし書の申出があったときは、当該特定四分の三未満短時間労働者（健康保険の被保険者の資格を有する者に限る。）は、当該申出が受理された日の翌日に、健康保険の被保険者の資格を喪失する。
suppl-4241-62/art-46/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When a request under the proviso to paragraph (2) has been made, the specified under-three-quarters part-time worker (limited to a person who has eligibility as an insured person covered by health insurance) loses eligibility as an insured person covered by health insurance on the day following the day on which that request is accepted.
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**第五項** 令和十七年九月三十日までの間、特定適用事業所（第二項本文の規定により第一項の規定が適用されない特定四分の三未満短時間労働者を使用する適用事業所を含む。）以外の適用事業所の事業主は、次の各号に掲げる場合に応じ、当該各号に定める同意を得て、保険者等に当該事業主の一又は二以上の適用事業所に使用される特定四分の三未満短時間労働者について同項の規定の適用を受けない旨の申出をすることができる。
suppl-4241-62/art-46/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until September 30, 2035, an employer of an applicable place of business other than a specified applicable place of business (including an applicable place of business that employs a specified under-three-quarters part-time worker to whom the provisions of paragraph (1) do not apply pursuant to the main clause of paragraph (2)) may, in accordance with the cases listed in the following items, obtain the consent specified respectively in those items and make a request to the insurer, etc. to the effect that the provisions of that paragraph do not apply to the specified under-three-quarters part-time workers employed at one or more applicable places of business of the employer.
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**一** 当該事業主の一又は二以上の適用事業所に使用される二分の一以上同意対象者の過半数で組織する労働組合があるとき 当該労働組合の同意
suppl-4241-62/art-46/par-5/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is a labor union organized by a majority of the one-half-or-more consent-eligible persons employed at one or more applicable places of business of the employer: the consent of that labor union;
machine translation, not official
**二** 前号に規定する労働組合がないとき イ又はロに掲げる同意
suppl-4241-62/art-46/par-5/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is no labor union prescribed in the preceding item: the consent listed in (a) or (b).
machine translation, not official
**イ** 当該事業主の一又は二以上の適用事業所に使用される二分の一以上同意対象者の過半数を代表する者の同意
suppl-4241-62/art-46/par-5/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of a person representing a majority of the one-half-or-more consent-eligible persons employed at one or more applicable places of business of the employer;
machine translation, not official
**ロ** 当該事業主の一又は二以上の適用事業所に使用される二分の一以上同意対象者の二分の一以上の同意
suppl-4241-62/art-46/par-5/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of one-half or more of the one-half-or-more consent-eligible persons employed at one or more applicable places of business of the employer.
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**第六項** 前項の申出は、附則第十七条第五項の規定により同項の申出をすることができる事業主にあっては、当該申出と同時に行わなければならない。
suppl-4241-62/art-46/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The request in the preceding paragraph must, in the case of an employer who may make the request under that paragraph pursuant to the provisions of Article 17, paragraph (5) of the Supplementary Provisions, be made at the same time as that request.
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**第七項** 第五項の申出があったときは、当該特定四分の三未満短時間労働者については、当該申出が受理された日以後においては、第一項の規定は、適用しない。この場合において、当該特定四分の三未満短時間労働者についての健康保険法第三十五条の規定の適用については、同条中「適用事業所に使用されるに至った日若しくはその使用される事業所が適用事業所となった日又は第三条第一項ただし書の規定に該当しなくなった」とあるのは、「公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律（平成二十四年法律第六十二号）附則第四十六条第五項の申出が受理された」とする。
suppl-4241-62/art-46/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When a request under paragraph (5) has been made, the provisions of paragraph (1) do not apply to the specified under-three-quarters part-time worker on or after the day on which that request is accepted. In this case, with respect to the application of the provisions of Article 35 of the Health Insurance Act to that specified under-three-quarters part-time worker, the phrase "the day on which the person has become an employee of an applicable place of business, the day on which the place of business employing the person has become an applicable place of business, or the day on which the provisions of the proviso to Article 3, paragraph (1) are no longer applicable" in that Article is deemed to be replaced with "the day on which the request under Article 46, paragraph (5) of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System (Act No. 62 of 2012) has been accepted".
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**第八項** 令和十七年九月三十日までの間、第五項の申出をした事業主は、次の各号に掲げる場合に応じ、当該各号に定める同意を得て、保険者等に当該事業主の一又は二以上の適用事業所に使用される特定四分の三未満短時間労働者について第一項の規定の適用を受ける旨の申出をすることができる。ただし、当該事業主の適用事業所が特定適用事業所に該当する場合は、この限りでない。
suppl-4241-62/art-46/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Until September 30, 2035, an employer who has made the request under paragraph (5) may, in accordance with the cases listed in the following items, obtain the consent specified respectively in those items and make a request to the insurer, etc. to the effect that the employer is to be subject to the application of the provisions of paragraph (1) with respect to the specified under-three-quarters part-time workers employed at one or more applicable places of business of the employer; provided, however, that this does not apply if an applicable place of business of the employer falls under a specified applicable place of business.
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**一** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上で組織する労働組合があるとき 当該労働組合の同意
suppl-4241-62/art-46/par-8/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is a labor union organized by three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer: the consent of that labor union;
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**二** 前号に規定する労働組合がないとき イ又はロに掲げる同意
suppl-4241-62/art-46/par-8/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
if there is no labor union prescribed in the preceding item: the consent listed in (a) or (b).
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**イ** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上を代表する者の同意
suppl-4241-62/art-46/par-8/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of a person representing three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer;
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**ロ** 当該事業主の一又は二以上の適用事業所に使用される四分の三以上同意対象者の四分の三以上の同意
suppl-4241-62/art-46/par-8/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the consent of three-quarters or more of the three-quarters-or-more consent-eligible persons employed at one or more applicable places of business of the employer.
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**第九項** 前項の申出は、附則第十七条第八項の規定により同項の申出をすることができる事業主にあっては、当該申出と同時に行わなければならない。
suppl-4241-62/art-46/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The request in the preceding paragraph must, in the case of an employer who may make the request under that paragraph pursuant to the provisions of Article 17, paragraph (8) of the Supplementary Provisions, be made at the same time as that request.
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**第十項** 第八項の申出があったときは、当該特定四分の三未満短時間労働者（健康保険の被保険者の資格を有する者に限る。）は、当該申出が受理された日の翌日に、健康保険の被保険者の資格を喪失する。
suppl-4241-62/art-46/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When a request under paragraph (8) has been made, the specified under-three-quarters part-time worker (limited to a person who has eligibility as an insured person covered by health insurance) loses eligibility as an insured person covered by health insurance on the day following the day on which that request is accepted.
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**第十一項** 第二項ただし書、第五項及び第八項の規定による保険者等（厚生労働大臣に限る。）の申出の受理の権限に係る事務は、日本年金機構に行わせるものとする。この場合において、日本年金機構法第二十三条第三項中「、船員保険法」とあるのは「若しくは公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律（平成二十四年法律第六十二号）、船員保険法」と、同法第二十六条第二項中「健康保険法」とあるのは「健康保険法若しくは公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律」と、同法第二十七条第二項第二号中「に規定する権限に係る事務、同法」とあるのは「並びに公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律附則第四十六条第二項ただし書、第五項及び第八項に規定する権限に係る事務、健康保険法」と、「及び」とあるのは「並びに」と、同法第四十八条第一項中「健康保険法」とあるのは「健康保険法若しくは公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律」とする。
suppl-4241-62/art-46/par-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The affairs related to the authority of an insurer, etc. (limited to the Minister of Health, Labour and Welfare) to accept a request pursuant to the provisions of the proviso to paragraph (2), paragraph (5) and paragraph (8) are to be conducted by the Japan Pension Service. In this case, in Article 23, paragraph (3) of the Japan Pension Organization Act, the phrase ", the Mariners Insurance Act" is deemed to be replaced with "or the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System (Act No. 62 of 2012), the Mariners Insurance Act"; in Article 26, paragraph (2) of that Act, the phrase "the Health Insurance Act" is deemed to be replaced with "the Health Insurance Act or the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System"; in Article 27, paragraph (2), item (ii) of that Act, the phrase "affairs related to the authority prescribed in, and that Act" is deemed to be replaced with "and affairs related to the authority prescribed in Article 46, paragraph (2) (proviso), paragraph (5) and paragraph (8) of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System, the Health Insurance Act", and the phrase "及び" (and) in that item is deemed to be replaced with "並びに" (and, joining the larger group); and in Article 48, paragraph (1) of that Act, the phrase "the Health Insurance Act" is deemed to be replaced with "the Health Insurance Act or the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System".
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**第十二項** この条において特定適用事業所とは、事業主が同一である一又は二以上の適用事業所であって、当該一又は二以上の適用事業所に使用される特定労働者の総数が常時五十人を超えるものの各適用事業所をいう。
suppl-4241-62/art-46/par-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In this Article, a specified applicable place of business means each applicable place of business among one or more applicable places of business of the same employer for which the total number of specified workers employed at those one or more applicable places of business regularly exceeds 50.
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### 第四十六条の二
suppl-4241-62/art-46-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 次の表の上欄に掲げる期間における前条第十二項の規定の適用については、同項中「五十人」とあるのは、同表の上欄の区分に応じてそれぞれ同表の下欄に掲げる字句とする。
令和九年十月一日から令和十一年九月三十日まで 三十五人
令和十一年十月一日から令和十四年九月三十日まで 二十人
令和十四年十月一日から令和十七年九月三十日まで 十人
suppl-4241-62/art-46-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For the application of the provisions of paragraph (12) of the preceding Article in the periods listed in the left-hand column of the following table, the term "50" in that paragraph is deemed to be replaced with the term listed in the right-hand column of the same table in accordance with the classification in the left-hand column of the same table.
From October 1, 2027 to September 30, 2029 35
From October 1, 2029 to September 30, 2032 20
From October 1, 2032 to September 30, 2035 10
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### 第四十七条（健康保険の産前産後休業を終了した際の改定に関する経過措置） — Transitional Measures Concerning Revision upon the End of Maternity Leave under Health Insurance
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suppl-4241-62/art-47 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二十五条の規定による改正後の健康保険法第四十三条の三の規定は、第四号施行日以後に終了した同条第一項に規定する産前産後休業について適用する。
suppl-4241-62/art-47/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 43-3 of the Health Insurance Act as revised by the provisions of Article 25 apply to maternity leave prescribed in paragraph (1) of that Article that ends on or after the item (iv) Effective Date.
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### 第四十八条（健康保険の産前産後休業期間中の被保険者の特例に関する経過措置） — Transitional Measures Concerning Special Provisions for Insured Persons During Maternity Leave under Health Insurance
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suppl-4241-62/art-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四号施行日前に第二十五条の規定による改正後の健康保険法第四十三条の三第一項に規定する産前産後休業に相当する休業を開始した者については、第四号施行日をその産前産後休業を開始した日とみなして、第二十五条の規定による改正後の健康保険法第百五十九条の三の規定を適用する。
suppl-4241-62/art-48/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With respect to a person who has commenced leave equivalent to the maternity leave prescribed in Article 43-3, paragraph (1) of the Health Insurance Act as revised by the provisions of Article 25 before the item (iv) Effective Date, the provisions of Article 159-3 of the Health Insurance Act as revised by the provisions of Article 25 apply, deeming the item (iv) Effective Date to be the day on which that maternity leave commenced.
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### 第七十一条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4241-62/art-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4241-62/art-71/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二四年八月二二日法律第六三号
suppl-4241-63 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4241-63/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十七年十月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4241-63/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of October 1, 2015; provided, however, that the provisions listed in the following items come into effect as of the dates specified respectively in those items.
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**一** 次条並びに附則第三条、第二十八条、第百五十九条及び第百六十条の規定 公布の日
suppl-4241-63/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of the following Article, and Article 3, Article 28, Article 159, and Article 160 of the Supplementary Provisions: the date of promulgation
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### 第百十二条（障害共済年金が支給される者の特例） — Special Provisions for Persons to Whom a Disability Mutual Aid Pension Is Paid
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suppl-4241-63/art-112 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第四十一条第一項の規定により障害共済年金が支給される者又は附則第六十五条第一項の規定により障害共済年金が支給される者に係る前条の規定による改正後の健康保険法第百八条の規定の適用については、同条第二項中「障害厚生年金の支給」とあるのは「障害厚生年金又は被用者年金制度の一元化等を図るための厚生年金保険法等の一部を改正する法律（平成二十四年法律第六十三号）附則第四十一条第一項の規定による障害共済年金（以下この項及び第五項において「国家公務員障害共済年金」という。）若しくは同法附則第六十五条第一項の規定による障害共済年金（以下この項及び第五項において「地方公務員障害共済年金」という。）の支給」と、「障害厚生年金の額」とあるのは「障害厚生年金又は国家公務員障害共済年金若しくは地方公務員障害共済年金の額」と、「障害厚生年金と」とあるのは「障害厚生年金又は国家公務員障害共済年金若しくは地方公務員障害共済年金と」と、同条第五項中「障害厚生年金」とあるのは「障害厚生年金若しくは国家公務員障害共済年金若しくは地方公務員障害共済年金」とする。
suppl-4241-63/art-112/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With respect to the application of the provisions of Article 108 of the Health Insurance Act as revised by the provisions of the preceding Article to a person to whom a disability mutual aid pension is paid pursuant to the provisions of Article 41, paragraph (1) of the Supplementary Provisions or a person to whom a disability mutual aid pension is paid pursuant to the provisions of Article 65, paragraph (1) of the Supplementary Provisions, in paragraph (2) of that Article, the phrase "payment of the disability welfare pension" is deemed to be replaced with "payment of the disability welfare pension, the disability mutual aid pension under the provisions of Article 41, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Employees' Pension Insurance Act, etc. to Unify, etc. the Employees' Pension Systems (Act No. 63 of 2012) (hereinafter referred to as the "national public officer disability mutual aid pension" in this paragraph and paragraph (5)) or the disability mutual aid pension under the provisions of Article 65, paragraph (1) of the Supplementary Provisions of that Act (hereinafter referred to as the "local public officer disability mutual aid pension" in this paragraph and paragraph (5))", the phrase "the amount of the disability welfare pension" is deemed to be replaced with "the amount of the disability welfare pension, the national public officer disability mutual aid pension or the local public officer disability mutual aid pension", and the phrase "the disability welfare pension and" is deemed to be replaced with "the disability welfare pension, the national public officer disability mutual aid pension or the local public officer disability mutual aid pension and"; and in paragraph (5) of that Article, the phrase "the disability welfare pension" is deemed to be replaced with "the disability welfare pension, the national public officer disability mutual aid pension or the local public officer disability mutual aid pension".
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### 第百六十条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4241-63/art-160 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4241-63/art-160/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二四年八月二二日法律第六七号
suppl-4241-67 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、子ども・子育て支援法の施行の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4241-67/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date of enforcement of the Act on Support for Children and Child-rearing; provided, however, that the provisions listed in the following items come into effect as of the dates specified in those items.
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**一** 第二十五条及び第七十三条の規定 公布の日
suppl-4241-67/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 25 and Article 73: the date of promulgation
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## 附 則 平成二四年一一月二六日法律第九八号
suppl-4241-98 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4241-98/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十七年十月一日から施行する。ただし、第三条並びに次条及び附則第九条の規定は、公布の日から施行する。
suppl-4241-98/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2015; provided, however, that the provisions of Article 3, the following Article, and Article 9 of the Supplementary Provisions come into effect on the date of promulgation.
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## 附 則 平成二四年一一月二六日法律第一〇二号
suppl-4241-102 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4241-102/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、社会保障の安定財源の確保等を図る税制の抜本的な改革を行うための消費税法の一部を改正する等の法律（平成二十四年法律第六十八号）附則第一条第二号に掲げる規定の施行の日から施行する。
suppl-4241-102/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date of enforcement of the provisions listed in Article 1, item (ii) of the Supplementary Provisions of the Act Partially Amending the Consumption Tax Act, etc., and Other Matters to Carry Out a Drastic Reform of the Tax System for Securing Stable Financial Resources for Social Security, etc. (Act No. 68 of 2012).
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## 附 則 平成二五年五月三一日法律第二六号
suppl-4251-26 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4251-26/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、第一条中健康保険法第一条の改正規定、同法第五十三条の次に一条を加える改正規定及び同法第五十五条第一項の改正規定、第二条中船員保険法第一条の改正規定並びに附則第三条の規定は、平成二十五年十月一日から施行する。
suppl-4251-26/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date of promulgation; provided, however, that the provisions in Article 1 amending Article 1 of the Health Insurance Act, adding one Article after Article 53 of that Act and amending Article 55, paragraph (1) of that Act, the provisions in Article 2 amending Article 1 of the Mariners Insurance Act, and the provisions of Article 3 of the Supplementary Provisions come into effect as of October 1, 2013.
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### 第二条（検討） — Review
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suppl-4251-26/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、第一条の規定による改正後の健康保険法附則第五条及び第五条の三（国庫補助率に係る部分に限る。）の規定について、全国健康保険協会が管掌する健康保険の財政状況、高齢者の医療に要する費用の負担の在り方についての検討の状況、国の財政状況その他の社会経済情勢の変化等を勘案し、平成二十六年度までの間に検討を行い、必要があると認めるときは、所要の措置を講ずるものとする。
suppl-4251-26/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the provisions of Article 5 and Article 5-3 (limited to the part concerning the national subsidy rate) of the Supplementary Provisions of the Health Insurance Act as revised by the provisions of Article 1, the government is to conduct a review by fiscal year 2014, taking into consideration the financial condition of health insurance administered by Japan Health Insurance Association, the status of review concerning how the costs required for medical care for elderly persons are to be shared, the financial condition of the national government, and other changes in the socioeconomic situation, etc., and, if finding it necessary, is to take required measures.
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### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-4251-26/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 健康保険法による保険給付で、附則第一条ただし書に規定する規定の施行の日前に発生した事故に起因する業務上の事由（第一条の規定による改正前の健康保険法第一条の業務外の事由以外の事由をいう。）による疾病、負傷又は死亡に関するものについては、なお従前の例による。
suppl-4251-26/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits under the Health Insurance Act, those relating to sickness, injury or death due to a work-related cause (meaning a cause other than a cause not related to work under Article 1 of the Health Insurance Act prior to revision by the provisions of Article 1) arising from an accident that occurred before the date of enforcement of the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第五条（政令への委任） — Delegation to Cabinet Order
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suppl-4251-26/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4251-26/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二五年六月二六日法律第六三号
suppl-4251-63 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4251-63/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年を超えない範囲内において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4251-63/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the day specified by Cabinet Order within a period not exceeding one year from the date of promulgation; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第四条中国民年金法等の一部を改正する法律附則第二十条及び第六十四条の改正規定、第五条中国民年金法等の一部を改正する法律附則第十九条第二項の改正規定並びに次条並びに附則第百三十九条、第百四十三条、第百四十六条及び第百五十三条の規定 公布の日
suppl-4251-63/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 4 amending Articles 20 and 64 of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc., the provisions in Article 5 amending Article 19, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc., and the provisions of the following Article and Articles 139, 143, 146, and 153 of the Supplementary Provisions: the date of promulgation.
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### 第百五十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4251-63/art-151 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-4251-63/art-151/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, the provisions then in force continue to govern.
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### 第百五十三条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4251-63/art-153 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4251-63/art-153/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, the transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成二六年五月三〇日法律第四二号
suppl-4261-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4261-42/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して二年を超えない範囲内において政令で定める日から施行する。
suppl-4261-42/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding 2 years from the date of promulgation.
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## 附 則 平成二六年六月一一日法律第六四号
suppl-4261-64 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4261-64/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十六年十月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4261-64/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2014; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items.
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**一** 第十三条の規定（次号に掲げる改正規定を除く。）並びに附則第十六条及び第十九条の規定 公布の日
suppl-4261-64/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 13 (excluding the amending provisions set forth in the following item), and the provisions of Article 16 and Article 19 of the Supplementary Provisions: the date of promulgation;
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**二** 第一条中国民年金法附則第九条の二の五の改正規定、第三条中厚生年金保険法附則第十七条の十四の改正規定、第六条から第十二条までの規定、第十三条中年金生活者支援給付金の支給に関する法律附則第九条の次に一条を加える改正規定及び第十四条の規定並びに附則第三条及び第十七条の規定 平成二十七年一月一日
suppl-4261-64/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 1 amending Article 9-2-5 of the Supplementary Provisions of the National Pension Act, the provisions in Article 3 amending Article 17-14 of the Supplementary Provisions of the Employees' Pension Insurance Act, the provisions of Articles 6 through 12, the provisions in Article 13 adding one Article after Article 9 of the Supplementary Provisions of the Act on the Payment of Supplementing Allowance for Pensioners and the provisions of Article 14, and the provisions of Article 3 and Article 17 of the Supplementary Provisions: January 1, 2015.
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### 第十七条（延滞金の割合の特例等に関する経過措置） — Transitional Measures Concerning Special Provisions on Delinquent Charges Rate, etc.
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suppl-4261-64/art-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 次の各号に掲げる規定は、当該各号に定める規定に規定する延滞金（第十五号にあっては、加算金。以下この条において同じ。）のうち平成二十七年一月一日以後の期間に対応するものについて適用し、当該延滞金のうち同日前の期間に対応するものについては、なお従前の例による。
suppl-4261-64/art-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions set forth in the following items apply to the portion of the delinquent charges prescribed in the provisions specified in those items (or, in the case of item (xv), the additional charges; the same applies hereinafter in this Article) that corresponds to the period on or after January 1, 2015, and with respect to the portion of those delinquent charges that corresponds to the period before that day, the provisions then in force continue to govern.
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**一及び二** 略
suppl-4261-64/art-17/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 第六条の規定による改正後の健康保険法附則第九条 健康保険法第百八十一条第一項
suppl-4261-64/art-17/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Article 9 of the Supplementary Provisions of the Health Insurance Act as revised by the provisions of Article 6: Article 181, paragraph (1) of the Health Insurance Act.
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### 第十九条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4261-64/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-4261-64/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.
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## 附 則 平成二六年六月一三日法律第六九号
suppl-4261-69 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4261-69/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、行政不服審査法（平成二十六年法律第六十八号）の施行の日から施行する。
suppl-4261-69/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Administrative Complaint Review Act (Act No. 68 of 2014) comes into effect.
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### 第五条（経過措置の原則） — Principles of Transitional Measures
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suppl-4261-69/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 行政庁の処分その他の行為又は不作為についての不服申立てであってこの法律の施行前にされた行政庁の処分その他の行為又はこの法律の施行前にされた申請に係る行政庁の不作為に係るものについては、この附則に特別の定めがある場合を除き、なお従前の例による。
suppl-4261-69/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Unless otherwise specially provided for in these Supplementary Provisions, the provisions then in force continue to govern an appeal against a disposition or other act or an inaction of an administrative agency that concerns a disposition or other act of an administrative agency made before this Act comes into effect or an inaction of an administrative agency relating to an application filed before this Act comes into effect.
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### 第六条（訴訟に関する経過措置） — Transitional Measures Concerning Litigation
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suppl-4261-69/art-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律による改正前の法律の規定により不服申立てに対する行政庁の裁決、決定その他の行為を経た後でなければ訴えを提起できないこととされる事項であって、当該不服申立てを提起しないでこの法律の施行前にこれを提起すべき期間を経過したもの（当該不服申立てが他の不服申立てに対する行政庁の裁決、決定その他の行為を経た後でなければ提起できないとされる場合にあっては、当該他の不服申立てを提起しないでこの法律の施行前にこれを提起すべき期間を経過したものを含む。）の訴えの提起については、なお従前の例による。
suppl-4261-69/art-6/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the filing of an action with regard to a matter for which, pursuant to the provisions of Acts prior to the amendment by this Act, an action may not be filed until after a determination, decision or other act of an administrative agency on an appeal has been made, and for which the period within which that appeal was to be filed elapsed before this Act comes into effect without that appeal having been filed (including, where that appeal may not be filed until after a determination, decision or other act of an administrative agency on another appeal has been made, a matter for which the period within which the other appeal was to be filed elapsed before this Act comes into effect without the other appeal having been filed).
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**第二項** この法律の規定による改正前の法律の規定（前条の規定によりなお従前の例によることとされる場合を含む。）により異議申立てが提起された処分その他の行為であって、この法律の規定による改正後の法律の規定により審査請求に対する裁決を経た後でなければ取消しの訴えを提起することができないこととされるものの取消しの訴えの提起については、なお従前の例による。
suppl-4261-69/art-6/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the filing of an action for revocation of a disposition or other act against which an objection was filed pursuant to the provisions of Acts prior to the amendment by the provisions of this Act (including in the cases where the provisions then in force continue to govern pursuant to the provisions of the preceding Article), and against which, pursuant to the provisions of Acts as amended by the provisions of this Act, an action for revocation may not be filed until after a determination on an application for examination has been made.
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**第三項** 不服申立てに対する行政庁の裁決、決定その他の行為の取消しの訴えであって、この法律の施行前に提起されたものについては、なお従前の例による。
suppl-4261-69/art-6/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern an action for revocation of a determination, decision or other act of an administrative agency on an appeal, where the action was filed before this Act comes into effect.
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### 第九条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4261-69/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為並びに附則第五条及び前二条の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4261-69/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions then in force continue to govern the application of penal provisions to acts committed before this Act comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 5 and the preceding two Articles of the Supplementary Provisions.
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### 第十条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4261-69/art-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第五条から前条までに定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4261-69/art-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 5 through the preceding Article of the Supplementary Provisions, transitional measures necessary for the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成二六年六月二五日法律第八三号
suppl-4261-83 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4261-83/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日又は平成二十六年四月一日のいずれか遅い日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4261-83/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of whichever is later of the date of promulgation or April 1, 2014; provided, however, that the provisions listed in the following items come into effect as of the date specified in the respective items.
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**一** 第十二条中診療放射線技師法第二十六条第二項の改正規定及び第二十四条の規定並びに次条並びに附則第七条、第十三条ただし書、第十八条、第二十条第一項ただし書、第二十二条、第二十五条、第二十九条、第三十一条、第六十一条、第六十二条、第六十四条、第六十七条、第七十一条及び第七十二条の規定 公布の日
suppl-4261-83/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amending provisions of Article 26, paragraph (2) of the Radiology Technicians Act in Article 12 and the provisions of Article 24, and the provisions of the following Article and Article 7, the proviso to Article 13, Article 18, the proviso to Article 20, paragraph (1), Article 22, Article 25, Article 29, Article 31, Article 61, Article 62, Article 64, Article 67, Article 71 and Article 72 of the Supplementary Provisions: the date of promulgation;
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**二から五まで** 略
suppl-4261-83/art-1/par-1/item-2-to-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**六** 第六条の規定（次号に掲げる改正規定を除く。）、第十一条の規定、第十五条中国民健康保険法第五十五条第一項の改正規定、同法第百十六条の二第一項第六号の改正規定（「同法第八条第二十四項」を「同条第二十五項」に改める部分に限る。）及び同法附則第五条の二第一項の改正規定、第十六条中老人福祉法第五条の二第三項の改正規定（「居宅介護サービス費、」の下に「地域密着型通所介護若しくは」を加える部分に限る。）、同条第七項の改正規定、同法第十条の四第一項第二号の改正規定（「規定する通所介護」の下に「、地域密着型通所介護」を加える部分に限る。）、同法第二十条の二の二の改正規定（「居宅介護サービス費、」の下に「地域密着型通所介護若しくは」を加える部分に限る。）及び同法第二十条の八第四項の改正規定（「、小規模多機能型居宅介護」の下に「、地域密着型通所介護」を加える部分に限る。）、第十八条中高齢者の医療の確保に関する法律第五十五条第一項第五号の改正規定（「同法第八条第二十四項」を「同条第二十五項」に改める部分に限る。）並びに同法附則第二条及び第十三条の十一第一項の改正規定並びに第二十二条の規定並びに附則第二十条（第一項ただし書を除く。）、第二十一条、第四十二条、第四十三条並びに第四十九条の規定、附則第五十条中国有財産特別措置法（昭和二十七年法律第二百十九号）第二条第二項第四号ロの改正規定（「居宅サービス、」の下に「地域密着型通所介護若しくは」を加える部分に限る。）、附則第五十二条中登録免許税法（昭和四十二年法律第三十五号）別表第三の二十四の項の改正規定、附則第五十五条及び第五十六条の規定、附則第五十九条の規定（第三号に掲げる改正規定を除く。）並びに附則第六十条の規定 平成二十八年四月一日までの間において政令で定める日
suppl-4261-83/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 6 (excluding the amending provisions listed in the following item), the provisions of Article 11, the provisions in Article 15 amending Article 55, paragraph (1) of the National Health Insurance Act, the provisions amending Article 116-2, paragraph (1), item (vi) of that Act (limited to the part amending "Article 8, paragraph (24) of that Act" to "paragraph (25) of that Article") and the provisions amending Article 5-2, paragraph (1) of the Supplementary Provisions of that Act, the provisions in Article 16 amending Article 5-2, paragraph (3) of the Act on Social Welfare for the Elderly (limited to the part adding "community-based day care or" after "home care service expenses,"), the provisions amending paragraph (7) of that Article, the provisions amending Article 10-4, paragraph (1), item (ii) of that Act (limited to the part adding ", community-based day care" after "day care prescribed in"), the provisions amending Article 20-2-2 of that Act (limited to the part adding "community-based day care or" after "home care service expenses,") and the provisions amending Article 20-8, paragraph (4) of that Act (limited to the part adding ", community-based day care" after ", small-scale multifunctional home care"), the provisions in Article 18 amending Article 55, paragraph (1), item (v) of the Act on Assurance of Medical Care for Elderly People (limited to the part amending "Article 8, paragraph (24) of that Act" to "paragraph (25) of that Article") and the provisions amending Article 2 and Article 13-11, paragraph (1) of the Supplementary Provisions of that Act, and the provisions of Article 22, and the provisions of Article 20 (excluding the proviso to paragraph (1)), Article 21, Article 42, Article 43 and Article 49 of the Supplementary Provisions, the provisions in Article 50 of the Supplementary Provisions amending Article 2, paragraph (2), item (iv), (b) of the Act on Special Measures concerning National Property (Act No. 219 of 1952) (limited to the part adding "community-based day care or" after "home care services,"), the provisions in Article 52 of the Supplementary Provisions amending row 24 of Appended Table 3 of the Registration and License Tax Act (Act No. 35 of 1967), the provisions of Article 55 and Article 56 of the Supplementary Provisions, the provisions of Article 59 of the Supplementary Provisions (excluding the amending provisions listed in item (iii)), and the provisions of Article 60 of the Supplementary Provisions: the date specified by Cabinet Order on or before April 1, 2016.
