Chapter XII Penal Provisions

When a current or former officer or employee of an insurer divulges, without a justifiable reason, any confidential information obtained in the course of duties in relation to national health insurance services, said person shall be punished by imprisonment for not more than 1 year or a fine of not more than 1,000,000 yen.

①When a current or former committee member of a Review Committee or an Examination Board or a current or former officer or employee of a Federation divulges, without a justifiable reason, any confidential information obtained in the course of duties, said person shall be punished by imprisonment for not more than 1 year or a fine of not more than 1,000,000 yen.

②The 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 (3) 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.

A person who violates an order pursuant to the provisions of Article 111-2, paragraph (6) shall be punished by imprisonment for not more than one year or a fine of not more than 500,000 yen.

A person who, without a justifiable reason and in violation of any action taken pursuant to the provisions of Article 101, paragraph (1), fails to appear or to make a statement or report, or makes any false statement or report or fails to perform diagnosis or examination shall be punished by a fine of not more than 300,000 yen; provided, however, that this shall not apply to an applicant in the examination procedure conducted by the Examination Board or to a Municipality, Society or other interested person that has received notice pursuant to the provisions of Article 100.

A person who, without a justifiable reason, fails to make a report pursuant to the provisions of Article 111-3, paragraph (1) or makes a false report, or who, without a justifiable reason, fails to reply, or makes a false reply, to any question asked by the relevant personnel pursuant to the provisions of the same paragraph, or who, without a justifiable reason, refuses, obstructs or evades an inspection pursuant to the provisions of the same paragraph, shall be punished by a fine of not more than 300,000 yen.

When a current or former insurer fails, without a justifiable reason, to comply with an order to make a report issued pursuant to the provisions of Article 114, paragraph (2) or, without a justifiable reason, fails to reply, or makes a false reply, to any question asked by the relevant personnel pursuant to the provisions of the same paragraph of the same Article, said current or former insurer shall be punished by a fine of not more than 300,000 yen.

①When a representative of a juridical person (including an association or foundation that is not a juridical person that has a representative or manager designated (hereinafter referred to as an "association or foundation without legal personality" in this Article); the same applies hereinafter in this paragraph) (including the manager of an association or foundation without legal personality), or an agent, staff member or other employee of a juridical person or of a person, commits a violation of Article 121-2 or Article 122-2 in connection with the business of that juridical person or person, the fine prescribed in the respective Articles is also imposed on that juridical person or person, in addition to punishing the offender.

②Where the provisions of the preceding paragraph apply to an association or foundation without legal personality, in addition to the representative or manager of the association or foundation without legal personality representing it in its litigation acts, the provisions of laws and regulations concerning criminal procedure in the case where a juridical person is the accused or suspect apply mutatis mutandis.

When a physician, dentist or pharmacist or any person who gave treatment or any person who employs any of the above fails, without a justifiable reason, to comply with an order to make a report or present medical records, the books and other documents or any other article issued pursuant to the provisions of Article 114, paragraph (1) or, without a justifiable reason, fails to reply, or makes a false reply, to any question asked by the relevant personnel pursuant to the provisions of the same paragraph of the same Article, said person shall be punished by a non-criminal fine of not more than 100,000 yen.

When a Society or Federation fails make a notification pursuant to, or makes a false notification under, the provisions of Article 27, paragraph (4) (including the cases where applied mutatis mutandis pursuant to Article 86) or, without a justifiable reason, fails to comply with, or makes a false report in response to, an order issued pursuant to the provisions of Article 106, paragraph (1), or violates an order issued pursuant to the provisions of Article 108, paragraph (1), the officers or liquidators of such Society or Federation shall be punished by a non-criminal fine of not more than 200,000 yen.

A person who violates the provisions of Article 15, paragraph (2) or Article 83, paragraph (4) shall be punished by a non-criminal fine of not more than 100,000 yen.

①A Municipality may, in its Municipal Ordinance, establish provisions to impose a non-criminal fine of not more than 100,000 yen on a person who fails to make a notification pursuant to, or makes a false notification under, the provisions of Article 9, paragraph (1) or (5).

②A Municipality may, in its Municipal Ordinance, establish provisions to impose a non-criminal fine of not more than 100,000 yen when a current or former Householder, without a justifiable reason, fails to comply with an order to submit or present a document or any other article issued pursuant to the provisions of Article 113 or fails to reply, or makes a false reply, to any question asked by the relevant personnel pursuant to the provisions of the same Article.

③A Municipality may, in its Municipal Ordinance, establish provisions to impose on a person who, by means of deception or other wrongful conduct, evades insurance premiums or any other money to be collected pursuant to the provisions of this Act, a non-criminal fine of not more than the amount equal to five times the amount evaded.

④The provisions of Article 255-3 of the Local Autonomy Act shall apply mutatis mutandis to any action of non-criminal fine imposed pursuant to the provisions of the three preceding paragraphs.

①The provisions of paragraphs (1) through (3) of the preceding Article shall apply mutatis mutandis to a Society. In this case, the terms "Municipal Ordinance" and "non-criminal fine" in these provisions shall be deemed to be replaced with "constitution" and "penalty," respectively.

②A Society or Federation may, pursuant to the provisions of its constitution, collect a penalty of not more than 100,000 yen with respect to the use of its facilities.