Japan to Tighten Immigration Rules Over Unpaid Medical and Insurance Bills
The Japanese government plans to introduce a “rigorous screening” system by June 2027 that will deny visa renewals to mid- and long-term foreign residents who have failed to pay medical expenses, taxes, or social insurance premiums. The move comes as the Cabinet prepares to approve policies aimed at creating “an orderly and harmonious society with foreign nationals.” A 2024 health ministry survey found that 65.3% of medical institutions accepting foreign patients had unpaid bills, with foreign nationals accounting for 29.3% of debtors but just 1.4% of the total amount owed. Despite these concerns, officials acknowledge there is no nationwide data on insurance payment compliance by foreign residents.








