# 健康保険法 / Health Insurance Act — 第四条 (Supplementary Provisions, Article 4)

- 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: 第四条 (Supplementary Provisions, Article 4) — address `suppl-4061-56/art-4`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4
- 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.

---

### 第四条
<sup>suppl-4061-56/art-4 · https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4</sup>

**第一項**  厚生大臣の定める病院又は診療所（新健保法第四十四条第一項第一号に規定する特定承認保険医療機関を除く。）において、新健保法第四十三条第一項第五号に掲げる療養の給付を受ける被保険者又は被保険者であった者（老人保健法の規定による医療を受けることができる者を除き、厚生大臣の定める状態にある者に限る。）が、当該病院又は診療所の従業者以外の者が提供する看護（以下この項において「付添看護」という。）を受けたときは、平成八年三月三十一日（付添看護の状況その他の事情を勘案し、厚生省令で定める要件に該当する病院又は診療所として都道府県知事の承認を受けたものにおける付添看護については、その日後厚生省令で定める日）までの間、当該付添看護を新健保法第四十四条ノ二又は新健保法第六十九条の十四第一項（健康保険法第六十九条の二十六第五項において準用する場合を含む。）に規定する療養の給付等とみなしてこれらの規定を適用する。
<sup>suppl-4061-56/art-4/par-1 · https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-1</sup>
When an insured person or former insured person (excluding a person who may receive medical care under the provisions of the Act on Health and Medical Services for the Elderly, and limited to a person in a condition specified by the Minister of Health and Welfare) who receives the benefits for medical treatment set forth in Article 43, paragraph (1), item (v) of the Revised Health Insurance Act at a hospital or clinic specified by the Minister of Health and Welfare (excluding a specially approved medical institution providing services covered by health insurance prescribed in Article 44, paragraph (1), item (i) of the Revised Health Insurance Act) receives nursing provided by a person other than an employee of that hospital or clinic (hereinafter in this paragraph referred to as "attendant nursing"), until March 31, 1996 (for attendant nursing at a hospital or clinic approved by the prefectural governor as one that falls under the requirements specified by Ministry of Health and Welfare Order in consideration of the state of attendant nursing and other circumstances, until the date specified by Ministry of Health and Welfare Order after that date), the provisions of Article 44-2 of the Revised Health Insurance Act or Article 69-14, paragraph (1) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-26, paragraph (5) of the Health Insurance Act) apply by deeming that attendant nursing to be the benefits for medical treatment, etc. prescribed in those provisions.
<sup>machine translation, not official</sup>

**第二項**  前項の規定は、健康保険法の規定による家族療養費の支給及び被扶養者の療養について準用する。
<sup>suppl-4061-56/art-4/par-2 · https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-2</sup>
The provisions of the preceding paragraph apply mutatis mutandis to the payment of dependent's medical expenses and to dependent's medical treatment under the provisions of the Health Insurance Act.
<sup>machine translation, not official</sup>

**第三項**  新健保法第四十三条ノ十七第二項（新健保法第六十九条の三十一において準用する場合を含む。以下この項において同じ。）に規定する標準負担額は、新健保法第四十三条ノ十七第二項の規定にかかわらず、平成八年九月三十日までの間、六百円（同項の厚生省令で定める者については、厚生大臣が別に定める額）とする。
<sup>suppl-4061-56/art-4/par-3 · https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-3</sup>
Notwithstanding the provisions of Article 43-17, paragraph (2) of the Revised Health Insurance Act, the amount of standard co-payment prescribed in Article 43-17, paragraph (2) of the Revised Health Insurance Act (including as applied mutatis mutandis pursuant to Article 69-31 of the Revised Health Insurance Act; hereinafter the same applies in this paragraph) is to be 600 yen until September 30, 1996 (for persons specified by the Ministry of Health and Welfare Order referred to in that paragraph, the amount separately specified by the Minister of Health and Welfare).
<sup>machine translation, not official</sup>

---

## Cites
- suppl-4061-56/art-4/par-1: この項 → 健康保険法 附則第四条第一項 (Supplementary Provisions, Article 4, paragraph (1)), suppl-4061-56/art-4/par-1 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-1
- suppl-4061-56/art-4/par-2: 前項 → 健康保険法 附則第四条第一項 (Supplementary Provisions, Article 4, paragraph (1)), suppl-4061-56/art-4/par-1 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-1
- suppl-4061-56/art-4/par-3: この項 → 健康保険法 附則第四条第三項 (Supplementary Provisions, Article 4, paragraph (3)), suppl-4061-56/art-4/par-3 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-3

## Cited by

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

- 健康保険法 附則第四条第一項 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-1
- 健康保険法 附則第四条第二項 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-2
- 健康保険法 附則第四条第三項 — https://japanlaw.org/ja/health-insurance-act/suppl-4061-56/art-4/par-3 · https://japanlaw.org/l/211AC0000000070/suppl-4061-56/art-4/par-3

---

## 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-20261010T183826-017, translated 2026-10-11
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-018, 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