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### 第七十一条（罰則の適用に関する経過措置） — Transitional Measures Concerning the Application of Penal Provisions
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suppl-4261-83/art-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定にあっては、当該規定。以下この条において同じ。）の施行前にした行為並びにこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為及びこの附則の規定によりなお効力を有することとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4261-83/art-71/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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## 附 則 平成二七年三月三一日法律第九号
suppl-4271-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4271-9/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成二十七年四月一日から施行する。
suppl-4271-9/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2015.
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## 附 則 平成二七年五月二九日法律第三一号
suppl-4271-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4271-31/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成三十年四月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
suppl-4271-31/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2018; provided, however, that the provisions set forth in the following items come into effect as of the days specified respectively in those items.
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**一** 第一条の規定、第五条中健康保険法第九十条第二項及び第九十五条第六号の改正規定、同法第百五十三条第一項の改正規定、同法附則第四条の四の改正規定、同法附則第五条の改正規定、同法附則第五条の二の改正規定、同法附則第五条の三の改正規定並びに同条の次に四条を加える改正規定、第七条中船員保険法第七十条第四項の改正規定及び同法第八十五条第二項第三号の改正規定、第八条の規定並びに第十二条中社会保険診療報酬支払基金法第十五条第二項の改正規定並びに次条第一項並びに附則第六条から第九条まで、第十五条、第十八条、第二十六条、第五十九条、第六十二条及び第六十七条から第六十九条までの規定 公布の日
suppl-4271-31/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1, the provisions in Article 5 amending Article 90, paragraph (2) and Article 95, item (vi) of the Health Insurance Act, the provisions amending Article 153, paragraph (1) of that Act, the provisions amending Article 4-4 of the Supplementary Provisions of that Act, the provisions amending Article 5 of the Supplementary Provisions of that Act, the provisions amending Article 5-2 of the Supplementary Provisions of that Act, the provisions amending Article 5-3 of the Supplementary Provisions of that Act and the provisions adding four Articles after that Article, the provisions in Article 7 amending Article 70, paragraph (4) of the Mariners Insurance Act and the provisions amending Article 85, paragraph (2), item (iii) of that Act, the provisions of Article 8, and the provisions in Article 12 amending Article 15, paragraph (2) of the Act on Social Insurance Medical Fee Payment Fund, and the provisions of paragraph (1) of the following Article and Articles 6 through 9, Article 15, Article 18, Article 26, Article 59, Article 62, and Articles 67 through 69 of the Supplementary Provisions: the date of promulgation;
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**二** 第二条、第五条（前号に掲げる改正規定を除く。）、第七条（前号に掲げる改正規定を除く。）、第九条、第十二条（前号に掲げる改正規定を除く。）及び第十四条の規定並びに附則第十六条、第十七条、第十九条、第二十一条から第二十五条まで、第三十三条から第四十四条まで、第四十七条から第五十一条まで、第五十六条、第五十八条及び第六十四条の規定 平成二十八年四月一日
suppl-4271-31/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2, Article 5 (excluding the amending provisions set forth in the preceding item), Article 7 (excluding the amending provisions set forth in the preceding item), Article 9, Article 12 (excluding the amending provisions set forth in the preceding item) and Article 14, and the provisions of Articles 16, 17 and 19, Articles 21 through 25, Articles 33 through 44, Articles 47 through 51, and Articles 56, 58 and 64 of the Supplementary Provisions: April 1, 2016;
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**三** 第三条、第六条及び第十条の規定並びに附則第三条、第四条、第二十条、第二十七条及び第二十八条の規定、附則第五十三条中介護保険法附則第十一条の改正規定並びに附則第六十条、第六十三条及び第六十六条の規定 平成二十九年四月一日
suppl-4271-31/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 3, 6 and 10, and the provisions of Articles 3, 4, 20, 27 and 28 of the Supplementary Provisions, the provisions in Article 53 of the Supplementary Provisions amending Article 11 of the Supplementary Provisions of the Long-Term Care Insurance Act, and the provisions of Articles 60, 63 and 66 of the Supplementary Provisions: April 1, 2017.
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### 第二条（検討） — Review
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suppl-4271-31/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の公布後において、持続可能な医療保険制度を構築する観点から、医療に要する費用の適正化、医療保険の保険給付の範囲及び加入者等の負担能力に応じた医療に要する費用の負担の在り方等について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-4271-31/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
After the promulgation of this Act, from the perspective of building a sustainable medical insurance system, the government is to conduct a review of optimizing the costs required for medical care, the scope of insurance benefits of medical insurance, and how the costs required for medical care are to be shared in accordance with the ability of subscribers, etc. to bear costs, and to take necessary measures based on the results.
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### 第十五条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-4271-31/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十二年度から平成二十六年度までの各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。
suppl-4271-31/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of the national subsidy to Japan Health Insurance Association in each fiscal year from fiscal year 2010 through fiscal year 2014, the provisions then in force continue to govern.
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### 第十六条
suppl-4271-31/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第二号に掲げる規定の施行の日（以下「第二号施行日」という。）前に健康保険の被保険者（日雇特例被保険者を除く。以下この項において同じ。）の資格を取得して、第二号施行日まで引き続きその資格を有する者（平成二十八年四月から標準報酬月額を改定されるべき者を除く。）のうち、同年三月の標準報酬月額が百二十一万円であるもの（当該標準報酬月額の基礎となった報酬月額が百二十三万五千円未満である者を除く。）の標準報酬月額は、当該標準報酬月額の基礎となった報酬月額を第五条の規定による改正後の健康保険法（次条及び附則第十八条において「第二号改正後健保法」という。）第四十条第一項の規定による標準報酬月額の基礎となる報酬月額とみなして、保険者等（健康保険法第三十九条第一項に規定する保険者等をいう。）が改定する。
suppl-4271-31/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard monthly remuneration amount of those, among persons who acquired eligibility as an insured person covered by health insurance (excluding specially-insured day laborers; the same applies hereinafter in this paragraph) before the date on which the provisions set forth in Article 1, item (ii) of the Supplementary Provisions come into effect (hereinafter referred to as the "item (ii) Effective Date") and have continuously held that eligibility until the item (ii) Effective Date (excluding persons whose standard monthly remuneration amount is to be revised from April 2016), whose standard monthly remuneration amount for March of that year is 1,210,000 yen (excluding persons whose monthly remuneration amount that was the basis of that standard monthly remuneration amount is less than 1,235,000 yen), is revised by the insurer, etc. (meaning the insurer, etc. prescribed in Article 39, paragraph (1) of the Health Insurance Act), deeming the monthly remuneration amount that was the basis of that standard monthly remuneration amount to be the monthly remuneration amount that is the basis of the standard monthly remuneration amount under the provisions of Article 40, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 5 (referred to as the "item (ii) Amended Health Insurance Act" in the following Article and Article 18 of the Supplementary Provisions).
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**第二項** 前項の規定により改定された標準報酬月額は、平成二十八年四月から同年八月までの各月の標準報酬月額とする。
suppl-4271-31/art-16/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The standard monthly remuneration amount revised pursuant to the provisions of the preceding paragraph is the standard monthly remuneration amount of each month from April 2016 until August of that year.
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### 第十七条
suppl-4271-31/art-17 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二号改正後健保法第四十五条第一項の規定は、第二号施行日の属する月以後の月に健康保険の被保険者が受けた賞与の標準賞与額について適用し、第二号施行日の属する月前の月に当該被保険者が受けた賞与の標準賞与額については、なお従前の例による。
suppl-4271-31/art-17/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 45, paragraph (1) of the item (ii) Amended Health Insurance Act apply to the standard bonus amount of a bonus received by an insured person covered by health insurance in a month on or after the month that includes the item (ii) Effective Date, and with regard to the standard bonus amount of a bonus received by that insured person in a month before the month that includes the item (ii) Effective Date, the provisions then in force continue to govern.
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### 第十八条
suppl-4271-31/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、第二号改正後健保法第七十条第三項の厚生労働省令を定めようとするときは、第二号施行日前においても、第二号改正後健保法第八十二条第一項の規定の例により、中央社会保険医療協議会に諮問することができる。
suppl-4271-31/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When intending to establish the Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (3) of the item (ii) Amended Health Insurance Act, the Minister of Health, Labour, and Welfare may, even before the item (ii) Effective Date, consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) of the item (ii) Amended Health Insurance Act.
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### 第十九条
suppl-4271-31/art-19 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第二号施行日前において、第五条の規定による改正前の健康保険法による傷病手当金又は出産手当金の支給を受けていた者又は受けるべき者に係る第二号施行日前までの分として支給される当該傷病手当金又は出産手当金の額については、なお従前の例による。
suppl-4271-31/art-19/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of the injury and sickness allowance or childbirth allowance paid for the period before the item (ii) Effective Date to a person who, before the item (ii) Effective Date, was receiving or was to receive injury and sickness allowance or childbirth allowance under the Health Insurance Act prior to its amendment by the provisions of Article 5, the provisions then in force continue to govern.
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### 第二十条
suppl-4271-31/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十七年度及び平成二十八年度の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。
suppl-4271-31/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the amount of the national subsidy to the Japan Health Insurance Association in each of fiscal year 2015 and fiscal year 2016, the provisions then in force continue to govern.
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### 第六十八条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4271-31/art-68 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下この条において同じ。）の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4271-31/art-68/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter in this Article) comes into effect and to conduct engaged in after this Act comes into effect in the case where the provisions then in force are to remain applicable pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第六十九条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4271-31/art-69 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4271-31/art-69/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成二八年一一月二四日法律第八四号
suppl-4281-84 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。
suppl-4281-84/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation.
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## 附 則 平成二八年一二月二六日法律第一一四号
suppl-4281-114 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4281-114/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4281-114/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 略
suppl-4281-114/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 第七条の規定 平成二十九年四月一日
suppl-4281-114/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 7: April 1, 2017;
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### 第二条（検討） — Review
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suppl-4281-114/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後速やかに、この法律の施行の状況等を勘案し、公的年金制度を長期的に持続可能な制度とする取組を更に進め、社会経済情勢の変化に対応した保障機能を一層強化し、並びに世代間及び世代内の公平性を確保する観点から、公的年金制度及びこれに関連する制度について、持続可能な社会保障制度の確立を図るための改革の推進に関する法律（平成二十五年法律第百十二号）第六条第二項各号に掲げる事項その他必要な事項（次項に定める事項を除く。）について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-4281-114/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, promptly after this Act comes into effect, taking into account the conditions of the enforcement, etc. of this Act, from the viewpoint of further advancing efforts to make the public pension system a system that is sustainable over the long term, further strengthening the guarantee function in response to changes in the socioeconomic situation, and securing fairness between and within generations, review the matters listed in the items of Article 6, paragraph (2) of the Act on the Promotion of Reform to Establish a Sustainable Social Security System (Act No. 112 of 2013) and other necessary matters (excluding the matters specified in the following paragraph) concerning the public pension system and systems related to it, and take necessary measures based on the results of that review.
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### 第十八条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4281-114/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4281-114/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary for the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成二九年六月二日法律第四五号
suppl-4291-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、民法改正法の施行の日から施行する。ただし、第百三条の二、第百三条の三、第二百六十七条の二、第二百六十七条の三及び第三百六十二条の規定は、公布の日から施行する。
suppl-4291-45/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date on which the Civil Code Amendment Act comes into effect; provided, however, that the provisions of Articles 103-2, 103-3, 267-2, 267-3 and 362 come into effect as of the date of promulgation.
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## 附 則 平成二九年六月二日法律第五二号
suppl-4291-52 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4291-52/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成三十年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4291-52/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2018; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
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**一** 第三条の規定並びに次条並びに附則第十五条、第十六条、第二十七条、第二十九条、第三十一条、第三十六条及び第四十七条から第四十九条までの規定 公布の日
suppl-4291-52/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3, and the provisions of the following Article, and Articles 15, 16, 27, 29, 31, 36 and 47 through 49 of the Supplementary Provisions: the date of promulgation
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**二** 第一条中介護保険法第百五十二条及び第百五十三条の改正規定、同法第二百二条第一項、第二百三条第一項及び第二百十四条第三項の改正規定、同法附則第十一条及び第十二条の改正規定並びに同法附則第十三条を同法附則第十五条とし、同法附則第十二条の次に二条を加える改正規定、第二条中健康保険法等の一部を改正する法律附則第百三十条の二第一項の規定によりなおその効力を有するものとされた同法第二十六条の規定による改正前の介護保険法（以下「平成十八年旧介護保険法」という。）第百五十二条及び第百五十三条の改正規定、平成十八年旧介護保険法第二百二条第一項、第二百三条第一項及び第二百十四条第三項の改正規定、平成十八年旧介護保険法附則第九条及び第十条の改正規定並びに平成十八年旧介護保険法附則に二条を加える改正規定並びに第五条の規定（健康保険法第八十八条第一項の改正規定を除く。）並びに附則第三条から第六条まで、第十八条から第二十一条まで、第二十四条、第二十五条及び第四十四条の規定 平成二十九年七月一日
suppl-4291-52/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1 amending Articles 152 and 153 of the Long-Term Care Insurance Act, the provisions amending Article 202, paragraph (1), Article 203, paragraph (1) and Article 214, paragraph (3) of that Act, the provisions amending Articles 11 and 12 of the Supplementary Provisions of that Act, and the provisions revising Article 13 of the Supplementary Provisions of that Act to be Article 15 of the Supplementary Provisions of that Act and adding two articles after Article 12 of the Supplementary Provisions of that Act; the provisions of Article 2 amending Articles 152 and 153 of the Long-Term Care Insurance Act as it stood prior to its amendment by the provisions of Article 26 of the Act Partially Amending the Health Insurance Act, etc., that pre-amendment Act, which remains in force pursuant to the provisions of Article 130-2, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Health Insurance Act, etc. (the pre-amendment Act being hereinafter referred to as the "2006 Former Long-Term Care Insurance Act"), the provisions amending Article 202, paragraph (1), Article 203, paragraph (1) and Article 214, paragraph (3) of the 2006 Former Long-Term Care Insurance Act, the provisions amending Articles 9 and 10 of the Supplementary Provisions of the 2006 Former Long-Term Care Insurance Act, and the provisions adding two articles to the Supplementary Provisions of the 2006 Former Long-Term Care Insurance Act; the provisions of Article 5 (excluding the provisions amending Article 88, paragraph (1) of the Health Insurance Act); and the provisions of Articles 3 through 6, Articles 18 through 21, Article 24, Article 25 and Article 44 of the Supplementary Provisions: July 1, 2017;
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### 第二条（検討） — Review
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suppl-4291-52/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項**
suppl-4291-52/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第二項** 政府は、前項に定める事項のほか、この法律の施行後五年を目途として、この法律の規定による改正後の規定の施行の状況について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
suppl-4291-52/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to the matters specified in the preceding paragraph, the government is to, with a view to five years after this Act comes into effect, review the status of enforcement of the provisions as amended by the provisions of this Act and, if it finds it necessary, take required measures based on the results of that review.
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### 第二十四条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-4291-52/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第五条の規定（附則第一条第二号に掲げる改正規定に限る。次条において同じ。）による改正後の健康保険法（次条において「第二号新健康保険法」という。）第百五十三条及び第百五十四条並びに附則第四条の四から第五条の三まで及び第五条の五の規定は、平成二十九年度以後の各年度における全国健康保険協会に対する国庫補助の額について適用し、平成二十八年度以前の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。
suppl-4291-52/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 153 and 154 of the Health Insurance Act as amended by the provisions of Article 5 (limited to the amending provisions listed in Article 1, item (ii) of the Supplementary Provisions; the same applies in the following Article) (referred to as the "item (ii) New Health Insurance Act" in the following Article), and of Articles 4-4 through 5-3 and Article 5-5 of the Supplementary Provisions of that Act, apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year from fiscal year 2017 onward, and with regard to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year up to fiscal year 2016, the provisions then in force continue to govern.
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### 第二十五条
suppl-4291-52/art-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十九年度における第二号新健康保険法附則第五条の規定により読み替えて適用される第二号新健康保険法附則第五条の三の規定による全国健康保険協会に対する国庫補助の額は、同条の規定にかかわらず、同条の規定により算定される額の十二分の八に相当する額と同年度において第五条の規定による改正前の健康保険法（以下この項において「第二号旧健康保険法」という。）附則第五条の規定により読み替えられた第二号旧健康保険法第百五十三条第二項の規定により算定されることとなる額の十二分の四に相当する額との合計額とする。
suppl-4291-52/art-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The amount of the national subsidy to the Japan Health Insurance Association in fiscal year 2017 under the provisions of Article 5-3 of the Supplementary Provisions of the item (ii) New Health Insurance Act, which apply as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) New Health Insurance Act, is, notwithstanding the provisions of Article 5-3 of the Supplementary Provisions of the item (ii) New Health Insurance Act, the total amount of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that Article and the amount equivalent to 4/12 of the amount that is to be calculated in that fiscal year pursuant to the provisions of Article 153, paragraph (2) of the Health Insurance Act prior to its amendment by the provisions of Article 5 (hereinafter in this paragraph referred to as the "item (ii) Former Health Insurance Act"), as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) Former Health Insurance Act.
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**第二項** 平成二十九年度における第二号新健康保険法附則第四条の四の規定により読み替えて適用される第二号新健康保険法附則第五条の規定により読み替えられた第二号新健康保険法第百五十四条第二項の規定による全国健康保険協会に対する国庫補助の額の算定に用いられる全国健康保険協会が拠出すべき健康保険法第七条の二第三項に規定する介護納付金のうち同法第三条第二項に規定する日雇特例被保険者に係るもの（介護保険法の規定による概算納付金に係る部分に限る。）の納付に要する費用の額は、第二号新介護保険法第百五十二条第一項第二号の規定にかかわらず、同号の規定により算定される額の十二分の八に相当する額と同年度において第二号旧介護保険法附則第十一条第一項の規定により算定される額の十二分の四に相当する額との合計額とする。
suppl-4291-52/art-25/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In fiscal year 2017, the amount of the expenses required for the payment of those of the long-term care payments prescribed in Article 7-2, paragraph (3) of the Health Insurance Act that the Japan Health Insurance Association is to contribute which relate to specially-insured day laborers prescribed in Article 3, paragraph (2) of that Act (limited to the portion relating to the estimated payment under the provisions of the Long-Term Care Insurance Act), which is used in calculating the amount of the national subsidy to the Japan Health Insurance Association under the provisions of Article 154, paragraph (2) of the item (ii) New Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the item (ii) New Health Insurance Act, which apply as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the item (ii) New Health Insurance Act, is, notwithstanding the provisions of Article 152, paragraph (1), item (ii) of the item (ii) New Long-Term Care Insurance Act, the total amount of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that item and the amount equivalent to 4/12 of the amount calculated in that fiscal year pursuant to the provisions of Article 11, paragraph (1) of the Supplementary Provisions of the item (ii) Former Long-Term Care Insurance Act.
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### 第四十八条（罰則の適用に関する経過措置） — Transitional Measures Concerning the Application of Penal Provisions
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suppl-4291-52/art-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定については、当該各規定。以下この条において同じ。）の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4291-52/art-48/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter in this Article) comes into effect and to conduct engaged in after this Act comes into effect in the case where the provisions then in force are to remain applicable pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第四十九条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-4291-52/art-49 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4291-52/art-49/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成三〇年七月六日法律第七一号
suppl-4301-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4301-71/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成三十一年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4301-71/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2019; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第三条の規定並びに附則第七条第二項、第八条第二項、第十四条及び第十五条の規定、附則第十八条中社会保険労務士法（昭和四十三年法律第八十九号）別表第一第十八号の改正規定、附則第十九条中高年齢者等の雇用の安定等に関する法律（昭和四十六年法律第六十八号）第二十八条及び第三十八条第三項の改正規定、附則第二十条中建設労働者の雇用の改善等に関する法律（昭和五十一年法律第三十三号）第三十条第二項の改正規定、附則第二十七条の規定、附則第二十八条中厚生労働省設置法（平成十一年法律第九十七号）第四条第一項第五十二号の改正規定及び同法第九条第一項第四号の改正規定（「（平成十年法律第四十六号）」の下に「、労働施策の総合的な推進並びに労働者の雇用の安定及び職業生活の充実等に関する法律」を加える部分に限る。）並びに附則第三十条の規定 公布の日
suppl-4301-71/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 3 and the provisions of Article 7, paragraph (2), Article 8, paragraph (2), and Articles 14 and 15 of the Supplementary Provisions, the provisions of Article 18 of the Supplementary Provisions amending item (xviii) of Appended Table 1 of the Act on Public Consultants on Social and Labour Insurance (Act No. 89 of 1968), the provisions of Article 19 of the Supplementary Provisions amending Article 28 and Article 38, paragraph (3) of the Act on Employment Security of Elderly Persons (Act No. 68 of 1971), the provisions of Article 20 of the Supplementary Provisions amending Article 30, paragraph (2) of the Act on the Improvement of Employment of Construction Workers (Act No. 33 of 1976), the provisions of Article 27 of the Supplementary Provisions, the provisions of Article 28 of the Supplementary Provisions amending Article 4, paragraph (1), item (lii) of the Act for Establishment of the Ministry of Health, Labour and Welfare (Act No. 97 of 1999) and the provisions amending Article 9, paragraph (1), item (iv) of that Act (limited to the part adding ", the Act on Comprehensively Advancing Labor Measures, and Stabilizing the Employment of Workers, and Enriching Workers' Vocational Lives" after "(Act No. 46 of 1998)"), and the provisions of Article 30 of the Supplementary Provisions: the date of promulgation;
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**二** 第五条の規定（労働者派遣法第四十四条から第四十六条までの改正規定を除く。）並びに第七条及び第八条の規定並びに附則第六条、第七条第一項、第八条第一項、第九条、第十一条、第十三条及び第十七条の規定、附則第十八条（前号に掲げる規定を除く。）の規定、附則第十九条（前号に掲げる規定を除く。）の規定、附則第二十条（前号に掲げる規定を除く。）の規定、附則第二十一条、第二十三条及び第二十六条の規定並びに附則第二十八条（前号に掲げる規定を除く。）の規定 令和二年四月一日
suppl-4301-71/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 5 (excluding the provisions amending Articles 44 through 46 of the Worker Dispatching Act), the provisions of Article 7 and Article 8, the provisions of Article 6, Article 7, paragraph (1), Article 8, paragraph (1), Article 9, Article 11, Article 13 and Article 17 of the Supplementary Provisions, the provisions of Article 18 of the Supplementary Provisions (excluding the provisions set forth in the preceding item), the provisions of Article 19 of the Supplementary Provisions (excluding the provisions set forth in the preceding item), the provisions of Article 20 of the Supplementary Provisions (excluding the provisions set forth in the preceding item), the provisions of Article 21, Article 23 and Article 26 of the Supplementary Provisions, and the provisions of Article 28 of the Supplementary Provisions (excluding the provisions set forth in the preceding item): April 1, 2020.
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### 第二十九条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-4301-71/art-29 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条第三号に掲げる規定にあっては、当該規定）の施行前にした行為並びにこの附則の規定によりなお従前の例によることとされる場合及びこの附則の規定によりなおその効力を有することとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-4301-71/art-29/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in Article 1, item (iii) of the Supplementary Provisions, those provisions) comes into effect and to conduct engaged in after this Act comes into effect in the case where the provisions then in force are to remain applicable pursuant to the provisions of these Supplementary Provisions and in the case where provisions are to remain in force pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第三十条（政令への委任） — Delegation to Cabinet Order
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suppl-4301-71/art-30 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4301-71/art-30/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 平成三〇年七月二五日法律第七九号
suppl-4301-79 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-4301-79/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、平成三十一年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-4301-79/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2019; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第一条及び第四条の規定並びに次条から附則第四条まで並びに附則第九条及び第十五条の規定 公布の日
suppl-4301-79/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 1 and 4, the provisions of the following Article through Article 4 of the Supplementary Provisions, and the provisions of Articles 9 and 15 of the Supplementary Provisions: the date of promulgation.
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### 第十五条（政令への委任） — Delegation to Cabinet Order
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suppl-4301-79/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-4301-79/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和元年五月二二日法律第九号
suppl-5011-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5011-9/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和二年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5011-9/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2020; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第三条中高齢者の医療の確保に関する法律第百六十条の二の改正規定及び同条に一項を加える改正規定、第六条中社会保険診療報酬支払基金法の題名の次に目次を付する改正規定及び同法第十六条第二項の改正規定並びに第八条中国民健康保険法第八十八条第一項及び第二項並びに第百十条の二の改正規定、同条に一項を加える改正規定並びに同法第百十三条の二第一項の改正規定並びに附則第三条、第六条及び第十六条の規定 公布の日
suppl-5011-9/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3 amending Article 160-2 of the Act on Assurance of Medical Care for Elderly People and the provisions adding one paragraph to that Article, the provisions of Article 6 adding a table of contents after the title of the Act on Social Insurance Medical Fee Payment Fund and the provisions amending Article 16, paragraph (2) of that Act, and the provisions of Article 8 amending Article 88, paragraphs (1) and (2) and Article 110-2 of the National Health Insurance Act, the provisions adding one paragraph to that Article, and the provisions amending Article 113-2, paragraph (1) of that Act, and the provisions of Article 3, Article 6 and Article 16 of the Supplementary Provisions: The date of promulgation;
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**二** 略
suppl-5011-9/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 第一条の規定（健康保険法第三条第七項の改正規定を除く。）、第四条の規定、第六条の規定（第一号に掲げる改正規定を除く。）、第九条中国民健康保険法第八十二条第二項の改正規定、同法第八十五条の次に二条を加える改正規定及び同法第百四条の改正規定、第十二条の規定（第五号に掲げる改正規定並びに介護保険法第百十五条の四十五中第五項を第九項とし、第四項の次に四項を加える改正規定及び同法第百十七条第三項第六号の改正規定を除く。）並びに第十四条中船員保険法第百十一条第二項の改正規定並びに附則第七条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第二十六条第三項の改正規定、附則第八条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第九十八条第二項の改正規定、附則第九条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百十二条第三項の改正規定及び附則第十四条の規定 令和二年十月一日
suppl-5011-9/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1 (excluding the provisions amending Article 3, paragraph (7) of the Health Insurance Act), the provisions of Article 4, the provisions of Article 6 (excluding the amending provisions listed in item (i)), the provisions in Article 9 amending Article 82, paragraph (2) of the National Health Insurance Act, the provisions adding two Articles after Article 85 of that Act and the provisions amending Article 104 of that Act, the provisions of Article 12 (excluding the amending provisions listed in item (v), the provisions amending Article 115-45 of the Long-Term Care Insurance Act by redesignating paragraph (5) as paragraph (9) and adding four paragraphs after paragraph (4), and the provisions amending Article 117, paragraph (3), item (vi) of that Act), and the provisions in Article 14 amending Article 111, paragraph (2) of the Mariners Insurance Act, the provisions in Article 7 of the Supplementary Provisions amending Article 26, paragraph (3) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953), the provisions in Article 8 of the Supplementary Provisions amending Article 98, paragraph (2) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958), the provisions in Article 9 of the Supplementary Provisions amending Article 112, paragraph (3) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962), and the provisions of Article 14 of the Supplementary Provisions: October 1, 2020;
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**四** 第二条の規定（第六号に掲げる改正規定を除く。）、第五条の規定（次号及び第六号に掲げる改正規定を除く。）、第九条の規定（前号に掲げる改正規定を除く。）、第十一条の規定及び第十四条の規定（船員保険法第二条第九項の改正規定及び前号に掲げる改正規定を除く。）並びに附則第七条の規定（私立学校教職員共済法第二十五条の改正規定及び前号に掲げる改正規定を除く。）、附則第八条の規定（国家公務員共済組合法第二条第一項第二号及び第四十条第三項の改正規定並びに前号に掲げる改正規定を除く。）及び附則第九条の規定（地方公務員等共済組合法第二条第一項第二号及び第四十三条第三項の改正規定並びに前号に掲げる改正規定を除く。） 公布の日から起算して二年を超えない範囲内において政令で定める日
suppl-5011-9/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2 (excluding the amending provisions listed in item (vi)), the provisions of Article 5 (excluding the amending provisions listed in the following item and item (vi)), the provisions of Article 9 (excluding the amending provisions listed in the preceding item), the provisions of Article 11, and the provisions of Article 14 (excluding the provisions amending Article 2, paragraph (9) of the Mariners Insurance Act and the amending provisions listed in the preceding item), and the provisions of Article 7 of the Supplementary Provisions (excluding the provisions amending Article 25 of the Private School Personnel Mutual Aid Association Act and the amending provisions listed in the preceding item), the provisions of Article 8 of the Supplementary Provisions (excluding the provisions amending Article 2, paragraph (1), item (ii) and Article 40, paragraph (3) of the National Public Officers Mutual Aid Association Act and the amending provisions listed in the preceding item), and the provisions of Article 9 of the Supplementary Provisions (excluding the provisions amending Article 2, paragraph (1), item (ii) and Article 43, paragraph (3) of the Local Public Officers, etc. Mutual Aid Association Act and the amending provisions listed in the preceding item): the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation;
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**五** 第五条中高齢者の医療の確保に関する法律第百四十五条第三項の改正規定、第七条の規定及び第十二条中介護保険法第百六十六条第三項の改正規定並びに附則第四条、第五条、第十二条及び第十五条の規定 令和三年四月一日
suppl-5011-9/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 5 amending Article 145, paragraph (3) of the Act on Assurance of Medical Care for Elderly People, the provisions of Article 7, and the provisions of Article 12 amending Article 166, paragraph (3) of the Long-Term Care Insurance Act, and the provisions of Article 4, Article 5, Article 12 and Article 15 of the Supplementary Provisions: April 1, 2021;
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**六** 第二条中健康保険法第百五十条の二第二項の改正規定及び同項を同条第三項とし同条第一項の次に一項を加える改正規定、第五条中高齢者の医療の確保に関する法律第十六条の二第二項の改正規定並びに第十三条の規定 令和四年四月一日
suppl-5011-9/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 2 amending Article 150-2, paragraph (2) of the Health Insurance Act and the provisions making that paragraph paragraph (3) of that Article and adding one paragraph after paragraph (1) of that Article, the provisions in Article 5 amending Article 16-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People, and the provisions of Article 13: April 1, 2022.
