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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 205 to 207)

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.

Chapter XIV Penalty Provisions第十四章 罰則

Article 205第二百五条

Article 205, paragraph (1)

When a member of a Certification Committee, a Prefectural Certification Committee of Needed Long-Term Care, an examination committee for Long-Term Care Benefit expenses, etc., or a Certification Committee for Insurance, an expert investigator of a Certification Committee for Insurance, or an officer or employee of an Association or of a juridical person entrusted by an Association, pursuant to the provisions of Article 41, paragraph (11) (including a case applied mutatis mutandis pursuant to Article 42-2, paragraph (9), Article 46, paragraph (7), Article 48, paragraph (7), Article 51-3, paragraph (8), Article 53, paragraph (7), Article 54-2, paragraph (9), Article 58, paragraph (7), and Article 61-3, paragraph (8)), Article 115-45-3, paragraph (7), or Article 115-47, paragraph (8), with affairs concerning examination and payment prescribed in Article 41, paragraph (9), Article 42-2, paragraph (8), Article 46, paragraph (6), Article 48, paragraph (6), Article 51-3, paragraph (7), Article 53, paragraph (6), Article 54-2, paragraph (8), Article 58, paragraph (6), Article 61-3, paragraph (7), Article 115-45-3, paragraph (5), or Article 115-47, paragraph (7), or a person who was any of these, divulges, without justifiable cause, any business confidential information or personal confidential information of a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, establisher of a Facility Covered by Long-Term Care Insurance, Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or a person that provided In-Home Service, etc. or a person conducting a category 1 project, that the person has come to learn in the course of duties, the person is punished by imprisonment for one year or less or a fine of 1,000,000 yen or less.

認定審査会、都道府県介護認定審査会、給付費等審査委員会若しくは保険審査会の委員、保険審査会の専門調査員若しくは連合会若しくは連合会から第四十一条第十一項(第四十二条の二第九項、第四十六条第七項、第四十八条第七項、第五十一条の三第八項、第五十三条第七項、第五十四条の二第九項、第五十八条第七項及び第六十一条の三第八項において準用する場合を含む。)、第百十五条の四十五の三第七項若しくは第百十五条の四十七第八項の規定により第四十一条第九項、第四十二条の二第八項、第四十六条第六項、第四十八条第六項、第五十一条の三第七項、第五十三条第六項、第五十四条の二第八項、第五十八条第六項、第六十一条の三第七項、第百十五条の四十五の三第五項若しくは第百十五条の四十七第七項に規定する審査及び支払に関する事務の委託を受けた法人の役員若しくは職員又はこれらの者であった者が、正当な理由がなく、職務上知り得た指定居宅サービス事業者、指定地域密着型サービス事業者、指定居宅介護支援事業者、介護保険施設の開設者、指定介護予防サービス事業者、指定地域密着型介護予防サービス事業者、指定介護予防支援事業者若しくは居宅サービス等を行った者若しくは第一号事業を行う者の業務上の秘密又は個人の秘密を漏らしたときは、一年以下の拘禁刑又は百万円以下の罰金に処する。

Article 205, paragraph (2)

Any person that violates the provisions of Article 24-2, paragraph (3), Article 24-3, paragraph (2), Article 28, paragraph (7) (including a case applied mutatis mutandis pursuant to Article 29, paragraph (2), Article 30, paragraph (2), Article 31, paragraph (2), Article 33, paragraph (4), Article 33-2, paragraph (2), Article 33-3, paragraph (2) and Article 34, paragraph (2)), Article 69-17, paragraph (1), Article 69-28, paragraph (1), Article 69-37, Article 115-38, paragraph (1) (including a case applied mutatis mutandis pursuant to Article 115-42, paragraph (3)), Article 115-46, paragraph (8) (including a case applied mutatis mutandis pursuant to Article 115-47, paragraph (3)) or Article 115-48, paragraph (8), is punished by imprisonment for one year or less or a fine of 1,000,000 yen or less.

