# 健康保険法 / Health Insurance Act — 附　則 (Supplementary Provisions) - 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: 附　則 (Supplementary Provisions) — address `suppl-5051-31` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/suppl-5051-31 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/suppl-5051-31 - 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. --- ## 附　則 令和五年五月一九日法律第三一号 suppl-5051-31 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-5051-31/art-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1 **第一項** この法律は、令和六年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。 suppl-5051-31/art-1/par-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1 This Act comes into effect as of April 1, 2024; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items. machine translation, not official **一** 第三条中国民健康保険法第七十二条第三項、第八十二条の二第三項第一号及び第四項、第八十五条の二、第八十五条の三第三項並びに第百十三条の二第一項の改正規定、第六条中高齢者の医療の確保に関する法律第四条に一項を加える改正規定、同法第六条、第七条第二項及び第八条第四項の改正規定、同条第五項の改正規定（第四号に掲げる改正規定を除く。）、同法第九条第二項及び第三項の改正規定、同条第四項の改正規定（第四号に掲げる改正規定を除く。）、同条第五項、第七項及び第十項並びに同法第十一条、第十二条第一項、第十三条第一項、第十四条第一項、第十五条、第十六条第三項、第百三十八条第一項及び第百五十七条の二の改正規定、第七条の規定並びに第十二条の規定並びに次条第一項並びに附則第四条、第七条、第八条、第十二条、第十五条、第十七条及び第十八条の規定　公布の日 suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-1 the provisions amending Article 72, paragraph (3), Article 82-2, paragraph (3), item (i) and paragraph (4), Article 85-2, Article 85-3, paragraph (3), and Article 113-2, paragraph (1) of the National Health Insurance Act in Article 3, the provision adding one paragraph to Article 4 of the Act on Assurance of Medical Care for Elderly People in Article 6, the provisions amending Article 6, Article 7, paragraph (2), and Article 8, paragraph (4) of that Act, the provision amending paragraph (5) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending Article 9, paragraphs (2) and (3) of that Act, the provision amending paragraph (4) of that Article (excluding the amending provision set forth in item (iv)), the provisions amending paragraphs (5), (7) and (10) of that Article and Article 11, Article 12, paragraph (1), Article 13, paragraph (1), Article 14, paragraph (1), Article 15, Article 16, paragraph (3), Article 138, paragraph (1) and Article 157-2 of that Act, the provisions of Article 7 and the provisions of Article 12, and the provisions of paragraph (1) of the following Article and Articles 4, 7, 8, 12, 15, 17 and 18 of the Supplementary Provisions: the date of promulgation machine translation, not official **二から五まで** 略 suppl-5051-31/art-1/par-1/item-2-to-5 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-2-to-5 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-2-to-5 Omitted machine translation, not official **六** 第一条中健康保険法第二百五条の四第二項の改正規定、第二条中船員保険法第百五十三条の十第二項の改正規定、第四条中国民健康保険法第百十三条の三第二項の改正規定、第六条中高齢者の医療の確保に関する法律第百六十五条の二第二項の改正規定及び第十四条の規定並びに附則第十九条中私立学校教職員共済法（昭和二十八年法律第二百四十五号）第四十七条の三第二項の改正規定、附則第二十条中国家公務員共済組合法（昭和三十三年法律第百二十八号）第百十四条の二第二項の改正規定、附則第二十一条中地方公務員等共済組合法（昭和三十七年法律第百五十二号）第百四十四条の三十三第二項の改正規定、附則第二十四条（第二号に係る部分に限る。）の規定、附則第二十六条中生活保護法（昭和二十五年法律第百四十四号）第八十条の四第二項の改正規定及び附則第二十九条の規定　公布の日から起算して四年を超えない範囲内において政令で定める日 suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-6 The provision amending Article 205-4, paragraph (2) of the Health Insurance Act in Article 1, the provision amending Article 153-10, paragraph (2) of the Mariners Insurance Act in Article 2, the provision amending Article 113-3, paragraph (2) of the National Health Insurance Act in Article 4, the provision amending Article 165-2, paragraph (2) of the Act on Assurance of Medical Care for Elderly People in Article 6, and the provisions of Article 14, and the provision amending Article 47-3, paragraph (2) of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953) in Article 19 of the Supplementary Provisions, the provision amending Article 114-2, paragraph (2) of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958) in Article 20 of the Supplementary Provisions, the provision amending Article 144-33, paragraph (2) of the Local Public Officers, etc. Mutual Aid Association Act (Act No. 152 of 1962) in Article 21 of the Supplementary Provisions, the provisions of Article 24 of the Supplementary Provisions (limited to the part pertaining to item (ii)), the provision amending Article 80-4, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) in Article 26 of the Supplementary Provisions, and the provisions of Article 29 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding four years from the date of promulgation machine translation, not official ### 第二条（検討） — Review caption: machine translation, not official suppl-5051-31/art-2 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2 **第一項** 政府は、この法律の公布後、全世代対応型の持続可能な社会保障制度を構築するため、経済社会情勢の変化と社会の要請に対応し、受益と負担の均衡がとれた社会保障制度の確立を図るための更なる改革について速やかに検討を加え、その結果に基づいて所要の措置を講ずるものとする。 