Third meeting of the Working Group of Experts on the Integration of My Number Card and health insurance card

Overview

Date and time: December 23, 2022 (2022) (Fri) from 12:30 to 14:00
Location: Online
1. Opening
2. Proceedings
  1. Review Meeting
    - Review Meeting
    - Expert Working Group
  2. Matters to be discussed at the Review Meeting
  3. How to proceed in the future
  4. Hearings from various organizations
3. Adjournment

Materials

Summary of proceedings

Date

From 12:30 p.m. to 2:00 p.m. on Friday, December 23, 2022 (2022)

Location

Held online

Participants

Keisuke Murakami (Digital Agency For the public Group Director-General)
Hirotami KIKKAWA (Ministry of Internal Affairs and Communications Director-General of Local Administration Bureau)
Kazuhito Ihara (Director-General of the Ministry of Health, Labor and Welfare Insurance Bureau)
NAGASHIMA Kimiyuki (Executive Director of the Japan Medical Association)
Hideki Endo (Vice President of the Japan Dental Association) * Representative: Masazumi Hayashi (Managing Director of the Japan Dental Association)
Shohei Mori (Vice President of the Japan Pharmaceutical Association)
Etsuro Ito (Managing Director of the Federation of Health Insurance Societies)
Seiya Okazaki (Chairman of the National Health Insurance Central Association) * Representative: Katsunori Hara (Chairman of the National Health Insurance Central Association)

Observer

Nobuki Ando (President of Japan Health Insurance Association)
Yasuhiro Senda (Director of the Second Investigation Department of the National Governors' Association)
Shigehito Kimura (Director of the Department of Social and Educational Affairs, Japan Association of City Mayors
Toshihiko Yokoo (Chairman of the National Council of medical care Area Association for the Elderly People)
Hiroshi Shimonaka (Director of the Personal Identification Number Center, local governments Information Systems Institute)

Hearing

*Abbreviation of the category of public interest corporations
"Public property" refers to "public interest incorporated foundation," "public corporation" refers to "public interest incorporated association," and "one company" refers to "general incorporated association."

Kazuko Fujita (Representative Director of the Japanese Dementia Working Group)
Shoryusei (Executive Director of the Japan Federation of Senior Citizens' Clubs)
Masanori Ashino (Director of the Association of Dementia Patients and Families)
Naomi Onouchi (Director of the Association of Dementia Patients and Families)
Masaki HASHII (Managing Director of the Japanese Association of Visually Impaired Organizations, a social welfare corporation)
Takashi Miyake (Director of organization Department, Japanese Association of Visually Impaired Organizations, Social welfare Corporation)
Tadashi Osaka (General Manager of Social welfare Corporation, Japanese Association of Visually Impaired Organizations)
Yukiyo YOSHINO (Director of the All Japan Deaf Association)
Sumiko Okayasu (Companion of the All Japan Deaf Association)
Kaoru Tahara (Vice President of the National Council of Facilities for the Disabled)
Hiroyuki Nishikawa (Vice President of Adult Guardianship Center Legal Support)
Daisuke Take (Director of the Ward Government Promotion Division, Citizen Autonomy Promotion Department, Chiba City Citizens' Bureau)
Yasunori Sato (Miyakonojo City Digital Management Division)

Proceedings (opinions from members, etc., questions and answers)

Kazuko Fujita (Representative Director of the Japanese Dementia Working Group)

I myself am also applying for a My Number Card, and I worked with my husband online, but it took a little time to attach photos.
When making a decision to apply for a My Number Card, if a reliable person told me that it would be better to do it, I was thinking about doing so, and I decided to apply. For people with dementia, as many people do, they also feel anxious and suspicious about new things and things they have never experienced. It is reassuring to be able to be promoted and helped by reliable people.
People living in facilities may not have information about My Number Card in the first place, so I am worried if they are carefully explained about the need to acquire it. I would like you to provide an explanation that you can understand. In the case of proxy applications, it is also important to confirm with the person in advance who will manage the card itself when the card is acquired.
It may be thought that it is rare to lose a card, but for people with dementia, losing a card is a daily occurrence, and if a backup system is not in place when a card is lost, it is worrisome. There are cases in which various people lose a card, so I would like to see such people not be left behind.
There are cases in which young people with dementia depend on their elderly parents for their lives. When we asked such people to provide their My Number, they could not understand the difference between the My Number and the My Number Card, and they could not be convinced. In the aging society, there are people who cannot do so because such understanding does not progress. It is necessary to have a system to support them, such as careful explanations.
(There was a voice trouble at the beginning and I couldn't tell you about myself, so I explained it again at the end.) I am the person with dementia who has been diagnosed with Alzheimer's disease for 15 years. Today I told you about what I experienced as the person.

