This Act comes into effect on the date of promulgation; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:

In applying the provisions of Article 65, paragraph (4) of the Health Insurance Act (including as applied mutatis mutandis pursuant to Article 66, paragraph (2) of that Act (including as applied mutatis mutandis pursuant to Article 86, paragraph (13) of that Act) and Article 86, paragraph (13) of that Act), the government is to give full consideration to ensuring that good quality and appropriate community healthcare is secured, reflecting the needs of persons receiving medical care such as insured persons, and is to endeavor to ensure fairness and the transparency of procedures by, for example, clarifying the reasons.

With regard to the application of the provisions of Article 65, paragraph (3), item (i) of the Health Insurance Act, pertaining to the rescission, to a hospital, clinic or pharmacy whose designation was rescinded pursuant to the provisions of Article 43-12 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that item is deemed to be replaced with "two years".

With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, in relation to the beds of that hospital or clinic that have received the permission under Article 7, paragraphs (1) through (3) of the Medical Care Act (Act No. 205 of 1948) and that actually exist at the time of enforcement of the provisions set forth in that item, it is deemed to have received designation as a medical institution providing services covered by health insurance under the provisions of Article 43-3, paragraph (1) of the Health Insurance Act as amended by the provisions of Article 4 (hereinafter referred to as the "Revised Health Insurance Act").

With regard to a hospital or clinic that, at the time of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, has actually received designation under Article 43-3, paragraph (1) of the Former Health Insurance Act, the provisions of Article 43-3, paragraph (4) of the Revised Health Insurance Act (excluding as applied mutatis mutandis pursuant to paragraph (6) of that Article) do not apply until the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation.

The provisions of the preceding three Articles apply mutatis mutandis to the approval of a specially approved medical institution providing services covered by health insurance prescribed in Article 86, paragraph (1), item (i) of the Health Insurance Act.

With regard to the application of the provisions of Article 71, paragraph (2) of the Health Insurance Act, pertaining to the rescission, to a physician, dentist or pharmacist whose registration was rescinded pursuant to the provisions of Article 43-13 of the Former Health Insurance Act before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, the phrase "five years" in that paragraph is deemed to be replaced with "two years".

With regard to the return of expenses pertaining to benefits for medical treatment, or to the payment of dietary treatment expenses for inpatients, medical expenses combined with treatment outside insurance coverage, dependent's medical expenses, medical expenses for home-nursing or dependent's medical expenses for home-nursing, that were paid as a result of fraud or other wrongful act committed by a Former Health Insurance Act medical institution providing services covered by health insurance, etc. before the date of enforcement of the provisions set forth in Article 1, item (i) of the Supplementary Provisions, notwithstanding the provisions of Article 67-2, paragraph (3) of the Revised Health Insurance Act, the provisions then in force continue to govern.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.