{"id":71889,"date":"2026-04-28T00:40:58","date_gmt":"2026-04-27T15:40:58","guid":{"rendered":"https:\/\/monolith.law\/en\/?p=71889"},"modified":"2026-05-01T12:33:15","modified_gmt":"2026-05-01T03:33:15","slug":"work-and-medical-treatment-support-guide","status":"publish","type":"post","link":"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide","title":{"rendered":"[Mandatory from April 2026] What is the Ministry of Health, Labour and Welfare's \"Guidelines for Supporting the Balance between Treatment and Work\"? Explanation of the Required Actions for Companies"},"content":{"rendered":"\n<p>It is not uncommon for individuals to continue working while undergoing treatment for cancer or lifestyle-related diseases. With the progression of an aging society and advancements in medical technology, the concept of &#8220;working while managing an illness&#8221; has become a reality in many workplaces. Against this backdrop, Japanese companies are increasingly required to establish systems that support employees in balancing treatment and work. The Ministry of Health, Labour and Welfare has previously provided guidelines titled &#8220;Guidelines for Supporting the Balance of Treatment and Work at Workplaces&#8221; to encourage voluntary initiatives by companies.<\/p>\n\n\n\n<p>However, with the amendment to the Comprehensive Promotion of Labor Policies Act in Japan, set to take effect in Reiwa 7 (2025), the situation is advancing further. The promotion of balancing treatment and employment in the workplace will be explicitly positioned as an obligation of effort for business owners under Japanese law.<\/p>\n\n\n\n<p>Consequently, the existing guidelines will be organized into the legally grounded <a href=\"https:\/\/www.mhlw.go.jp\/content\/11200000\/001653964.pdf\" target=\"_blank\" rel=\"noopener\" title=\"Guidelines for Supporting the Balance of Treatment and Work (Ministry of Health, Labour and Welfare Notification No. 28)\">&#8220;Guidelines for Supporting the Balance of Treatment and Work&#8221; (Ministry of Health, Labour and Welfare Notification No. 28)<\/a>, which will be applicable from April 1, Reiwa 8 (2026).<\/p>\n\n\n\n<p>This article will outline the background and content of these guidelines and discuss the practical measures that companies in Japan are expected to take from the perspective of legal professionals.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_53 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Background_of_the_Formulation_of_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Treatment_and_Work%E2%80%9D_in_Japan\" title=\"Background of the Formulation of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan\">Background of the Formulation of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan<\/a><ul class='ez-toc-list-level-3'><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Increase_in_Workers_Continuing_Treatment_While_Working\" title=\"Increase in Workers Continuing Treatment While Working\">Increase in Workers Continuing Treatment While Working<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Advancements_in_Medical_Technology_and_the_Shift_to_%E2%80%9CLong-term_Manageable_Illnesses%E2%80%9D\" title=\"Advancements in Medical Technology and the Shift to &#8220;Long-term Manageable Illnesses&#8221;\">Advancements in Medical Technology and the Shift to &#8220;Long-term Manageable Illnesses&#8221;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Lack_of_Awareness_Among_Companies_and_Promotion_of_Initiatives_Through_Legislation\" title=\"Lack of Awareness Among Companies and Promotion of Initiatives Through Legislation\">Lack of Awareness Among Companies and Promotion of Initiatives Through Legislation<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#What_Cases_Are_Covered_Under_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Medical_Treatment_and_Work%E2%80%9D_in_Japan\" title=\"What Cases Are Covered Under the &#8220;Guidelines for Supporting the Balance Between Medical Treatment and Work&#8221; in Japan?\">What Cases Are Covered Under the &#8220;Guidelines for Supporting the Balance Between Medical Treatment and Work&#8221; in Japan?