| The mayor of the municipality within the area of the notifying prefecture or the notifying prefecture for family register supplement information that receives the provision, or another executive body of the municipality | Affairs |
| (18 rows this amendment leaves as they were are not shown) |
| (iv) The mayor of the municipality | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the implementation of vaccination under Article 5, paragraph (1) or Article 6, paragraphs (1) through (3) of the Immunization Act, the payment of a benefit under Article 15, paragraph (1) of the same Act, or the collection of actual costs under Article 52 of the same Act |
| (iv)-2 The head of a city that establishes a health center, or a special ward | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the recommendation for hospitalization or the hospitalization measure under Article 19, paragraph (1) or paragraph (3), Article 20, paragraph (1) or paragraph (2) (including as applied mutatis mutandis pursuant to Article 26 of the same Act) or Article 46, paragraph (1) or paragraph (2) of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (Act No. 114 of 1998), the bearing of expenses under Article 37, paragraph (1), Article 37-2, paragraph (1), Article 44-3-2, paragraph (1) or Article 50-3, paragraph (1) of the same Act, or the payment of medical treatment expenses under Article 42, paragraph (1), Article 44-3-3, paragraph (1) or Article 50-4, paragraph (1) of the same Act |
| (iv)-3 The head of a designated city | Among the affairs concerning the payment of specified medical expenses under Article 5, paragraph (1) of the Act on Medical Care for Patients with Intractable Diseases (Act No. 50 of 2014), the designation of a designated physician under Article 6, paragraph (1) of the same Act, or the implementation of the certification program for persons needing support for designated intractable diseases under Article 28, paragraph (2) of the same Act, the affairs specified by Order of the Ministry of Internal Affairs and Communications that are to be carried out by the head of a designated city under the provisions of Article 40 of the same Act |
| (v) The Mayor of Hiroshima City or the Mayor of Nagasaki City | (i) Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the issuance of an atomic bomb survivor's certificate under Article 2, paragraph (3) of the Atomic Bomb Survivors' Assistance Act, a health checkup under Article 7 of the same Act, the implementation of the home-based living support services under Article 38 of the same Act or the care services under Article 39 of the same Act, or the payment of a special medical care allowance under Article 24, paragraph (1) of the same Act, a special allowance under Article 25, paragraph (1) of the same Act, an atomic bomb microcephaly allowance under Article 26, paragraph (1) of the same Act, a health management allowance under Article 27, paragraph (1) of the same Act, a health allowance under Article 28, paragraph (1) of the same Act, a care allowance under Article 31 of the same Act, or funeral service fees under Article 32 of the same Act
(ii) Among the affairs concerning the provision of medical care under Article 10, paragraph (1) of the Atomic Bomb Survivors' Assistance Act, or the payment of medical expenses under Article 17, paragraph (1) of the same Act or medical expenses for general illness under Article 18, paragraph (1) of the same Act, the affairs specified by Order of the Ministry of Internal Affairs and Communications that are to be carried out by the Mayor of Hiroshima City or the Mayor of Nagasaki City under the provisions of Article 51 of the same Act |
| (v)-2 The mayor of the municipality | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the application under Article 25-2, paragraph (1) of the Water Supply Act (including as applied mutatis mutandis pursuant to Article 25-3-2, paragraph (4) of the same Act), or the notification under Article 25-7 of the same Act |
(v)-3 The head of a designated city that is a certified local government prescribed in Article 18-27, paragraph (1) of the Child Welfare Act (Act No. 164 of 1947) (referred to as "certified local government" in row (vii)-3 of Appended Table 3 and row (iv)-3 of Appended Table 4), or a special zone local government prescribed in Article 14 of the Supplementary Provisions of the Act Partially Amending the Child Welfare Act, etc. (Act No. 29 of 2025; hereinafter referred to in this paragraph, row (vii)-3 of Appended Table 3, row (iv)-3 of Appended Table 4, and item (viii)-3 of Appended Table 5 as the "2025 Amendment Act") (referred to as "special zone local government" in row (vii)-3 of Appended Table 3 and row (iv)-3 of Appended Table 4) | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the registration under Article 18-28, paragraph (1) of the Child Welfare Act, or the registration under Article 18-18, paragraph (1) of the former Child Welfare Act applied mutatis mutandis prescribed in Article 15, paragraph (1) of the Supplementary Provisions of the 2025 Amendment Act and deemed to remain in force under the provisions of that paragraph (referred to as "former Child Welfare Act applied mutatis mutandis" in row (vii)-3 of Appended Table 3, row (iv)-3 of Appended Table 4, and item (viii)-3 of Appended Table 5) |
