# 国民健康保険法 / National Health Insurance Act — 第五十四条の二 (Article 54-2) - 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: 第五十四条の二 (Article 54-2)（訪問看護療養費） — address `art-54-2` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/art-54-2 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-54-2 - 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. --- ### 第五十四条の二（訪問看護療養費） — (Medical Expenses for Home-Nursing) caption: Ministry of Justice translation — Japanese Law Translation Database System art-54-2 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2 · https://japanlaw.org/l/333AC0000000192/art-54-2 **第一項** 市町村及び組合は、被保険者が指定訪問看護事業者（健康保険法第八十八条第一項に規定する指定訪問看護事業者をいう。以下同じ。）について指定訪問看護（同項に規定する指定訪問看護をいう。以下同じ。）を受けたときは、当該被保険者の属する世帯の世帯主又は組合員に対し、その指定訪問看護に要した費用について、訪問看護療養費を支給する。ただし、当該世帯主又は組合員が当該被保険者について第五十四条の三第一項又は第二項本文の規定の適用を受けている間は、この限りでない。 art-54-2/par-1 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-1 When an insured person has received, at or from a designated home-nursing provider (meaning the designated home-nursing provider as set forth in Article 88, paragraph (1) of the Health Insurance Act; hereinafter the same shall apply), designated home nursing (meaning the designated home nursing as set forth in that paragraph; hereinafter the same shall apply), Municipalities and Societies shall pay medical expenses for home-nursing to the Householder or Society member of the household to which said insured person belongs with respect to expenses incurred in such designated home nursing; provided, however, that this shall not apply during any period in which said Householder or Society member is subject to the application of Article 54-3, paragraph (1) or the main clause of paragraph (2) with respect to said insured person. machine translation, not official **第二項** 前項の訪問看護療養費は、厚生労働省令で定めるところにより市町村又は組合が必要と認める場合に限り、支給するものとする。 art-54-2/par-2 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-2 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-2 The medical expenses for home-nursing set forth in the preceding paragraph shall be paid only if a Municipality or Society finds it necessary, as provided by Order of the Ministry of Health, Labour and Welfare. machine translation, not official **第三項** 被保険者が指定訪問看護を受けようとするときは、厚生労働省令で定めるところにより、自己の選定する指定訪問看護事業者から、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、当該指定訪問看護を受けるものとする。 art-54-2/par-3 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-3 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-3 When an insured person seeks to receive designated home nursing, the insured person is to, as provided by Order of the Ministry of Health, Labour and Welfare, receive confirmation of being an insured person from the designated home-nursing provider of the insured person's choice by electronic eligibility confirmation, etc., and receive that designated home nursing. machine translation, not official **第四項** 訪問看護療養費の額は、当該指定訪問看護につき健康保険法第八十八条第四項の規定による厚生労働大臣の定めの例により算定した費用の額から、その額に第四十二条第一項各号の区分に応じ、同項各号に掲げる割合（第四十三条第一項の規定により一部負担金の割合が減ぜられたときは、当該減ぜられた割合とする。）を乗じて得た額（療養の給付について第四十四条第一項各号の措置が採られるべきときは、当該措置が採られたものとした場合の額とする。）を控除した額とする。 art-54-2/par-4 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-4 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-4 The amount of medical expenses for home-nursing shall be calculated by deducting, from the amount calculated for such designated home-nursing in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 88, paragraph (4) of the Health Insurance Act, the amount calculated by multiplying such amount by the applicable ratio listed in the items of paragraph (1) of Article 42, in accordance with the categories listed in the items of the same paragraph (or, when the ratio for co-payment has been reduced pursuant to the provisions of Article 43, paragraph (1), the ratio after such reduction) (or, when any of the measures listed in the items of paragraph (1) of Article 44 needs be taken with respect to the co-payment set forth in Article 42, paragraph (1) for benefits for the medical treatment, the amount calculated as if the relevant measures were taken). Ministry of Justice translation — Japanese Law Translation Database System **第五項** 被保険者が指定訪問看護事業者について指定訪問看護を受けたときは、市町村及び組合は、当該被保険者の属する世帯の世帯主又は組合員が当該指定訪問看護事業者に支払うべき当該指定訪問看護に要した費用について、訪問看護療養費として当該世帯主又は組合員に対し支給すべき額の限度において、当該世帯主又は組合員に代わり、当該指定訪問看護事業者に支払うことができる。 