Long-Term Care Insurance Act

A Designated Registered Facility Long-Term Care Support Provider, when the name or location of a 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 has recommenced said suspended business of Designated Registered Facility Long-Term Care Support, must provide notification of said fact to the mayor of a Municipality within ten days pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A Designated Registered Facility Long-Term Care Support Provider, when it intends to abolish or suspend said business of Designated Registered Facility Long-Term Care Support, must provide notification of said fact to the mayor of a Municipality 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.

The mayor of a Municipality, when it is determined to be necessary, may order a Designated Registered Facility Long-Term Care Support Provider, a person who was a Designated Registered Facility Long-Term Care Support Provider, or a person who was an employee of a Business Office pertaining to said appointment as service provider (herein referred to as a "Person, etc., that Was a Designated Registered Facility Long-Term Care Support Provider" in this paragraph) to report, or to submit or present record books and documents, request a Designated Registered Facility Long-Term Care Support Provider, an employee of a Business Office pertaining to said appointment as service provider, or a Person, etc., that Was a Designated Registered Facility Long-Term Care Support Provider to appear, or direct its personnel to question relevant persons, or to enter the Business Office pertaining to said appointment as service provider of said Designated Registered Facility Long-Term Care Support Provider, an office, or another place related to the business of Designated Registered Facility Long-Term Care Support, and inspect the record books and documents and other items there.

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or 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, respectively.

A mayor of a Municipality, when finding that a Designated Registered Facility Long-Term Care Support Provider falls under any of the cases listed in the following items, may, setting a due date, recommend to said Designated Registered Facility Long-Term Care Support Provider that it take the measures specified in each of those items.

if it fails to satisfy the number of employees specified by Municipal Ordinance under Article 85-5, paragraph (1) with regard to the number of Long-Term Care Support Specialists of the Business Office pertaining to said designation: to satisfy said number of employees specified by Municipal Ordinance;

if it does not appropriately operate the business of Designated Registered Facility Long-Term Care Support in accordance with the standards concerning the operation of the business of Designated Registered Facility Long-Term Care Support prescribed in Article 85-5, paragraph (2): to appropriately operate the business of Designated Registered Facility Long-Term Care Support in accordance with said standards;

if it does not appropriately provide the convenience prescribed in Article 85-5, paragraph (5): to appropriately provide said convenience.

A mayor of a Municipality, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, may provide public notice of the fact that said Designated Registered Facility Long-Term Care Support Provider that is issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

A mayor of a Municipality, when a Designated Registered Facility Long-Term Care Support Provider that is issued a recommendation pursuant to the provisions of paragraph (1) does not implement the measures pertaining to said recommendation without a justifiable reason, may specify a due date and order said Designated Registered Facility Long-Term Care Support Provider to implement measures pertaining to said recommendation.

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

A mayor of a Municipality, when finding that a Designated Registered Facility Long-Term Care Support Provider that has provided Designated Registered Facility Long-Term Care Support pertaining to an insurance benefit (limited to one for which another mayor of a Municipality has made the designation set forth in Article 47-2, paragraph (1)) falls under any of the cases listed in the items of paragraph (1), must provide notification of said fact to said other mayor of a Municipality.

A mayor of a Municipality, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in Article 47-2, paragraph (1) pertaining to said Designated Registered Facility Long-Term Care Support Provider or suspend the whole or a part of the effect of said appointment as service provider for a specified period:

when a Designated Registered Facility Long-Term Care Support Provider has come to fall under any of Article 85-2, paragraph (2), items (iv) through (vi), item (xiv) (excluding when it has a person who falls under item (vii) of that paragraph), or item (xv) (excluding when it is a person who falls under item (vii) of that paragraph);

when a Designated Registered Facility Long-Term Care Support Provider becomes unable to meet the number of employees of Long-Term Care Support Specialists determined by Municipal Ordinance as set forth in Article 85-5, paragraph (1) with regard to the number of Long-Term Care Support Specialists of the Business Office pertaining to said appointment as service provider;

when a Designated Registered Facility Long-Term Care Support Provider becomes unable to appropriately operate the business of Designated Registered Facility Long-Term Care Support in accordance with the standards concerning the operation of the business of Designated Registered Facility Long-Term Care Support prescribed in Article 85-5, paragraph (2);

when it is determined that a Designated Registered Facility Long-Term Care Support Provider violates an obligation prescribed in Article 85-5, paragraph (6);

when a Designated Registered Facility Long-Term Care Support Provider 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;