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### 第二条（検討） — Review
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suppl-5011-9/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後三年を目途として、この法律（前条各号に掲げる規定にあっては、当該各規定。附則第十五条及び第十六条において同じ。）による改正後のそれぞれの法律（以下この条において「改正後の各法律」という。）の施行の状況、医療の質の向上に資するための情報の活用の状況、個人番号カード（行政手続における特定の個人を識別するための番号の利用等に関する法律（平成二十五年法律第二十七号）第二条第七項に規定する個人番号カードをいう。）の普及の状況その他社会経済の情報化の進展状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5011-9/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of three years after this Act (or, for the provisions set forth in the items of the preceding Article, those respective provisions; the same applies in Article 15 and Article 16 of the Supplementary Provisions) comes into effect, taking into account the status of the enforcement of the respective Acts as amended by this Act (hereinafter referred to in this Article as "the respective Acts as amended"), the status of the utilization of information for improving the quality of medical care, the status of the spread of the Individual Number card (meaning the Individual Number card prescribed in Article 2, paragraph (7) of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (Act No. 27 of 2013)), and other status of the progress of the computerization of society and the economy, when it finds it necessary, review the provisions of the respective Acts as amended, and take necessary measures based on the results of that review.
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### 第十五条（罰則の適用に関する経過措置） — Transitional Measures Concerning the Application of Penal Provisions
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suppl-5011-9/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及び附則第四条の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5011-9/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect, and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of Article 4 of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第十六条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-5011-9/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5011-9/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和二年三月三一日法律第八号
suppl-5021-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5021-8/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和二年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5021-8/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2020; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 略
suppl-5021-8/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**二** 次に掲げる規定 令和三年一月一日
suppl-5021-8/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the following provisions: January 1, 2021;
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**イ及びロ** 略
suppl-5021-8/art-1/par-1/item-2/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**ハ** 第十五条中租税特別措置法第四十一条の四の二の次に一条を加える改正規定、同法第四十一条の十九第一項の改正規定（「千万円」を「八百万円」に改める部分に限る。）、同法第九十三条の改正規定（同条第一項第四号を同項第五号とし、同項第三号の次に一号を加える部分を除く。）、同法第九十四条の改正規定、同法第九十五条の改正規定及び同法第九十六条の改正規定並びに附則第七十四条第一項及び第三項、第百十一条、第百四十四条並びに第百四十九条の規定
suppl-5021-8/art-1/par-1/item-2/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 15 adding one Article after Article 41-4-2 of the Act on Special Measures Concerning Taxation, the provisions amending Article 41-19, paragraph (1) of that Act (limited to the part amending "10,000,000 yen" to "8,000,000 yen"), the provisions amending Article 93 of that Act (excluding the part renumbering item (iv) of paragraph (1) of that Article as item (v) of that paragraph and adding one item after item (iii) of that paragraph), the provisions amending Article 94 of that Act, the provisions amending Article 95 of that Act, and the provisions amending Article 96 of that Act, and the provisions of Article 74, paragraphs (1) and (3), Article 111, Article 144, and Article 149 of the Supplementary Provisions.
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### 第百七十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5021-8/art-171 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定にあっては、当該規定。以下この条において同じ。）の施行前にした行為並びにこの附則の規定によりなお従前の例によることとされる場合及びこの附則の規定によりなおその効力を有することとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5021-8/art-171/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those provisions; hereinafter the same applies in this Article) comes into effect, and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions and in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第百七十二条（政令への委任） — Delegation to Cabinet Order
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suppl-5021-8/art-172 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-5021-8/art-172/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 令和二年三月三一日法律第一四号
suppl-5021-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5021-14/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和二年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5021-14/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2020; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第一条中雇用保険法第十九条第一項の改正規定、同法第三十六条の見出しを削る改正規定並びに同法第四十八条及び第五十四条の改正規定並びに同法附則第四条、第五条、第十条及び第十一条の二第一項の改正規定並びに附則第十条、第二十六条及び第二十八条から第三十二条までの規定 公布の日
suppl-5021-14/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1 amending Article 19, paragraph (1) of the Employment Insurance Act, the provisions deleting the heading of Article 36 of that Act, the provisions amending Articles 48 and 54 of that Act, the provisions amending Articles 4, 5 and 10 and Article 11-2, paragraph (1) of the Supplementary Provisions of that Act, and the provisions of Articles 10 and 26 and Articles 28 through 32 of the Supplementary Provisions: the date of promulgation.
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## 附 則 令和二年六月五日法律第四〇号
suppl-5021-40 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5021-40/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和四年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5021-40/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2022; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第一条中国民年金法第八十七条第三項の改正規定、第四条中厚生年金保険法第百条の三の改正規定、同法第百条の十第一項の改正規定（同項第十号の改正規定を除く。）及び同法附則第二十三条の二第一項の改正規定、第六条の規定、第十一条の規定（第五号に掲げる改正規定を除く。）、第十二条の規定（第六号に掲げる改正規定を除く。）、第十三条の規定（同号に掲げる改正規定を除く。）、第二十条中確定給付企業年金法第三十六条第二項第一号の改正規定、第二十一条中確定拠出年金法第四十八条の三、第七十三条及び第八十九条第一項第三号の改正規定、第二十四条中公的年金制度の健全性及び信頼性の確保のための厚生年金保険法等の一部を改正する法律附則第三十八条第三項の表改正後確定拠出年金法第四十八条の二の項及び第四十条第八項の改正規定、第二十九条中健康保険法附則第五条の四、第五条の六及び第五条の七の改正規定、次条第二項から第五項まで及び附則第十二条の規定、附則第四十二条中国民年金法等の一部を改正する法律（昭和六十年法律第三十四号。次号及び附則第四十二条から第四十五条までにおいて「昭和六十年国民年金等改正法」という。）附則第二十条及び第六十四条の改正規定、附則第五十五条中被用者年金制度の一元化等を図るための厚生年金保険法等の一部を改正する法律（平成二十四年法律第六十三号。以下「平成二十四年一元化法」という。）附則第二十三条第三項、第三十六条第六項、第六十条第六項及び第八十五条の改正規定、附則第五十六条の規定、附則第九十五条中行政手続における特定の個人を識別するための番号の利用等に関する法律（平成二十五年法律第二十七号）別表第二の百七の項の改正規定並びに附則第九十七条の規定 公布の日
suppl-5021-40/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 1 amending Article 87, paragraph (3) of the National Pension Act; the provisions of Article 4 amending Article 100-3 of the Employees' Pension Insurance Act, the provisions amending Article 100-10, paragraph (1) of that Act (excluding the provisions amending item (x) of that paragraph), and the provisions amending Article 23-2, paragraph (1) of the Supplementary Provisions of that Act; the provisions of Article 6; the provisions of Article 11 (excluding the amending provisions listed in item (v)); the provisions of Article 12 (excluding the amending provisions listed in item (vi)); the provisions of Article 13 (excluding the amending provisions listed in that item); the provisions of Article 20 amending Article 36, paragraph (2), item (i) of the Defined-Benefit Corporate Pension Act; the provisions of Article 21 amending Article 48-3, Article 73 and Article 89, paragraph (1), item (iii) of the Defined Contribution Pension Act; the provisions of Article 24 amending the row for Article 48-2 of the Defined Contribution Pension Act as amended in the table in Article 38, paragraph (3) of the Supplementary Provisions of the Act Partially Amending the Employees' Pension Insurance Act, etc. to Ensure the Soundness and Reliability of the Public Pension System, and Article 40, paragraph (8); the provisions of Article 29 amending Article 5-4, Article 5-6 and Article 5-7 of the Supplementary Provisions of the Health Insurance Act; the provisions of paragraphs (2) through (5) of the following Article and Article 12 of the Supplementary Provisions; the provisions of Article 42 of the Supplementary Provisions amending Article 20 and Article 64 of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc. (Act No. 34 of 1985; referred to as the "1985 National Pension Act Amendment Act" in the following item and Article 42 through Article 45 of the Supplementary Provisions); the provisions of Article 55 of the Supplementary Provisions amending Article 23, paragraph (3), Article 36, paragraph (6), Article 60, paragraph (6) and Article 85 of the Supplementary Provisions of the Act Partially Amending the Employees' Pension Insurance Act, etc. to Unify, etc. the Employees' Pension Systems (Act No. 63 of 2012; hereinafter referred to as the "2012 Pension Unification Act"); the provisions of Article 56 of the Supplementary Provisions; the provisions of Article 95 of the Supplementary Provisions amending row 107 of Appended Table 2 of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (Act No. 27 of 2013); and the provisions of Article 97 of the Supplementary Provisions: The date of promulgation;
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**二から七まで** 略
suppl-5021-40/art-1/par-1/item-2-to-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**八** 第四条中厚生年金保険法第六条第一項第一号及び第十二条並びに附則第四条の二の改正規定、第九条の規定、第十五条中国家公務員共済組合法第二条第一項第一号、第四十条、第七十二条、第百二条の二及び第百二十五条から第百二十六条の二まで並びに附則第二十条の二第一項及び第二十条の六第一項の改正規定、第十七条中地方公務員等共済組合法第二条第一項第一号、第四十三条、第七十四条、第百十三条第一項及び第百四十一条から第百四十二条まで並びに附則第四十条の三の二の改正規定、第十九条中私立学校教職員共済法第二十二条第二項の改正規定、第二十三条の規定、第二十九条の規定（第一号に掲げる改正規定を除く。）並びに次条第六項並びに附則第十四条、第十九条及び第二十四条の規定 令和四年十月一日
suppl-5021-40/art-1/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 4 amending Article 6, paragraph (1), item (i), Article 12, and Article 4-2 of the Supplementary Provisions of the Employees' Pension Insurance Act, the provisions of Article 9, the provisions in Article 15 amending Article 2, paragraph (1), item (i), Article 40, Article 72, Article 102-2, and Articles 125 through 126-2, and Article 20-2, paragraph (1) and Article 20-6, paragraph (1) of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act, the provisions in Article 17 amending Article 2, paragraph (1), item (i), Article 43, Article 74, Article 113, paragraph (1), and Articles 141 through 142, and Article 40-3-2 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act, the provisions in Article 19 amending Article 22, paragraph (2) of the Private School Personnel Mutual Aid Association Act, the provisions of Article 23, the provisions of Article 29 (excluding the amending provisions listed in item (i)), and the provisions of paragraph (6) of the following Article and Articles 14, 19 and 24 of the Supplementary Provisions: October 1, 2022;
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**九及び十** 略
suppl-5021-40/art-1/par-1/item-9-to-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**十一** 第十条の規定 令和六年十月一日
suppl-5021-40/art-1/par-1/item-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 10: October 1, 2024.
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### 第二条（検討） — Review
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suppl-5021-40/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後速やかに、この法律による改正後のそれぞれの法律の施行の状況等を勘案し、公的年金制度を長期的に持続可能な制度とする取組を更に進め、社会経済情勢の変化に対応した保障機能を一層強化し、並びに世代間及び世代内の公平性を確保する観点から、公的年金制度及びこれに関連する制度について、持続可能な社会保障制度の確立を図るための改革の推進に関する法律（平成二十五年法律第百十二号）第六条第二項各号に掲げる事項及び公的年金制度の所得再分配機能の強化その他必要な事項（次項及び第四項に定める事項を除く。）について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5021-40/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, promptly after this Act comes into effect, taking into account the conditions of the enforcement, etc. of the respective Acts as amended by this Act, from the viewpoint of further advancing efforts to make the public pension system a system that is sustainable over the long term, further strengthening the guarantee function in response to changes in the socioeconomic situation, and securing fairness between and within generations, review the matters listed in the items of Article 6, paragraph (2) of the Act on the Promotion of Reform to Establish a Sustainable Social Security System (Act No. 112 of 2013), the strengthening of the income redistribution function of the public pension system, and other necessary matters (excluding the matters specified in the following paragraph and paragraph (4)) concerning the public pension system and systems related to it, and take necessary measures based on the results of that review.
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### 第四十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5021-40/art-41 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5021-40/art-41/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第九十七条（政令への委任） — Delegation to Cabinet Order
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suppl-5021-40/art-97 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5021-40/art-97/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和二年六月一二日法律第五二号
suppl-5021-52 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5021-52/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和三年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5021-52/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2021; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第三条中介護保険法附則第十三条（見出しを含む。）及び第十四条（見出しを含む。）の改正規定、第四条中健康保険法等の一部を改正する法律附則第百三十条の二第一項の規定によりなおその効力を有するものとされた同法第二十六条の規定による改正前の介護保険法附則第十一条（見出しを含む。）及び第十二条（見出しを含む。）の改正規定、第六条及び第八条の規定並びに附則第六条の規定、附則第七条の規定（介護サービスの基盤強化のための介護保険法等の一部を改正する法律（平成二十三年法律第七十二号）附則第十条第三項及び第四項の改正規定を除く。）並びに附則第八条及び第九条の規定 公布の日
suppl-5021-52/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3 amending Article 13 (including the heading) and Article 14 (including the heading) of the Supplementary Provisions of the Long-Term Care Insurance Act, the provisions of Article 4 amending Article 11 (including the heading) and Article 12 (including the heading) of the Supplementary Provisions of the Long-Term Care Insurance Act before amendment by Article 26 of the Act Partially Amending the Health Insurance Act, etc., which are deemed to remain in force under Article 130-2, paragraph (1) of the Supplementary Provisions of that Act, and the provisions of Article 6 and Article 8; and the provisions of Article 6 of the Supplementary Provisions, the provisions of Article 7 of the Supplementary Provisions (excluding the provisions amending Article 10, paragraphs (3) and (4) of the Supplementary Provisions of the Act Partially Amending the Long-Term Care Insurance Act, etc. to Strengthen the Foundation of Long-Term Care Services (Act No. 72 of 2011)), and the provisions of Article 8 and Article 9 of the Supplementary Provisions: The date of promulgation.
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## 附 則 令和三年五月一九日法律第三七号
suppl-5031-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5031-37/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和三年九月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5031-37/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on September 1, 2021; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一** 第二十七条（住民基本台帳法別表第一から別表第五までの改正規定に限る。）、第四十五条、第四十七条及び第五十五条（行政手続における特定の個人を識別するための番号の利用等に関する法律別表第一及び別表第二の改正規定（同表の二十七の項の改正規定を除く。）に限る。）並びに附則第八条第一項、第五十九条から第六十三条まで、第六十七条及び第七十一条から第七十三条までの規定 公布の日
suppl-5031-37/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 27 (limited to the provision amending Appended Tables 1 through 5 of the Residential Basic Book Act), Article 45, Article 47 and Article 55 (limited to the provision amending Appended Table 1 and Appended Table 2 of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (excluding the provision amending row 27 of that Table)), and the provisions of Article 8, paragraph (1), Articles 59 through 63, Article 67 and Articles 71 through 73 of the Supplementary Provisions: the date of promulgation;
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**二から六まで** 略
suppl-5031-37/art-1/par-1/item-2-to-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**七** 第二十七条（住民基本台帳法第二十四条の二の改正規定及び同法第三十条の十五第三項の改正規定に限る。）、第四十八条（電子署名等に係る地方公共団体情報システム機構の認証業務に関する法律第七十一条の二を同法第七十一条の三とし、同法第七十一条の次に一条を加える改正規定を除く。）、第四十九条及び第五十一条並びに附則第九条（第三項を除く。）、第十条、第十五条、第十八条（戸籍法第百二十九条の改正規定（「戸籍の」の下に「正本及び」を加える部分に限る。）に限る。）、第二十二条、第二十五条、第二十六条、第二十八条、第二十九条（住民基本台帳法第三十条の十五第三項の改正規定に限る。）、第三十九条、第四十三条、第四十七条、第四十九条、第五十四条、第五十五条（がん登録等の推進に関する法律第三十五条の改正規定（「（条例を含む。）」を削る部分に限る。）に限る。）、第五十七条、第六十六条及び第七十条の規定 公布の日から起算して二年を超えない範囲内において、各規定につき、政令で定める日
suppl-5031-37/art-1/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 27 (limited to the provisions amending Article 24-2 of the Residential Basic Book Act and the provisions amending Article 30-15, paragraph (3) of that Act), Article 48 (excluding the provisions redesignating Article 71-2 of the Act on Certification Business of the Japan Agency for Local Authority Information Systems in Relation to Electronic Signatures, etc. as Article 71-3 of that Act and adding one Article after Article 71 of that Act), Article 49 and Article 51, and the provisions of Article 9 (excluding paragraph (3)), Article 10, Article 15, Article 18 (limited to the provisions amending Article 129 of the Family Register Act (limited to the part adding "the authentic copy and" after "of the family register")), Article 22, Article 25, Article 26, Article 28, Article 29 (limited to the provisions amending Article 30-15, paragraph (3) of the Residential Basic Book Act), Article 39, Article 43, Article 47, Article 49, Article 54, Article 55 (limited to the provisions amending Article 35 of the Act on Promotion of Cancer Registration, etc. (limited to the part deleting "(including Prefectural or Municipal Ordinances)")), Article 57, Article 66 and Article 70 of the Supplementary Provisions: the date specified by Cabinet Order for each provision within a period not exceeding two years from the date of promulgation.
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### 第七十一条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5031-37/art-71 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定にあっては、当該規定。以下この条において同じ。）の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5031-37/art-71/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第七十二条（政令への委任） — Delegation to Cabinet Order
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suppl-5031-37/art-72 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5031-37/art-72/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, the transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和三年六月一一日法律第六六号
suppl-5031-66 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5031-66/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和四年一月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5031-66/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on January 1, 2022; provided, however, that the provisions listed in the following items come into effect as of the dates specified in those items.
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**一** 第六条中国民健康保険法附則第二十五条の改正規定並びに第八条中生活保護法第五十五条の八、第八十五条の二及び別表第一の三の項第三号の改正規定並びに次条第一項、附則第八条及び第十条の規定、附則第十五条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百四十六条の改正規定、附則第二十一条中住民基本台帳法（昭和四十二年法律第八十一号）別表第一の十九の項及び別表第二から別表第五までの改正規定、附則第二十三条中租税条約等の実施に伴う所得税法、法人税法及び地方税法の特例等に関する法律（昭和四十四年法律第四十六号）第三条の二の三第一項の改正規定（「第七百三条の四第十一項第一号」を「第七百三条の四第十項第一号」に改める部分に限る。）並びに附則第二十九条、第三十一条及び第三十二条の規定 公布の日
suppl-5031-66/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provision in Article 6 revising Article 25 of the Supplementary Provisions of the National Health Insurance Act, and the provision in Article 8 revising Article 55-8, Article 85-2, and Appended Table 1, row 3, item (iii) of the Public Assistance Act, and the provisions of paragraph (1) of the following Article, Article 8 and Article 10 of the Supplementary Provisions, the provision in Article 15 of the Supplementary Provisions revising Article 146 of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962), the provision in Article 21 of the Supplementary Provisions revising row 19 of Appended Table 1 and Appended Tables 2 through 5 of the Residential Basic Book Act (Act No. 81 of 1967), the provision in Article 23 of the Supplementary Provisions revising Article 3-2-3, paragraph (1) of the Act on Special Provisions of the Income Tax Act, the Corporation Tax Act and the Local Tax Act Incidental to Enforcement of Tax Treaties, etc. (Act No. 46 of 1969) (limited to the part replacing "Article 703-4, paragraph (11), item (i)" with "Article 703-4, paragraph (10), item (i)"), and the provisions of Article 29, Article 31 and Article 32 of the Supplementary Provisions: the date of promulgation;
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**二** 略
suppl-5031-66/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 第一条中健康保険法第百五十九条及び第二百四条第一項第十二号の改正規定、第二条中船員保険法第百十八条及び第百五十三条第一項第七号の改正規定並びに第三条及び第四条の規定並びに附則第三条第三項、第四条第二項、第五条及び第六条の規定、附則第十一条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第二十五条の改正規定（同条の表第七十五条の三第一項の項中「第百条の二の規定」を「第百条の二第一項の規定」に、「第二十八条第四項及び第五項」を「第二十八条第五項及び第六項」に改める部分及び同表附則第十二条第九項の項中「第四項」を「第五項」に改める部分に限る。）及び同法第二十八条の改正規定、附則第十二条の規定、附則第十三条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第七十五条の三第一項第五号、第百条の二及び第百二条第一項の改正規定、附則第十四条の規定、附則第十五条中地方公務員等共済組合法第七十九条第一項第五号、第百十四条の二、第百十六条第一項及び第百四十四条の十二第一項の改正規定並びに附則第十六条、第二十六条及び第二十七条の規定 令和四年十月一日
suppl-5031-66/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 1 amending Article 159 and Article 204, paragraph (1), item (xii) of the Health Insurance Act, the provisions in Article 2 amending Article 118 and Article 153, paragraph (1), item (vii) of the Mariners Insurance Act, and the provisions of Articles 3 and 4, and the provisions of Article 3, paragraph (3), Article 4, paragraph (2), Article 5 and Article 6 of the Supplementary Provisions, the provisions in Article 11 of the Supplementary Provisions amending Article 25 of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) (limited to the part amending "the provisions of Article 100-2" to "the provisions of Article 100-2, paragraph (1)" and "Article 28, paragraphs (4) and (5)" to "Article 28, paragraphs (5) and (6)" in the row for Article 75-3, paragraph (1) in the table of that Article, and the part amending "paragraph (4)" to "paragraph (5)" in the row for Article 12, paragraph (9) of the Supplementary Provisions in that table) and the provisions amending Article 28 of that Act, the provisions of Article 12 of the Supplementary Provisions, the provisions in Article 13 of the Supplementary Provisions amending Article 75-3, paragraph (1), item (v), Article 100-2 and Article 102, paragraph (1) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958), the provisions of Article 14 of the Supplementary Provisions, the provisions in Article 15 of the Supplementary Provisions amending Article 79, paragraph (1), item (v), Article 114-2, Article 116, paragraph (1) and Article 144-12, paragraph (1) of the Local Public Officers, etc. Mutual Aid Association Act, and the provisions of Articles 16, 26 and 27 of the Supplementary Provisions: October 1, 2022;
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**四及び五** 略
suppl-5031-66/art-1/par-1/item-4-to-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**六** 第一条中健康保険法第二百五条の四第二項及び第二百五条の五の改正規定、第二条中船員保険法第百五十三条の十第二項及び第百五十三条の十一の改正規定、第五条中高齢者の医療の確保に関する法律第百六十五条の二第二項及び第百六十五条の三の改正規定、第六条中国民健康保険法第百十三条の三第二項及び第百十三条の四の改正規定、第八条の規定（第一号に掲げる改正規定を除く。）並びに第九条及び第十条の規定並びに附則第十一条中私立学校教職員共済法第四十七条の三第二項及び第四十七条の四の改正規定、附則第十三条中国家公務員共済組合法第百十四条の二第二項及び第百十四条の三の改正規定、附則第十五条中地方公務員等共済組合法第百四十四条の三十三第二項及び第百四十四条の三十四の改正規定並びに附則第二十二条、第二十四条及び第三十条の規定 公布の日から起算して三年を超えない範囲内において政令で定める日
suppl-5031-66/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provision in Article 1 revising Article 205-4, paragraph (2) and Article 205-5 of the Health Insurance Act, the provision in Article 2 revising Article 153-10, paragraph (2) and Article 153-11 of the Mariners Insurance Act, the provision in Article 5 revising Article 165-2, paragraph (2) and Article 165-3 of the Act on Assurance of Medical Care for Elderly People, the provision in Article 6 revising Article 113-3, paragraph (2) and Article 113-4 of the National Health Insurance Act, the provisions of Article 8 (excluding the revision provision listed in item (i)), and the provisions of Article 9 and Article 10, and the provision in Article 11 of the Supplementary Provisions revising Article 47-3, paragraph (2) and Article 47-4 of the Private School Personnel Mutual Aid Association Act, the provision in Article 13 of the Supplementary Provisions revising Article 114-2, paragraph (2) and Article 114-3 of the National Public Officers Mutual Aid Association Act, the provision in Article 15 of the Supplementary Provisions revising Article 144-33, paragraph (2) and Article 144-34 of the Local Public Officers, etc. Mutual Aid Association Act, and the provisions of Article 22, Article 24 and Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation.
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### 第二条（検討） — Review
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suppl-5031-66/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の公布後速やかに、全世代対応型の持続可能な社会保障制度を構築する観点から、社会保障制度の改革及び少子化に対処するための施策について、その実施状況の検証を行うとともに、総合的な検討に着手し、その検討の結果に基づいて速やかに法制の整備その他の必要な措置を講ずるものとする。
suppl-5031-66/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, promptly after the promulgation of this Act, from the perspective of building a sustainable social security system that accommodates all generations, verify the status of implementation of the reform of the social security system and of measures to address the declining birthrate, commence an integrated review, and promptly take legislative measures and other necessary measures based on the results of that review.
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**第二項** 政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5031-66/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of five years after this Act comes into effect, taking into account the conditions of the enforcement, etc. of the respective Acts as amended by this Act (hereinafter referred to in this paragraph as "the respective Acts as amended"), when it finds it necessary, review the provisions of the respective Acts as amended, and take necessary measures based on the results of that review.
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### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act
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suppl-5031-66/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定による改正後の健康保険法第四十七条第二項の規定は、この法律の施行の日（以下「施行日」という。）以後に健康保険法第三十六条の規定により被保険者の資格を喪失した者について適用し、施行日前に同条の規定により被保険者の資格を喪失した者については、なお従前の例による。
suppl-5031-66/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 47, paragraph (2) of the Health Insurance Act as revised by the provisions of Article 1 apply to a person who loses eligibility as an insured person pursuant to the provisions of Article 36 of the Health Insurance Act on or after the date of enforcement of this Act (hereinafter referred to as the "Effective Date"), and with respect to a person who lost eligibility as an insured person pursuant to the provisions of that Article before the Effective Date, the provisions then in force continue to govern.
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**第二項** 第一条の規定による改正後の健康保険法第九十九条第四項の規定は、施行日の前日において、支給を始めた日から起算して一年六月を経過していない傷病手当金について適用し、施行日前に第一条の規定による改正前の健康保険法第九十九条第四項に規定する支給期間が満了した傷病手当金については、なお従前の例による。
suppl-5031-66/art-3/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 99, paragraph (4) of the Health Insurance Act as revised by the provisions of Article 1 apply to injury and sickness allowance for which one year and six months, counted from the day on which payment started, have not elapsed on the day preceding the Effective Date, and with respect to injury and sickness allowance for which the payment period prescribed in Article 99, paragraph (4) of the Health Insurance Act prior to revision by the provisions of Article 1 expired before the Effective Date, the provisions then in force continue to govern.
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**第三項** 第一条の規定による改正後の健康保険法第百五十九条の規定は、附則第一条第三号に掲げる規定の施行の日（以下「第三号施行日」という。）以後に開始する健康保険法第四十三条の二第一項に規定する育児休業等について適用し、第三号施行日前に開始した同項に規定する育児休業等については、なお従前の例による。
suppl-5031-66/art-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 159 of the Health Insurance Act as revised by the provisions of Article 1 apply to childcare leave prescribed in Article 43-2, paragraph (1) of the Health Insurance Act that commences on or after the date of enforcement of the provisions listed in Article 1, item (iii) of the Supplementary Provisions (hereinafter referred to as the "item (iii) Effective Date"), and with respect to childcare leave prescribed in that paragraph that commenced before the item (iii) Effective Date, the provisions then in force continue to govern.
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### 第三十二条（政令への委任） — Delegation to Cabinet Order
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suppl-5031-66/art-32 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から第十条まで、第十二条、第十四条及び第十六条に規定するもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。
suppl-5031-66/art-32/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in Article 3 through Article 10, Article 12, Article 14 and Article 16 of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 令和四年六月一七日法律第六八号
suppl-5041-68 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、刑法等一部改正法施行日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5041-68/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the effective date of the Act Partially Amending the Penal Code, etc.; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
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**一** 第五百九条の規定 公布の日
suppl-5041-68/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 509: the date of promulgation.
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## 附 則 令和四年一二月九日法律第九六号
suppl-5041-96 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5041-96/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和六年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5041-96/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2024; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 第一条の規定（次号に掲げる改正規定を除く。）、第四条中地域保健法第六条の改正規定、第五条の規定、第八条中医療法第六条の五、第七条、第七条の二、第二十七条の二及び第三十条の四第十項の改正規定、第九条及び第十二条の規定並びに第十七条中高齢者の医療の確保に関する法律第百二十一条第一項第一号イの改正規定並びに次条第一項から第三項まで、附則第三条、第四条、第八条から第十二条まで、第十四条及び第十六条から第十八条までの規定、附則第十九条の規定（次号に掲げる改正規定を除く。）、附則第二十四条の規定、附則第三十一条中住民基本台帳法（昭和四十二年法律第八十一号）別表第二の四の項、別表第三の五の五の項、別表第四の三の項及び別表第五第六号の三の改正規定並びに附則第三十六条から第三十八条まで及び第四十二条の規定 公布の日
suppl-5041-96/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1 (excluding the amending provisions set forth in the following item); the provision in Article 4 amending Article 6 of the Community Health Act; the provisions of Article 5; the provisions in Article 8 amending Article 6-5, Article 7, Article 7-2, Article 27-2 and Article 30-4, paragraph (10) of the Medical Care Act; the provisions of Articles 9 and 12; the provision in Article 17 amending Article 121, paragraph (1), item (i), sub-item (a) of the Act on Assurance of Medical Care for Elderly People; the provisions of paragraphs (1) through (3) of the following Article and Article 3, Article 4, Articles 8 through 12, Article 14 and Articles 16 through 18 of the Supplementary Provisions; the provisions of Article 19 of the Supplementary Provisions (excluding the amending provisions set forth in the following item); the provisions of Article 24 of the Supplementary Provisions; the provisions in Article 31 of the Supplementary Provisions amending row 4 of Appended Table 2, row 5-5 of Appended Table 3, row 3 of Appended Table 4 and item (vi)-3 of Appended Table 5 of the Residential Basic Book Act (Act No. 81 of 1967); and the provisions of Articles 36 through 38 and Article 42 of the Supplementary Provisions: the date of promulgation.
