Regulations Governing Management of the Health Examination of Employed Aliens
2025-12-31
手機睡眠
語音選擇
Article 1
This set of Regulations is formulated in accordance with regulations of Paragraph 3 of Article 48 of the Employment Service Act (hereafter referred to as the Act).
Article 2
Terms used in this set of Regulations are defined as follows:
1. “Type A Foreign Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraphs 1 through 6 of Paragraph 1 of Article 46 of the Act.
2. “Type B Foreign Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraphs 8 through 10 of Paragraph 1 of Article 46 of the Act.
3. “Foreign Skilled Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraph 11 of Paragraph 1 of Article 46 of the Act.
4. “Authorized Hospital(s)”: Overseas hospitals authorized by the central competent health authority to conduct pre-entry health examination of employed aliens.
5. “Designated Hospital(s)”: Domestic hospitals designated by the central competent health authority to conduct health examination of employed aliens after entry.
6. “DOTS (Directly Observed Treatment Short-Course) services”: Medication services for patients observed in person by caregivers assigned by competent health authorities.
1. “Type A Foreign Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraphs 1 through 6 of Paragraph 1 of Article 46 of the Act.
2. “Type B Foreign Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraphs 8 through 10 of Paragraph 1 of Article 46 of the Act.
3. “Foreign Skilled Worker(s)”: Aliens employed to undertake the jobs specified in Subparagraph 11 of Paragraph 1 of Article 46 of the Act.
4. “Authorized Hospital(s)”: Overseas hospitals authorized by the central competent health authority to conduct pre-entry health examination of employed aliens.
5. “Designated Hospital(s)”: Domestic hospitals designated by the central competent health authority to conduct health examination of employed aliens after entry.
6. “DOTS (Directly Observed Treatment Short-Course) services”: Medication services for patients observed in person by caregivers assigned by competent health authorities.
Article 3
Health examinations specified in these Regulations are classified as follows:
1. Employment health examination: Health examination taken by an employed alien at a Designated Hospital when the employed alien’s employer applies for an employment permit, employment extension permit, or contract completion transfer permit in accordance with the Act.
2. Pre-entry health examination: health examination taken by an employed alien at an Authorized Hospital.
3. Post-entry health examination: Health examination taken by an employed alien at a Designated Hospital within three (3) working days after entering the country. The deadline for such examination may be extended for up to an additional three working days if it cannot be completed by the specified deadline for some reason.
4. Periodic health examination: Health examination taken by an employed alien at a Designated Hospital within thirty (30) days before or after the date on which six (6) months, eighteen (18) months and thirty (30) months have elapsed from the effective date of the employment permit or the date of entry into the country.
1. Employment health examination: Health examination taken by an employed alien at a Designated Hospital when the employed alien’s employer applies for an employment permit, employment extension permit, or contract completion transfer permit in accordance with the Act.
2. Pre-entry health examination: health examination taken by an employed alien at an Authorized Hospital.
3. Post-entry health examination: Health examination taken by an employed alien at a Designated Hospital within three (3) working days after entering the country. The deadline for such examination may be extended for up to an additional three working days if it cannot be completed by the specified deadline for some reason.
4. Periodic health examination: Health examination taken by an employed alien at a Designated Hospital within thirty (30) days before or after the date on which six (6) months, eighteen (18) months and thirty (30) months have elapsed from the effective date of the employment permit or the date of entry into the country.
Article 4
When applying for employment permits and employment extension permits for Type A Foreign Workers other than those specified in Article 5 herein, employers are not required to submit a qualified health examination certificate for those workers. However, for employed aliens who have entered the country for employment and have stayed for more than three months, the central competent health authority may announce the health examination certificate required to be submitted in consideration of the epidemic situation or the specific circumstance of the countries where they have resided.
Article 5
When applying for an employment permit and employment extension permit for a Type A Foreign Worker employed to undertake work specified in Subparagraph 4 of Paragraph 1 of Article 46 of the Act, the employer shall submit a qualified employment health examination certificate for the employed alien issued within the past three months to the central competent authority.
The qualified employment health examination certificate referred to in the preceding paragraph may be one issued and signed within the past three months by a physician at a lawfully established hospital in the employed alien’s country of residence and authenticated by an R.O.C. overseas mission.
