# 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-4171-77` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/333AC0000000192/suppl-4171-77 - 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 平成一七年六月二九日法律第七七号 suppl-4171-77 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77 ### 第一条（施行期日） — Effective Date caption: machine translation, not official suppl-4171-77/art-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-1 **第一項** この法律は、平成十八年四月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。 suppl-4171-77/art-1/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-1/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-1/par-1 This Act comes into effect on April 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively: machine translation, not official **一** 第一条、第五条、第八条、第十一条、第十三条及び第十五条並びに附則第四条、第十五条、第二十二条、第二十三条第二項、第三十二条、第三十九条及び第五十六条の規定　公布の日 suppl-4171-77/art-1/par-1/item-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-1/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-1/par-1/item-1 The provisions of Article 1, Article 5, Article 8, Article 11, Article 13 and Article 15, and of Article 4, Article 15, Article 22, Article 23, paragraph (2), Article 32, Article 39 and Article 56 of the Supplementary Provisions: the date of promulgation; machine translation, not official ### 第三十六条（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-4171-77/art-36 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-36 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-36 **第一項** 前条の規定による改正後の国民健康保険法（次条において「新国保法」という。）第百十六条の二第一項第六号の規定（入居に係る部分に限る。）は、同号に掲げる介護専用型特定施設に入居をすることにより、施行日以後に当該介護専用型特定施設の所在する場所に住所を変更したと認められる国民健康保険の被保険者であって、当該介護専用型特定施設に入居をした際、当該介護専用型特定施設が所在する市町村以外の市町村の区域内に住所を有していたと認められるものについて、適用する。 suppl-4171-77/art-36/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-36/par-1 The provisions of Article 116-2, paragraph (1), item (vi) of the National Health Insurance Act as amended by the provisions of the preceding Article (referred to as the "Revised National Health Insurance Act" in the following Article) (limited to the part concerning move-in) apply to an insured person under the national health insurance program who is found to have changed their domicile, on or after the date of enforcement, to the location of the specified facility dedicated to long-term care set forth in that item, by moving into that specified facility dedicated to long-term care, and who, at the time of moving into that specified facility dedicated to long-term care, is found to have been domiciled within the area of a Municipality other than the Municipality in which that specified facility dedicated to long-term care is located. machine translation, not official ### 第三十七条 suppl-4171-77/art-37 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37 **第一項** この法律の施行前に旧介護保険法第七条第二十一項に規定する介護老人福祉施設（入所定員が二十九人以下であるものに限る。以下この条において「小規模介護老人福祉施設」という。）に入所をすることにより当該小規模介護老人福祉施設の所在する場所に住所を変更したと認められる国民健康保険の被保険者であって、当該小規模介護老人福祉施設に入所をした際他の市町村（当該小規模介護老人福祉施設が所在する市町村以外の市町村をいう。）の区域内に住所を有していたと認められるものは、施行日以後引き続き当該小規模介護老人福祉施設に入所をしている間は、国民健康保険法第五条の規定にかかわらず、当該他の市町村が行う国民健康保険の被保険者とする。ただし、二以上の病院等（新国保法第百十六条の二第一項に規定する病院等をいう。以下この条において同じ。）に継続して入院等（新国保法第百十六条の二第一項に規定する入院等をいう。以下この条において同じ。）をしている国民健康保険の被保険者であって、現に入所をしている小規模介護老人福祉施設（以下この条において「現入所施設」という。）に入所をする直前に入院等をしていた病院等（以下この項において「直前入院病院等」という。）及び現入所施設のそれぞれに入院等をすることにより直前入院病院等及び現入所施設のそれぞれの所在する場所に順次住所を変更したと認められるもの（次項において「継続入院等被保険者」という。）については、この限りでない。 suppl-4171-77/art-37/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-1 An insured person under the national health insurance program who is found, by having been admitted before this Act comes into effect to a facility covered by public aid providing long-term care to the elderly prescribed in Article 7, paragraph (21) of the former Long-Term Care Insurance Act (limited to those with an admission capacity of 29 persons or less; hereinafter in this Article referred to as a "small-scale facility covered by public aid providing long-term care to the elderly"), to have changed their domicile to the location of that small-scale facility covered by public aid providing long-term care to the elderly, and who is found to have been domiciled, at the time of admission to that small-scale facility covered by public aid providing long-term care to the elderly, in the area of another Municipality (meaning a Municipality other than the Municipality in which that small-scale facility covered by public aid providing long-term care to the elderly is located), is, for as long as the person continues to be admitted to that small-scale facility covered by public aid providing long-term care to the elderly on or after the date of enforcement, an insured person under the national health insurance program provided by that other