<\/a><ul class='ez-toc-list-level-3'><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Scope_and_Purpose_of_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Treatment_and_Work%E2%80%9D_in_Japan\" title=\"Scope and Purpose of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan\">Scope and Purpose of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Creating_a_Supportive_Environment_for_Balancing_Work_and_Treatment_in_Japan\" title=\"Creating a Supportive Environment for Balancing Work and Treatment in Japan\">Creating a Supportive Environment for Balancing Work and Treatment in Japan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Process_for_Developing_Individual_Support_Plans_in_Japan\" title=\"Process for Developing Individual Support Plans in Japan\">Process for Developing Individual Support Plans in Japan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Support_for_Long-Term_Leave_and_Workplace_Reintegration_Under_Japanese_Employment_Practices\" title=\"Support for Long-Term Leave and Workplace Reintegration Under Japanese Employment Practices\">Support for Long-Term Leave and Workplace Reintegration Under Japanese Employment Practices<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#The_Importance_of_Protecting_Personal_Information_and_Collaboration_in_Japan\" title=\"The Importance of Protecting Personal Information and Collaboration in Japan\">The Importance of Protecting Personal Information and Collaboration in Japan<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#What_Actions_Are_Required_from_Companies_Under_the_Japanese_Guidelines_for_Supporting_the_Balance_Between_Treatment_and_Work\" title=\"What Actions Are Required from Companies Under the Japanese Guidelines for Supporting the Balance Between Treatment and Work?\">What Actions Are Required from Companies Under the Japanese Guidelines for Supporting the Balance Between Treatment and Work?<\/a><ul class='ez-toc-list-level-3'><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Responding_to_Practical_%E2%80%9CBest_Effort_Obligations%E2%80%9D_Due_to_Amendments_in_Japanese_Law\" title=\"Responding to Practical &#8220;Best Effort Obligations&#8221; Due to Amendments in Japanese Law\">Responding to Practical &#8220;Best Effort Obligations&#8221; Due to Amendments in Japanese Law<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Managing_Legal_Risks_in_Employment_Decisions_Under_Japanese_Law\" title=\"Managing Legal Risks in Employment Decisions Under Japanese Law\">Managing Legal Risks in Employment Decisions Under Japanese Law<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Handling_and_Managing_Sensitive_Personal_Information_and_Preventing_Discrimination_Under_Japanese_Law\" title=\"Handling and Managing Sensitive Personal Information and Preventing Discrimination Under Japanese Law\">Handling and Managing Sensitive Personal Information and Preventing Discrimination Under Japanese Law<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Utilizing_External_Support_Organizations_and_Considerations_for_Small-Scale_Workplaces_in_Japan\" title=\"Utilizing External Support Organizations and Considerations for Small-Scale Workplaces in Japan\">Utilizing External Support Organizations and Considerations for Small-Scale Workplaces in Japan<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Conclusion_Consult_Experts_for_Compliance_with_the_%E2%80%9CGuidelines_for_Balancing_Treatment_and_Work%E2%80%9D_in_Japan\" title=\"Conclusion: Consult Experts for Compliance with the &#8220;Guidelines for Balancing Treatment and Work&#8221; in Japan\">Conclusion: Consult Experts for Compliance with the &#8220;Guidelines for Balancing Treatment and Work&#8221; in Japan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/monolith.law\/en\/general-corporate\/work-and-medical-treatment-support-guide\/#Guidance_on_Measures_by_Our_Firm\" title=\"Guidance on Measures by Our Firm\">Guidance on Measures by Our Firm<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Background_of_the_Formulation_of_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Treatment_and_Work%E2%80%9D_in_Japan\"><\/span>Background of the Formulation of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The formulation of these guidelines is set against the backdrop of significant changes in the Japanese labor environment. The following explains these changes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Increase_in_Workers_Continuing_Treatment_While_Working\"><\/span>Increase in Workers Continuing Treatment While Working<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>One of the primary factors is the changing environment surrounding workers. As the employment of older individuals increases, the proportion of people working while attending medical appointments for various conditions has been rising annually. As of Reiwa 4 (2022), this proportion has reached 40.6% of the total workforce.<\/p>\n\n\n\n<p>Additionally, results from general periodic health examinations conducted under the Japanese Industrial Safety and Health Act (hereinafter referred to as &#8220;ISHA&#8221;) show an increasing trend in the prevalence of findings related to risk factors for cerebrovascular and cardiovascular diseases, such as blood pressure and blood lipids, reaching 58.9% in Reiwa 5 (2023).<\/p>\n\n\n\n<p>With the increase in workers with medical conditions, creating a supportive environment for &#8220;workers with illnesses&#8221; has become a challenge for companies.