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Long-Term Care Insurance Act

介護保険法(かいごほけんほう)

Section 3 Designated Community-Based Service Providers (Article 78-2)

The law as Act Partially Amending the Medical Care Act, etc. (Act No. 87 of 2025) leaves it, with the words it changes marked.

The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.

Section 3 Designated Community-Based Service Providers第三節 指定地域密着型サービス事業者

Article 78-2第七十八条の二

Appointment as service provider of Designated Community-Based Service Providers(指定地域密着型サービス事業者の指定)
Article 78-2, paragraph (1)

An appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) is to be provided, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, based on the application of a person that conducts Community-Based Service Business (with regard to a business to provide Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, an establisher of an Intensive Care Home for the Elderly, among those prescribed in Article 20-5 of the Act on Social Welfare for the Elderly, with an admission capacity of said facility that is twenty-nine (29) or less and is a number specified by Municipal Ordinance), for each type of Community-Based Service and each Business Office that conducts Community-Based Service Business pertaining to the type of said Community-Based Service (except in Article 78-13, paragraph (1) and Article 78-14, paragraph (1); herein referred to as "Business Office" in this Section), and is to have an effect on the payment of an Allowance for Community-Based Long-Term Care Service or an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person of Long-Term Care Insurance (in the case of an appointment as service provider pertaining to a Specified Community-Based Service, including an Insured Person Requiring Long-Term Care to Whom the Domicile Exception Applies who is undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality) provided by a Municipality of which the mayor who provides said appointment as service provider is the head.

第四十二条の二第一項本文の指定は、厚生労働省令で定めるところにより、地域密着型サービス事業を行う者(地域密着型介護老人福祉施設入所者生活介護を行う事業にあっては、老人福祉法第二十条の五に規定する特別養護老人ホームのうち、その入所定員が二十九人以下であって市町村の条例で定める数であるものの開設者)の申請により、地域密着型サービスの種類及び当該地域密着型サービスの種類に係る地域密着型サービス事業を行う事業所(第七十八条の十三第一項及び第七十八条の十四第一項を除き、以下この節において「事業所」という。)ごとに行い、当該指定をする市町村長がその長である市町村が行う介護保険の被保険者(特定地域密着型サービスに係る指定にあっては、当該市町村の区域内に所在する住所地特例対象施設に入所等をしている住所地特例適用要介護被保険者を含む。)に対する地域密着型介護サービス費及び特例地域密着型介護サービス費の支給について、その効力を有する。

Article 78-2, paragraph (2)

The mayor of a Municipality must, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), provide notification of said fact to the prefectural governor in advance pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

市町村長は、第四十二条の二第一項本文の指定をしようとするときは、厚生労働省令で定めるところにより、あらかじめその旨を都道府県知事に届け出なければならない。

Article 78-2, paragraph (3)

A prefectural governor, in a case when a mayor of a Municipality provides notification as set forth in the preceding paragraph regarding Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and when it is determined that the total sum of the total number of maximum users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total number of maximum users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area (an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2) item (i)) including the location of the Business Office pertaining to said application has been reached or is it determined that said total number of maximum users will be exceeded by the appointment as service provider pertaining to said application to provide service of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total number of the necessary number of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in said area provided by Prefectural Insured Long-Term Care Support Project Plan that is provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that it will be likely to cause a problem with accomplishment of a Prefectural Insured Long-Term Care Support Project Plan, may provide necessary advice or recommendations to said mayor of the Municipality.

都道府県知事は、地域密着型特定施設入居者生活介護につき市町村長から前項の届出があった場合において、当該申請に係る事業所の所在地を含む区域(第百十八条第二項第一号の規定により当該都道府県が定める区域とする。)における介護専用型特定施設入居者生活介護の利用定員の総数及び地域密着型特定施設入居者生活介護の利用定員の総数の合計数が、同条第一項の規定により当該都道府県が定める都道府県介護保険事業支援計画において定めるその区域の介護専用型特定施設入居者生活介護の必要利用定員総数及び地域密着型特定施設入居者生活介護の必要利用定員総数の合計数に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになると認めるとき、その他の当該都道府県介護保険事業支援計画の達成に支障を生ずるおそれがあると認めるときは、当該市町村長に対し、必要な助言又は勧告をすることができる。

Article 78-2, paragraph (4)

The mayor of a Municipality, in a case of an application as set forth in paragraph (1), when the application corresponds to any of the following items (in the case of an application for designation pertaining to a combined service provided by a hospital or clinic (limited to one specified by Order of the Ministry of Health, Labour and Welfare; the same applies in paragraph (6)), excluding item (vi)-2, item (vi)-3, item (x) and item (xii)), must not provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1):