| (v)-4 The mayor of the municipality | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the payment of a disabled child day service payment under Article 21-5-3, paragraph (1) of the Child Welfare Act, a special-case disabled child day service payment under Article 21-5-4, paragraph (1) of the same Act, a high-cost disabled child day service payment under Article 21-5-12, paragraph (1) of the same Act, day-service medical expenses for a physically disabled child under Article 21-5-29, paragraph (1) of the same Act, a disabled child consultation support payment under Article 24-26, paragraph (1) of the same Act, or a special-case disabled child consultation support payment under Article 24-27, paragraph (1) of the same Act, the provision of welfare services for persons with disabilities under Article 21-6 of the same Act, the provision of childcare at a nursery school under Article 24, paragraph (1) of the same Act or the measure under paragraph (5) or paragraph (6) of that Article, or the collection of expenses under Article 56, paragraph (2) of the same Act or the disposition under paragraph (6) or paragraph (7) of that Article |
| (6 rows this amendment leaves as they were are not shown) |
| (v)-11 The head of a designated city or a core city | Among the affairs concerning the lending of funds under Article 13, paragraph (1), Article 31-6, paragraph (1) or Article 32, paragraph (1), or Article 3, paragraph (1) or Article 6, paragraph (1) of the Supplementary Provisions, of the Act on Welfare of Mothers and Fathers with Dependents and Widows, the affairs specified by Order of the Ministry of Internal Affairs and Communications that are to be carried out by the head of a designated city or a core city under the provisions of Article 46 of the same Act |
| (v)-12 The mayor of the municipality | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the consultation under Article 9-2, paragraph (1) of the Maternal and Child Health Act (Act No. 141 of 1965), the support under paragraph (2) of that Article, health guidance under Article 10 of the same Act, home-visit guidance under Article 11, Article 17, paragraph (1) or Article 19, paragraph (1) of the same Act, a health checkup under Article 12 or Article 13 of the same Act, the notification under Article 15 or Article 18 of the same Act, the issuance of a Maternal and Child Health Handbook under Article 16, paragraph (1) of the same Act, the implementation of the postpartum care services under Article 17-2, paragraph (1) of the same Act, the provision of medical care for premature infants or the payment of the expenses required for medical care for premature infants under Article 20, paragraph (1) of the same Act, the collection of expenses under Article 21-4, paragraph (1) of the same Act, or the implementation of the services of a Children and Family Center under Article 22, paragraph (1) of the same Act |
| (v)-13 The mayor of a city, or the head of a town or village that manages a welfare office | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the determination and implementation of public assistance under Article 19, paragraph (1) of the Public Assistance Act, the payment of the benefit for employment and self-support under Article 55-4, paragraph (1) of the same Act or the benefit for preparation for further education, or the job-search preparation benefit, under Article 55-5, paragraph (1) of the same Act, the implementation of the health management support programme for public assistance recipients under Article 55-8, paragraph (1) of the same Act, the repayment of expenses required for public assistance under Article 63 of the same Act, or the collection of a collected amount under Article 77, paragraph (1), Article 77-2, paragraph (1), Article 78, paragraphs (1) through (3), or Article 78-2, paragraph (1) or paragraph (2) of the same Act |
| (8 rows this amendment leaves as they were are not shown) |
| (v)-22 The mayor of the municipality | Among the affairs concerning the payment of the Special Child Rearing Allowance under Article 3, paragraph (1) of the Act on Special Child Rearing Allowance, the affairs specified by Order of the Ministry of Internal Affairs and Communications that are to be carried out by the mayor of the municipality under the provisions of Article 38 of the same Act |
| (v)-23 The mayor of the municipality | Affairs specified by Order of the Ministry of Internal Affairs and Communications concerning the payment of the independence support payment under Article 6 of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities (Act No. 123 of 2005), or the implementation of the community living support services under Article 77 of the same Act |
| (v)-24 The head of a designated city or a core city, or a city with a child guidance center | Among the affairs concerning the payment of the independence support payment under Article 6 of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, or the implementation of the community living support services under Article 78 of the same Act, the affairs specified by Order of the Ministry of Internal Affairs and Communications that are to be carried out by the head of a designated city or a core city, or a city with a child guidance center, under the provisions of Article 106 of the same Act |
| (41 rows this amendment leaves as they were are not shown) |