art-54-2/par-5 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-5 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-5 When an insured person has received designated home nursing at or from a designated home-nursing provider, Municipalities and Societies may, on behalf of the Householder or Society member of the household to which said insured person belongs, pay to said designated home-nursing provider expenses incurred in said designated home nursing that are payable by that Householder or Society member to said designated home-nursing provider, within the limit of the amount payable to that Householder or Society member as medical expenses for home-nursing. machine translation, not official **第六項** 前項の規定による支払があつたときは、世帯主又は組合員に対し訪問看護療養費の支給があつたものとみなす。 art-54-2/par-6 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-6 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-6 When a payment is made pursuant to the provisions of the preceding paragraph, the Householder or Society member shall be deemed to have received medical expenses for home-nursing. Ministry of Justice translation — Japanese Law Translation Database System **第七項** 第四十二条の二の規定は、第五項の場合において第四項の規定により算定した費用の額から当該指定訪問看護に要した費用について訪問看護療養費として支給される額に相当する額を控除した額の支払について準用する。 art-54-2/par-7 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-7 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-7 The provisions of Article 42-2 shall apply mutatis mutandis to the payment of the amount calculated by deducting, from the amount of expenses calculated pursuant to the provisions of paragraph (4) in the case set forth in paragraph (5), the amount payable as medical expenses for home-nursing with respect to expenses incurred in the relevant designated home-nursing. Ministry of Justice translation — Japanese Law Translation Database System **第八項** 指定訪問看護事業者は、指定訪問看護に要した費用につき、その支払を受ける際、当該支払をした世帯主又は組合員に対し、厚生労働省令の定めるところにより、領収証を交付しなければならない。 art-54-2/par-8 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-8 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-8 Upon acceptance of the payment of expenses incurred in designated home-nursing, the designated home-nursing provider must, pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, issue a receipt therefor to the Householder or Society member who makes such payment. Ministry of Justice translation — Japanese Law Translation Database System **第九項** 市町村及び組合は、指定訪問看護事業者から訪問看護療養費の請求があつたときは、第四項に規定する額の算定方法及び次項に規定する準則に照らして審査した上、支払うものとする。 art-54-2/par-9 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-9 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-9 Upon receipt of a claim by a designated home-nursing provider for medical expenses for home-nursing, Municipalities and Societies shall make payment after conducting an examination according to the method for calculating the amount set forth in paragraph (4) and the rules set forth in the following paragraph. machine translation, not official **第十項** 指定訪問看護事業者が、国民健康保険の指定訪問看護を提供する場合の準則については、健康保険法第九十二条第二項に規定する指定訪問看護の事業の運営に関する基準（指定訪問看護の取扱いに関する部分に限る。）