市町村長は、第一項の申請があった場合において、次の各号(病院又は診療所により行われる複合型サービス(厚生労働省令で定めるものに限る。第六項において同じ。)に係る指定の申請にあっては、第六号の二、第六号の三、第十号及び第十二号を除く。)のいずれかに該当するときは、第四十二条の二第一項本文の指定をしてはならない。

Article 78-2, paragraph (4), item (i)

when the applicant is not a person specified by Municipal Ordinance;

申請者が市町村の条例で定める者でないとき。

Article 78-2, paragraph (4), item (ii)

when the knowledge, skill, and number of personnel of the Business Office pertaining to said application do not meet the standards determined by Municipal Ordinance as set forth in Article 78-4, paragraph (1) or the number of employees determined by Municipal Ordinance as set forth in the same paragraph, or the standards concerning employees engaged in Designated Community-Based Service as prescribed in paragraph (5) of the same Article;

当該申請に係る事業所の従業者の知識及び技能並びに人員が、第七十八条の四第一項の市町村の条例で定める基準若しくは同項の市町村の条例で定める員数又は同条第五項に規定する指定地域密着型サービスに従事する従業者に関する基準を満たしていないとき。

Article 78-2, paragraph (4), item (iii)

when it is determined that said applicant cannot perform proper Community-Based Service Business in accordance with standards pertaining to Facilities and Management of a Designated Community-Based Service Business as prescribed in Article 78-4, paragraph (2) or paragraph (5);

申請者が、第七十八条の四第二項又は第五項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準に従って適正な地域密着型サービス事業の運営をすることができないと認められるとき。

Article 78-2, paragraph (4), item (iv)

when the Business Office pertaining to said application is located outside the area of said Municipality and the consent of the mayor of the Municipality of said location (herein referred to as "Mayor of the Municipality Where the Business Office Is Located" in this Article) has not yet been obtained;

当該申請に係る事業所が当該市町村の区域の外にある場合であって、その所在地の市町村長(以下この条において「所在地市町村長」という。)の同意を得ていないとき。

Article 78-2, paragraph (4), item (iv-2)

when the applicant is punished by imprisonment or a more severe penalty and said execution of the penalty has not been completed or has not yet expired;

申請者が、拘禁刑以上の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。

Article 78-2, paragraph (4), item (v)

when said applicant is punished by a fine pursuant to the provisions of this Act, or as provided by a Cabinet Order, concerning citizens' health and medical care or public aid and the execution of said penalty has not yet been completed or has not yet expired;

申請者が、この法律その他国民の保健医療若しくは福祉に関する法律で政令で定めるものの規定により罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。

Article 78-2, paragraph (4), item (v-2)

when the applicant is punished by a fine pursuant to the provisions of laws concerning labor specified by Cabinet Order and execution of said penalty has not yet been completed or has not yet expired;

申請者が、労働に関する法律の規定であって政令で定めるものにより罰金の刑に処せられ、その執行を終わり、又は執行を受けることがなくなるまでの者であるとき。

Article 78-2, paragraph (4), item (v-3)

when the applicant, with regard to insurance premiums, etc., was subject, by the day before the day of making said application, to a disposition of delinquency based on the provisions of the Act that provides for the obligation of payment, and has continued, for a period of three months or more from the day of receiving said disposition without a justifiable reason, to be delinquent in all of the insurance premiums, etc. whose due dates of payment arrived on or after the day of receiving said disposition;

申請者が、保険料等について、当該申請をした日の前日までに、納付義務を定めた法律の規定に基づく滞納処分を受け、かつ、当該処分を受けた日から正当な理由なく三月以上の期間にわたり、当該処分を受けた日以降に納期限の到来した保険料等の全てを引き続き滞納している者であるとき。

