National Health Insurance Act

A Municipality is to appropriately implement national health insurance services, including matters concerning the acquisition and loss of eligibility as an insured person, the collection of national health insurance premiums (including national health insurance tax under the Local Tax Act (Act No. 226 of 1950); the same applies in Article 11, paragraph (2), Article 54-3, paragraphs (1), (2) and (45), Article 63-2, Article 81-2, paragraph (1), each item, and paragraph (10), items (ii) and (iii), and Article 82-2, paragraph (2), items (ii) and (iii), and paragraph (6)), and the implementation of health services.

An insured person belonging to the same household as a Householder who has received the delivery of the document set forth in the preceding paragraph pursuant to the provisions of that paragraph, or who has been provided, by electronic or magnetic means, with the particulars specified by Order of the Ministry of Health, Labour and Welfare set forth in that paragraph, may receive the confirmation under the main clause of Article 36, paragraph (3) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)) or Article 54-2, paragraph (3) (including as applied mutatis mutandis pursuant to Article 54-3, paragraph (67)) by presenting that document, or those particulars displayed by a method specified by Order of the Ministry of Health, Labour and Welfare.

treatment partially outside insurance coverage (meaning the treatment partially outside insurance coverage as set forth in Article 63, paragraph (2), item (vi) of the Health Insurance Act; hereinafter the same shall apply).

When an insured person has received evaluation treatment, patient-requested treatment or, selective treatment or treatment partially outside insurance coverage at or from a health insurance-covered medical institution, etc. of said person's choice, Municipalities and Societies shall pay medical expenses combined with treatment outside insurance coverage to the Householder or Society member of the household to which said insured person belongs with respect to the expenses incurred in that treatment; provided, however, that this shall not apply during any period in which said Householder or Society member is subject to the application of Article 54-3, paragraph (1) or the main clause of paragraph (2) with respect to said insured person.

TheIn the case where evaluation treatment, patient-requested treatment or selective treatment has been received (excluding the case where treatment partially outside insurance coverage has been received together with that evaluation treatment, patient-requested treatment or selective treatment), the amount of medical expenses combined with treatment outside insurance coverage shall be the amount specified in item (i) (or the aggregate of such amount and the amount specified in item (ii) or (iii) when such medical treatment includes Dietary Treatment and Living Support, respectively):

The provisions of Article 64 of the Health Insurance Act and paragraph (3) of Article 36, Articles 40 and 41, paragraphs (3) through (8) of Article 45, Article 45-2 and paragraphs (3) through (5)In the case where treatment partially outside insurance coverage has been received (including the case where evaluation treatment, patient-requested treatment or selective treatment has been received together with that treatment partially outside insurance coverage), the amount of Article 52 of this Act shall apply mutatis mutandis to evaluation treatment, patient-requested treatment and selective treatment received at or from a health insurance-covered medical institution, etc. and tomedical expenses combined with treatment outside insurance coverage shall be the amount obtained by deducting the amount specified in item (ii) from the amount specified in item (i) (or the paymentaggregate of medical expenses combined with treatment outside insurance coverage associated with the amount so deducted and the amount specified in item (ii) of the preceding paragraph when such medical treatment. In this case, any technical replacement includes Dietary Treatment, or the aggregate of terms necessary for these provisions shall bethe amount so deducted and the amount specified by Cabinet Order.in item (iii) of that paragraph when such medical treatment includes Living Support):

the amount calculated by deducting, from the amount of expenses calculated for such medical treatment (excluding Dietary Treatment and Living Support) in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (3), item (i), (a) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, such amount of expenses actually incurred in such medical treatment), the amount calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of (b) of that item;

the amount obtained by multiplying the amount specified in the preceding item by the ratio listed in the items of Article 42, paragraph (1), in accordance with the categories listed in the items of that paragraph (or, where the ratio of co-payment has been reduced pursuant to the provisions of Article 43, paragraph (1), the ratio after such reduction) (or, if any of the measures listed in the items of Article 44, paragraph (1) needs to be taken with respect to the co-payment set forth in Article 42, paragraph (1) for benefits for medical treatment, the amount calculated as if those measures were taken).

