A prefecture is to establish a plan to promote the optimization of medical expenses in the prefecture (hereinafter referred to as the "prefectural plan for the optimization of medical expenses") every six years, with six years as one period, in line with the basic policy for the optimization of medical expenses.
都道府県は、医療費適正化基本方針に即して、六年ごとに、六年を一期として、当該都道府県における医療費適正化を推進するための計画（以下「都道府県医療費適正化計画」という。）を定めるものとする。
The Prefectural Plan for Regulating Medical Expenses is to provide for the following matters:
都道府県医療費適正化計画においては、次に掲げる事項を定めるものとする。
with regard to the promotion of the maintenance of residents' health, matters concerning targets to be achieved for the promotion of the optimization of medical expenses in the prefecture;
住民の健康の保持の推進に関し、当該都道府県における医療費適正化の推進のために達成すべき目標に関する事項
with regard to the promotion of the efficient provision of medical care, matters concerning targets to be achieved for the promotion of the optimization of medical expenses in the relevant prefecture;
医療の効率的な提供の推進に関し、当該都道府県における医療費適正化の推進のために達成すべき目標に関する事項
particulars concerning the results of the promotion of the differentiation and coordination of the bed functions expected during the period of the plan, based on the implementation of the project under the medical care plan of the relevant prefecture;
当該都道府県の医療計画に基づく事業の実施を踏まえ、計画の期間において見込まれる病床の機能の分化及び連携の推進の成果に関する事項
matters concerning the prospective expenses required for medical care during the plan period calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on the matters set forth in the preceding item and the effects of the optimization of medical expenses that are expected to be achieved by promoting the maintenance of residents' health and promoting the efficient provision of medical care in order to achieve the goals set forth in item (i) and item (ii) (referred to as the "prefectural target for expenses required for medical care" in Article 11, paragraph (4)).
In addition to the matters prescribed in the preceding paragraph, a prefectural plan for regulating medical expenses is to, in general, provide for the following matters concerning the prefecture:
都道府県医療費適正化計画においては、前項に規定する事項のほか、おおむね都道府県における次に掲げる事項について定めるものとする。
matters concerning measures to be taken by the prefecture in order to achieve the goals set forth in items (i) and (ii) of the preceding paragraph;
particulars concerning coordination and cooperation among insurers, Association of Medical Care Systems for the Elderly Aged 75 and older, medical institutions, and other relevant persons in order to achieve the goals set forth in items (i) and (ii) of the preceding paragraph;
前項第一号及び第二号の目標を達成するための保険者、後期高齢者医療広域連合、医療機関その他の関係者の連携及び協力に関する事項
particulars concerning the investigation and analysis of the expenses required for medical services in the prefecture;
当該都道府県における医療に要する費用の調査及び分析に関する事項
matters concerning the evaluation of the status of the achievement of the plan.
計画の達成状況の評価に関する事項
In specifying the particulars set forth in paragraph (2), items (i) and (ii) and item (i) of the preceding paragraph, the prefecture is to pay attention to the importance of promoting the differentiation and coordination of the bed functions in the region, securing the family doctor function, efforts towards the construction of a community-based integrated care system, and the effective and efficient provision of medical care and nursing care in light of the physical, mental and social characteristics of residents as they age.
A prefecture, in providing for the particulars set forth in paragraph (3), item (iii), is to take into consideration the expenses required for medical services in a prefecture other than the relevant prefecture and other particulars specified by Order of the Ministry of Health, Labour and Welfare.
都道府県は、第三項第三号に掲げる事項を定めるに当たつては、当該都道府県以外の都道府県における医療に要する費用その他厚生労働省令で定める事項を踏まえるものとする。
A prefectural plan for regulating medical expenses must be in harmony with the medical care plan, the prefectural insured long-term care services plan as prescribed in Article 118, paragraph (1), Long-Term Care Insurance Act, and the prefectural health promotion plan as prescribed in Article 8, paragraph (1) of the Health Promotion Act.
都道府県医療費適正化計画は、医療計画、介護保険法第百十八条第一項に規定する都道府県介護保険事業支援計画及び健康増進法第八条第一項に規定する都道府県健康増進計画と調和が保たれたものでなければならない。
When a prefecture intends to establish or change a prefectural plan for the optimization of medical expenses, it must consult in advance with the relevant municipalities and the Council of Insurers under Article 157-2, paragraph (1) (referred to as the "Council of Insurers" in paragraph (10) and Article 12, paragraph (1)).
都道府県は、都道府県医療費適正化計画を定め、又はこれを変更しようとするときは、あらかじめ、関係市町村及び第百五十七条の二第一項の保険者協議会（第十項及び第十二条第一項において「保険者協議会」という。）に協議しなければならない。
When a prefecture has formulated or revised its prefectural plan for regulating medical expenses, it is to endeavor to publicize the plan and submit it to the Minister of Health, Labour and Welfare without delay.
都道府県は、都道府県医療費適正化計画を定め、又はこれを変更したときは、遅滞なく、これを公表するよう努めるとともに、厚生労働大臣に提出するものとする。
A prefecture may request necessary cooperation from Insurers, Association of Medical Care Systems for the Elderly Aged 75 and older, medical institutions, and other relevant persons when it finds it necessary for the preparation of a Prefectural Plan for Regulating Medical Expenses and the implementation of measures based on the Prefectural Plan for Regulating Medical Expenses.
都道府県は、都道府県医療費適正化計画の作成及び都道府県医療費適正化計画に基づく施策の実施に関して必要があると認めるときは、保険者、後期高齢者医療広域連合、医療機関その他の関係者に対して必要な協力を求めることができる。
If a prefecture requests necessary cooperation from insurers or Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of the preceding paragraph, the prefecture may request the cooperation through the council of insurers.
都道府県が、前項の規定により保険者又は後期高齢者医療広域連合に対して必要な協力を求める場合においては、保険者協議会を通じて協力を求めることができる。
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