Japan Tightens Border Controls Over Unpaid Hospital Bills by Foreign Tourists

The Japanese government has announced a new policy that will bar foreign nationals with outstanding medical bills from re-entering the country.

The decision was made during a meeting of ministers on Friday, according to The Japan Times.

Foreign residents staying in Japan for over three months will also be required to enroll in the national health insurance program, potentially affecting exchange students who are not already enrolled, the report stated.

Digital previously reported Japan’s goal to attract 60 million visitors by 2030, following a record year in 2025.

The Japan Times reported that the rise in tourism has led politicians to seek solutions for unpaid medical expenses and insurance premiums, which are currently being covered by Japanese taxpayers.

A participant reportedly stated that significant reforms are necessary if current systems cannot adequately address globalization and alleviate public concerns.

A Health Ministry survey indicated that slightly over 60% of foreign residents required to pay health insurance premiums are doing so, compared to 93% of Japanese citizens.

An official stated that while the rights of travelers will be considered to avoid isolation, strict actions will be taken against those who do not comply with the regulations.

Companies that employ foreign workers but fail to cover their social welfare premiums may be prohibited from bringing travelers into Japan, the report noted.

The effective date of the new policy has not yet been announced.

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