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Long-Term Care Insurance Act

介護保険法(かいごほけんほう)

Chapter XIV Penalty Provisions (Articles 208 to 215)

The law as Act Partially Amending the Social Welfare Act, etc. (Act No. 51 of 2026) 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.

Article 208第二百八条

Article 208, paragraph (1)

When a person that has received a Long-Term Care Benefit, etc. fails to report pursuant to the provisions of Article 24, paragraph (2) or submits a false report, or fails to reply or submits a false reply to questions of the personnel pursuant to the provisions of the same paragraph or to questions pursuant to the provisions of Article 24, paragraph (2) of an employee of a Designated and Entrusted Juridical Person for Prefectural Affairs entrusted pursuant to the provisions of Article 24-3, paragraph (1), said person is punished by a fine of 300,000 yen or less.

介護給付等を受けた者が、第二十四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当該職員の質問若しくは第二十四条の三第一項の規定により委託を受けた指定都道府県事務受託法人の職員の第二十四条第二項の規定による質問に対して、答弁せず、若しくは虚偽の答弁をしたときは、三十万円以下の罰金に処する。

Article 209第二百九条

1 change in this article
Article 209, paragraph (1)

When corresponding to any item of the following, a person that commits said violation is fined an amount not to exceed 300,000 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。

Article 209, paragraph (1), item (i)Changed

when a person fails to submit a report or does not submit or present record books and documents, submits a false report or submits or presents false record books or documents, pursuant to the provisions of Article 42, paragraph (47), Article 42-3, paragraph (3), Article 45, paragraph (8), Article 47, paragraph (47), Article 49, paragraph (36), Article 54, paragraph (47), Article 54-3, paragraph (3), Article 57, paragraph (8), Article 59, paragraph (47), Article 76, paragraph (1), Article 78-7, paragraph (1), Article 83, paragraph (1), Article 90, paragraph (1), Article 100, paragraph (1), Article 114-2, paragraph (1), Article 115-7, paragraph (1), Article 115-17, paragraph (1), Article 115-27, paragraph (1), or Article 115-33, paragraph (1), or fails to reply or submits a false reply to questions pursuant to these provisions or refuses, interrupts, or evades an inspection pursuant to these provisions;

第四十二条第四七項、第四十二条の三第三項、第四十五条第八項、第四十七条第四七項、第四十九条第三六項、第五十四条第四七項、第五十四条の三第三項、第五十七条第八項、第五十九条第四七項、第七十六条第一項、第七十八条の七第一項、第八十三条第一項、第九十条第一項、第百条第一項、第百十四条の二第一項、第百十五条の七第一項、第百十五条の十七第一項、第百十五条の二十七第一項又は第百十五条の三十三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、又はこれら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、若しくはこれらの規定による検査を拒み、妨げ、若しくは忌避したとき。

Article 209, paragraph (1), item (ii)

when a person violates the provisions of Article 95;

第九十五条の規定に違反したとき。

Article 209, paragraph (1), item (iii)

when a person violates the provisions of Article 99, paragraph (2) of this Act or Article 9, paragraph (2) of the Medical Care Act as applied mutatis mutandis pursuant to Article 105 of this Act;

第九十九条第二項又は第百五条において準用する医療法第九条第二項の規定に違反したとき。

Article 209, paragraph (1), item (iv)

when a person violates the provisions of Article 109;

第百九条の規定に違反したとき。

Article 209, paragraph (1), item (v)

when a person violates the provisions of Article 113, paragraph (2) of this Act or Article 9, paragraph (2) of the Medical Care Act as applied mutatis mutandis pursuant to Article 114-8 of this Act.

第百十三条第二項又は第百十四条の八において準用する医療法第九条第二項の規定に違反したとき。

Article 209-2第二百九条の二

Article 209-2, paragraph (1)

When a person, without justifiable cause, fails to report pursuant to the provisions of Article 201-3, paragraph (1) or submits a false report, or, without justifiable cause, fails to reply or submits a false reply to questions of the personnel pursuant to the provisions of the same paragraph, or, without justifiable cause, refuses, interrupts, or evades an inspection pursuant to the provisions of the same paragraph, the person who committed the violation is punished by a fine of 300,000 yen or less.

