# 国民健康保険法 / National Health Insurance Act — 第五十五条 (Article 55) - 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: 第五十五条 (Article 55)（被保険者が日雇労働者又はその被扶養者となつた場合） — address `art-55` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/art-55 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-55 - 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. --- ### 第五十五条（被保険者が日雇労働者又はその被扶養者となつた場合） — (Cases Where an Insured Person Has Become a Day Worker or a Dependent Thereof) caption: Ministry of Justice translation — Japanese Law Translation Database System art-55 · https://japanlaw.org/ja/national-health-insurance-act/art-55 · https://japanlaw.org/l/333AC0000000192/art-55 **第一項** 被保険者が第六条第七号に該当するに至つたためその資格を喪失した場合において、その資格を喪失した際現に療養の給付、入院時食事療養費に係る療養、入院時生活療養費に係る療養、保険外併用療養費に係る療養、訪問看護療養費に係る療養若しくは特別療養費に係る療養又は介護保険法（平成九年法律第百二十三号）の規定による居宅介護サービス費に係る指定居宅サービス（同法第四十一条第一項に規定する指定居宅サービスをいう。）（療養に相当するものに限る。）、特例居宅介護サービス費に係る居宅サービス（同法第八条第一項に規定する居宅サービスをいう。）若しくはこれに相当するサービス（これらのサービスのうち療養に相当するものに限る。）、地域密着型介護サービス費に係る指定地域密着型サービス（同法第四十二条の二第一項に規定する指定地域密着型サービスをいう。）（療養に相当するものに限る。）、特例地域密着型介護サービス費に係る地域密着型サービス（同法第八条第十四項に規定する地域密着型サービスをいう。）若しくはこれに相当するサービス（これらのサービスのうち療養に相当するものに限る。）、施設介護サービス費に係る指定施設サービス等（同法第四十八条第一項に規定する指定施設サービス等をいう。）（療養に相当するものに限る。）、特例施設介護サービス費に係る施設サービス（同法第八条第二十六項に規定する施設サービスをいう。）（療養に相当するものに限る。）、介護予防サービス費に係る指定介護予防サービス（同法第五十三条第一項に規定する指定介護予防サービスをいう。）（療養に相当するものに限る。）若しくは特例介護予防サービス費に係る介護予防サービス（同法第八条の二第一項に規定する介護予防サービスをいう。）若しくはこれに相当するサービス（これらのサービスのうち療養に相当するものに限る。）を受けていたときは、その者は、当該疾病又は負傷及びこれによつて発した疾病について当該市町村又は組合から療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給、特別療養費の支給又は移送費の支給を受けることができる。 art-55/par-1 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-1 · https://japanlaw.org/l/333AC0000000192/art-55/par-1 In cases where an insured person has lost eligibility as such as a result of falling under Article 6, item (vii) and where, at the time of loss of such eligibility, said person actually receives benefits for medical treatment, any medical treatment covered by expenses for Dietary Treatment for inpatients, any medical treatment covered by expenses for Living Support for inpatients, any medical treatment covered by medical expenses combined with treatment outside insurance coverage, any medical treatment covered by medical expenses for home-nursing or any medical treatment covered by special medical expenses, or any Designated In-Home Service covered by expenses for In-Home Long-Term Care Service pursuant to the provisions of the Long-Term Care Insurance Act (Act No. 123 of 1997) (meaning the Designated In-Home Service as set forth in Article 41, paragraph (1) of the same Act) (limited to any such service equivalent to medical treatment), any In-Home Service covered by an Exceptional Allowance for In-Home Long-Term Care Service (meaning the In-Home Service as set forth in Article 8, paragraph (1) of the same Act) or any service equivalent thereto (of these services, limited to those equivalent to medical treatment), any Designated Community-Based Service covered by expenses for Community-Based Long-Term Care Service (meaning the Designated Community-Based Service as set forth in Article 42-2, paragraph (1) of the same Act) (limited to any such service equivalent to medical treatment), any Community-Based Service covered by an Exceptional Allowance for Community-Based Long-Term Care Service (meaning the Community-Based Service as set forth in Article 8, paragraph (14) of the same Act) or any service equivalent thereto (of these services, limited to those equivalent to medical treatment), any Designated Facility Service, etc. covered by expenses for Long-Term Care Facility Service (meaning the Designated Facility Service, etc. as set forth in Article 48, paragraph (1) of the same Act) (limited to any such service equivalent to medical treatment), any Facility Service covered by an Exceptional Allowance for Long-Term Care Facility Service (meaning the Facility Service as set forth in Article 8, paragraph (26) of the same Act) (limited to any such service equivalent to medical treatment), any Designated Preventive Service of Long-Term Care covered by expenses for Preventive Service of Long-Term Care (meaning the Designated Preventive Service of Long-Term Care as set forth in Article 53, paragraph (1) of the same Act) (limited to any such service equivalent to medical treatment), or any Preventive Long-Term Care Service covered by an Exceptional Allowance for Preventive Service of Long-Term Care (meaning the Preventive Long-Term Care Service as set forth in Article 8-2, paragraph (1) of the same Act) or any service equivalent thereto (of these services, limited to those equivalent to medical treatment), then such person may receive from that Municipality or Society benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing, special medical expenses or transportation expenses with respect to the relevant illness or injury and any illness arising therefrom. machine translation, not official **第二項** 前項の規定による療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給、特別療養費の支給又は移送費の支給は、次の各号のいずれかに該当するに至つたときは、行わない。 