The provisions of Article 42-2 shall apply mutatis mutandis to the payment of the amount calculated by deducting the amount payable as medical expenses combined with treatment outside insurance coverage with respect to expenses incurred inparagraph (3) of Article 36, Articles 40 and 41, paragraphs (3) through (8) of Article 45, Article 45-2 and paragraphs (3) through (5) of Article 52 of this Act, and Article 64 of the relevant medical treatment from the amount of expenses calculated for such medical Health Insurance Act shall apply mutatis mutandis to evaluation treatment, patient-requested treatment, selective treatment pursuant to the provisions of paragraph (2) in the case set forth in Article 52, paragraph (3) as applied mutatis mutandis pursuant to the preceding paragraph (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, said amount of expenses actually incurred in such medical treatment)and treatment partially outside insurance coverage received at or from a health insurance-covered medical institution, etc. and to the payment of medical expenses combined with treatment outside insurance coverage associated with such treatment. In this case, any technical replacement of terms necessary for these provisions shall be specified by Cabinet Order.

The provisions of Article 42-2 shall apply mutatis mutandis to the payment of the amount calculated by deducting the amount payable as medical expenses combined with treatment outside insurance coverage with respect to expenses incurred in the relevant medical treatment from the amount of expenses calculated for such medical treatment pursuant to the provisions of paragraph (2) or (3) in the case set forth in Article 52, paragraph (3) as applied mutatis mutandis pursuant to the preceding paragraph (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, said amount of expenses actually incurred in such medical treatment).

The amount of medical expenses shall be determined by the Municipality or Society based on the amount calculated by deducting, from the amount calculated for such medical treatment (excluding Dietary Treatment and Living Support) (or, in the case where treatment partially outside insurance coverage has been received (including the case where evaluation treatment, patient-requested treatment or selective treatment has been received together with that treatment partially outside insurance coverage), the amount obtained by deducting from that amount the amount calculated in accordance with the precedent of the determination by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (3), item (i), (b) of the Health Insurance Act), the amount calculated by multiplying such amount by the applicable ratio listed in the items of paragraph (1) of Article 42, in accordance with the categories listed in the items of the same paragraph, and the amount calculated by deducting, from the amount of expenses calculated for such Dietary Treatment or Living Support, the amount of Standard Co-payment for Dietary Treatment or Standard Living Expense Co-payment, respectively.

In calculating the amount of expenses set forth in the preceding paragraph, the provisions of Article 45, paragraph (2) shall apply mutatis mutandis to cases where benefit for medical treatment shall be received, those of Article 52, paragraph (2) shall apply mutatis mutandis to cases where expenses for Dietary Treatment for inpatients shall be received, those of Article 52-2, paragraph (2) shall apply mutatis mutandis to cases where expenses for Living Support for inpatients shall be received, and those of paragraph (2) or (3) of the preceding Article shall apply mutatis mutandis to cases where medical expenses combined with treatment outside insurance coverage shall be received; provided, however, that such amount shall not exceed the amount of expenses actually incurred in the relevant medical treatment.

