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Long-Term Care Insurance Act

介護保険法(かいごほけんほう)

Section 5 Facilities Covered by Long-Term Care Insurance (Articles 89-2 to 93)

The law as Act Partially Amending the Health Insurance Act, etc. (Act No. 31 of 2026) 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.

Article 89-2第八十九条の二

Coordination or Assistance by Prefectural Governors, etc.(都道府県知事等による連絡調整又は援助)
Article 89-2, paragraph (1)

A prefectural governor or the mayor of a Municipality, when finding it necessary for the smooth provision by an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly of the conveniences prescribed in Article 88, paragraph (5), may provide coordination among said establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, establishers of other Designated Facilities Covered by Public Aid Providing Long-Term Care to the Elderly, and other relevant persons, or advice and other assistance to said establisher and said relevant persons.

都道府県知事又は市町村長は、指定介護老人福祉施設の開設者による第八十八条第五項に規定する便宜の提供が円滑に行われるため必要があると認めるときは、当該指定介護老人福祉施設の開設者及び他の指定介護老人福祉施設の開設者その他の関係者相互間の連絡調整又は当該指定介護老人福祉施設の開設者及び当該関係者に対する助言その他の援助を行うことができる。

Article 89-2, paragraph (2)

The Minister of Health, Labour and Welfare, when two or more prefectural governors provide the coordination or assistance pursuant to the provisions of the preceding paragraph for the same establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly and finds it necessary for the smooth provision by said establisher of the conveniences prescribed in Article 88, paragraph (5), may provide coordination among said prefectural governors or advice and other assistance to said establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly from a broad perspective extending beyond the area of a prefecture.

厚生労働大臣は、同一の指定介護老人福祉施設の開設者について二以上の都道府県知事が前項の規定による連絡調整又は援助を行う場合において、当該指定介護老人福祉施設の開設者による第八十八条第五項に規定する便宜の提供が円滑に行われるため必要があると認めるときは、当該都道府県知事相互間の連絡調整又は当該指定介護老人福祉施設の開設者に対する都道府県の区域を超えた広域的な見地からの助言その他の援助を行うことができる。

Article 90第九十条

Reporting(報告等)
Article 90, paragraph (1)

A prefectural governor or mayor of a Municipality, when it is determined to be necessary, may order a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, or a person who was an establisher, the head, or another employee of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly (hereinafter referred to as a "person who was an establisher, etc." in this paragraph), to report or submit or present record books and documents, request an establisher, the head, or another employee of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, or a person who was an establisher, etc., to appear, or direct personnel to ask questions of the relevant persons, or enter a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, the office of an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, or another place related to the operation of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly in order to inspect its facilities, record books and documents, or other items.

都道府県知事又は市町村長は、必要があると認めるときは、指定介護老人福祉施設若しくは指定介護老人福祉施設の開設者若しくはその長その他の従業者であった者(以下この項において「開設者であった者等」という。)に対し、報告若しくは帳簿書類の提出若しくは提示を命じ、指定介護老人福祉施設の開設者若しくはその長その他の従業者若しくは開設者であった者等に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは指定介護老人福祉施設、指定介護老人福祉施設の開設者の事務所その他指定介護老人福祉施設の運営に関係のある場所に立ち入り、その設備若しくは帳簿書類その他の物件を検査させることができる。

Article 90, paragraph (2)

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding paragraph.

第二十四条第三項の規定は、前項の規定による質問又は検査について、同条第四項の規定は、前項の規定による権限について準用する。

Article 91第九十一条

Decline of Appointment as Service Provider(指定の辞退)
Article 91, paragraph (1)

A Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly may decline an appointment as service provider by offering one month or more of prior notice.

指定介護老人福祉施設は、一月以上の予告期間を設けて、その指定を辞退することができる。

Article 91-2第九十一条の二

Recommendationsand Orders(勧告、命令等)
Article 91-2, paragraph (1)

A prefectural governor, when it is determined that a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly falls under a case listed in the following items, may recommend to the establisher of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, setting a due date, to take the measures specified in each such item:

都道府県知事は、指定介護老人福祉施設が、次の各号に掲げる場合に該当すると認めるときは、当該指定介護老人福祉施設の開設者に対し、期限を定めて、それぞれ当該各号に定める措置をとるべきことを勧告することができる。

Article 91-2, paragraph (1), item (i)

when it does not satisfy the number determined by Prefectural Ordinance as set forth in Article 88, paragraph (1) with regard to the number of employees that engage in the Designated Facility Service for Long-Term Care Covered by Public Aid it provides:to satisfy the number determined by said Prefectural Ordinance;

その行う指定介護福祉施設サービスに従事する従業者の人員について第八十八条第一項の都道府県の条例で定める員数を満たしていない場合 当該都道府県の条例で定める員数を満たすこと。

Article 91-2, paragraph (1), item (ii)

when it does not operate an appropriate Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly in accordance with the standards concerning facilities and management of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly as prescribed in Article 88, paragraph (2):to operate an appropriate Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly in accordance with said standards concerning facilities and management of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly;

第八十八条第二項に規定する指定介護老人福祉施設の設備及び運営に関する基準に従って適正な指定介護老人福祉施設の運営をしていない場合 当該指定介護老人福祉施設の設備及び運営に関する基準に従って適正な指定介護老人福祉施設の運営をすること。

Article 91-2, paragraph (1), item (iii)

when it does not properly provide the conveniences prescribed in Article 88, paragraph (5):to properly provide said conveniences.

