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This text is not in force yetIt on 20 May 2027, in 7 months
Read the text in force →高齢者の医療の確保に関する法律
Chapter VIII Penal Provisions
The law as Act Partially Amending the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices, etc. (Act No. 37 of 2025) leaves it, with the words it changes marked.
The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
A person who divulges any secret in violation of the provisions of Article 30, Article 125-2, paragraph (2) or Article 125-4, paragraph (3) is punished by imprisonment for not more than one year or a fine of not more than 1,000,000 yen.
第三十条、第百二十五条の二第二項又は第百二十五条の四第三項の規定に違反して秘密を漏らした者は、一年以下の拘禁刑又は百万円以下の罰金に処する。
If a person as set forth in one of the following items divulges confidential information learned in connection with the performance of duties based on the provisions of this Act without legitimate grounds for doing so, that person is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen:
次の各号のいずれかに掲げる者が、この法律の規定に基づく職務の執行に関して知り得た秘密を正当な理由がなく漏らしたときは、一年以下の拘禁刑又は百万円以下の罰金に処する。
a current or former official of a Association of Medical Care Systems for the Elderly Aged 75 and older;
後期高齢者医療広域連合の職員又はその職にあつた者
a member of the Examination Committee for Old-Old Medical Treatment Fees or the Examination Board for Old-Old Medical Treatment, an officer or employee of the NHI Federations, or a person who was formerly in those positions;
後期高齢者医療診療報酬審査委員会若しくは後期高齢者医療審査会の委員、国保連合会の役員若しくは職員又はこれらの職にあつた者
a person who is or was an officer or employee of a designated corporation that conducts a review of medical bills specified by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 70, paragraph (5) (including as applied mutatis mutandis pursuant to Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (7), and Article 78, paragraph (8));
第七十条第五項（第七十四条第十項、第七十五条第七項、第七十六条第七項及び第七十八条第八項において準用する場合を含む。）の規定により厚生労働大臣の定める診療報酬請求書の審査を行う指定法人の役員、職員又はこれらの職にあつた者
a person who conducts or used to conduct a review of medical bills specified by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 70, paragraph (6) (including as applied mutatis mutandis pursuant to Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (7), and Article 78, paragraph (8)).
第七十条第六項（第七十四条第十項、第七十五条第七項、第七十六条第七項及び第七十八条第八項において準用する場合を含む。）の規定により厚生労働大臣の定める診療報酬請求書の審査を行う者又はこれを行つていた者
A person who falls under any of the following items is punished by imprisonment for not more than one year or by a fine of not more than 500,000 yen, or both:
次の各号のいずれかに該当する者は、一年以下の拘禁刑若しくは五十万円以下の罰金に処し、又はこれを併科する。
a person who, in violation of the provisions of Article 16-6, has disclosed the content of anonymized medical data related to medical insurance, etc. acquired in relation to the use of the anonymized medical data related to medical insurance, etc. to another person without justifiable grounds, or used the information for an unjust purpose;
第十六条の六の規定に違反して、匿名医療保険等関連情報の利用に関して知り得た匿名医療保険等関連情報の内容をみだりに他人に知らせ、又は不当な目的に利用した者
a person who has violated an order issued under the provisions of Article 16-8.
第十六条の八の規定による命令に違反した者
A person who has violated an order issued under the provisions of Article 161-2, paragraph (6) is punished by imprisonment for not more than one year or a fine of not more than 500,000 yen.
第百六十一条の二第六項の規定による命令に違反した者は、一年以下の拘禁刑又は五十万円以下の罰金に処する。
Officers, liquidators, or employees of a Japan Health Insurance Association, health insurance society, national health insurance society, mutual aid association, or the Promotion and Mutual Aid Corporation for Private Schools of Japan are punished by a fine of not more than 500000 yen if they fall under any of the following items:
全国健康保険協会、健康保険組合、国民健康保険組合、共済組合又は日本私立学校振興・共済事業団の役員、清算人又は職員が次の各号のいずれかに該当するときは、五十万円以下の罰金に処する。
when the person has failed to make a report under the provisions of Article 134, paragraph (2) or has made a false report, or has refused, obstructed, or evaded an inspection under the provisions of the same paragraph;
第百三十四条第二項の規定による報告をせず、若しくは虚偽の報告をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したとき。
if the person has failed to submit a report, document, or any other item pursuant to the provisions of Article 142, paragraph (1), or has submitted a false report or document including a false entry.
第百四十二条第一項の規定による報告若しくは文書その他の物件の提出をせず、又は虚偽の報告をし、若しくは虚偽の記載をした文書を提出したとき。
When an officer or employee of the Organization or an entrusted party has failed to make a report under the provisions of Article 152, paragraph (1) or has made a false report, or has refused, obstructed, or evaded an inspection under the provisions of the same paragraph, the officer or employee is punished by a fine of not more than 500,000 yen.