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### 第二条（検討） — Review
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suppl-5041-96/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、新型コロナウイルス感染症（病原体がベータコロナウイルス属のコロナウイルス（令和二年一月に、中華人民共和国から世界保健機関に対して、人に伝染する能力を有することが新たに報告されたものに限る。）であるものに限る。以下同じ。）の罹患後症状に係る医療の在り方について、科学的知見に基づく適切な医療の確保を図る観点から速やかに検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5041-96/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to promptly examine the state of medical care for post-infection symptoms of novel coronavirus infectious disease (limited to those whose pathogen is a coronavirus of the genus Betacoronavirus (limited to one that, in January 2020, was newly reported by the People's Republic of China to the World Health Organization as having the capacity to be transmitted to humans); the same applies hereinafter), from the viewpoint of ensuring appropriate medical care based on scientific knowledge, and take necessary measures based on the results.
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**第二項** 政府は、新型コロナウイルス感染症に関する状況の変化を勘案し、当該感染症の新型インフルエンザ等感染症（感染症法第六条第七項に規定する新型インフルエンザ等感染症をいう。附則第六条において同じ。）への位置付けの在り方について、感染症法第六条に規定する他の感染症の類型との比較等の観点から速やかに検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5041-96/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Taking into account changes in the situation concerning novel coronavirus infectious disease, the government is to promptly examine how that infectious disease is to be positioned as a novel influenza, etc. infectious disease (meaning the novel influenza, etc. infectious disease prescribed in Article 6, paragraph (7) of the Infectious Diseases Control Act; the same applies in Article 6 of the Supplementary Provisions), from the viewpoint of comparison with the other types of infectious diseases prescribed in Article 6 of that Act, and take necessary measures based on the results.
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**第三項** 政府は、予防接種の有効性及び安全性に関する情報（副反応に関する情報を含む。）の公表の在り方について検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5041-96/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to examine how information on the efficacy and safety of vaccinations (including information on adverse reactions) is to be made public, and take necessary measures based on the results.
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**第四項** 政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5041-96/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of five years after the enforcement of this Act, taking into account the conditions of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results.
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### 第四十二条（政令への委任） — Delegation to Cabinet Order
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suppl-5041-96/art-42 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5041-96/art-42/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和五年三月三一日法律第三号
suppl-5051-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5051-3/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和五年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5051-3/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2023; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:
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**一及び二** 略
suppl-5051-3/art-1/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 次に掲げる規定 令和六年一月一日
suppl-5051-3/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the following provisions: January 1, 2024;
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**イ及びロ** 略
suppl-5051-3/art-1/par-1/item-3/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**ハ** 第九条の規定並びに附則第二十四条、第六十六条から第六十九条まで及び第七十一条から第七十四条までの規定
suppl-5051-3/art-1/par-1/item-3/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 9, and the provisions of Article 24, Articles 66 through 69, and Articles 71 through 74 of the Supplementary Provisions.
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### 第七十八条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5051-3/art-78 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条各号に掲げる規定にあっては、当該規定。以下この条において同じ。）の施行前にした行為及びこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5051-3/art-78/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect and to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
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### 第七十九条（政令への委任） — Delegation to Cabinet Order
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suppl-5051-3/art-79 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-5051-3/art-79/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 令和五年五月一九日法律第三一号
suppl-5051-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5051-31/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和六年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5051-31/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of April 1, 2024; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 第三条中国民健康保険法第七十二条第三項、第八十二条の二第三項第一号及び第四項、第八十五条の二、第八十五条の三第三項並びに第百十三条の二第一項の改正規定、第六条中高齢者の医療の確保に関する法律第四条に一項を加える改正規定、同法第六条、第七条第二項及び第八条第四項の改正規定、同条第五項の改正規定（第四号に掲げる改正規定を除く。）、同法第九条第二項及び第三項の改正規定、同条第四項の改正規定（第四号に掲げる改正規定を除く。）、同条第五項、第七項及び第十項並びに同法第十一条、第十二条第一項、第十三条第一項、第十四条第一項、第十五条、第十六条第三項、第百三十八条第一項及び第百五十七条の二の改正規定、第七条の規定並びに第十二条の規定並びに次条第一項並びに附則第四条、第七条、第八条、第十二条、第十五条、第十七条及び第十八条の規定 公布の日
suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions amending Article 72, paragraph (3), Article 82-2, paragraph (3), item (i) and paragraph (4), Article 85-2, Article 85-3, paragraph (3), and Article 113-2, paragraph (1) of the National Health Insurance Act in Article 3, the provision adding one paragraph to Article 4 of the Act on Assurance of Medical Care for Elderly People in Article 6, the provisions amending Article 6, Article 7, paragraph (2), and Article 8, paragraph (4) of that Act, the provision amending paragraph (5) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending Article 9, paragraphs (2) and (3) of that Act, the provision amending paragraph (4) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending paragraphs (5), (7) and (10) of that Article and Article 11, Article 12, paragraph (1), Article 13, paragraph (1), Article 14, paragraph (1), Article 15, Article 16, paragraph (3), Article 138, paragraph (1) and Article 157-2 of that Act, the provisions of Article 7 and the provisions of Article 12, and the provisions of paragraph (1) of the following Article and Articles 4, 7, 8, 12, 15, 17 and 18 of the Supplementary Provisions: the date of promulgation
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**二から五まで** 略
suppl-5051-31/art-1/par-1/item-2-to-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**六** 第一条中健康保険法第二百五条の四第二項の改正規定、第二条中船員保険法第百五十三条の十第二項の改正規定、第四条中国民健康保険法第百十三条の三第二項の改正規定、第六条中高齢者の医療の確保に関する法律第百六十五条の二第二項の改正規定及び第十四条の規定並びに附則第十九条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第四十七条の三第二項の改正規定、附則第二十条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第百十四条の二第二項の改正規定、附則第二十一条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百四十四条の三十三第二項の改正規定、附則第二十四条（第二号に係る部分に限る。）の規定、附則第二十六条中生活保護法（昭和二十五年法律第百四十四号）第八十条の四第二項の改正規定及び附則第二十九条の規定 公布の日から起算して四年を超えない範囲内において政令で定める日
suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provision amending Article 205-4, paragraph (2) of the Health Insurance Act in Article 1, the provision amending Article 153-10, paragraph (2) of the Mariners Insurance Act in Article 2, the provision amending Article 113-3, paragraph (2) of the National Health Insurance Act in Article 4, the provision amending Article 165-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People in Article 6, and the provisions of Article 14, and the provision amending Article 47-3, paragraph (2) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) in Article 19 of the Supplementary Provisions, the provision amending Article 114-2, paragraph (2) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) in Article 20 of the Supplementary Provisions, the provision amending Article 144-33, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) in Article 21 of the Supplementary Provisions, the provisions of Article 24 of the Supplementary Provisions (limited to the part pertaining to item (ii)), the provision amending Article 80-4, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) in Article 26 of the Supplementary Provisions, and the provisions of Article 29 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding four years from the date of promulgation
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### 第二条（検討） — Review
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suppl-5051-31/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の公布後、全世代対応型の持続可能な社会保障制度を構築するため、経済社会情勢の変化と社会の要請に対応し、受益と負担の均衡がとれた社会保障制度の確立を図るための更なる改革について速やかに検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5051-31/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
After the promulgation of this Act, in order to build a sustainable social security system that serves all generations, the government is to promptly examine further reforms to establish a social security system in which benefits and burdens are balanced, in response to changes in economic and social conditions and the needs of society, and take required measures based on the results.
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**第二項** 政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5051-31/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of five years after the enforcement of this Act, taking into account the conditions of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results.
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### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-5051-31/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定（附則第一条第六号に掲げる改正規定を除く。附則第五条第四項において同じ。）による改正後の健康保険法第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の三の規定は、令和六年度以後の各年度における全国健康保険協会に対する国庫補助の額について適用し、令和五年度以前の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。
suppl-5051-31/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 153 and 154 of the Health Insurance Act and Articles 4-2, 5 and 5-3 of the Supplementary Provisions of that Act, as amended by the provisions of Article 1 (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions; the same applies in Article 5, paragraph (4) of the Supplementary Provisions), apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or after fiscal year 2024, and the provisions then in force continue to govern the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or before fiscal year 2023.
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### 第五条（国民健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act, etc.
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suppl-5051-31/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項**
suppl-5051-31/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第四項** 前項の規定によりなおその効力を有するものとされた第四条改正前国保法附則第十条第一項の規定により支払基金が令和六年度における拠出金（同項に規定する拠出金をいう。）を徴収する間、第一条の規定による改正前の健康保険法附則第四条の三の規定、第二条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の船員保険法附則第七条の規定、第六条の規定（附則第一条第一号、第四号及び第六号に掲げる改正規定を除く。第六項において同じ。）による改正前の高齢者の医療の確保に関する法律（次項及び第六項において「旧高確法」という。）附則第十三条第二項の規定、附則第十九条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の私立学校教職員共済法附則第二十五項の規定、附則第二十条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の国家公務員共済組合法附則第十一条の三の規定、附則第二十一条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の地方公務員等共済組合法附則第四十条の三の二の規定及び附則第二十二条の規定による改正前の日本私立学校振興・共済事業団法（平成九年法律第四十八号）附則第十三条の二第一項の規定は、なおその効力を有する。この場合において、これらの規定の適用に関し必要な技術的読替えその他これらの規定に関し必要な事項は、政令で定める。
suppl-5051-31/art-5/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
While the Social Insurance Medical Fee Payment Fund collects the contributions (meaning the contributions prescribed in that paragraph) for fiscal year 2024 pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions of the Pre-Article 4 Amendment National Health Insurance Act that remain in force pursuant to the provisions of the preceding paragraph, the provisions of Article 4-3 of the Supplementary Provisions of the Health Insurance Act before amendment by the provisions of Article 1, the provisions of Article 7 of the Supplementary Provisions of the Mariners Insurance Act before amendment by the provisions of Article 2 (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 13, paragraph (2) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People before amendment by the provisions of Article 6 (excluding the amending provisions set forth in Article 1, items (i), (iv) and (vi) of the Supplementary Provisions; the same applies in paragraph (6)) (referred to as the "Former Elderly Medical Care Assurance Act" in the following paragraph and paragraph (6)), the provisions of paragraph (25) of the Supplementary Provisions of the Private School Personnel Mutual Aid Association Act before amendment by the provisions of Article 19 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 11-3 of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act before amendment by the provisions of Article 20 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 40-3-2 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act before amendment by the provisions of Article 21 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), and the provisions of Article 13-2, paragraph (1) of the Supplementary Provisions of the Act on the Promotion and Mutual Aid Corporation for Private Schools of Japan (Act No. 48 of 1997) before amendment by the provisions of Article 22 of the Supplementary Provisions remain in force. In this case, necessary technical replacement of terms in applying those provisions and other necessary matters concerning those provisions are specified by Cabinet Order.
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### 第十八条（政令への委任） — Delegation to Cabinet Order
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suppl-5051-31/art-18 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5051-31/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order.
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## 附 則 令和五年六月九日法律第四八号
suppl-5051-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5051-48/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して一年三月を超えない範囲内において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5051-48/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date specified by Cabinet Order within a period not exceeding one year and three months from the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
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**一** 第一条中行政手続における特定の個人を識別するための番号の利用等に関する法律第三条第二項の改正規定及び同法第九条第二項の改正規定並びに第十三条の規定並びに附則第十七条、第十九条及び第二十条の規定 公布の日
suppl-5051-48/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provision amending Article 3, paragraph (2) of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures in Article 1, and the provision amending Article 9, paragraph (2) of that Act, and the provisions of Article 13, and Article 17, Article 19, and Article 20 of the Supplementary Provisions: the date of promulgation
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**二** 第二条中行政手続における特定の個人を識別するための番号の利用等に関する法律第二条第七項の改正規定（同項中「記載され、」の下に「第十六条の二第一項の申請の日において本人の年齢が主務省令で定める年齢に満たない場合を除き」を加える部分及び同項第二号中「第十七条第五項」を「第十七条第六項」に改める部分に限る。）、同法第十六条の二の改正規定、同法第十七条の改正規定、同法第十八条の二の改正規定、同法第三十八条の八第一項の改正規定及び同法第四十四条の改正規定並びに第五条、第六条及び第八条から第十二条までの規定並びに次条並びに附則第十五条、第十六条、第十八条、第二十二条から第二十五条まで及び第二十七条の規定 公布の日から起算して一年六月を超えない範囲内において政令で定める日
suppl-5051-48/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 2 amending Article 2, paragraph (7) of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (limited to the part adding "except where, as of the date of the application under Article 16-2, paragraph (1), the person's age is less than the age specified by order of the competent ministry" after "is recorded," in that paragraph and the part replacing "Article 17, paragraph (5)" with "Article 17, paragraph (6)" in item (ii) of that paragraph), the provisions amending Article 16-2 of that Act, the provisions amending Article 17 of that Act, the provisions amending Article 18-2 of that Act, the provisions amending Article 38-8, paragraph (1) of that Act and the provisions amending Article 44 of that Act; the provisions of Articles 5 and 6 and Articles 8 through 12; the following Article; and the provisions of Articles 15, 16 and 18, Articles 22 through 25 and Article 27 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding one year and six months from the date of promulgation.
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### 第十五条（健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying Partial Amendment of the Health Insurance Act, etc.
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suppl-5051-48/art-15 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 保険者（健康保険法第四条に規定する保険者をいう。）は、第五条の規定による改正後の同法第五十一条の三第一項前段に規定する場合において、必要があると認めるときは、当分の間、同項の規定にかかわらず、職権で、被保険者に対し、同項後段の厚生労働省令で定めるところにより、同項の厚生労働省令で定める事項を記載した書面を交付し、又は当該事項を同項に規定する電磁的方法により提供することができる。
suppl-5051-48/art-15/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An insurer (meaning the insurer prescribed in Article 4 of the Health Insurance Act) may, in the case prescribed in the first sentence of Article 51-3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 5, if it finds it necessary, for the time being, notwithstanding the provisions of that paragraph, ex officio, deliver to an insured person, as provided by the Order of the Ministry of Health, Labour and Welfare referred to in the second sentence of that paragraph, a document stating the matters specified by the Order of the Ministry of Health, Labour and Welfare referred to in that paragraph, or provide those matters by the electronic or magnetic means prescribed in that paragraph.
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### 第二十条（政令への委任） — Delegation to Cabinet Order
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suppl-5051-48/art-20 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5051-48/art-20/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, the transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附 則 令和六年六月一二日法律第四七号
suppl-5061-47 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5061-47/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和六年十月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5061-47/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on October 1, 2024; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
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**一** 第四条中児童福祉法第二十五条の二の改正規定、第二十条の規定及び第二十一条中子ども・子育て支援法の一部を改正する法律附則第四条第一項の改正規定（「施行日から起算して五年を経過する日」を「令和十二年三月三十一日」に改める部分に限る。）並びに附則第四十六条の規定 この法律の公布の日
suppl-5061-47/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 4 revising Article 25-2 of the Child Welfare Act, the provisions of Article 20, and the provisions of Article 21 revising Article 4, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Act on Support for Children and Child-rearing (limited to the part revising "the day on which five years have elapsed from the effective date" to "March 31, 2030"); and the provisions of Article 46 of the Supplementary Provisions: the date of promulgation of this Act.
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**二から四まで** 略
suppl-5061-47/art-1/par-1/item-2-to-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**五** 次に掲げる規定 令和八年四月一日
suppl-5061-47/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the following provisions: April 1, 2026;
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**イ** 略
suppl-5061-47/art-1/par-1/item-5/sub-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**ロ** 第二条、第三条、第八条、第十四条及び第十五条の規定
suppl-5061-47/art-1/par-1/item-5/sub-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 2, 3, 8, 14 and 15.
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### 第四十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5061-47/art-45 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条第四号から第六号までに掲げる規定については、当該規定。以下この条において同じ。）の施行前にした行為及び附則第十三条第一項の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5061-47/art-45/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in Article 1, items (iv) through (vi) of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect, and to acts committed after this Act comes into effect in the case where the provisions then in force continue to govern pursuant to the provisions of Article 13, paragraph (1) of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第四十六条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order
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suppl-5061-47/art-46 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5061-47/art-46/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, the transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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### 第四十七条（子ども・子育て支援納付金の導入に当たっての経過措置及び留意事項） — Transitional Measures and Points to Note Concerning Introduction of Children and Child-rearing Support Levy
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suppl-5061-47/art-47 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行にあわせて、令和五年十二月二十二日に閣議において決定されたこども未来戦略（次項において「こども未来戦略」という。）に基づき、社会保障負担率（一会計年度における国民経済計算の体系（国際連合の定めた基準に準拠して内閣府が作成する国民経済計算の体系をいう。以下この項において同じ。）における社会保障負担の額その他内閣総理大臣が定める額を合算した額を国民経済計算の体系における国民所得の額で除して得られる数値をいう。以下この項において同じ。）の上昇の抑制に向けて、全世代型社会保障制度改革（同日の閣議において決定された全世代型社会保障構築を目指す改革の道筋（改革工程）（以下この項及び第三項第一号において「改革工程」という。）の「医療・介護制度等の改革」の「「加速化プラン」の実施が完了する二千二十八年度までに実施について検討する取組」に記載されたところにより検討した結果に基づいて行う取組をいう。以下この条において同じ。）の徹底を図るものとし、子ども・子育て支援納付金（施行日新支援法第七十一条の三第一項に規定する子ども・子育て支援納付金をいう。以下この条において同じ。）の導入に当たっては、次項各号に掲げる各年度において、子ども・子育て支援納付金（当該年度の支援納付金公費負担額に相当する部分を除いた部分に限る。）を徴収することにより当該年度の社会保障負担率の上昇に与える影響の程度が、令和五年度から当該各年度まで全世代型社会保障制度改革等（改革工程の「医療・介護制度等の改革」のうち「来年度（二千二十四年度）に実施する取組」に記載された取組その他の令和五年度及び令和六年度に実施された社会保障制度に関する施策の見直し並びに全世代型社会保障制度改革をいう。次項及び第五項において同じ。）及び労働者の報酬の水準の上昇に向けた取組を実施することにより社会保障負担率の低下に与える影響の程度を超えないものとする。
suppl-5061-47/art-47/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, in conjunction with the enforcement of this Act, based on the Children's Future Strategy decided by Cabinet decision on December 22, 2023 (referred to as the "Children's Future Strategy" in the following paragraph), with a view to curbing the rise of the social security burden ratio (meaning the figure obtained by dividing the sum of the amount of the social security burden in the System of National Accounts (meaning the System of National Accounts prepared by the Cabinet Office in conformity with the standards set by the United Nations; the same applies hereinafter in this paragraph) in one fiscal year and other amounts specified by the Prime Minister by the amount of national income in the System of National Accounts; the same applies hereinafter in this paragraph), thoroughly pursue the reform of the social security system for all generations (meaning initiatives undertaken based on the results of a review conducted as described in "Initiatives to be considered for implementation by fiscal year 2028, by which the implementation of the 'Acceleration Plan' is to be completed" under "Reform of Medical and Long-Term Care Systems, etc." in the Path of Reform Aiming at Building a Social Security System for All Generations (reform roadmap) decided by Cabinet decision on the same day (hereinafter referred to as the "reform roadmap" in this paragraph and paragraph (3), item (i)); the same applies hereinafter in this Article), and, upon introducing the children and child-rearing support levy (meaning the children and child-rearing support levy prescribed in Article 71-3, paragraph (1) of the Effective Date New Support Act; the same applies hereinafter in this Article), is to ensure that, in each fiscal year set forth in the items of the following paragraph, the degree of impact on the rise of the social security burden ratio for that fiscal year of collecting the children and child-rearing support levy (limited to the portion remaining after excluding the portion equivalent to the public share of the support levy for that fiscal year) does not exceed the degree of impact on the decline of the social security burden ratio of implementing, from fiscal year 2023 through each of those fiscal years, the reform of the social security system for all generations, etc. (meaning the initiatives described in "Initiatives to be implemented next fiscal year (fiscal year 2024)" under "Reform of Medical and Long-Term Care Systems, etc." in the reform roadmap, other reviews of measures concerning the social security system implemented in fiscal years 2023 and 2024, and the reform of the social security system for all generations; the same applies in the following paragraph and paragraph (5)) and initiatives toward raising the level of workers' remuneration.
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**第二項** 政府は、前項の規定の趣旨及び受益と負担の均衡がとれた社会保障制度の確立を図る観点を踏まえ、加速化プラン実施施策（こども未来戦略に「「加速化プラン」において実施する具体的な施策」として記載された施策をいう。以下この項及び次条において同じ。）を実施するために必要となる費用については、全世代型社会保障制度改革等を通じた国及び地方公共団体の歳出の抑制その他歳出の見直し、消費税法（昭和六十三年法律第百八号）第一条第二項の規定により少子化に対処するための施策に要する経費に充てるものとされている消費税の収入、施行日新支援法第六十九条第一項に規定する拠出金の収入、加速化プラン実施施策に係る社会保険料の収入並びに施行日新支援法第七十一条の三第一項に規定する支援納付金対象費用（第五項において「支援納付金対象費用」という。）に係る財源により賄うものとし、次の各号に掲げる各年度における子ども・子育て支援納付金（当該年度の支援納付金公費負担額に相当する部分を除いた部分に限る。）の総額は、それぞれ当該各号に掲げる額を目安とするものとする。
suppl-5061-47/art-47/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government, taking into account the purport of the provisions of the preceding paragraph and the viewpoint of establishing a social security system in which benefits and burdens are balanced, is to cover the expenses required to implement the Acceleration Plan measures (meaning the measures described as "Specific measures to be implemented under the 'Acceleration Plan'" in the Children's Future Strategy; the same applies hereinafter in this paragraph and the following Article) with funds from restraint of national and local government expenditures through the reform of the social security system for all generations, etc. and other reviews of expenditures, revenue from consumption tax that is to be allocated to expenses required for measures to address the declining birthrate pursuant to Article 1, paragraph (2) of the Consumption Tax Act (Act No. 108 of 1988), revenue from the contributions prescribed in Article 69, paragraph (1) of the Effective Date New Support Act, revenue from social insurance premiums relating to the Acceleration Plan measures, and funds relating to the costs covered by the support levy prescribed in Article 71-3, paragraph (1) of the Effective Date New Support Act (referred to as the "costs covered by the support levy" in paragraph (5)), and the total amount of the children and child-rearing support levy (limited to the portion remaining after excluding the portion equivalent to the public share of the support levy for that fiscal year) in each fiscal year set forth in the following items is to take the amount set forth in the relevant item as a guideline.
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**一** 令和八年度 おおむね六千億円
suppl-5061-47/art-47/par-2/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Fiscal year 2026: approximately 600 billion yen;
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**二** 令和九年度 おおむね八千億円
suppl-5061-47/art-47/par-2/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Fiscal year 2027: approximately 800 billion yen;
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**三** 令和十年度 おおむね一兆円
suppl-5061-47/art-47/par-2/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Fiscal year 2028: approximately 1 trillion yen.
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**第三項** 政府は、第一項の全世代型社会保障制度改革を推進するに当たっては、次に掲げる事項を基本とするものとする。
suppl-5061-47/art-47/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In promoting the reform of the social security system for all generations referred to in paragraph (1), the government is to base itself on the following matters:
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**一** 改革工程において令和十年度までに実施の検討を行うこととされている取組については、当該年度までの各年度の予算編成過程において実施すべき施策の検討及び決定を行い、全世代が安心できる社会保障制度を構築し、これを次の世代に引き継ぐことを旨として、着実に進めること。
suppl-5061-47/art-47/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to initiatives for which the reform roadmap provides that implementation is to be considered by fiscal year 2028, to review and decide on the measures to be implemented in the budget compilation process for each fiscal year up to that fiscal year, and to proceed steadily, with the aim of building a social security system in which all generations can feel secure and handing it down to the next generation;
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**二** 前号の予算編成過程における検討に当たっては、社会保障サービスの生産性の向上、質の向上及び提供体制の効率化、能力に応じて全世代が支え合う仕組みの構築、高齢者の活躍促進及び健康寿命の延伸等の観点を踏まえつつ、人口動態の変化に対応し、全世代が安心できる社会保障制度を構築することを旨として、それまでに実施した取組の検証等も含め、制度、事業等の在り方について、幅広い検討を行うこと。
suppl-5061-47/art-47/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the review in the budget compilation process referred to in the preceding item, to conduct a broad review of how systems, projects, etc. should be, including verification, etc. of the initiatives implemented up to then, with the aim of responding to changes in demographics and building a social security system in which all generations can feel secure, while taking into account such viewpoints as improving the productivity and quality of social security services and streamlining the provision system, building a mechanism in which all generations support one another according to their abilities, promoting the active participation of elderly persons, and extending healthy life expectancy;
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**三** 前項の規定の趣旨を踏まえ、国及び地方公共団体の歳出の継続的な抑制に資するものとなるようにすること。
suppl-5061-47/art-47/par-3/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Taking into account the purport of the provisions of the preceding paragraph, to ensure that it contributes to the continued restraint of national and local government expenditures.
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**第四項** 第一項及び第二項の「支援納付金公費負担額」とは、次の各号に掲げる額の総額をいう。
suppl-5061-47/art-47/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The "public share of the support levy" in paragraphs (1) and (2) means the total of the amounts set forth in the following items.
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**一** 第二条の規定による改正後の健康保険法（附則第四十九条において「新健康保険法」という。）第百五十四条第二項の規定による国庫補助の額（子ども・子育て支援納付金の納付に要する費用に係る部分に限る。）
suppl-5061-47/art-47/par-4/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount of the national subsidy under Article 154, paragraph (2) of the Health Insurance Act as amended by the provisions of Article 2 (referred to as the "New Health Insurance Act" in Article 49 of the Supplementary Provisions) (limited to the part pertaining to the costs required for payment of the children and child-rearing support levy);
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**二** 第七条の規定（附則第一条第五号ヘに掲げる改正規定に限る。）による改正後の国家公務員共済組合法第九十九条第二項第三号に掲げる費用のうち、同号に定める国の負担金をもって充てる部分の額
suppl-5061-47/art-47/par-4/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
of the costs set forth in Article 99, paragraph (2), item (iii) of the National Public Officers Mutual Aid Association Act as amended by the provisions of Article 7 (limited to the amending provision set forth in Article 1, item (v), (f) of the Supplementary Provisions), the amount of the part to be covered by the national contribution charges prescribed in that item;
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**三** 国民健康保険法第七十条第一項の規定による国庫負担金、同法第七十二条第一項の規定による調整交付金及び同法第七十二条の二第一項の規定による繰入金の額（子ども・子育て支援納付金の納付に要する費用に係る部分に限る。）並びに同法第七十二条の三第一項、第七十二条の三の二第一項、第七十二条の三の三第一項及び第七十二条の四第一項の規定による繰入金並びに同法第七十三条第一項及び第六項の規定による補助の額（子ども・子育て支援納付金の納付に要する費用に係る部分として政令で定める部分に限る。）
suppl-5061-47/art-47/par-4/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amounts of the share of the national treasury under Article 70, paragraph (1) of the National Health Insurance Act, the adjustment grants under Article 72, paragraph (1) of the same Act, and the amounts transferred in under Article 72-2, paragraph (1) of the same Act (limited to the part pertaining to the costs required for payment of the children and child-rearing support levy), and the amounts transferred in under Article 72-3, paragraph (1), Article 72-3-2, paragraph (1), Article 72-3-3, paragraph (1) and Article 72-4, paragraph (1) of the same Act and the amount of the subsidy under Article 73, paragraphs (1) and (6) of the same Act (limited to the part specified by Cabinet Order as the part pertaining to the costs required for payment of the children and child-rearing support levy);
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**四** 第十一条の規定（附則第一条第五号トに掲げる改正規定に限る。）による改正後の地方公務員等共済組合法第百十三条第二項第二号の二に掲げる費用のうち、同号に定める地方公共団体の負担金をもって充てる部分の額
suppl-5061-47/art-47/par-4/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
of the costs set forth in Article 113, paragraph (2), item (ii)-2 of the Local Public Officers, etc. Mutual Aid Association Act as amended by the provisions of Article 11 (limited to the amending provision set forth in Article 1, item (v), (g) of the Supplementary Provisions), the amount of the part to be covered by the local government's contribution charges prescribed in that item;
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**五** 高齢者の医療の確保に関する法律第九十九条第一項及び第二項の規定による繰入金の額（子ども・子育て支援納付金の納付に要する費用に係る部分として政令で定める部分に限る。）
suppl-5061-47/art-47/par-4/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the amount transferred in under Article 99, paragraphs (1) and (2) of the Act on Assurance of Medical Care for Elderly People (limited to the part specified by Cabinet Order as the part pertaining to the costs required for payment of the children and child-rearing support levy).
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**第五項** 政府は、全世代型社会保障制度改革等及び労働者の報酬の水準の上昇に向けた取組の実施状況その他の事情を勘案し、第一項及び第二項の規定の趣旨に照らして必要があると認める場合は、支援納付金対象費用に係る施策の費用負担の在り方その他の事項について、必要な見直しを行うものとする。
suppl-5061-47/art-47/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Taking into account the status of implementation of reform of the social security system for all generations, etc. and of efforts toward raising the level of workers' remuneration, and other circumstances, the government, where it finds it necessary in light of the purport of the provisions of paragraphs (1) and (2), is to conduct a necessary review of how the cost of measures pertaining to the costs covered by the support levy is to be borne and of other matters.