suppl-5051-31/art-2/par-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2/par-1 After the promulgation of this Act, in order to build a sustainable social security system that serves all generations, the government is to promptly examine further reforms to establish a social security system in which benefits and burdens are balanced, in response to changes in economic and social conditions and the needs of society, and take required measures based on the results. machine translation, not official **第二項** 政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。 suppl-5051-31/art-2/par-2 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2/par-2 The government is to, with a target of five years after the enforcement of this Act, taking into account the conditions of enforcement, etc. of the respective Acts as amended by this Act (referred to as "the respective Acts as amended" in this paragraph), examine the provisions of the respective Acts as amended where it finds it necessary, and take required measures based on the results. machine translation, not official ### 第三条（健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the Health Insurance Act caption: machine translation, not official suppl-5051-31/art-3 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-3 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-3 **第一項** 第一条の規定（附則第一条第六号に掲げる改正規定を除く。附則第五条第四項において同じ。）による改正後の健康保険法第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の三の規定は、令和六年度以後の各年度における全国健康保険協会に対する国庫補助の額について適用し、令和五年度以前の各年度における全国健康保険協会に対する国庫補助の額については、なお従前の例による。 suppl-5051-31/art-3/par-1 · 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 The provisions of Articles 153 and 154 of the Health Insurance Act and Articles 4-2, 5 and 5-3 of the Supplementary Provisions of that Act, as amended by the provisions of Article 1 (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions; the same applies in Article 5, paragraph (4) of the Supplementary Provisions), apply to the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or after fiscal year 2024, and the provisions then in force continue to govern the amount of the national subsidy to the Japan Health Insurance Association in each fiscal year on or before fiscal year 2023. machine translation, not official ### 第五条（国民健康保険法等の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act, etc. caption: machine translation, not official suppl-5051-31/art-5 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-5 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-5 **第一項** suppl-5051-31/art-5/par-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-5/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-5/par-1 **第四項** 前項の規定によりなおその効力を有するものとされた第四条改正前国保法附則第十条第一項の規定により支払基金が令和六年度における拠出金（同項に規定する拠出金をいう。）を徴収する間、第一条の規定による改正前の健康保険法附則第四条の三の規定、第二条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の船員保険法附則第七条の規定、第六条の規定（附則第一条第一号、第四号及び第六号に掲げる改正規定を除く。第六項において同じ。）による改正前の高齢者の医療の確保に関する法律（次項及び第六項において「旧高確法」という。）附則第十三条第二項の規定、附則第十九条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の私立学校教職員共済法附則第二十五項の規定、附則第二十条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の国家公務員共済組合法附則第十一条の三の規定、附則第二十一条の規定（附則第一条第六号に掲げる改正規定を除く。）による改正前の地方公務員等共済組合法附則第四十条の三の二の規定及び附則第二十二条の規定による改正前の日本私立学校振興・共済事業団法（平成九年法律第四十八号）附則第十三条の二第一項の規定は、なおその効力を有する。この場合において、これらの規定の適用に関し必要な技術的読替えその他これらの規定に関し必要な事項は、政令で定める。 suppl-5051-31/art-5/par-4 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-5/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-5/par-4 While the Social Insurance Medical Fee Payment Fund collects the contributions (meaning the contributions prescribed in that paragraph) for fiscal year 2024 pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions of the Pre-Article 4 Amendment National Health Insurance Act that remain in force pursuant to the provisions of the preceding paragraph, the provisions of Article 4-3 of the Supplementary Provisions of the Health Insurance Act before amendment by the provisions of Article 1, the provisions of Article 7 of the Supplementary Provisions of the Mariners Insurance Act before amendment by the provisions of Article 2 (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 13, paragraph (2) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People before amendment by the provisions of Article 6 (excluding the amending provisions set forth in Article 1, items (i), (iv) and (vi) of the Supplementary Provisions; the same applies in paragraph (6)) (referred to as the "Former Elderly Medical Care Assurance Act" in the following paragraph and paragraph (6)), the provisions of paragraph (25) of the Supplementary Provisions of the Private School Personnel Mutual Aid Association Act before amendment by the provisions of Article 19 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 11-3 of the Supplementary Provisions of the National Public Officers Mutual Aid Association Act before amendment by the provisions of Article 20 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), the provisions of Article 40-3-2 of the Supplementary Provisions of the Local Public Officers, etc. Mutual Aid Association Act before amendment by the