Article 1(1)The medical examination referred to in Article 11 of the School Health and Safety Act (Act No. 56 of 1958; referred to below as the "Act") (referred to below as the "medical examination for persons scheduled to enroll in school") is to be conducted within a period of four months before the beginning of the school year following the school year in which the register of school-aged children has been prepared pursuant to the provisions of Article 2 of the Order for Enforcement of the School Education Act (Cabinet Order No. 340 of 1953) (three months before the beginning of the school year if the medical examination does not hinder the implementation of the procedures related to enrollment in school prescribed in Article 5, Article 7, Article 11, Article 14, Article 15, and Article 18-2 of that Order).

(2)A municipal board of education is to promptly provide the person scheduled to enroll in school with a medical examination for persons scheduled to enroll in school, notwithstanding the provisions of the preceding paragraph, if, on or after the day following the implementation date of a medical examination for persons scheduled to enroll in the school specified pursuant to the provisions of that paragraph, a new person scheduled to enroll in school (meaning a person scheduled to enroll in school as prescribed in Article 5, paragraph (1) of the Order for Enforcement of the School Education Act; the same applies below in this paragraph) is newly listed in the register of school-aged children by the municipal board of education, and the person scheduled to enroll in school has not undergone a medical examination for persons scheduled to enroll in school provided by a board of education of another municipality.

Article 2The items to be inspected in the medical examination for persons scheduled to enroll in school are as follows:

Article 3In conducting a medical examination for persons scheduled to enroll in school, the board of education of a municipality (including a special ward; the same applies below) must, in advance, notify the custodians prescribed in Article 16 of the School Education Act (Act No. 26 of 1947) of the persons prescribed in Article 11 of the Act (referred to below as "custodians") of the date, time, place, and other relevant details of the examination.

Article 4(1)When providing a medical examination for persons scheduled to enroll in school, a municipal board of education must prepare a medical examination card for persons scheduled to enroll in school in accordance with the form specified by Order of the Ministry of Education, Culture, Sports, Science and Technology.

(2)A municipal board of education must send the medical examination cards for persons scheduled to enroll in school to the principal of the school in which the person who has undergone the medical examination for persons scheduled to enroll in school is to be enrolled, by 15 days before the beginning of the following school year.

Article 5The cases specified by Cabinet Order referred to in Article 18 of the Act are the following cases:

Article 6(1)When the principal intends to suspend attendance pursuant to the provisions of Article 19 of the Act, the principal must clearly state the reason and period and give instructions to the custodian in the case of a young child, pupil, or student (excluding a pupil of a high school (including the upper course of secondary education school and the high school course of a special needs education school; the same applies below)), and to the student in the case of a student of a high school, or a student of a university or college of technology.

(2)The period of suspension of attendance is determined in accordance with the standards specified by Order of the Ministry of Education, Culture, Sports, Science and Technology according to the type and other characteristics of infectious disease.

Article 7When the principal has given instructions under the provisions of paragraph (1) of the preceding Article, the principal must report to that effect to the management of the school as provided for in Order of the Ministry of Education, Culture, Sports, Science and Technology.

Article 8Diseases specified by Cabinet Order referred to in in Article 24 of the Act are as follows:

Article 9(1)The person specified by Cabinet Order referred to in in Article 24, item (ii) of the Act is the person whom the board of education of the local government establishing the relevant compulsory education schools (meaning an elementary school, junior high school, compulsory education school, the lower courses of secondary education school, or an elementary or junior high school course of special needs education school) has found to be impoverished to the extent equivalent to that of a person requiring public assistance as prescribed in Article 6, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950) (referred to below as a "person requiring public assistance").

(2)The board of education may seek advice from the head of a welfare-related office as prescribed in the Social Welfare Act (Act No. 45 of 1951) or from a commissioned welfare volunteer as prescribed in the Commissioned Welfare Volunteers Act (Act No. 198 of 1948) if it is necessary to do so to make the determination prescribed in the preceding paragraph.

Article 10(1)The national government subsidies under the provisions of Article 25, paragraph (1) of the Act are to be provided for one half of the amount of expenses required for the assistance to the persons referred to in in Article 24, item (i) of the Act under the provisions of that Article; provided, however, that the amount is to be limited to one half of the amount obtained by multiplying the average amount of medical expenses per pupil or student for each disease specified by the Minister of Education, Culture, Sports, Science and Technology each fiscal year, depending on whether the school is an elementary school, junior high school, compulsory education school, the lower course of secondary education school, or an elementary school course or junior high school course of a special needs education school, by the total number of the pupil and student patients allocated to the prefecture by the Minister of Education, Culture, Sports, Science and Technology pursuant to the provisions of the following paragraph in the case of a prefecture, or by multiplying the total number of the pupil and student patients allocated to the municipality by the board of education of the prefecture pursuant to the provisions of paragraph (3) in the case of a municipality.

(2)Every fiscal year, the Minister of Education, Culture, Sports, Science and Technology must allocate to each prefecture the total number of pupil and student patients of elementary schools, junior high schools, compulsory education schools, and the lower course of secondary education schools or the elementary school courses and junior high school courses of special needs education schools calculated by the formula referred to in Appended Table (a), and must notify the board of education of each prefecture of the number they allocated.

(3)Pursuant to the provisions of Order of the Ministry of Education, Culture, Sports, Science and Technology, the Minister of Education, Culture, Sports, Science and Technology, every fiscal year, the board of education of a prefecture must allocate to each municipality the total number of pupil and student patients specified for each prefecture based on the total number of pupil and student patients in elementary schools, junior high schools, compulsory education schools, and the lower courses of secondary education schools or in the elementary school courses and junior high school courses of special needs education schools calculated by the formula referred to in Appended Table (b), in consideration of the number of pupil and student recipients of educational assistance in elementary schools, junior high schools, compulsory education schools, and the lower course of secondary education schools or in the elementary school courses and junior high school courses of special needs education schools of each municipality, and must notify the Minister of Education, Culture, Sports, Science and Technology and the board of education of each municipality of the number they allocated.

(4)The administrative affairs to be handled by a prefecture pursuant to the provisions of the preceding paragraph are to be the type 1 statutory entrusted function prescribed in Article 2, paragraph (9), item (i) of the Local Autonomy Act (Act No. 67 of 1947).

Article 11The provisions of Articles 5 through 7 apply mutatis mutandis if the provisions of Articles 18 and 19 of the Act are applied mutatis mutandis pursuant to Article 32, paragraph (3) of the Act to specialized training colleges. In this case, the term "Article 20 of the Act" in Article 5, item (ii) is deemed to be replaced with "Article 20 of the Act as applied mutatis mutandis pursuant to Article 32, paragraph (3) of the Act", and the phrase "to the custodian in the case of a young child, pupil, or student (excluding a student of a high school (including the upper course of secondary education school and the high school course of special needs education school; the same applies below)), and to the student in the case of a student of a high school, or university, or college of technology" in Article 6, paragraph (1) is deemed to be replaced with "student".