Shoryusei (Executive Director of the Japan Federation of Senior Citizens' Clubs)

The Senior Citizens' Club is a organization consisting of elderly people, but even if they are elderly, there is an age difference from 60s to more than 90 years old, and family structure, health condition, area where they live, economic situation, etc. are different from each other, so please listen to them with that in mind.
Regarding the points that are obstacles to applying for and acquiring My Number Card, and the points that seem to require support and consideration, the first is whether information about My Number Card is reaching all elderly people and whether they understand it. People who usually participate in social activities such as senior citizens' clubs are fine, but those who do not tend to be isolated hear that it is difficult to obtain various information. It is thought that there are a certain number of people who are reluctant to look at mail, etc., or who know that there is My Number Card in newspapers or on TV, but do not know how to proceed, and leave it as it is.
The second is that you have to go to the municipality at the time of application or Issue to confirm your identity. In the case of elderly people, it is possible that it is difficult to go to the municipal office due to health reasons or transportation problems. If you apply by mail, you are required to attach a photo, which seems to be a burden in terms of labor and economy.
Third, elderly people are not used to online application using smartphones and computers. Procedures premised on smartphones and computers will be difficult for elderly people.
Fourth, it is necessary to follow up with people who have already acquired My Number Card. There are many voices such as those who have made it but have not had the opportunity to use it, those who have it but do not know how to register health insurance card, those who have received points but do not know how to use them, those who cannot remember the password, and those who have lost it.
Regarding our expectations for local government and the people concerned, first of all, I would like to ask you to take measures to ensure that information is properly distributed to the so-called information poor elderly. In addition, since special fraud always occurs when new measures are launched, I would like to ask you to raise awareness.
Second, I would like to ask you to expand the application window and business trip application. As the application window, post offices often used by the elderly, core hospitals in area, area Comprehensive Care Center, etc. can be considered. From the viewpoint of utilization as a health insurance card, it may be easy for the elderly to apply. For the elderly who need support, area Comprehensive Care Center, etc. may be familiar with the application. It is appreciated that the application for business trip is made in a place where the elderly can go nearby. For example, community centers, self-governing halls, and elderly people's welfare centers can be considered. In some cases, elderly people's clubs may be able to help with the call for business trip application through self-governing associations and neighborhood associations. Since the budget and the system of the accepting party are problems, and in some cases, it may be necessary to revise the law, not all of them may be realized, but there may be room for consideration.
Third, we would like to see accurate and easy-to-understand information provided each time there is a change in handling or an increase in services available.

Masanori Ashino (Director of the Association of Dementia Patients and Families)

Regarding the points that are obstacles in terms of procedures and that seem to require support, it is normal for the current insurance card to be sent by mail, but it is considered that the procedures will be complicated because it is a My Number Card, the labor and cost will increase, and it will be a big burden on people who are not used to digitalization and IT.
I have heard cases in which people are repeatedly rejected at the counter if they are unable to take appropriate photos. Even if photos of people facing sideways, with their eyes closed, and with their mouth open are allowed, even if they are photos of 2 cm square, isn't it emotionally unbearable for them and their families to have such photos posted? Isn't it necessary to take care that elderly people, people with disabilities, and people who are bedridden can use their insurance cards without registering their photos and by explaining to them when their families or caregivers use their insurance cards?
In rural areas, it may take a whole day to get it at the counter, or it may cost 10,000 yen or 20000 yen in transportation expenses for an elderly person who has returned his or her license. It is impossible to receive it unless he or she is the person himself or herself, or it is impossible to respond unless he or she is taken with him or her, but it is very difficult to complete the procedure together with people who are bedridden, need a wheelchair, feel anxious if they are not always together, or have dementia that can be felt. Regarding efforts to apply for business trips to companies, it may be necessary to visit facilities for the elderly and their homes.
There are many people who lose their existing health insurance card cards, and they are supposed to be reissued each time they are lost. Isn't it quite difficult to do the same thing in My Number Card? There are multiple PIN numbers on the card, and the renewal period is not unified, such as 10 years for renewal, 5 years for health insurance card, and 5 years for E-Certificate. Isn't it very confusing for people with dementia and their families to manage the card after acquisition?
Welfare With regard to what is expected from the perspective of the parties concerned, it is considered that the administrative procedures such as acquisition should be carried out by the national government and the administration because it is the best to have nursing care workers and care managers do the work of nursing care.
It is also concerned that the media's way of covering the story in the form of the fact that it is difficult for a demented person to get a My Number Card and that they forget their PIN number will spread the image that they cannot do anything.

