Health Insurance Act

If the Minister of Health, Labour and Welfare determines not to make the designation referred to in Article 98-2, paragraph (1), item (i) pertaining to a designated birthing center, the Minister must undergo discussion at the relevant local social insurance medical council.

A designation referred to in Article 98-2, paragraph (1), item (i) expires when six years have elapsed after the day of designation.

With regard to a designated birthing center that is specified by Order of the Ministry of Health, Labour and Welfare, unless otherwise notified during the period from six months before the expiration date of the designation pursuant to the provisions of the preceding paragraph until three months before that date, the application referred to in Article 98-6, paragraph (1) is deemed to have been made.

In the case where a birthing center is one established by a midwife and only the midwife who is the establisher engages in delivery care, if the registration under Article 98-4 is made for that midwife, the designation referred to in Article 98-2, paragraph (1), item (i) is deemed to have been made for that birthing center; provided, however, that this does not apply if that birthing center falls under the requirements prescribed in Article 98-6, paragraph (2) and the Minister of Health, Labour and Welfare finds it inappropriate to deem that the designation referred to in the same item has been made.

In addition to putting registered midwives who are engaged in delivery care at the designated birthing center in charge of delivery care pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 98-13, paragraph (1), a designated birthing center must be responsible for delivery care pertaining to delivery expenses pursuant to Order of the Ministry of Health, Labour and Welfare.

Beyond the provisions of the preceding paragraph (including when applied mutatis mutandis to Article 98-24, paragraph (2), Article 112-2, paragraph (3), and Article 149), a designated birthing center is to be responsible for delivery care pertaining to delivery expenses pursuant to medical insurance laws other than this act.

An administrator of a designated birthing center must be a person who satisfies all of the following requirements:

being a registered midwife; and

being a person who meets the requirements specified by Order of the Ministry of Health, Labour and Welfare, such as having experience of engaging in delivery care as a registered midwife at a delivery-handling medical institution providing services covered by health insurance or a designated birthing center for three or more years.

An administrator of a designated birthing center must, pursuant to Order of the Ministry of Health, Labour and Welfare, in order to ensure the efficient provision of appropriate delivery care, supervise the midwives and other employees working at the designated birthing center and exercise necessary care in the management and operation of the designated birthing center.

The registration under Article 98-4 is made upon application by a midwife.

In the case where an application under the preceding paragraph is filed, the Minister of Health, Labour and Welfare may refuse to make the registration under Article 98-4 if any of the following items applies.

the applicant is a person whose registration under Article 98-4 has been revoked pursuant to the provisions of this Act and for whom five years have not elapsed from the date of the revocation;

the applicant has been sentenced to a fine pursuant to the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, and the execution of the sentence has not been completed or the applicant has not ceased to be subject to execution;

the applicant has been sentenced to imprisonment or a more severe penalty and the execution of the sentence has not been completed or the execution of the sentence still applies; or

beyond what is provided for in the preceding three items, the applicant is deemed significantly inappropriate as a registered midwife.

If the Minister of Health, Labour and Welfare determines not to make the registration under Article 98-4, the Minister must undergo discussion at the local social insurance medical council.

In addition to what is prescribed in paragraph (1) or (2), necessary matters concerning the registration under Article 98-4 are specified by Cabinet Order.

A registered midwife engaged in delivery care at a delivery-handling medical institution providing services covered by health insurance or a designated birthing center must, pursuant to Order of the Ministry of Health, Labour and Welfare, provide delivery care under health insurance.

A registered midwife engaged in delivery care at a delivery-handling medical institution providing services covered by health insurance or a designated birthing center is to, in addition to what is provided pursuant to the preceding paragraph (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149), provide delivery care under the medical insurance laws other than this act.

A designated birthing center may decline its designation by giving notice not less than one month in advance.

A registered midwife may request deregistration by giving notice not less than one month in advance.

