# 国民健康保険法 / National Health Insurance Act — 第五十六条 (Article 56) - 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: 第五十六条 (Article 56)（他の法令による医療に関する給付との調整） — address `art-56` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/art-56 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/art-56 - 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. --- ### 第五十六条（他の法令による医療に関する給付との調整） — (Coordination with Benefits Relating to Medical Services Provided by Other Laws and Regulations) caption: Ministry of Justice translation — Japanese Law Translation Database System art-56 · https://japanlaw.org/ja/national-health-insurance-act/art-56 · https://japanlaw.org/l/333AC0000000192/art-56 **第一項** 療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、訪問看護療養費、特別療養費若しくは移送費の支給は、被保険者の当該疾病又は負傷につき、健康保険法、船員保険法、国家公務員共済組合法（他の法律において準用し、又は例による場合を含む。）、地方公務員等共済組合法若しくは高齢者の医療の確保に関する法律の規定によつて、医療に関する給付を受けることができる場合又は介護保険法の規定によつて、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。労働基準法（昭和二十二年法律第四十九号）の規定による療養補償、労働者災害補償保険法（昭和二十二年法律第五十号）の規定による療養補償給付、複数事業労働者療養給付若しくは療養給付、国家公務員災害補償法（昭和二十六年法律第百九十一号。他の法律において準用する場合を含む。）の規定による療養補償、地方公務員災害補償法（昭和四十二年法律第百二十一号）若しくは同法に基づく条例の規定による療養補償その他政令で定める法令による医療に関する給付を受けることができるとき、又はこれらの法令以外の法令により国若しくは地方公共団体の負担において医療に関する給付が行われたときも、同様とする。 art-56/par-1 · https://japanlaw.org/ja/national-health-insurance-act/art-56/par-1 · https://japanlaw.org/l/333AC0000000192/art-56/par-1 Payment of benefits for medical treatment or 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 shall not be made in cases where the insured person is eligible for any benefit relating to medical services pursuant to the provisions of the Health Insurance Act, the Mariners Insurance Act, the National Public Officers Mutual Aid Association Act (including cases where applied mutatis mutandis pursuant to other Acts or where the same rule governs), the Local Public Officers, etc. Mutual Aid Association Act or the Act on Assurance of Medical Care for Elderly People or where said person is eligible for any benefit corresponding to each of the above benefits pursuant to the provisions of the Long-Term Care Insurance Act, in each case with respect to said person's relevant illness or injury. The same shall apply when such person is eligible for any medical compensation pursuant to the provisions of the Labor Standards Act (Act No. 49 of 1947), any medical compensation benefits, medical treatment benefits for multiple-job workers or medical treatment benefits under the provisions of the Industrial Accident Compensation Insurance Act (Act No. 50 of 1947), any medical compensation under the provisions of the National Public Officers' Accident Compensation Act (Act No. 191 of 1951; including cases where applied mutatis mutandis pursuant to any other Act), any medical compensation under the provisions of the Local Public Officers Accident Compensation Act (Act No. 121 of 1967) or a Prefectural or Municipal Ordinance under the same Act or any other benefit relating to medical services under any law or regulation as prescribed by Cabinet Order, or when any benefit relating to medical care is provided at the expense of the national government or a local government pursuant to any law or regulation other than these laws and regulations. machine translation, not official **第二項** 市町村及び組合は、前項に規定する法令による給付が医療に関する現物給付である場合において、その給付に関し一部負担金の支払若しくは実費徴収が行われ、かつ、その一部負担金若しくは実費徴収の額が、その給付がこの法律による療養の給付として行われたものとした場合におけるこの法律による一部負担金の額（第四十三条第一項の規定により第四十二条第一項の一部負担金の割合が減ぜられているときは、その減ぜられた割合による一部負担金の額）を超えるとき、又は前項に規定する法令（介護保険法を除く。）による給付が医療費の支給である場合において、その支給額が、当該療養につきこの法律による入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費又は移送費の支給をすべきものとした場合における入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費又は移送費の額に満たないときは、それぞれその差額を当該被保険者に支給しなければならない。 art-56/par-2 · https://japanlaw.org/ja/national-health-insurance-act/art-56/par-2 · https://japanlaw.org/l/333AC0000000192/art-56/par-2 In cases where benefits under any law or regulation set forth in the preceding paragraph are benefits in kind relating to medical services and when any co-payment is made or actual costs are collected in relation to such benefits and when the amount of such co-payment or actual costs collected exceeds the amount of co-payment which would have been required under this Act had such benefits been provided as benefits for medical treatment pursuant to this Act (or, when the ratio of co-payment set forth in Article 42, paragraph (1) has been reduced pursuant to the provisions of Article 43, paragraph (1), the amount of co-payment calculated in accordance with the ratio after such reduction), or in cases where benefits under any law or regulation set forth in the preceding paragraph (excluding the Long-Term Care Insurance Act) are payments of medical expenses and when the amount of such payment is less than the amount of expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses or transportation expenses which would have been payable had expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses or transportation expenses been required pursuant to this Act with respect to the relevant medical treatment, then Municipalities and Societies shall pay to the insured person the difference between the relevant amounts in each case. machine translation, not official **第三項** 前項の場合において、被保険者が保険医療機関等について当該療養を受けたときは、市町村及び組合は、同項の規定により被保険者に支給すべき額の限度において、当該被保険者が保険医療機関等に支払うべき当該療養に要した費用を、当該被保険者に代わつて保険医療機関等に支払うことができる。