Naomi Onouchi (Director of the Association of Dementia Patients and Families)

There was a story that the person himself was bedridden state, but he went to get it in a wheelchair because it was a rule. It is not because it is a rule, but I would like to ask you to create a manual for dealing with various people, make it known, and support them.
It is a common occurrence in many places to lose an insurance card and reissue it many times. It will be a burden on those who support us at the site, but if it is a reissue of the My Number Card, those who want to have it reissued are also resistant. Since there is a deadline for reissuing the insurance card, it would be appreciated if you could consider taking some other measures for such a period.

Masaki HASHII (Managing Director of the Japanese Association of Visually Impaired Organizations, a social welfare corporation)

This organization was established in 1948, and now 60 organizations are required in 47 prefectures and ordinance-designated cities throughout Japan. It is said that there are 300,000 or 310,000 people who are visually impaired, but ophthalmologists say that there are 1.64 million people who are visually impaired, including those who are difficult to see.
In my own experience when I applied, I attached a picture when I applied, but it wasn't good because my eyes weren't open, and I reapplied because I wanted you to retake the part that was properly open. This is very rude.
It is now possible to understand My Number Card in braille, but the parts with dullness vary from local government to region, so if it is a national thing, I would like it to be unified.
People with disabilities receive a Issue once a year for their Marufuku Marusho disability and reinsert it into their insurance card. When they receive it in the future, how will they enter it into the My Number Card?
How many people with visual impairments can use computers and smartphones? I think it is difficult to go online by yourself. I can't keep up with it just by upgrading it to a new version on a computer or smartphone. Even if something difficult comes, there is no way to touch it, so how can you support them?
When I forgot my four digit My Number Card password, I asked local government and he asked me to come to the counter. He asked me to bring his disability card, insurance card, and other certificates. When I asked him what his My Number Card was for, he said that it had been decided.

Takashi Miyake (Director of organization Department, Japanese Association of Visually Impaired Organizations, Social welfare Corporation)

When applying or renewing your visa, you may be required to enter your password on the touch panel, and you may also be required to fill out documents. However, if it is difficult for you to do so by yourself, it is requested that the person in charge of the local government or the national government take the initiative in dealing with the matter on the administrative side, rather than using a representative.
Regarding the use of My Number Card, it has become possible to use part of public service without going to public office. It has become possible to obtain a certificate of residence or a seal registration certificate without going to public office, but the visually impaired do not benefit from it. The terminal used when obtaining it at a convenience store is not a machine that is designed to be used by the visually impaired, and in the end, it requires the help of people. Due to the nature of the card, it is impossible to ask a convenience store clerk, so please make arrangements so that the visually impaired can enjoy the same benefits as the general public.
Regarding Mynaportal, registration is done by connecting a card reader to a smartphone or a personal computer, but it is difficult. Please make arrangements so that visually impaired people can obtain the information or register independently.
At the time of renewal, the notification of the renewal time is not provided in a form that can be understood by the visually impaired. Since the description on the envelope does not correspond to Braille or enlarged characters, there are cases in which the notification has not even been noticed. Regarding the notification of the content, the information is not provided in a form that can be understood by us. Based on the philosophy of the recently enacted Act on Promotion of Information Accessibility and Communication Measures, we would like to ask for consideration for such information provision.

