Long-Term Care Insurance Act

A mayor of a Municipality, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in Article 59-2, paragraph (1) pertaining to said Designated Registered Facility Preventive Long-Term Care Support Provider or suspend the whole or a part of the effect of said appointment as service provider for a specified period:

when a Designated Registered Facility Preventive Long-Term Care Support Provider has come to fall under any of Article 115-31-2, paragraph (2), items (iv) through (vi), item (xiv) (excluding when it has a person who falls under item (vii) of that paragraph), or item (xv) (excluding when it is a person who falls under item (vii) of that paragraph);

when a Designated Registered Facility Preventive Long-Term Care Support Provider becomes unable to satisfy the standards determined by Municipal Ordinance as set forth in Article 115-31-4, paragraph (1) or the number of employees determined by Municipal Ordinance as set forth in that paragraph, with regard to the knowledge or skill, or the number of personnel, of the employees of the Business Office pertaining to said designation;

when a Designated Registered Facility Preventive Long-Term Care Support Provider becomes unable to operate an appropriate business of Designated Registered Facility Preventive Long-Term Care Support in accordance with standards concerning effective support methods for Prevention of Long-Term Care pertaining to Designated Registered Facility Preventive Long-Term Care Support or standards concerning management of the business of Designated Registered Facility Preventive Long-Term Care Support as prescribed in Article 115-31-4, paragraph (2);

when it is determined that a Designated Registered Facility Preventive Long-Term Care Support Provider violates an obligation prescribed in Article 115-31-4, paragraph (6);

when an Allowance for Registered Facility Preventive Long-Term Care Service Plan is wrongly requested;

when a Designated Registered Facility Preventive Long-Term Care Support Provider is ordered to report, submit or present record books and documents pursuant to the provisions of Article 115-31-6, paragraph (1), but disobeys said order or submits a false report;

when a Designated Registered Facility Preventive Long-Term Care Support Provider or an employee of the Business Office pertaining to said appointment as service provider is requested to appear pursuant to the provisions of Article 115-31-6, paragraph (1) but does not respond or does not reply to questions pursuant to the provisions of the same paragraph or submits a false reply, or refuses, interrupts, or interferes with an inspection pursuant to the provisions of the same paragraph, however, provided that this provision does not apply when an employee of the Business Office pertaining to said appointment as service provider performed said act and said Designated Registered Facility Preventive Long-Term Care Support Provider was faithfully providing reasonable care and supervision in order to prevent said act of said employee;

when a Designated Registered Facility Preventive Long-Term Care Support Provider is appointed to provide service as set forth in Article 59-2, paragraph (1) by wrongful means;

in addition to the cases listed in the preceding items, when a Designated Registered Facility Preventive Long-Term Care Support Provider violates this Act, another Act concerning citizens' health and medical care or public aid as provided by a Cabinet Order, or an order or disposition based on these Acts;

in addition to the cases listed in the preceding items, when a Designated Registered Facility Preventive Long-Term Care Support Provider performs a wrongful or significantly unjustifiable act concerning In-Home Service, etc.;

when, among the Officers, etc. of a Designated Registered Facility Preventive Long-Term Care Support Provider, there is a person who performed a wrongful or significantly unjustifiable act concerning In-Home Service, etc. within five years before the time when the rescission of the designation or the suspension of the whole or a part of the effect of the designation is to be carried out.

The provisions of Article 70-2 apply mutatis mutandis to the designation under Article 59-2, paragraph (1), and the provisions of Article 115-26, Article 115-30 and Article 115-30-2 apply mutatis mutandis to a Designated Registered Facility Preventive Long-Term Care Support Provider, respectively. In this case, the necessary technical replacement of terms is provided by a Cabinet Order.

A person who conducts a registered facility Preventive Long-Term Care Support Business, when receiving the designation under Article 59-2, paragraph (1), is deemed to have received, at the time of receiving said designation, the designation under Article 58, paragraph (1) as a Business Office that conducts the Preventive Long-Term Care Support Business pertaining to the designation under that paragraph, with regard to the Business Office that conducts the registered facility Preventive Long-Term Care Support Business pertaining to said designation; provided, however, that this does not apply when said Designated Registered Facility Preventive Long-Term Care Support Provider has made a different notification pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

The designation under Article 58, paragraph (1) (hereinafter referred to as the "deemed designation" in this Article) pertaining to a person deemed to have received the designation under Article 58, paragraph (1) pursuant to the provisions of the preceding paragraph (hereinafter referred to as a "Deemed Designated Provider of Preventive Support of Long-Term Care" in this Article) ceases to be effective if, with respect to said Deemed Designated Provider of Preventive Support of Long-Term Care, the effect of the designation under Article 59-2, paragraph (1) is lost pursuant to the provisions of Article 70-2, paragraph (1) as applied mutatis mutandis pursuant to the preceding Article, or there is a rescission of the designation under Article 59-2, paragraph (1) pursuant to the provisions of Article 115-31-8.