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

when a Designated Registered Facility Long-Term Care Support Provider is ordered to report, submit or present record books and documents pursuant to the provisions of Article 85-7, paragraph (1), but disobeys said order or submits a false report;

when a Designated Registered Facility Long-Term Care Support Provider or an employee of the Business Office pertaining to said appointment as service provider is requested to appear pursuant to the provisions of Article 85-7, 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 the Business Office pertaining to said appointment as service provider performed said act and said Designated Registered Facility Long-Term Care Support Provider was faithfully providing reasonable care and supervision in order to prevent said act of said employee;

when a Designated Registered Facility Long-Term Care Support Provider has received the designation set forth in Article 47-2, paragraph (1) by a wrongful means;

in addition to the cases listed in the preceding items, when a Designated Registered Facility Long-Term Care Support Provider violates this Act, another Act concerning citizens' health and medical care or public aid as provided by a Cabinet Order, or an order or disposition based on these Acts;

in addition to the cases listed in the preceding items, when a Designated Registered Facility Long-Term Care Support Provider performs a wrongful or significantly unjustifiable act concerning In-Home Service, etc.;

when, among the Officers, etc. of a Designated Registered Facility Long-Term Care Support Provider, there is a person who performed a wrongful or significantly unjustifiable act concerning In-Home Service, etc. within five years before the time when the rescission of the designation or the suspension of the whole or a part of the effect of the designation is to be carried out.

A mayor of a Municipality, when finding that a Designated Registered Facility Long-Term Care Support Provider that has provided Designated Registered Facility Long-Term Care Support pertaining to an insurance benefit, or has conducted an investigation entrusted pursuant to the provisions of Article 28, paragraph (5) (limited to one for which another mayor of a Municipality has made the designation set forth in Article 47-2, paragraph (1)) corresponds to any of the items in the preceding paragraph, must provide notification of said fact to said other mayor of a Municipality.

The provisions of Article 82-2 and Article 85 apply mutatis mutandis to a Designated Registered Facility Long-Term Care Support Provider. In this case, the necessary technical replacement of terms is provided by a Cabinet Order.

A person who conducts a registered facility long-term care support business, when receiving the designation set forth in Article 47-2, paragraph (1), is deemed to have received, at the time of receiving said designation, the designation set forth in Article 46, paragraph (1) as a Business Office that conducts the In-Home Long-Term Care Support Business pertaining to the designation set forth in that paragraph, with regard to the Business Office that conducts the registered facility long-term care support business pertaining to said designation; provided, however, that this does not apply when said Designated Registered Facility Long-Term Care Support Provider has made a different notification pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

The designation set forth in Article 46, paragraph (1) (hereinafter in this Article referred to as the "deemed designation") pertaining to a person deemed to have received the designation set forth in that paragraph pursuant to the provisions of the preceding paragraph (hereinafter in this Article referred to as a "Deemed Designated In-Home Long-Term Care Support Provider") ceases to be effective when, with regard to said Deemed Designated In-Home Long-Term Care Support Provider, the designation set forth in Article 47-2, paragraph (1) loses its effect pursuant to the provisions of Article 85-3, paragraph (1), or there is a rescission of the designation set forth in Article 47-2, paragraph (1) pursuant to the provisions of Article 85-9, paragraph (1).

With regard to the deemed designation pertaining to a Deemed Designated In-Home Long-Term Care Support Provider, when the effect of the whole or a part of the designation set forth in Article 47-2, paragraph (1) is suspended with regard to said Deemed Designated In-Home Long-Term Care Support Provider pursuant to the provisions of Article 85-9, paragraph (1), its effect (limited to that pertaining to the suspension of the effect of said designation) is suspended for the corresponding period.

When a Deemed Designated In-Home Long-Term Care Support Provider has made a notification of change or recommencement pursuant to the provisions of Article 85-6, paragraph (1) or a notification of abolishment or suspension pursuant to the provisions of paragraph (2) of that Article, a notification of change or recommencement pursuant to the provisions of Article 82, paragraph (1) or a notification of abolishment or suspension pursuant to the provisions of paragraph (2) of that Article is deemed to have been made with regard to the In-Home Long-Term Care Support Business pertaining to said deemed designation.