Chapter VI Healthcare Services and Welfare Services
第六章 保健事業及び福祉事業
Article 150Healthcare Services and Welfare Services
第百五十条（保健事業及び福祉事業）
An insurer must provide specified health checks pursuant to the provisions of Article 20 of the Act on Assurance of Medical Care for Elderly People (referred to simply as "specified health checks" in the following paragraph) and specified health guidance pursuant to the provisions of Article 24 of the same Act (referred to as "specified health checks, etc." hereinafter in this paragraph and Article 154-2), and must endeavor to provide services other than specified health checks, etc., such as health education, health consulting, and health checks, as well as support for the self-help efforts of insured persons and their dependents (hereinafter referred to as "insured persons, etc." in this Article) concerning health management and disease prevention, and other necessary services for the maintenance and promotion of the health of insured persons, etc.
When an insurer finds it necessary in providing the services necessary for maintaining and promoting the health of insured persons, etc. pursuant to the provisions of the preceding paragraph, it may, as specified by Order of the Ministry of Health, Labour and Welfare, request a business operator, etc. that employs insured persons, etc. (meaning an employer prescribed in Article 2, item (iii) of the Industrial Safety and Health Act (Act No. 57 of 1972), any other person who has the duty to conduct health examinations (limited to those that cover items corresponding to specified health checks) under laws and regulations, and any other person specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article) or a business operator, etc. that formerly employed them to provide a copy of the records on health examinations pertaining to those insured persons, etc. that the business operator, etc. keeps pursuant to that Act or other laws and regulations, or anything specified by Order of the Ministry of Health, Labour and Welfare as equivalent thereto.
保険者は、前項の規定により被保険者等の健康の保持増進のために必要な事業を行うに当たって必要があると認めるときは、被保険者等を使用している事業者等（労働安全衛生法（昭和四十七年法律第五十七号）第二条第三号に規定する事業者その他の法令に基づき健康診断（特定健康診査に相当する項目を実施するものに限る。）を実施する責務を有する者その他厚生労働省令で定める者をいう。以下この条において同じ。）又は使用していた事業者等に対し、厚生労働省令で定めるところにより、同法その他の法令に基づき当該事業者等が保存している当該被保険者等に係る健康診断に関する記録の写しその他これに準ずるものとして厚生労働省令で定めるものを提供するよう求めることができる。
A business operator, etc. that is requested pursuant to the provisions of the preceding paragraph to provide a copy of the records on health examinations pertaining to insured persons, etc. that it keeps pursuant to the Industrial Safety and Health Act or other laws and regulations must provide a copy of those records as specified by Order of the Ministry of Health, Labour and Welfare.
In providing the services referred to in paragraph (1), an insurer is to make use of the medical insurance-related information prescribed in Article 16, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, copies of records on health examinations pertaining to insured persons, etc. provided by business operators, etc., and other necessary information, for the appropriate and effective provision of the services.
An insurers may provide services such as the loaning of funds or equipment necessary for medical treatment for insured persons, etc. and funds necessary for improving medical treatment and the medical care environment for insured persons, etc. and childbirth for insured persons, etc. or other services for promoting the welfare of insured persons.
保険者は、被保険者等の療養のために必要な費用に係る資金若しくは用具の貸付けその他の被保険者等の療養若しくは療養環境の向上又は被保険者等の出産のために必要な費用に係る資金の貸付けその他の被保険者等の福祉の増進のために必要な事業を行うことができる。
An insurer may allow persons other than insured persons, etc. to use the services referred to in paragraph (1) and the preceding paragraph, only if the services will not be impeded. In this case, the insurer may request a user of these services to pay a fee pursuant to Order of the Ministry of Health, Labour, and Welfare.
The Minister of Health, Labour and Welfare may, as specified by Order of the Ministry of Health, Labour and Welfare, order a health insurance society to provide the services referred to in paragraph (1) or (5).
The Minister of Health, Labour and Welfare is to publish guidelines, and provide information and other support services regarding services that insurers provide pursuant to the provisions of paragraph (1) that are necessary for maintaining and promoting insured persons' health, in order for those services to be provided appropriately and effectively.
The guidelines referred to in the preceding paragraph must be in harmony with health check guidelines prescribed by Article 9, paragraph (1) of the Health Promotion Act (Act No. 103 of 2002).