の例によるものとし、これ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-54-2/par-10 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-10 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-10 The rules for cases where a designated home-nursing provider provides designated home-nursing under a national health insurance program shall be governed by the standards for the operation of a designated home-nursing provider prescribed in Article 92, paragraph (2) of the Health Insurance Act (limited to the provisions concerning the handling of designated home-nursing) and, when it is difficult or is not found appropriate for said standards to govern such rules, said rules shall be prescribed by Ordinance of the Ministry of Health, Labour and Welfare. Ministry of Justice translation — Japanese Law Translation Database System **第十一項** 指定訪問看護は、第三十六条第一項各号に掲げる療養に含まれないものとする。 art-54-2/par-11 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-11 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-11 No designated home-nursing shall be included in any of the types of medical treatment listed in the items of paragraph (1) of Article 36. Ministry of Justice translation — Japanese Law Translation Database System **第十二項** 健康保険法第九十二条第三項及び本法第四十五条第五項から第八項までの規定は、指定訪問看護事業者について受けた指定訪問看護及びこれに伴う訪問看護療養費の支給について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。 art-54-2/par-12 · https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-12 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-12 The provisions of paragraph (3) of Article 92 of the Health Insurance Act and paragraphs (5) through (8) of Article 45 of this Act shall apply mutatis mutandis to designated home-nursing received at or from a designated home-nursing provider and the payment of medical expenses for home-nursing associated with such service. In this case, any technical replacement of terms necessary for these provisions shall be specified by Cabinet Order. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-54-2/par-1: 健康保険法第八十八条第一項 → 健康保険法 第八十八条第一項 (Article 88, paragraph (1)), art-88/par-1 — https://japanlaw.org/ja/health-insurance-act/art-88/par-1 · https://japanlaw.org/l/211AC0000000070/art-88/par-1 - art-54-2/par-1: 第五十四条の三第一項 → 国民健康保険法 第五十四条の三第一項 (Article 54-3, paragraph (1)), art-54-3/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-54-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-54-3/par-1 - art-54-2/par-1: 第二項 → 国民健康保険法 第五十四条の三第二項 (Article 54-3, paragraph (2)), art-54-3/par-2 — https://japanlaw.org/ja/national-health-insurance-act/art-54-3/par-2 · https://japanlaw.org/l/333AC0000000192/art-54-3/par-2 - art-54-2/par-2: 前項 → 国民健康保険法 第五十四条の二第一項 (Article 54-2, paragraph (1)), art-54-2/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-1 - art-54-2/par-4: 健康保険法第八十八条第四項 → 健康保険法 第八十八条第四項 (Article 88, paragraph (4)), art-88/par-4 — https://japanlaw.org/ja/health-insurance-act/art-88/par-4 · https://japanlaw.org/l/211AC0000000070/art-88/par-4 - art-54-2/par-4: 第四十二条第一項 → 国民健康保険法 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-42/par-1 · https://japanlaw.org/l/333AC0000000192/art-42/par-1 - art-54-2/par-4: 第四十三条第一項 → 国民健康保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-43/par-1 · https://japanlaw.org/l/333AC0000000192/art-43/par-1 - art-54-2/par-4: 第四十四条第一項 → 国民健康保険法 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-44/par-1 · https://japanlaw.org/l/333AC0000000192/art-44/par-1 - art-54-2/par-6: 前項 → 国民健康保険法 第五十四条の二第五項 (Article 54-2, paragraph (5)), art-54-2/par-5 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-5 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-5 - art-54-2/par-7: 第四十二条の二 → 国民健康保険法 第四十二条の二 (Article 42-2), art-42-2 — https://japanlaw.org/ja/national-health-insurance-act/art-42-2 · https://japanlaw.org/l/333AC0000000192/art-42-2 - art-54-2/par-7: 第五項 → 国民健康保険法 第五十四条の二第五項 (Article 54-2, paragraph (5)), art-54-2/par-5 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-5 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-5 - art-54-2/par-7: 第四項 → 国民健康保険法 第五十四条の二第四項 (Article 54-2, paragraph (4)), art-54-2/par-4 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-4 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-4 - art-54-2/par-9: 第四項 → 国民健康保険法 第五十四条の二第四項 (Article 54-2, paragraph (4)), art-54-2/par-4 