Article 78-2, paragraph (4), item (vi)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a person whose designation (excluding designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has been rescinded pursuant to the provisions of Article 78-10 (excluding items (ii) through (v)) and five years have not elapsed from the date of said rescission (in a case when a person whose designation has been rescinded is a juridical person, including a person who was an Officer, etc., of said juridical person within sixty days prior to the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to the disposition of said rescission and five years have not elapsed from the date of said rescission, and in a case when a person whose designation has been rescinded is a Business Office that is not a juridical person, including a person who was a manager of said Business Office within sixty days prior to the date of said notification and five years have not elapsed from the date of said rescission), however, excluding a case in which the rescission of said designation falls under one that is specified by Order of the Ministry of Health, Labour and Welfare as being appropriate to treat as not falling under the rescission of the designation prescribed in the main clause of this item, among the rescissions of the designation of a Designated Community-Based Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated Community-Based Service Provider toward the establishment of an operational control system to prevent the occurrence of said facts, and other matters on the degree of responsibility that said Designated Community-Based Service Provider had in relation to said facts;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、第七十八条の十(第二号から第五号までを除く。)の規定により指定(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定を除く。)を取り消され、その取消しの日から起算して五年を経過しない者(当該指定を取り消された者が法人である場合においては、当該取消しの処分に係る行政手続法第十五条の規定による通知があった日前六十日以内に当該法人の役員等であった者で当該取消しの日から起算して五年を経過しないものを含み、当該指定を取り消された者が法人でない事業所である場合においては、当該通知があった日前六十日以内に当該事業所の管理者であった者で当該取消しの日から起算して五年を経過しないものを含む。)であるとき。ただし、当該指定の取消しが、指定地域密着型サービス事業者の指定の取消しのうち当該指定の取消しの処分の理由となった事実及び当該事実の発生を防止するための当該指定地域密着型サービス事業者による業務管理体制の整備についての取組の状況その他の当該事実に関して当該指定地域密着型サービス事業者が有していた責任の程度を考慮して、この号本文に規定する指定の取消しに該当しないこととすることが相当であると認められるものとして厚生労働省令で定めるものに該当する場合を除く。

Article 78-2, paragraph (4), item (vi-2)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a person whose designation (limited to designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has been rescinded pursuant to the provisions of Article 78-10 (excluding items (ii) through (v)) and five years have not elapsed from the date of said rescission (in a case when a person whose designation has been rescinded is a juridical person, including a person who was an Officer, etc., of said juridical person within sixty days prior to the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to the disposition of said rescission and five years have not elapsed from the date of said rescission, and in a case when a person whose designation has been rescinded is a Business Office that is not a juridical person, including a person who was a manager of said Business Office within sixty days prior to the date of said notification and five years have not elapsed from the date of said rescission), however, excluding a case in which the rescission of said designation falls under one that is specified by Order of the Ministry of Health, Labour and Welfare as being appropriate to treat as not falling under the rescission of the designation prescribed in the main clause of this item, among the rescissions of the designation of a Designated Community-Based Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated Community-Based Service Provider toward the establishment of an operational control system to prevent the occurrence of said facts, and other matters on the degree of responsibility that said Designated Community-Based Service Provider had in relation to said facts;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、第七十八条の十(第二号から第五号までを除く。)の規定により指定(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定に限る。)を取り消され、その取消しの日から起算して五年を経過しない者(当該指定を取り消された者が法人である場合においては、当該取消しの処分に係る行政手続法第十五条の規定による通知があった日前六十日以内に当該法人の役員等であった者で当該取消しの日から起算して五年を経過しないものを含み、当該指定を取り消された者が法人でない事業所である場合においては、当該通知があった日前六十日以内に当該事業所の管理者であった者で当該取消しの日から起算して五年を経過しないものを含む。)であるとき。ただし、当該指定の取消しが、指定地域密着型サービス事業者の指定の取消しのうち当該指定の取消しの処分の理由となった事実及び当該事実の発生を防止するための当該指定地域密着型サービス事業者による業務管理体制の整備についての取組の状況その他の当該事実に関して当該指定地域密着型サービス事業者が有していた責任の程度を考慮して、この号本文に規定する指定の取消しに該当しないこととすることが相当であると認められるものとして厚生労働省令で定めるものに該当する場合を除く。

Article 78-2, paragraph (4), item (vi-3)

when a person who has a close relationship with the applicant (excluding a person who has a close relationship with an applicant for designation pertaining to Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has had a designation rescinded pursuant to the provisions of Article 78-10 (excluding items (ii) through (v)) and five years have not elapsed from the date of said rescission, however, excluding a case in which the rescission of said designation falls under one that is specified by Order of the Ministry of Health, Labour and Welfare as being appropriate to treat as not falling under the rescission of the designation prescribed in the main clause of this item, among the rescissions of the designation of a Designated Community-Based Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated Community-Based Service Provider toward the establishment of an operational control system to prevent the occurrence of said facts, and other matters on the degree of responsibility that said Designated Community-Based Service Provider had in relation to said facts;

