# 健康保険法 / Health Insurance Act — 第百五十四条 (Article 154) - 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: 第百五十四条 (Article 154) — address `art-154` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-154 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-154 - 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. --- ### 第百五十四条 art-154 · https://japanlaw.org/ja/health-insurance-act/art-154 · https://japanlaw.org/l/211AC0000000070/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承認を受け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/art-154/par-1 · https://japanlaw.org/l/211AC0000000070/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 obtained the approval 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/art-154/par-2 · https://japanlaw.org/l/211AC0000000070/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 --- ## Cites - art-154/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-154/par-1: 前条 → 健康保険法 第百五十三条 (Article 153), art-153 — https://japanlaw.org/ja/health-insurance-act/art-153 · https://japanlaw.org/l/211AC0000000070/art-153 - art-154/par-1: この条 → 健康保険法 第百五十四条 (Article 154), art-154 — https://japanlaw.org/ja/health-insurance-act/art-154 · https://japanlaw.org/l/211AC0000000070/art-154 - art-154/par-1: 第三条第一項第八号 → 健康保険法 第三条第一項第八号 (Article 3, paragraph (1), item (viii)), art-3/par-1/item-8 — https://japanlaw.org/ja/health-insurance-act/art-3/par-1/item-8 · https://japanlaw.org/l/211AC0000000070/art-3/par-1/item-8 - art-154/par-1: 第百七十一条第二項 → 健康保険法 第百七十一条第二項 (Article 171, paragraph (2)), art-171/par-2 — https://japanlaw.org/ja/health-insurance-act/art-171/par-2 · https://japanlaw.org/l/211AC0000000070/art-171/par-2 - art-154/par-1: 第三項 → 健康保険法 第百七十一条第三項 (Article 171, paragraph (3)), art-171/par-3 — https://japanlaw.org/ja/health-insurance-act/art-171/par-3 · https://japanlaw.org/l/211AC0000000070/art-171/par-3 - art-154/par-2: 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-154/par-2: 前条 → 健康保険法 第百五十三条 (Article 153), art-153 — https://japanlaw.org/ja/health-insurance-act/art-153 · https://japanlaw.org/l/211AC0000000070/art-153 - art-154/par-2: 前項 → 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 ## Cited by 23 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 第二百十三条第一項 — https://japanlaw.org/ja/health-insurance-act/art-213/par-1 · https://japanlaw.org/l/211AC0000000070/art-213/par-1 - 健康保険法 附則第四条の二第一項（病床転換支援金の経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-4-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-4-2/par-1 - 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 附則第九条第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-4221-35/art-9/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4221-35/art-9/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 附則第二十五条第二項 — https://japanlaw.org/ja/health-insurance-act/suppl-4291-52/art-25/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4291-52/art-25/par-2 - 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 - 健康保険法 附則第四十七条第四項第一号（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） — https://japanlaw.org/ja/health-insurance-act/suppl-5061-47/art-47/par-4/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-5061-47/art-47/par-4/item-1 --- ## 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