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Article 72Reports of Medical Institutions Providing Services Covered by Health Insurance

第七十二条(保険医療機関等の報告等)

When the Minister of Health, Labour and Welfare or the prefectural governor finds it necessary in relation to benefits for medical treatment, the Minister or the governor may order a medical institution providing services covered by health insurance, etc., or a person who was an establisher or administrator of a medical institution providing services covered by health insurance, etc., a physician providing health insurance treatment, etc., or another employee (hereinafter referred to as a "former establisher, etc." in this paragraph) to make a report or to submit or present medical records and other books and documents, request the appearance of an establisher or administrator of a medical institution providing services covered by health insurance, etc., a physician providing health insurance treatment, etc., or another employee (including a former establisher, etc.), or have their official question the persons concerned or inspect the facilities, medical records, books and documents, and other articles of a medical institution providing services covered by health insurance, etc.

厚生労働大臣又は都道府県知事は、療養の給付に関して必要があると認めるときは、保険医療機関等若しくは保険医療機関等の開設者若しくは管理者、保険医等その他の従業員であつた者(以下この項において「開設者であつた者等」という。)に対し報告若しくは診療録その他の帳簿書類の提出若しくは提示を命じ、保険医療機関等の開設者若しくは管理者、保険医等その他の従業者(開設者であつた者等を含む。)に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは保険医療機関等について設備若しくは診療録、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 16-7, paragraph (2) and Article 66, paragraph (2) apply mutatis mutandis to questions and inspections pursuant to the provisions of the preceding paragraph, and the provisions of Article 16-7, paragraph (3) apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding paragraph.

第十六条の七第二項及び第六十六条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、第十六条の七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。

When the prefectural governor finds that a disposition under the provisions of Article 80 of the Health Insurance Act needs to be made with respect to a medical institution providing services covered by health insurance, etc. in relation to benefits for medical treatment under the provisions of this Act, or that a disposition under the provisions of Article 81 of the Health Insurance Act needs to be made with respect to a physician providing health insurance treatment, etc. in relation to medical care or dispensing under the provisions of this Act, the prefectural governor must notify the Minister of Health, Labour and Welfare to that effect, stating the reasons.

都道府県知事は、保険医療機関等につきこの法律の規定による療養の給付に関し健康保険法第八十条の規定による処分が行われる必要があると認めるとき、又は保険医等につきこの法律の規定による診療若しくは調剤に関し健康保険法第八十一条の規定による処分が行われる必要があると認めるときは、理由を付して、その旨を厚生労働大臣に通知しなければならない。

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