第二十四条の二第三項、第二十四条の三第二項、第二十八条第七項(第二十九条第二項、第三十条第二項、第三十一条第二項、第三十三条第四項、第三十三条の二第二項、第三十三条の三第二項及び第三十四条第二項において準用する場合を含む。)、第六十九条の十七第一項、第六十九条の二十八第一項、第六十九条の三十七、第百十五条の三十八第一項(第百十五条の四十二第三項において準用する場合を含む。)、第百十五条の四十六第八項(第百十五条の四十七第三項において準用する場合を含む。)又は第百十五条の四十八第八項の規定に違反した者は、一年以下の拘禁刑又は百万円以下の罰金に処する。

Article 205-2第二百五条の二

Article 205-2, paragraph (1)

When a person violates an order pursuant to the provisions of Article 69-24, paragraph (2), the person that committed the violation is punished by imprisonment for one year or less or a fine of 1,000,000 yen or less.

第六十九条の二十四第二項の規定による命令に違反したときは、その違反行為をした者は、一年以下の拘禁刑又は百万円以下の罰金に処する。

Article 205-3第二百五条の三

Article 205-3, paragraph (1)

In the case where any of the following items applies, the person who committed the violation is subject to imprisonment for not more than one year or 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場合には、その違反行為をした者は、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。

Article 205-3, paragraph (1), item (i)

where a person, in violation of the provisions of Article 118-7, makes known to another person without good reason, or uses for an unjust purpose, the content of anonymized long-term care insurance-related information that the person came to know in connection with the use of anonymized long-term care insurance-related information; or

第百十八条の七の規定に違反して、匿名介護保険等関連情報の利用に関して知り得た匿名介護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とき。

Article 205-3, paragraph (1), item (ii)

where a person violates an order pursuant to the provisions of Article 118-9.

第百十八条の九の規定による命令に違反したとき。

Article 205-3-2第二百五条の三の二

Article 205-3-2, paragraph (1)

A person who violates the provisions of Article 120-6 is punished by imprisonment for one year or less or a fine of 500,000 yen or less.

第百二十条の六の規定に違反した者は、一年以下の拘禁刑又は五十万円以下の罰金に処する。

Article 205-4第二百五条の四

Article 205-4, paragraph (1)

When a person violates an order pursuant to the provisions of Article 201-2, paragraph (6), the person who committed the violation is punished by imprisonment for one year or less or a fine of 500,000 yen or less.

第二百一条の二第六項の規定による命令に違反したときは、その違反行為をした者は、一年以下の拘禁刑又は五十万円以下の罰金に処する。

Article 206第二百六条

Article 206, paragraph (1)

In a case that corresponds to any item of the following, a person that committed said violation is punished by imprisonment for six months or less or a fine of 500,000 yen or less:

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、六月以下の拘禁刑又は五十万円以下の罰金に処する。

Article 206, paragraph (1), item (i)

when a person advertises matters other than those listed in each item of Article 98, paragraph (1), advertised falsely with regard to the matter listed in each item of the same paragraph, or the method of advertisement of matters listed in item (iii) of the same paragraph violates the provisions pursuant to paragraph (2) of the same Article;

第九十八条第一項各号に掲げる事項以外の事項を広告し、同項各号に掲げる事項に関し虚偽の広告をし、又は同項第三号に掲げる事項の広告の方法が同条第二項の規定による定めに違反したとき。

Article 206, paragraph (1), item (ii)

when a person violates an order based on the provisions of Article 101 or Article 102, paragraph (1);

第百一条又は第百二条第一項の規定に基づく命令に違反したとき。

Article 206, paragraph (1), item (iii)

when a person advertises matters other than those listed in the items of Article 112, paragraph (1), makes a false advertisement with regard to the matters listed in the items of the same paragraph, or the method of advertisement of the matters listed in item (iii) of the same paragraph violates what is determined pursuant to the provisions of paragraph (2) of the same Article;

第百十二条第一項各号に掲げる事項以外の事項を広告し、同項各号に掲げる事項に関し虚偽の広告をし、又は同項第三号に掲げる事項の広告の方法が同条第二項の規定による定めに違反したとき。

Article 206, paragraph (1), item (iv)

when a person violates an order based on the provisions of Article 114-3 or Article 114-4, paragraph (1).

