# 国民健康保険法 / National Health Insurance Act — 第四条 (Supplementary Provisions, Article 4) - 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: 第四条 (Supplementary Provisions, Article 4) — address `suppl-4101-109/art-4` - 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/art-4 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4101-109/art-4 - 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 --- ## Cites - 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 --- ## 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