# 健康保険法 / Health Insurance Act — 第百五十三条 (Article 153)

- Law: 健康保険法 (Health Insurance Act), 大正十一年法律第七十号
- English title "Health Insurance Act": Ministry of Justice translation
- Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第百五十三条 (Article 153)（国庫補助） — address `art-153`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-153
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-153
- Every provision below carries its address and both URLs on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

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### 第百五十三条（国庫補助） — (Government Subsidy)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-153 · https://japanlaw.org/ja/health-insurance-act/art-153 · https://japanlaw.org/l/211AC0000000070/art-153</sup>

**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。
<sup>art-153/par-1 · https://japanlaw.org/ja/health-insurance-act/art-153/par-1 · https://japanlaw.org/l/211AC0000000070/art-153/par-1</sup>
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.
<sup>machine translation, not official</sup>

  **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。）
  <sup>art-153/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/art-153/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-153/par-1/item-1</sup>
  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);
  <sup>machine translation, not official</sup>

  **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
  <sup>art-153/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act/art-153/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/art-153/par-1/item-2</sup>
  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.
  <sup>machine translation, not official</sup>

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## Cites
- art-153/par-1: 第百五十一条 → 健康保険法 第百五十一条 (Article 151), art-151 — https://japanlaw.org/ja/health-insurance-act/art-151 · https://japanlaw.org/l/211AC0000000070/art-151
- art-153/par-1: 高齢者の医療の確保に関する法律第三十四条第一項 → e-Gov law 357AC0000000080, 第三十四条第一項 (Article 34, paragraph (1)), art-34/par-1 — not held in this collection
- art-153/par-1: 第一号 → 健康保険法 第百五十三条第一項第一号 (Article 153, paragraph (1), item (i)), art-153/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act/art-153/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-153/par-1/item-1
- art-153/par-1: 次条第一項 → 健康保険法 第百五十四条第一項 (Article 154, paragraph (1)), art-154/par-1 — https://japanlaw.org/ja/health-insurance-act/art-154/par-1 · https://japanlaw.org/l/211AC0000000070/art-154/par-1
- art-153/par-1: 第二号 → 健康保険法 第百五十三条第一項第二号 (Article 153, paragraph (1), item (ii)), art-153/par-1/item-2 — https://japanlaw.org/ja/health-insurance-act/art-153/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/art-153/par-1/item-2
- art-153/par-1/item-2: 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 → e-Gov law 357AC0000000080, 第三十八条第二項第一号 (Article 38, paragraph (2), item (i)), art-38/par-2/item-1 — not held in this collection

## Cited by

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

- 健康保険法 第百五十一条第一項（国庫負担） — https://japanlaw.org/ja/health-insurance-act/art-151/par-1 · https://japanlaw.org/l/211AC0000000070/art-151/par-1
- 健康保険法 第百五十三条第一項（国庫補助） — https://japanlaw.org/ja/health-insurance-act/art-153/par-1 · https://japanlaw.org/l/211AC0000000070/art-153/par-1
- 健康保険法 第百五十四条第一項 — https://japanlaw.org/ja/health-insurance-act/art-154/par-1 · https://japanlaw.org/l/211AC0000000070/art-154/par-1
- 健康保険法 第百五十四条第二項 — https://japanlaw.org/ja/health-insurance-act/art-154/par-2 · https://japanlaw.org/l/211AC0000000070/art-154/par-2
- 健康保険法 第百五十四条の二第一項 — https://japanlaw.org/ja/health-insurance-act/art-154-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-154-2/par-1
- 健康保険法 第百六十条第三項第一号（保険料率） — https://japanlaw.org/ja/health-insurance-act/art-160/par-3/item-1 · https://japanlaw.org/l/211AC0000000070/art-160/par-3/item-1
- 健康保険法 第百六十条第三項第二号（保険料率） — https://japanlaw.org/ja/health-insurance-act/art-160/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-160/par-3/item-2
- 健康保険法 第百六十条第十四項（保険料率） — https://japanlaw.org/ja/health-insurance-act/art-160/par-14 · https://japanlaw.org/l/211AC0000000070/art-160/par-14
- 健康保険法 附則第五条第一項（国庫補助の経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5/par-1
- 健康保険法 附則第五条の二第一項（国庫補助の特例） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-2/par-1
- 健康保険法 附則第五条の三第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-3/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-3/par-1
- 健康保険法 附則第五条の四第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-4/par-1
- 健康保険法 附則第五条の五第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-5/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-5/par-1
- 健康保険法 附則第五条の六第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-6/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-6/par-1
- 健康保険法 附則第五条の七第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-7/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-7/par-1
- 健康保険法 附則第五条の八第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-8/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-8/par-1
- 健康保険法 附則第五条の九第一項（検討） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-9/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-9/par-1
- 健康保険法 附則第七条第一項（健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-4221-35/art-7/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4221-35/art-7/par-1
- 健康保険法 附則第二十四条第一項（健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-4291-52/art-24/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4291-52/art-24/par-1
- 健康保険法 附則第三条第一項（健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-3/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-3/par-1

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## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/211AC0000000070/20261001_507AC0000000087), retrieved 2026-10-10
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-004, 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