正当な理由がなくて第二百一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、正当な理由がなくて答弁をせず、若しくは虚偽の答弁をし、若しくは正当な理由がなくて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、その違反行為をした者は、三十万円以下の罰金に処する。

Article 210第二百十条

Article 210, paragraph (1)

A person that fails to appear, fails to submit a statement, fails to submit a report or submits a false statement or report, or fails to perform a diagnosis or other investigation in violation of the actions pursuant to the provisions of Article 194, paragraph (1), is fined an amount not to exceed 200,000 yen, however, provided that this provision does not apply to an applicant of procedures of an examination conducted by a Certification Committee for Insurance, a Municipality which is notified pursuant to the provisions of Article 193, or other interested person.

正当な理由なしに、第百九十四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、又は診断その他の調査をしなかった者は、二十万円以下の罰金に処する。ただし、保険審査会の行う審査の手続における請求人又は第百九十三条の規定により通知を受けた市町村その他の利害関係人は、この限りでない。

Article 210-2第二百十条の二

Article 210-2, paragraph (1)

The crimes set forth in Article 205-3 also apply to a person who has committed the crimes set forth in that Article outside Japan.

第二百五条の三の罪は、日本国外において同条の罪を犯した者にも適用する。

Article 211第二百十一条

1 change in this article
Article 211, paragraph (1)Changed

When a representative person of a juridical person (including an Association or foundation that is not a juridical person and has a provision for a representative or manager (hereinafter in this Article referred to as an "Association or foundation without legal personality"); the same applies hereinafter in this paragraph) (including the manager of an Association or foundation without legal personality), or an agent, employee, or other worker of a juridical person or an individual commits a violation as set forth in Article 205-2, Article 205-3, Article 205-4 to Article 206-2, Article 209 or Article 209-2 with regard to the business of said juridical person or individual, not only the offender is punished, but also said juridical person or said individual is punished by the fine as prescribed in the respective Articles.

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二百五条の二、第二百五条の三、第二百五条の四から第二百六条の二まで、第二百九条又は第二百九条の二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。

Article 211, paragraph (2)

Where the provisions of the preceding paragraph apply to an Association or foundation without legal personality, in addition to the representative or manager of the Association or foundation without legal personality representing it in its litigation acts, the provisions of laws concerning criminal procedure in the case where a juridical person is the accused or suspect 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。

Article 211-2第二百十一条の二

Article 211-2, paragraph (1)

When a person fails to keep Financial Statements, etc., fails to enter the matters to be entered in Financial Statements, etc., or submits a false entry in violation of the provisions of Article 69-19, paragraph (1), or refuses a demand pursuant to the provisions of any item of paragraph (2) without justifiable cause, said person is punished by a fine of an amount not to exceed 200,000 yen.

第六十九条の十九第一項の規定に違反して財務諸表等を備えて置かず、財務諸表等に記載すべき事項を記載せず、若しくは虚偽の記載をし、又は正当な理由がないのに同条第二項各号の規定による請求を拒んだ者は、二十万円以下の過料に処する。

Article 212第二百十二条

Article 212, paragraph (1)

In a case that falls under any one of the following items, an officer of the Organization that committed said violation is punished by a non-penal fine of 200,000 yen or less:

次の各号の一に該当する場合には、その違反行為をした機構の役員は、二十万円以下の過料に処する。

Article 212, paragraph (1), item (i)

in a case when said person is required to obtain the authorization or approval of the Minister of Health, Labour, and Welfare pursuant to the provisions of this Act, when said person fails to obtain said authorization or approval;

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ったとき。

Article 212, paragraph (1), item (ii)

when a person invests surplus funds of a business in violation of the provisions of Article 170.