申請者と密接な関係を有する者(地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者と密接な関係を有する者を除く。)が、第七十八条の十(第二号から第五号までを除く。)の規定により指定を取り消され、その取消しの日から起算して五年を経過していないとき。ただし、当該指定の取消しが、指定地域密着型サービス事業者の指定の取消しのうち当該指定の取消しの処分の理由となった事実及び当該事実の発生を防止するための当該指定地域密着型サービス事業者による業務管理体制の整備についての取組の状況その他の当該事実に関して当該指定地域密着型サービス事業者が有していた責任の程度を考慮して、この号本文に規定する指定の取消しに該当しないこととすることが相当であると認められるものとして厚生労働省令で定めるものに該当する場合を除く。

Article 78-2, paragraph (4), item (vii)

when said applicant has provided notification of abolishment of business pursuant to the provisions of Article 78-5, paragraph (2) (except for a person that has a reasonable basis for said abolishment of business), or has declined an appointment as service provider pursuant to the provisions of Article 78-8 (except for a person that has a reasonable basis for said decline of appointment as service provider) from the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to a disposition of rescission of the designation pursuant to the provisions of Article 78-10 (except for items (ii) to (v)) to the date on which said disposition is made or the date on which it is determined not to make a disposition, and five years have not elapsed from the date of said notification or said decline of appointment as service provider;

申請者が、第七十八条の十(第二号から第五号までを除く。)の規定による指定の取消しの処分に係る行政手続法第十五条の規定による通知があった日から当該処分をする日又は処分をしないことを決定する日までの間に第七十八条の五第二項の規定による事業の廃止の届出をした者(当該事業の廃止について相当の理由がある者を除く。)又は第七十八条の八の規定による指定の辞退をした者(当該指定の辞退について相当の理由がある者を除く。)で、当該届出又は指定の辞退の日から起算して五年を経過しないものであるとき。

Article 78-2, paragraph (4), item (vii-2)

in a case when notification of abolishment of business pursuant to the provisions of Article 78-5, paragraph (2) or a decline of appointment as service provider pursuant to the provisions of Article 78-8 has been made within the period provided by the preceding item, when the applicant is a person who was, within sixty days prior to the date of notification as set forth in the same item, an Officer, etc., of the juridical person pertaining to said notification (except for a juridical person that has a reasonable basis for said abolishment of business) or a manager of the Business Office that is not a juridical person pertaining to said notification (except for one that has a reasonable basis for said abolishment of business), or an Officer, etc., of the juridical person pertaining to said decline of appointment as service provider (except for a juridical person that has a reasonable basis for said decline of appointment as service provider) or a manager of the Business Office that is not a juridical person pertaining to said decline of appointment as service provider (except for one that has a reasonable basis for said decline of appointment as service provider), and five years have not elapsed from the date of said notification or said decline of appointment as service provider;

前号に規定する期間内に第七十八条の五第二項の規定による事業の廃止の届出又は第七十八条の八の規定による指定の辞退があった場合において、申請者が、同号の通知の日前六十日以内に当該届出に係る法人(当該事業の廃止について相当の理由がある法人を除く。)の役員等若しくは当該届出に係る法人でない事業所(当該事業の廃止について相当の理由があるものを除く。)の管理者であった者又は当該指定の辞退に係る法人(当該指定の辞退について相当の理由がある法人を除く。)の役員等若しくは当該指定の辞退に係る法人でない事業所(当該指定の辞退について相当の理由があるものを除く。)の管理者であった者で、当該届出又は指定の辞退の日から起算して五年を経過しないものであるとき。

Article 78-2, paragraph (4), item (viii)

when said applicant performs a wrongful or significantly unjustifiable act concerning In-Home Service within five years prior to the application of appointment as service provider;

申請者が、指定の申請前五年以内に居宅サービス等に関し不正又は著しく不当な行為をした者であるとき。

Article 78-2, paragraph (4), item (ix)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a juridical person and any Officer, etc., of said juridical person corresponds to any of items (iv)-2 through (vi) or the preceding three items;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、法人で、その役員等のうちに第四号の二から第六号まで又は前三号のいずれかに該当する者のあるものであるとき。

Article 78-2, paragraph (4), item (x)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a juridical person and any Officer, etc., of said juridical person corresponds to any of items (iv)-2 through (v)-3, item (vi)-2, or items (vii) through (viii);

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、法人で、その役員等のうちに第四号の二から第五号の三まで、第六号の二又は第七号から第八号までのいずれかに該当する者のあるものであるとき。

Article 78-2, paragraph (4), item (xi)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a Business Office that is not a juridical person and the manager thereof is a person who corresponds to any of items (iv)-2 through (vi) or items (vii) through (viii);

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、法人でない事業所で、その管理者が第四号の二から第六号まで又は第七号から第八号までのいずれかに該当する者であるとき。

Article 78-2, paragraph (4), item (xii)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a Business Office that is not a juridical person and the manager thereof is a person who corresponds to any of items (iv)-2 through (v)-3, item (vi)-2, or items (vii) through (viii).