The qualified employment health examination certificate specified in Paragraph 1 hereof shall include the following examination items and certifications:
1. Chest X-ray examination for tuberculosis;
2. Serological test for syphilis (not required when applying of an employment extension permit);
3. Physical examination;
4. Proof of positive measles and rubella antibody, or measles and rubella vaccination certificates (not required when applying for an employment extension permit); and
5. Other examinations deemed necessary by the central competent health authority based on the epidemic situation or the specific circumstances of the country in which the employed alien has resided.
The qualified employment health examination certificate referred to in the preceding paragraph may be one issued and signed within the past three months by a physician at a lawfully established hospital in the employed alien’s country of residence and authenticated by an R.O.C. overseas mission.
The qualified employment health examination certificate specified in Paragraph 1 hereof shall include the following examination items and certifications:
1. Chest X-ray examination for tuberculosis;
2. Serological test for syphilis (not required when applying of an employment extension permit);
3. Physical examination;
4. Proof of positive measles and rubella antibody, or measles and rubella vaccination certificates (not required when applying for an employment extension permit); and
5. Other examinations deemed necessary by the central competent health authority based on the epidemic situation or the specific circumstances of the country in which the employed alien has resided.
Article 6
The health examination schedule for Type B Foreign Workers is as follows:
1. When applying for an entry visa, the employer shall submit a qualified Pre-entry health examination certificate for the employed alien issued within the past three months.
2. The employer shall arrange for the employed alien to undergo post-entry health examination and periodic health examinations.
The health examinations specified in the preceding paragraph shall include the following items:
1. Chest X-ray examination for tuberculosis;
2. Examination for Hansen's disease;
3. Serological test for syphilis (not required for periodic health examination);
4. Stool examination for intestinal parasites;
5. Physical examination;
6. Proof of positive measles and rubella antibody, or measles and rubella vaccination certificates (not required for post-entry health examination and periodic health examination); and
7. Other examinations deemed necessary by the central competent health authority based on the nature of the work and the epidemic situation or specific circumstances of the labor-exporting country.
For Type B Foreign Workers who re-enter the country after taking leave pursuant to Paragraph 5 of Article 52 of the Act, the central competent health authority may announce the health examination schedule and items required after their re-entry based on the nature of their work and the epidemic situation or specific circumstances of the labor-exporting country, and their employers shall arrange for them to undergo the required health examination at a Designated Hospital.
1. When applying for an entry visa, the employer shall submit a qualified Pre-entry health examination certificate for the employed alien issued within the past three months.
2. The employer shall arrange for the employed alien to undergo post-entry health examination and periodic health examinations.
The health examinations specified in the preceding paragraph shall include the following items:
1. Chest X-ray examination for tuberculosis;
2. Examination for Hansen's disease;
3. Serological test for syphilis (not required for periodic health examination);
4. Stool examination for intestinal parasites;
5. Physical examination;
6. Proof of positive measles and rubella antibody, or measles and rubella vaccination certificates (not required for post-entry health examination and periodic health examination); and
7. Other examinations deemed necessary by the central competent health authority based on the nature of the work and the epidemic situation or specific circumstances of the labor-exporting country.
For Type B Foreign Workers who re-enter the country after taking leave pursuant to Paragraph 5 of Article 52 of the Act, the central competent health authority may announce the health examination schedule and items required after their re-entry based on the nature of their work and the epidemic situation or specific circumstances of the labor-exporting country, and their employers shall arrange for them to undergo the required health examination at a Designated Hospital.
Article 7
Employers who recruit Foreign Skilled Workers from abroad shall arrange health examinations for such workers in accordance with the following schedule:
1. When applying for an entry visa, the employer shall submit a qualified pre-entry health examination certificate for the worker issued within the past three months; but for a Foreign Skilled Worker whose country of residence does not have any Authorized Hospital , the employer may submit a pre-entry health examination certificate issued and signed within the past three months by a physician at a lawfully established hospital in the worker’s country of residence and authenticated by an R.O.C. overseas mission.
2. The employer shall arrange for the worker to undergo post-entry health examination and periodic health examinations within three years after entering the country.
When an employer employs a Foreign Skilled Worker already in the country and applies for an employment permit for the worker for the first time, the employer shall submit a qualified employment health examination certificate issued within the past three months to the central competent authority.