Tadashi Osaka (General Manager of Social welfare Corporation, Japanese Association of Visually Impaired Organizations)

When using a medical institutions or pharmacy, it is requested that a method other than the method of entering a 4-digit personal identification number be used. If it is unavoidable to enter information, it is requested that a method other than a touch panel or a non-contact type input method be adopted so that even visually impaired persons can enter information.
For those who have difficulty in obtaining a My Number Card for some reason, they must go to a public office to obtain it, but some visually impaired people have difficulty in doing so. We would like to request that visually impaired people who have not been able to obtain a medical certificate by the due date be able to receive medical treatment, etc. with the same procedures as before even if they receive a medical examination with an insurance card.
Many blind people are engaged in acupuncture and moxibustion. One of the treatments can be paid by medical care insurance, and confirmation of insurance eligibility is required. However, we would like to see the system installed in a way that does not require the input of a four digit password for confirmation of eligibility using My Number Card. We would like to see a system that is easy for blind people to operate.
In the case of acupuncture and moxibustion, there is a treatment called visiting treatment, which is performed by visiting the patient's home. Since it is necessary to confirm the qualification when visiting the patient, for example, if there is a rechargeable card reader, it would be appreciated if you could create a system in which information can be easily obtained by using it. If it is necessary to purchase a card reader, I would like you to subsidize the cost.
In the development of these systems, for example, application software, it is requested that the opinions of parties with visual impairments be sufficiently heard.

Yukiyo YOSHINO (Director of the All Japan Deaf Association)

It is said that there are 340,000 hearing-impaired people who have disability card. Among them, there are many people who use sign language on a daily basis. In addition, there are deaf-blind people, that is, people who are based on deaf people and have visual impairments, and people who communicate using so-called tactile sign language. There are also persons with deafness and other disabilities people who are deaf and have intellectual disabilities, and all of them live their lives by communicating using sign language. Based on this current situation, I would like to state my concerns about the acquisition of My Number Card.
Regarding the acquisition of My Number Card, a lot of information is complicated, and it is difficult to obtain correct information. Information on advantages and disadvantages is also complicated, and many people may be worried. While deafblind people do not have any information, problems of information accessibility are occurring. Careful explanation is also necessary for the integration of My Number Card with health insurance card. It is necessary to develop an environment in which careful explanation is made using various communication means.
There are persons with deafness and other disabilities people who enter facilities, but there are cases where such people cannot obtain or are difficult to receive support from their families due to family circumstances, such as the aging of their families. In such cases, it is assumed that an employee of the facility will apply on behalf of them, but in such cases, the application on behalf of them may be rejected because it is difficult to confirm their identity. Therefore, we would like to ask for a more flexible response so that such a case does not occur.
There have been cases in which people forget or lose their personal identification numbers after acquiring cards. We would like to see the establishment of a unified framework to ensure that the procedures in public office are not difficult.
Some elderly persons with hearing loss cannot explain their health situation even if they go to a medical institutions, so there is an expectation that if they change hospitals, etc., they will feel secure that they can solve one problem in the My Number Card without explaining their health situation by themselves by using the card.
It is a life-threatening and serious problem that a person who has lost his or her card cannot visit the medical institutions because he or she does not have the card, although he or she must visit the medical institutions urgently. In such a case, if the deaf person is unable to provide sufficient explanation, he or she can use the hospital with peace of mind if some consideration is given, even if it is an exceptional case.
In terms of supporters, if we are to integrate with health insurance card, it may be necessary to create a system in which support can be provided at the window of public office. For example, sign language interpreters will be placed at the application window of My Number Card, and deaf counselors will be placed and supported. It is necessary to set up a system in which people who cannot hear can obtain correct understanding of the system through sign language communication by placing them in the form of promotion committee members in support of My Number Card. Sign language interpreters have not been fully installed in local government. We would like to have a system in which support can be provided.
Digital Agency will commission the Japan Deaf Association to hold a study session to promote its spread. In addition, there are various ways to raise awareness by visiting homes, but I think it is necessary to make efforts to provide careful explanations.
At the request of Ministry of Internal Affairs and Communications, we held a learning session on digital utilization support for 10 organizations, and worked on it, including an explanation by My Number Card. It was effective, but the project was a temporary one that lasted only one time. Isn't it necessary to create a mechanism that can ensure continuity? In addition, the terms and conditions for consignment are strict, and we may hesitate to apply, so we would like to ask for relaxation of the terms and conditions. Since there are stakeholder groups in 47 prefectures, can we ask for support in the form of consignment of projects in an integrated manner? In such a way, we believe that support for My Number Card can be provided in multiple layers, so we would like to ask for consideration.
The conditions for Digital Agency's Digital Promotion Committee are also difficult for member organizations of the Federation, so we would like to consider relaxing the conditions and make it easier to use.
I spoke from the perspective of the Association of Deaf People, but there are differences in support methods between deaf people and people with multiple disabilities, and each party has its own opinions, so I would like to hear opinions from each party.