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Advancements_in_Medical_Technology_and_the_Shift_to_%E2%80%9CLong-term_Manageable_Illnesses%E2%80%9D\"><\/span>Advancements in Medical Technology and the Shift to &#8220;Long-term Manageable Illnesses&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Advancements in medical technology are also a factor increasing the necessity of these guidelines. Diseases like cancer, once considered &#8220;incurable,&#8221; now have improving survival rates each year. Consequently, more patients are continuing outpatient treatment while managing side effects and symptoms.<\/p>\n\n\n\n<p>Due to these changes in the medical environment, having a disease does not immediately lead to job resignation, and it has become possible to &#8220;work while managing an illness.&#8221;<\/p>\n\n\n\n<p>However, in reality, many cases of resignation occur due to workers&#8217; lack of understanding of their illnesses or inadequate support systems in the workplace.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lack_of_Awareness_Among_Companies_and_Promotion_of_Initiatives_Through_Legislation\"><\/span>Lack of Awareness Among Companies and Promotion of Initiatives Through Legislation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The previous guidelines, established in Heisei 28 (2016), have played a role in encouraging corporate initiatives. However, a lack of awareness of these guidelines among small and medium-sized enterprises has been a challenge. Surveys indicate that over 80% of companies with fewer than 100 employees are not well-informed about the guidelines&#8217; content.<\/p>\n\n\n\n<p>In an environment where securing labor is becoming increasingly difficult, preventing the resignation of workers with illnesses and promoting employee retention are crucial for improving corporate productivity, &#8220;health management,&#8221; and fulfilling corporate social responsibility (CSR).<\/p>\n\n\n\n<p>In response to this background, the Comprehensive Promotion of Labor Policies Act was amended, establishing new provisions for the obligation of effort by business owners and the basis for formulating guidelines. As a result, supporting the balance between treatment and work by companies has been positioned as an initiative based on Japanese law.<\/p>\n\n\n\n<p>Reference: <a href=\"https:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/0000115267.html\" target=\"_blank\" rel=\"noopener\" title=\"Ministry of Health, Labour and Welfare\uff5cBalancing Treatment and Work\">Ministry of Health, Labour and Welfare\uff5cBalancing Treatment and Work<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Cases_Are_Covered_Under_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Medical_Treatment_and_Work%E2%80%9D_in_Japan\"><\/span>What Cases Are Covered Under the &#8220;Guidelines for Supporting the Balance Between Medical Treatment and Work&#8221; in Japan?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/monolith.law\/wp-content\/uploads\/2026\/03\/36ccabc4782a31caed9fe2bef59d4c95.jpg\" alt=\"Contents of the Guidelines\" class=\"wp-image-210140\" style=\"aspect-ratio:1.5;width:840px;height:auto\" \/><\/figure>\n\n\n\n<p>First, let&#8217;s confirm the basic purpose of the &#8220;Guidelines for Supporting the Balance Between Medical Treatment and Work&#8221; and identify which workers and situations are covered under these Japanese guidelines.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Scope_and_Purpose_of_the_%E2%80%9CGuidelines_for_Supporting_the_Balance_Between_Treatment_and_Work%E2%80%9D_in_Japan\"><\/span>Scope and Purpose of the &#8220;Guidelines for Supporting the Balance Between Treatment and Work&#8221; in Japan<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>These guidelines apply to all workers, regardless of their employment type, under Japanese employment practices. The focus is on diseases listed in the International Classification of Diseases based on Article 28 of the Statistics Act, which require repeated or continuous treatment as diagnosed by a physician and necessitate consideration for continued employment.<\/p>\n\n\n\n<p>The purpose of these guidelines is to establish a system where companies can appropriately respond to consultations from workers dealing with illnesses. Furthermore, it is essential to support the balance between treatment and work while preventing the worsening of symptoms due to employment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Creating_a_Supportive_Environment_for_Balancing_Work_and_Treatment_in_Japan\"><\/span>Creating a Supportive Environment for Balancing Work and Treatment in Japan<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Under Japanese employment practices, employers are required to establish a supportive workplace environment as a prerequisite before initiating individual support measures.