# 健康保険法 / Health Insurance Act — 第八十五条の二 (Article 85-2) - 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: 第八十五条の二 (Article 85-2)（入院時生活療養費） — address `art-85-2` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-85-2 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-85-2 - 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/art-85-2 · https://japanlaw.org/l/211AC0000000070/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/art-85-2/par-1 · https://japanlaw.org/l/211AC0000000070/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/art-85-2/par-2 · https://japanlaw.org/l/211AC0000000070/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/art-85-2/par-3 · https://japanlaw.org/l/211AC0000000070/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/art-85-2/par-4 · https://japanlaw.org/l/211AC0000000070/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/art-85-2/par-5 · https://japanlaw.org/l/211AC0000000070/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 --- ## Cites - art-85-2/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-85-2/par-1: 同条第一項第五号 → 健康保険法 第六十三条第一項第五号 (Article 63, paragraph (1), item (v)), art-63/par-1/item-5 — https://japanlaw.org/ja/health-insurance-act/art-63/par-1/item-5 · https://japanlaw.org/l/211AC0000000070/art-63/par-1/item-5 - art-85-2/par-2: 介護保険法第五十一条の三第二項第一号 → e-Gov law 409AC0000000123, 第五十一条の三第二項第一号 (Article 51-3, paragraph (2), item (i)), art-51-3/par-2/item-1 — not held in this collection - art-85-2/par-2: 同項第二号 → e-Gov law 409AC0000000123, 第五十一条の三第二項第二号 (Article 51-3, paragraph (2), item (ii)), art-51-3/par-2/item-2 — not held in this collection - art-85-2/par-3: 前項 → 健康保険法 第八十五条の二第二項 (Article 85-2, paragraph (2)), art-85-2/par-2 — https://japanlaw.org/ja/health-insurance-act/art-85-2/par-2 · https://japanlaw.org/l/211AC0000000070/art-85-2/par-2 - art-85-2/par-5: 第六十四条 → 健康保険法 第六十四条 (Article 64), art-64 — https://japanlaw.org/ja/health-insurance-act/art-64 · https://japanlaw.org/l/211AC0000000070/art-64 - art-85-2/par-5: 第七十条第一項 → 健康保険法 第七十条第一項 (Article 70, paragraph (1)), art-70/par-1 — https://japanlaw.org/ja/health-insurance-act/art-70/par-1 · https://japanlaw.org/l/211AC0000000070/art-70/par-1 - art-85-2/par-5: 第七十二条第一項 → 健康保険法 第七十二条第一項 (Article 72, paragraph (1)), art-72/par-1 — https://japanlaw.org/ja/health-insurance-act/art-72/par-1 · https://japanlaw.org/l/211AC0000000070/art-72/par-1 - art-85-2/par-5: 第七十三条 → 健康保険法 第七十三条 (Article 73), art-73 — https://japanlaw.org/ja/health-insurance-act/art-73 · https://japanlaw.org/l/211AC0000000070/art-73 - art-85-2/par-5: 第七十六条第三項から第六項まで → 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-85-2/par-5: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第四項 (Article 76, paragraph (4)), art-76/par-4 — https://japanlaw.org/ja/health-insurance-act/art-76/par-4 · https://japanlaw.org/l/211AC0000000070/art-76/par-4 - art-85-2/par-5: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第五項 (Article 76, paragraph (5)), art-76/par-5 — https://japanlaw.org/ja/health-insurance-act/art-76/par-5 · https://japanlaw.org/l/211AC0000000070/art-76/par-5 - art-85-2/par-5: 第七十六条第三項から第六項まで → 健康保険法 第七十六条第六項 (Article 76, paragraph (6)), art-76/par-6 — https://japanlaw.org/ja/health-insurance-act/art-76/par-6 · https://japanlaw.org/l/211AC0000000070/art-76/par-6 - art-85-2/par-5: 第七十八条 → 健康保険法 第七十八条 (Article 78), art-78 — https://japanlaw.org/ja/health-insurance-act/art-78 · https://japanlaw.org/l/211AC0000000070/art-78 - art-85-2/par-5: 第八十四条第一項 → 健康保険法 第八十四条第一項 (Article 84, paragraph (1)), art-84/par-1 — https://japanlaw.org/ja/health-insurance-act/art-84/par-1 · https://japanlaw.org/l/211AC0000000070/art-84/par-1 - art-85-2/par-5: 前条第五項から第八項まで → 健康保険法 第八十五条第五項 (Article 85, paragraph (5)), art-85/par-5 — https://japanlaw.org/ja/health-insurance-act/art-85/par-5 · https://japanlaw.org/l/211AC0000000070/art-85/par-5 - art-85-2/par-5: 前条第五項から第八項まで → 健康保険法 第八十五条第六項 (Article 85, paragraph (6)), art-85/par-6 — https://japanlaw.org/ja/health-insurance-act/art-85/par-6 · https://japanlaw.org/l/211AC0000000070/art-85/par-6 - art-85-2/par-5: 前条第五項から第八項まで → 健康保険法 第八十五条第七項 (Article 85, paragraph (7)), art-85/par-7 — https://japanlaw.org/ja/health-insurance-act/art-85/par-7 · https://japanlaw.org/l/211AC0000000070/art-85/par-7 - art-85-2/par-5: 前条第五項から第八項まで → 健康保険法 第八十五条第八項 (Article 85, paragraph (8)), art-85/par-8 — https://japanlaw.org/ja/health-insurance-act/art-85/par-8 · https://japanlaw.org/l/211AC0000000070/art-85/par-8 - art-85-2/par-5: 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 ## Cited by 19 provisions cite this one. No official source publishes this direction. - 健康保険法 第五十一条の三第二項（被保険者の資格の確認に必要な書面の交付等） — https://japanlaw.org/ja/health-insurance-act/art-51-3/par-2 · https://japanlaw.org/l/211AC0000000070/art-51-3/par-2 - 健康保険法 第五十八条第三項（不正利得の徴収等） — https://japanlaw.org/ja/health-insurance-act/art-58/par-3 · https://japanlaw.org/l/211AC0000000070/art-58/par-3 - 健康保険法 第六十五条第三項第二号（保険医療機関又は保険薬局の指定） — https://japanlaw.org/ja/health-insurance-act/art-65/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-65/par-3/item-2 - 健康保険法 第七十条第二項（保険医療機関又は保険薬局の責務） — https://japanlaw.org/ja/health-insurance-act/art-70/par-2 · https://japanlaw.org/l/211AC0000000070/art-70/par-2 - 健康保険法 第七十二条第二項（保険医又は保険薬剤師の責務） — https://japanlaw.org/ja/health-insurance-act/art-72/par-2 · https://japanlaw.org/l/211AC0000000070/art-72/par-2 - 健康保険法 第八十条第一項第一号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/ja/health-insurance-act/art-80/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-1 - 健康保険法 第八十条第一項第三号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/ja/health-insurance-act/art-80/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-3 - 健康保険法 第八十条第一項第四号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/ja/health-insurance-act/art-80/par-1/item-4 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-4 - 健康保険法 第八十条第一項第五号（保険医療機関又は保険薬局の指定の取消し） — https://japanlaw.org/ja/health-insurance-act/art-80/par-1/item-5 · https://japanlaw.org/l/211AC0000000070/art-80/par-1/item-5 - 健康保険法 第八十一条第一項第一号（保険医又は保険薬剤師の登録の取消し） — https://japanlaw.org/ja/health-insurance-act/art-81/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/art-81/par-1/item-1 - 健康保険法 第八十一条第一項第三号（保険医又は保険薬剤師の登録の取消し） — https://japanlaw.org/ja/health-insurance-act/art-81/par-1/item-3 · https://japanlaw.org/l/211AC0000000070/art-81/par-1/item-3 - 健康保険法 第八十二条第一項（社会保険医療協議会への諮問） — https://japanlaw.org/ja/health-insurance-act/art-82/par-1 · https://japanlaw.org/l/211AC0000000070/art-82/par-1 - 健康保険法 第八十五条の二第三項（入院時生活療養費） — https://japanlaw.org/ja/health-insurance-act/art-85-2/par-3 · https://japanlaw.org/l/211AC0000000070/art-85-2/par-3 - 健康保険法 第八十六条第二項第三号（保険外併用療養費） — https://japanlaw.org/ja/health-insurance-act/art-86/par-2/item-3 · https://japanlaw.org/l/211AC0000000070/art-86/par-2/item-3 - 健康保険法 第八十七条第三項（療養費） — https://japanlaw.org/ja/health-insurance-act/art-87/par-3 · https://japanlaw.org/l/211AC0000000070/art-87/par-3 - 健康保険法 第百十条第三項（家族療養費） — https://japanlaw.org/ja/health-insurance-act/art-110/par-3 · https://japanlaw.org/l/211AC0000000070/art-110/par-3 - 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 第二百五条の四第一項（基盤機構等への事務の委託） — https://japanlaw.org/ja/health-insurance-act/art-205-4/par-1 · https://japanlaw.org/l/211AC0000000070/art-205-4/par-1 - 健康保険法 附則第四条第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-4181-83/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4181-83/art-4/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 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-002, 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