In the case where a Householder who is in arrears with insurance premiums (limited to a Householder who has a domicile within the area of the Municipality) or a Society member who is in arrears with insurance premiums (excluding a Householder or Society member all of whose insured persons belonging to the household are able to receive payment of general medical expenses under the Atomic Bomb Survivors' Assistance Act (Act No. 117 of 1994) or other benefits relating to medical care specified by Order of the Ministry of Health, Labour and Welfare (referred to as "payment of general medical expenses for atomic bomb survivors, etc." in this paragraph and paragraph (45)); hereinafter referred to as a "householder, etc. in arrears with insurance premiums" in this Article) still does not pay those insurance premiums during the period until the period specified by Order of the Ministry of Health, Labour and Welfare has elapsed from the due date for payment of those insurance premiums even though the Municipality or Society concerned has taken measures contributing to payment of insurance premiums specified by Order of the Ministry of Health, Labour and Welfare, such as encouraging payment of those insurance premiums and ensuring opportunities for consultation on payment of those insurance premiums (referred to as "encouragement of insurance premium payment, etc." in the following paragraph and Article 63-2, paragraphs (1) and (2)), then, except where it is found that there are special circumstances specified by Cabinet Order, such as a disaster, in the arrears of those insurance premiums, when an insured person belonging to that household (excluding persons able to receive payment of general medical expenses for atomic bomb survivors, etc. and persons in the period until the first March 31 on or after the day on which they reach the age of 18; the same applies hereinafter in this Article (excluding paragraphs (45) and (56))) receives medical treatment from a health insurance-covered medical institution, etc. or receives designated home nursing from a designated home-nursing provider, Municipalities and Societies are to pay special medical expenses to the householder, etc. in arrears with insurance premiums with respect to the expenses incurred in that medical treatment or designated home nursing, in lieu of benefits for medical treatment or payment of expenses for Dietary Treatment for inpatients, etc. (meaning expenses for Dietary Treatment for inpatients, Living Support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses or medical expenses for home-nursing; the same applies in paragraphs (45) and (56)) (referred to as "Benefits for Medical Treatment, etc." in the following paragraph and paragraph (56)).

In the case where a householder, etc. in arrears with insurance premiums who is subject to the application of paragraph (1) or the main clause of paragraph (2) has paid the arrears of insurance premiums in full, or where it is found that there are special circumstances specified by Cabinet Order, such as a significant decrease in theThe amount in arrears pertaining to that person or a disaster, or where an insured person belonging to that household has become a person able to receive payment of generalspecial medical expenses for atomic bomb survivors, etc., when an insured person belonging to the household ofshall be the Householder or Society member who falls under these cases (amount specified in the case where an insured person belonging toitem (i) (or the household of that householder, etc. in arrears with insurance premiums has become a person able to receive paymenttotal sum of general medical expenses for atomic bomb survivors, etc., limited to that insured person;such amount and the same applies hereinafteramount specified in this paragraph and the following paragraph) receives medical treatment from a health insurance-covered medical institution, etc. item (ii) or receives designated home nursing from a designated home-nursing provider, Municipalities and Societies are to provide benefits for(iii) when such medical treatment to the insured person belonging to the household of that Householder or Society member, or pay expenses forincludes Dietary Treatment for inpatients, etc. to that Householder or Society member.and Living Support, respectively):

the amount obtained by deducting, with respect to such medical treatment (excluding Dietary Treatment and Living Support), from the amount specified in the one of (a) through (d) below that applies to the relevant case, the amount obtained by multiplying that amount by the ratio listed in the items of Article 42, paragraph (1), in accordance with the categories listed in the items of that paragraph (or, where the ratio of co-payment has been reduced pursuant to the provisions of Article 43, paragraph (1), the ratio after such reduction) (or, if any of the measures listed in the items of Article 44, paragraph (1) needs to be taken with respect to the co-payment set forth in Article 42, paragraph (1) for benefits for medical treatment, the amount calculated as if those measures were taken);

in cases where benefits for medical treatment can be received: the amount of expenses calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 76, paragraph (2) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, such amount of expenses actually incurred in such medical treatment);

in cases prescribed in Article 53, paragraph (2) where payment of medical expenses combined with treatment outside insurance coverage can be received: the amount of expenses calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (2), item (i) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, such amount of expenses actually incurred in such medical treatment);

in cases prescribed in Article 53, paragraph (3) where payment of medical expenses combined with treatment outside insurance coverage can be received: the amount calculated by deducting, from the amount of expenses calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (3), item (i), (a) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, such amount of expenses actually incurred in such medical treatment), the amount calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of (b) of that item;

in cases where payment of medical expenses for home-nursing can be received: the amount of expenses calculated in accordance with the rules prescribed by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 88, paragraph (4) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such medical treatment, such amount of expenses actually incurred in such medical treatment).

the amount calculated by deducting the amount of Standard Co-payment for Dietary Treatment from the amount of expenses calculated for such Dietary Treatment in accordance with the standards set by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 85, paragraph (2) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such Dietary Treatment, such amount of expenses actually incurred in such Dietary Treatment);

the amount calculated by deducting the amount of Standard Living Expense Co-payment from the amount of expenses calculated for such Living Support in accordance with the standards set by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 85-2, paragraph (2) of the Health Insurance Act (or, when said amount exceeds the amount of expenses actually incurred in such Living Support, such amount of expenses actually incurred in such Living Support).