<\/p>\n\n\n\n<p>Firstly, it is essential to clarify the basic policy for supporting the balance between treatment and work, and to communicate this policy to all employees. This approach fosters a workplace culture where employees in need of support feel comfortable coming forward, and it helps to ensure that both the individuals concerned and their colleagues share a mutual understanding.<\/p>\n\n\n\n<p>Next, the development of leave and work systems is also crucial. To accommodate medical appointments and enable flexible working arrangements based on health conditions, it is recommended that companies implement systems tailored to their specific circumstances.<\/p>\n\n\n\n<p>Regarding leave systems, examples include granting annual paid leave on an hourly basis, as stipulated by Article 39 of the Japanese Labor Standards Act (requiring a labor-management agreement), and providing sick leave separate from annual paid leave for hospital visits or stays.<\/p>\n\n\n\n<p>As for work systems, options include staggered working hours and telecommuting (remote work) to reduce commuting burdens, a short-time work system to shorten prescribed working hours, and a trial work system to facilitate the smooth return of employees who have been on long-term leave.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Process_for_Developing_Individual_Support_Plans_in_Japan\"><\/span>Process for Developing Individual Support Plans in Japan<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Under Japanese employment practices, support for individual workers typically follows the process outlined below.<\/p>\n\n\n\n<ol>\n<li>Request and Information Provision by the Worker<\/li>\n\n\n\n<li>Consultation with the Attending Physician and Occupational Health Physician<\/li>\n\n\n\n<li>Decision on Employment Measures and Creation of a Support Plan<\/li>\n<\/ol>\n\n\n\n<p>Initially, support begins with a request from the worker. It is advisable for companies to assist in creating a &#8220;Work Information Provision Document,&#8221; which includes details of job duties and work patterns, to ensure the worker can obtain necessary information from their attending physician.<\/p>\n\n\n\n<p>The worker presents this work information to their attending physician and submits a medical opinion report, which includes the feasibility of continued employment and necessary considerations, to the company. The company then provides this report to an occupational health physician or a physician responsible for health management at workplaces with fewer than 50 employees, who is familiar with the internal work environment, to obtain expert opinions from a medical perspective.<\/p>\n\n\n\n<p>Based on the opinions of the attending physician and the occupational health physician, the company, in thorough consultation with the worker, decides on measures such as changing the workplace, altering job duties, or reducing working hours. It is also advisable to create a &#8220;Support Plan for Balancing Treatment and Work,&#8221; which organizes a specific schedule.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Support_for_Long-Term_Leave_and_Workplace_Reintegration_Under_Japanese_Employment_Practices\"><\/span>Support for Long-Term Leave and Workplace Reintegration Under Japanese Employment Practices<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>When long-term leave is necessary due to hospitalization or other reasons, it is crucial for employers in Japan to prepare for the employee&#8217;s eventual return to work from the outset. During the leave period, employers should use pre-established communication methods to check on the employee&#8217;s status and set up a contact point to address any concerns or consultations.<\/p>\n\n\n\n<p>In determining the timing of an employee&#8217;s return to work, employers should consider not only the opinion of the attending physician but also an assessment of the employee&#8217;s ability to perform their duties by an occupational health physician or similar expert. Additionally, the employee&#8217;s own wishes and the opinions of the department to which they are expected to return should be taken into account comprehensively.<\/p>\n\n\n\n<p>Even after the employee has returned, it may be necessary to create a workplace reintegration support plan. This plan should include a phased adjustment of the employee&#8217;s workload, with ongoing follow-up to ensure a smooth transition back to work.