Kaoru Tahara (Vice President of the National Council of Facilities for the Disabled)

There are approximately 500 facilities for the physically disabled in Japan, and each facility has an average of more than 50 users. In the disability support category, about 66% of the most severely disabled Category 6 and 21% of the most severely disabled Category 5 are admitted, 87% in total, and these are the facilities where the most severely disabled people live. About 78% of the people are 50 years old or older, and they are aging, and their families are aging as well. While the chronic shortage of staff continues, the burden of nursing care and medical care due to aging is increasing, and at the same time, the burden due to measures taken by COVID-19 pandemic is also increasing. As part of measures to improve the shortage of human resources, the acceptance of foreign nursing care human resources is increasing, and the improvement of communication ability associated with it is also becoming apparent in Issue. It is considered that the Issue of the working environment will continue in the future.
With regard to the hindrance of procedures and the need for some kind of support, we would like to request the following consideration when obtaining an application.
First, I would like to request that all municipalities accept business trip applications. Second, I would like to request that local government employees travel to facilities and business offices for the disabled to assist in the application process. In addition, I would like to request that they respond to business trip consultations as needed. Third, I would like to request that there are no local disparities or area rules in the procedure or handling. Fourth, I would like to request that the procedures be simplified. Fifth, I would like to request that the difficulty and complexity of the procedure and management due to the need to register multiple passwords be eliminated or improved. Sixth, I would like to request that the service payment determination period stated on the disability welfare service recipient certificate be known in My Number Card. Or, I would like to request that it be unified with the disability welfare service recipient certificate. Seventh, I would like to request that the health insurance card be able to confirm the expiration date of the design.
As an opinion on providing application support from the viewpoint of a supporter, based on the current situation of facility workers, we would like to request that the system be not limited to support and assistance. We would like to request that facilities and business offices for persons with disabilities do not act as a proxy for My Number Card application or agent recipient. Second, the mechanism, content, and purpose of proxy Issue are unclear in many places. At present, facilities and business offices do not intend to be a proxy Issue operator for My Number Card. Third, we would like to cooperate with the taking of photos necessary for My Number Card application, but if the accuracy and conditions of the photos are high, we cannot respond to them, so we would like to ask for consideration. Fourth, there are reports that the Support Facility for Persons with Disabilities business office will act as an agent for application and receive payment, but we would like to ask for consideration so that it will not become a fixed route.

Hiroyuki Nishikawa (Vice President of Adult Guardianship Center Legal Support)