機構又は受託者の役員又は職員が、第百五十二条第一項の規定による報告をせず、若しくは虚偽の報告をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したときは、五十万円以下の罰金に処する。
A person who fails to make a report or submit or present books and documents under the provisions of Article 16-7, paragraph (1), or makes a false report or submits or presents false books and documents, or fails to answer or gives a false answer to the questions under the provisions of the same paragraph, or refuses, interferes with, or evades the on-site inspection under the provisions of the same paragraph is punished by a fine of not more than 500000 yen.
第十六条の七第一項の規定による報告若しくは帳簿書類の提出若しくは提示をせず、若しくは虚偽の報告若しくは虚偽の帳簿書類の提出若しくは提示をし、又は同項の規定による質問に対して答弁をせず、若しくは虚偽の答弁をし、若しくは同項の規定による立入検査を拒み、妨げ、若しくは忌避した者は、五十万円以下の罰金に処する。
A person who has committed any of the following violations is punished by a fine of not more than 300000 yen:
次の各号のいずれかに該当する場合には、その違反行為をした者は、三十万円以下の罰金に処する。
when the requestor for review or relevant persons, or a physician or dental practitioner has failed to appear, failed to make a statement, failed to make a report, or made a false statement or report, or failed to make a diagnosis or examination, in violation of the disposition under the provisions of Article 101, paragraph (1) of the National Health Insurance Act as applied mutatis mutandis pursuant to the provisions of Article 130, without justifiable grounds (excluding cases pertaining to the requestor in the procedure of review conducted by the Certification Committee for Old-Old Healthcare, or a Association of Medical Care Systems for the Elderly Aged 75 and older or other interested persons who has received a notification pursuant to the provisions of Article 100 of the same Act as applied mutatis mutandis pursuant to the provisions of Article 130);
審査請求人若しくは関係者又は医師若しくは歯科医師が、正当な理由がなく第百三十条の規定において準用する国民健康保険法第百一条第一項の規定による処分に違反して、出頭せず、陳述をせず、報告をせず、若しくは虚偽の陳述若しくは報告をし、又は診断若しくは検案をしなかつたとき（後期高齢者医療審査会の行う審査の手続における請求人又は第百三十条の規定において準用する同法第百条の規定により通知を受けた後期高齢者医療広域連合その他の利害関係人に係る場合を除く。）。
when an insured or a person who used to be an insured fails to comply with an order to make a report issued pursuant to the provisions of Article 61, paragraph (2) without justifiable grounds, or fails to answer a question asked by the relevant official pursuant to the provisions of the same paragraph without justifiable grounds or gives a false answer;
被保険者又は被保険者であつた者が、第六十一条第二項の規定により報告を命ぜられ、正当な理由がなくこれに従わず、又は同項の規定による当該職員の質問に対して、正当な理由がなく答弁せず、若しくは虚偽の答弁をしたとき。
when the person has failed to make a report under the provisions of Article 161-3, paragraph (1) or has made a false report without justifiable grounds, has failed to answer or given a false answer to the questions asked by the relevant official under the provisions of the same paragraph without justifiable grounds, or has refused, obstructed, or avoided the inspection under the provisions of the same paragraph without justifiable grounds.
正当な理由がなく第百六十一条の三第一項の規定による報告をせず、若しくは虚偽の報告をし、又は同項の規定による当該職員の質問に対して、正当な理由がなく答弁せず、若しくは虚偽の答弁をし、若しくは正当な理由がなく同項の規定による検査を拒み、妨げ、若しくは忌避したとき。
The crimes of Article 167-2 also apply to persons who commit the crimes referred to in the same Article outside of Japan.
第百六十七条の二の罪は、日本国外において同条の罪を犯した者にも適用する。
If the representatives of a corporation (including an association or foundation that is not a corporation but for which a representative or an administrator has been designated (hereinafter referred to as an "association or foundation without legal personality" in this Article); hereinafter the same applies in this paragraph) (including the administrator of an association or foundation without legal personality) or the agents, employees, or other workers of a corporation or individual commit a violation of Article 167-2, Article 167-3, Article 168, paragraph (3) or Article 169, item (iii) in connection with the business of the corporation or individual, in addition to the offender being subject to punishment, the corporation or individual is subject to the fine referred to in the relevant Article.
法人（法人でない社団又は財団で代表者又は管理人の定めがあるもの（以下この条において「人格のない社団等」という。）を含む。以下この項において同じ。）の代表者（人格のない社団等の管理人を含む。）又は法人若しくは人の代理人、使用人その他の従業者が、その法人又は人の業務に関して、第百六十七条の二、第百六十七条の三、第百六十八条第三項又は第百六十九条第三号の違反行為をしたときは、行為者を罰するほか、その法人又は人に対しても、各本条の罰金刑を科する。
Where the provisions of the preceding paragraph apply to an association or foundation without juridical personality, its representatives or administrators represent the association or foundation without juridical personality with respect to its procedural act, and the provisions of laws concerning criminal procedure that are applicable in the case where a corporation is accused or suspected apply mutatis mutandis.
