# 国民健康保険法 / National Health Insurance Act — 附　則 (Supplementary Provisions) - 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: 附　則 (Supplementary Provisions) — address `suppl-3411-79` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-3411-79 - 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 昭和四一年六月六日法律第七九号 suppl-3411-79 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79 **第一項** この法律は、公布の日から施行する。ただし、第四十二条第一項及び第五十二条第一項の改正規定は、昭和四十三年一月一日から施行する。 suppl-3411-79/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-1 This Act comes into effect on the date of promulgation; provided, however, that the provisions amending Article 42, paragraph (1) and Article 52, paragraph (1) come into effect on January 1, 1968. machine translation, not official **第二項** 昭和四十三年一月一日前に行なわれた療養の給付に係る一部負担金の割合及び同日前に行なわれた療養に係る療養費の額については、なお従前の例による。 suppl-3411-79/par-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-2 With respect to the proportion of the co-payment relating to benefits for medical treatment provided before January 1, 1968 and the amount of medical expenses relating to medical treatment provided before that date, the provisions then in force continue to govern. machine translation, not official **第三項** この法律による改正後の第七十条の規定は、世帯主（世帯主が被保険者でない世帯については、当該世帯に属する被保険者でこの法律による改正前の第四十二条第一項ただし書の規定に基づく厚生省令で定めるものとする。以下同じ。）に係る療養の給付及び療養費の支給に要する費用については、昭和四十一年四月一日以後に行なわれる療養の給付及び同日以後に行なわれる療養に係る療養費の支給に要する費用について適用し、同日前に行なわれた療養の給付及び同日前に行なわれた療養に係る療養費の支給に要する費用についての国の負担については、なお従前の例による。 suppl-3411-79/par-3 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-3 The provisions of Article 70 as amended by this Act apply, with respect to expenses required for benefits for medical treatment and payment of medical expenses relating to a Householder (for a household whose Householder is not an insured person, the insured person belonging to that household who is specified by Ministry of Health and Welfare Order based on the provisions of the proviso to Article 42, paragraph (1) prior to amendment by this Act; the same applies hereinafter), to expenses required for benefits for medical treatment provided on or after April 1, 1966 and for payment of medical expenses relating to medical treatment provided on or after that date, and with respect to the national share of expenses required for benefits for medical treatment provided before that date and for payment of medical expenses relating to medical treatment provided before that date, the provisions then in force continue to govern. machine translation, not official **第四項** この法律による改正後の第七十条の規定は、世帯主以外の被保険者に係る療養の給付及び療養費の支給に要する費用については、次の各号に掲げる市町村ごとに、それぞれ当該各号に定める日（以下「基準日」という。）以後に行なわれる療養の給付及び基準日以後に行なわれる療養に係る療養費の支給に要する費用について適用し、それぞれ基準日前に行なわれた療養の給付及び基準日前に行なわれた療養に係る療養費の支給に要する費用についての国の負担については、なお従前の例による。 suppl-3411-79/par-4 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4 The provisions of Article 70 as amended by this Act apply, with respect to expenses required for benefits for medical treatment and payment of medical expenses relating to insured persons other than the Householder, for each Municipality listed in the following items, to expenses required for benefits for medical treatment provided on or after the date specified in the relevant item (hereinafter referred to as the "base date") and for payment of medical expenses relating to medical treatment provided on or after the base date, and with respect to the national share of expenses required for benefits for medical treatment provided before the respective base dates and for payment of medical expenses relating to medical treatment provided before the respective base dates, the provisions then in force continue to govern. machine translation, not official **一** 昭和四十一年四月一日において世帯主以外の被保険者の療養の給付に係る一部負担金の割合を十分の三以下としている市町村で当該一部負担金の割合を十分の三以下としたことにより昭和四十年度において国民健康保険法第七十四条の規定による補助を受けたもの　昭和四十一年四月一日 suppl-3411-79/par-4/item-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-1 a Municipality that, as of April 1, 1966, has set the proportion of the co-payment relating to benefits for medical treatment of insured persons other than the Householder at three-tenths or less, and that, by having set the proportion of the co-payment at three-tenths or less, received a subsidy under the provisions of Article 74 of the National Health Insurance Act in fiscal year 1965: April 1, 1966; machine translation, not official **二** 昭和四十二年一月一日において世帯主以外の被保険者の療養の給付に係る一部負担金の割合を十分の三以下としている市町村で厚生大臣の承認を受けたもの　昭和四十二年一月一日 suppl-3411-79/par-4/item-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-2 a Municipality that, as of January 1, 1967, has set the proportion of the co-payment relating to benefits for medical treatment of insured persons other than the Householder at three-tenths or less, and that has received the approval of the Minister of Health and Welfare: January 1, 1967; machine translation, not official **三** 前各号に掲げる市町村以外の市町村　昭和四十三年一月一日 suppl-3411-79/par-4/item-3 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-3 a Municipality other than the municipalities listed in the preceding items: January 1, 1968. machine translation, not official **第五項** 厚生大臣は、あらかじめ、前項第二号に掲げる市町村の世帯主以外の被保険者の数の合計数と同項第三号に掲げる市町村の世帯主以外の被保険者の数の合計数とがおおむね同数となるように計画を定め、これに基づいて同項第二号の承認を行なうものとする。 