An appointment as service provider as set forth in the main clause of Article 41, paragraph (1) is to be provided pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, by the submission of an application of a person that operates an In-Home Service Business, and by type of In-Home Service and provider that operates said In-Home Service Business pertaining to the type of said In-Home Service (hereinafter referred to simply as "Business Office" in this Section).
A prefectural governor, in a case of an application as set forth in the preceding paragraph, when any of the following items (excluding item (vi)-2, item (vi)-3, item (x)-2 and item (xii) with regard to an application of appointment as service provider pertaining to Guidance for Management of In-Home Medical Long-Term Care provided by a Hospital, etc., or Home-Visit Nursing, Home-Visit Rehabilitation, Outpatient Rehabilitation or Short-Term Admission for Recuperation provided by a hospital or a clinic) applies, must not provide the appointment as service provider as set forth in the main clause of Article 41, paragraph (1):
when the applicant is not a person specified by Prefectural Ordinance;
申請者が都道府県の条例で定める者でないとき。
when the knowledge and skill of the employees and the number of personnel of the Business Office pertaining to said application do not meet the standards specified by Prefectural Ordinance as set forth in Article 74, paragraph (1) and the number of employees specified by Prefectural Ordinance as set forth in the same paragraph;
when it is determined that the applicant cannot perform a proper In-Home Service Business in accordance with standards pertaining to facilities and management of a Designated In-Home Service Business as prescribed in Article 74, paragraph (2);
when the applicant is punished by imprisonment or a more severe penalty and execution of said penalty has not yet 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。
when the applicant is punished by a fine pursuant to the provisions of this Act or any other Act pertaining to medical service or the welfare of citizens as provided by a Cabinet Order 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。
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。
when the applicant has, with regard to insurance premiums, charges or contributions (including National Health Insurance tax pursuant to the provisions of the Local Tax Act; hereinafter referred to as "insurance premiums, etc." in this item, Article 78-2, paragraph (4), item (v)-3, Article 79, paragraph (2), item (iv)-3, Article 94, paragraph (3), item (v)-3, Article 107, paragraph (3), item (vii), Article 115-2, paragraph (2), item (v)-3, Article 115-12, paragraph (2), item (v)-3, Article 115-22, paragraph (2), item (iv)-3 and Article 203, paragraph (2)) that the applicant is obligated to pay under the provisions of the social insurance Acts or the Act on the Collection, etc. of Insurance Premiums of Labor Insurance (Act No. 84 of 1969), been subject, by the day before the day of making said application, to a disposition of delinquency based on the provisions of those Acts, 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 arrived on or after the day of receiving said disposition (limited to insurance premiums, etc. that the person subject to said disposition is obligated to pay under an Act that provides that the person is obligated to pay the insurance premiums, etc. pertaining to said disposition; the same applies in Article 78-2, paragraph (4), item (v)-3, Article 79, paragraph (2), item (iv)-3, Article 94, paragraph (3), item (v)-3, Article 107, paragraph (3), item (vii), Article 115-2, paragraph (2), item (v)-3, Article 115-12, paragraph (2), item (v)-3 and Article 115-22, paragraph (2), item (iv)-3);
申請者が、社会保険各法又は労働保険の保険料の徴収等に関する法律（昭和四十四年法律第八十四号）の定めるところにより納付義務を負う保険料、負担金又は掛金（地方税法の規定による国民健康保険税を含む。以下この号、第七十八条の二第四項第五号の三、第七十九条第二項第四号の三、第九十四条第三項第五号の三、第百七条第三項第七号、第百十五条の二第二項第五号の三、第百十五条の十二第二項第五号の三、第百十五条の二十二第二項第四号の三及び第二百三条第二項において「保険料等」という。）について、当該申請をした日の前日までに、これらの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（当該処分を受けた者が、当該処分に係る保険料等の納付義務を負うことを定める法律によって納付義務を負う保険料等に限る。第七十八条の二第四項第五号の三、第七十九条第二項第四号の三、第九十四条第三項第五号の三、第百七条第三項第七号、第百十五条の二第二項第五号の三、第百十五条の十二第二項第五号の三及び第百十五条の二十二第二項第四号の三において同じ。）を引き続き滞納している者であるとき。
when the applicant (excluding an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a person whose designation (excluding designation pertaining to daily life long-term care for a person admitted to a Specified Facility) has been rescinded pursuant to the provisions of Article 77, paragraph (1) or Article 115-35, paragraph (6) 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 that is or was an Officer of said juridical person (meaning a member who executes business, a director, an executive officer or a person equivalent to them, and including a person, whatever the title, such as advisor or consultant, who is found to have control over a juridical person equal to or greater than that of a member who executes business, a director, an executive officer or a person equivalent to them; the same applies in Section 5 and Article 203, paragraph (2)), a person who manages the Business Office, or other employee specified by Cabinet Order (hereinafter referred to as "Officer, etc.") within sixty days prior to the date of notification pursuant to the provisions of Article 15 of the Administrative Procedure Act pertaining to 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 that is or 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 In-Home Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated In-Home 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 In-Home Service Provider had in relation to said facts;
申請者（特定施設入居者生活介護に係る指定の申請者を除く。）が、第七十七条第一項又は第百十五条の三十五第六項の規定により指定（特定施設入居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（業務を執行する社員、取締役、執行役又はこれらに準ずる者をいい、相談役、顧問その他いかなる名称を有する者であるかを問わず、法人に対し業務を執行する社員、取締役、執行役又はこれらに準ずる者と同等以上の支配力を有するものと認められる者を含む。第五節及び第二百三条第二項において同じ。）又はその事業所を管理する者その他の政令で定める使用人（以下「役員等」という。）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、指定居宅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居宅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居宅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。
when the applicant (limited to an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a person whose designation (limited to designation pertaining to daily life long-term care for a person admitted to a Specified Facility) has been rescinded pursuant to the provisions of Article 77, paragraph (1) or Article 115-35, paragraph (6) 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 that is or 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 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 that is or 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 In-Home Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated In-Home 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 In-Home Service Provider had in relation to said facts;
