# 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-4101-109` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4101-109 - 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 平成一〇年六月一七日法律第一〇九号 suppl-4101-109 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4101-109/art-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1 **第一項** この法律は、公布の日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。 suppl-4101-109/art-1/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1 This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items: machine translation, not official **一** 第一条中国民健康保険法第二十七条及び第六十五条第三項の改正規定並びに第二条、第四条及び第五条の規定並びに次条から附則第四条まで、第九条、第十三条から第二十四条まで及び第三十条の規定　公布の日から起算して三月を超えない範囲内において政令で定める日 suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1/item-1 the amending provisions of Article 27 and Article 65, paragraph (3) of the National Health Insurance Act in Article 1, the provisions of Articles 2, 4 and 5, and the provisions of the following Article through Article 4, Article 9, Articles 13 through 24 and Article 30 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three months from the date of promulgation. machine translation, not official **二** 第一条中国民健康保険法附則第六項及び第七項の改正規定並びに同法附則に四項を加える改正規定、第三条中国民健康保険法等の一部を改正する法律附則第九条を附則第十条とし、附則第八条の次に一条を加える改正規定並びに附則第六条から第八条まで、第二十七条及び第二十八条の規定　平成十年七月一日 suppl-4101-109/art-1/par-1/item-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1/item-2 the amending provisions of paragraphs (6) and (7) of the Supplementary Provisions of the National Health Insurance Act in Article 1, the amending provisions that add four paragraphs to the Supplementary Provisions of that Act, the amending provisions in Article 3 that make Article 9 of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. (Act No. 53 of 1995) Article 10 of the Supplementary Provisions and insert one Article after Article 8 of the Supplementary Provisions, and the provisions of Articles 6 through 8, 27 and 28 of the Supplementary Provisions: July 1, 1998 machine translation, not official ### 第三条（国民健康保険法の一部改正に伴う経過措置） — Transitional Measures Accompanying the Partial Amendment of the National Health Insurance Act caption: machine translation, not official suppl-4101-109/art-3 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-3 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-3 **第一項** 附則第一条第一号に掲げる規定の施行の際現に第一条の規定による改正前の国民健康保険法第二十七条第二項（同法第八十六条において準用する場合を含む。）の規定により同法第二十七条第一項第三号に掲げる事項の議決に係る認可を受けている国民健康保険組合若しくは国民健康保険団体連合会又はその申請を行っている国民健康保険組合若しくは国民健康保険団体連合会は、第一条の規定による改正後の国民健康保険法（以下「新国保法」という。）第二十七条第一項第三号に掲げる事項の議決に係る同条第四項（新国保法第八十六条において準用する場合を含む。）の規定による届出を行ったものとみなす。 suppl-4101-109/art-3/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-3/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-3/par-1 A National Health Insurance Society or Federation of National Health Insurance Associations that, at the time the provisions listed in Article 1, item (i) of the Supplementary Provisions come into effect, has actually obtained authorization under Article 27, paragraph (2) of the National Health Insurance Act before the amendment by the provisions of Article 1 (including as applied mutatis mutandis pursuant to Article 86 of that Act) for a resolution on the matters listed in paragraph (1), item (iii) of that Article, or has applied for it, is deemed to have made the notification under paragraph (4) of that Article of the National Health Insurance Act as amended by the provisions of Article 1 (hereinafter referred to as the "Revised National Health Insurance Act") (including as applied mutatis mutandis pursuant to Article 86 of the Revised National Health Insurance Act) for a resolution on the matters listed in Article 27, paragraph (1), item (iii) of the Revised National Health Insurance Act. machine translation, not official ### 第四条 suppl-4101-109/art-4 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-4 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-4 **第一項** 第四条の規定による改正前の健康保険法（以下「旧健保法」という。）第四十三条第三項第一号に規定する保険医療機関若しくは保険薬局、旧健保法第四十四条第一項第一号に規定する特定承認保険医療機関又は旧健保法第四十四条ノ四第一項に規定する指定訪問看護事業者（以下「旧健保法保険医療機関等」という。）が附則第一条第一号に掲げる規定の施行の日前にした偽りその他不正の行為により支払われた療養の給付又は入院時食事療養費、特定療養費若しくは訪問看護療養費の支給に関する費用の返還については、新国保法第六十五条第三項の規定にかかわらず、なお従前の例による。 