第八十八条第五項に規定する便宜の提供を適正に行っていない場合 当該便宜の提供を適正に行うこと。

Article 91-2, paragraph (2)

A prefectural governor, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, may provide public notice of the fact that the establisher of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly that was issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

都道府県知事は、前項の規定による勧告をした場合において、その勧告を受けた指定介護老人福祉施設の開設者が同項の期限内にこれに従わなかったときは、その旨を公表することができる。

Article 91-2, paragraph (3)

A prefectural governor, when an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly that was issued a recommendation pursuant to the provisions of paragraph (1) does not implement the measures pertaining to said recommendation without a justifiable basis, may order to an establisher of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly to implement measures pertaining to said recommendation within a period specified by a due date.

都道府県知事は、第一項の規定による勧告を受けた指定介護老人福祉施設の開設者が、正当な理由がなくてその勧告に係る措置をとらなかったときは、当該指定介護老人福祉施設の開設者に対し、期限を定めて、その勧告に係る措置をとるべきことを命ずることができる。

Article 91-2, paragraph (4)

A prefectural governor, when issuing an order pursuant to the provisions of the preceding paragraph, must issue public notice of the said fact.

都道府県知事は、前項の規定による命令をした場合においては、その旨を公示しなければならない。

Article 91-2, paragraph (5)

With regard to a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly that provided Designated Facility Service for Long-Term Care Covered by Public Aid pertaining to an Insurance Benefit, a Municipality, when it is determined that said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly falls under any of the cases listed in the items of paragraph (1), must provide notification of said fact to the prefectural governor that governs the location of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly.

市町村は、保険給付に係る指定介護福祉施設サービスを行った指定介護老人福祉施設について、第一項各号に掲げる場合のいずれかに該当すると認めるときは、その旨を当該指定介護老人福祉施設の所在地の都道府県知事に通知しなければならない。

Article 92第九十二条

Rescission of Appointment as Service Provider(指定の取消し等)
Article 92, paragraph (1)

A prefectural governor, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in the main clause of Article 48, paragraph (1), item (i) pertaining to said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly or suspend the whole or a part of the effect of said appointment as service provider by specifying the due date for compliance:

都道府県知事は、次の各号のいずれかに該当する場合においては、当該指定介護老人福祉施設に係る第四十八条第一項第一号の指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。

Article 92, paragraph (1), item (i)

when a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly corresponds to any provision of Article 86, paragraph (2), item (iii), item (iii)-2 or item (vii) (excluding a case in which there is a person who falls under (c));

指定介護老人福祉施設が、第八十六条第二項第三号、第三号の二又は第七号(ハに該当する者があるときを除く。)のいずれかに該当するに至ったとき。

Article 92, paragraph (1), item (ii)

when a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly becomes unable to meet the fixed minimum number of employees as determined by Prefectural Ordinance as set forth in Article 88, paragraph (1), with regard to the number of employees that engage in Designated Facility Service for Long-Term Care Covered by Public Aid provided by said Designated Facility;

指定介護老人福祉施設が、その行う指定介護福祉施設サービスに従事する従業者の人員について、第八十八条第一項の都道府県の条例で定める員数を満たすことができなくなったとき。

Article 92, paragraph (1), item (iii)

when a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly becomes unable to operate an appropriate Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly in accordance with standards concerning facilities and management of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly as prescribed in Article 88, paragraph (2);

指定介護老人福祉施設が、第八十八条第二項に規定する指定介護老人福祉施設の設備及び運営に関する基準に従って適正な指定介護老人福祉施設の運営をすることができなくなったとき。

Article 92, paragraph (1), item (iv)

when it is determined that an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly violates an obligation as prescribed in Article 88, paragraph (6);

指定介護老人福祉施設の開設者が、第八十八条第六項に規定する義務に違反したと認められるとき。

Article 92, paragraph (1), item (v)

when a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly is entrusted with an investigation pursuant to the provisions of Article 28, paragraph (5), and submits a false report regarding the result of said investigation;

第二十八条第五項の規定により調査の委託を受けた場合において、当該調査の結果について虚偽の報告をしたとき。

Article 92, paragraph (1), item (vi)

when an Allowance for Long-Term Care Facility Service is wrongly requested;