The Minister of Health, Labour and Welfare may rescind the designation under Article 98-2, paragraph (1), item (i) pertaining to the relevant designated birthing center in the case where any of the following items applies.

a registered midwife engaged in delivery care at the designated birthing center has violated the provisions of Article 98-13, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149) (except if the designated birthing center had made efforts to provide reasonable care and supervision so as to prevent the violation);

the administrator of the designated birthing center has violated the provisions of Article 98-11, paragraph (2) (except if the administrator had made efforts to provide reasonable care and supervision as the administrator of the designated birthing center so as to prevent the violation);

beyond what is provided for in the preceding two items, the designated birthing center has violated the provisions of Article 98-10, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149);

there has been fraud in a claim relating to payment pursuant to the provisions of Article 98-2, paragraph (3) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149) or Article 101, paragraph (2) (including when applied mutatis mutandis pursuant to Article 106, paragraph (2), Article 114, paragraph (2) and Article 149);

the designated birthing center is ordered to make a report, or to submit or present medical records, birth records or other books and documents pursuant to the provisions of Article 98-20, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149; the same applies in the following item) but fails to comply with the order or submits a false report;

the establisher or an employee of the designated birthing center has been requested to appear pursuant to the provisions of Article 98-20, paragraph (1) but failed to comply, failed to answer questions pursuant to the provisions of the same paragraph, answered untruthfully, or refused, obstructed, or evaded an inspection pursuant to the same paragraph (except if, where an employee of the designated birthing center did that act, the designated birthing center had made efforts to provide reasonable care and supervision so as to prevent that act);

the establisher of the designated birthing center has violated an order pursuant to the provisions of Article 98-23, paragraph (3) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 106, paragraph (2), Article 112-2, paragraph (3), Article 114, paragraph (2) and Article 149);

in relation to delivery care pertaining to delivery expenses under the medical insurance laws other than this act, there has been a ground corresponding to any of the preceding items;

the establisher or administrator of the designated birthing center has come to fall under the category of a person who has been sentenced to a fine pursuant to the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, and for whom the execution of the sentence has not been completed or who has not ceased to be subject to execution; or

the establisher or administrator of the designated birthing center has come to fall under the category of a person who has been sentenced to imprisonment or a more severe penalty, and for whom the execution of the sentence has not been completed or who has not ceased to be subject to execution.

beyond what is provided for in the preceding items, the establisher of the designated birthing center has violated the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, or an order or disposition based thereon.

The Minister of Health, Labour and Welfare may rescind the registration under Article 98-4 pertaining to the relevant registered midwife (in the case set out in item (ii), the registration under that Article pertaining to the registered midwife who is the administrator of the relevant designated birthing center) in the case where any of the following items applies.

the registered midwife has violated the provisions of Article 98-13, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149);

the administrator of the designated birthing center has violated the provisions of Article 98-11, paragraph (2) (except if the administrator had made efforts to provide reasonable care and supervision as the administrator of the designated birthing center so as to prevent the violation);

the registered midwife has been requested to appear pursuant to the provisions of Article 98-20, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149; hereinafter the same applies in this item) but failed to comply, failed to answer questions pursuant to the provisions of Article 98-20, paragraph (1), answered untruthfully, or refused, obstructed, or evaded an inspection pursuant to the same paragraph;

in relation to delivery care under the medical insurance laws other than this act, there has been a ground corresponding to any of the preceding three items;

the registered midwife has come to fall under the category of a person who has been sentenced to a fine pursuant to the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, and for whom the execution of the sentence has not been completed or who has not ceased to be subject to execution;

the registered midwife has come to fall under the category of a person who has been sentenced to imprisonment or a severer punishment, and the execution of the sentence has not been completed or the execution of the sentence still applies; or

beyond what is provided for in the preceding items, the registered midwife has violated the provisions of this Act or other laws concerning citizens' health and medical care which are specified by Cabinet Order, or an order or disposition based thereon.

When intending to specify the Order of the Ministry of Health, Labour and Welfare under Article 98-10, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149), Article 98-11, or Article 98-13, paragraph (1) (including when applied mutatis mutandis pursuant to Article 98-24, paragraph (2), Article 112-2, paragraph (3) and Article 149), or when intending to make the determination under Article 98-2, paragraph (2) (including when applied mutatis mutandis pursuant to Article 149), the Minister of Health, Labour and Welfare is to consult with the Central Social Insurance Medical Council.

When intending to make the designation under Article 98-2, paragraph (1), item (i) or to rescind that designation, or when intending to rescind the registration under Article 98-4, the Minister of Health, Labour and Welfare is to consult with the local social insurance medical council, as specified by Cabinet Order.

When the Minister of Health, Labour and Welfare determines not to make the designation under Article 98-2, paragraph (1), item (i), or determines not to make the registration under Article 98-4, the Minister must grant the establisher of the birthing center seeking that designation, or the midwife seeking that registration, an opportunity to hear an explanation. In this case, the Minister must give notification of the date, time, and place for the explanation and the circumstances thereof in writing, in advance.