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-4 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-4 - art-54-2/par-9: 次項 → 国民健康保険法 第五十四条の二第十項 (Article 54-2, paragraph (10)), art-54-2/par-10 — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-10 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-10 - art-54-2/par-10: 健康保険法第九十二条第二項 → 健康保険法 第九十二条第二項 (Article 92, paragraph (2)), art-92/par-2 — https://japanlaw.org/ja/health-insurance-act/art-92/par-2 · https://japanlaw.org/l/211AC0000000070/art-92/par-2 - art-54-2/par-11: 第三十六条第一項 → 国民健康保険法 第三十六条第一項 (Article 36, paragraph (1)), art-36/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/art-36/par-1 - art-54-2/par-12: 健康保険法第九十二条第三項 → 健康保険法 第九十二条第三項 (Article 92, paragraph (3)), art-92/par-3 — https://japanlaw.org/ja/health-insurance-act/art-92/par-3 · https://japanlaw.org/l/211AC0000000070/art-92/par-3 - art-54-2/par-12: 第四十五条第五項から第八項まで → 国民健康保険法 第四十五条第五項 (Article 45, paragraph (5)), art-45/par-5 — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-5 · https://japanlaw.org/l/333AC0000000192/art-45/par-5 - art-54-2/par-12: 第四十五条第五項から第八項まで → 国民健康保険法 第四十五条第六項 (Article 45, paragraph (6)), art-45/par-6 — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-6 · https://japanlaw.org/l/333AC0000000192/art-45/par-6 - art-54-2/par-12: 第四十五条第五項から第八項まで → 国民健康保険法 第四十五条第七項 (Article 45, paragraph (7)), art-45/par-7 — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-7 · https://japanlaw.org/l/333AC0000000192/art-45/par-7 - art-54-2/par-12: 第四十五条第五項から第八項まで → 国民健康保険法 第四十五条第八項 (Article 45, paragraph (8)), art-45/par-8 — https://japanlaw.org/ja/national-health-insurance-act/art-45/par-8 · https://japanlaw.org/l/333AC0000000192/art-45/par-8 ## Cited by 14 provisions cite this one. No official source publishes this direction. - 国民健康保険法 第九条第三項（届出等） — https://japanlaw.org/ja/national-health-insurance-act/art-9/par-3 · https://japanlaw.org/l/333AC0000000192/art-9/par-3 - 国民健康保険法 第三十六条第三項（療養の給付） — https://japanlaw.org/ja/national-health-insurance-act/art-36/par-3 · https://japanlaw.org/l/333AC0000000192/art-36/par-3 - 国民健康保険法 第五十四条の二第二項（訪問看護療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-2 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-2 - 国民健康保険法 第五十四条の二第六項（訪問看護療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-6 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-6 - 国民健康保険法 第五十四条の二第七項（訪問看護療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-7 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-7 - 国民健康保険法 第五十四条の二第九項（訪問看護療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-54-2/par-9 · https://japanlaw.org/l/333AC0000000192/art-54-2/par-9 - 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 - 国民健康保険法 第六十五条第三項（不正利得の徴収等） — https://japanlaw.org/ja/national-health-insurance-act/art-65/par-3 · https://japanlaw.org/l/333AC0000000192/art-65/par-3 - 国民健康保険法 第六十六条の二第一項（市町村による保険給付に係る事務の範囲） — https://japanlaw.org/ja/national-health-insurance-act/art-66-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-66-2/par-1 - 国民健康保険法 第七十五条の三第一項 — https://japanlaw.org/ja/national-health-insurance-act/art-75-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-75-3/par-1 - 国民健康保険法 第八十二条第十四項第一号 — https://japanlaw.org/ja/national-health-insurance-act/art-82/par-14/item-1 · https://japanlaw.org/l/333AC0000000192/art-82/par-14/item-1 - 国民健康保険法 第八十五条の三第一項（業務） — https://japanlaw.org/ja/national-health-insurance-act/art-85-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-85-3/par-1 - 国民健康保険法 第百十三条の三第一項（連合会又は機構への事務の委託） — https://japanlaw.org/ja/national-health-insurance-act/art-113-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-113-3/par-1 - 国民健康保険法 第百二十一条第二項 — https://japanlaw.org/ja/national-health-insurance-act/art-121/par-2 · https://japanlaw.org/l/333AC0000000192/art-121/par-2 --- ## 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-20261017T183826-003, 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