# 国民健康保険法 / National Health Insurance Act — 第二十四条 (Supplementary Provisions, Article 24) - 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: 第二十四条 (Supplementary Provisions, Article 24) — address `suppl-4141-102/art-24` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24 - 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. --- ### 第二十四条 suppl-4141-102/art-24 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24 **第一項** 平成十四年度につき国民健康保険法第六十八条の二第一項の規定により指定を受けた市町村について新国保法第七十条第三項の規定を適用する場合においては、同項第二号ロに規定する額については、同号ロの規定にかかわらず、第一号から第三号までに掲げる額の合算額から第四号及び第五号に掲げる額の合算額を控除した額とする。 suppl-4141-102/art-24/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1 In the case of applying the provisions of Article 70, paragraph (3) of the Revised National Health Insurance Act to a Municipality that has been designated, for fiscal year 2002, pursuant to Article 68-2, paragraph (1) of the National Health Insurance Act, the amount prescribed in item (ii), (b) of that paragraph is, notwithstanding the provisions of (b) of that item, the amount obtained by deducting the total sum of the amounts set forth in items (iv) and (v) from the total sum of the amounts set forth in items (i) through (iii). machine translation, not official **一** 政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（老人保健法の規定による医療を受けることができる者に限る。）の数を乗じて得た額の合算額の十二分の七に相当する額に、当該市町村に係る附則第十五条第二項に規定する施行日前確定加入者調整率を乗じて得た額の十分の七に相当する額として算定した額 suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1 the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 7/10 of the amount obtained by multiplying the amount equivalent to 7/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons who can receive medical care under the provisions of the Act on Health and Medical Services for the Elderly) by the finalized enrollee adjustment rate before the effective date prescribed in Article 15, paragraph (2) of the Supplementary Provisions pertaining to that Municipality machine translation, not official **二** 政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第一号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る附則第十五条第五項に規定する施行日以後確定加入者調整率（以下単に「施行日以後確定加入者調整率」という。）を乗じて得た額の百分の六十六に相当する額として算定した額 suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2 the amount calculated, pursuant to Cabinet Order, as an amount equivalent to 66 percent of the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (i) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the finalized enrollee adjustment rate from the effective date prescribed in Article 15, paragraph (5) of the Supplementary Provisions pertaining to that Municipality (hereinafter simply referred to as the "finalized enrollee adjustment rate from the effective date") machine translation, not official **三** 政令で定めるところにより、年齢階層ごとに、当該年齢階層に係る新老健法第二十八条第一項第二号に掲げる場合に該当する者の平均一人当たり老人医療費額に当該市町村の当該年齢階層に属する被保険者（同号に掲げる場合に該当する者に限る。）の数を乗じて得た額の合算額の十二分の五に相当する額に、当該市町村に係る施行日以後確定加入者調整率を乗じて得た額として算定した額 suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3 the amount calculated, pursuant to Cabinet Order, as the amount obtained by multiplying the amount equivalent to 5/12 of the total sum of the amounts obtained, for each age bracket, by multiplying the average amount of medical expenses for the elderly per person for persons falling under the cases set forth in Article 28, paragraph (1), item (ii) of the Revised Elderly Health Act pertaining to that age bracket by the number of insured persons of that Municipality belonging to that age bracket (limited to persons falling under the cases set forth in that item) by the finalized enrollee adjustment rate from the effective date pertaining to that Municipality machine translation, not official **四** 第一号に掲げる額に当該市町村に係る施行日前退職被保険者等加入割合（平成十四年四月一日以後施行日前の期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額の二分の一に相当する額 suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4 the amount equivalent to 1/2 of the amount obtained by multiplying the amount set forth in item (i) by the retired insured persons' enrollment share before the effective date pertaining to that Municipality (meaning the enrolment ratio of retired insured persons, etc. in the period on or after April 1, 2002 and before the Effective Date; the same applies hereinafter) machine translation, not official **五** 第二号及び第三号に掲げる額の合算額に、当該市町村に係る施行日以後退職被保険者等加入割合（施行日以後平成十五年三月三十一日までの期間における退職被保険者等加入割合をいう。以下同じ。）を乗じて得た額 suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5 the amount obtained by multiplying the total sum of the amounts set forth in items (ii) and (iii) by the retired insured persons' enrollment share from the effective date pertaining to that Municipality (meaning the enrolment ratio of retired insured persons, etc. in the period from the Effective Date through March 31, 2003; the same applies hereinafter) machine translation, not official --- ## Cites - suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第一号 (Supplementary Provisions, Article 24, paragraph (1), item (i)), suppl-4141-102/art-24/par-1/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1 - suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第二号 (Supplementary Provisions, Article 24, paragraph (1), item (ii)), suppl-4141-102/art-24/par-1/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2 - suppl-4141-102/art-24/par-1: 第一号から第三号まで → 国民健康保険法 附則第二十四条第一項第三号 (Supplementary Provisions, Article 24, paragraph (1), item (iii)), suppl-4141-102/art-24/par-1/item-3 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3 - suppl-4141-102/art-24/par-1: 第四号 → 国民健康保険法 附則第二十四条第一項第四号 (Supplementary Provisions, Article 24, paragraph (1), item (iv)), suppl-4141-102/art-24/par-1/item-4 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4 - suppl-4141-102/art-24/par-1: 第五号 → 国民健康保険法 附則第二十四条第一項第五号 (Supplementary Provisions, Article 24, paragraph (1), item (v)), suppl-4141-102/art-24/par-1/item-5 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5 - suppl-4141-102/art-24/par-1/item-4: 第一号 → 国民健康保険法 附則第二十四条第一項第一号 (Supplementary Provisions, Article 24, paragraph (1), item (i)), suppl-4141-102/art-24/par-1/item-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-1 - suppl-4141-102/art-24/par-1/item-5: 第二号 → 国民健康保険法 附則第二十四条第一項第二号 (Supplementary Provisions, Article 24, paragraph (1), item (ii)), suppl-4141-102/art-24/par-1/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-2 - suppl-4141-102/art-24/par-1/item-5: 第三号 → 国民健康保険法 附則第二十四条第一項第三号 (Supplementary Provisions, Article 24, paragraph (1), item (iii)), suppl-4141-102/art-24/par-1/item-3 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-3 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-3 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 国民健康保険法 附則第二十四条第一項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1 - 国民健康保険法 附則第二十四条第一項第四号 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-4 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-4 - 国民健康保険法 附則第二十四条第一項第五号 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-24/par-1/item-5 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-24/par-1/item-5 - 国民健康保険法 附則第三十六条第一項（政令への委任） — https://japanlaw.org/ja/national-health-insurance-act/suppl-4141-102/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4141-102/art-36/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-20261017T183826-022, 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