When providing benefits for medical treatment or paying expenses for Dietary Treatment for inpatients, etc. pursuantIn the case where a householder, etc. in arrears with insurance premiums who is subject to the provisionsapplication of paragraph (1) or the preceding main clause of paragraph, Municipalities and Societies (2) has paid the arrears of insurance premiums in full, or where it is found that there are to notify special circumstances specified by Cabinet Order, such as a significant decrease in advance the amount in arrears pertaining to that person or a disaster, or where an insured person belonging to that household has become a person able to receive payment of general medical expenses for atomic bomb survivors, etc., when an insured person belonging to the household of the Householder or Society member who falls under these cases (in the case prescribed in where an insured person belonging to the household of that paragraph, as provided by Order of the Ministry of Health, Labour and Welfare, that Benefits householder, etc. in arrears with insurance premiums has become a person able to receive payment of general medical expenses for Medical Treatmentatomic bomb survivors, etc. will be provided when an, limited to that insured person belonging to ; the same applies hereinafter in this paragraph and the household following paragraph) receives medical treatment from a health insurance-covered medical institution, etc. or receives designated home nursing from a designated home-nursing provider, Municipalities and Societies are to provide benefits for medical treatment to the insured person belonging to the household of that Householder or Society member, or pay expenses for Dietary Treatment for inpatients, etc. to that Householder or Society member.

The provisions of Article 64 of the Health Insurance Act and paragraph (3) of Article 36, Articles 40 and 41, paragraph (3) of Article 45, Article 45-2, paragraph (5) of Article 52, paragraph (2) of Article 53, paragraphs (3), (8) and (10) of Article 54-2, Article 54-2-2 and the preceding Article of this Act shall apply mutatis mutandis toWhen providing benefits for medical treatment or designated home nursing covered by special medicalpaying expenses received at or from a health insurance-covered medical institutionfor Dietary Treatment for inpatients, etc. or a designated home-nursing provider andpursuant to the paymentprovisions of special medical expenses associated with such medical treatment or designated home nursing. In this case, the phrase "The amount of medical expenses combined with treatment outside insurance coverage" in Article 53,preceding paragraph (2) shall be deemed, Municipalities and Societies are to be replaced with "The amount of special medical expenses" andnotify in advance the phrase "Article 86, paragraph (2), item (i) ofHouseholder or Society member who falls under the Health Insurance Act"case prescribed in that paragraph shall be deemed to be replaced with "Article 76, paragraph (2) of the Health Insurance Act in the case where benefits for medical treatment can be received, those prescribed by, as provided by Order of the MinisterMinistry of Health, Labour and Welfare pursuant to the provisions of Article 86, paragraph (2), item (i) of the same Act in the case where payment of medical expenses combined with treatment outside insurance coverage can be received, or those prescribed by the Minister of Health, Labour and Welfare pursuant, that Benefits for Medical Treatment, etc. will be provided when an insured person belonging to the provisions of Article 88, paragraph (4) of the same Act in the case where payment ofhousehold receives medical treatment from a health insurance-covered medical expenses for home-nursing can be received", and any technical replacement of terms necessary for the other provisions shall be specified by Cabinet Orderinstitution, etc. or receives designated home nursing from a designated home-nursing provider.

