# 健康保険法 / Health Insurance Act — 第二十八条 (Article 28)

- 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: 第二十八条 (Article 28)（指定健康保険組合による健全化計画の作成） — address `art-28`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-28
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-28
- 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)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-28 · https://japanlaw.org/ja/health-insurance-act/art-28 · https://japanlaw.org/l/211AC0000000070/art-28</sup>

  **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。
  <sup>art-28/par-1 · https://japanlaw.org/ja/health-insurance-act/art-28/par-1 · https://japanlaw.org/l/211AC0000000070/art-28/par-1</sup>
  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.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **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。
  <sup>art-28/par-2 · https://japanlaw.org/ja/health-insurance-act/art-28/par-2 · https://japanlaw.org/l/211AC0000000070/art-28/par-2</sup>
  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.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **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。
  <sup>art-28/par-3 · https://japanlaw.org/ja/health-insurance-act/art-28/par-3 · https://japanlaw.org/l/211AC0000000070/art-28/par-3</sup>
  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.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-28/par-1: この条 → 健康保険法 第二十八条 (Article 28), art-28 — https://japanlaw.org/ja/health-insurance-act/art-28 · https://japanlaw.org/l/211AC0000000070/art-28
- art-28/par-1: 次条 → 健康保険法 第二十九条 (Article 29), art-29 — https://japanlaw.org/ja/health-insurance-act/art-29 · https://japanlaw.org/l/211AC0000000070/art-29
- art-28/par-2: 前項 → 健康保険法 第二十八条第一項 (Article 28, paragraph (1)), art-28/par-1 — https://japanlaw.org/ja/health-insurance-act/art-28/par-1 · https://japanlaw.org/l/211AC0000000070/art-28/par-1
- art-28/par-3: 第一項 → 健康保険法 第二十八条第一項 (Article 28, paragraph (1)), art-28/par-1 — https://japanlaw.org/ja/health-insurance-act/art-28/par-1 · https://japanlaw.org/l/211AC0000000070/art-28/par-1

## Cited by

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

- 健康保険法 第二十八条第一項（指定健康保険組合による健全化計画の作成） — https://japanlaw.org/ja/health-insurance-act/art-28/par-1 · https://japanlaw.org/l/211AC0000000070/art-28/par-1
- 健康保険法 第二十八条第二項（指定健康保険組合による健全化計画の作成） — https://japanlaw.org/ja/health-insurance-act/art-28/par-2 · https://japanlaw.org/l/211AC0000000070/art-28/par-2
- 健康保険法 第二十八条第三項（指定健康保険組合による健全化計画の作成） — https://japanlaw.org/ja/health-insurance-act/art-28/par-3 · https://japanlaw.org/l/211AC0000000070/art-28/par-3
- 健康保険法 第二十九条第二項（報告の徴収等） — https://japanlaw.org/ja/health-insurance-act/art-29/par-2 · https://japanlaw.org/l/211AC0000000070/art-29/par-2
- 健康保険法 第百八十八条第一項（準用） — https://japanlaw.org/ja/health-insurance-act/art-188/par-1 · https://japanlaw.org/l/211AC0000000070/art-188/par-1
- 健康保険法 附則第二条第六項（健康保険組合の財政調整） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-2/par-6 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-2/par-6
- 健康保険法 附則第三条の二第一項第二号（地域型健康保険組合） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-3-2/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-3-2/par-1/item-2

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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
- This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10