suppl-4101-109/art-4/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-4/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-4/par-1 With regard to the return of expenses for benefits for medical treatment, or for the payment of Dietary Treatment expenses for inpatients, specified medical expenses or medical expenses for home-nursing, that were paid by a false or other wrongful act committed, before the date on which the provisions listed in Article 1, item (i) of the Supplementary Provisions come into effect, by a Health Insurance-Covered Medical Institution or health insurance-covered pharmacy prescribed in Article 43, paragraph (3), item (i) of the Health Insurance Act before the amendment by the provisions of Article 4 (hereinafter referred to as the "Former Health Insurance Act"), a specially approved Health Insurance-Covered Medical Institution prescribed in Article 44, paragraph (1), item (i) of the Former Health Insurance Act, or a designated home-nursing provider prescribed in Article 44-4, paragraph (1) of the Former Health Insurance Act (hereinafter referred to as a "health insurance-covered medical institution, etc. under the Former Health Insurance Act"), the provisions then in force continue to govern, notwithstanding Article 65, paragraph (3) of the Revised National Health Insurance Act. machine translation, not official ### 第五条 suppl-4101-109/art-5 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-5 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-5 **第一項** 新国保法第六十九条の規定は、平成十年度以後の年度の国庫負担金について適用し、平成九年度以前の年度の国庫負担金については、なお従前の例による。 suppl-4101-109/art-5/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-5/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-5/par-1 The provisions of Article 69 of the Revised National Health Insurance Act apply to the share of the national treasury for the fiscal year 1998 and subsequent fiscal years, and with regard to the share of the national treasury for the fiscal year 1997 and earlier fiscal years, the provisions then in force continue to govern. machine translation, not official ### 第六条 suppl-4101-109/art-6 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-6 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-6 **第一項** 新国保法附則第十三項の規定により読み替えて適用される新国保法第七十条第三項の規定は、平成十二年度以後の年度の国庫負担金について適用し、平成十一年度以前の年度の国庫負担金については、なお従前の例による。 suppl-4101-109/art-6/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-6/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-6/par-1 The provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act as applied with the terms replaced pursuant to paragraph (13) of the Supplementary Provisions of the Revised National Health Insurance Act apply to the share of the national treasury for the fiscal year 2000 and subsequent fiscal years, and with regard to the share of the national treasury for the fiscal year 1999 and earlier fiscal years, the provisions then in force continue to govern. machine translation, not official ### 第七条 suppl-4101-109/art-7 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-7 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-7 **第一項** 新国保法附則第十三項から第十六項までの規定に基づき算定される平成十年度における国庫負担金、被用者保険等拠出対象額、概算療養給付費拠出金及び確定療養給付費拠出金については、新国保法附則第十三項中「当該費用の額」とあるのは「特別調整前概算医療費拠出金相当額（国民健康保険法等の一部を改正する法律（平成七年法律第五十三号）附則第八条第一項第一号に規定する特別調整前概算医療費拠出金相当額をいう。以下同じ。）に十二分の九を乗じて得た額」と、新国保法附則第十四項中「老人保健医療費拠出金の納付に要する費用の額」とあるのは「特別調整前概算医療費拠出金相当額に十二分の九を乗じて得た額」と、新国保法附則第十五項及び第十六項中「の納付に要する費用の額」とあるのは「に係る特別調整前概算医療費拠出金相当額に十二分の九を乗じて得た額」とする。 suppl-4101-109/art-7/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-7/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-7/par-1 With regard to the share of the national treasury, the amount subject to contributions from employee insurance, etc., the estimated contribution for medical treatment benefit expenses and the finalized contribution for medical treatment benefit expenses for the fiscal year 1998 that are calculated pursuant to the provisions of paragraphs (13) through (16) of the Supplementary Provisions of the Revised National Health Insurance Act, the phrase "the amount of those expenses" in paragraph (13) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent (meaning the special pre-adjustment estimated medical expense contribution equivalent prescribed in Article 8, paragraph (1), item (i) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. (Act No. 53 of 1995); the same applies hereinafter) by 9/12", the phrase "the amount of expenses required for the payment of the medical expense contribution for health and medical services for the elderly" in paragraph (14) of the Supplementary Provisions of