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Long-Term Care Insurance Act

介護保険法(かいごほけんほう)

Section 6 Designated Providers of a Preventive Service to Long-Term Care (Articles 115-2-2 to 115-5)

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.

Article 115-2-2第百十五条の二の二

Special Provisions for Coexistence-Type Providers of Preventive Long-Term Care Service(共生型介護予防サービス事業者の特例)
Article 115-2-2, paragraph (1)

In the case where, with regard to a Business Office for Short-Term Admission for Daily Preventive Long-Term Care or other Preventive Long-Term Care Service specified by Order of the Ministry of Health, Labour and Welfare, a person that has received designation under Article 21-5-3, paragraph (1) of the Child Welfare Act (limited to that pertaining to day support for children with disabilities of a type specified by Order of the Ministry of Health, Labour and Welfare according to the type of Preventive Long-Term Care Service provided by the Business Office) or designation as a Designated Provider of welfare services for persons with disabilities under Article 29, paragraph (1) of the Comprehensive Support for Persons with Disabilities Act (limited to that pertaining to welfare service for persons with disabilities of a type specified by Order of the Ministry of Health, Labour and Welfare according to the type of Preventive Long-Term Care Service provided by the Business Office) files the application set forth in paragraph (1) of the preceding Article (including the case where it applies mutatis mutandis pursuant to Article 70-2, paragraph (4) as applied mutatis mutandis pursuant to Article 115-11) with regard to the Business Office, and all of the following items are met, in applying the provisions of paragraph (2) of the preceding Article (including the case where it applies mutatis mutandis pursuant to Article 70-2, paragraph (4) as applied mutatis mutandis pursuant to Article 115-11; the same applies hereinafter in this paragraph), the phrase "as set forth in Article 115-4, paragraph (1)" in item (ii) of paragraph (2) of the preceding Article is deemed to be replaced with "pertaining to employees that engage in the Designated Preventive Long-Term Care Service set forth in the following Article, paragraph (1), item (i)", the phrase "as set forth in the same paragraph" with "as set forth in the same item", and the phrase "Article 115-4, paragraph (2)" in item (iii) of the same paragraph with "the following Article, paragraph (1), item (ii)". However, this does not apply where the applicant has made a different notification pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

介護予防短期入所生活介護その他厚生労働省令で定める介護予防サービスに係る事業所について、児童福祉法第二十一条の五の三第一項の指定(当該事業所により行われる介護予防サービスの種類に応じて厚生労働省令で定める種類の障害児通所支援に係るものに限る。)又は障害者総合支援法第二十九条第一項の指定障害福祉サービス事業者の指定(当該事業所により行われる介護予防サービスの種類に応じて厚生労働省令で定める種類の障害福祉サービスに係るものに限る。)を受けている者から当該事業所に係る前条第一項(第百十五条の十一において準用する第七十条の二第四項において準用する場合を含む。)の申請があった場合において、次の各号のいずれにも該当するときにおける前条第二項(第百十五条の十一において準用する第七十条の二第四項において準用する場合を含む。以下この項において同じ。)の規定の適用については、前条第二項第二号中「第百十五条の四第一項の」とあるのは「次条第一項第一号の指定介護予防サービスに従事する従業者に係る」と、「同項」とあるのは「同号」と、同項第三号中「第百十五条の四第二項」とあるのは「次条第一項第二号」とする。ただし、申請者が、厚生労働省令で定めるところにより、別段の申出をしたときは、この限りでない。

Article 115-2-2, paragraph (1), item (i)

the knowledge and skills and the number of employees of the Business Office pertaining to said application satisfy the standards specified by Prefectural Ordinance pertaining to employees that engage in Designated Preventive Long-Term Care Service and the fixed minimum number of employees specified by Prefectural Ordinance;

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、指定介護予防サービスに従事する従業者に係る都道府県の条例で定める基準及び都道府県の条例で定める員数を満たしていること。

Article 115-2-2, paragraph (1), item (ii)

when it is determined that the applicant is able to properly operate a Preventive Long-Term Care Service Business in accordance with the standards specified by Prefectural Ordinance concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Service and the standards concerning facilities and management of the business of Designated Preventive Long-Term Care Service.