ただし、当該市町村又は組合が第四十三条第一項の規定により一部負担金の割合を減じているときは、被保険者が同条第二項に規定する保険医療機関等について当該療養を受けた場合に限る。 art-56/par-3 · https://japanlaw.org/ja/national-health-insurance-act/art-56/par-3 · https://japanlaw.org/l/333AC0000000192/art-56/par-3 In the case referred to in the preceding paragraph, when the insured person has received the relevant medical treatment at or from a health insurance-covered medical institution, etc., Municipalities and Societies may, on behalf of such insured person, pay to such health insurance-covered medical institution, etc. expenses incurred in such medical treatment payable by said insured person to said health insurance-covered medical institution, etc. within the limits of the amount payable to said insured person pursuant to the provisions of the same paragraph; provided, however, that when the Municipality or Society concerned has reduced the ratio of co-payment pursuant to the provisions of Article 43, paragraph (1), the foregoing shall apply only where such insured person has received such medical treatment at or from one of the health insurance-covered medical institutions, etc. set forth in paragraph (2) of the same Article. machine translation, not official **第四項** 前項の規定により保険医療機関等に対して費用が支払われたときは、その限度において、被保険者に対し第二項の規定による支給が行われたものとみなす。 art-56/par-4 · https://japanlaw.org/ja/national-health-insurance-act/art-56/par-4 · https://japanlaw.org/l/333AC0000000192/art-56/par-4 When a payment of expenses is made to the relevant Health Insurance-Covered Medical Institution, etc. pursuant to the provisions of the preceding paragraph, the insured person shall, to the extent of such payment, be deemed to have received a payment pursuant to the provisions of paragraph (2). Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-56/par-2: 前項 → 国民健康保険法 第五十六条第一項 (Article 56, paragraph (1)), art-56/par-1 — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-1 · https://japanlaw.org/l/333AC0000000192/art-56/par-1 - art-56/par-2: 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-56/par-2: 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-56/par-3: 前項 → 国民健康保険法 第五十六条第二項 (Article 56, paragraph (2)), art-56/par-2 — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-2 · https://japanlaw.org/l/333AC0000000192/art-56/par-2 - art-56/par-3: 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-56/par-3: 同条第二項 → 国民健康保険法 第四十三条第二項 (Article 43, paragraph (2)), art-43/par-2 — https://japanlaw.org/ja/national-health-insurance-act/art-43/par-2 · https://japanlaw.org/l/333AC0000000192/art-43/par-2 - art-56/par-4: 前項 → 国民健康保険法 第五十六条第三項 (Article 56, paragraph (3)), art-56/par-3 — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-3 · https://japanlaw.org/l/333AC0000000192/art-56/par-3 - art-56/par-4: 第二項 → 国民健康保険法 第五十六条第二項 (Article 56, paragraph (2)), art-56/par-2 — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-2 · https://japanlaw.org/l/333AC0000000192/art-56/par-2 ## Cited by 8 provisions cite this one. No official source publishes this direction. - 国民健康保険法 第五十六条第二項（他の法令による医療に関する給付との調整） — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-2 · https://japanlaw.org/l/333AC0000000192/art-56/par-2 - 国民健康保険法 第五十六条第三項（他の法令による医療に関する給付との調整） — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-3 · https://japanlaw.org/l/333AC0000000192/art-56/par-3 - 国民健康保険法 第五十六条第四項（他の法令による医療に関する給付との調整） — https://japanlaw.org/ja/national-health-insurance-act/art-56/par-4 · https://japanlaw.org/l/333AC0000000192/art-56/par-4 - 国民健康保険法 第五十七条第一項（世帯主又は組合員でない被保険者に係る一部負担金等） — https://japanlaw.org/ja/national-health-insurance-act/art-57/par-1 · https://japanlaw.org/l/333AC0000000192/art-57/par-1 - 国民健康保険法 第五十七条の二第一項（高額療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-57-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-57-2/par-1 - 国民健康保険法 第五十七条の三第一項（高額介護合算療養費） — https://japanlaw.org/ja/national-health-insurance-act/art-57-3/par-1 · https://japanlaw.org/l/333AC0000000192/art-57-3/par-1 - 国民健康保険法 第六十三条の二第一項 — https://japanlaw.org/ja/national-health-insurance-act/art-63-2/par-1 · https://japanlaw.org/l/333AC0000000192/art-63-2/par-1 - 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