人格のない社団等について前項の規定の適用がある場合には、その代表者又は管理人がその訴訟行為につき当該人格のない社団等を代表するほか、法人を被告人又は被疑者とする場合の刑事訴訟に関する法律の規定を準用する。
If an officer of the Organization falls under any of the following items, the officer is punished by a civil fine of not more than 200,000 yen:
機構の役員が次の各号のいずれかに該当するときは、二十万円以下の過料に処する。
failure to obtain the approval or recognition of the Minister of Health, Labour and Welfare when such approval or recognition is required pursuant to this Act;
この法律により厚生労働大臣の認可又は承認を受けなければならない場合において、その認可又は承認を受けなかつたとき。
when the surplus funds in the course of business have been invested in violation of the provisions of Article 149.
第百四十九条の規定に違反して業務上の余裕金を運用したとき。
When a medical practitioner, dental practitioner, pharmacist, or person who has provided medical care or their employer fails to comply with an order to make a report or to present medical records, books and documents, or any other articles under the provisions of Article 61, paragraph (1) without justifiable grounds, or fails to answer a question asked by the relevant official under the provisions of the same paragraph without justifiable grounds, or gives a false answer, the person is punished by a civil fine of not more than 100,000 yen.
医師、歯科医師、薬剤師若しくは手当を行つた者又はこれを使用する者が、第六十一条第一項の規定による報告若しくは診療録、帳簿書類その他の物件の提示を命ぜられ、正当な理由がなくこれに従わず、又は同項の規定による当該職員の質問に対して、正当な理由がなく答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料に処する。
The Association of Medical Care Systems for the Elderly Aged 75 and older may, by its Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen when a insured fails to make a notification under the provisions of Article 54, paragraph (1) (excluding cases where the notification has been made by the householder of the household to which the insured belongs pursuant to the provisions of paragraph (2) of the same Article) or makes a false notification.
後期高齢者医療広域連合は、条例で、被保険者が第五十四条第一項の規定による届出をしないとき（同条第二項の規定により当該被保険者の属する世帯の世帯主から届出がなされたときを除く。）又は虚偽の届出をしたときは、十万円以下の過料を科する規定を設けることができる。
If a person who is or was a insured, the spouse of a insured, the householder of a household to which a insured belongs, or any other member of the household fails to comply with an order to submit or present a document or any other article issued pursuant to the provisions of the Article 137, paragraph (1) without justifiable grounds, or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph, the Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinances to impose a civil fine of not more than 100,000 yen.
後期高齢者医療広域連合は、条例で、被保険者、被保険者の配偶者若しくは被保険者の属する世帯の世帯主その他その世帯に属する者又はこれらであつた者が正当な理由がなく第百三十七条第一項の規定により文書その他の物件の提出若しくは提示を命ぜられてこれに従わず、又は同項の規定による当該職員の質問に対して答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料を科する規定を設けることができる。
A municipality may, by Municipal Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen if an insured, the spouse of an insured, the head of the household to which an insured belongs or any other member of that household, or a person who was any of these, fails without justifiable grounds to comply with an order to submit or present a document or any other article under the provisions of Article 137, paragraph (2), or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph.
市町村は、条例で、被保険者、被保険者の配偶者若しくは被保険者の属する世帯の世帯主その他その世帯に属する者又はこれらであつた者が正当な理由がなく第百三十七条第二項の規定により文書その他の物件の提出若しくは提示を命ぜられてこれに従わず、又は同項の規定による当該職員の質問に対して答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料を科する規定を設けることができる。
A Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinance to impose a civil fine on a person who has evaded the collection of money to be collected related to co-payment whose collection has been suspended and other money to be collected pursuant to the provisions of Chapter IV (limited to money to be collected by the Association of Medical Care Systems for the Elderly Aged 75 and older) by deception or other wrongful acts, in an amount not exceeding the amount equivalent to five times the amount evaded.
後期高齢者医療広域連合は、条例で、偽りその他不正の行為により徴収猶予した一部負担金に係る徴収金その他第四章の規定による徴収金（後期高齢者医療広域連合が徴収するものに限る。）の徴収を免れた者に対し、その徴収を免れた金額の五倍に相当する金額以下の過料を科する規定を設けることができる。
A Municipality may, in its Municipal Ordinance, establish provisions to impose on a person who has evaded the collection of insurance premiums or any other money to be collected pursuant to the provisions of Chapter IV (limited to those collected by the Municipality) by deception or other wrongful acts, a civil fine of not more than the amount equivalent to five times the amount evaded.
市町村は、条例で、偽りその他不正の行為により保険料その他第四章の規定による徴収金（市町村が徴収するものに限る。）の徴収を免れた者に対し、その徴収を免れた金額の五倍に相当する金額以下の過料を科する規定を設けることができる。
The provisions of Article 255-3 of the Local Autonomy Act apply mutatis mutandis to the disposition of a civil fine under the provisions of the preceding paragraphs.
地方自治法第二百五十五条の三の規定は、前各項の規定による過料の処分について準用する。