provisions of Article 21 of the Supplementary Provisions (excluding the amending provision set forth in Article 1, item (vi) of the Supplementary Provisions), and the provisions of Article 13-2, paragraph (1) of the Supplementary Provisions of the Act on the Promotion and Mutual Aid Corporation for Private Schools of Japan (Act No. 48 of 1997) before amendment by the provisions of Article 22 of the Supplementary Provisions remain in force. In this case, necessary technical replacement of terms in applying those provisions and other necessary matters concerning those provisions are specified by Cabinet Order. machine translation, not official ### 第十八条（政令への委任） — Delegation to Cabinet Order caption: machine translation, not official suppl-5051-31/art-18 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-18 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-18 **第一項** 附則第三条から前条までに規定するもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。 suppl-5051-31/art-18/par-1 · https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-18/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-18/par-1 Beyond what is provided from Article 3 of the Supplementary Provisions to the preceding Article, any transitional measures (including those concerning penal provisions) necessary for the enforcement of this Act are provided by Cabinet Order. machine translation, not official --- ## Cites - suppl-5051-31/art-1/par-1/item-1: 次条第一項 → 健康保険法 附則第二条第一項 (Supplementary Provisions, Article 2, paragraph (1)), suppl-5051-31/art-2/par-1 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2/par-1 - suppl-5051-31/art-1/par-1/item-1: 第十八条 → 健康保険法 附則第十八条 (Supplementary Provisions, Article 18), suppl-5051-31/art-18 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-18 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-18 - suppl-5051-31/art-2/par-2: この項 → 健康保険法 附則第二条第二項 (Supplementary Provisions, Article 2, paragraph (2)), suppl-5051-31/art-2/par-2 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2/par-2 - suppl-5051-31/art-3/par-1: 附則第一条第六号 → 健康保険法 附則第一条第一項第六号 (Supplementary Provisions, Article 1, paragraph (1), item (vi)), suppl-5051-31/art-1/par-1/item-6 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-6 - suppl-5051-31/art-3/par-1: 附則第五条第四項 → 健康保険法 附則第五条第四項 (Supplementary Provisions, Article 5, paragraph (4)), suppl-5051-31/art-5/par-4 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-5/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-5/par-4 - suppl-5051-31/art-3/par-1: 健康保険法第百五十三条 → 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 - suppl-5051-31/art-3/par-1: 第百五十四条 → 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 - suppl-5051-31/art-3/par-1: 附則第四条の二 → 健康保険法 附則第四条の二 (Supplementary Provisions, Article 4-2), suppl-2111-70/art-4-2 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-4-2 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-4-2 - suppl-5051-31/art-3/par-1: 第五条 → 健康保険法 附則第五条 (Supplementary Provisions, Article 5), suppl-2111-70/art-5 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5 - suppl-5051-31/art-3/par-1: 第五条の三 → 健康保険法 附則第五条の三 (Supplementary Provisions, Article 5-3), suppl-2111-70/art-5-3 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-5-3 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-5-3 - suppl-5051-31/art-5/par-4: 附則第一条第六号 → 健康保険法 附則第一条第一項第六号 (Supplementary Provisions, Article 1, paragraph (1), item (vi)), suppl-5051-31/art-1/par-1/item-6 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-6 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-6 - suppl-5051-31/art-5/par-4: 附則第一条第一号 → 健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-5051-31/art-1/par-1/item-1 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-1 - suppl-5051-31/art-18/par-1: 附則第三条から前条まで → 健康保険法 附則第三条 (Supplementary Provisions, Article 3), suppl-5051-31/art-3 — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-3 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-3 ## Cited by 5 provisions cite this one. No official source publishes this direction. - 健康保険法 附則第一条第一項第一号（施行期日） — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-1/par-1/item-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-1/par-1/item-1 - 健康保険法 附則第二条第二項（検討） — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-2/par-2 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-2/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 附則第五条第四項（国民健康保険法等の一部改正に伴う経過措置） — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-5/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-5/par-4 - 健康保険法 附則第十八条第一項（政令への委任） — https://japanlaw.org/ja/health-insurance-act/suppl-5051-31/art-18/par-1 · https://japanlaw.org/l/211AC0000000070/suppl-5051-31/art-18/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-20261010T183826-039, translated 2026-10-11 - claude-sonnet-5-5 — Machine translation, batch health-insurance-act-20261010T183826-040, 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