For Foreign Skilled Workers who have completed the health examinations specified in the preceding two paragraphs and undertake work specified in Subparagraphs 10 through 11 of Article 5 of the Regulations Governing Work Qualifications and Permit Management for Foreign Skilled Workers, employers shall arrange for them to undergo employment health examination once every three years, and submit a qualified employment health examination certificate to the central competent authority when applying for an employment extension permit, contract completion transfer permit, or continued employment permit.
Paragraph 2 of the preceding article shall apply to the health examination items specified in Paragraphs 1 and 2 hereof. Health examination items specified in the preceding paragraph shall include Chest X-ray examination for tuberculosis and physical examination.
Foreign Skilled Workers from countries or regions as announced by the central competent health authority may be exempted from undergoing examination for Hansen's disease and stool examination for intestinal parasites.
1. When applying for an entry visa, the employer shall submit a qualified pre-entry health examination certificate for the worker issued within the past three months; but for a Foreign Skilled Worker whose country of residence does not have any Authorized Hospital , the employer may submit a pre-entry health examination certificate issued and signed within the past three months by a physician at a lawfully established hospital in the worker’s country of residence and authenticated by an R.O.C. overseas mission.
2. The employer shall arrange for the worker to undergo post-entry health examination and periodic health examinations within three years after entering the country.
When an employer employs a Foreign Skilled Worker already in the country and applies for an employment permit for the worker for the first time, the employer shall submit a qualified employment health examination certificate issued within the past three months to the central competent authority.
For Foreign Skilled Workers who have completed the health examinations specified in the preceding two paragraphs and undertake work specified in Subparagraphs 10 through 11 of Article 5 of the Regulations Governing Work Qualifications and Permit Management for Foreign Skilled Workers, employers shall arrange for them to undergo employment health examination once every three years, and submit a qualified employment health examination certificate to the central competent authority when applying for an employment extension permit, contract completion transfer permit, or continued employment permit.
Paragraph 2 of the preceding article shall apply to the health examination items specified in Paragraphs 1 and 2 hereof. Health examination items specified in the preceding paragraph shall include Chest X-ray examination for tuberculosis and physical examination.
Foreign Skilled Workers from countries or regions as announced by the central competent health authority may be exempted from undergoing examination for Hansen's disease and stool examination for intestinal parasites.
Article 8
The criteria for determining failed items in the health examination taken by an employed alien at a Designated Hospital and the corresponding management measures are provided in the Attachment.
If there are failed items or items requiring further examination in the health examination of an employed alien, the employer shall arrange for the alien to undergo re-examinations or receive treatment or vaccination according to the following schedule:
1. Chest X-ray examination for tuberculosis: If diagnosed as a “suspected tuberculosis case” or the diagnosis cannot be confirmed , the alien shall undergo a re-examination at a designated institution within 15 days from the next day following the receipt of the health examination certificate;
2. Examination for Hansen's disease: If Hansen’s disease is suspected, the alien shall undergo a re-examination at a designated institution within 15 days from the next day following the receipt of the health examination certificate;
3. Serological test for syphilis: If the syphilis test is positive, the alien must obtain a treatment completion certificate within 30 days from the next day following the receipt of the health examination certificate;
4. Stool examination for intestinal parasites: If the stool examination is positive, the alien must receive treatment at a Designated Hospital and then undergo a re-examination, and obtain a negative certificate within 65 days from the next day following the receipt of the health examination certificate; aliens who are confirmed to be positive for Entamoeba histolytica shall receive treatment, undergo re-examinations three times, and obtain a negative test result in each of these re-examinations.
5. Measles and rubella antibody test: If the antibody test result is negative, the alien must obtain proof of vaccination against measles and rubella within 30 days from the day following receipt of the health examination certificate.
Where there is a medication or vaccine shortage in the domestic market that prevents employed aliens from undergoing re-examinations or obtaining a treatment completion certificate or a vaccination certificate under the preceding paragraph, the central competent health authority may announce adjustments to the prescribed time periods and/or alternatives for re-examination or treatment.