the Revised National Health Insurance Act with "the amount obtained by multiplying the special pre-adjustment estimated medical expense contribution equivalent by 9/12", and the phrase "the amount of expenses required for the payment of" in paragraphs (15) and (16) of the Supplementary Provisions of the Revised National Health Insurance Act with "the amount obtained by multiplying by 9/12 the special pre-adjustment estimated medical expense contribution equivalent pertaining thereto". machine translation, not official ### 第八条 suppl-4101-109/art-8 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-8 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-8 **第一項** 新国保法附則第十三項から第十六項までの規定に基づき算定される平成十一年度における国庫負担金、被用者保険等拠出対象額、概算療養給付費拠出金及び確定療養給付費拠出金については、新国保法附則第十三項中「当該費用の額」とあるのは「特別調整前概算医療費拠出金相当額（国民健康保険法等の一部を改正する法律（平成七年法律第五十三号）附則第八条第一項第一号に規定する特別調整前概算医療費拠出金相当額をいう。以下同じ。）」と、新国保法附則第十四項中「老人保健医療費拠出金の納付に要する費用の額」とあるのは「特別調整前概算医療費拠出金相当額」と、新国保法附則第十五項及び第十六項中「の納付に要する費用の額」とあるのは「に係る特別調整前概算医療費拠出金相当額」とする。 suppl-4101-109/art-8/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-8/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-8/par-1 With regard to the share of the national treasury, the amount subject to contributions from employee insurance, etc., the estimated contribution for medical treatment benefit expenses and the finalized contribution for medical treatment benefit expenses for the fiscal year 1999 that are calculated pursuant to the provisions of paragraphs (13) through (16) of the Supplementary Provisions of the Revised National Health Insurance Act, the phrase "the amount of those expenses" in paragraph (13) of the Supplementary Provisions of the Revised National Health Insurance Act is deemed to be replaced with "the special pre-adjustment estimated medical expense contribution equivalent (meaning the special pre-adjustment estimated medical expense contribution equivalent prescribed in Article 8, paragraph (1), item (i) of the Supplementary Provisions of the Act Partially Amending the National Health Insurance Act, etc. (Act No. 53 of 1995); the same applies hereinafter)", the phrase "the amount of expenses required for the payment of the medical expense contribution for health and medical services for the elderly" in paragraph (14) of the Supplementary Provisions of the Revised National Health Insurance Act with "the special pre-adjustment estimated medical expense contribution equivalent", and the phrase "the amount of expenses required for the payment of" in paragraphs (15) and (16) of the Supplementary Provisions of the Revised National Health Insurance Act with "the special pre-adjustment estimated medical expense contribution equivalent pertaining thereto". machine translation, not official --- ## Cites - suppl-4101-109/art-1/par-1/item-2: 附則第六条から第八条まで → 国民健康保険法 附則第六条 (Supplementary Provisions, Article 6), suppl-4101-109/art-6 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-6 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-6 - suppl-4101-109/art-1/par-1/item-2: 附則第六条から第八条まで → 国民健康保険法 附則第七条 (Supplementary Provisions, Article 7), suppl-4101-109/art-7 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-7 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-7 - suppl-4101-109/art-1/par-1/item-2: 附則第六条から第八条まで → 国民健康保険法 附則第八条 (Supplementary Provisions, Article 8), suppl-4101-109/art-8 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-8 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-8 - suppl-4101-109/art-3/par-1: 附則第一条第一号 → 国民健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1/item-1 - suppl-4101-109/art-4/par-1: 附則第一条第一号 → 国民健康保険法 附則第一条第一項第一号 (Supplementary Provisions, Article 1, paragraph (1), item (i)), suppl-4101-109/art-1/par-1/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1/item-1 ## Cited by 3 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第一条第一項第二号（施行期日） — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-1/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-1/par-1/item-2 - 国民健康保険法 附則第三条第一項（国民健康保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-3/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-3/par-1 - 国民健康保険法 附則第四条第一項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4101-109/art-4/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-4/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-20261017T183826-019, 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