施設介護サービス費の請求に関し不正があったとき。

Article 92, paragraph (1), item (vii)

when a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly is ordered to report, submit or present record books and documents pursuant to the provisions of Article 90, paragraph (1), but disobeys said order or submits a false report;

指定介護老人福祉施設が、第九十条第一項の規定により報告又は帳簿書類の提出若しくは提示を命ぜられてこれに従わず、又は虚偽の報告をしたとき。

Article 92, paragraph (1), item (viii)

when the establisher, the chairperson, or an employee of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly is requested to appear pursuant to the provisions of Article 90, paragraph (1), but does not respond or does not reply to questions pursuant to the provisions of the same paragraph or submits a false reply, or refuses, interrupts, or interferes with an inspection pursuant to the provisions of the same paragraph, however, provided that this provision does not apply when an employee of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly performed said act and an establisher or the chairperson of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly was faithfully providing reasonable care and supervision in order to prevent said act of said employee;

指定介護老人福祉施設の開設者又はその長若しくは従業者が、第九十条第一項の規定により出頭を求められてこれに応ぜず、同項の規定による質問に対して答弁せず、若しくは虚偽の答弁をし、又は同項の規定による検査を拒み、妨げ、若しくは忌避したとき。ただし、当該指定介護老人福祉施設の従業者がその行為をした場合において、その行為を防止するため、当該指定介護老人福祉施設の開設者又はその長が相当の注意及び監督を尽くしたときを除く。

Article 92, paragraph (1), item (ix)

when an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly is appointed to provide service as set forth in Article 48, paragraph (1), item (i) by wrongful means;

指定介護老人福祉施設の開設者が、不正の手段により第四十八条第一項第一号の指定を受けたとき。

Article 92, paragraph (1), item (x)

in addition to the cases listed in the preceding items, when an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly violates this Act, another Act concerning citizens' health and medical care and public aid as provided by a Cabinet Order, or an Order or disposition of a matter based on these Acts;

前各号に掲げる場合のほか、指定介護老人福祉施設の開設者が、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又はこれらの法律に基づく命令若しくは処分に違反したとき。

Article 92, paragraph (1), item (xi)

in addition to the cases listed in the preceding items, when an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly performs a wrongful or significantly unjustifiable act concerning In-Home Service, etc.;

前各号に掲げる場合のほか、指定介護老人福祉施設の開設者が、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とき。

Article 92, paragraph (1), item (xii)

when any Officers or chairperson of the establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly performs a wrongful or significantly unjustifiable act concerning In-Home Service, etc., within five years and the appointment as service provider is rescinded or the whole or a part of the effect of the appointment as service provider is suspended due to said act.

指定介護老人福祉施設の開設者の役員又はその長のうちに、指定の取消し又は指定の全部若しくは一部の効力の停止をしようとするとき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があるとき。

Article 92, paragraph (2)

With regard to a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly that provided Designated Facility Service for Long-Term Care Covered by Public Aid pertaining to an Insurance Benefit or the implementation of an entrusted investigation pursuant to the provisions of Article 28, paragraph (5), a Municipality, when it determines said Designated Facility Service for Long-Term Care Covered by Public Aid corresponds to any provision of the items in the preceding paragraph, must provide notification of said fact to the prefectural governor that governs the location of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly.

市町村は、保険給付に係る指定介護福祉施設サービス又は第二十八条第五項の規定により委託した調査を行った指定介護老人福祉施設について、前項各号のいずれかに該当すると認めるときは、その旨を当該指定介護老人福祉施設の所在地の都道府県知事に通知しなければならない。

Article 93第九十三条

Public Notice(公示)
Article 93, paragraph (1)

A prefectural governor must give public notice of the name of the establisher of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, the location of said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, and other matters specified by Order of the Ministry of Health, Labour and Welfare in the following cases:

都道府県知事は、次に掲げる場合には、当該指定介護老人福祉施設の開設者の名称、当該指定介護老人福祉施設の所在地その他の厚生労働省令で定める事項を公示しなければならない。

Article 93, paragraph (1), item (i)

when an appointment as service provider as set forth in the main clause of Article 48, paragraph (1), item (i) is determined;

第四十八条第一項第一号の指定をしたとき。

Article 93, paragraph (1), item (ii)

when the appointment as service provider as set forth in Article 48, paragraph (1), item (i) is declined pursuant to the provisions of Article 91;

第九十一条の規定による第四十八条第一項第一号の指定の辞退があったとき。

Article 93, paragraph (1), item (iii)

when an appointment as service provider as set forth in Article 48, paragraph (1), item (i) is rescinded, or the effect of the whole or a part of an appointment as service provider is suspended, pursuant to the provisions of paragraph (1) of the preceding Article or Article 115-35, paragraph (6).

前条第一項又は第百十五条の三十五第六項の規定により第四十八条第一項第一号の指定を取り消し、又は指定の全部若しくは一部の効力を停止したとき。

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