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### 第四十八条（検討） — Review
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suppl-5061-47/art-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後五年を目途として、少子化の進展に対処するための子ども及び子育ての支援に関する施策の在り方について、加速化プラン実施施策の実施状況及びその効果並びに前条第二項の観点を踏まえて検討を行い、その結果に基づいて所要の措置を講ずるものとする。
suppl-5061-47/art-48/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with a target of five years after this Act comes into effect, conduct a review of the state of measures concerning support for children and child-rearing to address the advance of the declining birthrate, based on the status of implementation and the effects of the Acceleration Plan measures and the viewpoint set forth in paragraph (2) of the preceding Article, and take the required measures based on the results of that review.
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### 第四十九条（子ども・子育て支援金率の範囲を政令で定めるに当たっての留意事項） — Points to Be Considered in Specifying by Cabinet Order the Range of the Children and Child-rearing Support Payment Rate
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suppl-5061-47/art-49 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、新健康保険法第百六十条の二第一項の政令を定めようとするときは、附則第四十七条の規定の趣旨を考慮しなければならない。
suppl-5061-47/art-49/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the government intends to specify the Cabinet Order referred to in Article 160-2, paragraph (1) of the New Health Insurance Act, it must take into consideration the purport of the provisions of Article 47 of the Supplementary Provisions.
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## 附 則 令和六年六月一四日法律第五二号
suppl-5061-52 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5061-52/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して二年六月を超えない範囲内において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5061-52/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect as of the date specified by Cabinet Order within a period not exceeding two years and six months from the date of promulgation; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 附則第四十八条の規定 公布の日
suppl-5061-52/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 48 of the Supplementary Provisions: the date of promulgation.
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### 第四十八条（政令への委任） — Delegation to Cabinet Order
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suppl-5061-52/art-48 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に規定するもののほか、この法律の施行に関し必要な経過措置は、政令で定める。
suppl-5061-52/art-48/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
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## 附 則 令和七年五月二一日法律第三七号
suppl-5071-37 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5071-37/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、公布の日から起算して六月を超えない範囲内において政令で定める日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5071-37/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on the date specified by Cabinet Order within a period not exceeding six months from the date of promulgation; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items:
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**一及び二** 略
suppl-5071-37/art-1/par-1/item-1-to-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**三** 第二条、第五条及び第六条の規定並びに附則第三条、第九条、第十条、第十二条第二項、第十三条第九項及び第十項、第十六条の二、第十七条、第二十一条の二、第二十三条、第二十五条並びに第二十六条の規定、附則第二十七条の規定（前号に掲げる改正規定を除く。）並びに附則第三十条の規定 公布の日から起算して二年を超えない範囲内において政令で定める日
suppl-5071-37/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 2, 5 and 6, the provisions of Articles 3, 9, 10 and 12, paragraph (2), Article 13, paragraphs (9) and (10), and Articles 16-2, 17, 21-2, 23, 25 and 26 of the Supplementary Provisions, the provisions of Article 27 of the Supplementary Provisions (excluding the amending provisions listed in the preceding item), and the provisions of Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.
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## 附 則 令和七年六月二〇日法律第七四号
suppl-5071-74 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日等） — Effective Date, etc.
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suppl-5071-74/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和八年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5071-74/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2026; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:
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**一** 第一条中国民年金法第二十八条第五項第二号、第三十七条及び第百二条第二項並びに附則第九条第一項及び第九条の三第三項の改正規定、第二条中厚生年金保険法第四十四条の三第五項第二号、第五十八条第一項第四号、第八十四条の六第三項第二号、第百条の二及び第百条の四第一項第三十七号並びに附則第十四条第一項、第二十三条第一項及び第二十八条の三第三項の改正規定、第六条、第十一条、第十三条及び第十六条の規定、第十八条中社会保障協定の実施に伴う厚生年金保険法等の特例等に関する法律（以下「協定実施特例法」という。）第十六条第二項第一号イ、第十八条第一項、第二十条第一項第四号及び第三十一条第三項から第五項までの改正規定、第二十八条中確定給付企業年金法第八十二条の四（見出しを含む。）の改正規定、第三十三条中健康保険法第百九十九条第一項及び第二百四条第一項第二十号の改正規定並びに第三十四条の規定並びに次項及び第三項並びに次条第二項から第四項まで、附則第三条、第三条の二、第四十条及び第四十一条の規定、附則第四十二条中雇用保険法等の一部を改正する法律（平成十九年法律第三十号）附則第百三十九条第二項の改正規定、附則第四十四条中社会保険審査官及び社会保険審査会法（昭和二十八年法律第二百六号）附則第十四項の改正規定（「附則第二十九条第五項」を「附則第二十九条第六項」に改める部分に限る。）並びに附則第五十五条の規定 公布の日
suppl-5071-74/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions amending Article 28, paragraph (5), item (ii), Article 37 and Article 102, paragraph (2), and Article 9, paragraph (1) and Article 9-3, paragraph (3) of the Supplementary Provisions of the National Pension Act in Article 1, the provisions amending Article 44-3, paragraph (5), item (ii), Article 58, paragraph (1), item (iv), Article 84-6, paragraph (3), item (ii), Article 100-2 and Article 100-4, paragraph (1), item (xxxvii), and Article 14, paragraph (1), Article 23, paragraph (1) and Article 28-3, paragraph (3) of the Supplementary Provisions of the Employees' Pension Insurance Act in Article 2, the provisions of Articles 6, 11, 13 and 16, the provisions amending Article 16, paragraph (2), item (i), (a), Article 18, paragraph (1), Article 20, paragraph (1), item (iv) and Article 31, paragraphs (3) through (5) of the Act on Special Provisions for the Employees' Pension Insurance Act, etc. Incidental to Enforcement of International Social Security Agreements (Act No. 104 of 2007) (hereinafter referred to as the "Social Security Agreements Special Provisions Act") in Article 18, the provision amending Article 82-4 (including its heading) of the Defined-Benefit Corporate Pension Act in Article 28, the provisions amending Article 199, paragraph (1) and Article 204, paragraph (1), item (xx) of the Health Insurance Act in Article 33, and the provisions of Article 34, and the provisions of the following paragraph and paragraph (3), paragraphs (2) through (4) of the following Article, and Articles 3, 3-2, 40 and 41 of the Supplementary Provisions, the provision amending Article 139, paragraph (2) of the Supplementary Provisions of the Act Partially Amending the Employment Insurance Act, etc. (Act No. 30 of 2007) in Article 42 of the Supplementary Provisions, the provision amending paragraph (14) of the Supplementary Provisions of the Act on Social Insurance Examiners and the Examination Committee of Social Insurance (Act No. 206 of 1953) in Article 44 of the Supplementary Provisions (limited to the part replacing "Article 29, paragraph (5) of the Supplementary Provisions" with "Article 29, paragraph (6) of the Supplementary Provisions"), and the provisions of Article 55 of the Supplementary Provisions: the date of promulgation;
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**二から四まで** 略
suppl-5071-74/art-1/par-1/item-2-to-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**五** 第一条中国民年金法附則第九条の三の二第三項の改正規定、第十二条中公的年金制度の財政基盤及び最低保障機能の強化等のための国民年金法等の一部を改正する法律（以下「平成二十四年機能強化法」という。）附則第四十一条の改正規定、第十九条の規定（次号に掲げる改正規定を除く。）及び第二十二条の規定（同号に掲げる改正規定を除く。）並びに附則第二十二条から第二十五条までの規定 令和八年十月一日
suppl-5071-74/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions in Article 1 amending Article 9-3-2, paragraph (3) of the Supplementary Provisions of the National Pension Act, the provisions in Article 12 amending Article 41 of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc. to Strengthen, etc. the Financial Basis and Minimum Guarantee Function of the Public Pension System (hereinafter referred to as the "2012 Pension Function Strengthening Act"), the provisions of Article 19 (excluding the amending provisions set forth in the following item) and the provisions of Article 22 (excluding the amending provisions set forth in that item), and the provisions of Articles 22 through 25 of the Supplementary Provisions: October 1, 2026;
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**六** 略
suppl-5071-74/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**七** 第十二条の規定（第五号及び第九号に掲げる改正規定を除く。）及び附則第六条第三項から第五項までの規定 令和九年十月一日
suppl-5071-74/art-1/par-1/item-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 12 (excluding the amending provisions set forth in items (v) and (ix)) and the provisions of Article 6, paragraphs (3) through (5) of the Supplementary Provisions: October 1, 2027;
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**八** 略
suppl-5071-74/art-1/par-1/item-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**九** 第三条中厚生年金保険法第十二条第五号の改正規定、同法第百条の四第一項第四十三号を同項第四十四号とし、同項第四十号から同項第四十二号までを一号ずつ繰り下げ、同項第三十九号の次に一号を加える改正規定並びに同法第百条の十第一項第十号及び第三十七号の改正規定並びに同法附則第四条の五の次に一条を加える改正規定、第十二条中平成二十四年機能強化法附則第十七条第一項の改正規定（「及び附則第四条の三第一項」を「並びに附則第四条の三第一項並びに第四条の六第二項及び第四項」に改める部分に限る。）、同条第二項第一号の改正規定及び平成二十四年機能強化法附則第四十六条第一項の改正規定（「、同項」を「、同項並びに同法附則第八条の三の二第二項及び第四項」に改める部分に限る。）、第十五条中平成二十五年改正法附則第五条第三項の表及び第三十八条第三項の表の改正規定、第十八条中協定実施特例法第二十六条（見出しを含む。）の改正規定、第二十九条中確定拠出年金法第四条第一項第三号の二、第八条第一項、第五十四条の二第一項、第六十二条、第六十四条、第六十九条、第七十条第二項、第七十一条及び第七十四条の二第一項の改正規定並びに第三十三条の規定（第一号及び第十四号に掲げる改正規定を除く。）並びに附則第十七条、第三十三条及び第三十八条の規定 公布の日から起算して三年を超えない範囲内において政令で定める日
suppl-5071-74/art-1/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provision amending Article 12, item (v) of the Employees' Pension Insurance Act in Article 3, the provision making item (xliii) of Article 100-4, paragraph (1) of that Act item (xliv) of that paragraph, moving down items (xl) through (xlii) of that paragraph by one item each, and adding one item after item (xxxix) of that paragraph, the provisions amending Article 100-10, paragraph (1), items (x) and (xxxvii) of that Act, and the provision adding one Article after Article 4-5 of the Supplementary Provisions of that Act, the provision amending Article 17, paragraph (1) of the Supplementary Provisions of the 2012 Pension Function Strengthening Act in Article 12 (limited to the part replacing "and Article 4-3, paragraph (1) of the Supplementary Provisions" with "and Article 4-3, paragraph (1), and Article 4-6, paragraphs (2) and (4) of the Supplementary Provisions"), the provision amending paragraph (2), item (i) of that Article, and the provision amending Article 46, paragraph (1) of the Supplementary Provisions of the 2012 Pension Function Strengthening Act (limited to the part replacing ", that paragraph" with ", that paragraph and Article 8-3-2, paragraphs (2) and (4) of the Supplementary Provisions of that Act"), the provisions amending the table in Article 5, paragraph (3) and the table in Article 38, paragraph (3) of the Supplementary Provisions of the 2013 Amending Act in Article 15, the provision amending Article 26 (including its heading) of the Social Security Agreements Special Provisions Act in Article 18, the provisions amending Article 4, paragraph (1), item (iii)-2, Article 8, paragraph (1), Article 54-2, paragraph (1), Article 62, Article 64, Article 69, Article 70, paragraph (2), Article 71 and Article 74-2, paragraph (1) of the Defined Contribution Pension Act in Article 29, and the provisions of Article 33 (excluding the amending provisions set forth in items (i) and (xiv)), and the provisions of Articles 17, 33 and 38 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation;
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**十から十三まで** 略
suppl-5071-74/art-1/par-1/item-10-to-13 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**十四** 第四条中厚生年金保険法第六条第一項及び第百条の五の改正規定、第三十三条中健康保険法第三条第三項の改正規定並びに第三十五条の規定並びに附則第十八条、第二十六条、第二十七条、第三十七条及び第三十九条の規定 令和十一年十月一日
suppl-5071-74/art-1/par-1/item-14 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions amending Article 6, paragraph (1) and Article 100-5 of the Employees' Pension Insurance Act in Article 4, the provision amending Article 3, paragraph (3) of the Health Insurance Act in Article 33, and the provisions of Article 35, and the provisions of Articles 18, 26, 27, 37 and 39 of the Supplementary Provisions: October 1, 2029.
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### 第二条（検討等） — Review, Etc.
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suppl-5071-74/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の施行後速やかに、この法律による改正後のそれぞれの法律の施行の状況等を勘案し、公的年金制度を長期的に持続可能な制度とする取組を更に進め、社会経済情勢の変化に対応した保障機能を一層強化し、並びに世代間及び世代内の公平性を確保する観点から、公的年金制度及びこれに関連する制度について、持続可能な社会保障制度の確立を図るための改革の推進に関する法律（平成二十五年法律第百十二号）第六条第二項各号に掲げる事項及び公的年金制度の所得再分配機能の強化その他必要な事項（次項から第四項までに定める事項を除く。）について引き続き検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5071-74/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, promptly after this Act comes into effect, taking into consideration the conditions of enforcement, etc. of each Act as amended by this Act, from the viewpoint of further advancing efforts to make the public pension system sustainable over the long term, further strengthening its security function in response to changes in the socioeconomic situation, and ensuring fairness between and within generations, continue to examine the matters set forth in the items of Article 6, paragraph (2) of the Act on the Promotion of Reform to Establish a Sustainable Social Security System (Act No. 112 of 2013) and the strengthening of the income redistribution function of the public pension system and other necessary matters (excluding the matters specified in the following paragraph through paragraph (4)), with respect to the public pension system and systems related to it, and is to take necessary measures based on the results thereof.
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**第二項** 政府は、この法律による改正後のそれぞれの法律の施行の状況、この法律の公布の日以後初めて作成される国民年金法第四条の三第一項に規定する財政の現況及び見通し、厚生年金保険法第二条の四第一項に規定する財政の現況及び見通し等を踏まえ、国民健康保険制度の在り方等に留意しながら、厚生年金保険及び健康保険の適用範囲について引き続き検討を加え、その結果に基づいて必要な措置を講ずるものとする。
suppl-5071-74/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, in light of the state of enforcement of each Act as amended by this Act, the current state and outlook of finances prescribed in Article 4-3, paragraph (1) of the National Pension Act and the current state and outlook of finances prescribed in Article 2-4, paragraph (1) of the Employees' Pension Insurance Act, which are prepared for the first time on or after the date of promulgation of this Act, and other matters, while paying attention to the ideal form, etc. of the National Health Insurance system, continue to examine the scope of application of Employees' Pension Insurance and health insurance, and is to take necessary measures based on the results thereof.
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### 第二十四条（短時間被保険者に係る健康保険料に関する経過措置） — Transitional Measures Concerning Health Insurance Premiums for Part-Time Insured Persons
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suppl-5071-74/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 次の各号に掲げる健康保険の適用事業所（国又は地方公共団体の適用事業所を除く。以下この項及び次条第一項において単に「適用事業所」という。）の事業主（既にこの項の申出をした事業主を除く。以下この条において同じ。）は、それぞれ当該各号に定める日（第四項及び第五項において「基準日」という。）から起算して二年を経過した日が属する月の前月までの間に、厚生労働省令で定めるところにより保険者等（全国健康保険協会が管掌する健康保険にあっては厚生労働大臣、健康保険組合が管掌する健康保険にあっては当該健康保険組合をいう。以下この条及び次条第一項において同じ。）に申出をした場合は、健康保険法第百六十一条第一項の規定にかかわらず、当分の間、適用事業所に使用される短時間被保険者に係る事業主の負担すべき同法第百五十五条第一項に規定する保険料（同項に規定する健康保険事業に要する費用（介護保険法（平成九年法律第百二十三号）の規定による納付金及び子ども・子育て支援法（平成二十四年法律第六十五号）の規定による子ども・子育て支援納付金並びに健康保険組合が管掌する短時間被保険者である場合にあっては、健康保険法第百七十三条の規定による拠出金の納付に要する費用に限る。）に充てられるもの、同法第四十五条第一項の規定により決定された標準賞与額に係るもの及び同法第百八十条第一項の規定により指定された期限までに納付されていないものを除く。以下この項及び第七項において「短時間被保険者に係る健康保険料」という。）の負担の割合を、附則別表第三各号に掲げる期間の区分に応じてそれぞれ当該各号に定める割合（以下この条及び次条第一項並びに附則別表第三において「増加負担割合」という。）に百分の五十を加えた割合に増加することができる。この場合において、短時間被保険者に係る健康保険料の額のうち、短時間被保険者に係る標準報酬月額に同法第百六十条第一項に規定する一般保険料率を乗じて得た額に相当する額に増加負担割合（同法第百六十二条の規定により健康保険組合が事業主の負担すべき一般保険料額の負担の割合を増加している場合にあっては、増加負担割合から同条の規定により増加している分の割合を控除した割合（当該割合が零を下回る場合には、零とする。））を乗じて得た額（第四項及び第十項において「保険料調整額」という。）は、徴収を行うことを要しなかったものとみなす。
suppl-5071-74/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
If the employer (excluding an employer that has already made the application under this paragraph; the same applies hereinafter in this Article) of an applicable place of business for health insurance set forth in each of the following items (excluding an applicable place of business of the State or a local government; hereinafter simply referred to as an "applicable place of business" in this paragraph and paragraph (1) of the following Article) makes an application to the insurer, etc. (meaning, for health insurance administered by the Japan Health Insurance Association, the Minister of Health, Labour and Welfare, and for health insurance administered by a health insurance society, that health insurance society; the same applies hereinafter in this Article and paragraph (1) of the following Article) as specified by Order of the Ministry of Health, Labour and Welfare, by the month preceding the month which contains the day on which two years have elapsed from the date specified in each such item (referred to as the "base date" in paragraphs (4) and (5)), the employer may, for the time being, notwithstanding Article 161, paragraph (1) of the Health Insurance Act, increase the proportion of the insurance premiums prescribed in Article 155, paragraph (1) of that Act that the employer is to bear for part-time insured persons employed at the applicable place of business (excluding those appropriated to the costs required for health insurance services prescribed in that paragraph (limited to the costs required for payment of the levies under the provisions of the Long-Term Care Insurance Act (Act No. 123 of 1997), the children and child-rearing support levy under the provisions of the Act on Support for Children and Child-rearing (Act No. 65 of 2012) and, in the case of part-time insured persons administered by a health insurance society, the contributions under the provisions of Article 173 of the Health Insurance Act), those pertaining to the standard bonus amount determined pursuant to Article 45, paragraph (1) of that Act, and those not paid by the time limit designated pursuant to Article 180, paragraph (1) of that Act; hereinafter in this paragraph and paragraph (7) referred to as the "health insurance premium for part-time insured persons") to the proportion obtained by adding 50% to the proportion specified in each item of Appended Table 3 of the Supplementary Provisions according to the category of period set forth in that item (hereinafter in this Article, paragraph (1) of the following Article and Appended Table 3 of the Supplementary Provisions referred to as the "increased burden ratio"). In this case, the amount (referred to as the "premium adjustment amount" in paragraphs (4) and (10)) obtained by multiplying the amount equivalent to the amount obtained by multiplying the standard monthly remuneration amount for part-time insured persons by the general insurance premium rate prescribed in Article 160, paragraph (1) of that Act, within the amount of the health insurance premium for part-time insured persons, by the increased burden ratio (where a health insurance society has increased the proportion of the general insurance premium amount to be borne by the employer pursuant to Article 162 of that Act, the proportion obtained by deducting from the increased burden ratio the proportion increased pursuant to that Article (or zero if that proportion falls below zero)) is deemed not to have been required to be collected.
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**一** 令和八年十月一日以後に平成二十四年機能強化法附則第四十六条第五項に規定する申出をした事業主の適用事業所 当該申出が受理された日
suppl-5071-74/art-24/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
an applicable place of business of an employer that, on or after October 1, 2026, made the application prescribed in Article 46, paragraph (5) of the Supplementary Provisions of the 2012 Pension Function Strengthening Act: the date on which that application was accepted;
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**二** 事業主が同一である一又は二以上の適用事業所に使用される特定労働者の総数が常時十人以下の適用事業所（前号及び次号に掲げる適用事業所を除く。） 令和十七年十月一日
suppl-5071-74/art-24/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
an applicable place of business at which the total number of specified workers employed at one or more applicable places of business of the same employer is at all times 10 or less (excluding the applicable places of business set forth in the preceding item and the following item): October 1, 2035;
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**三** 事業主が同一である一又は二以上の適用事業所に使用される特定労働者の総数が常時五十人以下の適用事業所であって、令和九年十月一日以後に平成二十四年機能強化法附則第四十六条第十二項に規定する特定適用事業所となった適用事業所（第一号に掲げる適用事業所を除く。） 当該特定適用事業所となった日
suppl-5071-74/art-24/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
an applicable place of business at which the total number of specified workers employed at one or more applicable places of business of the same employer is at all times 50 or less, and which became a specified applicable place of business prescribed in Article 46, paragraph (12) of the Supplementary Provisions of the 2012 Pension Function Strengthening Act on or after October 1, 2027 (excluding the applicable places of business set forth in item (i)): the date on which it became that specified applicable place of business;
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**四** その他政令で定める適用事業所 政令で定める日
suppl-5071-74/art-24/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
any other applicable place of business specified by Cabinet Order: the date specified by Cabinet Order.
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**第二項** 次の表の上欄に掲げる期間における前項第二号の規定の適用については、同号中同表の中欄に掲げる字句は、同表の上欄の区分に応じてそれぞれ同表の下欄に掲げる字句とする。
令和九年十月一日から令和十一年九月三十日まで 十人以下 三十六人以上五十人以下
令和十七年十月一日 令和九年十月一日
令和十一年十月一日から令和十四年九月三十日まで 十人以下 二十一人以上三十五人以下
令和十七年十月一日 令和十一年十月一日
令和十四年十月一日から令和十七年九月三十日まで 十人以下 十一人以上二十人以下
令和十七年十月一日 令和十四年十月一日
suppl-5071-74/art-24/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the application of item (ii) of the preceding paragraph during a period set forth in the upper column of the following table, the words set forth in the middle column of the table in that item are deemed to be replaced with the words set forth in the lower column of the table, according to the category set forth in the upper column of the table.
From October 1, 2027 to September 30, 2029 10 or less 36 or more and 50 or less
October 1, 2035 October 1, 2027
From October 1, 2029 to September 30, 2032 10 or less 21 or more and 35 or less
October 1, 2035 October 1, 2029
From October 1, 2032 to September 30, 2035 10 or less 11 or more and 20 or less
October 1, 2035 October 1, 2032
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**第三項** 第一項の申出は、附則第二十二条第一項の申出をすることができる事業主にあっては、同項の申出と同時に行わなければならない。
suppl-5071-74/art-24/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The application under paragraph (1) must, in the case of an employer that is able to make the application under Article 22, paragraph (1) of the Supplementary Provisions, be made at the same time as the application under that paragraph.
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**第四項** 第一項に規定する適用事業所ごとの保険料調整額が零である場合（当該保険料調整額が零である月が基準日から起算して二年を経過した日が属する月以後の期間である場合を除く。）においては、当該保険料調整額が零である月以後の期間における当該適用事業所に係る同項の規定の適用を停止するものとする。
suppl-5071-74/art-24/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Where the premium adjustment amount for each applicable place of business prescribed in paragraph (1) is zero (excluding the case where the month in which the premium adjustment amount is zero falls within a period on or after the month which contains the day on which two years have elapsed from the base date), the application of the provisions of that paragraph to that applicable place of business is to be suspended for the period on or after the month in which the premium adjustment amount is zero.
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**第五項** 事業主は、前項の規定に基づき第一項の規定の適用が停止された月から、基準日から起算して二年を経過した日が属する月の前月までの間に、厚生労働省令で定めるところにより保険者等に前項の規定に基づく停止の解除の申出を行うことができる。
suppl-5071-74/art-24/par-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
An employer may, between the month in which the application of the provisions of paragraph (1) was suspended pursuant to the provisions of the preceding paragraph and the month preceding the month which contains the day on which two years have elapsed from the base date, apply to the insurer, etc., as specified by Order of the Ministry of Health, Labour and Welfare, for release of the suspension under the preceding paragraph.
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**第六項** 前項の解除の申出は、附則第二十二条第五項の規定による同項の解除の申出をすることができる事業主にあっては、同項の解除の申出と同時に行わなければならない。
suppl-5071-74/art-24/par-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The application for release under the preceding paragraph must, in the case of an employer that is able to apply for release under paragraph (5) of Article 22 of the Supplementary Provisions pursuant to the provisions of that paragraph, be made at the same time as the application for release under that paragraph.
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**第七項** 第一項の規定は、同項の申出があった日の属する月から通算して三十六月間の各月の短時間被保険者に係る健康保険料について適用する。ただし、第四項の規定により第一項の規定の適用を停止した月から第五項の解除の申出をした日が属する月の前月までの間の各月は通算しないものとする。
suppl-5071-74/art-24/par-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of paragraph (1) apply to the health insurance premium for part-time insured persons for each of the 36 months counted cumulatively from the month which contains the day on which the application under that paragraph was made; provided, however, that each month from the month in which the application of the provisions of paragraph (1) was suspended pursuant to the provisions of paragraph (4) up to the month preceding the month which contains the day on which the application for release under paragraph (5) was made is not to be counted cumulatively.
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**第八項** 政府は、最低賃金の動向等を参酌して、政令で、附則別表第三各号の表の上欄に掲げる健康保険法第四十条第一項に規定する標準報酬月額等級（第十一項及び次条第三項並びに附則別表第三において単に「標準報酬月額等級」という。）の最高等級の上に更に等級を加える標準報酬月額の等級区分の改定及び同表の下欄に定める増加負担割合の改定（百分の二十五を上限とする。）を行うことができる。この場合において、第十一項中「第九級まで」とあるのは、「政令で定める等級まで」とするほか、この項の規定の適用に関し必要な事項は、政令で定める。
suppl-5071-74/art-24/par-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government may, taking into account trends in the minimum wage, etc., by Cabinet Order, revise the grading of the standard monthly remuneration amount by adding a further grade above the highest grade of the standard monthly remuneration grades prescribed in Article 40, paragraph (1) of the Health Insurance Act set forth in the upper column of the table in each item of Appended Table 3 of the Supplementary Provisions (referred to simply as "standard monthly remuneration grades" in paragraph (11), paragraph (3) of the following Article and Appended Table 3 of the Supplementary Provisions), and revise the increased burden ratio specified in the lower column of that table (with 25% as the upper limit). In this case, the phrase "through grade 9" in paragraph (11) is deemed to be replaced with "through the grade specified by Cabinet Order", and beyond that, other matters necessary for the application of the provisions of this paragraph are specified by Cabinet Order.
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**第九項** 第一項及び第五項の規定による保険者等（厚生労働大臣に限る。）の申出の受理の権限に係る事務は、日本年金機構に行わせるものとする。この場合において、日本年金機構法第二十三条第三項中「、船員保険法」とあるのは「若しくは社会経済の変化を踏まえた年金制度の機能強化のための国民年金法等の一部を改正する等の法律（令和七年法律第七十四号）、船員保険法」と、同法第二十六条第二項中「健康保険法」とあるのは「健康保険法若しくは社会経済の変化を踏まえた年金制度の機能強化のための国民年金法等の一部を改正する等の法律」と、同法第二十七条第二項第二号中「に規定する権限に係る事務、同法」とあるのは「及び社会経済の変化を踏まえた年金制度の機能強化のための国民年金法等の一部を改正する等の法律附則第二十四条第九項に規定する権限に係る事務、健康保険法」と、「及び」とあるのは「並びに」と、同法第四十八条第一項中「健康保険法」とあるのは「健康保険法若しくは社会経済の変化を踏まえた年金制度の機能強化のための国民年金法等の一部を改正する等の法律」とする。
suppl-5071-74/art-24/par-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The affairs pertaining to the authority to accept applications by the insurer, etc. (limited to the Minister of Health, Labour and Welfare) under paragraphs (1) and (5) are to be performed by the Japan Pension Service. In this case, the phrase ", the Mariners Insurance Act" in Article 23, paragraph (3) of the Japan Pension Organization Act is deemed to be replaced with ", or the Act Partially Amending the National Pension Act, etc., and Other Matters, to Strengthen the Functions of the Pension System in Light of Socioeconomic Changes (Act No. 74 of 2025), the Mariners Insurance Act", the phrase "the Health Insurance Act" in Article 26, paragraph (2) of that Act is deemed to be replaced with "the Health Insurance Act or the Act Partially Amending the National Pension Act, etc., and Other Matters, to Strengthen the Functions of the Pension System in Light of Socioeconomic Changes", the phrase "affairs pertaining to the authority prescribed in it, and that Act" in Article 27, paragraph (2), item (ii) of that Act is deemed to be replaced with "and affairs pertaining to the authority prescribed in Article 24, paragraph (9) of the Supplementary Provisions of the Act Partially Amending the National Pension Act, etc., and Other Matters, to Strengthen the Functions of the Pension System in Light of Socioeconomic Changes, and the Health Insurance Act", "及び" (and) is deemed to be replaced with "並びに" (and, joining larger groups of items), and the phrase "the Health Insurance Act" in Article 48, paragraph (1) of that Act is deemed to be replaced with "the Health Insurance Act or the Act Partially Amending the National Pension Act, etc., and Other Matters, to Strengthen the Functions of the Pension System in Light of Socioeconomic Changes".
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**第十項** 前各項に定めるもののほか、第一項の規定により徴収を行うことを要しなかったものとみなされた保険料調整額に相当する額の還付その他必要な事項は、政令で定める。
suppl-5071-74/art-24/par-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in the preceding paragraphs, a refund of an amount equivalent to the premium adjustment amount deemed under the provisions of paragraph (1) not to have been required to be collected, and other necessary matters, are specified by Cabinet Order.
