Article 68Temporary Suspensions of Insurance Benefits to a Person that has not paid an insurance premium as prescribed in the Medical Insurance Acts
第六十八条（医療保険各法の規定による保険料等に未納がある者に対する保険給付の一時差止）
With regard to an Insured Person Requiring Long-Term Care, etc. who is a Secondary Insured Person that can receive an insurance benefit, in a case when there is an insurance premium (including National Health Insurance tax pursuant to the provisions of the Local Tax Act (Act No. 226 of 1950)) or contribution that said Insured Person Requiring Long-Term Care, etc. is obligated to pay or remit pursuant to the provisions of the Medical Insurance Acts and that was not paid by the payment deadline or remittance deadline (hereinafter referred to as "Unpaid Medical Insurance Premium, etc." in this paragraph and the following paragraph), except for a case when it is found that the existence of the Unpaid Medical Insurance Premium, etc. is due to a disaster or other special circumstance as determined by a Cabinet Order, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, may request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person and may enter on said Certificate of Insured Person that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), and Article 61-3, paragraph (4) do not apply and that the whole or a part of the payment of an insurance benefit is to be suspended (hereinafter referred to as "Entry of Suspension of Insurance Benefit" in this Article).
市町村は、保険給付を受けることができる第二号被保険者である要介護被保険者等について、医療保険各法の定めるところにより当該要介護被保険者等が納付義務又は払込義務を負う保険料（地方税法（昭和二十五年法律第二百二十六号）の規定による国民健康保険税を含む。）又は掛金であってその納期限又は払込期限までに納付しなかったもの（以下この項及び次項において「未納医療保険料等」という。）がある場合においては、未納医療保険料等があることにつき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、当該要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の三第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の三第四項の規定を適用しない旨並びに保険給付の全部又は一部の支払を差し止める旨の記載（以下この条において「保険給付差止の記載」という。）をすることができる。
When an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of the preceding paragraph completes payment of an Unpaid Medical Insurance Premium, etc., or when it is determined that there is a significant decrease of an Unpaid Medical Insurance Premium, etc., pertaining to said Insured Person Requiring Long-Term Care, etc., or due to disaster or other special circumstance as provided by a Cabinet Order, said Entry of Suspension of Insurance Benefit is to be deleted.
The provisions of Article 66, paragraph (4) apply mutatis mutandis to an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of paragraph (1).
With regard to an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of paragraph (1), a Municipality is to temporarily suspend the whole or a part of an insurance benefit.
A Municipality, when it finds it necessary in relation to the Entry of Suspension of Insurance Benefit of an Insured Person Requiring Long-Term Care, etc., may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, request the medical insurer in which said Insured Person Requiring Long-Term Care, etc. is enrolled (the Minister of Health, Labour and Welfare, where said Insured Person Requiring Long-Term Care, etc. is an insured person of health insurance administered by the Japan Health Insurance Association (excluding a voluntary continuing insured person prescribed in Article 3, paragraph (4) of the Health Insurance Act) or a dependent thereof, or an insured person of mariners insurance (excluding a voluntary continuing insured person for sickness prescribed in Article 2, paragraph (2) of the Mariners Insurance Act) or a dependent thereof, and a Municipality, where said Insured Person Requiring Long-Term Care, etc. is an insured person of National Health Insurance conducted by a prefecture together with the Municipalities within that prefecture as provided in the National Health Insurance Act (hereinafter referred to as "National Health Insurance"); the same applies hereinafter in this Article) to provide information on the status of payment of insurance premiums (including National Health Insurance tax collected pursuant to the provisions of the Local Tax Act) or contributions collected pursuant to the provisions of the Medical Insurance Acts with regard to said Insured Person Requiring Long-Term Care, etc., and other matters as determined by Order of the Ministry of Health, Labour and Welfare.
市町村は、要介護被保険者等についての保険給付差止の記載に関し必要があると認めるときは、当該要介護被保険者等の加入する医療保険者（当該要介護被保険者等が全国健康保険協会の管掌する健康保険の被保険者（健康保険法第三条第四項に規定する任意継続被保険者を除く。）若しくはその被扶養者又は船員保険の被保険者（船員保険法第二条第二項に規定する疾病任意継続被保険者を除く。）若しくはその被扶養者である場合には、厚生労働大臣とし、当該要介護被保険者等が国民健康保険法の定めるところにより都道府県が当該都道府県内の市町村とともに行う国民健康保険（以下「国民健康保険」という。）の被保険者である場合には、市町村とする。以下この条において同じ。）に対し、当該要介護被保険者等に係る医療保険各法の規定により徴収される保険料（地方税法の規定により徴収される国民健康保険税を含む。）又は掛金の納付状況その他厚生労働省令で定める事項について、厚生労働省令で定めるところにより、当該要介護被保険者等の加入する医療保険者に対し、情報の提供を求めることができる。
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