Article 70Responsibilities of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance
第七十条（保険医療機関又は保険薬局の責務）
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance must put physicians providing health insurance treatment who are engaging in medical care at the institution or pharmacists filling health insurance prescriptions who are engaging in prescription at the pharmacy in charge of medical care or prescription pursuant to Order of the Ministry of Health, Labour and Welfare referred to in Article 72, paragraph (1) and must be responsible for benefits for medical treatment pursuant to Order of the Ministry of Health, Labour and Welfare.
Beyond the provisions of the preceding paragraph (including when applied mutatis mutandis to Article 85, paragraph (9), Article 85-2, paragraph (5), Article 86, paragraph (4), Article 110, paragraph (7), and Article 149), a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance is responsible for benefits for medical treatment pursuant to the provisions of the Seamen's Insurance Act, National Health Insurance Act, National Public Employees Mutual Aid Association Act (Act No. 128 of 1958; including when this is applied mutatis mutandis to other laws and the same rule governs), or Local Public Employees Mutual Aid Association Act (hereinafter referred to as "medical insurance laws other than this act") as well as medical treatment for insured persons and dependents, benefits for medical treatment pursuant to the provisions of the Act on Assurance of Medical Care for Elderly People, and treatment pertaining to dietary treatment expenses for inpatients, living support expenses for inpatients, and medical expenses combined with treatment outside insurance coverage.
A medical institution providing services covered by health insurance which is an advanced treatment hospital prescribed by Article 4-2 of the Medical Care Act or otherwise specified by Order of the Ministry of Health, Labour and Welfare is to take measures specified by Order of the Ministry of Health, Labour and Welfare as measures for sharing functions and for operational cooperation between medical institutions providing services covered by health insurance, for instance, by referring patients to medical institutions providing services covered by health insurance appropriate for the patients' symptoms or other circumstances.
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance is to cooperate with measures taken by the national government or a local government for the provision of the medical care listed in the items of Article 37, paragraph (1) of that Act and other necessary medical care concerning pandemic influenza or similar infectious disease prescribed in Article 6, paragraph (7) of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases and other infectious diseases.
Read this with the articles around it
(Dependent's Medical Expenses)
The provisions of Article 63, Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, Article 84, paragraph (1), Article 85…
第六十三条、第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条、第八十四条第一項、第八十五条第八項、第八十七条及び第九十八条の規定は、家族療養費の支給及び被扶養者の療養について準用する。
Open this provision(Application Mutatis Mutandis)
The provisions listed in the left-hand column of the following table apply mutatis mutandis to affairs pertaining to the specially-insured day laborers listed in the right-hand column of the same…
次の表の上欄に掲げる規定は、それぞれ同表の下欄に掲げる日雇特例被保険者に係る事項について準用する。 第五十六条から第六十二条まで 保険給付 第六十三条第二項、第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条及び第八十四条第一項 療養の給付並びに入院時食事療養費…
Open this provision(Responsibilities of Medical Institutions Providing Services Covered by Health Insurance or Pharmacies Providing Services Covered by Health Insurance)
A medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance must put physicians providing health insurance treatment who are…
保険医療機関又は保険薬局は、当該保険医療機関において診療に従事する保険医又は当該保険薬局において調剤に従事する保険薬剤師に、第七十二条第一項の厚生労働省令で定めるところにより、診療又は調剤に当たらせるほか、厚生労働省令で定めるところにより、療養の給付を担当しなければならない。
Open this provision(Responsibilities of Physicians Providing Health Insurance Treatment or Pharmacists Filling Health Insurance Prescriptions)
A physician providing health insurance treatment at a medical institution providing services covered by health insurance or a pharmacist filling health insurance prescriptions at a pharmacy providing…
保険医療機関において診療に従事する保険医又は保険薬局において調剤に従事する保険薬剤師は、厚生労働省令で定めるところにより、健康保険の診療又は調剤に当たらなければならない。