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Importance_of_Protecting_Personal_Information_and_Collaboration_in_Japan\"><\/span>The Importance of Protecting Personal Information and Collaboration in Japan<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In supporting the balance between treatment and work, extremely sensitive health information is handled. Therefore, it is crucial to exercise great care in managing health information. Under Japanese law, except when obtained based on the Industrial Safety and Health Act (\u5b89\u885b\u6cd5) and other regulations, health information cannot be acquired without the individual&#8217;s consent. Additionally, it is necessary to establish an appropriate information management system, such as limiting the scope of those who handle the information.<\/p>\n\n\n\n<p>Moreover, collaboration among stakeholders is essential to achieve appropriate support. It is considered indispensable for not only the employer, the employee, and the attending physician but also occupational health staff, work-life balance coordinators, and regional Industrial Health Comprehensive Support Centers to work together in providing support.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Actions_Are_Required_from_Companies_Under_the_Japanese_Guidelines_for_Supporting_the_Balance_Between_Treatment_and_Work\"><\/span>What Actions Are Required from Companies Under the Japanese Guidelines for Supporting the Balance Between Treatment and Work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/monolith.law\/wp-content\/uploads\/2026\/03\/ab1353ef4998aa46857bb34994b2ba6f.jpg\" alt=\"Actions Required from Companies\" class=\"wp-image-210144\" style=\"aspect-ratio:1.5;width:840px;height:auto\" \/><\/figure>\n\n\n\n<p>Based on the above, let&#8217;s examine what practical measures are required from companies.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Responding_to_Practical_%E2%80%9CBest_Effort_Obligations%E2%80%9D_Due_to_Amendments_in_Japanese_Law\"><\/span>Responding to Practical &#8220;Best Effort Obligations&#8221; Due to Amendments in Japanese Law<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Under the amended Japanese Comprehensive Promotion of Labor Policies Act, establishing systems to support the balance between medical treatment and work has been positioned as a best effort obligation for business owners.<\/p>\n\n\n\n<p>However, this best effort obligation is not merely a theoretical provision. The Minister of Health, Labour and Welfare (in practice, the Prefectural Labour Bureau Chief) can provide necessary guidance and assistance to business owners based on these guidelines.<\/p>\n\n\n\n<p>While penalties are not immediately imposed, businesses that neglect these efforts without special reasons may become subject to administrative guidance.<\/p>\n\n\n\n<p>Therefore, it is crucial for companies to advance the development of internal regulations in line with these guidelines, establish consultation desks, and develop rules regarding the handling of health information.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Managing_Legal_Risks_in_Employment_Decisions_Under_Japanese_Law\"><\/span>Managing Legal Risks in Employment Decisions Under Japanese Law<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This guideline advises against prohibiting employment solely due to illness. However, under Article 68 of the Japanese Industrial Safety and Health Act, employers are obligated to prohibit work for employees whose health conditions may significantly worsen, after consulting with a physician.<\/p>\n\n\n\n<p>Japanese companies must balance the conflicting demands of ensuring employment opportunities for workers and fulfilling their duty of care for safety. A misjudgment could lead to workplace accidents, or conversely, result in legal disputes over unjust suspension or dismissal.<\/p>\n\n\n\n<p>Therefore, when making employment-related decisions, it is essential to establish a decision-making process based on objective evidence, incorporating not only the opinion of the attending physician but also the insights of occupational health physicians familiar with the internal work environment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Handling_and_Managing_Sensitive_Personal_Information_and_Preventing_Discrimination_Under_Japanese_Law\"><\/span>Handling and Managing Sensitive Personal Information and Preventing Discrimination Under Japanese Law<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>From the perspective of the Act on the Protection of Personal Information (hereinafter referred to as the &#8220;Personal Information Protection Act&#8221;) in Japan, special care is required when handling health information.<\/p>\n\n\n\n<p>The guidelines and related notifications also address the handling of genomic information. It is deemed inappropriate to unlawfully obtain such information or to treat individuals unfavorably for refusing to submit it.<\/p>\n\n\n\n<p>Therefore, companies must clearly define the purpose of using health information and establish internal rules regarding the methods of obtaining consent, as well as the storage and disposal of information.