art-55/par-2 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2 · https://japanlaw.org/l/333AC0000000192/art-55/par-2 Payment of benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing, special medical expenses or transportation expenses under the provisions of the preceding paragraph shall not be made when any of the events listed in the following items has occurred: Ministry of Justice translation — Japanese Law Translation Database System **一** 当該疾病又は負傷につき、健康保険法第五章の規定による療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給、移送費の支給、家族療養費の支給、家族訪問看護療養費の支給又は家族移送費の支給を受けることができるに至つたとき。 art-55/par-2/item-1 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/art-55/par-2/item-1 when the relevant person has become eligible for payment of benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing, transport expenses, dependent medical expenses, dependent medical expenses for home-nursing or dependent transport expenses pursuant to the provisions of Chapter V of the Health Insurance Act with respect to the relevant illness or injury; Ministry of Justice translation — Japanese Law Translation Database System **二** その者が、第六条第一号から第六号まで、第八号、第九号又は第十一号のいずれかに該当するに至つたとき。 art-55/par-2/item-2 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/art-55/par-2/item-2 when the relevant person has fallen under any of items (i) through (vi) or items (viii), (ix) or (xi) of Article 6; Ministry of Justice translation — Japanese Law Translation Database System **三** その者が、当該疾病又は負傷につき、他の市町村又は組合から療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給、特別療養費の支給又は移送費の支給を受けることができるに至つたとき。 art-55/par-2/item-3 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2/item-3 · https://japanlaw.org/l/333AC0000000192/art-55/par-2/item-3 when that person has come to be able to receive, with respect to that illness or injury, benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing, special medical expenses or transportation expenses from another Municipality or Society; machine translation, not official **四** 被保険者の資格を喪失した日から起算して六箇月を経過したとき。 art-55/par-2/item-4 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2/item-4 · https://japanlaw.org/l/333AC0000000192/art-55/par-2/item-4 when six months have elapsed since the day on which the relevant person lost eligibility as an insured person. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 第一項の規定による療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給、特別療養費の支給又は移送費の支給は、当該疾病又は負傷につき、健康保険法第五章の規定による特別療養費の支給又は移送費の支給若しくは家族移送費の支給を受けることができる間は、行わない。 art-55/par-3 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-3 · https://japanlaw.org/l/333AC0000000192/art-55/par-3 Payment of benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing, special medical expenses or transportation expenses under the provisions of paragraph (1) shall not be made during any period in which the relevant person is eligible for payment of a special medical expenses or transport expenses or dependent transport expenses pursuant to the provisions of Chapter V of the Health Insurance Act with respect to the relevant illness or injury. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 第一項の規定による療養の給付、入院時食事療養費の支給、入院時生活療養費の支給、保険外併用療養費の支給、訪問看護療養費の支給又は特別療養費の支給は、当該疾病又は負傷につき、介護保険法の規定によりそれぞれの給付に相当する給付を受けることができる場合には、行わない。 art-55/par-4 · https://japanlaw.org/ja/national-health-insurance-act/art-55/par-4 · https://japanlaw.org/l/333AC0000000192/art-55/par-4 Payment of benefits for medical treatment, expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses for home-nursing or a special medical expenses under the provisions of paragraph (1) shall not be made in cases where the relevant person is eligible for any benefit corresponding to each of the above benefits pursuant to the provisions of the Long-Term Care Insurance Act with respect to the relevant illness or injury. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-55/par-1: 第六条第七号 → 国民健康保険法 第六条第一項第七号 (Article 6, paragraph (1), item (vii)), art-6/par-1/item-7 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-7 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-7 - art-55/par-1: 同法第四十一条第一項 → 介護保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-1 - art-55/par-1: 同法第八条第一項 → 介護保険法 第八条第一項 (Article 8, paragraph (1)), art-8/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8/par-1 · https://japanlaw.org/l/409AC0000000123/art-8/par-1 - art-55/par-1: 同法第四十二条の二第一項 → 介護保険法 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-1 - art-55/par-1: 同法第八条第十四項 → 介護保険法 第八条第十四項 (Article 8, paragraph (14)), art-8/par-14 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8/par-14 · https://japanlaw.org/l/409AC0000000123/art-8/par-14 - art-55/par-1: 同法第四十八条第一項 → 介護保険法 第四十八条第一項 (Article 48, paragraph (1)), art-48/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-48/par-1 · https://japanlaw.org/l/409AC0000000123/art-48/par-1 - art-55/par-1: 同法第八条第二十六項 → 介護保険法 第八条第二十六項 (Article 8, paragraph (26)), art-8/par-26 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8/par-26 · https://japanlaw.org/l/409AC0000000123/art-8/par-26 - art-55/par-1: 同法第五十三条第一項 → 介護保険法 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-53/par-1 · https://japanlaw.org/l/409AC0000000123/art-53/par-1 - art-55/par-1: 同法第八条の二第一項 → 介護保険法 第八条の二第一項 (Article 8-2, paragraph (1)), art-8-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-8-2/par-1 - art-55/par-2: 前項 → 国民健康保険法 第五十五条第一項 (Article 55, paragraph (1)), art-55/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-1 · https://japanlaw.org/l/333AC0000000192/art-55/par-1 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第一号 (Article 6, paragraph (1), item (i)), art-6/par-1/item-1 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-1 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第二号 (Article 6, paragraph (1), item (ii)), art-6/par-1/item-2 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-2 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第三号 (Article 6, paragraph (1), item (iii)), art-6/par-1/item-3 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-3 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第四号 (Article 6, paragraph (1), item (iv)), art-6/par-1/item-4 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-4 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第五号 (Article 6, paragraph (1), item (v)), art-6/par-1/item-5 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-5 - art-55/par-2/item-2: 第六条第一号から第六号まで → 国民健康保険法 第六条第一項第六号 (Article 6, paragraph (1), item (vi)), art-6/par-1/item-6 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-6 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-6 - art-55/par-2/item-2: 第八号 → 国民健康保険法 第六条第一項第八号 (Article 6, paragraph (1), item (viii)), art-6/par-1/item-8 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-8 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-8 - art-55/par-2/item-2: 第九号 → 国民健康保険法 第六条第一項第九号 (Article 6, paragraph (1), item (ix)), art-6/par-1/item-9 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-9 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-9 - art-55/par-2/item-2: 第十一号 → 国民健康保険法 第六条第一項第十一号 (Article 6, paragraph (1), item (xi)), art-6/par-1/item-11 — https://japanlaw.org/ja/national-health-insurance-act/art-6/par-1/item-11 · https://japanlaw.org/l/333AC0000000192/art-6/par-1/item-11 - art-55/par-3: 第一項 → 国民健康保険法 第五十五条第一項 (Article 55, paragraph (1)), art-55/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-1 · https://japanlaw.org/l/333AC0000000192/art-55/par-1 - art-55/par-4: 第一項 → 国民健康保険法 第五十五条第一項 (Article 55, paragraph (1)), art-55/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-1 · https://japanlaw.org/l/333AC0000000192/art-55/par-1 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 国民健康保険法 第五十五条第二項（被保険者が日雇労働者又はその被扶養者となつた場合） — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-2 · https://japanlaw.org/l/333AC0000000192/art-55/par-2 - 国民健康保険法 第五十五条第三項（被保険者が日雇労働者又はその被扶養者となつた場合） — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-3 · https://japanlaw.org/l/333AC0000000192/art-55/par-3 - 国民健康保険法 第五十五条第四項（被保険者が日雇労働者又はその被扶養者となつた場合） — https://japanlaw.org/ja/national-health-insurance-act/art-55/par-4 · https://japanlaw.org/l/333AC0000000192/art-55/par-4 - 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 --- ## 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