A delivery-handling medical institution providing services covered by health insurance and a designated birthing center, and a physician providing health insurance treatment (limited to a physician engaged in delivery care; the same applies in paragraph (1) of the following Article) and a registered midwife who are engaged in delivery care at them, must receive guidance from the Minister of Health, Labour and Welfare with respect to delivery care under health insurance.

When the guidance referred to in the preceding paragraph is provided, and the Minister of Health, Labour and Welfare finds it necessary, the Minister is to have persons with knowledge and experience concerning delivery care attend during the guidance pursuant to designation by related organizations; provided, however, that this does not apply if related organizations make no designation or the designated persons do not attend.

When the Minister of Health, Labour and Welfare finds it necessary in relation to delivery care pertaining to delivery expenses, the Minister may order a delivery-handling medical institution providing services covered by health insurance or designated birthing center, or a person who was an establisher or administrator, physician who provided health insurance treatment, registered midwife or other employee of a delivery-handling medical institution providing services covered by health insurance or designated birthing center (hereinafter referred to as "former establisher, etc." in this paragraph) to make a report or submit or present medical records, birth records or other books and documents, may request an establisher, administrator, physician providing health insurance treatment, registered midwife or other employee of a delivery-handling medical institution providing services covered by health insurance or designated birthing center (including former establishers, etc.) to appear, or may have an official question persons involved or inspect any equipment or medical records, birth records, books and documents or other objects of a delivery-handling medical institution providing services covered by health insurance or designated birthing center.

The provisions of Article 7-38, paragraph (2) and paragraph (2) of the preceding Article apply mutatis mutandis to questions or inspections pursuant to the provisions of the preceding paragraph, and the provisions of Article 7-38, paragraph (3) apply mutatis mutandis to the authority pursuant to the provisions of the preceding paragraph, respectively.

Rules on delivery care under health insurance provided at hospitals or clinics listed in Article 63, paragraph (3), items (ii) and (iii) (limited to those that handle deliveries) are governed by Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (1) and Article 72, paragraph (1) as applied mutatis mutandis pursuant to Article 98-5.

Rules on delivery care under health insurance provided at birthing centers listed in Article 98-2, paragraph (1), items (ii) and (iii) are governed by Order of the Ministry of Health, Labour and Welfare referred to in Article 98-10, paragraph (1) and Article 98-13, paragraph (1).

An administrator of a delivery-handling medical institution providing services covered by health insurance, etc. or a designated birthing center, etc. is to, pursuant to Order of the Ministry of Health, Labour and Welfare, provide in advance to an insured person who intends to receive delivery care from the delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. the information specified by the Minister of Health, Labour and Welfare, such as the content of and expenses for the delivery care pertaining to the payment of delivery expenses and lump-sum allowance at childbirth provided at that delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc.

An administrator of a delivery-handling medical institution providing services covered by health insurance or a designated birthing center must, pursuant to Order of the Ministry of Health, Labour and Welfare, report to the Minister of Health, Labour and Welfare the information specified by the Minister, such as the content of and expenses for the delivery care pertaining to the payment of delivery expenses and lump-sum allowance at childbirth provided at that delivery-handling medical institution providing services covered by health insurance or designated birthing center, and to benefits corresponding thereto under the medical insurance laws other than this act.

Upon receiving a report pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare must, pursuant to Order of the Ministry of Health, Labour and Welfare, publish it in a form that is easy for insured persons to understand and endeavor to make it widely known.

If an administrator of a delivery-handling medical institution providing services covered by health insurance or a designated birthing center fails to make the report pursuant to the provisions of paragraph (1) or makes a false report, the Minister of Health, Labour and Welfare may, by specifying a period, order the establisher of that delivery-handling medical institution providing services covered by health insurance or designated birthing center to have the administrator make the report or correct the content of the report.

A person who was an insured person (excluding an insured person with optional and continued coverage or an insured person who is a member of a mutual aid association) continuously for one year or more until the day preceding the day on which the person lost eligibility as an insured person (for a person who lost eligibility as an insured person with optional and continued coverage, the day on which the person acquired that eligibility) (hereinafter referred to as a "person who was insured for one year or more" in this Article, Article 104 and Article 106, paragraph (1)) may, if within six months after the day of loss of eligibility as an insured person the person receives, from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. that the person selects, confirmation that the person is a person who was insured for one year or more by a method specified by Order of the Ministry of Health, Labour and Welfare, such as the presentation of documents certifying the loss of that eligibility, and receives delivery care, receive from the last insurer, as the delivery expenses that the person would have been able to receive as an insured person, payment of the amount of expenses calculated for that delivery care in accordance with the determination under Article 98-2, paragraph (2). However, this does not apply if the person who was an insured person has become an insured person of Mariners Insurance.