The deemed designation pertaining to a Deemed Designated Provider of Preventive Support of Long-Term Care has its effect (limited to that pertaining to the suspension of the effect of said designation) suspended for the corresponding period if, with respect to said Deemed Designated Provider of Preventive Support of Long-Term Care, the effect of the designation under Article 59-2, paragraph (1) is suspended in whole or in part pursuant to the provisions of Article 115-31-8.

When a notification of change or resumption pursuant to the provisions of Article 115-31-5, paragraph (1) or a notification of abolishment or suspension pursuant to the provisions of paragraph (2) of the same Article is submitted by a Deemed Designated Provider of Preventive Support of Long-Term Care, a notification of change or resumption pursuant to the provisions of Article 115-25, paragraph (1) or a notification of abolishment or suspension pursuant to the provisions of paragraph (2) of the same Article is deemed to have been submitted with regard to the Preventive Long-Term Care Support Business pertaining to said deemed designation.

A Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , 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, and Designated Registered Facility Preventive Long-Term Care Support Provider, and the Establishers of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, and an integrated facility for medical and long-term care (hereinafter referred to as a "Long-Term Care Service Provider"), must establish an operational control system in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, so as to ensure the performance of the obligations prescribed in Article 74, paragraph (6), Article 78-4, paragraph (8), Article 81, paragraph (6), Article 85-5, paragraph (6), Article 88, paragraph (6), Article 97, paragraph (11), Article 111, paragraph (11), Article 115-4, paragraph (6), Article 115-14, paragraph (8), Article 115-24, paragraph (6), or Article 115-24115-31-4, paragraph (6).

A Long-Term Care Service Provider, when it has received the designation as a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider, Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, 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 Designated Registered Facility Preventive Long-Term Care Support Provider, or the permission for a Long-Term Care Health Facility or an integrated facility for medical and long-term care, and intends to commence the provision of Home-Visit Long-Term Care, Home-Visit Bathing Long-Term Care, or other services specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "Long-Term Care Service"), or in any other case specified by Order of the Ministry of Health, Labour and Welfare, must, pursuant to the provisions of a Cabinet Order, report the Long-Term Care Service information pertaining to the Long-Term Care Service it provides (meaning information concerning the content of Long-Term Care Service and the operating status of the provider or facility that provides Long-Term Care Service, which is specified by Order of the Ministry of Health, Labour and Welfare as needing to be made public so that Persons Requiring Long-Term Care, etc. who use or intend to use Long-Term Care Service can secure the opportunity to use said Long-Term Care Service appropriately and smoothly; the same applies hereinafter) to the prefectural governor having jurisdiction over the location of the Business Office or facility that provides said Long-Term Care Service.

A prefectural governor, when having taken a disposition pursuant to the provisions of the preceding paragraph against a Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, must without delay provide notification of such fact to the mayor of the Municipality that provided appointment as service provider to said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider.

A prefectural governor, in a case when a Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider does not act in compliance with an order pursuant to the provisions of paragraph (4), and the prefectural governor determines it appropriate to rescind the appointment as service provider of said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, or to suspend the whole or a part of its effect within the period specified byfor a due datespecified period, must provide notification of said fact, indicating said reasons, to the mayor of the Municipality that provided said appointment as service provider.

A prefectural governor, when having taken a disposition pursuant to the provisions of the preceding paragraph against a Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, must without delay provide notification of such fact to the mayor of the Municipality that provided appointment as service provider to said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider.

A prefectural governor, in a case when a Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider does not act in compliance with an order pursuant to the provisions of paragraph (6), and the prefectural governor determines it appropriate to rescind the appointment as service provider of said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, or to suspend the whole or a part of its effect within the period specified byfor a due datespecified period, must provide notification of said fact, indicating said reasons, to the mayor of the Municipality that provided said appointment as service provider.

