Chapter VIII Penal Provisions

①A person who divulges any secret in violation of the provisions of Article 30, Article 125-2, paragraph (2) or Article 125-4, paragraph (3) is punished by imprisonment for not more than one year or a fine of not more than 1,000,000 yen.

②If a person as set forth in one of the following items divulges confidential information learned in connection with the performance of duties based on the provisions of this Act without legitimate grounds for doing so, that person is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen:

A person who falls under any of the following items is punished by imprisonment for not more than one year or by a fine of not more than 500,000 yen, or both:

A person who has violated an order issued under the provisions of Article 161-2, paragraph (6) is punished by imprisonment for not more than one year or a fine of not more than 500,000 yen.

①Officers, liquidators, or employees of a Japan Health Insurance Association, health insurance society, national health insurance society, mutual aid association, or the Promotion and Mutual Aid Corporation for Private Schools of Japan are punished by a fine of not more than 500000 yen if they fall under any of the following items:

②When an officer or employee of the Organization or an entrusted party has failed to make a report under the provisions of Article 152, paragraph (1) or has made a false report, or has refused, obstructed, or evaded an inspection under the provisions of the same paragraph, the officer or employee is punished by a fine of not more than 500,000 yen.

③A person who fails to make a report or submit or present books and documents under the provisions of Article 16-7, paragraph (1), or makes a false report or submits or presents false books and documents, or fails to answer or gives a false answer to the questions under the provisions of the same paragraph, or refuses, interferes with, or evades the on-site inspection under the provisions of the same paragraph is punished by a fine of not more than 500000 yen.

A person who has committed any of the following violations is punished by a fine of not more than 300000 yen:

The crimes of Article 167-2 also apply to persons who commit the crimes referred to in the same Article outside of Japan.

①If the representatives of a corporation (including an association or foundation that is not a corporation but for which a representative or an administrator has been designated (hereinafter referred to as an "association or foundation without legal personality" in this Article); hereinafter the same applies in this paragraph) (including the administrator of an association or foundation without legal personality) or the agents, employees, or other workers of a corporation or individual commit a violation of Article 167-2, Article 167-3, Article 168, paragraph (3) or Article 169, item (iii) in connection with the business of the corporation or individual, in addition to the offender being subject to punishment, the corporation or individual is subject to the fine referred to in the relevant Article.

②Where the provisions of the preceding paragraph apply to an association or foundation without juridical personality, its representatives or administrators represent the association or foundation without juridical personality with respect to its procedural act, and the provisions of laws concerning criminal procedure that are applicable in the case where a corporation is accused or suspected apply mutatis mutandis.

①If an officer of the Organization falls under any of the following items, the officer is punished by a civil fine of not more than 200,000 yen:

②When a medical practitioner, dental practitioner, pharmacist, or person who has provided medical care or their employer fails to comply with an order to make a report or to present medical records, books and documents, or any other articles under the provisions of Article 61, paragraph (1) without justifiable grounds, or fails to answer a question asked by the relevant official under the provisions of the same paragraph without justifiable grounds, or gives a false answer, the person is punished by a civil fine of not more than 100,000 yen.

①The Association of Medical Care Systems for the Elderly Aged 75 and older may, by its Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen when a insured fails to make a notification under the provisions of Article 54, paragraph (1) (excluding cases where the notification has been made by the householder of the household to which the insured belongs pursuant to the provisions of paragraph (2) of the same Article) or makes a false notification.

②If a person who is or was a insured, the spouse of a insured, the householder of a household to which a insured belongs, or any other member of the household fails to comply with an order to submit or present a document or any other article issued pursuant to the provisions of the Article 137, paragraph (1) without justifiable grounds, or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph, the Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinances to impose a civil fine of not more than 100,000 yen.

③A municipality may, by Municipal Ordinance, establish provisions to impose a civil fine of not more than 100,000 yen if an insured, the spouse of an insured, the head of the household to which an insured belongs or any other member of that household, or a person who was any of these, fails without justifiable grounds to comply with an order to submit or present a document or any other article under the provisions of Article 137, paragraph (2), or fails to answer or gives a false answer to a question asked by the relevant official under the provisions of the same paragraph.

④A Association of Medical Care Systems for the Elderly Aged 75 and older may establish provisions in its Ordinance to impose a civil fine on a person who has evaded the collection of money to be collected related to co-payment whose collection has been suspended and other money to be collected pursuant to the provisions of Chapter IV (limited to money to be collected by the Association of Medical Care Systems for the Elderly Aged 75 and older) by deception or other wrongful acts, in an amount not exceeding the amount equivalent to five times the amount evaded.

⑤A Municipality may, in its Municipal Ordinance, establish provisions to impose on a person who has evaded the collection of insurance premiums or any other money to be collected pursuant to the provisions of Chapter IV (limited to those collected by the Municipality) by deception or other wrongful acts, a civil fine of not more than the amount equivalent to five times the amount evaded.

⑥The provisions of Article 255-3 of the Local Autonomy Act apply mutatis mutandis to the disposition of a civil fine under the provisions of the preceding paragraphs.