Municipality, notwithstanding the provisions of Article 5 of the National Health Insurance Act; provided, however, that this does not apply to an insured person under the national health insurance program who has been continuously hospitalized, etc. (meaning the hospitalization, etc. prescribed in Article 116-2, paragraph (1) of the Revised National Health Insurance Act; the same applies hereinafter in this Article) in two or more hospitals, etc. (meaning the hospitals, etc. prescribed in Article 116-2, paragraph (1) of the Revised National Health Insurance Act; the same applies hereinafter in this Article) and who is found to have sequentially changed their domicile to the locations of the last hospital, etc. (meaning the hospital, etc. in which the person was hospitalized, etc. immediately before being admitted to the small-scale facility covered by public aid providing long-term care to the elderly in which the person is currently admitted (hereinafter in this Article referred to as the "current facility of admission"); hereinafter in this paragraph referred to as the "last hospital, etc.") and the current facility of admission, respectively, by being hospitalized, etc. in each of the last hospital, etc. and the current facility of admission (referred to as a "continuously hospitalized insured person" in the following paragraph). machine translation, not official **第二項** 継続入院等被保険者のうち、次の各号に掲げるものは、国民健康保険法第五条の規定にかかわらず、当該各号に定める市町村が行う国民健康保険の被保険者とする。 suppl-4171-77/art-37/par-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2 Notwithstanding the provisions of Article 5 of the National Health Insurance Act, a continuously hospitalized insured person who falls under any of the following items shall be an insured person covered by the national health insurance program provided by the Municipality set forth in the relevant item: machine translation, not official **一** 継続して入院等をしている二以上の病院等のそれぞれに入院等をすることによりそれぞれの病院等の所在する場所に順次住所を変更したと認められる被保険者であって、当該二以上の病院等のうち最初の病院等に入院等をした際他の市町村（現入所施設が所在する市町村以外の市町村をいう。）の区域内に住所を有していたと認められるもの　当該他の市町村 suppl-4171-77/art-37/par-2/item-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2/item-1 an insured person who is found to have sequentially changed their domicile to the locations of the respective hospitals, etc. by undergoing hospitalization, etc. in each of two or more hospitals, etc. in which the person has been continuously under hospitalization, etc., and who is found to have been domiciled in the area of another Municipality (meaning a Municipality other than that in which the current facility of admission is located) at the time when the person underwent hospitalization, etc. in the first of the two or more hospitals, etc.: that other Municipality; machine translation, not official **二** 継続して入院等をしている二以上の病院等のうち一の病院等から継続して他の病院等に入院等をすること（以下この号において「継続入院等」という。）により当該一の病院等の所在する場所以外の場所から当該他の病院等の所在する場所への住所の変更（以下この号において「特定住所変更」という。）を行ったと認められる国民健康保険の被保険者であって、最後に行った特定住所変更に係る継続入院等の際他の市町村（現入所施設が所在する市町村以外の市町村をいう。）の区域内に住所を有していたと認められるもの　当該他の市町村 suppl-4171-77/art-37/par-2/item-2 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2/item-2 an insured person under the national health insurance program who is found, through undergoing hospitalization, etc. continuously in another hospital, etc. from one of two or more hospitals, etc. in which the person has been continuously under hospitalization, etc. (hereinafter in this item referred to as "continuous hospitalization, etc."), to have made a change of domicile from a place other than the location of that one hospital, etc. to the location of that other hospital, etc. (hereinafter in this item referred to as a "Specified Change of Domicile"), and who is found to have been domiciled in the area of another Municipality (meaning a Municipality other than that in which the current facility of admission is located) at the time of the continuous hospitalization, etc. pertaining to the most recent Specified Change of Domicile: that other Municipality. machine translation, not official **第三項** 前二項の規定の適用を受ける国民健康保険の被保険者については、現入所施設及びその者が現入所施設に入所をする前に入院等をしていた病院等をそれぞれ新国保法第百十六条の二第一項に規定する病院等とみなして、同条第三項の規定を適用する。 suppl-4171-77/art-37/par-3 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-3 With regard to an insured person under the national health insurance program to whom the provisions of the preceding two paragraphs apply, the provisions of Article 116-2, paragraph (3) of the Revised National Health Insurance Act apply by deeming the current facility of admission, and the hospital, etc. in which the person was under hospitalization, etc. before being admitted to the current facility of admission, each to be a hospital, etc. prescribed in paragraph (1) of that Article. machine translation, not official ### 第五十五条（罰則に関する経過措置） — Transitional Measures Concerning Penal Provisions caption: machine translation, not official suppl-4171-77/art-55 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-55 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-55 **第一項** この法律の施行前にした行為及び附則第九条の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。 