# 国民健康保険法 / National Health Insurance Act — 第四十条 (Article 40) - Law: 国民健康保険法 (National Health Insurance Act), 昭和三十三年法律第百九十二号 - English title "National 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: 第四十条 (Article 40)（保険医療機関等の責務） — address `art-40` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/art-40 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-40 - 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. --- ### 第四十条（保険医療機関等の責務） — (Responsibilities of Health Insurance-Covered Medical Institutions, etc.) caption: Ministry of Justice translation — Japanese Law Translation Database System art-40 · https://japanlaw.org/ja/national-health-insurance-act/art-40 · https://japanlaw.org/l/333AC0000000192/art-40 **第一項** 保険医療機関等又は保険医若しくは保険薬剤師（健康保険法第六十四条に規定する保険医又は保険薬剤師をいう。以下同じ。）が、国民健康保険の療養の給付を担当し、又は国民健康保険の診療若しくは調剤に当たる場合の準則については、同法第七十条第一項及び第七十二条第一項の規定による厚生労働省令の例による。 art-40/par-1 · https://japanlaw.org/ja/national-health-insurance-act/art-40/par-1 · https://japanlaw.org/l/333AC0000000192/art-40/par-1 The rules applicable in cases where a health insurance-covered medical institution, etc. or a health insurance-covered physician or health insurance-covered pharmacist (meaning the health insurance-covered physician or health insurance-covered pharmacist as set forth in Article 64 of the Health Insurance Act; hereinafter the same shall apply) shall be in charge of benefits for medical treatment under a national health insurance program or shall provide medical care or prescription service under a national health insurance program, shall be governed by the same rules as those in the Order of the Ministry of Health, Labour and Welfare under Article 70, paragraph (1) and Article 72, paragraph (1) of that Act. machine translation, not official **第二項** 前項の場合において、同項に規定する厚生労働省令の例により難いとき又はよることが適当と認められないときの準則については、厚生労働省令で定める。 art-40/par-2 · https://japanlaw.org/ja/national-health-insurance-act/art-40/par-2 · https://japanlaw.org/l/333AC0000000192/art-40/par-2 In the case referred to in the preceding paragraph, when it is difficult or is not found appropriate for Ordinance of Ministry of Health, Labour and Welfare set forth in the same paragraph to govern such rules, said rules shall be prescribed by another Ordinance of the Ministry of Health, Labour and Welfare. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-40/par-1: 健康保険法第六十四条 → 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-40/par-1: 同法第七十条第一項 → 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-40/par-1: 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-40/par-2: 前項 → 国民健康保険法 第四十条第一項 (Article 40, paragraph (1)), art-40/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-40/par-1 · https://japanlaw.org/l/333AC0000000192/art-40/par-1 ## Cited by 6 provisions cite this one. No official source publishes this direction. - 国民健康保険法 第四十条第二項（保険医療機関等の責務） — https://japanlaw.org/ja/national-health-insurance-act/art-40/par-2 · https://japanlaw.org/l/333AC0000000192/art-40/par-2 - 国民健康保険法 第四十五条第四項（保険医療機関等の診療報酬） — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-4 · https://japanlaw.org/l/333AC0000000192/art-45/par-4 - 国民健康保険法 第五十二条第六項（入院時食事療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-52/par-6 · https://japanlaw.org/l/333AC0000000192/art-52/par-6 - 国民健康保険法 第五十二条の二第三項（入院時生活療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-52-2/par-3 · https://japanlaw.org/l/333AC0000000192/art-52-2/par-3 - 国民健康保険法 第五十三条第三項（保険外併用療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-53/par-3 · https://japanlaw.org/l/333AC0000000192/art-53/par-3 - 国民健康保険法 第五十四条の三第六項（特別療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-54-3/par-6 · https://japanlaw.org/l/333AC0000000192/art-54-3/par-6 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 国民健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/333AC0000000192/20261001_507AC0000000087), retrieved 2026-10-17 - Japanese Law Translation Database System, Ministry of Justice (法務省) — National Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/2453/tb), retrieved 2026-10-17 - claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T183826-002, translated 2026-10-18 - This site's parser, version 209 — 国民健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-17