<\/p>\n\n\n\n<p>Additionally, it is crucial to ensure that these rules comply with the Personal Information Protection Act and the Ministry of Health, Labour and Welfare&#8217;s &#8220;Guidelines for Ensuring the Proper Handling of Personal Information in Employment Management&#8221; in Japan.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Utilizing_External_Support_Organizations_and_Considerations_for_Small-Scale_Workplaces_in_Japan\"><\/span>Utilizing External Support Organizations and Considerations for Small-Scale Workplaces in Japan<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is not easy for all companies to establish an advanced occupational health system on their own. This is especially true for workplaces with fewer than 50 employees, where there is no obligation under the Japanese Industrial Safety and Health Act to appoint an occupational physician. In such cases, the use of &#8220;Occupational Health Support Centers&#8221; established in each prefecture is recommended by these guidelines. These centers offer free individual coordination support and assistance in implementing systems through work-life balance support coordinators.<\/p>\n\n\n\n<p>Additionally, on the medical institution side, mechanisms for collaboration with companies are in place, such as the establishment of &#8220;Guidance Fees for Supporting the Balance of Medical Treatment and Work&#8221; in the medical fee schedule.<\/p>\n\n\n\n<p>As a company, it is important to organize contact points with external specialized organizations and medical institutions in advance and to establish a system that allows for the utilization of these resources as needed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion_Consult_Experts_for_Compliance_with_the_%E2%80%9CGuidelines_for_Balancing_Treatment_and_Work%E2%80%9D_in_Japan\"><\/span>Conclusion: Consult Experts for Compliance with the &#8220;Guidelines for Balancing Treatment and Work&#8221; in Japan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Supporting the balance between treatment and work is not a preferential measure for workers with specific illnesses. It is part of creating a workplace environment where all employees can continue to perform their duties despite health concerns.<\/p>\n\n\n\n<p>As the proportion of workers facing health risks increases, establishing a system in line with these guidelines not only helps avoid legal risks under Japanese law but also contributes to employee retention, motivation enhancement, and strengthening the company&#8217;s competitiveness.<\/p>\n\n\n\n<p>With the application of the law anticipated in April of Reiwa 8 (2026), it is essential to collaborate with human resources departments and occupational health staff to develop a workplace environment where everyone can work with peace of mind.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Guidance_on_Measures_by_Our_Firm\"><\/span>Guidance on Measures by Our Firm<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Monolith Law Office is a legal firm with high expertise in both IT, particularly the Internet, and law. Recently, there has been growing attention on governance measures concerning the Prevention of Customer Harassment Act in Japan. Our firm provides solutions for labor issues under Japanese law. Detailed information is provided in the article linked below.<\/p>\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-\u30e2\u30ce\u30ea\u30b9\u6cd5\u5f8b\u4e8b\u52d9\u6240 wp-block-embed-\u30e2\u30ce\u30ea\u30b9\u6cd5\u5f8b\u4e8b\u52d9\u6240\">\n<div class=\"wp-block-embed__wrapper\"><a href=\"https:\/\/monolith.law\/practices\/corporate\">https:\/\/monolith.law\/practices\/corporate<\/a><\/div>\n<\/figure>","protected":false},"excerpt":{"rendered":"<p>It is not uncommon for individuals to continue working while undergoing treatment for cancer or lifestyle-related diseases. With the progression of an aging society and advancements in medical technol [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":71890,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[24,28],"acf":[],"_links":{"self":[{"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/posts\/71889"}],"collection":[{"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/comments?post=71889"}],"version-history":[{"count":2,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/posts\/71889\/revisions"}],"predecessor-version":[{"id":71969,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/posts\/71889\/revisions\/71969"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/media\/71890"}],"wp:attachment":[{"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/media?parent=71889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/categories?post=71889"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/monolith.law\/en\/wp-json\/wp\/v2\/tags?post=71889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}