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、法人でない事業所で、その管理者が第四号の二から第五号の三まで、第六号の二又は第七号から第八号までのいずれかに該当する者であるとき。

Article 78-2, paragraph (5)

A Municipality, in establishing the Municipal Ordinance set forth in item (i) of the preceding paragraph, is to establish it in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare.

市町村が前項第一号の条例を定めるに当たっては、厚生労働省令で定める基準に従い定めるものとする。

Article 78-2, paragraph (6)

The mayor of a Municipality, in a case when an application as set forth in paragraph (1) is filed and when it corresponds to any of the following items (in the case of an application for designation pertaining to a combined service provided by a hospital or clinic, excluding item (i)-2, item (i)-3, item (iii)-2 and items (iii)-4 through (v)), may determine not to provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1):

市町村長は、第一項の申請があった場合において、次の各号(病院又は診療所により行われる複合型サービスに係る指定の申請にあっては、第一号の二、第一号の三、第三号の二及び第三号の四から第五号までを除く。)のいずれかに該当するときは、第四十二条の二第一項本文の指定をしないことができる。

Article 78-2, paragraph (6), item (i)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a person whose designation (excluding designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has been rescinded pursuant to the provisions of Article 78-10, items (ii) through (v) and five years have not elapsed from the date of said rescission (in a case when a person whose designation has been rescinded is a juridical person, including a person who was an Officer, etc., of said juridical person within sixty days prior to the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to the disposition of said rescission and five years have not elapsed from the date of said rescission, and in a case when a person whose designation has been rescinded is a Business Office that is not a juridical person, including a person who was a manager of said Business Office within sixty days prior to the date of said notification and five years have not elapsed from the date of said rescission);

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、第七十八条の十第二号から第五号までの規定により指定(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定を除く。)を取り消され、その取消しの日から起算して五年を経過しない者(当該指定を取り消された者が法人である場合においては、当該取消しの処分に係る行政手続法第十五条の規定による通知があった日前六十日以内に当該法人の役員等であった者で当該取消しの日から起算して五年を経過しないものを含み、当該指定を取り消された者が法人でない事業所である場合においては、当該通知があった日前六十日以内に当該事業所の管理者であった者で当該取消しの日から起算して五年を経過しないものを含む。)であるとき。

Article 78-2, paragraph (6), item (i-2)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a person whose designation (limited to designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has been rescinded pursuant to the provisions of Article 78-10, items (ii) through (v) and five years have not elapsed from the date of said rescission (in a case when a person whose designation has been rescinded is a juridical person, including a person who was an Officer, etc., of said juridical person within sixty days prior to the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to the disposition of said rescission and five years have not elapsed from the date of said rescission, and in a case when a person whose designation has been rescinded is a Business Office that is not a juridical person, including a person who was a manager of said Business Office within sixty days prior to the date of said notification and five years have not elapsed from the date of said rescission);

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、第七十八条の十第二号から第五号までの規定により指定(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定に限る。)を取り消され、その取消しの日から起算して五年を経過しない者(当該指定を取り消された者が法人である場合においては、当該取消しの処分に係る行政手続法第十五条の規定による通知があった日前六十日以内に当該法人の役員等であった者で当該取消しの日から起算して五年を経過しないものを含み、当該指定を取り消された者が法人でない事業所である場合においては、当該通知があった日前六十日以内に当該事業所の管理者であった者で当該取消しの日から起算して五年を経過しないものを含む。)であるとき。

Article 78-2, paragraph (6), item (i-3)

when a person who has a close relationship with the applicant (excluding a person who has a close relationship with an applicant for designation pertaining to Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) has had a designation rescinded pursuant to the provisions of Article 78-10, items (ii) through (v) and five years have not elapsed from the date of said rescission;

申請者と密接な関係を有する者(地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者と密接な関係を有する者を除く。)が、第七十八条の十第二号から第五号までの規定により指定を取り消され、その取消しの日から起算して五年を経過していないとき。

Article 78-2, paragraph (6), item (ii)

when an applicant has provided notification of abolishment of business pursuant to the provisions of Article 78-5, paragraph (2) (except for a person that has a reasonable basis for said abolishment of business) or has declined an appointment as service provider pursuant to the provisions of Article 78-8 (except for a person that has a reasonable basis for said decline of appointment as service provider) from the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to a disposition of rescission of the designation pursuant to the provisions of Article 78-10, items (ii) to (v) to the date on which said disposition is made or the date on which it is determined not to make a disposition, and five years have not elapsed from the date of said notification or decline of appointment as service provider;