第百七十条の規定に違反して業務上の余裕金を運用したとき。

Article 213第二百十三条

Article 213, paragraph (1)

When a person that has provided In-Home Service, etc., or a person that employs said person fails to report or present pursuant to the provisions of Article 24, paragraph (1) or submits a false report, or fails to reply or submits a false reply to the questions of said personnel pursuant to the provisions of the same paragraph or to questions pursuant to the provisions of Article 24, paragraph (1) of an employee of a Designated and Entrusted Juridical Person for Prefectural Affairs entrusted pursuant to the provisions of Article 24-3, paragraph (1), said person is punished by a non-penal fine of 100,000 yen or less.

居宅サービス等を行った者又はこれを使用する者が、第二十四条第一項の規定による報告若しくは提示をせず、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若しくは第二十四条の三第一項の規定により委託を受けた指定都道府県事務受託法人の職員の第二十四条第一項の規定による質問に対して、答弁せず、若しくは虚偽の答弁をしたときは、十万円以下の過料に処する。

Article 213, paragraph (2)

A person that violates the provisions of Article 69-7, paragraph (6) or paragraph (7) is punished by a non-penal fine in an amount not to exceed 100,000 yen.

第六十九条の七第六項又は第七項の規定に違反した者は、十万円以下の過料に処する。

Article 214第二百十四条

Article 214, paragraph (1)

A Municipality, when a Primary Insured Person fails to provide a notification pursuant to the provisions of the main clause of Article 12, paragraph (1) (except for a case when the householder of said family of said Primary Insured Person resides, fails to provide a notification pursuant to the provisions of paragraph (2) of the same Article) or provides a false notification, may enact a provision to punish said offender by a non-penal fine in an amount not to exceed 100,000 yen.

市町村は、条例で、第一号被保険者が第十二条第一項本文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第一号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。

Article 214, paragraph (2)

A Municipality may enact by ordinance a provision to punish by a non-penal fine in an amount not to exceed 100,000 yen a person that fails to respond to a request to submit a Certificate of Insured Person pursuant to the provisions of the second sentence of Article 30, paragraph (1), second sentence of Article 31, paragraph (1), Article 33-3, paragraph (1), second sentence of Article 34, paragraph (1), second sentence of Article 35, paragraph (6), Article 66, paragraph (1) or paragraph (2), or Article 68, paragraph (1).

市町村は、条例で、第三十条第一項後段、第三十一条第一項後段、第三十三条の三第一項後段、第三十四条第一項後段、第三十五条第六項後段、第六十六条第一項若しくは第二項又は第六十八条第一項の規定により被保険者証の提出を求められてこれに応じない者に対し十万円以下の過料を科する規定を設けることができる。

Article 214, paragraph (3)

A Municipality, when an Insured Person, the spouse of an Insured Person, the householder of the family where an Insured Person resides, or other person that belongs to that family, or a person that was any of these, without justifiable cause fails to act in compliance with an order to submit or present documents or other items pursuant to the provisions of Article 202, paragraph (1) or fails to reply or submits a false reply to the questions asked by said personnel pursuant to the provisions of the same paragraph, may enact by Municipal Ordinance a provision to punish said person by a non-penal fine of 100,000 yen or less.

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った者が正当な理由なしに、第二百二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。

Article 214, paragraph (4)

A Municipality may enact by ordinance a provision to a person that was exempted from the collection of an insurance premium and other levies pursuant to the provisions of this Act (except for the payment and the delinquent charge as prescribed in Article 157, paragraph (1)) to punish said person by non-penal fine in an amount not to exceed the amount equivalent to five times the amount that was exempted from said collection.

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この法律の規定による徴収金(納付金及び第百五十七条第一項に規定する延滞金を除く。)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。

Article 214, paragraph (5)

The provisions of Article 255-3 of the Local Autonomy Act apply mutatis mutandis to actions of non-penal fines pursuant to the provisions of the respective 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。

Article 215第二百十五条

Article 215, paragraph (1)

An Association, pursuant to the provisions of a constitution, may collect a fine for default in an amount not to exceed 100,000 yen with respect to the use of said facility (limited to Business Relevant to A Long-Term Care Insurance Project).

連合会は、規約の定めるところにより、その施設(介護保険事業関係業務に限る。)の使用に関し十万円以下の過怠金を徴収することができる。

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