前項の指針は、健康増進法（平成十四年法律第百三号）第九条第一項に規定する健康診査等指針と調和が保たれたものでなければならない。
第百五十条の二（国民保健の向上のための匿名診療等関連情報の利用又は提供）
In order to contribute to improving the health of the people, the Minister of Health, Labour and Welfare may use anonymized medical care-related information (meaning medical care-related information processed in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare so as to make it impossible to identify a specific insured person or other person specified by Order of the Ministry of Health, Labour and Welfare to whom the medical care-related information pertains (referred to as "the person themselves" in the following Article) and to restore the medical care-related information used in producing it; the same applies hereinafter), or may, as specified by Order of the Ministry of Health, Labour and Welfare, provide it to a person listed in the following items who conducts the business specified respectively in those items as business found to have considerable public interest in being conducted upon receipt of anonymized medical care-related information:
other administrative organs of the national government and local governments: surveys concerning the planning and drafting of policies that contribute to the provision of appropriate health and medical services;
国の他の行政機関及び地方公共団体 適正な保健医療サービスの提供に資する施策の企画及び立案に関する調査
universities and other research institutions: research on the causes of diseases and on methods of preventing, diagnosing and treating diseases, and other research on the improvement and promotion of public health;
大学その他の研究機関 疾病の原因並びに疾病の予防、診断及び治療の方法に関する研究その他の公衆衛生の向上及び増進に関する研究
private business operators and other persons specified by Order of the Ministry of Health, Labour and Welfare: analysis contributing to research and development in the medical field and other business specified by Order of the Ministry of Health, Labour and Welfare (excluding that conducted for use in advertising or promoting specific goods or services).
民間事業者その他の厚生労働省令で定める者 医療分野の研究開発に資する分析その他の厚生労働省令で定める業務（特定の商品又は役務の広告又は宣伝に利用するために行うものを除く。）
When using or providing information pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may use the anonymized medical care-related information concerned in linkage with the anonymized medical insurance-related information prescribed in Article 16-2, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, the anonymized long-term care insurance-related information prescribed in Article 118-3, paragraph (1) of the Long-Term Care Insurance Act, or other information specified by Order of the Ministry of Health, Labour and Welfare, or provide it in a state in which it can be used in linkage with such information.
厚生労働大臣は、前項の規定による利用又は提供を行う場合には、当該匿名診療等関連情報を高齢者の医療の確保に関する法律第十六条の二第一項に規定する匿名医療保険等関連情報、介護保険法第百十八条の三第一項に規定する匿名介護保険等関連情報その他の厚生労働省令で定めるものと連結して利用し、又は連結して利用することができる状態で提供することができる。
When intending to provide anonymized medical care-related information pursuant to the provisions of paragraph (1), the Minister of Health, Labour and Welfare must hear the opinions of the Social Security Council in advance.
Article 150-3Prohibition of Collation, etc.
第百五十条の三（照合等の禁止）
A person who receives provision of anonymized medical care-related information pursuant to the provisions of paragraph (1) of the preceding Article and uses it (hereinafter referred to as a "user of anonymized medical care-related information") must not, in handling anonymized medical care-related information, acquire descriptions, etc. deleted from the medical care-related information used in producing that anonymized medical care-related information (meaning all matters stated or recorded in a document, drawing or electronic or magnetic record (meaning a record made in an electronic or magnetic form (meaning an electronic form, a magnetic form or any other form that cannot be recognized by human perception)), or expressed by using voice, movement or any other method) or information on the processing method used in producing the anonymized medical care-related information, in order to identify the person themselves to whom the medical care-related information used in producing that anonymized medical care-related information pertains, or collate that anonymized medical care-related information with other information.
前条第一項の規定により匿名診療等関連情報の提供を受け、これを利用する者（以下「匿名診療等関連情報利用者」という。）は、匿名診療等関連情報を取り扱うに当たっては、当該匿名診療等関連情報の作成に用いられた診療等関連情報に係る本人を識別するために、当該診療等関連情報から削除された記述等（文書、図画若しくは電磁的記録（電磁的方式（電子的方式、磁気的方式その他人の知覚によっては認識することができない方式をいう。）で作られる記録をいう。）に記載され、若しくは記録され、又は音声、動作その他の方法を用いて表された一切の事項をいう。）若しくは匿名診療等関連情報の作成に用いられた加工の方法に関する情報を取得し、又は当該匿名診療等関連情報を他の情報と照合してはならない。
第百五十条の四（消去）
A user of anonymized medical care-related information must, when it is no longer necessary to use the anonymized medical care-related information provided to the user, delete that anonymized medical care-related information without delay.
匿名診療等関連情報利用者は、提供を受けた匿名診療等関連情報を利用する必要がなくなったときは、遅滞なく、当該匿名診療等関連情報を消去しなければならない。
Article 150-5Security Control Measures
第百五十条の五（安全管理措置）
A user of anonymized medical care-related information must take the measures specified by Order of the Ministry of Health, Labour and Welfare as necessary and appropriate for preventing the leakage, loss or damage of anonymized medical care-related information and for otherwise ensuring the security control of that anonymized medical care-related information.