申請者が、第七十八条の十第二号から第五号までの規定による指定の取消しの処分に係る行政手続法第十五条の規定による通知があった日から当該処分をする日又は処分をしないことを決定する日までの間に第七十八条の五第二項の規定による事業の廃止の届出をした者(当該事業の廃止について相当の理由がある者を除く。)又は第七十八条の八の規定による指定の辞退をした者(当該指定の辞退について相当の理由がある者を除く。)で、当該届出又は指定の辞退の日から起算して五年を経過しないものであるとき。

Article 78-2, paragraph (6), item (ii-2)

when the applicant is a person who has provided notification of abolishment of business pursuant to the provisions of Article 78-5, paragraph (2) (except for a person that has a reasonable basis for said abolishment of business) or has declined an appointment as service provider pursuant to the provisions of Article 78-8 (except for a person that has a reasonable basis for said decline of appointment as service provider) during the period from the date on which an inspection pursuant to the provisions of Article 78-7, paragraph (1) was conducted to the expected hearing decision date (meaning, in the case where the mayor of the Municipality has notified said applicant of a specific date within ten days from the date on which said inspection was conducted, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, as the date on which it is expected to be decided, based on the results of said inspection, whether or not to hold a hearing concerning the disposition of rescission of the designation pursuant to the provisions of Article 78-10, said specific date), and five years have not elapsed from the date of said notification or said decline of appointment as service provider;

申請者が、第七十八条の七第一項の規定による検査が行われた日から聴聞決定予定日(当該検査の結果に基づき第七十八条の十の規定による指定の取消しの処分に係る聴聞を行うか否かの決定をすることが見込まれる日として厚生労働省令で定めるところにより市町村長が当該申請者に当該検査が行われた日から十日以内に特定の日を通知した場合における当該特定の日をいう。)までの間に第七十八条の五第二項の規定による事業の廃止の届出をした者(当該事業の廃止について相当の理由がある者を除く。)又は第七十八条の八の規定による指定の辞退をした者(当該指定の辞退について相当の理由がある者を除く。)で、当該届出又は指定の辞退の日から起算して五年を経過しないものであるとき。

Article 78-2, paragraph (6), item (ii-3)

in a case when notification of abolishment of business pursuant to the provisions of Article 78-5, paragraph (2) or a decline of appointment as service provider pursuant to the provisions of Article 78-8 has been made within the period provided by item (ii), when the applicant is a person who was, within sixty days prior to the date of notification as set forth in the same item, an Officer, etc., of the juridical person pertaining to said notification (except for a juridical person that has a reasonable basis for said abolishment of business) or a manager of the Business Office that is not a juridical person pertaining to said notification (except for one that has a reasonable basis for said abolishment of business), or an Officer, etc., of the juridical person pertaining to said decline of appointment as service provider (except for a juridical person that has a reasonable basis for said decline of appointment as service provider) or a manager of the Business Office that is not a juridical person pertaining to said decline of appointment as service provider (except for one that has a reasonable basis for said decline of appointment as service provider), and five years have not elapsed from the date of said notification or said decline of appointment as service provider;

第二号に規定する期間内に第七十八条の五第二項の規定による事業の廃止の届出又は第七十八条の八の規定による指定の辞退があった場合において、申請者が、同号の通知の日前六十日以内に当該届出に係る法人(当該事業の廃止について相当の理由がある法人を除く。)の役員等若しくは当該届出に係る法人でない事業所(当該事業の廃止について相当の理由があるものを除く。)の管理者であった者又は当該指定の辞退に係る法人(当該指定の辞退について相当の理由がある法人を除く。)の役員等若しくは当該指定の辞退に係る法人でない事業所(当該指定の辞退について相当の理由があるものを除く。)の管理者であった者で、当該届出又は指定の辞退の日から起算して五年を経過しないものであるとき。

Article 78-2, paragraph (6), item (iii)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a juridical person and any of its Officers, etc. is a person who falls under item (i) or any of the preceding three items;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、法人で、その役員等のうちに第一号又は前三号のいずれかに該当する者のあるものであるとき。

Article 78-2, paragraph (6), item (iii-2)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a juridical person and any of its Officers, etc. is a person who falls under item (i)-2 or any of item (ii) through item (ii)-3;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、法人で、その役員等のうちに第一号の二又は第二号から第二号の三までのいずれかに該当する者のあるものであるとき。