Open this provision(Living Support Expenses for Inpatients)
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, Article 84, paragraph (1)…
第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条、第八十四条第一項及び前条第五項から第八項までの規定は、第六十三条第三項各号に掲げる病院又は診療所から受けた生活療養及びこれに伴う入院時生活療養費の支給について準用する。
Open this provision(Dietary Treatment Expenses for Inpatients)
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, and paragraph (1) of the preceding Article apply…
第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十八条及び前条第一項の規定は、第六十三条第三項各号に掲げる病院又は診療所から受けた食事療養及びこれに伴う入院時食事療養費の支給について準用する。
Open this provision(Medical Expenses Combined with Treatment Outside Insurance Coverage)
The provisions of Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 77, Article 78, Article 84, paragraph (1), Article 85…
第六十四条、第七十条第一項、第七十二条第一項、第七十三条、第七十六条第三項から第六項まで、第七十七条、第七十八条、第八十四条第一項及び第八十五条第五項から第八項までの規定は、保険医療機関等から受けた評価療養、患者申出療養及び選定療養並びにこれらに伴う保険外併用療養費の支給について準用する。
Open this provisionA hospital that meets the following requirements may bear the name "advanced treatment hospital", with the approval of the Minister of Health, Labour and Welfare:
病院であつて、次に掲げる要件に該当するものは、厚生労働大臣の承認を得て特定機能病院と称することができる。
Open this provisioninsured person
「被保険者」
A person employed at an applicable place of business (適用事業所), or an insured person with optional and continued coverage (任意継続被保険者); the persons listed in the items of Article 3, paragraph (1) — among them some temporary, seasonal and short-time workers and persons insured under late-stage elderly medical care (後期高齢者医療) — cannot be insured persons, except as specially-insured day laborers (日雇特例被保険者).
Defined inArticle 3, paragraph (1)· applies throughout the law
dependentmachine translation
「被扶養者」
A person who lives in Japan — or who lives abroad but whom a Ministry of Health, Labour and Welfare Order (厚生労働省令) treats as based in Japan, such as a student studying abroad — and who is mainly supported by an insured person (including a former specially-insured day laborer, 日雇特例被保険者): the insured person's lineal ascendants, spouse (including a de facto spouse), children, grandchildren and siblings, and, if they belong to the insured person's household, other relatives within the third degree of kinship and a de facto spouse's parents and children, also after that spouse's death; persons with late-stage elderly medical care insurance (後期高齢者医療の被保険者等) and others the Order excludes are not dependents.
Defined inArticle 3, paragraph (7)· applies throughout the law
medical institution providing services covered by health insurancemachine translation
「保険医療機関」
A hospital or clinic designated by the Minister of Health, Labour and Welfare under Article 63, paragraph (3), item (i), at which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance, not counting any beds left out of its designation under Article 65.
Short name set inArticle 63, paragraph (3), item (i)
pharmacy providing services covered by health insurancemachine translation
「保険薬局」
A pharmacy designated by the Minister of Health, Labour and Welfare, from which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance.
Short name set inArticle 63, paragraph (3), item (i)
physician providing health insurance treatment
「保険医」
A physician or dentist registered by the Minister of Health, Labour and Welfare, which every physician or dentist giving medical care under health insurance at a medical institution providing services covered by health insurance (保険医療機関) must be.
Short name set inArticle 64, paragraph (1)
pharmacist filling health insurance prescriptions
「保険薬剤師」
A pharmacist registered by the Minister of Health, Labour and Welfare, which every pharmacist dispensing under health insurance at a pharmacy providing services covered by health insurance (保険薬局) must be.
Short name set inArticle 64, paragraph (1)
medical insurance laws other than this act
「この法律以外の医療保険各法」
The Mariners Insurance Act, the National Health Insurance Act, the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958, including where other laws apply it or have it followed) and the Local Public Officers, etc. Mutual Aid Association Act: the medical insurance laws besides this Act under which medical institutions and pharmacies providing services covered by health insurance (保険医療機関又は保険薬局) also give benefits for medical treatment (療養の給付).
Short name set inArticle 70, paragraph (2)