When theThe provisions of paragraph (3) of Article 54, 36, Articles 40 and 41, paragraph (1) would apply to an insured person belonging to 3) of Article 45, Article 45-2, paragraph (5) of Article 52, paragraphs (3), (8) and (10) of Article 54-2, Article 54-2-2 and the household preceding Article of a householder, etc. in arrears with insurance premiums who is subject this Act, and Article 64 of the Health Insurance Act shall apply mutatis mutandis to the application of paragraph (1) medical treatment or designated home nursing covered by special medical expenses received at or the main clause of paragraph (2) if the insured person were not subjectfrom a health insurance-covered medical institution, etc. or a designated home-nursing provider and to the applicationpayment of those provisions, Municipalities and Societies may pay medical expensesspecial medical expenses associated with such medical treatment or designated home nursing. In this case, any technical replacement of terms necessary for these provisions shall be specified by Cabinet Order.

Where When the provisions of Article 54, paragraph (1) would apply to an insured person belonging to the household of a householder, etc. in arrears with insurance premiums who is subject to the application of paragraph (1) or the main clause of paragraph (2) has received any medical care or medication at or from a health insurance-covered medical institution, etc. without receiving confirmation of being anif the insured person by electronic eligibility confirmation, etc., and when it is found that the failure to receive such confirmation was duewere not subject to an emergency situation or any other unavoidable reasonthe application of those provisions, Municipalities and Societies shallmay pay medical expenses.

The provisions Where an insured person belonging to the household of Article 54, paragraphs (3) and (4) shall apply mutatis mutandis to the medical expenses under the preceding two paragraphs. In this case, the phrase "shall be received" in paragraph (4) of a householder, etc. in arrears with insurance premiums who is subject to the application of paragraph (1) or the main clause of paragraph (2) has received any medical care or medication at or from a health insurance-covered medical institution, etc. without receiving confirmation of being an insured person by electronic eligibility confirmation, etc., and when it is found that Article shall be deemed the failure to receive such confirmation was due to be replaced with "can be received"an emergency situation or any other unavoidable reason, Municipalities and Societies shall pay medical expenses.

The provisions of Article 54, paragraphs (3) and (4) shall apply mutatis mutandis to the medical expenses under the preceding two paragraphs. In this case, the phrase "shall be received" in paragraph (4) of that Article shall be deemed to be replaced with "can be received".

When a health insurance-covered medical institution, etc. or a designated home-nursing provider receives, by means of deception or other wrongful conduct, any payment of expenses relating to benefits for medical treatment or any payment pursuant to the provisions of Article 52, paragraph (3) (including cases where applied mutatis mutandis pursuant to Article 52-2, paragraph (3) and Article 53, paragraph (34)) or Article 54-2, paragraph (5), Municipalities and Societies may cause said health insurance-covered medical institution, etc. or designated home-nursing provider to refund the amount so paid and to pay, in addition, the amount obtained by multiplying the amount to be refunded by forty hundredths.

With respect to insurance benefits that a Municipality provides pursuant to the provisions of Article 36, paragraph (1), Article 43, paragraph (3), Article 52, paragraph (1), Article 52-2, paragraph (1), Article 53, paragraph (1), Article 54, paragraphs (1) and (2), Article 54-2, paragraph (1), Article 54-3, paragraphs (1), (2), (45), (78) and (89), Article 54-4, paragraph (1), Article 55, paragraph (1), Article 56, paragraph (2), Article 57-2, paragraph (1) and Article 57-3, paragraph (1), the Municipality is to provide them to persons who have a domicile within the area of the Municipality.

A Municipality is to carry out, with respect to persons who have a domicile within the area of the Municipality, the affairs under the provisions of Article 42, paragraph (2), Article 43, paragraph (1), Article 44, paragraph (1), Article 45, paragraph (3) (including cases where applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)) and Article 58, paragraph (1).