Article 78-2, paragraph (6), item (iii-3)

when the applicant (excluding an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a Business Office that is not a juridical person and the manager of the Business Office is a person who falls under item (i) or any of item (ii) through item (ii)-3;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者を除く。)が、法人でない事業所で、その管理者が第一号又は第二号から第二号の三までのいずれかに該当する者であるとき。

Article 78-2, paragraph (6), item (iii-4)

when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is a Business Office that is not a juridical person and the manager of the Business Office is a person who falls under item (i)-2 or any of item (ii) through item (ii)-3;

申請者(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。)が、法人でない事業所で、その管理者が第一号の二又は第二号から第二号の三までのいずれかに該当する者であるとき。

Article 78-2, paragraph (6), item (iv)

in a case when an application as set forth in paragraph (1) was filed for Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, when it is determined that the total capacity of users of said Community-Based Service in said Municipality or in the area including the location of the Business Office pertaining to said application (which means an area provided by said Municipality pursuant to the provisions of Article 117, paragraph (2), item (i); herein referred to as "Daily Activities Area" in this item and sub-item (a) of the following item) has been reached or when it is determined that said total capacity will be exceeded by the appointment as service provider pertaining to said application for the total capacity of necessary users for said Community-Based Service in said Municipality or in said Daily Activities Area provided by the Municipal Insured Long-Term Care Service Plan provided by said Municipality pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that it is likely to cause problems with the accomplishment of said Municipal Insured Long-Term Care Service Plan;

認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護につき第一項の申請があった場合において、当該市町村又は当該申請に係る事業所の所在地を含む区域(第百十七条第二項第一号の規定により当該市町村が定める区域とする。以下この号及び次号イにおいて「日常生活圏域」という。)における当該地域密着型サービスの利用定員の総数が、同条第一項の規定により当該市町村が定める市町村介護保険事業計画において定める当該市町村又は当該日常生活圏域における当該地域密着型サービスの必要利用定員総数に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになると認めるとき、その他の当該市町村介護保険事業計画の達成に支障を生ずるおそれがあると認めるとき。

Article 78-2, paragraph (6), item (v)

in a case when an application as set forth in paragraph (1) was filed for Community-Based Outpatient Day Long-Term Care or another Community-Based Service specified by Order of the Ministry of Health, Labour and Welfare, where the case falls under a case in which the Business Office conducting the business pertaining to the designation of a person who has received the designation under the main clause of Article 42-2, paragraph (1) and conducts the business of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc. (meaning Community-Based Service other than Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, that is Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Multifunctional Long-Term Care in a Small Group Home, or another service specified by Order of the Ministry of Health, Labour and Welfare) (referred to as "Business Office for Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc." in (a)) is located in the area of said Municipality or another case specified by Order of the Ministry of Health, Labour and Welfare, and the mayor of said Municipality finds that any of the following applies:

地域密着型通所介護その他の厚生労働省令で定める地域密着型サービスにつき第一項の申請があった場合において、第四十二条の二第一項本文の指定を受けて定期巡回・随時対応型訪問介護看護等(認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護以外の地域密着型サービスであって、定期巡回・随時対応型訪問介護看護、小規模多機能型居宅介護その他の厚生労働省令で定めるものをいう。)の事業を行う者の当該指定に係る当該事業を行う事業所(イにおいて「定期巡回・随時対応型訪問介護看護等事業所」という。)が当該市町村の区域にある場合その他の厚生労働省令で定める場合に該当し、かつ、当該市町村長が次のいずれかに該当すると認めるとき。

Article 78-2, paragraph (6), item (v), (a)

the quantity of each type of Community-Based Service (limited to Community-Based Outpatient Day Long-Term Care and others specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this (a)) in said Municipality or in the Daily Activities Area including the location of said Business Office for Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc. has already reached the prospective volume of each type of said Community-Based Service in said Municipality or said Daily Activities Area provided by the Municipal Insured Long-Term Care Service Plan provided by said Municipality pursuant to the provisions of Article 117, paragraph (1), or will exceed it by the appointment as service provider pertaining to said application;

当該市町村又は当該定期巡回・随時対応型訪問介護看護等事業所の所在地を含む日常生活圏域における地域密着型サービス(地域密着型通所介護その他の厚生労働省令で定めるものに限る。以下このイにおいて同じ。)の種類ごとの量が、第百十七条第一項の規定により当該市町村が定める市町村介護保険事業計画において定める当該市町村又は当該日常生活圏域における当該地域密着型サービスの種類ごとの見込量に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになるとき。

Article 78-2, paragraph (6), item (v), (b)

in addition, there is a risk of causing problems with the accomplishment of the Municipal Insured Long-Term Care Service Plan provided by said Municipality pursuant to the provisions of Article 117, paragraph (1).