申請者が、都道府県の条例で定める指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防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介護予防サービス事業の運営をすることができると認められること。

Article 115-2-2, paragraph (2)

A prefecture, in establishing the Prefectural Ordinances set forth in the items of the preceding paragraph, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

都道府県が前項各号の条例を定めるに当たっては、第一号から第三号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。

Article 115-2-2, paragraph (2), item (i)

standards pertaining to employees that engage in Designated Preventive Long-Term Care Service and the number of said employees;

指定介護予防サービスに従事する従業者に係る基準及び当該従業者の員数

Article 115-2-2, paragraph (2), item (ii)

floor area of residence rooms pertaining to the business of Designated Preventive Long-Term Care Service;

指定介護予防サービスの事業に係る居室の床面積

Article 115-2-2, paragraph (2), item (iii)

matters concerning the management of the business of Designated Preventive Long-Term Care Service that are specified by Order of the Ministry of Health, Labour and Welfare as being closely related to the appropriate use of services by Persons Requiring Support who use them, appropriate treatment, ensuring of safety, maintaining of confidentiality, etc.;

指定介護予防サービスの事業の運営に関する事項であって、利用する要支援者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの

Article 115-2-2, paragraph (2), item (iv)

maximum number of users pertaining to the business of Designated Preventive Long-Term Care Service.

指定介護予防サービスの事業に係る利用定員

Article 115-2-2, paragraph (3)

The Minister of Health, Labour and Welfare, when intending to provide the standards specified by Order of the Ministry of Health, Labour and Welfare as prescribed in the preceding paragraph (limited to the part pertaining to the handling of Designated Preventive Long-Term Care Service), must hear the opinion of the Social Security Council in advance.

厚生労働大臣は、前項に規定する厚生労働省令で定める基準(指定介護予防サービスの取扱いに関する部分に限る。)を定めようとするときは、あらかじめ社会保障審議会の意見を聴かなければならない。

Article 115-2-2, paragraph (4)

In the case of paragraph (1), when a person prescribed in the same paragraph has received the designation set forth in the main clause of Article 53, paragraph (1) pertaining to the application set forth in the same paragraph, the provisions of Article 115-4, paragraphs (2) through (4) do not apply to that person, and in applying the provisions listed in the upper column of the following table, the words listed in the middle column of the same table in those provisions are deemed to be replaced with the words listed in the lower column of the same table, respectively.

Article 53, paragraph (6)Article 115-4, paragraph (4)Article 115-2-2, paragraph (1), item (ii)
Article 115-3, paragraph (1)paragraph (2) of the following Articleparagraph (1), item (ii) of the preceding Article
Article 115-4, paragraph (1)in accordance with the standards specified by Prefectural Ordinancein accordance with the standards specified by Prefectural Ordinance pertaining to employees that engage in Designated Preventive Long-Term Care Service in Article 115-2-2, paragraph (1), item (i), in the same item
Article 115-8, paragraph (1), item (ii)as set forth in Article 115-4, paragraph (1)pertaining to employees that engage in Designated Preventive Long-Term Care Service in Article 115-2-2, paragraph (1), item (i)
as set forth in the same paragraphas set forth in the same item
Article 115-8, paragraph (1), item (iii)Article 115-4, paragraph (2)Article 115-2-2, paragraph (1), item (ii)
Article 115-9, paragraph (1), item (iii)as set forth in Article 115-4, paragraph (1)pertaining to employees that engage in Designated Preventive Long-Term Care Service in Article 115-2-2, paragraph (1), item (i)
as set forth in the same paragraphas set forth in the same item
Article 115-9, paragraph (1), item (iv)Article 115-4, paragraph (2)Article 115-2-2, paragraph (1), item (ii)

第一項の場合において、同項に規定する者が同項の申請に係る第五十三条第一項本文の指定を受けたときは、その者に対しては、第百十五条の四第二項から第四項までの規定は適用せず、次の表の上欄に掲げる規定の適用については、これらの規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。

第五十三条第六項第百十五条の四第二項第百十五条の二の二第一項第二号
第百十五条の三第一項次条第二項前条第一項第二号
第百十五条の四第一項都道府県の条例で定める基準に従い第百十五条の二の二第一項第一号の指定介護予防サービスに従事する従業者に係る都道府県の条例で定める基準に従い同号の
第百十五条の八第一項第二号第百十五条の四第一項の第百十五条の二の二第一項第一号の指定介護予防サービスに従事する従業者に係る
同項同号
第百十五条の八第一項第三号第百十五条の四第二項第百十五条の二の二第一項第二号
第百十五条の九第一項第三号第百十五条の四第一項の第百十五条の二の二第一項第一号の指定介護予防サービスに従事する従業者に係る
同項同号
第百十五条の九第一項第四号第百十五条の四第二項第百十五条の二の二第一項第二号
Article 115-2-2, paragraph (5)