a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc. (excluding those who receive Designated Preventive Long-Term Care Support or Preventive Long-Term Care Support pertaining to an Exceptional Allowance for Preventive Long-Term Care Service Plan, or Designated Registered Facility Preventive Long-Term Care Support or registered facility Preventive Long-Term Care Support pertaining to an Exceptional Allowance for Registered Facility Preventive Long-Term Care Service Plan), to provide necessary assistance, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, according to their mental and physical condition, the environment in which they are placed, and other circumstances, and based on their choice, so that the category 1 home-visit project, the category 1 day service project, the category 1 daily life support project, or other appropriate projects are provided comprehensively and effectively (hereinafter referred to as "category 1 Preventive Long-Term Care Support project");

a project to provide comprehensive and continuous support implemented in accordance with the family situation of an Insured Person and other circumstances, through verification by persons with expert knowledge concerning health and medical care and public aid of the In-Home Service Plan, registered Facility Service Plan, Facility Service Plan, Preventive Long-Term Care Service Plan, and registered facility Preventive Long-Term Care Service Plan of an Insured Person, periodical consultation concerning the mental and physical condition of said Insured Person, the status of use of Services Covered by Long-Term Care Benefits, etc., and other circumstances, and other efforts, so that said Insured Person can live an independent daily life in the community;

A Municipality may implement, in addition to Community Support Projects, a project necessary for supporting a person that actually provides care for an Insured Person Requiring Long-Term Care, a project necessary for preventing an Insured Person from being in a Condition of Need for Long-Term Care, etc., a project of Designated In-Home Service or, Designated In-Home Long-Term Care Support, a project necessary for and Designated Registered Facility Long-Term Care Support, the management of a Facility Covered by Long-Term Care Insurance and other projects necessary for Insurance Benefits, a project necessary for the loan of funds for Services Subject toService Covered by Long-Term Care Benefits, etc., that an Insured Person utilizes, and other projects.

matters concerning a project for ensuring cooperation among organizations that are a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, and Designated In-HomeRegistered Facility Long-Term Care Support Provider and concerning other projects for promoting the efficient provision of Service Covered by Long-Term Care Benefits, etc., (limited to those pertaining to Long-Term Care Benefits);

matters concerning a project for ensuring cooperation among organizations that are a Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, and Designated Provider of Preventive Long-Term Care Support for Prevention of Provider, and Designated Registered Facility Preventive Long-Term Care Support Provider and other projects for promoting the efficient provision of Service Covered by Long-Term Care Benefits, etc., (limited to those pertaining to Prevention Benefits) and efficient implementation of a Community Support Project;

pursuant to the provisions of Article 41, paragraph (10) (including a case applied mutatis mutandis pursuant to Article 42-2, paragraph (9), Article 46, paragraph (7), Article 47-2, paragraph (7), Article 48, paragraph (7), Article 51-3, paragraph (8), Article 53, paragraph (7), Article 54-2, paragraph (9), Article 58, paragraph (7) , Article 59-2, paragraph (7) and Article 61-3, paragraph (8)), examination and payment concerning a demand of Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Registered Facility Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to A Person Admitted to A Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Service Plan for Long-Term Care, Allowance for Registered Facility Preventive Long-Term Care Service Plan, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility that are entrusted by a Municipality;

investigation of the improvement of quality of Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Registered Facility Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care Service, Designated Preventive Long-Term Care Support, and Designated Support for Prevention ofRegistered Facility Preventive Long-Term Care Support, and the necessary instruction and advice to a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Insurance Support Provider, Facility Covered by Long-Term Care Insurance, Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Preventive Service of for Preventive Long-Term Care, and Designated Provider of Preventive Long-Term Care Support for Prevention of Provider, and Designated Registered Facility Preventive Long-Term Care Support Provider.

operation of the business of Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Preventive Service of Registered Facility Long-Term Care Support, Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care Service, and a Facility Covered by Long-Term Care Insurance Facility;

In order to conduct the examination of invoices for Long-Term Care Benefit expenses and invoices for Comprehensive Project for Long-Term Care Prevention and Daily Life Support expenses based on the entrustment pursuant to the provisions of Article 41, paragraph (10) (including a case applied mutatis mutandis pursuant to Article 42-2, paragraph (9), Article 46, paragraph (7), Article 47-2, paragraph (7), Article 48, paragraph (7), Article 51-3, paragraph (8), Article 53, paragraph (7), Article 54-2, paragraph (9), Article 58, paragraph (7), Article 59-2, paragraph (7) and Article 61-3, paragraph (8)), and Article 115-45-3, paragraph (6) and Article 115-47, paragraph (7), an examination committee for Long-Term Care Benefit expenses, etc. (hereinafter referred to as "examination committee for Long-Term Care Benefit expenses, etc.") is to be established by an Association.