suppl-4171-77/art-55/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-55/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-55/par-1 With regard to the application of penal provisions to acts committed before this Act comes into effect, and to acts committed after this Act comes into effect in cases where the provisions then in force continue to govern pursuant to Article 9 of the Supplementary Provisions, the provisions then in force continue to govern. machine translation, not official ### 第五十六条（その他の経過措置の政令への委任） — Delegation of Other Transitional Measures to Cabinet Order caption: machine translation, not official suppl-4171-77/art-56 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-56 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-56 **第一項** 附則第三条から第二十七条まで、第三十六条及び第三十七条に定めるもののほか、この法律の施行に関し必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。 suppl-4171-77/art-56/par-1 · https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-56/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-56/par-1 Beyond what is provided for in Article 3 through Article 27, Article 36 and Article 37 of the Supplementary Provisions, the transitional measures necessary incidental to the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order. machine translation, not official --- ## Cites - suppl-4171-77/art-1/par-1/item-1: 第五十六条 → 国民健康保険法 附則第五十六条 (Supplementary Provisions, Article 56), suppl-4171-77/art-56 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-56 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-56 - suppl-4171-77/art-36/par-1: 次条 → 国民健康保険法 附則第三十七条 (Supplementary Provisions, Article 37), suppl-4171-77/art-37 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37 - suppl-4171-77/art-37/par-1: この条 → 国民健康保険法 附則第三十七条 (Supplementary Provisions, Article 37), suppl-4171-77/art-37 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37 - suppl-4171-77/art-37/par-1: この項 → 国民健康保険法 附則第三十七条第一項 (Supplementary Provisions, Article 37, paragraph (1)), suppl-4171-77/art-37/par-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-1 - suppl-4171-77/art-37/par-1: 次項 → 国民健康保険法 附則第三十七条第二項 (Supplementary Provisions, Article 37, paragraph (2)), suppl-4171-77/art-37/par-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2 - suppl-4171-77/art-37/par-2/item-2: この号 → 国民健康保険法 附則第三十七条第二項第二号 (Supplementary Provisions, Article 37, paragraph (2), item (ii)), suppl-4171-77/art-37/par-2/item-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2/item-2 - suppl-4171-77/art-37/par-3: 前二項 → 国民健康保険法 附則第三十七条第一項 (Supplementary Provisions, Article 37, paragraph (1)), suppl-4171-77/art-37/par-1 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-1 - suppl-4171-77/art-37/par-3: 前二項 → 国民健康保険法 附則第三十七条第二項 (Supplementary Provisions, Article 37, paragraph (2)), suppl-4171-77/art-37/par-2 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2 - suppl-4171-77/art-56/par-1: 第三十六条 → 国民健康保険法 附則第三十六条 (Supplementary Provisions, Article 36), suppl-4171-77/art-36 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-36 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-36 - suppl-4171-77/art-56/par-1: 第三十七条 → 国民健康保険法 附則第三十七条 (Supplementary Provisions, Article 37), suppl-4171-77/art-37 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37 ## Cited by 6 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一号（施行期日） — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-1/par-1/item-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-1/par-1/item-1 - 国民健康保険法 附則第三十六条第一項（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-4171-77/art-36/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-36/par-1 - 国民健康保険法 附則第三十七条第一項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-1 - 国民健康保険法 附則第三十七条第二項第二号 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-2/item-2 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-2/item-2 - 国民健康保険法 附則第三十七条第三項 — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-37/par-3 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-37/par-3 - 国民健康保険法 附則第五十六条第一項（その他の経過措置の政令への委任） — https://japanlaw.org/ja/national-health-insurance-act/suppl-4171-77/art-56/par-1 · https://japanlaw.org/l/333AC0000000192/suppl-4171-77/art-56/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-20261017T183826-027, translated 2026-10-18 - claude-sonnet-5-5 — Machine translation, batch national-health-insurance-act-20261017T193814-001, 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