第百十四条の三又は第百十四条の四第一項の規定に基づく命令に違反したとき。

Article 206-2第二百六条の二

Article 206-2, paragraph (1)

In a case defined by any item of the following, a person that committed said violation is fined an amount not to exceed 500,000 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、五十万円以下の罰金に処する。

Article 206-2, paragraph (1), item (i)

when a person fails to prepare a record book, fails to enter an entry in said book, enters a false entry in said book, or fails to maintain said book in violation of the provisions of Article 69-20 or Article 115-39 (including a case applied mutatis mutandis pursuant to Article 115-42, paragraph (3));

第六十九条の二十又は第百十五条の三十九(第百十五条の四十二第三項において準用する場合を含む。)の規定に違反して帳簿を備えず、帳簿に記載せず、若しくは帳簿に虚偽の記載をし、又は帳簿を保存しなかったとき。

Article 206-2, paragraph (1), item (ii)

when a person fails to report pursuant to the provisions of Article 69-22, paragraph (1) or paragraph (2), Article 69-30, paragraph (1) (including a case applied mutatis mutandis pursuant to Article 69-33, paragraph (2) and Article 69-33-2, paragraph (3)) or Article 115-40, paragraph (1) (including a case applied mutatis mutandis pursuant to Article 115-42, paragraph (3)) or submits a false report, or fails to reply to questions pursuant to these provisions or replies falsely, or refuses, interrupts, or evades an inspection pursuant to these provisions;

第六十九条の二十二第一項若しくは第二項、第六十九条の三十第一項(第六十九条の三十三第二項及び第六十九条の三十三の二第三項において準用する場合を含む。)又は第百十五条の四十第一項(第百十五条の四十二第三項において準用する場合を含む。)の規定による報告をせず、若しくは虚偽の報告をし、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 206-2, paragraph (1), item (iii)

when a person abolishes all Examination Question Preparation Affairs without obtaining the approval pursuant to the provisions of Article 69-23, paragraph (1), abolishes all Investigation Affairs without obtaining the approval pursuant to the provisions of Article 115-41, or abolishes all Public Information Affairs without obtaining the approval pursuant to the provisions of Article 115-41 as applied mutatis mutandis pursuant to Article 115-42, paragraph (3);

第六十九条の二十三第一項の規定による許可を受けないで試験問題作成事務の全部を廃止し、第百十五条の四十一の規定による許可を受けないで調査事務の全部を廃止し、又は第百十五条の四十二第三項において準用する第百十五条の四十一の規定による許可を受けないで情報公表事務の全部を廃止したとき。

Article 206-2, paragraph (1), item (iv)

when a person fails to report or submit or present record books and documents pursuant to the provisions of Article 118-8, paragraph (1), submits a false report or submits or presents false record books and documents, fails to reply to questions pursuant to the provisions of the same paragraph or submits a false reply, or refuses, interrupts, or evades an inspection pursuant to the provisions of the same paragraph.

第百十八条の八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検査を拒み、妨げ、若しくは忌避したとき。

Article 207第二百七条

Article 207, paragraph (1)

When corresponding to any one item of the following, an Officer, liquidator, or personnel of a health insurance society, national health insurance society, mutual aid association, or the Promotion and Mutual Aid Corporation for Private Schools of Japan is fined an amount not to exceed 300,000 yen:

次の各号の一に該当する場合には、その違反行為をした健康保険組合、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、清算人又は職員は、三十万円以下の罰金に処する。

Article 207, paragraph (1), item (i)

when a person fails to report or submit a document or other item pursuant to the provisions of Article 163, or reports falsely or submits a document with a false entry;

第百六十三条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。

Article 207, paragraph (1), item (ii)

when a person fails to report pursuant to the provisions of Article 197, paragraph (4), or submits a false report, or refuses, interrupts, or evades an inspection pursuant to the provisions of the same paragraph.

第百九十七条第四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。

Article 207, paragraph (2)

In a case when a person fails to report pursuant to the provisions of Article 172, paragraph (1) or submits a false report, or refuses, interrupts, or evades an inspection pursuant to the provisions of the same paragraph, the officer or employee of the Organization or a trustee that committed said violation is punished by a fine of 300,000 yen or less.

第百七十二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、若しくは忌避した場合には、その違反行為をした機構又は受託者の役員又は職員は、三十万円以下の罰金に処する。

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