The provisions of Article 98-2, paragraphs (3) to (9) apply mutatis mutandis to the payment of delivery expenses after loss of eligibility under the preceding paragraph, the provisions of paragraph (10) of that Article apply mutatis mutandis to the payment of an amount equivalent to the expenses required for delivery care pertaining to a person who was insured for one year or more, and the provisions of Article 98-3, Article 98-4, Article 98-10, paragraph (1), Article 98-13 and Article 98-19 through the preceding Article, and the provisions of Article 70, paragraph (1) and Article 72, paragraph (1) as applied mutatis mutandis pursuant to Article 98-5, apply mutatis mutandis to delivery care pertaining to delivery expenses after loss of eligibility under the preceding paragraph, respectively.

Section 3 Payment of Injury and Sickness Allowance, Burial Charges, Lump-Sum Allowance forat Childbirth and Childcare Benefits, and Childbirth Allowance

(Lump-sum Allowance forat Childbirth and Childcare)

When an insured person receives delivery care under health insurance from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. and gives birth, the amount specified by Cabinet Order is paid as a lump-sum allowance forat childbirth and childcare.

When an insured person receives delivery care pertaining to delivery expenses pursuant to Article 98-2, paragraph (1) from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc., the insurer may, on behalf of the insured person, pay to that delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. the lump-sum allowance at childbirth under the preceding paragraph (limited to an amount equivalent to the expenses required for childbirth that the insured person is to pay to that delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. (excluding an amount equivalent to the amount paid pursuant to paragraph (3) of that Article; hereinafter the same applies in this paragraph and paragraph (4)); the same applies in the following paragraph and paragraph (5)). In this case, that delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. is to apply the amount to the satisfaction of the claim relating to the expenses required for childbirth that the insured person is to pay to that delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc.

If the amount of the lump-sum allowance at childbirth paid pursuant to the provisions of the preceding paragraph is less than the amount specified by Cabinet Order referred to in paragraph (1), the insurer is to, pursuant to Order of the Ministry of Health, Labour and Welfare, pay the difference to the insured person.

Upon acceptance of the payment of expenses required for childbirth, a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. must issue a receipt therefor to the insured person who made the payment, pursuant to Order of the Ministry of Health, Labour and Welfare.

When making payment of the lump-sum allowance at childbirth pursuant to the provisions of paragraph (2), an insurer may delegate the affairs concerning that payment to the Infrastructure Organization or an NHI federation.

If an insured person is unable to receive payment of the lump-sum allowance at childbirth pursuant to the provisions of paragraph (1) despite having given birth, and the insurer finds that there are unavoidable circumstances, the insurer may, pursuant to Order of the Ministry of Health, Labour and Welfare, pay the amount specified by Cabinet Order as the lump-sum allowance at childbirth.

Beyond what is provided for in the preceding paragraphs of this Article, other necessary matters pertaining to the payment of the lump-sum allowance at childbirth are specified by Order of the Ministry of Health, Labour and Welfare.

A person who continued to have been an insured person for one year or more until the day preceding the day of loss of eligibility (in case of an insured person with optional and continued coverage, by the day of acquisition of eligibility) as an insured person (excluding insured persons with optional and continued coverage who are members of a mutual aid association) (referred to as a "person who was insured for one year or more" in Article 106) and who received payment of injury and sickness allowance or childbirth allowance at the time of loss of the eligibility may continue to receive the benefits from the same insurer for the period in which the person was eligible for the payment as an insured person.

(Payment of Lump-sum Allowance forat Childbirth and Childcare after Loss of Eligibility)

A person who was an insured person for one year or more and gives birthwho, within six months after the date of loss of the eligibility as an insured person , receives delivery care from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. and gives birth may be paid , as the lump-sum allowance forat childbirth and childcare that should have been received as an insured person, the amount specified by Cabinet Order referred to in Article 101, paragraph (1) from the person's last insurer.

The provisions of Article 98-22 and Article 98-23 apply mutatis mutandis to delivery care pertaining to the lump-sum allowance at childbirth after loss of eligibility under the preceding paragraph, and the provisions of Article 101, paragraphs (2) to (7) apply mutatis mutandis to the payment of the lump-sum allowance at childbirth after loss of eligibility under the preceding paragraph, respectively. In this case, the phrase "Article 98-2, paragraph (1)" in paragraph (2) of that Article is deemed to be replaced with "the main clause of Article 98-24, paragraph (1)", the phrase "paragraph (3) of that Article" with "Article 98-2, paragraph (3) as applied mutatis mutandis pursuant to Article 98-24, paragraph (2)", and the phrase "paragraph (1)" in paragraph (6) of that Article with "Article 106, paragraph (1)".