We express our opinions as a supporter and agent of adult guardianship system users.
At present, when it is difficult for the person himself / herself to receive the Issue, a proxy reservation is provided for a voluntary person, but I feel that the application from the legal representative is not well known. Therefore, I am afraid that it may be required to present materials that make a prima facie showing that it is difficult for the person to appear when the application is made by the legal representative. There may not be many patterns of applications from legal representatives, but it would be helpful if they were properly made known.
It is very difficult for a guardian to judge whether or not to apply for Issue of a card. I feel that the disadvantages of not applying for Issue of a card are not so significant, and it is difficult to judge whether or not to apply for Issue only by a legal representative when the intention of the person cannot be confirmed.
It is generally understood that the PIN number is not usually shared with the principal even by the agent. In some cases, the PIN number to be set when receiving the Issue of the card may be set only by the legal representative and managed only by the legal representative. However, many people are worried about whether it is okay.
It would be good if you could clarify the benefits of receiving a Issue for a card a little more. By integrating a card with an insurance card, the procedure for applying for the payment of high-cost medical expenses may be simplified. However, other various adjustment systems and preferential application are difficult to understand, but if they are clarified by integration, it will be a great advantage because it will be possible to manage office work in one place as a guardian. It would be good if you could let us know what benefits there are.
In the case of adult guardianship system users, it is considered that they may lose their cards, so they must make a design for the system on the premise that they may lose their cards.
Regarding the Individual Number Card of an adult ward, if it is known that it is beneficial for the person to apply for Issue by the adult ward, it is requested that sufficient consultation and adjustment be made with the Supreme Court or the Ministry of Justice.
Next, I would like to point out the description of the Inventory of Acts of Representation. Among the agents of adult guardianship system users, curators and assistants will be able to represent the principal by receiving the authority of representation from the family court. The standard inventory of acts of representation used in the practice of family courts has an item on various procedures related to personal identification numbers, but since it was established around 2019, the authority of representation has not been directly granted to those who have been using the system since before then. At the end of the inventory of agents, there is "all matters related to the above-mentioned affairs", and it is understood that it includes official notification, etc., so if there is the authority of representation for this item, it can be represented. We would appreciate if you could make adjustments and consult with the Supreme Court if necessary so that there will be no confusion on the ground.
With regard to the facilitation of procedures at the counter, some adult guardianship system users secure a abuse separately from their families, etc., for reasons such as a safty and security. For such users, it is necessary to prioritize the application by the legal representative over the application by the family. We would like to request that the legal representative not be ordered to withdraw the application because it is not from the family or the facility.
Regarding the management of the card by the facility, there are many cases in which the facility manages the insurance card when the person is admitted to the facility, but it is a difficult problem whether it can be done in the same way after the card and the validation are integrated. In many cases, the guardian is hesitant to leave the management of the card to the facility, and if it is impossible to leave the card, there is a possibility that the guardian will decide that it is better not to issue the card. We would like to ask you to take measures to avoid disadvantages, including ways to confirm the status of such persons as insured persons.
For those who are not issued with a card, we are wondering if we can create a substitute for the insurance card. However, in the current practice of issuing the insurance card, the legal representative is required to send the insurance card to the legal representative by notification, so we will be in trouble if you do not continue it. National Health Insurance is sent to the head of household in a lump, but as a guardian, it may be confusing, so we would like to ask you to consider issuing and sending it on an individual basis.

Kazuhito Ihara (Director-General of the Ministry of Health, Labor and Welfare Insurance Bureau)

I would like to talk about the meaning of integrating My Number Card and health insurance card. When you use health insurance, various information is held as payment data, and you can immediately know what medicine was issued and where you received medical care. If you can confirm your identity at My Number Card, you can confirm in front of patients at the medical care site. Therefore, we would like to promote integration as Ministry of Health, Labor and Welfare. You pointed out that we may not be able to use My Number Card as casually as health insurance card. We may be able to manage if we lose our health insurance card, but is it okay to lose the My Number Card? We have left the health insurance card at the facility, but are we going to leave the My Number Card at the facility or are we allowed to hand it over to the facility? We have received various responses, so we would like to think about it while asking the situation at the site well.
What was impressive about my visit was that the people concerned and their families still do not understand at all the meaning of seeing a doctor in medical institutions in My Number Card and what the government is working on, or we feel that our explanation is insufficient. I would like to consult with Digital Agency and Ministry of Internal Affairs and Communications on how to do it.
We received opinions from the person who is providing support - or the person concerned. The care manager and the staff of the facility are familiar with the person in terms of what role they play in acquiring the card. We need to carefully consider whether we can ask for a certain level of support. In such a case, it will cost money, so I think we need to carefully consider what to do about the cost. We also heard that if we make such a rule, it will be very difficult to provide support on the ground. We would like to carefully consider what form is good.
I would like to consult with local government staff who do not know the person well about how much they can support the person's feelings and how they can support the application smoothly. In that case, I think the problem of the password is also a difficult theme. We received many questions.
I would like to find answers to what I should do in order to use various medical care data for medical care, which is my original purpose, so this time is one of the opportunities, but I would appreciate if you could give me advice, support, and information.

Daisuke Take (Director of the Ward Government Promotion Division, Citizen Autonomy Promotion Department, Chiba City Citizens' Bureau)

