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Section 5 Facilities Covered by Long-Term Care Insurance, etc. (Articles 104 to 106)
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.
A prefectural governor, in a case that corresponds to any of the following items, may rescind the approval as set forth in Article 94, paragraph (1) pertaining to said Long-Term Care Health Facility or suspend the whole or a part of the effect of said appointment as service provider within the period limited by a due date:
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、当該介護老人保健施設に係る第九十四条第一項の許可を取り消し、又は期間を定めてその許可の全部若しくは一部の効力を停止することができる。
when an Establisher of a Long-Term Care Health Facility does not commence said operation for six months or more after obtaining approval as set forth in Article 94, paragraph (1) without a reasonable basis;
介護老人保健施設の開設者が、第九十四条第一項の許可を受けた後正当の理由がないのに、六月以上その業務を開始しないとき。
when a Long-Term Care Health Facility has come to correspond to any of Article 94, paragraph (3), items (iv) through (v)-2, item (x) (excluding when it is one that has a person who corresponds to item (v)-3), or item (xi) (excluding when it is one that has a person who corresponds to item (v)-3);
介護老人保健施設が、第九十四条第三項第四号から第五号の二まで、第十号（第五号の三に該当する者のあるものであるときを除く。）又は第十一号（第五号の三に該当する者のあるものであるときを除く。）のいずれかに該当するに至ったとき。
when it is determined that an Establisher of a Long-Term Care Health Facility violates an obligation as prescribed in Article 97, paragraph (11);
介護老人保健施設の開設者が、第九十七条第十一項に規定する義務に違反したと認められるとき。
when an Establisher of a Long-Term Care Health Facility committed a crime or act of dishonesty concerning medical business;
介護老人保健施設の開設者に犯罪又は医事に関する不正行為があったとき。
when a Long-Term Care Health Facility 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。
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。
when an Establisher, etc., of a Long-Term Care Health Facility is ordered to report, submit or present medical records or record books and documents pursuant to the provisions of Article 100, paragraph (1), but disobeys said order or submits a false report;
介護老人保健施設の開設者等が、第百条第一項の規定により報告又は診療録その他の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。
when an Establisher of a Long-Term Care Health Facility, etc. is requested to appear pursuant to the provisions of Article 100, 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 a Long-Term Care Health Facility performed said act and the Establisher or manager of said Long-Term Care Health Facility was faithfully providing reasonable care and supervision in order to prevent said act;
介護老人保健施設の開設者等が、第百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、介護老人保健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、当該介護老人保健施設の開設者又は管理者が相当の注意及び監督を尽くしたときを除く。
in addition to the cases listed in the preceding items, when an Establisher of a Long-Term Care Health Facility 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、介護老人保健施設の開設者が、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。
in addition to the cases listed in the preceding items, when an Establisher of a Long-Term Care Health Facility performs a wrongful or significantly unjustifiable act concerning In-Home Service, etc.;
前各号に掲げる場合のほか、介護老人保健施設の開設者が、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。
in a case when an Establisher of a Long-Term Care Health Facility is a juridical person, when any of said Officer, etc., or said Manager of a Long-Term Care Health Facility 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;
介護老人保健施設の開設者が法人である場合において、その役員又は当該介護老人保健施設の管理者のうちに許可の取消し又は許可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。
in a case when an Establisher of a Long-Term Care Health Facility is not a juridical person among those provided by the Minister of Health, Labour, and Welfare as set forth in Article 94, paragraph (3), item (i), a manager of said Provider 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.
介護老人保健施設の開設者が第九十四条第三項第一号の厚生労働大臣が定める者のうち法人でないものである場合において、その管理者が許可の取消し又は許可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であるとき。
With regard to a Long-Term Care Health Facility that conducts an entrusted investigation or provided Long-Term Care Health Facility Service pertaining to an Insurance Benefit pursuant to the provisions of Article 28, paragraph (5), a Municipality, when it determines said Long-Term Care Health Facility 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 Long-Term Care Health Facility.
市町村は、第二十八条第五項の規定により委託した調査又は保険給付に係る介護保健施設サービスを行った介護老人保健施設について、前項各号のいずれかに該当すると認めるときは、その旨を当該介護老人保健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。
The Minister of Health, Labour, and Welfare, with regard to the affair that belongs to the authority of the prefectural governor as prescribed in paragraph (1), when it determines the urgent necessity to secure life and the physical safety of a person that may be admitted to the Long-Term Care Health Facility, may order the prefectural governor to conduct the affairs as set forth in the same paragraph.
厚生労働大臣は、第一項に規定する都道府県知事の権限に属する事務について、介護老人保健施設に入所している者の生命又は身体の安全を確保するため緊急の必要があると認めるときは、都道府県知事に対し同項の事務を行うことを指示することができる。
A prefectural governor must, in the following cases, provide public notice of the name or full name of the Establisher of a Long-Term Care Health Facility, the location of said Long-Term Care Health Facility, and other particulars specified by Order of the Ministry of Health, Labour and Welfare:
都道府県知事は、次に掲げる場合には、介護老人保健施設の開設者の名称又は氏名、当該介護老人保健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。
when approval has been granted under Article 94, paragraph (1);
第九十四条第一項の許可をしたとき。
when a notification of abolition pursuant to the provisions of Article 99, paragraph (2) has been submitted;
第九十九条第二項の規定による廃止の届出があったとき。
when the approval set forth in Article 94, paragraph (1) has been rescinded, or the whole or a part of the effect of the approval has been 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九十四条第一項の許可を取り消し、又は許可の全部若しくは一部の効力を停止したとき。
The provisions of Article 9, paragraph (2) of the Medical Care Act (Act No. 205 of 1948) apply mutatis mutandis to an Establisher of a Long-Term Care Health Facility, the provisions of Article 14-4 and Article 15, paragraphs (1) and (3) of the same Act apply mutatis mutandis to a manager of a Long-Term Care Health Facility, and the provisions of Article 30 of the same Act apply mutatis mutandis to dispositions pursuant to the provisions of Article 101, Article 102, paragraph (1), Article 103, paragraph (3) and Article 104, paragraph (1). In this case, necessary technical replacement of the terms of these provisions is specified by a Cabinet Order.
医療法（昭和二十三年法律第二百五号）第九条第二項の規定は、介護老人保健施設の開設者について、同法第十四条の四並びに第十五条第一項及び第三項の規定は、介護老人保健施設の管理者について、同法第三十条の規定は、第百一条、第百二条第一項、第百三条第三項及び第百四条第一項の規定による処分について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。
A Long-Term Care Health Facility is not a hospital or a clinic as used in the Medical Care Act; provided, however, that the terms "hospital" and "clinic" in provisions of laws and regulations other than the same Act and orders based on it (excluding the provisions of the Health Insurance Act, the National Health Insurance Act and other laws and regulations that are specified by Cabinet Order) include a Long-Term Care Health Facility (excluding, in the provisions of laws and regulations specified by Cabinet Order, those specified by Cabinet Order).
介護老人保健施設は、医療法にいう病院又は診療所ではない。ただし、同法及びこれに基づく命令以外の法令の規定（健康保険法、国民健康保険法その他の法令の政令で定める規定を除く。）において「病院」又は「診療所」とあるのは、介護老人保健施設（政令で定める法令の規定にあっては、政令で定めるものを除く。）を含むものとする。