databutler.dev · /facts — every fact · Verified Facts protocol · /.well-known/facts.json · /changes
{"over_11.6m":{"formula":"270,300円＋(医療費－901,000)×1%","multi_month":140100,"annual_cap":1680000,"band":"年収約1,160万円～ 標報83万円以上/旧ただし書き所得901万円超"},"7.7m_to_11.6m":{"formula":"179,100円＋(医療費－597,000)×1%","multi_month":93000,"annual_cap":1110000,"band":"標報53万～79万円/600万～901万円"},"3.7m_to_7.7m":{"formula":"85,800円＋(医療費－286,000)×1%","multi_month":44400,"annual_cap":530000,"band":"標報28万～50万円/210万～600万円"},"under_3.7m":{"amount":61500,"multi_month":44400,"annual_cap":530000,"band":"標報26万円以下/210万円以下（年収約200万円未満と確認できた者は年間上限41万円）"},"resident_tax_exempt":{"amount":36900,"multi_month":24600,"annual_cap":290000}} JPY/month per household (formula or amount; multi_month = 4th and later month in 12; annual_cap = per year)
from 2026-08-01 · verified 2026-10-24 against the official source
70歳未満 270,300 ＋（医療費－901,000）× 1％ ＜140,100＞ 1,680,000 … 住民税非課税 36,900
jp/benefits/high-cost-medical-under-70-from-2026-08sha256:a8563159857a31985fbbd3dfbe51e37ff5ca1b71a5d94a70163b5e879c90859ddb-2026-10 — keyscurl -s https://databutler.dev/f/jp/benefits/high-cost-medical-under-70-from-2026-08?max_age=30d — schema; verify with npx verified-facts verify https://databutler.dev/f/jp/benefits/high-cost-medical-under-70-from-2026-08
{
"protocol": "verified-facts/0.3",
"key": "jp/benefits/high-cost-medical-under-70-from-2026-08",
"label": "High-cost medical expense benefit: monthly ceiling and new annual cap, under 70, by income band (care from August 2026 to July 2027)",
"value": {
"over_11.6m": {
"formula": "270,300円＋(医療費－901,000)×1%",
"multi_month": 140100,
"annual_cap": 1680000,
"band": "年収約1,160万円～ 標報83万円以上/旧ただし書き所得901万円超"
},
"7.7m_to_11.6m": {
"formula": "179,100円＋(医療費－597,000)×1%",
"multi_month": 93000,
"annual_cap": 1110000,
"band": "標報53万～79万円/600万～901万円"
},
"3.7m_to_7.7m": {
"formula": "85,800円＋(医療費－286,000)×1%",
"multi_month": 44400,
"annual_cap": 530000,
"band": "標報28万～50万円/210万～600万円"
},
"under_3.7m": {
"amount": 61500,
"multi_month": 44400,
"annual_cap": 530000,
"band": "標報26万円以下/210万円以下（年収約200万円未満と確認できた者は年間上限41万円）"
},
"resident_tax_exempt": {
"amount": 36900,
"multi_month": 24600,
"annual_cap": 290000
}
},
"unit": "JPY/month per household (formula or amount; multi_month = 4th and later month in 12; annual_cap = per year)",
"period": null,
"effectiveFrom": "2026-08-01",
"effectiveTo": "2027-07-31",
"source": "https://www.mhlw.go.jp/content/001726232.pdf",
"quote": "70歳未満 270,300 ＋（医療費－901,000）× 1％ ＜140,100＞ 1,680,000 … 住民税非課税 36,900",
"verifiedDate": "2026-10-24",
"nextScheduledRefresh": "2026-11-28",
"changeCadence": "irregular",
"nextExpectedChange": null,
"sourceCheckedAt": "2026-11-02",
"status": "fresh",
"ageDays": 13,
"maxAgeDays": null,
"scope": "児童手当 amounts from 令和6年10月分 (no income limit; paid in even months for the previous two months). 出産育児一時金 from April 2023. 高額療養費 for patients under 70: the table for care up to July 2026, the August 2026 – July 2027 table with the new 年間上限, and the 13-band table from August 2027 (健保 bands by 標準報酬月額; 国保 by 旧ただし書き所得 — see the PDF). 70歳以上 tables are not included.",
"hash": "sha256:a8563159857a31985fbbd3dfbe51e37ff5ca1b71a5d94a70163b5e879c90859d",
"signature": {
"alg": "EdDSA",
"kid": "db-2026-10",
"jws": "eyJhbGciOiJFZERTQSIsImtpZCI6ImRiLTIwMjYtMTAifQ..cvD3JpmZWtbhPkLB6hu46ZM4Gc674wlMqg5536WCFq6j2hBSbhSC1n-gWFnwT_u69KtLVMk2K99MFhTa545zBw",
"keys": "https://databutler.dev/.well-known/jwks.json"
},
"publisher": {
"name": "Data Butler",
"url": "https://databutler.dev/"
},
"cite": {
"url": "https://databutler.dev/facts/jp/benefits/high-cost-medical-under-70-from-2026-08",
"text": "databutler.dev, verified 2026-10-24 against https://www.mhlw.go.jp/content/001726232.pdf"
}
}