匿名診療等関連情報利用者は、匿名診療等関連情報の漏えい、滅失又は毀損の防止その他の当該匿名診療等関連情報の安全管理のために必要かつ適切なものとして厚生労働省令で定める措置を講じなければならない。
Article 150-6Obligations of Users
第百五十条の六（利用者の義務）
A user of anonymized medical care-related information or a person who was such a user must not make known to another person without good reason, or use for an unjust purpose, the content of anonymized medical care-related information that the person came to know in connection with the use of anonymized medical care-related information.
匿名診療等関連情報利用者又は匿名診療等関連情報利用者であった者は、匿名診療等関連情報の利用に関して知り得た匿名診療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てはならない。
Article 150-7On-site Inspections
第百五十条の七（立入検査等）
To the extent necessary for the enforcement of the provisions of this Chapter, the Minister of Health, Labour and Welfare may order a user of anonymized medical care-related information (excluding other administrative organs of the national government; the same applies hereinafter in this paragraph and the following Article) to make a report or submit or present books and other documents, or may have an official enter the offices or other places of business of a user of anonymized medical care-related information and question the persons involved or inspect books and other documents or other articles.
厚生労働大臣は、この章の規定の施行に必要な限度において、匿名診療等関連情報利用者（国の他の行政機関を除く。以下この項及び次条において同じ。）に対し報告若しくは帳簿書類の提出若しくは提示を命じ、又は当該職員に匿名診療等関連情報利用者の事務所その他の事業所に立ち入って関係者に質問させ、若しくは帳簿書類その他の物件を検査させることができる。
The provisions of Article 7-38, paragraph (2) apply mutatis mutandis to questions or inspections under the provisions of the preceding paragraph, and the provisions of paragraph (3) of that Article apply mutatis mutandis to the authority under the provisions of the preceding paragraph.
第七条の三十八第二項の規定は前項の規定による質問又は検査について、同条第三項の規定は前項の規定による権限について、それぞれ準用する。
Article 150-8Corrective Orders
第百五十条の八（是正命令）
When the Minister of Health, Labour and Welfare finds that a user of anonymized medical care-related information is in violation of the provisions of Articles 150-3 through 150-6, the Minister may order that person to take measures necessary to correct the violation.
厚生労働大臣は、匿名診療等関連情報利用者が第百五十条の三から第百五十条の六までの規定に違反していると認めるときは、その者に対し、当該違反を是正するため必要な措置をとるべきことを命ずることができる。
Article 150-9Delegation to the Infrastructure Organization, etc.
第百五十条の九（基盤機構等への委託）
The Minister of Health, Labour and Welfare may delegate all or part of the affairs concerning the survey prescribed in Article 77, paragraph (2) and the use or provision under the provisions of Article 150-2, paragraph (1) to the Infrastructure Organization, an NHI federation, or any other person specified by Order of the Ministry of Health, Labour and Welfare (referred to as the "Infrastructure Organization, etc." in the following Article).
厚生労働大臣は、第七十七条第二項に規定する調査及び第百五十条の二第一項の規定による利用又は提供に係る事務の全部又は一部を基盤機構又は国保連合会その他厚生労働省令で定める者（次条において「基盤機構等」という。）に委託することができる。
第百五十条の十（手数料）
A user of anonymized medical care-related information must pay a fee in the amount specified by Cabinet Order, taking actual expenses into consideration, to the national government (or, in the case where the Infrastructure Organization, etc., having been delegated by the Minister of Health, Labour and Welfare pursuant to the provisions of the preceding Article, performs all of the affairs concerning the provision of anonymized medical care-related information under the provisions of Article 150-2, paragraph (1), to the Infrastructure Organization, etc.).
匿名診療等関連情報利用者は、実費を勘案して政令で定める額の手数料を国（前条の規定により厚生労働大臣からの委託を受けて、基盤機構等が第百五十条の二第一項の規定による匿名診療等関連情報の提供に係る事務の全部を行う場合にあっては、基盤機構等）に納めなければならない。
When a person who intends to pay the fee under the preceding paragraph is a prefecture or any other person specified by Cabinet Order as playing a particularly important role in improving the health of the people, the Minister of Health, Labour and Welfare may, as specified by Cabinet Order, reduce or waive the fee.
厚生労働大臣は、前項の手数料を納めようとする者が都道府県その他の国民保健の向上のために特に重要な役割を果たす者として政令で定める者であるときは、政令で定めるところにより、当該手数料を減額し、又は免除することができる。
A fee paid to the Infrastructure Organization, etc. pursuant to the provisions of paragraph (1) is to be the revenue of the Infrastructure Organization, etc.