Section 4 Payment of Dependent's Medical Expenses, Dependent's Medical Expenses for Home-Nursing, Dependent's Transport Expenses, Dependent's Delivery Expenses, Dependent's Burial Charges, and Lump-Sum Allowance forat Dependent's Childbirth and Childcare

When a dependent of an insured person, pursuant to Order of the Ministry of Health, Labour and Welfare, receives confirmation that the person is a dependent by electronic eligibility confirmation, etc. from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. that is selected by the dependent, and receives delivery care, dependent's delivery expenses are paid to the insured person for the expenses required for the delivery care.

The amount of dependent's delivery expenses is the amount of expenses calculated for the relevant delivery care in accordance with the determination under Article 98-2, paragraph (2).

The provisions of Article 98-2, paragraphs (3) to (9) apply mutatis mutandis to the payment of dependent's delivery expenses, the provisions of paragraph (10) of that Article apply mutatis mutandis to the payment of an amount equivalent to the expenses required for delivery care pertaining to a dependent, and the provisions of Article 98-3, Article 98-4, Article 98-10, paragraph (1), Article 98-13 and Articles 98-19 through 98-23, and the provisions of Article 70, paragraph (1) and Article 72, paragraph (1) as applied mutatis mutandis pursuant to Article 98-5, apply mutatis mutandis to delivery care pertaining to dependent's delivery expenses, respectively.

(Lump-SumLump-sum Allowance forat Dependent's Childbirth and Childcare)

When a dependent of an insured person receives delivery care under health insurance from a delivery-handling medical institution providing services covered by health insurance, etc. or designated birthing center, etc. and gives birth, an amount specified by Cabinet Order referred to in Article 101 , paragraph (1) is paid to the insured person as lump-sum allowance forat dependent's childbirth and childcare.

The provisions of Article 98-22 and Article 98-23 apply mutatis mutandis to delivery care pertaining to the lump-sum allowance at dependent's childbirth, and the provisions of Article 101, paragraphs (2) to (7) apply mutatis mutandis to the payment of the lump-sum allowance at dependent's childbirth, respectively.

payment of injury and sickness allowancedelivery expenses;

payment of burial chargesinjury and sickness allowance;

payment of lump-sum allowance for childbirth and childcareburial charges;

payment of childbirthlump-sum allowance at childbirth;

payment of dependent's medical expenses, dependent's medical expenses for home-nursing, and dependent's transport expenseschildbirth allowance;

payment of dependent's burial chargesmedical expenses, dependent's medical expenses for home-nursing, and dependent's transport expenses;

lump-sum allowance forpayment of dependent's childbirth and childcaredelivery expenses;

payment of special medical expenses; anddependent's burial charges;

payment of high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care.lump-sum allowance at dependent's childbirth;

payment of special medical expenses;

payment of special delivery expenses; and

payment of high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care.

Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, delivery expenses (including an amount equivalent to the expenses required for delivery care paid pursuant to the provisions of Article 134-2, paragraph (6) or (7); the same applies hereinafter in this Article), injury and sickness allowance, burial charges, lump-sum allowance forat childbirth (including the difference paid pursuant to the provisions of Article 101, paragraph (3) as applied mutatis mutandis pursuant to Article 149; the same applies in paragraphs (3) and childcare(4)), or childbirth allowance, pertaining to a specially-insured day laborer, are not paid if the specially-insured day laborer may receive payment equivalent to these for the same sickness, injury, death, or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this Actact (excluding the National Health Insurance Act; the same applies hereinafter in this Article), the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, delivery expenses, burial charges, or lump-sum allowance forat childbirth and childcare, pertaining to a specially-insured day laborer, are not paid, to thatthe extent, if that the relevant person has received , for the same sickness, injury, death or childbirth, pursuant to the provisions of the preceding Chapter or the provisions of medical insurance laws other than this act, a benefit equivalent to payment under this Chapter of dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis pursuant to Article 140, paragraph (2); the same applies in the following paragraph), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcaredelivery expenses (including an amount equivalent to the expenses required for delivery care paid pursuant to the same sickness, injury, death provisions of Article 134-2, paragraph (6) or childbirth (7) as applied mutatis mutandis pursuant to Article 142-2, paragraph (3); the provisions of same applies in the preceding Chapter following paragraph and paragraphs (6) and (7)), dependent's burial charges, or lump-sum allowance at dependent's childbirth (including the difference paid pursuant to the provisions of medical insurance laws other than this ActArticle 101, paragraph (3) as applied mutatis mutandis pursuant to Article 149; the same applies in the following paragraph).

Dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's delivery expenses, dependent's burial charges, or dependent's lump-sum allowance for childbirth and childcareat dependent's childbirth, pertaining to a specially-insured day laborer, are not paid if the relevant person may receive a benefit equivalent , for the same sickness, injury, death or childbirth, pursuant to payment the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act, a benefit equivalent to those expenses or allowances, or a benefit equivalent to benefits for medical treatment, or payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, delivery expenses, burial charges, or lump-sum allowance forat childbirth and childcare under this Chapter for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act.

Benefits for medical treatment, orSpecial delivery expenses for dietary treatment for inpatients, expenses for living support(including an amount equivalent to the expenses required for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, or special medical expenses, pertaining to a specially-insured day laborer, are not made to that extent if the specially-insured day laborer received medical treatment delivery care paid pursuant to the provisions of Article 134-2, paragraph (6) or (7) as applied mutatis mutandis pursuant to Article 145-2, paragraph (4); the same applies in the following paragraph) are not paid for the same childbirth if the relevant person may receive a benefit equivalent to payment of delivery expenses or medical dependent's delivery expenses for the same sickness or injury borne byunder this Chapter pursuant to the provisions of the national governmentpreceding Chapter or a local government pursuant to the provisions of other Actsthe provisions of medical insurance laws other than this act.

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, delivery expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's delivery expenses, special medical expenses, or special delivery expenses, pertaining to a specially-insured day laborer, are not made to that extent if the specially-insured day laborer received medical treatment or medical expenses for the same sickness or injury, or delivery care for the same childbirth, borne by the national government or a local government pursuant to the provisions of other laws and regulations.

When a specially-insured day laborer submits the laborer's qualified recipient card to one that the laborer selected from among the hospitals or clinics listed in Article 63, paragraph (3), item (i) or (ii) (limited to those that handle deliveries; the same applies in paragraphs (6) and (7), Article 137, paragraph (1), Article 142-2, paragraph (1), Article 144, paragraph (1) and Article 145-2, paragraph (1)) and the birthing centers listed in Article 98-2, paragraph (1), item (i) or (ii), and receives delivery care from it, delivery expenses are paid for the expenses required for the delivery care.

In order for a specially-insured day laborer to receive delivery expenses, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total during the four months preceding the month including the day of childbirth (the scheduled date of childbirth if the day of childbirth is after the scheduled date of childbirth).

When a specially-insured day laborer proves that the laborer falls under the preceding paragraph with a specially-insured day laborer's insurance book and applies, the insurer must issue a qualified recipient card which shows confirmation of the proof or add the confirmation to a qualified recipient card which has already been issued.

The qualified recipient card referred to in paragraph (1) must be one that has received the confirmation pursuant to the provisions of the preceding paragraph.

The form of a qualified recipient card, the confirmation pursuant to the provisions of paragraph (3), and other necessary matters concerning a qualified recipient card are specified by Order of the Ministry of Health, Labour and Welfare.

If an insurer finds it difficult for a specially-insured day laborer who receives delivery care to receive payment of delivery expenses pursuant to the provisions of paragraph (1), or if a specially-insured day laborer receives delivery care from a person other than a hospital or clinic listed in Article 63, paragraph (3), item (i) or (ii) or a birthing center listed in Article 98-2, paragraph (1), item (i) or (ii) and the insurer finds it unavoidable, the insurer may, pursuant to Order of the Ministry of Health, Labour and Welfare, pay an amount equivalent to the expenses required for the delivery care, determined by the insurer on the basis of the amount of expenses calculated in accordance with the provisions of paragraph (2) of the same Article; provided, however, that the amount must not exceed the amount of expenses actually required for the delivery care.

The same applies as in the preceding paragraph also when a specially-insured day laborer, without receiving the confirmation pursuant to the provisions of paragraph (3), receives delivery care from a hospital or clinic listed in Article 63, paragraph (3), item (i) or (ii) or a birthing center listed in Article 98-2, paragraph (1), item (i) or (ii), and the insurer finds that the failure to receive the confirmation was due to urgent and unavoidable reasons.