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**第十一項** この条において「短時間被保険者」とは、平成二十四年機能強化法附則第四十六条第一項に規定する特定四分の三未満短時間労働者であり、かつ、健康保険の被保険者（標準報酬月額等級のうち第一級から第九級までに該当する者に限る。）であるものをいう。
suppl-5071-74/art-24/par-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In this Article, a "part-time insured person" means a person who is a specified under-three-quarters part-time worker prescribed in Article 46, paragraph (1) of the Supplementary Provisions of the 2012 Pension Function Strengthening Act and who is an insured person of health insurance (limited to a person who falls under grade 1 through grade 9 of the standard monthly remuneration grades).
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### 第二十五条
suppl-5071-74/art-25 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 令和十七年十月一日以後に健康保険法第三十一条第一項の規定により適用事業所となった事業所の事業主その他政令で定める事業所の事業主（既にこの項の申出をした事業主を除く。以下この項において同じ。）は、当該適用事業所となった日（当該政令で定める事業所の事業主にあっては、政令で定める日）から起算して二年を経過した日が属する月の前月までの間に、厚生労働省令で定めるところにより保険者等に申出をした場合は、同法第百六十一条第一項及び前条の規定にかかわらず、当分の間、適用事業所に使用される短時間被保険者に係る事業主の負担すべき同法第百五十五条第一項に規定する保険料（同項に規定する健康保険事業に要する費用（介護保険法の規定による納付金及び子ども・子育て支援法の規定による子ども・子育て支援納付金並びに健康保険組合が管掌する短時間被保険者である場合にあっては、健康保険法第百七十三条の規定による拠出金の納付に要する費用に限る。）に充てられるもの、同法第四十五条第一項の規定により決定された標準賞与額に係るもの及び同法第百八十条第一項の規定により指定された期限までに納付されていないものを除く。以下この項において「短時間被保険者に係る健康保険料」という。）の負担の割合を、増加負担割合に百分の五十を加えた割合に増加することができる。この場合において、短時間被保険者に係る健康保険料の額のうち、短時間被保険者に係る標準報酬月額に同法第百六十条第一項に規定する一般保険料率を乗じて得た額に相当する額に増加負担割合（同法第百六十二条の規定により健康保険組合が事業主の負担すべき一般保険料額の負担の割合を増加している場合にあっては、増加負担割合から同条の規定により増加している分の割合を控除した割合（当該割合が零を下回る場合には、零とする。））を乗じて得た額は、徴収を行うことを要しなかったものとみなす。
suppl-5071-74/art-25/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
If the employer of a place of business that became an applicable place of business pursuant to Article 31, paragraph (1) of the Health Insurance Act on or after October 1, 2035, or the employer of another place of business specified by Cabinet Order (excluding an employer that has already made the application under this paragraph; the same applies hereinafter in this paragraph), makes an application to the insurer, etc. as specified by Order of the Ministry of Health, Labour and Welfare, by the month preceding the month which contains the day on which two years have elapsed from the day on which the place of business became that applicable place of business (for the employer of a place of business specified by Cabinet Order, the day specified by Cabinet Order), the employer may, for the time being, notwithstanding Article 161, paragraph (1) of that Act and the preceding Article, increase the proportion of the insurance premiums prescribed in Article 155, paragraph (1) of that Act that the employer is to bear for part-time insured persons employed at the applicable place of business (excluding those appropriated to the costs required for health insurance services prescribed in that paragraph (limited to the costs required for payment of the levies under the provisions of the Long-Term Care Insurance Act, the children and child-rearing support levy under the provisions of the Act on Support for Children and Child-rearing and, in the case of part-time insured persons administered by a health insurance society, the contributions under the provisions of Article 173 of the Health Insurance Act), those pertaining to the standard bonus amount determined pursuant to Article 45, paragraph (1) of that Act, and those not paid by the time limit designated pursuant to Article 180, paragraph (1) of that Act; hereinafter in this paragraph referred to as the "health insurance premium for part-time insured persons") to the proportion obtained by adding 50% to the increased burden ratio. In this case, the amount obtained by multiplying the amount equivalent to the amount obtained by multiplying the standard monthly remuneration amount for part-time insured persons by the general insurance premium rate prescribed in Article 160, paragraph (1) of that Act, within the amount of the health insurance premium for part-time insured persons, by the increased burden ratio (where a health insurance society has increased the proportion of the general insurance premium amount to be borne by the employer pursuant to Article 162 of that Act, the proportion obtained by deducting from the increased burden ratio the proportion increased pursuant to that Article (or zero if that proportion falls below zero)) is deemed not to have been required to be collected.
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**第二項** 前条第三項から第十項までの規定は、前項の規定を適用する場合について準用する。この場合において、これらの規定の適用に関し必要な読替えその他必要な事項は、政令で定める。
suppl-5071-74/art-25/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of paragraphs (3) through (10) of the preceding Article apply mutatis mutandis to the case of applying the provisions of the preceding paragraph. In this case, necessary replacement of terms in applying those provisions and other necessary matters are specified by Cabinet Order.
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**第三項** この条において「短時間被保険者」とは、次の各号のいずれかに該当する者であって、第三十三条の規定（附則第一条第一項第九号に掲げる改正規定に限る。）による改正後の健康保険法（以下この項及び附則第三十八条において「第九号改正後健保法」という。）第三条第一項各号のいずれにも該当しないもの（平成二十四年機能強化法附則第四十五条の規定により第九号改正後健保法第三条第一項（第九号に係る部分に限る。）の規定が適用されない者を除く。）であり、かつ、健康保険の被保険者（標準報酬月額等級のうち第一級から第九級までに該当する者に限る。）であるものをいう。
suppl-5071-74/art-25/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In this Article, a "part-time insured person" means a person who falls under any of the following items, who does not fall under any of the items of Article 3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 33 (limited to the amending provision set forth in Article 1, paragraph (1), item (ix) of the Supplementary Provisions) (hereinafter in this paragraph and Article 38 of the Supplementary Provisions referred to as the "item (ix) Amended Health Insurance Act") (excluding a person to whom the provisions of Article 3, paragraph (1) of the item (ix) Amended Health Insurance Act (limited to the part pertaining to item (ix)) are not applied pursuant to Article 45 of the Supplementary Provisions of the 2012 Pension Function Strengthening Act), and who is an insured person of health insurance (limited to a person who falls under grade 1 through grade 9 of the standard monthly remuneration grades).
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**一** 一週間の所定労働時間が同一の事業所に使用される通常の労働者（第九号改正後健保法第三条第一項第九号に規定する通常の労働者をいう。次号において同じ。）の一週間の所定労働時間の四分の三未満である短時間労働者（同項第九号に規定する短時間労働者をいう。次号において同じ。）
suppl-5071-74/art-25/par-3/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker (meaning a part-time worker prescribed in item (ix) of that paragraph; the same applies in the following item) whose prescribed weekly scheduled working hours are less than three-fourths of the prescribed weekly scheduled working hours of an ordinary worker (meaning an ordinary worker prescribed in Article 3, paragraph (1), item (ix) of the item (ix) Amended Health Insurance Act; the same applies in the following item) employed at the same place of business; or
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**二** 一月間の所定労働日数が同一の事業所に使用される通常の労働者の一月間の所定労働日数の四分の三未満である短時間労働者
suppl-5071-74/art-25/par-3/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
a part-time worker whose prescribed working days per month are less than three-fourths of the prescribed working days per month of an ordinary worker employed at the same place of business.
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### 第三十八条（健康保険の短時間労働者への適用に関する経過措置） — Transitional Measures Concerning the Application of Health Insurance to Part-Time Workers
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suppl-5071-74/art-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 平成二十四年機能強化法附則第四十五条の規定により第九号改正後健保法第三条第一項（第九号に係る部分に限る。）の規定を適用しないこととされた者であって、第九号施行日まで引き続き健康保険の被保険者の資格を有するものについては、第九号改正後健保法附則第八条の三の二の規定は、第九号施行日以後引き続き年金機能強化法第五号施行日において使用されていた事業所に使用されている間は、適用しない。
suppl-5071-74/art-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For a person to whom the provisions of Article 3, paragraph (1) of the item (ix) Amended Health Insurance Act (limited to the part pertaining to item (ix)) are not applied pursuant to Article 45 of the Supplementary Provisions of the 2012 Pension Function Strengthening Act, and who continues to hold the qualification of an insured person of health insurance until the item (ix) effective date, the provisions of Article 8-3-2 of the Supplementary Provisions of the item (ix) Amended Health Insurance Act do not apply while the person, on or after the item (ix) effective date, continues to be employed at the place of business at which the person was employed on the item (v) effective date of the Pension Function Strengthening Act.
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### 第四十一条（罰則の適用に関する経過措置） — Transitional Measures Concerning the Application of Penal Provisions
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suppl-5071-74/art-41 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律（附則第一条第一項第十五号に掲げる規定については、当該規定）の施行前にした行為及び附則第三十六条第一項の規定によりなおその効力を有することとされる場合における第十五号施行日以後にした行為に対する罰則の適用については、なお従前の例による。
suppl-5071-74/art-41/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With respect to the application of penal provisions to an act committed before this Act (with respect to the provisions set forth in item (xv) of Article 1, paragraph (1) of the Supplementary Provisions, before those provisions) comes into effect, and to an act committed on or after the effective date of item (xv) in a case where those provisions are to remain in force under Article 36, paragraph (1) of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第五十五条（政令への委任） — Delegation to Cabinet Order
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suppl-5071-74/art-55 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この附則に定めるもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5071-74/art-55/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
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## 附則別表第三
suppl-5071-74/appdx-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
一 附則第二十四条第一項及び第二十五条第一項の申出があった日の属する月から通算して二年を経過した月の前月までの期間 次の表の上欄に掲げる標準報酬月額等級に応じて、それぞれ同表の下欄に定める増加負担割合
標準報酬月額等級 増加負担割合
第一級 百分の二十五
第二級 百分の二十五
第三級 百分の二十五
第四級 百分の二十五
第五級 百分の二十
第六級 百分の十四
第七級 百分の九
第八級 百分の五
第九級 百分の二
二 附則第二十四条第一項及び第二十五条第一項の申出があった日の属する月から通算して二年を経過した月から、当該申出があった日の属する月から通算して三年を経過した月の前月までの期間 次の表の上欄に掲げる標準報酬月額等級に応じて、それぞれ同表の下欄に定める増加負担割合
標準報酬月額等級 増加負担割合
第一級 百分の二十五に二分の一を乗じて得た割合
第二級 百分の二十五に二分の一を乗じて得た割合
第三級 百分の二十五に二分の一を乗じて得た割合
第四級 百分の二十五に二分の一を乗じて得た割合
第五級 百分の二十に二分の一を乗じて得た割合
第六級 百分の十四に二分の一を乗じて得た割合
第七級 百分の九に二分の一を乗じて得た割合
第八級 百分の五に二分の一を乗じて得た割合
第九級 百分の二に二分の一を乗じて得た割合
1. The period up to the month preceding the month in which two years have elapsed, counted cumulatively from the month which contains the day on which the application under Article 24, paragraph (1) or Article 25, paragraph (1) of the Supplementary Provisions was made: for each standard monthly remuneration grade set forth in the upper column of the following table, the increased burden ratio specified in the lower column of that table
Standard monthly remuneration grade Increased burden ratio
Grade 1 25%
Grade 2 25%
Grade 3 25%
Grade 4 25%
Grade 5 20%
Grade 6 14%
Grade 7 9%
Grade 8 5%
Grade 9 2%
2. The period from the month in which two years have elapsed, counted cumulatively from the month which contains the day on which the application under Article 24, paragraph (1) or Article 25, paragraph (1) of the Supplementary Provisions was made, up to the month preceding the month in which three years have elapsed, counted cumulatively from the month which contains the day on which that application was made: for each standard monthly remuneration grade set forth in the upper column of the following table, the increased burden ratio specified in the lower column of that table
Standard monthly remuneration grade Increased burden ratio
Grade 1 The proportion obtained by multiplying 25% by one-half
Grade 2 The proportion obtained by multiplying 25% by one-half
Grade 3 The proportion obtained by multiplying 25% by one-half
Grade 4 The proportion obtained by multiplying 25% by one-half
Grade 5 The proportion obtained by multiplying 20% by one-half
Grade 6 The proportion obtained by multiplying 14% by one-half
Grade 7 The proportion obtained by multiplying 9% by one-half
Grade 8 The proportion obtained by multiplying 5% by one-half
Grade 9 The proportion obtained by multiplying 2% by one-half
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## 附 則 令和七年一二月一二日法律第八七号
suppl-5071-87 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5071-87/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和九年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5071-87/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2027; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 第一条中医療法第三十条の八に一項を加える改正規定及び同法第三十条の十五第一項の改正規定（「及び次条」を削る部分に限る。）、第四条中地域における医療及び介護の総合的な確保の促進に関する法律第七条の次に二条を加える改正規定並びに第十三条の規定並びに次条第二項及び第四項並びに附則第五条、第六条、第九条、第十条、第十二条から第十四条まで、第十六条、第十八条、第二十条及び第二十四条の規定、附則第四十一条中住民基本台帳法（昭和四十二年法律第八十一号）別表第一の五十七の三十一の項の改正規定及び同法別表第二から別表第五までの改正規定並びに附則第五十三条の規定 公布の日
suppl-5071-87/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provision, in Article 1, adding one paragraph to Article 30-8 of the Medical Care Act and the provision amending Article 30-15, paragraph (1) of that Act (limited to the part deleting "and the following Article"), the provision, in Article 4, adding two Articles after Article 7 of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities, and the provisions of Article 13, and the provisions of paragraphs (2) and (4) of the following Article and Articles 5, 6, 9, 10, 12 through 14, 16, 18, 20 and 24 of the Supplementary Provisions, the provision, in Article 41 of the Supplementary Provisions, amending the entry for 57-31 in Appended Table 1 of the Residential Basic Book Act (Act No. 81 of 1967) and the provisions amending Appended Tables 2 through 5 of that Act, and the provisions of Article 53 of the Supplementary Provisions: the date of promulgation;
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**二** 第一条の規定（前号、第四号及び第五号に掲げる改正規定を除く。）、第七条中健康保険法第六十五条第四項の改正規定（「第三十条の十一」を「第三十条の十一第一項」に改める部分に限る。）、同法第六十八条の次に一条を加える改正規定、同法第六十九条の改正規定、同法第七十条の次に一条を加える改正規定並びに同法第八十条、第八十一条及び第八十二条第一項の改正規定並びに第十二条中介護保険法第百五条及び第百十四条の八の改正規定並びに次条第一項並びに附則第四条、第七条、第八条、第三十条及び第三十六条の規定 令和八年四月一日
suppl-5071-87/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 1 (excluding the amending provisions set forth in the preceding item, item (iv) and item (v)), the provision, in Article 7, amending Article 65, paragraph (4) of the Health Insurance Act (limited to the part replacing "Article 30-11" with "Article 30-11, paragraph (1)"), the provision adding one Article after Article 68 of that Act, the provision amending Article 69 of that Act, the provision adding one Article after Article 70 of that Act, and the provisions amending Article 80, Article 81 and Article 82, paragraph (1) of that Act, the provisions, in Article 12, amending Article 105 and Article 114-8 of the Long-Term Care Insurance Act, and the provisions of paragraph (1) of the following Article and Articles 4, 7, 8, 30 and 36 of the Supplementary Provisions: April 1, 2026;
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**三及び四** 略
suppl-5071-87/art-1/par-1/item-3-to-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**五** 第一条中医療法第三十条の三第一項及び第三十八条の七第二項の改正規定、第五条の規定、第七条中健康保険法第七十六条第五項及び第八十八条第十一項の改正規定、同法第百五十条の十第一項及び第三項の改正規定（「基金等」を「基盤機構等」に改める部分に限る。）、同法第百五十条の九（見出しを含む。）の改正規定（「を基金」を「を基盤機構」に、「基金等」を「基盤機構等」に改める部分に限る。）、同法第百五十二条の二の改正規定並びに同法第二百五条の四（見出しを含む。）の改正規定（次号に掲げる改正規定を除く。）、第八条（同号及び第九号に掲げる改正規定を除く。）及び第九条（次号及び第九号に掲げる改正規定を除く。）の規定、第十一条中高齢者の医療の確保に関する法律の目次の改正規定、同法第十七条（見出しを含む。）及び第十七条の二第一項の改正規定（同号に掲げる改正規定を除く。）、同条第三項並びに同法第三十二条、第三十六条第一項、第四十条、第四十二条、第四十三条、第四十四条第一項から第三項まで、第四十五条第一項、第四十六条、第七十条第四項及び第九十三条第三項の改正規定、同法第百条第一項の改正規定（「支払基金」を「機構」に改める部分に限る。）、同条第三項並びに同法第百一条第一項、第百十八条第一項、第百二十二条、第百二十三条第一項、第百二十四条の二第一項、第百二十四条の四第一項及び第二項、第百二十四条の五第一項、第百二十四条の六、第百二十四条の七並びに第百二十四条の九の改正規定、同法第五章の章名の改正規定並びに同法第百三十九条の見出し、同条第一項及び第二項、同法第百四十条、第百四十一条第一項、第百四十二条から第百四十六条まで、第百四十七条第一項、第五項、第六項及び第八項、第百四十八条、第百四十九条、第百五十一条、第百五十二条第一項及び第三項、第百五十三条（見出しを含む。）、第百五十四条並びに第百六十五条の二の見出し、同条第一項並びに同法第百六十八条第二項及び第百七十条第一項の改正規定並びに同法附則第三条第三項、第六条、第七条第一項、第九条、第九条の二（見出しを含む。）及び第十一条（見出しを含む。）の改正規定、第十二条中介護保険法の目次の改正規定、同法第百十五条の四十七第十項の改正規定（第九号に掲げる改正規定を除く。）、同条第十一項の改正規定（次号に掲げる改正規定を除く。）、同法第百十六条第一項の改正規定、同法第百十八条の十一第一項の改正規定（「支払基金等」を「機構等」に改める部分に限る。）、同条第三項の改正規定、同法第百十八条の十（見出しを含む。）の改正規定（「支払基金等」を「機構等」に改める部分に限る。）、同法第百二十五条第一項及び第四項、第百二十六条、第百四十八条第二項、第百五十条第一項、第百五十五条、第百五十六条第一項から第三項まで、第百五十七条第一項、第百五十八条並びに第百五十九条第一項の改正規定、同法第九章の章名の改正規定並びに同法第百六十条の見出し、同条第一項及び第二項並びに同法第百六十一条、第百六十二条第一項、第百六十三条から第百六十七条まで、第百六十八条第一項、第五項、第六項及び第八項、第百六十九条、第百七十条、第百七十一条、第百七十二条第一項及び第三項、第百七十三条（見出しを含む。）、第百七十四条、第二百七条第二項並びに第二百十二条の改正規定、第十四条中児童福祉法第十九条の二十第三項及び第四項の改正規定、第十五条の規定（同号及び第九号に掲げる改正規定を除く。）、第十七条中原子爆弾被爆者に対する援護に関する法律第十五条第三項及び第四項並びに第二十条の改正規定、第十九条中感染症の予防及び感染症の患者に対する医療に関する法律第三十六条の九第二項、第三十六条の十三、第三十六条の十四第一項及び第二項、第三十六条の十八、第三十六条の十九第一項から第三項まで、第三十六条の二十第一項、第三十六条の二十一、第三十六条の二十三第三項、第三十六条の二十五（見出しを含む。）、第三十六条の二十六第一項、第三十六条の二十七から第三十六条の三十一まで、第三十六条の三十二第一項、第五項、第六項及び第八項、第三十六条の三十三、第三十六条の三十四、第三十六条の三十六、第三十六条の三十七第一項及び第三項、第三十六条の三十八（見出しを含む。）、第三十六条の三十九、第四十条第五項及び第六項、第五十六条の四十八（見出しを含む。）、第五十六条の四十九第一項及び第三項、第五十六条の五十第二項、第七十七条第二項並びに第八十二条の改正規定、第二十二条中障害者の日常生活及び社会生活を総合的に支援するための法律第七十三条第三項及び第四項の改正規定、第二十三条中石綿による健康被害の救済に関する法律第十四条第一項及び第二項の改正規定、第二十五条の規定（次号に掲げる改正規定を除く。）、第二十七条中難病の患者に対する医療等に関する法律第二十五条第三項の改正規定及び同条第四項の改正規定（「社会保険診療報酬支払基金」を「医療情報基盤・診療報酬審査支払機構」に改める部分に限る。）、第二十八条中医療分野の研究開発に資するための匿名加工医療情報及び仮名加工医療情報に関する法律第三十一条第四項の改正規定（「この条」の下に「及び第三十六条の二」を加える部分を除く。）及び同条第五項から第七項までの改正規定並びに第二十九条の規定並びに附則第十九条、第二十一条から第二十三条まで、第二十五条及び第三十一条の規定、附則第三十二条（同号に掲げる改正規定を除く。）及び第三十三条（同号に掲げる改正規定を除く。）の規定、附則第三十五条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第三十四条の二第一項の改正規定及び同法第四十七条の三（見出しを含む。）の改正規定（次号に掲げる改正規定を除く。）、附則第三十八条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第九十九条の二第一項の改正規定及び同法第百十四条の二（見出しを含む。）の改正規定（次号に掲げる改正規定を除く。）、附則第三十九条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百十三条の二第一項の改正規定及び同法第百四十四条の三十三（見出しを含む。）の改正規定（次号に掲げる改正規定を除く。）、附則第四十条の規定、附則第四十一条中住民基本台帳法別表第一の改正規定（第一号に掲げる改正規定を除く。）並びに附則第四十五条第一項及び第二項、第四十八条、第五十条、第五十一条、第五十四条並びに第五十六条から第五十八条までの規定 公布の日から起算して一年六月を超えない範囲内において政令で定める日
suppl-5071-87/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions, in Article 1, amending Article 30-3, paragraph (1) and Article 38-7, paragraph (2) of the Medical Care Act; the provisions of Article 5; the provisions, in Article 7, amending Article 76, paragraph (5) and Article 88, paragraph (11) of the Health Insurance Act, the provisions amending Article 150-10, paragraphs (1) and (3) of that Act (limited to the part replacing "the Fund, etc." with "the Infrastructure Organization, etc."), the provision amending Article 150-9 (including its heading) of that Act (limited to the part replacing "the Fund" with "the Infrastructure Organization" and "the Fund, etc." with "the Infrastructure Organization, etc."), the provision amending Article 152-2 of that Act, and the provision amending Article 205-4 (including its heading) of that Act (excluding the amending provisions set forth in the following item), the provisions of Article 8 (excluding the amending provisions set forth in that item and item (ix)), and the provisions of Article 9 (excluding the amending provisions set forth in the following item and item (ix)); the provision, in Article 11, amending the table of contents of the Act on Assurance of Medical Care for Elderly People, the provisions amending Article 17 (including its heading) and Article 17-2, paragraph (1) of that Act (excluding the amending provisions set forth in that item), the provision amending paragraph (3) of that Article, and the provisions amending Article 32, Article 36, paragraph (1), Article 40, Article 42, Article 43, Article 44, paragraphs (1) through (3), Article 45, paragraph (1), Article 46, Article 70, paragraph (4) and Article 93, paragraph (3) of that Act, the provision amending Article 100, paragraph (1) of that Act (limited to the part replacing "the Payment Fund" with "JPS"), the provision amending paragraph (3) of that Article, and the provisions amending Article 101, paragraph (1), Article 118, paragraph (1), Article 122, Article 123, paragraph (1), Article 124-2, paragraph (1), Article 124-4, paragraphs (1) and (2), Article 124-5, paragraph (1), Article 124-6, Article 124-7 and Article 124-9 of that Act, the provision amending the chapter title of Chapter V of that Act, the provisions amending the heading of Article 139 of that Act, paragraphs (1) and (2) of that Article, Article 140, Article 141, paragraph (1), Articles 142 through 146, Article 147, paragraphs (1), (5), (6) and (8), Article 148, Article 149, Article 151, Article 152, paragraphs (1) and (3), Article 153 (including its heading), Article 154, the heading of Article 165-2, paragraph (1) of that Article, and Article 168, paragraph (2) and Article 170, paragraph (1) of that Act, and the provisions amending Article 3, paragraph (3), Article 6, Article 7, paragraph (1), Article 9, Article 9-2 (including its heading) and Article 11 (including its heading) of the Supplementary Provisions of that Act; the provision, in Article 12, amending the table of contents of the Long-Term Care Insurance Act, the provision amending Article 115-47, paragraph (10) of that Act (excluding the amending provisions set forth in item (ix)), the provision amending paragraph (11) of that Article (excluding the amending provisions set forth in the following item), the provision amending Article 116, paragraph (1) of that Act, the provision amending Article 118-11, paragraph (1) of that Act (limited to the part replacing "the Payment Fund, etc." with "JPS, etc."), the provision amending paragraph (3) of that Article, the provision amending Article 118-10 (including its heading) of that Act (limited to the part replacing "the Payment Fund, etc." with "JPS, etc."), the provisions amending Article 125, paragraphs (1) and (4), Article 126, Article 148, paragraph (2), Article 150, paragraph (1), Article 155, Article 156, paragraphs (1) through (3), Article 157, paragraph (1), Article 158 and Article 159, paragraph (1) of that Act, the provision amending the chapter title of Chapter IX of that Act, and the provisions amending the heading of Article 160 of that Act, paragraphs (1) and (2) of that Article, and Article 161, Article 162, paragraph (1), Articles 163 through 167, Article 168, paragraphs (1), (5), (6) and (8), Article 169, Article 170, Article 171, Article 172, paragraphs (1) and (3), Article 173 (including its heading), Article 174, Article 207, paragraph (2) and Article 212 of that Act; the provisions, in Article 14, amending Article 19-20, paragraphs (3) and (4) of the Child Welfare Act; the provisions of Article 15 (excluding the amending provisions set forth in that item and item (ix)); the provisions, in Article 17, amending Article 15, paragraphs (3) and (4) and Article 20 of the Atomic Bomb Survivors' Assistance Act; the provisions, in Article 19, amending Article 36-9, paragraph (2), Article 36-13, Article 36-14, paragraphs (1) and (2), Article 36-18, Article 36-19, paragraphs (1) through (3), Article 36-20, paragraph (1), Article 36-21, Article 36-23, paragraph (3), Article 36-25 (including its heading), Article 36-26, paragraph (1), Articles 36-27 through 36-31, Article 36-32, paragraphs (1), (5), (6) and (8), Article 36-33, Article 36-34, Article 36-36, Article 36-37, paragraphs (1) and (3), Article 36-38 (including its heading), Article 36-39, Article 40, paragraphs (5) and (6), Article 56-48 (including its heading), Article 56-49, paragraphs (1) and (3), Article 56-50, paragraph (2), Article 77, paragraph (2) and Article 82 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases; the provisions, in Article 22, amending Article 73, paragraphs (3) and (4) of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities; the provisions, in Article 23, amending Article 14, paragraphs (1) and (2) of the Act on Asbestos Health Damage Relief; the provisions of Article 25 (excluding the amending provisions set forth in the following item); the provision, in Article 27, amending Article 25, paragraph (3) of the Act on Medical Care for Patients with Intractable Diseases, and the provision amending paragraph (4) of that Article (limited to the part replacing "Social Insurance Medical Fee Payment Fund" with "Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); the provision, in Article 28, amending Article 31, paragraph (4) of the Act on Anonymized Processed Medical Information and Pseudonymized Processed Medical Information to Contribute to Research and Development in the Medical Field (excluding the part adding "and Article 36-2" after "this Article"), and the provisions amending paragraphs (5) through (7) of that Article, and the provisions of Article 29; the provisions of Articles 19, 21 through 23, 25 and 31 of the Supplementary Provisions; the provisions of Article 32 of the Supplementary Provisions (excluding the amending provisions set forth in that item) and Article 33 of the Supplementary Provisions (excluding the amending provisions set forth in that item); the provision, in Article 35 of the Supplementary Provisions, amending Article 34-2, paragraph (1) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) and the provision amending Article 47-3 (including its heading) of that Act (excluding the amending provisions set forth in the following item); the provision, in Article 38 of the Supplementary Provisions, amending Article 99-2, paragraph (1) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) and the provision amending Article 114-2 (including its heading) of that Act (excluding the amending provisions set forth in the following item); the provision, in Article 39 of the Supplementary Provisions, amending Article 113-2, paragraph (1) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) and the provision amending Article 144-33 (including its heading) of that Act (excluding the amending provisions set forth in the following item); the provisions of Article 40 of the Supplementary Provisions; the provision, in Article 41 of the Supplementary Provisions, amending Appended Table 1 of the Residential Basic Book Act (excluding the amending provision set forth in item (i)); and the provisions of Article 45, paragraphs (1) and (2), Articles 48, 50, 51 and 54, and Articles 56 through 58 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding one year and six months from the date of promulgation;