The agent Issue is a very burdensome procedure for the agent. In addition to the trouble of coming to the office, the actual situation is that the agent assists the work such as the creation of a power of attorney and the creation of a prima facie document to prove that the person cannot come to the office.
Since some people, such as the elderly person living alone, do not have a representative around them, it is considered necessary to simplify the procedure. Although it is a tentative name of this city, it may be possible to consider the institutionalization of the emissary Issue reception method, the direct Issue method, the temporary password setting method, and the relaxation of the regulation for prima facie showing materials.
In the emissary Issue reception method, when the emissary brings the necessary documents to the window, as in the case of family registry notification, the card is sent directly to the principal by mail. By introducing the temporary PIN setting method, in which a city official sets and enters a temporary PIN in advance, and the principal or an agent changes the PIN at the Mynaportal after the mail, the administrative and psychological burden on the agent may be reduced. In addition, in the direct Issue method, a city official sets and enters a temporary PIN in advance in response to the request of the applicant, and the official directly goes to the place and brings it. In this case, the change of the PIN may be directly supported by the principal at the place where the city official goes.
Regarding the concept of prima facie showing materials, it is necessary for the agent Issue to present documents such as hospitalization certificates to the counter in order to explain the reason why he / she cannot come to the counter, but it may cost money and time in some cases. Therefore, it would be effective to relax the criteria and review the criteria, such as allowing the use of materials prepared by the person himself / herself or the agent.
Regarding My Number Card applications, whether online or paper, applications cannot be made without knowing the personal number or application form ID. However, the reality is that there are a certain number of people who do not bring the Issue application form to the business trip application counter even though the Issue application form has been sent by mail multiple times from J-LIS. It takes time because the applicant or the person who assists the application needs to contact the public office, and it is a reasonable burden on both the applicant and the city. It is considered effective to make it possible to make applications only by knowing the four basic information in anticipation of the future issuance of limited expresses.
As for the strengthening of the system of municipalities, it is necessary to continue to maintain and strengthen the Issue system, including support for those who are difficult to apply, after fiscal 2023. Therefore, it is considered that the national financial measures are still necessary.
Regarding the efforts of this city to apply for business trips, in the past, business trip applications were made based on the requests of companies and facilities, but since November, the city has been making efforts to contact companies, facilities, and organizations directly and visit designated locations to accept applications. We have received opinions that it is difficult for the director of the facility to provide support for the consent of the family of the resident and the setting of a personal identification number.

Yasunori Sato (Miyakonojo City Digital Management Division)

The main challenge of this city is the creation of an environment in which it is easy to apply. The business trip application support has been implemented more than 2,000 times in total, and even one person can visit your home. Since it is difficult to enter your home, we have created a system in which you can sit in a car and complete the application. A permanent card application booth at a large commercial facility is also effective. Some people do not want to apply in a situation where they do not wear makeup, but if it is always installed in a place where they go on a daily basis, it will be possible for you to apply when the situation is good. In addition to opening the office after hours and on weekends, we are actively promoting utilization.
Since the application subsidy is covered by the subsidy of Ministry of Internal Affairs and Communications, we expect the same kind of generous support in the next fiscal year and beyond.
In Issue, etc., there are a certain number of people who have not yet been transferred to a resident register, so we are working with local universities to send flyers requesting the transfer of resident registers when sending documents to be filled out with a Notification of Admission. It may be necessary to request responses based on the Residential Basic Book Act, including long-term admission to facilities. As a measure to acquire newborns, it may be necessary to ensure responses to homecoming births. In addition, if the address on the envelope of the application form is the name of the head of the household, there are cases in which the envelope is left unopened, so it needs to be devised. Shouldn't we consider simplifying the application, such as combining the form with the birth registration form? Issue
Although it is relaxed for preschoolers, there are many opinions that it is difficult for children who go to elementary school or junior high school to come to the counter. In order to promote the spread of the system to foreign nationals, it is necessary to provide multilingual support, and it is necessary to make it known at the timing of entry into Japan.
Since Issue is open on weekends, the system maintenance of the local governments Information System Organization is expressed as a Sunday following the third Saturday. The third Sunday is imagined, but in rare cases, the system maintenance is performed on the fourth Sunday, which may cause a loss in public relations. I would appreciate it if you could consider the details.

Hirotami KIKKAWA (Ministry of Internal Affairs and Communications Director-General of Local Administration Bureau)

First of all, I would like to express my gratitude to the two people in charge of Chiba City and Miyakonojo City for their efforts. We received various indications from each organization about the response of the contact point of the municipality. I felt that there is a sense that the response and operation at the site are a little strict. I would like to hear from both cities about the actual response of the contact point.
While the people of the municipalities are doing their best, there are people who have high hurdles to go through the procedures face-to-face. In terms of how to improve this situation, I think the people of the municipalities are probably thinking about whether they can ask for help and support from the organizations and the people who support them. We are trying to connect them and somehow spread My Number Card, so I would like to ask you to tell us about it.
I heard that there is a Issue for the treatment of residents in facilities, but I would like to ask what kind of things are there in particular.