In the case where a notification of abolition or suspension of business pursuant to the provisions of Article 21-5-20, paragraph (4) of the Child Welfare Act has been made with regard to the business of designated day support prescribed in Article 21-5-3, paragraph (1) of the Child Welfare Act (limited to that conducted at the Business Office pertaining to said designation), or a notification of abolition or suspension of business pursuant to the provisions of Article 46, paragraph (2) of the Comprehensive Support for Persons with Disabilities Act has been made with regard to the business of designated welfare service for persons with disabilities prescribed in Article 29, paragraph (1) of the Comprehensive Support for Persons with Disabilities Act (limited to that conducted at the Business Office pertaining to said designation), by a person prescribed in paragraph (1) who has received the designation set forth in the main clause of Article 53, paragraph (1) pertaining to the application set forth in the same paragraph, a notification of abolition or suspension of business pursuant to the provisions of Article 115-5, paragraph (2) is deemed to have been made with regard to the business of Designated Preventive Long-Term Care Service pertaining to said designation.

第一項に規定する者であって、同項の申請に係る第五十三条第一項本文の指定を受けたものから、児童福祉法第二十一条の五の三第一項に規定する指定通所支援の事業(当該指定に係る事業所において行うものに限る。)について同法第二十一条の五の二十第四項の規定による事業の廃止若しくは休止の届出があったとき又は障害者総合支援法第二十九条第一項に規定する指定障害福祉サービスの事業(当該指定に係る事業所において行うものに限る。)について障害者総合支援法第四十六条第二項の規定による事業の廃止若しくは休止の届出があったときは、当該指定に係る指定介護予防サービスの事業について、第百十五条の五第二項の規定による事業の廃止又は休止の届出があったものとみなす。

Article 115-3第百十五条の三

Standards of the business of Designated Preventive Service of Long-Term Care(指定介護予防サービスの事業の基準)
Article 115-3, paragraph (1)

A Designated Provider of Preventive Service of Long-Term Care must act in compliance with the standards concerning effective methods of support for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care as prescribed in paragraph (2) of the following Article and standards concerning facilities and management of a business of Designated Preventive Service of Long-Term Care, offer appropriate Designated Preventive Service of Long-Term Care according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Designated Preventive Service of Long-Term Care by implementing self-evaluation of the quality of the Provider's own Designated Preventive Service of Long-Term Care and other measures.

指定介護予防サービス事業者は、次条第二項に規定する指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防サービスの事業の設備及び運営に関する基準に従い、要支援者の心身の状況等に応じて適切な指定介護予防サービスを提供するとともに、自らその提供する指定介護予防サービスの質の評価を行うことその他の措置を講ずることにより常に指定介護予防サービスを受ける者の立場に立ってこれを提供するように努めなければならない。

Article 115-3, paragraph (2)

A Designated Provider of Preventive Long-Term Care Service, when it has confirmed, through the presentation of the certificate of insured person, etc. by an Insured Person that intends to receive Designated Preventive Long-Term Care Service, the Opinion of the Certification Committee pertaining to said Insured Person, must endeavor to provide said Designated Preventive Long-Term Care Service to said Insured Person in consideration of said Opinion of the Certification Committee.

指定介護予防サービス事業者は、指定介護予防サービスを受けようとする被保険者による被保険者証の提示等により、当該被保険者に関する認定審査会意見を確認したときは、当該認定審査会意見に配慮して、当該被保険者に当該指定介護予防サービスを提供するように努めなければならない。

Article 115-4第百十五条の四

Article 115-4, paragraph (1)

A Designated Provider of Preventive Long-Term Care Service must have, for each Business Office pertaining to said designation, in accordance with the standards specified by Prefectural Ordinance, the fixed minimum number of employees that engage in said Designated Preventive Long-Term Care Service specified by Prefectural Ordinance.

指定介護予防サービス事業者は、当該指定に係る事業所ごとに、都道府県の条例で定める基準に従い都道府県の条例で定める員数の当該指定介護予防サービスに従事する従業者を有しなければならない。

Article 115-4, paragraph (2)

In addition to the provisions in the preceding paragraph, the standards concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Service and the standards concerning facilities and management of the business of Designated Preventive Long-Term Care Service are prescribed by Prefectural Ordinance.