If there are failed items or items requiring further examination in the health examination of an employed alien, the employer shall arrange for the alien to undergo re-examinations or receive treatment or vaccination according to the following schedule:
1. Chest X-ray examination for tuberculosis: If diagnosed as a “suspected tuberculosis case” or the diagnosis cannot be confirmed , the alien shall undergo a re-examination at a designated institution within 15 days from the next day following the receipt of the health examination certificate;
2. Examination for Hansen's disease: If Hansen’s disease is suspected, the alien shall undergo a re-examination at a designated institution within 15 days from the next day following the receipt of the health examination certificate;
3. Serological test for syphilis: If the syphilis test is positive, the alien must obtain a treatment completion certificate within 30 days from the next day following the receipt of the health examination certificate;
4. Stool examination for intestinal parasites: If the stool examination is positive, the alien must receive treatment at a Designated Hospital and then undergo a re-examination, and obtain a negative certificate within 65 days from the next day following the receipt of the health examination certificate; aliens who are confirmed to be positive for Entamoeba histolytica shall receive treatment, undergo re-examinations three times, and obtain a negative test result in each of these re-examinations.
5. Measles and rubella antibody test: If the antibody test result is negative, the alien must obtain proof of vaccination against measles and rubella within 30 days from the day following receipt of the health examination certificate.
Where there is a medication or vaccine shortage in the domestic market that prevents employed aliens from undergoing re-examinations or obtaining a treatment completion certificate or a vaccination certificate under the preceding paragraph, the central competent health authority may announce adjustments to the prescribed time periods and/or alternatives for re-examination or treatment.
- Attachment Determination Criteria and Management Measures for Failed Items in Health Examinations of Employed Aliens at Designated Hospitals.pdf
- Attachment Determination Criteria and Management Measures for Failed Items in Health Examinations of Employed Aliens at Designated Hospitals.doc
Article 9
An employer shall submit the original copy of the employed alien’s re-examination certificate, treatment completion certificate or vaccination certificate in relation to the post-entry health examination and employment health examination to the central competent authority for reference within 15 days from the next day following receipt of such documents.
An employer shall submit the following documents to the municipal or county (city) health authority for reference within 15 days from the day following receipt of the employed alien’s re-examination certificate or treatment completion certificate in relation to the periodic health examinations:
1. The alien employment permit issued by the central competent authority;
2. An original copy of the re-examination certificate or treatment completion certificate.
An employer shall submit the following documents to the municipal or county (city) health authority for reference within 15 days from the day following receipt of the employed alien’s re-examination certificate or treatment completion certificate in relation to the periodic health examinations:
1. The alien employment permit issued by the central competent authority;
2. An original copy of the re-examination certificate or treatment completion certificate.
Article 10
When an employed alien is diagnosed with tuberculosis, tuberculous pleurisy, or Hansen’s disease in a health examination, his or her employer shall apply for DOTS by submitting the following documents to the municipal or county (city) health authority within 15 days from the next day after receiving the diagnosis certificate :
1.The certificate of diagnosis; and
2.Directly Observed Treatment, Short Course (DOTS) Consent Form for Foreign Employee.
After the employed alien has completed the DOTS medication therapy provided in the preceding paragraph and has been confirmed to complete the treatment by the municipal or county (city) competent health authority, the employed alien is deemed passed.
1.The certificate of diagnosis; and
2.Directly Observed Treatment, Short Course (DOTS) Consent Form for Foreign Employee.
After the employed alien has completed the DOTS medication therapy provided in the preceding paragraph and has been confirmed to complete the treatment by the municipal or county (city) competent health authority, the employed alien is deemed passed.
Article 11
No entry visa will be issued to individuals failing any items of the pre-entry health examination.
When an employer applies to the central competent authority for permission to employ an alien, the central competent authority shall not issue an employment permit, employment extension permit or contract completion transfer permit for the employed alien whose health examination certificate falls under any of the following circumstances:
1. An alien referred to in Article 5 whose employment health examination conducted abroad includes failed items.
2. An alien referred to in Article 5 or Article 7 who undergoes their employment health examination at a Designated Hospital and whose examination certificate falls under any disqualifying circumstances provided in Paragraph 3 herein.
Failure in passing health examination under Subparagraph 4 of Article 73 of the Act refers to any of the following circumstances:
1. The employed alien did not complete re-examinations, treatment, or vaccination according to Paragraph 2 of Article 8 herein, or fails the re-examination.
2. The employed alien did not complete vaccination, re-examination or alternative treatment within the prescribed time period according to Paragraph 3 of Article 8 herein.
3. The employed alien has not cooperated with the DOTS services according to Paragraph 2 of the preceding article for more than 15 days cumulatively.