From a wide-area or medical specialist perspective, in order to ensure the proper implementation of insurance benefits by the Municipalities within the prefecture and to properly provide subsidies for national health insurance benefit expenses, etc., a prefecture may, as provided by Order of the Ministry of Health, Labour and Welfare, request the Municipalities within that prefecture to provide the claims made by health insurance-covered medical institutions, etc. pursuant to Article 45, paragraph (4) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3) and Article 53, paragraph (34)), the claims made by designated home-nursing providers pursuant to Article 54-2, paragraph (9) and other information relating to the review and payment of insurance benefits by those Municipalities (including, where a Municipality has entrusted its affairs concerning insurance benefits to a Federation of National Health Insurance Associations or the organization (referred to as a "case of entrustment of affairs" in the following Article), information held by the Federation of National Health Insurance Associations or the organization with respect to the entrusted affairs).

information relating to the examination and payment of insurance benefits by the Municipality, such as claims made by health insurance-covered medical institutions, etc. pursuant to the provisions of Article 45, paragraph (4) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3) and Article 53, paragraph (34)) and claims made by designated home-nursing providers pursuant to the provisions of Article 54-2, paragraph (9) (including, where the Municipality has entrusted its affairs relating to insurance benefits to a Federation of National Health Insurance Associations or the organization, information held by the Federation of National Health Insurance Associations or the organization in relation to the entrusted affairs);

A Federation conducts the operations of examination and payment, performed as entrusted by Municipalities and Societies pursuant to the provisions of Article 45, paragraph (5) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-2, paragraph (12)), concerning claims for the expenses required for benefits for medical treatment and for expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage and medical expenses for home-nursing.

In addition to the affairs prescribed in Article 45, paragraph (5) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-2, paragraph (12)), an insurer may entrust the following affairs to the Federation prescribed in Article 45, paragraph (5) or the organization:

When the Minister of Health, Labour and Welfare or a prefectural governor conducts any of the affairs specified in Article 41, paragraph (1) (including cases where applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)) and paragraph (2) (including cases where applied mutatis mutandis pursuant to Article 45-2, paragraph (4), Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)), Article 45-2, paragraph (1) (including cases where applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)), Article 54-2-2 (including cases where applied mutatis mutandis pursuant to Article 54-3, paragraph (67)), Article 54-2-3, paragraph (1) (including cases where applied mutatis mutandis pursuant to Article 54-3, paragraph (67)) and Article 114 pursuant to these provisions, the relevant affairs shall be conducted under mutually close coordination.

The affairs which shall be handled by a prefecture pursuant to the provisions of Article 17, paragraph (1) and paragraph (3) (including cases where applied mutatis mutandis pursuant to Article 27, paragraph (3)), Articles 24-4 and 24-5, Article 25, paragraph (1), Article 27, paragraphs (2) and (4), Article 32, paragraph (2), Article 32-2, paragraph (2), Article 32-7, paragraph (1) and paragraph (2) (including cases where applied mutatis mutandis pursuant to paragraph (3) of the same Article), Article 32-12, Article 41, paragraph (1) (including cases where applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)) and paragraph (2) (including cases where applied mutatis mutandis pursuant to Article 45-2, paragraph (4), Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)), Article 45, paragraph (3) and Article 45-2, paragraphs (1) and (5) (including cases where these provisions shall apply mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-3, paragraph (67)), Article 54-2-2 and Article 54-2-3, paragraphs (1) and (3) (including cases where these provisions shall apply mutatis mutandis pursuant to Article 54-3, paragraph (67)), Article 80, paragraph (1), Article 88 and Article 89, paragraph (1), the affairs which shall be handled by a prefecture pursuant to the provisions of Article 106, paragraph (1) (limited to the part relating to item (ii)), Article 107 (limited to the part relating to item (ii)) and Article 108 and which are relevant to a Society, and the affairs which shall be handled by a prefecture pursuant to the provisions of Article 114 shall be Type 1 statutory entrusted functions as prescribed in Article 2, paragraph (9), item (i) of the Local Autonomy Act.

The provisions of the preceding paragraph shall also apply when a person who conducts or used to conduct the review of medical bills as specified by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 45, paragraph (7) (including cases where applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (34) and Article 54-2, paragraph (12)) or a current or former officer or employee of a Designated Association divulges, without a justifiable reason, any confidential information obtained in the course of said person's duties.