NAGASHIMA Kimiyuki (Executive Director of the Japan Medical Association)

There are various Issue for obtaining a My Number Card, but I realized that it is also quite difficult to use it at the medical care site. Standing in front of a card reader with face authentication at the medical institutions or pharmacy, placing the card in the proper position, and when performing face authentication, it is necessary to confirm that the camera is capturing your face, and when entering the password, you must press the number in the LCD screen. After that, I think the flow of reading the document displayed on the screen, understanding the content, pressing, for example, to agree to provide drug information to the medical institutions, and storing the My Number Card at the end may be a high hurdle. In order to leave no one behind, it is necessary to make this operation as easy to use as possible.
Even so, it seems that support will be necessary at the medical care site. However, since My Number Card cannot be kept, what kind of support can be provided, and the support will also impose a burden on the medical care site.
On the other hand, I feel that the benefits are extremely great for patients. If they agree, they can know drug information accurately and quickly, and can perform diagnosis and treatment based on usage information and medical examination information. I think that it will directly lead to the realization of a safe, secure, and high-quality medical care. This has not yet been well communicated to the people, so I think that it is necessary for us, operators, together with the national government, to inform them in an easy-to-understand and polite manner.

Masazumi Hayashi (Managing Director of the Japan Dental Association)

Since there are various patients who are eligible, after listening to today's opinions, I felt that there is a quite difficult problem in using information at the site to provide high-quality medical care by using an insurance card at the My Number Card. Regarding the problem of how to smoothly operate and utilize medical care information and drug information, including sensitive information, in cases where it is difficult to confirm the intention or in cases where it is brought by a proxy, I felt a responsibility that we must respond at the site by using a simple system and carefully considering the problem of the security. I would like you to carefully identify any problems in the acquisition and utilization of the card.

Shohei Mori (Vice President of the Japan Pharmaceutical Association)

I felt that there are Issue that are more difficult than I imagined, but I would like to firmly support patients in the field.
Some people were worried that they would not be able to receive medical care if they did not have the card. It is necessary to take measures to ensure that people will not be unable or difficult to receive necessary My Number Card if they do not have the medical care due to loss, etc.
Etsuro Ito (Managing Director of the Federation of Health Insurance Societies)
In order to receive high-quality medical care and appropriate medical care, I think that the integration of My Number Card and insurance card is important. Regarding the efforts of promotion of My Number Card, we must firmly examine and implement various complementary methods, not only the current extension, and I would like to ask for support in various forms from the administration who supports it. We, as a society, would like to firmly work on what we can do to clear Issue.

Katsunori Hara (President of the National Health Insurance Central Association)

Through the hearings, the Issue of My Number Card of the person and those who are supported became clear, but some of them are very difficult, and I felt that the roles of municipalities are very important. After listening to the stories of Chiba and Miyakonojo City, I understood that various things can be done if we make efforts, but I don't think it will spread nationwide without the support of Ministry of Internal Affairs and Communications, Ministry of Health, Labor and Welfare, and Digital Agency, so I would like to ask for your continued support.

Yasunori Sato (Miyakonojo City Digital Management Division)

We recognize that it is a Issue that must be addressed whether or not the intention of the residents in the facility can be confirmed.

Daisuke Take (Director of the Ward Government Promotion Division, Citizen Autonomy Promotion Department, Chiba City Citizens' Bureau)

My Number Card handles personal identification numbers, which is a rare procedure even in public office. The fact that integrated terminals for setting personal identification numbers cannot be taken out of public office has led to an administrative burden on public office and agents. Therefore, we would like you to consider relaxing the restrictions on setting personal identification numbers in regulation.

Keisuke Murakami (Digital Agency For the public Group Director-General)

Thank you very much for your valuable opinions today. Everyone prepared in advance, and I thought about talking about this point, so I felt strongly when I heard your story. Thank you very much for your kind response. The three ministries and agencies will do their best to meet these expectations. If there are any points that I have noticed, forgotten to say, or heard from others, I would appreciate it if you could contact the Secretariat without hesitation. I strongly realized today that there are many things that cannot be done without the cooperation of not only us but also everyone, and I would appreciate it if you could cooperate in the spread of My Number Card.