suppl-3411-79/par-5 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-5 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-5 The Minister of Health and Welfare is to draw up a plan in advance so that the total number of insured persons other than Householders in the municipalities listed in item (ii) of the preceding paragraph and the total number of insured persons other than Householders in the municipalities listed in item (iii) of that paragraph are approximately the same, and to grant the approval under item (ii) of that paragraph on the basis of that plan. machine translation, not official **第六項** 前項の計画を定めるに当たつては、市町村における医療の水準、被保険者の所得の状況等を勘案し、世帯主以外の被保険者の療養の給付に係る一部負担金の割合を十分の三以下とする必要度が高いと認められる市町村が優先されるように配慮するものとする。 suppl-3411-79/par-6 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-6 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-6 In drawing up the plan under the preceding paragraph, consideration is to be given, taking into account the level of medical care in municipalities, the income situation of insured persons and other such matters, so that priority is given to municipalities recognized as having a high need to set the proportion of the co-payment relating to benefits for medical treatment of insured persons other than the Householder at three-tenths or less. machine translation, not official **第七項** 第四項第一号及び第二号に掲げる市町村は、それぞれ基準日以後においては、世帯主以外の被保険者の療養の給付に係る一部負担金の割合を十分の三をこえるものとすることができない。 suppl-3411-79/par-7 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-7 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-7 The municipalities listed in items (i) and (ii) of paragraph (4) may not, on or after their respective base dates, set the proportion of the co-payment relating to benefits for medical treatment of insured persons other than the Householder at a proportion exceeding three-tenths. machine translation, not official **第八項** この法律による改正後の第七十二条第二項の規定は、昭和四十一年度分の調整交付金から適用する。 suppl-3411-79/par-8 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-8 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-8 The provisions of Article 72, paragraph (2) as amended by this Act apply from the adjusting subsidy for fiscal year 1966. machine translation, not official **第九項** 地方自治法第二百三十一条の三第三項の規定は、この法律の公布の日前に納期限が到来した国民健康保険法の規定に基づく保険料その他の徴収金で同日までに納付されていないもの（同条第二項の規定による当該保険料その他の徴収金に係る手数料及び延滞金を含む。）についても、適用する。 suppl-3411-79/par-9 · https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-9 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-9 The provisions of Article 231-3, paragraph (3) of the Local Autonomy Act also apply to insurance premiums and other money collected under the provisions of the National Health Insurance Act whose due date for payment arrived before the date of promulgation of this Act and which have not been paid by that date (including fees and delinquent charges under the provisions of paragraph (2) of that Article relating to those insurance premiums and other money collected). machine translation, not official --- ## Cites - suppl-3411-79/par-4/item-3: 前各号 → 国民健康保険法 附則第四項第一号 (Supplementary Provisions, paragraph (4), item (i)), suppl-3411-79/par-4/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-1 - suppl-3411-79/par-4/item-3: 前各号 → 国民健康保険法 附則第四項第二号 (Supplementary Provisions, paragraph (4), item (ii)), suppl-3411-79/par-4/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-2 - suppl-3411-79/par-5: 前項第二号 → 国民健康保険法 附則第四項第二号 (Supplementary Provisions, paragraph (4), item (ii)), suppl-3411-79/par-4/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-2 - suppl-3411-79/par-5: 同項第三号 → 国民健康保険法 附則第四項第三号 (Supplementary Provisions, paragraph (4), item (iii)), suppl-3411-79/par-4/item-3 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-3 - suppl-3411-79/par-6: 前項 → 国民健康保険法 附則第五項 (Supplementary Provisions, paragraph (5)), suppl-3411-79/par-5 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-5 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-5 - suppl-3411-79/par-7: 第四項第一号 → 国民健康保険法 附則第四項第一号 (Supplementary Provisions, paragraph (4), item (i)), suppl-3411-79/par-4/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-1 - suppl-3411-79/par-7: 第二号 → 国民健康保険法 附則第四項第二号 (Supplementary Provisions, paragraph (4), item (ii)), suppl-3411-79/par-4/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-2 - suppl-3411-79/par-9: 地方自治法第二百三十一条の三第三項 → e-Gov law 322AC0000000067, 第二百三十一条の三第三項 (Article 231-3, paragraph (3)), art-231-3/par-3 — not held in this collection - suppl-3411-79/par-9: 同条第二項 → e-Gov law 322AC0000000067, 第二百三十一条の三第二項 (Article 231-3, paragraph (2)), art-231-3/par-2 — not held in this collection ## Cited by 4 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第四項第三号 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-4/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-4/item-3 - 国民健康保険法 附則第五項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-5 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-5 - 国民健康保険法 附則第六項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-6 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-6 - 国民健康保険法 附則第七項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-3411-79/par-7 · https://japanlaw.org/l/333AC0000000192/suppl-3411-79/par-7 --- ## 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-20261017T183826-013, 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