When an employer applies to the central competent authority for permission to employ an alien, the central competent authority shall not issue an employment permit, employment extension permit or contract completion transfer permit for the employed alien whose health examination certificate falls under any of the following circumstances:
1. An alien referred to in Article 5 whose employment health examination conducted abroad includes failed items.
2. An alien referred to in Article 5 or Article 7 who undergoes their employment health examination at a Designated Hospital and whose examination certificate falls under any disqualifying circumstances provided in Paragraph 3 herein.
Failure in passing health examination under Subparagraph 4 of Article 73 of the Act refers to any of the following circumstances:
1. The employed alien did not complete re-examinations, treatment, or vaccination according to Paragraph 2 of Article 8 herein, or fails the re-examination.
2. The employed alien did not complete vaccination, re-examination or alternative treatment within the prescribed time period according to Paragraph 3 of Article 8 herein.
3. The employed alien has not cooperated with the DOTS services according to Paragraph 2 of the preceding article for more than 15 days cumulatively.
Article 12
When an employed alien is in any of the following situations and has not undergone a health examination for more than one year, the employer shall arrange for the employed alien to undergo a health examination at a Designated Hospital within 7 days from the next day of the employment permit effective date:
1. A Type B Foreign Worker changes his/her employer or job, or is issued a new employment permit according to the Act.
2. A Foreign Skilled Worker recruited from abroad who, within three years after entry into the country for work, changes his/her employer or job, or is issued a new employment permit according to the Act.
If the result of the health examination mentioned in the preceding paragraph includes any failed item or if a further examination is needed, Articles 8 through 10 shall be followed.
1. A Type B Foreign Worker changes his/her employer or job, or is issued a new employment permit according to the Act.
2. A Foreign Skilled Worker recruited from abroad who, within three years after entry into the country for work, changes his/her employer or job, or is issued a new employment permit according to the Act.
If the result of the health examination mentioned in the preceding paragraph includes any failed item or if a further examination is needed, Articles 8 through 10 shall be followed.
Article 13
When a Type B Foreign Worker or a Foreign Skilled Worker fails to undergo periodic health examinations or the health examination referred to in the preceding article within the prescribed time period for some reasons, the employer shall submit relevant supporting documents to the municipal or county (city) competent health authority for reference, and may arrange for the employed alien to undergo the aforementioned health examination within 7 days earlier or within 7 days after the cause ceases to exist.
Article 14
For aliens employed to work on jobs regulated in Subparagraph 7 of Paragraph 1 of Article 46 of the Act, for management of their health examination, regulations of Article 8 of the Seafarer Act shall apply.
Article 15
When the Central Epidemic Command Center is in operation, the central competent health authority may, according to the needs of domestic epidemic prevention or the epidemic situation of the labor-exporting country, adjust and announce the prescribed time periods for employed aliens to undergo health examinations at Designated Hospitals according to these Regulations.
If, due to the announcement referred to in the preceding paragraph, the interval between the scheduled date for a periodic health examination and the date of the most recent health examination is less than three months, the employer may submit the employed alien’s most recent health examination result to the municipal or county (city) competent health authority to apply for exemption from undergoing that health examination within 7 days before the set deadline for the periodic health examination.
If, due to the announcement referred to in the preceding paragraph, the interval between the scheduled date for a periodic health examination and the date of the most recent health examination is less than three months, the employer may submit the employed alien’s most recent health examination result to the municipal or county (city) competent health authority to apply for exemption from undergoing that health examination within 7 days before the set deadline for the periodic health examination.
Article 16
Where a certificate required under these Regulations is issued in English, its Chinese translation is not required.
Upon receiving a health examination certificate issued by a Designated Hospital according to these Regulations, the employer shall provide the certificate to the employed alien for safekeeping.
Upon receiving a health examination certificate issued by a Designated Hospital according to these Regulations, the employer shall provide the certificate to the employed alien for safekeeping.
Article 17
Employed aliens who have been employed and approved according to the Act to undertake work specified in Subparagraph 11 of Paragraph 1 of Article 46 of the Act prior to entry into force of the amended Regulations on January 1, 2026 shall undergo health examinations in accordance with the provisions in the amended Regulations. However, where provisions in effect prior to the amendment are more favorable to the employed alien, those provisions shall apply.
Article 18
These Regulations shall take effect on January 1, 2026.