An examination committee for Long-Term Care Benefit expenses, etc. is to be comprised of committee members that represent Persons in Charge of Service Covered by Long-Term Care Benefits, etc. (which means persons in charge of Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Registered Facility Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support, or Designated Registered Facility Preventive Long-Term Care Support; the same applies in paragraph (3) and paragraphs (1) and (2) of the following Article) or Persons in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Support (which means persons in charge of a category 1 project at a Designated Provider or persons in charge of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support at a trustee; the same applies in paragraph (3) and paragraph (2) of the following Article), committee members that represent Municipalities, and committee members that represent the public interest, with each group having the same number of committee members, as prescribed by the constitution.

An examination committee for Long-Term Care Benefit expenses, etc., when it is determined necessary for the examination of invoices for Long-Term Care Benefit expenses or invoices for Comprehensive Project for Long-Term Care Prevention and Daily Life Support expenses, after obtaining the approval of the mayor of the Municipality, may request said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, Designated Registered Facility Preventive Long-Term Care Support Provider, Designated Provider, or trustee to report, or to submit or present record books and documents, or may request said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, Designated Registered Facility Preventive Long-Term Care Support Provider, Designated Provider, or trustee, or a Person in Charge of Service Covered by Long-Term Care Benefits, etc. at a Business Office pertaining to the business of said Designated Community-Based Service, the Designated In-Home Long-Term Care Support Business, the business of Designated Registered Facility Long-Term Care Support, the business of Designated Community-Based Service for Preventive Long-Term Care, the business of Designated Preventive Long-Term Care Support, or the business of Designated Registered Facility Preventive Long-Term Care Support, or a Person in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Support at a Designated Provider or trustee, to appear or provide an explanation.

An Association must pay the travel expenses, a daily allowance, and accommodation charges of a person that appears before an examination committee for Long-Term Care Benefit expenses, etc. pursuant to the provisions of the preceding two paragraphs, however, provided that this provision does not apply to those who appear pursuant to a request for appearance due to a defective or improper entry of an invoice for Long-Term Care Benefit expenses, an invoice for Comprehensive Project for Long-Term Care Prevention and Daily Life Support expenses, or the record books and documents that are submitted by said Designated In-Home Service Provider, Designated Provider of Preventive Long-Term Care Service, Facility Covered by Long-Term Care Insurance, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, or Designated Provider or trustee.

A prefectural governor or mayor of a Municipality, when it is determined to be necessary with regard to the designation under the main clause of Article 41, paragraph (1), the main clause of Article 42-2, paragraph (1), Article 46, paragraph (1), Article 47-2, paragraph (1), Article 48, paragraph (1), item (i), the main clause of Article 53, paragraph (1), the main clause of Article 54-2, paragraph (1), Article 58, paragraph (1), Article 59-2, paragraph (1), or Article 115-45-3, paragraph (1), or the approval under Article 94, paragraph (1) or Article 107, paragraph (1), may request the person who collects the insurance premiums, etc. to allow inspection of necessary documents or to provide materials, concerning the status of payment of insurance premiums, etc. by the applicant pertaining to those designations or approvals or its Officer, etc., or by the establisher or its officers, or by the administrator of a Hospital, etc., the head of an Intensive Care Home for the Elderly, or an employee prescribed in Article 94, paragraph (3), item (xi) or Article 107, paragraph (3), item (xiv).

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 47-2, paragraph (7), Article 48, paragraph (7), Article 51-3, paragraph (8), Article 53, paragraph (7), Article 54-2, paragraph (9), Article 58, paragraph (7), Article 59-2, 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 47-2, 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 59-2, 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, Designated Registered Facility 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, Designated Registered Facility 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.

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 (23), Article 33, paragraph (4), Article 33-2, paragraph (2), Article 33-3, paragraph (2) and Article 34, paragraph (23)), 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.

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 (7), Article 42-3, paragraph (3), Article 45, paragraph (8), Article 47, paragraph (7), Article 47-3, paragraph (7), Article 49, paragraph (6), Article 54, paragraph (7), Article 54-3, paragraph (3), Article 57, paragraph (8), Article 59, paragraph (7), Article 59-3, paragraph (7), Article 76, paragraph (1), Article 78-7, paragraph (1), Article 83, paragraph (1), Article 85-7, 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), Article 115-31-6, 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;

A Municipality may enact by ordinance Municipal 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), the second sentence of Article 33-3, paragraph (1), second sentence of Article 34, paragraph (1), second sentence of Article 35, paragraph (67), the second sentence of Article 66, paragraph (1) or the second sentence of paragraph (2) of that Article, or the second sentence of Article 68, paragraph (1).