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**六** 第二条中医療法第六条の十二の次に一条を加える改正規定並びに同法第七条第一項、第十七条、第十八条及び第二十九条第一項第三号の改正規定、第七条中健康保険法第二百五条の四第二項の改正規定（「その他の」を「に係る」に、「と共同して」を「その他厚生労働省令で定める者と共同して」に改める部分に限る。）、第八条中船員保険法第百五十三条の十第二項の改正規定（「その他の」を「に係る」に、「と共同して」を「その他厚生労働省令で定める者と共同して」に改める部分に限る。）、第九条中国民健康保険法第百十三条の三第二項の改正規定（「その他の」を「に係る」に、「と共同して」を「その他厚生労働省令で定める者と共同して」に改める部分に限る。）、第十一条中高齢者の医療の確保に関する法律第百六十五条の二第二項の改正規定、第十二条中介護保険法第百十五条の四十七第十一項の改正規定（「その他の」を「に係る」に改め、「定めるもの」の下に「その他厚生労働省令で定める者」を加える部分に限る。）、第十四条中児童福祉法第十九条の三第九項及び第十項の改正規定、同条第九項の次に一項を加える改正規定、同法第十九条の二十第一項の改正規定、同条の次に一条を加える改正規定、同法第二十一条の五の十七第一項、第二十一条の五の二十九第一項、第二十一条の五の三十、第二十四条の二十第一項及び第二十四条の二十一の改正規定並びに同法第五十六条の六の次に一条を加える改正規定、第十五条中予防接種法第五十七条第二項の改正規定（「その他の」を「に係る」に、「と共同して」を「その他厚生労働省令で定める者と共同して」に改める部分に限る。）、第十六条の規定、第十七条の規定（前号に掲げる改正規定を除く。）、第十九条中感染症の予防及び感染症の患者に対する医療に関する法律第三十七条の二の次に一条を加える改正規定、同法第三十八条第三項、第九項及び第十一項、第四十四条の三の二第二項並びに第五十条の三第二項の改正規定、同法第六十三条の四の次に二条を加える改正規定並びに同法第六十四条の二の改正規定、第二十二条中障害者の日常生活及び社会生活を総合的に支援するための法律第五十八条第二項の改正規定、同条中第六項を第七項とし、第三項から第五項までを一項ずつ繰り下げる改正規定、同条第二項の次に一項を加える改正規定、同法第七十条第一項及び第二項の改正規定、同項を同条第四項とする改正規定、同条第一項の次に二項を加える改正規定、同法第七十一条第二項及び第七十三条第一項の改正規定並びに同法第百五条の二の次に二条を加える改正規定、第二十三条の規定（同号に掲げる改正規定を除く。）、第二十四条の規定、第二十五条中特定Ｂ型肝炎ウイルス感染者給付金等の支給に関する特別措置法第十六条第二項及び第四項の改正規定（「支払基金」を「機構」に改める部分を除く。）、同項を同条第五項とする改正規定、同条第三項の改正規定、同項を同条第四項とする改正規定、同条第二項の次に一項を加える改正規定、同法第十七条に一項を加える改正規定、同条の次に一条を加える改正規定並びに同法第二十六条に一項を加える改正規定、第二十七条中難病の患者に対する医療等に関する法律の目次の改正規定（「第三十二条」を「第三十一条の二」に改める部分に限る。）、同法第七条第六項の改正規定、同条中第八項を第九項とする改正規定、同条第七項の改正規定、同項を同条第八項とする改正規定、同条第六項の次に一項を加える改正規定、同法第二十五条第一項の改正規定、同条第四項の改正規定（同号に掲げる改正規定を除く。）及び同法第七章中第三十二条の前に二条を加える改正規定並びに第三十条の規定並びに附則第二十六条の規定、附則第三十二条中生活保護法（昭和二十五年法律第百四十四号）第八十条の四第二項の改正規定（「社会保険診療報酬支払基金法」を「医療情報基盤・診療報酬審査支払機構法」に改める部分を除く。）、附則第三十三条中防衛省の職員の給与等に関する法律（昭和二十七年法律第二百六十六号）第二十二条第四項の改正規定（「社会保険診療報酬支払基金法」を「医療情報基盤・診療報酬審査支払機構法」に改める部分を除く。）、附則第三十五条中私立学校教職員共済法第四十七条の三第二項の改正規定（「社会保険診療報酬支払基金法」を「医療情報基盤・診療報酬審査支払機構法」に改める部分を除く。）、附則第三十八条中国家公務員共済組合法第百十四条の二第二項の改正規定（「社会保険診療報酬支払基金法」を「医療情報基盤・診療報酬審査支払機構法」に改める部分を除く。）、附則第三十九条中地方公務員等共済組合法第百四十四条の三十三第二項の改正規定（「社会保険診療報酬支払基金法」を「医療情報基盤・診療報酬審査支払機構法」に改める部分を除く。）並びに附則第四十二条及び第四十五条第三項から第六項までの規定 公布の日から起算して二年を超えない範囲内において政令で定める日
suppl-5071-87/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provision, in Article 2, adding one Article after Article 6-12 of the Medical Care Act and the provisions amending Article 7, paragraph (1), Article 17, Article 18 and Article 29, paragraph (1), item (iii) of that Act; the provision, in Article 7, amending Article 205-4, paragraph (2) of the Health Insurance Act (limited to the part replacing "other" with "pertaining to", and "jointly with" with "jointly with any other person specified by Order of the Ministry of Health, Labour and Welfare"); the provision, in Article 8, amending Article 153-10, paragraph (2) of the Mariners Insurance Act (limited to the part replacing "other" with "pertaining to", and "jointly with" with "jointly with any other person specified by Order of the Ministry of Health, Labour and Welfare"); the provision, in Article 9, amending Article 113-3, paragraph (2) of the National Health Insurance Act (limited to the part replacing "other" with "pertaining to", and "jointly with" with "jointly with any other person specified by Order of the Ministry of Health, Labour and Welfare"); the provision, in Article 11, amending Article 165-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People; the provision, in Article 12, amending Article 115-47, paragraph (11) of the Long-Term Care Insurance Act (limited to the part replacing "other" with "pertaining to", and adding "or any other person specified by Order of the Ministry of Health, Labour and Welfare" after "specified"); the provisions, in Article 14, amending Article 19-3, paragraphs (9) and (10) of the Child Welfare Act, the provision adding one paragraph after paragraph (9) of that Article, the provision amending Article 19-20, paragraph (1) of that Act, the provision adding one Article after that Article, the provisions amending Article 21-5-17, paragraph (1), Article 21-5-29, paragraph (1), Article 21-5-30, Article 24-20, paragraph (1) and Article 24-21 of that Act, and the provision adding one Article after Article 56-6 of that Act; the provision, in Article 15, amending Article 57, paragraph (2) of the Immunization Act (limited to the part replacing "other" with "pertaining to", and "jointly with" with "jointly with any other person specified by Order of the Ministry of Health, Labour and Welfare"); the provisions of Article 16; the provisions of Article 17 (excluding the amending provisions set forth in the preceding item); the provision, in Article 19, adding one Article after Article 37-2 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases, the provisions amending Article 38, paragraphs (3), (9) and (11), Article 44-3-2, paragraph (2) and Article 50-3, paragraph (2) of that Act, the provision adding two Articles after Article 63-4 of that Act, and the provision amending Article 64-2 of that Act; the provisions, in Article 22, amending Article 58, paragraph (2) of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, the provision making paragraph (6) of that Article paragraph (7) and moving down paragraphs (3) through (5) of that Article by one paragraph each, the provision adding one paragraph after paragraph (2) of that Article, the provisions amending Article 70, paragraphs (1) and (2) of that Act, the provision making that paragraph paragraph (4) of that Article, the provision adding two paragraphs after paragraph (1) of that Article, the provisions amending Article 71, paragraph (2) and Article 73, paragraph (1) of that Act, and the provision adding two Articles after Article 105-2 of that Act; the provisions of Article 23 (excluding the amending provisions set forth in that item); the provisions of Article 24; the provisions, in Article 25, amending Article 16, paragraphs (2) and (4) of the Act on Special Measures for Payment of Benefits, etc. to Persons Infected with Specified Hepatitis B Virus (excluding the part replacing "the Payment Fund" with "JPS"), the provision making that paragraph paragraph (5) of that Article, the provision amending paragraph (3) of that Article, the provision making that paragraph paragraph (4) of that Article, the provision adding one paragraph after paragraph (2) of that Article, the provision adding one paragraph to Article 17 of that Act, the provision adding one Article after that Article, and the provision adding one paragraph to Article 26 of that Act; the provisions, in Article 27, amending the table of contents of the Act on Medical Care for Patients with Intractable Diseases (limited to the part replacing "Article 32" with "Article 31-2"), the provision amending Article 7, paragraph (6) of that Act, the provision making paragraph (8) of that Article paragraph (9), the provision amending paragraph (7) of that Article, the provision making that paragraph paragraph (8) of that Article, the provision adding one paragraph after paragraph (6) of that Article, the provision amending Article 25, paragraph (1) of that Act, the provision amending paragraph (4) of that Article (excluding the amending provisions set forth in that item), and the provision adding two Articles before Article 32 in Chapter VII of that Act, and the provisions of Article 30; the provisions of Article 26 of the Supplementary Provisions; the provision, in Article 32 of the Supplementary Provisions, amending Article 80-4, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) (excluding the part replacing "Act on Social Insurance Medical Fee Payment Fund" with "Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); the provision, in Article 33 of the Supplementary Provisions, amending Article 22, paragraph (4) of the Act on Remuneration, etc. of Ministry of Defense Personnel (Act No. 266 of 1952) (excluding the part replacing "Act on Social Insurance Medical Fee Payment Fund" with "Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); the provision, in Article 35 of the Supplementary Provisions, amending Article 47-3, paragraph (2) of the Private School Personnel Mutual Aid Association Act (excluding the part replacing "Act on Social Insurance Medical Fee Payment Fund" with "Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); the provision, in Article 38 of the Supplementary Provisions, amending Article 114-2, paragraph (2) of the National Public Officers Mutual Aid Association Act (excluding the part replacing "Act on Social Insurance Medical Fee Payment Fund" with "Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); the provision, in Article 39 of the Supplementary Provisions, amending Article 144-33, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act (excluding the part replacing "Act on Social Insurance Medical Fee Payment Fund" with "Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization"); and the provisions of Article 42 of the Supplementary Provisions and Article 45, paragraphs (3) through (6) of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation;
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**七及び八** 略
suppl-5071-87/art-1/par-1/item-7-to-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**九** 第六条の規定（同条中地域における医療及び介護の総合的な確保の促進に関する法律第三条第二項第四号の改正規定（「医療法」を「医療法第三十条の三の三第一項に規定する地域医療構想（以下「地域医療構想」という。）及び同法」に、「）及び」を「）並びに」に改める部分に限る。）、同法第四条第二項第二号及び第三項の改正規定並びに同法第七条の二及び第七条の三を削る改正規定を除く。）、第七条中健康保険法の目次の改正規定、同法第七条の二第三項、第七十七条第三項及び第百五十条の二第一項の改正規定、同法第百五十条の十の改正規定（第五号に掲げる改正規定を除く。）、第六章中同条を第百五十条の十三とする改正規定、同法第百五十条の九の改正規定（同号に掲げる改正規定を除く。）、同条を同法第百五十条の十二とする改正規定、同法第百五十条の八の改正規定、同条を同法第百五十条の十一とする改正規定、同法第百五十条の七第一項の改正規定、同条を同法第百五十条の十とする改正規定、同法第百五十条の六の次に三条を加える改正規定並びに同法第百五十一条、第百五十三条、第百五十四条第一項、第百五十五条第一項、第百六十条第三項及び第十四項、第百七十三条第一項、第百七十六条、第二百七条の三並びに第二百十三条の二の改正規定並びに同法附則第二条第一項及び第四条の二の改正規定、第八条中船員保険法第百十二条第二項、第百十四条第一項及び第百二十一条第二項の改正規定並びに同法附則第七条の改正規定、第九条中国民健康保険法第六十九条、第七十条第一項、第七十三条第一項及び第二項、第七十五条、第七十五条の七第一項、第七十六条第一項及び第二項並びに第八十一条の二第十一項の改正規定、第十条の規定（第三号に掲げる改正規定を除く。）、第十一条中高齢者の医療の確保に関する法律第十六条の二第一項及び第十六条の八の改正規定、同条を同法第十六条の十一とする改正規定、同法第十六条の七第一項の改正規定、同条を同法第十六条の十とする改正規定、同法第十六条の六の次に三条を加える改正規定、同法第十七条の改正規定（「の規定による利用又は」を「並びに第十六条の七第一項及び第二項の規定による利用及び」に改める部分に限る。）、同条に二項を加える改正規定、同法第十七条の二第一項の改正規定（「前条」を「前条第一項」に改める部分に限る。）、同条に一項を加える改正規定、同法第三十四条第一項、第三項、第四項及び第六項、第三十五条第一項、第三項、第四項及び第六項、第三十八条第一項及び第二項、第三十九条第一項及び第二項、第六十一条第三項、第七十二条第二項、第八十一条第二項並びに第九十三条第一項及び第二項の改正規定、同法第百条第一項の改正規定（第五号に掲げる改正規定を除く。）、同条第二項並びに同法第百四条第一項及び第三項、第百十六条第二項、第百二十条第一項、第百三十四条第三項、第百三十七条第三項、第百五十二条第二項並びに第百六十一条の三第二項の改正規定並びに同法第百六十七条の二及び第百六十八条第三項の改正規定、第十二条中介護保険法第百十五条の四十七第十項の改正規定（「第百十八条の十及び第百十八条の十一」を「第百十八条の十三及び第百十八条の十四」に改める部分に限る。）、同法第百十八条の三第一項の改正規定、同法第百十八条の十一の改正規定（同号に掲げる改正規定を除く。）、同条を同法第百十八条の十四とする改正規定、同法第百十八条の十の改正規定（同号に掲げる改正規定を除く。）、同条を同法第百十八条の十三とする改正規定、同法第百十八条の九の改正規定、同条を同法第百十八条の十二とする改正規定、同法第百十八条の八第一項の改正規定、同条を同法第百十八条の十一とする改正規定、同法第百十八条の七の次に三条を加える改正規定並びに同法第二百五条の三及び第二百六条の二の改正規定、第十四条の規定（同号及び第六号に掲げる改正規定を除く。）、第十五条中予防接種法第二十四条第一項の改正規定、同法第二十八条の次に三条を加える改正規定、同法第二十九条第一項及び第三十条の改正規定、同法第三十一条の改正規定（「又は提供」を「及び提供並びに第二十八条の二第一項及び第二項の規定による仮名予防接種等関連情報の利用及び提供」に改める部分に限る。）、同条に二項を加える改正規定、同法第三十二条第一項の改正規定（「前条」を「前条第一項」に改める部分に限る。）、同条に一項を加える改正規定、同法第三十三条第一号及び第四十三条第一号の改正規定並びに同法第四十八条及び第五十九条の改正規定、第二十条の規定、第二十二条中障害者の日常生活及び社会生活を総合的に支援するための法律第八十九条の二の三第一項及び第八十九条の二の十一の改正規定、同条を同法第八十九条の二の十四とする改正規定、同法第八十九条の二の十の改正規定、同条を同法第八十九条の二の十三とする改正規定、同法第八十九条の二の九の改正規定、同条を同法第八十九条の二の十二とする改正規定、同法第八十九条の二の八第一項の改正規定、同条を同法第八十九条の二の十一とする改正規定、同法第八十九条の二の七の次に三条を加える改正規定並びに同法第百九条の二及び第百九条の三の改正規定、第二十六条の規定、第二十七条の規定（第五号及び第六号に掲げる改正規定を除く。）並びに第二十八条の規定（第五号に掲げる改正規定を除く。）並びに附則第十一条、第十五条、第十七条、第二十七条及び第二十九条の規定、附則第三十五条（同号及び第六号に掲げる改正規定を除く。）、第三十八条（第五号及び第六号に掲げる改正規定を除く。）及び第三十九条（第五号及び第六号に掲げる改正規定を除く。）の規定、附則第四十三条、第四十六条、第四十七条及び第五十二条の規定並びに附則第五十九条の規定（次号に掲げる改正規定を除く。） 公布の日から起算して三年を超えない範囲内において政令で定める日
suppl-5071-87/art-1/par-1/item-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 6 (excluding, within that Article, the provision amending Article 3, paragraph (2), item (iv) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities (limited to the part replacing "the medical care plan prescribed in Article 30-4, paragraph (1) of the Medical Care Act" with "the regional medical care vision prescribed in Article 30-3-3, paragraph (1) of the Medical Care Act (hereinafter referred to as the ‘regional medical care vision’) and the medical care plan prescribed in Article 30-4, paragraph (1) of that Act", and "）及び" (and) with "）並びに" (and, joining the larger group)), the provision amending Article 4, paragraph (2), item (ii) and paragraph (3) of that Act, and the provision deleting Article 7-2 and Article 7-3 of that Act); the provision, in Article 7, amending the Table of Contents of the Health Insurance Act, the provision amending Article 7-2, paragraph (3), Article 77, paragraph (3), and Article 150-2, paragraph (1) of that Act, the provision amending Article 150-10 of that Act (excluding the amending provision listed in item (v)), the provision, in Chapter VI, renumbering that Article as Article 150-13 of that Act, the provision amending Article 150-9 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 150-12 of that Act, the provision amending Article 150-8 of that Act, the provision renumbering that Article as Article 150-11 of that Act, the provision amending Article 150-7, paragraph (1) of that Act, the provision renumbering that Article as Article 150-10 of that Act, the provision adding three Articles after Article 150-6 of that Act, and the provision amending Article 151, Article 153, Article 154, paragraph (1), Article 155, paragraph (1), Article 160, paragraph (3) and paragraph (14), Article 173, paragraph (1), Article 176, Article 207-3, and Article 213-2 of that Act, and the provision amending Article 2, paragraph (1) and Article 4-2 of the Supplementary Provisions of that Act; the provision, in Article 8, amending Article 112, paragraph (2), Article 114, paragraph (1), and Article 121, paragraph (2) of the Mariners Insurance Act, and the provision amending Article 7 of the Supplementary Provisions of that Act; the provision, in Article 9, amending Article 69, Article 70, paragraph (1), Article 73, paragraphs (1) and (2), Article 75, Article 75-7, paragraph (1), Article 76, paragraphs (1) and (2), and Article 81-2, paragraph (11) of the National Health Insurance Act; the provisions of Article 10 (excluding the amending provision listed in item (iii)); the provision, in Article 11, amending Article 16-2, paragraph (1) and Article 16-8 of the Act on Assurance of Medical Care for Elderly People, the provision renumbering that Article as Article 16-11 of that Act, the provision amending Article 16-7, paragraph (1) of that Act, the provision renumbering that Article as Article 16-10 of that Act, the provision adding three Articles after Article 16-6 of that Act, the provision amending Article 17 of that Act (limited to the part replacing "use or provision under the provisions of Article 16-2, paragraph (1)" with "use and provision under the provisions of Article 16-2, paragraph (1) and Article 16-7, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 17-2, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 34, paragraphs (1), (3), (4), and (6), Article 35, paragraphs (1), (3), (4), and (6), Article 38, paragraphs (1) and (2), Article 39, paragraphs (1) and (2), Article 61, paragraph (3), Article 72, paragraph (2), Article 81, paragraph (2), and Article 93, paragraphs (1) and (2) of that Act, the provision amending Article 100, paragraph (1) of that Act (excluding the amending provision listed in item (v)), the provision amending paragraph (2) of that Article and Article 104, paragraphs (1) and (3), Article 116, paragraph (2), Article 120, paragraph (1), Article 134, paragraph (3), Article 137, paragraph (3), Article 152, paragraph (2), and Article 161-3, paragraph (2) of that Act, and the provision amending Article 167-2 and Article 168, paragraph (3) of that Act; the provision, in Article 12, amending Article 115-47, paragraph (10) of the Long-Term Care Insurance Act (limited to the part replacing "Article 118-10 and Article 118-11" with "Article 118-13 and Article 118-14"), the provision amending Article 118-3, paragraph (1) of that Act, the provision amending Article 118-11 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-14 of that Act, the provision amending Article 118-10 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-13 of that Act, the provision amending Article 118-9 of that Act, the provision renumbering that Article as Article 118-12 of that Act, the provision amending Article 118-8, paragraph (1) of that Act, the provision renumbering that Article as Article 118-11 of that Act, the provision adding three Articles after Article 118-7 of that Act, and the provision amending Article 205-3 and Article 206-2 of that Act; the provisions of Article 14 (excluding the amending provisions listed in that item and item (vi)); the provision, in Article 15, amending Article 24, paragraph (1) of the Immunization Act, the provision adding three Articles after Article 28 of that Act, the provision amending Article 29, paragraph (1) and Article 30 of that Act, the provision amending Article 31 of that Act (limited to the part replacing "use or provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1)" with "use and provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1), and the use and provision of pseudonymized information related to immunization, etc. under the provisions of Article 28-2, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 32, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 33, item (i) and Article 43, item (i) of that Act, and the provision amending Article 48 and Article 59 of that Act; the provisions of Article 20; the provision, in Article 22, amending Article 89-2-3, paragraph (1) and Article 89-2-11 of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, the provision renumbering that Article as Article 89-2-14 of that Act, the provision amending Article 89-2-10 of that Act, the provision renumbering that Article as Article 89-2-13 of that Act, the provision amending Article 89-2-9 of that Act, the provision renumbering that Article as Article 89-2-12 of that Act, the provision amending Article 89-2-8, paragraph (1) of that Act, the provision renumbering that Article as Article 89-2-11 of that Act, the provision adding three Articles after Article 89-2-7 of that Act, and the provision amending Article 109-2 and Article 109-3 of that Act; the provisions of Article 26; the provisions of Article 27 (excluding the amending provisions listed in item (v) and item (vi)), the provisions of Article 28 (excluding the amending provision listed in item (v)), and the provisions of Article 11, Article 15, Article 17, Article 27, and Article 29 of the Supplementary Provisions; the provisions of Article 35 (excluding the amending provisions listed in that item and item (vi)), Article 38 (excluding the amending provisions listed in item (v) and item (vi)), and Article 39 (excluding the amending provisions listed in item (v) and item (vi)) of the Supplementary Provisions; and the provisions of Article 43, Article 46, Article 47, and Article 52 of the Supplementary Provisions, and the provisions of Article 59 of the Supplementary Provisions (excluding the amending provision listed in the following item): the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation;
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### 第二条（検討） — Review
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suppl-5071-87/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項**
suppl-5071-87/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第三項** 前二項に定める事項のほか、政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5071-87/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to the matters specified in the preceding two paragraphs, the government is to, with a target of five years after the enforcement of this Act, take into account the conditions of enforcement, etc. of each Act as amended by this Act (hereinafter referred to in this paragraph as the "respective Acts as amended"), and when it finds it necessary, review the provisions of the respective Acts as amended and take required measures based on the results.
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**第四項** 政府は、この法律の公布後速やかに、介護又は障害福祉に関するサービスに従事する者（以下この項において「介護・障害福祉従事者」という。）の賃金が他の業種に属する事業に従事する者と比較して低い水準にあること、介護・障害福祉従事者が従事する業務が身体的及び精神的な負担の大きいものであること、介護又は障害福祉に関するサービスを担う優れた人材の確保が要介護者等（介護保険法第七条第五項の要介護者等をいう。）並びに障害者及び障害児に対するサービスの水準の向上に資すること等に鑑み、現役世代の保険料負担を含む国民負担の軽減を図りつつ介護・障害福祉従事者の人材の確保を図るため、介護・障害福祉従事者の適切な処遇の確保について、その処遇の状況等を踏まえて検討を加え、その結果に基づいて所要の措置を機動的に講ずるものとする。
suppl-5071-87/art-2/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, promptly after the promulgation of this Act, in view of the fact that the wages of persons engaged in services relating to long-term care or disability welfare (hereinafter in this paragraph referred to as "long-term care and disability welfare workers") are at a lower level than those of persons engaged in businesses belonging to other industries, that the work in which long-term care and disability welfare workers engage places a heavy physical and mental burden on them, and that securing excellent human resources to provide services relating to long-term care or disability welfare contributes to improving the level of services for persons requiring long-term care, etc. (meaning persons requiring long-term care, etc. prescribed in Article 7, paragraph (5) of the Long-Term Care Insurance Act) and for persons with disabilities and children with disabilities, examine ensuring the appropriate treatment of long-term care and disability welfare workers, taking into account the conditions of their treatment, etc., in order to secure human resources among long-term care and disability welfare workers while reducing the burden on the people, including the insurance premium burden on the working generation, and flexibly take required measures based on the results.
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### 第七条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-5071-87/art-7 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第二号に掲げる規定の施行の際現に保険医療機関（健康保険法第六十三条第三項第一号に規定する保険医療機関をいう。以下この条において同じ。）の管理者である者については、第七条の規定（附則第一条第二号に掲げる改正規定に限る。次条及び附則第九条において同じ。）による改正後の健康保険法第七十条の二第一項の規定は、附則第一条第二号に掲げる規定の施行の日から起算して三年が経過する日までの間（当該者が引き続き当該保険医療機関の管理者である間に限る。）は、適用しない。
suppl-5071-87/art-7/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
For a person who, at the time of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions, is already the administrator of a medical institution providing services covered by health insurance (meaning a medical institution providing services covered by health insurance prescribed in Article 63, paragraph (3), item (i) of the Health Insurance Act; the same applies hereinafter in this Article), the provisions of Article 70-2, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 7 (limited to the amending provisions set forth in Article 1, item (ii) of the Supplementary Provisions; the same applies in the following Article and Article 9 of the Supplementary Provisions) do not apply until the day on which three years have elapsed from the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions (limited to the period during which the person continues to be the administrator of that medical institution providing services covered by health insurance).
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### 第八条
suppl-5071-87/art-8 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第二号に掲げる規定の施行の際現に医療法第七条第一項に規定する臨床研修等修了医師又は臨床研修等修了歯科医師である者（前条の規定の適用を受ける者を除く。）についての第七条の規定による改正後の健康保険法第七十条の二第一項の規定の適用については、同項第二号中「医師法（昭和二十三年法律第二百一号）第十六条の二第一項の規定による臨床研修の修了後に保険医療機関（病院に限る。）において保険医として三年以上診療に従事した経験又は歯科医師法（昭和二十三年法律第二百二号）第十六条の二第一項の規定による臨床研修の修了後に保険医療機関において保険医として三年以上診療」とあるのは、「保険医療機関において保険医として三年以上診療その他管理及び運営に関する業務」とする。
suppl-5071-87/art-8/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of the provisions of Article 70-2, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 7 to a person who, at the time of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions, is already a physician who has completed clinical training, etc. or a dentist who has completed clinical training, etc. prescribed in Article 7, paragraph (1) of the Medical Care Act (excluding a person to whom the provisions of the preceding Article apply), the phrase "experience of engaging in medical care for three or more years as a physician providing health insurance treatment at a medical institution providing services covered by health insurance (limited to hospitals) after completing clinical training under Article 16-2, paragraph (1) of the Medical Practitioners' Act (Act No. 201 of 1948), or experience of engaging in medical care for three or more years as a physician providing health insurance treatment at a medical institution providing services covered by health insurance after completing clinical training under Article 16-2, paragraph (1) of the Dental Practitioners Act (Act No. 202 of 1948)" in item (ii) of that paragraph is deemed to be replaced with "experience of engaging in medical care and other duties relating to management and operation for three or more years as a physician providing health insurance treatment at a medical institution providing services covered by health insurance".
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### 第九条
suppl-5071-87/art-9 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、第七条の規定による改正後の健康保険法第七十条の二の厚生労働省令を定めようとするときは、附則第一条第二号に掲げる規定の施行の日前においても、第七条の規定による改正後の健康保険法第八十二条第一項の規定の例により、中央社会保険医療協議会に諮問することができる。
suppl-5071-87/art-9/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare intends to specify the Order of the Ministry of Health, Labour and Welfare referred to in Article 70-2 of the Health Insurance Act as amended by the provisions of Article 7, the Minister may, even before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions, consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 7.
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### 第二十三条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions
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suppl-5071-87/art-23 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第一条第五号及び第九号に掲げる規定の施行前にした行為に対する罰則の適用については、なお従前の例による。
suppl-5071-87/art-23/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to the application of penal provisions to acts committed before the enforcement of the provisions set forth in Article 1, items (v) and (ix) of the Supplementary Provisions, the provisions then in force continue to govern.
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### 第二十四条（政令への委任） — Delegation to Cabinet Order
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suppl-5071-87/art-24 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5071-87/art-24/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order.