その他第百十七条第一項の規定により当該市町村が定める市町村介護保険事業計画の達成に支障を生ずるおそれがあるとき。

Article 78-2, paragraph (7)

The mayor of a Municipality, when he or she intends to provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), or determines not to provide an appointment as service provider as set forth in the main clause of paragraph (1) of the same Article pursuant to the provisions of item (iv) or item (v) of the preceding paragraph, must endeavor to take necessary measures in advance in order to reflect the opinions of Insured Persons of Long-Term Care Insurance provided by said Municipality or other relevant persons.

市町村長は、第四十二条の二第一項本文の指定を行おうとするとき、又は前項第四号若しくは第五号の規定により同条第一項本文の指定をしないこととするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させるために必要な措置を講ずるよう努めなければならない。

Article 78-2, paragraph (8)

The mayor of a Municipality, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), may add a provision that is determined to be necessary for ensuring the appropriate conduct of said business.

市町村長は、第四十二条の二第一項本文の指定を行うに当たって、当該事業の適正な運営を確保するために必要と認める条件を付することができる。

Article 78-2, paragraph (9)

In a case when, through consultation between the mayor of the Municipality who received the application set forth in paragraph (1) (hereinafter referred to as "mayor receiving the application" in this Article) and the Mayor of the Municipality Where the Business Office Is Located, the Mayor of the Municipality Where the Business Office Is Located has consented to the consent pursuant to the provisions of paragraph (4), item (iv) being unnecessary, the provisions of that item do not apply.

第一項の申請を受けた市町村長(以下この条において「被申請市町村長」という。)と所在地市町村長との協議により、第四項第四号の規定による同意を要しないことについて所在地市町村長の同意があるときは、同号の規定は適用しない。

Article 78-2, paragraph (10)

In a case when the provisions of paragraph (4), item (iv) are not applied pursuant to the provisions of the preceding paragraph, and with regard to the Business Office pertaining to the application set forth in paragraph (1) (limited to those located in the area under the jurisdiction of the Mayor of the Municipality Where the Business Office Is Located) a case listed in one of the following items applies, the applicant is deemed to have received the designation under the main clause of Article 42-2, paragraph (1) by the mayor receiving the application at the time specified in each of those items:

前項の規定により第四項第四号の規定が適用されない場合であって、第一項の申請に係る事業所(所在地市町村長の管轄する区域にあるものに限る。)について、次の各号に掲げるときは、それぞれ当該各号に定める時に、当該申請者について、被申請市町村長による第四十二条の二第一項本文の指定があったものとみなす。

Article 78-2, paragraph (10), item (i)

when the Mayor of the Municipality Where the Business Office Is Located has made the designation under the main clause of Article 42-2, paragraph (1):the time when said designation was made;

所在地市町村長が第四十二条の二第一項本文の指定をしたとき 当該指定がされた時

Article 78-2, paragraph (10), item (ii)

when the designation under the main clause of Article 42-2, paragraph (1) has been made by the Mayor of the Municipality Where the Business Office Is Located:the time when the mayor receiving the application received the application set forth in paragraph (1) from the person who conducts the Community-Based Service Business pertaining to said Business Office.

所在地市町村長による第四十二条の二第一項本文の指定がされているとき 被申請市町村長が当該事業所に係る地域密着型サービス事業を行う者から第一項の申請を受けた時

Article 78-2, paragraph (11)

The rescission of the designation under the main clause of Article 42-2, paragraph (1) or the suspension of its effect by the Mayor of the Municipality Where the Business Office Is Located pursuant to the provisions of Article 78-10, or the loss of effect of the designation under the main clause of Article 42-2, paragraph (1) pursuant to the provisions of Article 70-2, paragraph (1) as applied mutatis mutandis pursuant to Article 78-12, or Article 78-15, paragraph (1) or paragraph (3) (including as applied mutatis mutandis pursuant to paragraph (5) of that Article), is not to affect the effect of the designation under the main clause of Article 42-2, paragraph (1) by the mayor receiving the application, which is deemed to have been received pursuant to the provisions of the preceding paragraph.

第七十八条の十の規定による所在地市町村長による第四十二条の二第一項本文の指定の取消し若しくは効力の停止又は第七十八条の十二において準用する第七十条の二第一項若しくは第七十八条の十五第一項若しくは第三項(同条第五項において準用する場合を含む。)の規定による第四十二条の二第一項本文の指定の失効は、前項の規定により受けたものとみなされた被申請市町村長による第四十二条の二第一項本文の指定の効力に影響を及ぼさないものとする。

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