# 健康保険法 / Health Insurance Act — 第七十四条 (Article 74) - 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: 第七十四条 (Article 74)（一部負担金） — address `art-74` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-74 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-74 - 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/art-74 · https://japanlaw.org/l/211AC0000000070/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/art-74/par-1 · https://japanlaw.org/l/211AC0000000070/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/art-74/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/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/art-74/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/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/art-74/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/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/art-74/par-2 · https://japanlaw.org/l/211AC0000000070/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 --- ## Cites - art-74/par-1: 第六十三条第三項 → 健康保険法 第六十三条第三項 (Article 63, paragraph (3)), art-63/par-3 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3 - art-74/par-1: 第七十六条第二項 → 健康保険法 第七十六条第二項 (Article 76, paragraph (2)), art-76/par-2 — https://japanlaw.org/ja/health-insurance-act/art-76/par-2 · https://japanlaw.org/l/211AC0000000070/art-76/par-2 - art-74/par-1: 第三項 → 健康保険法 第七十六条第三項 (Article 76, paragraph (3)), art-76/par-3 — https://japanlaw.org/ja/health-insurance-act/art-76/par-3 · https://japanlaw.org/l/211AC0000000070/art-76/par-3 - art-74/par-1/item-2: 次号 → 健康保険法 第七十四条第一項第三号 (Article 74, paragraph (1), item (iii)), art-74/par-1/item-3 — https://japanlaw.org/ja/health-insurance-act/art-74/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-74/par-1/item-3 - art-74/par-2: 前項 → 健康保険法 第七十四条第一項 (Article 74, paragraph (1)), art-74/par-1 — https://japanlaw.org/ja/health-insurance-act/art-74/par-1 · https://japanlaw.org/l/211AC0000000070/art-74/par-1 - art-74/par-2: 第七十五条の二第一項第一号 → 健康保険法 第七十五条の二第一項第一号 (Article 75-2, paragraph (1), item (i)), art-75-2/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act/art-75-2/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-75-2/par-1/item-1 ## Cited by 17 provisions cite this one. No official source publishes this direction. - 健康保険法 第七十四条第一項第二号（一部負担金） — https://japanlaw.org/ja/health-insurance-act/art-74/par-1/item-2 · https://japanlaw.org/l/211AC0000000070/art-74/par-1/item-2 - 健康保険法 第七十四条第二項（一部負担金） — https://japanlaw.org/ja/health-insurance-act/art-74/par-2 · https://japanlaw.org/l/211AC0000000070/art-74/par-2 - 健康保険法 第七十五条第一項 — https://japanlaw.org/ja/health-insurance-act/art-75/par-1 · https://japanlaw.org/l/211AC0000000070/art-75/par-1 - 健康保険法 第七十五条の二第一項（一部負担金の額の特例） — https://japanlaw.org/ja/health-insurance-act/art-75-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-75-2/par-1 - 健康保険法 第七十五条の二第二項（一部負担金の額の特例） — https://japanlaw.org/ja/health-insurance-act/art-75-2/par-2 · https://japanlaw.org/l/211AC0000000070/art-75-2/par-2 - 健康保険法 第八十四条第二項（保険者が指定する病院等における療養の給付） — https://japanlaw.org/ja/health-insurance-act/art-84/par-2 · https://japanlaw.org/l/211AC0000000070/art-84/par-2 - 健康保険法 第八十四条第三項（保険者が指定する病院等における療養の給付） — https://japanlaw.org/ja/health-insurance-act/art-84/par-3 · https://japanlaw.org/l/211AC0000000070/art-84/par-3 - 健康保険法 第八十六条第二項第一号（保険外併用療養費） — https://japanlaw.org/ja/health-insurance-act/art-86/par-2/item-1 · https://japanlaw.org/l/211AC0000000070/art-86/par-2/item-1 - 健康保険法 第八十七条第二項（療養費） — https://japanlaw.org/ja/health-insurance-act/art-87/par-2 · https://japanlaw.org/l/211AC0000000070/art-87/par-2 - 健康保険法 第八十八条第四項（訪問看護療養費） — https://japanlaw.org/ja/health-insurance-act/art-88/par-4 · https://japanlaw.org/l/211AC0000000070/art-88/par-4 - 健康保険法 第百十条第二項第一号ニ（家族療養費） — https://japanlaw.org/ja/health-insurance-act/art-110/par-2/item-1/sub-4 · https://japanlaw.org/l/211AC0000000070/art-110/par-2/item-1/sub-4 - 健康保険法 第百四十五条第四項（特別療養費） — https://japanlaw.org/ja/health-insurance-act/art-145/par-4 · https://japanlaw.org/l/211AC0000000070/art-145/par-4 - 健康保険法 第百四十九条第一項（準用） — https://japanlaw.org/ja/health-insurance-act/art-149/par-1 · https://japanlaw.org/l/211AC0000000070/art-149/par-1 - 健康保険法 第百八十条第一項（保険料等の督促及び滞納処分） — https://japanlaw.org/ja/health-insurance-act/art-180/par-1 · https://japanlaw.org/l/211AC0000000070/art-180/par-1 - 健康保険法 第二百四条の二第一項（財務大臣への権限の委任） — https://japanlaw.org/ja/health-insurance-act/art-204-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-204-2/par-1 - 健康保険法 附則第四条第一項（協会が管掌する健康保険の被保険者に係る給付の事業） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-4/par-1 - 健康保険法 附則第七条第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-3321-42/art-7/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-3321-42/art-7/par-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 - This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10