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## 附 則 令和八年六月五日法律第三一号
suppl-5081-31 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5081-31/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和九年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5081-31/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2027; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
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**一** 第一条中健康保険法第七条の二の次に一条を加える改正規定、同法第七条の二十九の次に一条を加える改正規定並びに同法第百六十条第三項第三号及び第五項並びに第百六十条の三の改正規定並びに同法附則第五条の三の改正規定及び同法附則第五条の四を附則第五条の九とし、附則第五条の三の次に五条を加える改正規定、第三条中船員保険法第七十六条第六項の改正規定並びに第八条中高齢者の医療の確保に関する法律第二十条ただし書及び第二十二条の改正規定並びに次条から附則第十条まで並びに附則第十六条及び第三十八条の規定 公布の日
suppl-5081-31/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provision, in Article 1, adding one Article after Article 7-2 of the Health Insurance Act, the provision adding one Article after Article 7-29 of that Act, the provisions amending Article 160, paragraph (3), item (iii) and paragraph (5), and Article 160-3 of that Act, the provision amending Article 5-3 of the Supplementary Provisions of that Act, and the provision making Article 5-4 of the Supplementary Provisions of that Act Article 5-9 and adding five Articles after Article 5-3 of the Supplementary Provisions; the provision, in Article 3, amending Article 76, paragraph (6) of the Mariners Insurance Act; the provisions, in Article 8, amending the proviso to Article 20 and Article 22 of the Act on Assurance of Medical Care for Elderly People; and the provisions of the following Article through Article 10 of the Supplementary Provisions and Articles 16 and 38 of the Supplementary Provisions: the date of promulgation;
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**二** 第一条中健康保険法第百十五条第二項の改正規定、第三条中船員保険法第八十三条第二項の改正規定、第五条中国民健康保険法第五十七条の二第二項の改正規定、第八条中高齢者の医療の確保に関する法律第八十四条第二項の改正規定、第十条中国家公務員共済組合法第六十条の二第二項の改正規定及び第十一条中地方公務員等共済組合法第六十二条の二第二項の改正規定 令和八年八月一日
suppl-5081-31/art-1/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provision, in Article 1, amending Article 115, paragraph (2) of the Health Insurance Act, the provision, in Article 3, amending Article 83, paragraph (2) of the Mariners Insurance Act, the provision, in Article 5, amending Article 57-2, paragraph (2) of the National Health Insurance Act, the provision, in Article 8, amending Article 84, paragraph (2) of the Act on Assurance of Medical Care for Elderly People, the provision, in Article 10, amending Article 60-2, paragraph (2) of the National Public Officers Mutual Aid Association Act, and the provision, in Article 11, amending Article 62-2, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act: August 1, 2026;
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**三** 略
suppl-5081-31/art-1/par-1/item-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**四** 第一条中健康保険法第五十八条第三項、第六十三条、第六十五条第三項第二号、第七十条第二項、第七十二条第二項、第八十条第一号及び第三号から第五号まで、第八十一条第一号及び第三号、第八十二条第一項、第八十六条、第八十七条第二項及び第三項、第百十条第二項第一号及び第三項、第百三十一条第一項、第百四十九条の表並びに第二百五条の四第一項の改正規定、第三条中船員保険法第四十七条第三項、第五十三条第二項、第六十三条、第六十四条第二項及び第四項、第七十六条第二項第一号及び第三項並びに第百五十三条の十第一項の改正規定、第五条中国民健康保険法第四条第三項の改正規定（「第四項」を「第五項」に改める部分に限る。）並びに同法第九条第三項、第三十六条第二項、第五十三条、第五十四条第三項及び第四項、第五十四条の三、第六十五条第三項、第六十六条の二、第七十五条の三、第八十二条第十四項第一号、第八十五条の三第一項、第百十三条の三第一項、第百十九条、第百十九条の二並びに第百二十一条第二項の改正規定、第八条中高齢者の医療の確保に関する法律第五十四条第四項、第五十九条第三項、第六十四条、第七十六条、第七十七条第三項及び第四項、第八十二条、第百五十五条第一項、第百六十五条、第百六十五条の二第一項並びに第百六十七条第二項第三号及び第四号の改正規定、第十条中国家公務員共済組合法第五十四条第二項、第五十五条の五、第五十六条第三項及び第四項並びに第五十七条第二項第一号及び第三項の改正規定、第十一条中地方公務員等共済組合法第五十六条第二項、第五十七条の五、第五十八条第三項及び第四項並びに第五十九条第二項第一号及び第三項の改正規定並びに第十七条の規定並びに附則第十一条、第十七条、第二十条、第二十五条、第二十八条及び第三十一条の規定、附則第三十九条中地方自治法（昭和二十二年法律第六十七号）別表第一国民健康保険法（昭和三十三年法律第百九十二号）の項の改正規定（「第五十三条第三項」を「第五十三条第四項」に、「第五十四条の三第六項」を「第五十四条の三第七項」に改める部分に限る。）及び同表高齢者の医療の確保に関する法律（昭和五十七年法律第八十号）の項の改正規定（「第七十六条第六項」を「第七十六条第七項」に、「第八十二条第六項」を「第八十二条第七項」に改める部分に限る。）並びに附則第四十七条の規定 公布の日から起算して一年を超えない範囲内において政令で定める日
suppl-5081-31/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions, in Article 1, amending Article 58, paragraph (3), Article 63, Article 65, paragraph (3), item (ii), Article 70, paragraph (2), Article 72, paragraph (2), Article 80, item (i) and items (iii) through (v), Article 81, items (i) and (iii), Article 82, paragraph (1), Article 86, Article 87, paragraphs (2) and (3), Article 110, paragraph (2), item (i) and paragraph (3), Article 131, paragraph (1), the table in Article 149 and Article 205-4, paragraph (1) of the Health Insurance Act; the provisions, in Article 3, amending Article 47, paragraph (3), Article 53, paragraph (2), Article 63, Article 64, paragraphs (2) and (4), Article 76, paragraph (2), item (i) and paragraph (3), and Article 153-10, paragraph (1) of the Mariners Insurance Act; the provision, in Article 5, amending Article 4, paragraph (3) of the National Health Insurance Act (limited to the part replacing "paragraph (4)" with "paragraph (5)") and the provisions amending Article 9, paragraph (3), Article 36, paragraph (2), Article 53, Article 54, paragraphs (3) and (4), Article 54-3, Article 65, paragraph (3), Article 66-2, Article 75-3, Article 82, paragraph (14), item (i), Article 85-3, paragraph (1), Article 113-3, paragraph (1), Article 119, Article 119-2 and Article 121, paragraph (2) of that Act; the provisions, in Article 8, amending Article 54, paragraph (4), Article 59, paragraph (3), Article 64, Article 76, Article 77, paragraphs (3) and (4), Article 82, Article 155, paragraph (1), Article 165, Article 165-2, paragraph (1), and Article 167, paragraph (2), items (iii) and (iv) of the Act on Assurance of Medical Care for Elderly People; the provisions, in Article 10, amending Article 54, paragraph (2), Article 55-5, Article 56, paragraphs (3) and (4), and Article 57, paragraph (2), item (i) and paragraph (3) of the National Public Officers Mutual Aid Association Act; the provisions, in Article 11, amending Article 56, paragraph (2), Article 57-5, Article 58, paragraphs (3) and (4), and Article 59, paragraph (2), item (i) and paragraph (3) of the Local Public Officers, etc. Mutual Aid Association Act; the provisions of Article 17; the provisions of Articles 11, 17, 20, 25, 28 and 31 of the Supplementary Provisions; the provision, in Article 39 of the Supplementary Provisions, amending the entry for the National Health Insurance Act (Act No. 192 of 1958) in Appended Table 1 of the Local Autonomy Act (Act No. 67 of 1947) (limited to the part replacing "Article 53, paragraph (3)" with "Article 53, paragraph (4)" and "Article 54-3, paragraph (6)" with "Article 54-3, paragraph (7)") and the provision amending the entry for the Act on Assurance of Medical Care for Elderly People (Act No. 80 of 1982) in that table (limited to the part replacing "Article 76, paragraph (6)" with "Article 76, paragraph (7)" and "Article 82, paragraph (6)" with "Article 82, paragraph (7)"); and the provisions of Article 47 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding one year from the date of promulgation;
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**五** 略
suppl-5081-31/art-1/par-1/item-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**六** 第二条、第四条及び第六条の規定、第七条中地方税法第七百三条の四第一項第一号並びに第三項第一号イ及び第二号ニの改正規定、第八条中高齢者の医療の確保に関する法律の目次の改正規定、同法第百四条第一項及び第三項、第百十六条第二項第一号から第四号まで、第四章第四節第五款の款名、第百二十四条の二（見出しを含む。）、第百二十四条の三（見出しを含む。）、第百二十四条の四（見出しを含む。）、第百二十四条の五（見出しを含む。）、第百二十四条の六（見出しを含む。）、第百二十四条の七第一項、第百二十四条の八、第百二十四条の九、第百三十四条第二項、第百三十九条第一項第三号、第百四十二条、第百四十六条第三項並びに第百四十八条の改正規定並びに同法附則第十五条を削る改正規定、第十条の規定（第二号及び第四号に掲げる改正規定を除く。）、第十一条の規定（第二号及び第四号に掲げる改正規定を除く。）並びに第十二条、第十五条、第十六条及び第十八条の規定並びに附則第十三条から第十五条まで、第十八条、第十九条、第二十二条、第二十三条、第二十六条、第二十九条、第三十条、第三十二条から第三十五条まで及び第三十七条の規定、附則第三十九条中地方自治法別表第一国民健康保険法（昭和三十三年法律第百九十二号）の項の改正規定（第四号に掲げる改正規定を除く。）、附則第四十一条中住民基本台帳法（昭和四十二年法律第八十一号）別表第一の七十二の三の項の改正規定並びに同法別表第二及び別表第四の改正規定、附則第四十二条、第四十三条及び第四十五条の規定、附則第四十八条中医療法等の一部を改正する法律（令和七年法律第八十七号）第六条の改正規定（「出産育児交付金」を「出産交付金」に改める部分に限る。）並びに同法第十条及び第十一条の改正規定並びに附則第四十九条の規定 公布の日から起算して二年を超えない範囲内において政令で定める日
suppl-5081-31/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Articles 2, 4 and 6; the provision, in Article 7, amending Article 703-4, paragraph (1), item (i), and paragraph (3), item (i), (a) and item (ii), (d) of the Local Tax Act; the provision, in Article 8, amending the table of contents of the Act on Assurance of Medical Care for Elderly People, the provisions amending Article 104, paragraphs (1) and (3), Article 116, paragraph (2), items (i) through (iv), the title of Subsection 5 of Section 4 of Chapter IV, Article 124-2 (including its heading), Article 124-3 (including its heading), Article 124-4 (including its heading), Article 124-5 (including its heading), Article 124-6 (including its heading), Article 124-7, paragraph (1), Article 124-8, Article 124-9, Article 134, paragraph (2), Article 139, paragraph (1), item (iii), Article 142, Article 146, paragraph (3) and Article 148 of that Act, and the provision deleting Article 15 of the Supplementary Provisions of that Act; the provisions of Article 10 (excluding the amending provisions set forth in item (ii) and item (iv)); the provisions of Article 11 (excluding the amending provisions set forth in item (ii) and item (iv)); the provisions of Articles 12, 15, 16 and 18; the provisions of Articles 13 through 15, 18, 19, 22, 23, 26, 29, 30, 32 through 35 and 37 of the Supplementary Provisions; the provision, in Article 39 of the Supplementary Provisions, amending the entry for the National Health Insurance Act (Act No. 192 of 1958) in Appended Table 1 of the Local Autonomy Act (excluding the amending provision set forth in item (iv)); the provision, in Article 41 of the Supplementary Provisions, amending the entry for 72-3 in Appended Table 1 of the Residential Basic Book Act (Act No. 81 of 1967) and the provisions amending Appended Tables 2 and 4 of that Act; the provisions of Articles 42, 43 and 45 of the Supplementary Provisions; the provision, in Article 48 of the Supplementary Provisions, amending Article 6 of the Act Partially Amending the Medical Care Act, etc. (Act No. 87 of 2025) (limited to the part replacing "childbirth and childcare grant" with "childbirth grant") and the provisions amending Articles 10 and 11 of that Act; and the provisions of Article 49 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.
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### 第二条（検討） — Review
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suppl-5081-31/art-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 政府は、この法律の公布後において、持続可能な医療保険制度を実現する観点から、社会経済情勢の変化及び社会の要請に対応し、必要な保険給付等の適切な実施並びに世代間及び世代内の負担の公平性の確保を図るための更なる改革について速やかに検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5081-31/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
After the promulgation of this Act, from the viewpoint of realizing a sustainable medical insurance system, the government is to promptly examine further reforms to ensure the appropriate implementation of necessary insurance benefits, etc. and fairness of burdens between and within generations, in response to changes in the socioeconomic situation and the needs of society, and take required measures based on the results.
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**第二項** 政府は、第一条の規定（前条第四号に掲げる改正規定に限る。次条第一項及び附則第十一条において同じ。）による改正後の健康保険法第六十三条第二項第六号及び第八十六条第三項第一号の規定並びに第八条の規定（前条第四号に掲げる改正規定に限る。次条第二項及び附則第二十五条において同じ。）による改正後の高齢者の医療の確保に関する法律第六十四条第二項第六号及び第七十六条第三項第一号の規定について、軽度の疾病等に係る要指導医薬品（医薬品、医療機器等の品質、有効性及び安全性の確保等に関する法律（昭和三十五年法律第百四十五号）第四条第五項第三号に規定する要指導医薬品をいう。以下この項において同じ。）及び一般用医薬品（同項第四号に規定する一般用医薬品をいう。）（以下この項において「要指導医薬品等」という。）の服用に関する国民の理解並びに要指導医薬品等に関する医師、歯科医師及び薬剤師の理解を深めるための取組の状況、医師若しくは歯科医師によって使用され又はこれらの者の処方箋の交付を受けて使用すべき医薬品に係る要指導医薬品への転用に係る状況等を勘案し、これらの規定に係る厚生労働大臣の定めの在り方等について検討し、その結果に基づいて所要の措置を講ずるものとする。
suppl-5081-31/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The government is to, with regard to the provisions of Article 63, paragraph (2), item (vi) and Article 86, paragraph (3), item (i) of the Health Insurance Act as amended by the provisions of Article 1 (limited to the amending provisions set forth in item (iv) of the preceding Article; the same applies in paragraph (1) of the following Article and Article 11 of the Supplementary Provisions) and the provisions of Article 64, paragraph (2), item (vi) and Article 76, paragraph (3), item (i) of the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 8 (limited to the amending provisions set forth in item (iv) of the preceding Article; the same applies in paragraph (2) of the following Article and Article 25 of the Supplementary Provisions), examine how the Minister of Health, Labour and Welfare is to make determinations under those provisions, etc., taking into account the conditions of efforts to deepen the understanding of the public concerning the taking of pharmaceuticals requiring guidance (meaning a pharmaceutical requiring guidance prescribed in Article 4, paragraph (5), item (iii) of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960); the same applies hereinafter in this paragraph) and over-the-counter pharmaceuticals (meaning an over-the-counter pharmaceutical prescribed in item (iv) of that paragraph) pertaining to minor illnesses, etc. (hereinafter in this paragraph referred to as "pharmaceuticals requiring guidance, etc.") and to deepen the understanding of physicians, dentists and pharmacists concerning pharmaceuticals requiring guidance, etc., and the conditions of conversion into pharmaceuticals requiring guidance of pharmaceuticals that are to be used by a physician or dentist or used upon the issuance of a prescription by such a person, etc., and take required measures based on the results.
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**第三項** 前項に定める事項のほか、政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
suppl-5081-31/art-2/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In addition to the matters specified in the preceding paragraph, the government is to, with a target of five years after the enforcement of this Act, taking into account the conditions of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results.
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### 第三条（中央社会保険医療協議会への諮問等に係る準備行為） — Preparatory Acts Concerning Consultation with the Central Social Insurance Medical Council, etc.
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suppl-5081-31/art-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 厚生労働大臣は、第一条の規定による改正後の健康保険法第六十三条第二項第六号又は第八十六条第三項第一号イ若しくはロの定めをしようとするときは、附則第一条第四号に掲げる規定の施行の日（以下「第四号施行日」という。）前においても、第一条の規定による改正後の同法第八十二条第一項及び第八十六条第四項の規定の例により、中央社会保険医療協議会に諮問することができる。
suppl-5081-31/art-3/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare intends to make the determination under Article 63, paragraph (2), item (vi) or Article 86, paragraph (3), item (i), (a) or (b) of the Health Insurance Act as amended by the provisions of Article 1, the Minister may, even before the date of enforcement of the provisions set forth in Article 1, item (iv) of the Supplementary Provisions (hereinafter referred to as the "item (iv) Effective Date"), consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) and Article 86, paragraph (4) of that Act as amended by the provisions of Article 1.
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**第三項** 厚生労働大臣は、第二条の規定による改正後の健康保険法（以下「第六号新健康保険法」という。）第九十八条の十第一項（第六号新健康保険法第九十八条の二十四第二項、第百十二条の二第三項及び第百四十九条において準用する場合を含む。）、第九十八条の十一若しくは第九十八条の十三第一項（第六号新健康保険法第九十八条の二十四第二項、第百十二条の二第三項及び第百四十九条において準用する場合を含む。）の厚生労働省令を定めようとするとき、又は第六号新健康保険法第九十八条の二第二項（第六号新健康保険法第百四十九条において準用する場合を含む。）の定めをしようとするときは、附則第一条第六号に掲げる規定の施行の日（以下「第六号施行日」という。）前においても、第六号新健康保険法第九十八条の十七第一項の規定の例により、中央社会保険医療協議会に諮問することができる。第四条の規定による改正後の船員保険法（以下「第六号新船員保険法」という。）第六十八条の三第二項（第六号新船員保険法第七十九条の二第三項において準用する場合を含む。）の厚生労働省令及び第六条の規定による改正後の国民健康保険法（以下「第六号新国民健康保険法」という。）第五十四条の六第二項の厚生労働省令を定めようとするときも、同様とする。
suppl-5081-31/art-3/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 98-10, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 2 (hereinafter referred to as the "item (vi) New Health Insurance Act") (including as applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149 of the item (vi) New Health Insurance Act), Article 98-11 or Article 98-13, paragraph (1) of that Act (including as applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149 of the item (vi) New Health Insurance Act), or intends to make the determination under Article 98-2, paragraph (2) of the item (vi) New Health Insurance Act (including as applied mutatis mutandis pursuant to Article 149 of the item (vi) New Health Insurance Act), the Minister may, even before the date of enforcement of the provisions set forth in Article 1, item (vi) of the Supplementary Provisions (hereinafter referred to as the "item (vi) Effective Date"), consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 98-17, paragraph (1) of the item (vi) New Health Insurance Act. The same applies when the Minister intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 68-3, paragraph (2) of the Mariners Insurance Act as amended by the provisions of Article 4 (hereinafter referred to as the "item (vi) New Mariners Insurance Act") (including as applied mutatis mutandis pursuant to Article 79-2, paragraph (3) of the item (vi) New Mariners Insurance Act) and the Order of the Ministry of Health, Labour and Welfare provided for in Article 54-6, paragraph (2) of the National Health Insurance Act as amended by the provisions of Article 6 (hereinafter referred to as the "item (vi) New National Health Insurance Act").
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**第四項** 厚生労働大臣は、第六号新健康保険法第九十八条の五において準用する第六号新健康保険法第七十条第一項、第七十条の二第二項又は第七十二条第一項の厚生労働省令（分娩の手当に係る事項に限る。）を定めようとするときは、第六号施行日前においても、第六号新健康保険法第八十二条第一項の規定の例により、中央社会保険医療協議会に諮問することができる。第六号新船員保険法第六十八条の三第四項において準用する第六号新船員保険法第五十四条第二項の厚生労働省令（分娩の手当に係る事項に限る。）及び第六号新国民健康保険法第五十四条の六第三項において準用する第六号新国民健康保険法第四十条第二項の厚生労働省令（分娩の手当に係る事項に限る。）を定めようとするときも、同様とする。
suppl-5081-31/art-3/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
When the Minister of Health, Labour and Welfare intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 70, paragraph (1), Article 70-2, paragraph (2) or Article 72, paragraph (1) of the item (vi) New Health Insurance Act as applied mutatis mutandis pursuant to Article 98-5 of the item (vi) New Health Insurance Act (limited to matters pertaining to delivery care), the Minister may, even before the item (vi) Effective Date, consult with the Central Social Insurance Medical Council in the same manner as under the provisions of Article 82, paragraph (1) of the item (vi) New Health Insurance Act. The same applies when the Minister intends to specify the Order of the Ministry of Health, Labour and Welfare provided for in Article 54, paragraph (2) of the item (vi) New Mariners Insurance Act as applied mutatis mutandis pursuant to Article 68-3, paragraph (4) of the item (vi) New Mariners Insurance Act (limited to matters pertaining to delivery care) and the Order of the Ministry of Health, Labour and Welfare provided for in Article 40, paragraph (2) of the item (vi) New National Health Insurance Act as applied mutatis mutandis pursuant to Article 54-6, paragraph (3) of the item (vi) New National Health Insurance Act (limited to matters pertaining to delivery care).
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### 第四条（指定助産所の指定に係る準備行為） — Preparatory Acts Concerning Designation of Designated Birthing Centers
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suppl-5081-31/art-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第六号新健康保険法第九十八条の二第一項第一号の指定を受けようとする助産所は、第六号施行日前においても、第六号新健康保険法第九十八条の六第一項の規定の例により、その申請を行うことができる。
suppl-5081-31/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A birthing center seeking the designation referred to in Article 98-2, paragraph (1), item (i) of the item (vi) New Health Insurance Act may, even before the item (vi) Effective Date, file its application in the same manner as under the provisions of Article 98-6, paragraph (1) of the item (vi) New Health Insurance Act.
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**第二項** 厚生労働大臣は、前項の規定により申請があった場合には、第六号施行日前においても、第六号新健康保険法第九十八条の二第一項第一号、第九十八条の六第二項、第九十八条の七、第九十八条の十七第二項及び第九十八条の十八の規定の例により、指定をすることができる。この場合において、当該指定は、第六号施行日において同号の規定によりされたものとみなす。
suppl-5081-31/art-4/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where an application is filed pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may, even before the item (vi) Effective Date, grant the designation in the same manner as under the provisions of Article 98-2, paragraph (1), item (i), Article 98-6, paragraph (2), Article 98-7, Article 98-17, paragraph (2) and Article 98-18 of the item (vi) New Health Insurance Act. In this case, the designation is deemed to have been made on the item (vi) Effective Date pursuant to the provisions of that item.
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**第三項** 前項の規定による厚生労働大臣の権限は、厚生労働省令で定めるところにより、地方厚生局長に委任することができる。
suppl-5081-31/art-4/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The authority of the Minister of Health, Labour and Welfare under the provisions of the preceding paragraph may be delegated to the chief of a regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.
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**第四項** 前項の規定により地方厚生局長に委任された権限は、厚生労働省令で定めるところにより、地方厚生支局長に委任することができる。
suppl-5081-31/art-4/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The authority delegated to the chief of a regional bureau of health and welfare pursuant to the provisions of the preceding paragraph may be delegated to a branch manager of the regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.
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### 第五条（登録助産師の登録に係る準備行為） — Preparatory Acts Concerning Registration of Registered Midwives
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suppl-5081-31/art-5 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第六号新健康保険法第九十八条の四の登録を受けようとする助産師は、第六号施行日前においても、第六号新健康保険法第九十八条の十二第一項の規定の例により、その申請を行うことができる。
suppl-5081-31/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
A midwife seeking the registration referred to in Article 98-4 of the item (vi) New Health Insurance Act may, even before the item (vi) Effective Date, file the application in the same manner as under the provisions of Article 98-12, paragraph (1) of the item (vi) New Health Insurance Act.
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**第二項** 厚生労働大臣は、前項の規定により申請があった場合には、第六号施行日前においても、第六号新健康保険法第九十八条の四、第九十八条の十二第二項及び第三項並びに第九十八条の十八の規定の例により、登録をすることができる。この場合において、当該登録は、第六号施行日において第六号新健康保険法第九十八条の四の規定によりされたものとみなす。
suppl-5081-31/art-5/par-2 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
In the case where an application is filed pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may, even before the item (vi) Effective Date, grant the registration in the same manner as under the provisions of Article 98-4, Article 98-12, paragraphs (2) and (3) and Article 98-18 of the item (vi) New Health Insurance Act. In this case, the registration is deemed to have been made on the item (vi) Effective Date pursuant to the provisions of Article 98-4 of the item (vi) New Health Insurance Act.
machine translation, not official
**第三項** 前項の規定による厚生労働大臣の権限は、厚生労働省令で定めるところにより、地方厚生局長に委任することができる。
suppl-5081-31/art-5/par-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The authority of the Minister of Health, Labour and Welfare under the provisions of the preceding paragraph may be delegated to the chief of a regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.
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**第四項** 前項の規定により地方厚生局長に委任された権限は、厚生労働省令で定めるところにより、地方厚生支局長に委任することができる。
suppl-5081-31/art-5/par-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The authority delegated to the chief of a regional bureau of health and welfare pursuant to the provisions of the preceding paragraph may be delegated to a branch manager of the regional bureau of health and welfare as specified by Order of the Ministry of Health, Labour and Welfare.
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### 第十条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act
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suppl-5081-31/art-10 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定（附則第一条第一号に掲げる改正規定に限る。）による改正後の健康保険法附則第五条の三から第五条の七までの規定は、令和八年度以後の各年度における全国健康保険協会に対する国庫補助の額について適用し、令和七年度以前の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。
suppl-5081-31/art-10/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Articles 5-3 through 5-7 of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 1 (limited to the amending provisions set forth in Article 1, item (i) of the Supplementary Provisions) apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or after fiscal year 2026, and the provisions then in force continue to govern the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or before fiscal year 2025.
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### 第十一条
suppl-5081-31/art-11 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第四号施行日前に行われた療養（薬剤の支給については、第四号施行日前に医師又は歯科医師から処方箋の交付を受けたものを含む。）に係る第一条の規定による改正前の健康保険法の規定による保険給付については、なお従前の例による。
suppl-5081-31/art-11/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
With regard to insurance benefits pursuant to the provisions of the Health Insurance Act prior to its amendment by the provisions of Article 1 for medical treatment provided before the item (iv) Effective Date (including, with regard to the provision of drugs, those for which a prescription was issued by a physician or dentist before the item (iv) Effective Date), the provisions then in force continue to govern.
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### 第十二条
suppl-5081-31/art-12 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 第一条の規定（附則第一条第一号、第二号及び第四号に掲げる改正規定を除く。以下この条において同じ。）による改正後の健康保険法第三条第一項（第八号に係る部分に限る。以下この条において同じ。）及び第二百四条第一項（第一号に係る部分に限る。）の規定は、施行日以後に申出をする場合について適用し、施行日前に第一条の規定による改正前の健康保険法第三条第一項の承認に係る申請を行う場合については、なお従前の例による。
suppl-5081-31/art-12/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The provisions of Article 3, paragraph (1) (limited to the part pertaining to item (viii); the same applies hereinafter in this Article) and Article 204, paragraph (1) (limited to the part pertaining to item (i)) of the Health Insurance Act as amended by the provisions of Article 1 (excluding the amending provisions listed in Article 1, items (i), (ii) and (iv) of the Supplementary Provisions; the same applies hereinafter in this Article) apply to cases where a request is made on or after the Effective Date, and the provisions then in force continue to govern in cases where an application pertaining to the approval under Article 3, paragraph (1) of the Health Insurance Act prior to its amendment by the provisions of Article 1 is made before the Effective Date.
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### 第十六条
suppl-5081-31/art-16 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 前条第一項の届出は、第六号施行日前においても、同項の規定の例により、行うことができる。この場合において、当該届出は、第六号施行日においてされたものとみなす。
suppl-5081-31/art-16/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
The notification under paragraph (1) of the preceding Article may be made even before the item (vi) Effective Date in the same manner as under the provisions of that paragraph. In this case, the notification is deemed to have been made on the item (vi) Effective Date.
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### 第三十八条（政令への委任） — Delegation to Cabinet Order
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suppl-5081-31/art-38 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。
suppl-5081-31/art-38/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order.
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## 附 則 令和八年六月二五日法律第五一号
suppl-5081-51 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
### 第一条（施行期日） — Effective Date
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suppl-5081-51/art-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
**第一項** この法律は、令和九年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
suppl-5081-51/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
This Act comes into effect on April 1, 2027; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items:
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**一から三まで** 略
suppl-5081-51/art-1/par-1/item-1-to-3 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
Omitted
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**四** 第二条の規定（前号に掲げる改正規定を除く。）、第四条の規定（同号に掲げる改正規定を除く。）、第六条の規定（同号に掲げる改正規定を除く。）、第七条中児童福祉法の目次の改正規定、同法第二十五条の二第一項の改正規定、同法第三十三条の二十三の十一第一項の改正規定、同法第二章第九節に四条を加える改正規定及び同法第六十一条の三の改正規定、第十条の規定並びに第十四条の規定（同号に掲げる改正規定を除く。）並びに附則第十八条から第二十条まで、第三十二条、第三十四条、第三十六条、第四十一条、第四十三条及び第四十五条の規定、附則第四十七条の規定（同号に掲げる改正規定を除く。）、附則第五十三条及び第五十五条の規定、附則第五十八条の規定（同号に掲げる改正規定を除く。）並びに附則第六十一条、第六十三条、第六十七条、第六十九条、第七十一条及び第七十四条の規定 公布の日から起算して三年を超えない範囲内において政令で定める日
suppl-5081-51/art-1/par-1/item-4 · https://japanlaw.org/ja/health-insurance-act/amendments/20271001_507AC0000000074/text
the provisions of Article 2 (excluding the amending provisions listed in the preceding item), the provisions of Article 4 (excluding the amending provisions listed in that item), the provisions of Article 6 (excluding the amending provisions listed in that item), the provisions of Article 7 amending the table of contents of the Child Welfare Act, the provisions amending Article 25-2, paragraph (1) of that Act, the provisions amending Article 33-23-11, paragraph (1) of that Act, the provisions adding four Articles to Chapter II, Section 9 of that Act and the provisions amending Article 61-3 of that Act, the provisions of Article 10, and the provisions of Article 14 (excluding the amending provisions listed in that item), as well as the provisions of Articles 18 through 20, 32, 34, 36, 41, 43 and 45 of the Supplementary Provisions, the provisions of Article 47 of the Supplementary Provisions (excluding the amending provisions listed in that item), the provisions of Articles 53 and 55 of the Supplementary Provisions, the provisions of Article 58 of the Supplementary Provisions (excluding the amending provisions listed in that item), and the provisions of Articles 61, 63, 67, 69, 71 and 74 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation.
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---
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- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 128, paragraph (5) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 132, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 135, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 145, paragraph (1), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 147, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 148, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 158, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 160, paragraph (17) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 168, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 169, paragraph (3) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 16, paragraph (3) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 170, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 174, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 178, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 180, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 181-3, paragraph (4) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 199, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 204-2, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 204-2, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 204, paragraph (1), item (iii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 204, paragraph (1), item (ix) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 205-2, paragraph (1), item (v) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 205-2, paragraph (1), item (vii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 205-2, paragraph (1), item (viii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 213, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 215, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 221, paragraph (1), item (i) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 3, paragraph (7), item (iv) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 41, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 43-2, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 43-3, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 49, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 51, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 54, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 55, paragraph (3) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 55, paragraph (4) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 56, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 5, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 60, paragraph (2) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 63, paragraph (2), item (iii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 65, paragraph (3), item (v) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 65, paragraph (4), item (i) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 80, paragraph (1), item (viii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 86, paragraph (2), item (i) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 87, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 88, paragraph (4) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Supplementary Provisions, Article 10, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-001, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-002, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-003, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-004, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-005, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-006, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-007, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-008, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-009, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-010, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-011, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-012, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-013, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-014, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-015, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-016, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-017, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-018, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-019, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-020, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-021, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-022, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-023, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-024, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-025, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-026, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-027, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-028, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-029, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-030, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-031, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-032, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-033, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-034, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-035, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-036, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-037, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-038, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-039, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-040, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-041, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-042, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-043, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-044, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T193238-001, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261012T191218-001, translated 2026-10-13
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261012T193557-001, translated 2026-10-13
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T183826-001, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T183826-002, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T183826-003, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T191930-001, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T191930-002, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T191930-003, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation of amended wording, batch health-insurance-act-amendments-20261010T191930-004, translated 2026-10-11
- This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10