前項に規定するもののほか、指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防サービスの事業の設備及び運営に関する基準は、都道府県の条例で定める。

Article 115-4, paragraph (3)

A prefecture, in establishing the Prefectural Ordinances set forth in the preceding two paragraphs, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

都道府県が前二項の条例を定めるに当たっては、第一号から第三号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。

Article 115-4, paragraph (3), item (i)

standards pertaining to employees that engage in Designated Preventive Long-Term Care Service and the number of said employees;

指定介護予防サービスに従事する従業者に係る基準及び当該従業者の員数

Article 115-4, paragraph (3), item (ii)

floor area of residence rooms, medical care rooms and patient rooms pertaining to the business of Designated Preventive Long-Term Care Service;

指定介護予防サービスの事業に係る居室、療養室及び病室の床面積

Article 115-4, paragraph (3), item (iii)

matters concerning the management of the business of Designated Preventive Long-Term Care Service that are specified by Order of the Ministry of Health, Labour and Welfare as being closely related to the appropriate use of services by Persons Requiring Support who use them, appropriate treatment, ensuring of safety, maintaining of confidentiality, etc.

指定介護予防サービスの事業の運営に関する事項であって、利用する要支援者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの

Article 115-4, paragraph (3), item (iv)

maximum number of users pertaining to the business of Designated Preventive Long-Term Care Service.

指定介護予防サービスの事業に係る利用定員

Article 115-4, paragraph (4)

The Minister of Health, Labour and Welfare, when intending to provide the standards specified by Order of the Ministry of Health, Labour and Welfare as prescribed in the preceding paragraph (limited to the part concerning the handling of Designated Preventive Long-Term Care Service), must hear the opinion of the Social Security Council in advance.

厚生労働大臣は、前項に規定する厚生労働省令で定める基準(指定介護予防サービスの取扱いに関する部分に限る。)を定めようとするときは、あらかじめ社会保障審議会の意見を聴かなければならない。

Article 115-4, paragraph (5)

A Designated Provider of Preventive Long-Term Care Service, when it has submitted a notification of abolition or suspension of business pursuant to the provisions of paragraph (2) of the following Article, must provide convenience, such as coordination with the Designated Preventive Long-Term Care Support Provider, other Designated Providers of Preventive Long-Term Care Service and other relevant persons, to persons who received said Designated Preventive Long-Term Care Service within one month before the date of said notification and who wish to continue to be provided with service equivalent to said Designated Preventive Long-Term Care Service on or after the date of said abolition or suspension of business, so that necessary In-Home Service, etc. is continuously provided.

指定介護予防サービス事業者は、次条第二項の規定による事業の廃止又は休止の届出をしたときは、当該届出の日前一月以内に当該指定介護予防サービスを受けていた者であって、当該事業の廃止又は休止の日以後においても引き続き当該指定介護予防サービスに相当するサービスの提供を希望する者に対し、必要な居宅サービス等が継続的に提供されるよう、指定介護予防支援事業者、他の指定介護予防サービス事業者その他関係者との連絡調整その他の便宜の提供を行わなければならない。

Article 115-4, paragraph (6)

A Designated Provider of Preventive Long-Term Care Service must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Care.

指定介護予防サービス事業者は、要支援者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要支援者のため忠実にその職務を遂行しなければならない。

Article 115-5第百十五条の五

Notification of Change(変更の届出等)
Article 115-5, paragraph (1)

A Designated Provider of Preventive Long-Term Care Service, when the name or location of the Business Office pertaining to said appointment as service provider or other matters as determined by Order of the Ministry of Health, Labour and Welfare are changed, or when it resumes the business of said Designated Preventive Long-Term Care Service that was suspended, must provide notification of said fact to the prefectural governor within ten days pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

指定介護予防サービス事業者は、当該指定に係る事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は休止した当該指定介護予防サービスの事業を再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を都道府県知事に届け出なければならない。

Article 115-5, paragraph (2)

A Designated Provider of Preventive Long-Term Care Service, when it intends to abolish or suspend the business of said Designated Preventive Long-Term Care Service, must notify the prefectural governor to that effect by one month before the date of said abolition or suspension, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

指定介護予防サービス事業者は、当該指定介護予防サービスの事業を廃止し、又は休止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、その廃止又は休止の日の一月前までに、その旨を都道府県知事に届け出なければならない。

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