申請者（特定施設入居者生活介護に係る指定の申請者に限る。）が、第七十七条第一項又は第百十五条の三十五第六項の規定により指定（特定施設入居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、指定居宅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居宅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居宅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。
when a person that has a close relationship with the applicant (meaning a juridical person that has a close relationship with said applicant as specified by Order of the Ministry of Health, Labour and Welfare, from among a person specified by Order of the Ministry of Health, Labour and Welfare as being in a relationship of substantially controlling the business of the applicant (limited to a juridical person; the same applies hereinafter in this item), or exerting a significant influence on its business, through the ownership of shares or other grounds (hereinafter referred to as the "parent company, etc. of the applicant" in this item), a person specified by Order of the Ministry of Health, Labour and Welfare as being in a relationship in which the parent company, etc. of the applicant substantially controls its business or exerts a significant influence on its business through the ownership of shares or other grounds, or a person specified by Order of the Ministry of Health, Labour and Welfare as being in a relationship in which said applicant substantially controls its business or exerts a significant influence on its business through the ownership of shares or other grounds; the same applies hereinafter in this Chapter) is a person whose designation has been rescinded pursuant to the provisions of Article 77, paragraph (1) or Article 115-35, paragraph (6) 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 In-Home Service Provider, in consideration of the facts that were the grounds for the disposition of said rescission, the status of efforts by said Designated In-Home 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 In-Home Service Provider had in relation to said facts;
申請者と密接な関係を有する者（申請者（法人に限る。以下この号において同じ。）の株式の所有その他の事由を通じて当該申請者の事業を実質的に支配し、若しくはその事業に重要な影響を与える関係にある者として厚生労働省令で定めるもの（以下この号において「申請者の親会社等」という。）、申請者の親会社等が株式の所有その他の事由を通じてその事業を実質的に支配し、若しくはその事業に重要な影響を与える関係にある者として厚生労働省令で定めるもの又は当該申請者が株式の所有その他の事由を通じてその事業を実質的に支配し、若しくはその事業に重要な影響を与える関係にある者として厚生労働省令で定めるもののうち、当該申請者と厚生労働省令で定める密接な関係を有する法人をいう。以下この章において同じ。）が、第七十七条第一項又は第百十五条の三十五第六項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、指定居宅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居宅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居宅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。
when the applicant is a person that provided notification of abolishment of business pursuant to the provisions of Article 75, paragraph (2) 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 77, paragraph (1) or Article 115-35, paragraph (6) to the date on which said disposition is made or the date on which it is determined not to make a disposition (except for a person that has a reasonable basis for said abolishment of business) and five years have not elapsed from the date of said notification;
申請者が、第七十七条第一項又は第百十五条の三十五第六項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七十五条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。）で、当該届出の日から起算して五年を経過しないものであるとき。
when the applicant is a person that provided notification of abolishment of business pursuant to the provisions of Article 75, paragraph (2) during the period from the date on which an inspection pursuant to the provisions of Article 76, paragraph (1) was conducted to the expected hearing decision date (meaning, where the prefectural governor has, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, notified said applicant of a specific date within 10 days from the date on which said inspection was conducted as the date on which a decision is expected to be made, based on the result of said inspection, as to whether or not to hold a hearing pertaining to a disposition of rescission of the designation pursuant to the provisions of Article 77, paragraph (1), said specific date) (excluding a person that has a reasonable basis for said abolishment of business), and five years have not elapsed from the date of said notification;
in the case where a notification of abolishment of business pursuant to the provisions of Article 75, paragraph (2) has been submitted within the period prescribed in item (vii), when the applicant is a person that was, within sixty days prior to the date of notification set forth in the same item, an Officer, etc. of a juridical person pertaining to said notification (excluding a juridical person that has a reasonable basis for said abolishment of business) or a manager of a Business Office that is not a juridical person pertaining to said notification (excluding one that has a reasonable basis for said abolishment of business), and five years have not elapsed from the date of said notification;
when the applicant performed a wrongful or significantly unjustifiable act pertaining to In-Home Service, etc., within five years prior to an 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。
when the applicant (excluding an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a juridical person and any of its Officers, etc. is a person who corresponds to any of item (iv) through item (vi) or item (vii) through the preceding item;
申請者（特定施設入居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から第六号まで又は第七号から前号までのいずれかに該当する者のあるものであるとき。
when the applicant (limited to an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a juridical person and any of its Officers, etc. is a person who corresponds to any of item (iv) through item (v)-3, item (vi)-2, or item (vii) through item (ix);
申請者（特定施設入居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から第五号の三まで、第六号の二又は第七号から第九号までのいずれかに該当する者のあるものであるとき。
when the applicant (excluding an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a Business Office that is not a juridical person and a manager of said Business Office is a person who corresponds to any of item (iv) through item (vi) or item (vii) through item (ix);
申請者（特定施設入居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から第六号まで又は第七号から第九号までのいずれかに該当する者であるとき。
when the applicant (limited to an applicant for designation pertaining to daily life long-term care for a person admitted to a Specified Facility) is a Business Office that is not a juridical person and a manager of said Business Office is a person who corresponds to any of item (iv) through item (v)-3, item (vi)-2, or item (vii) through item (ix).
申請者（特定施設入居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から第五号の三まで、第六号の二又は第七号から第九号までのいずれかに該当する者であるとき。
A prefecture, in establishing the Prefectural Ordinance set forth in item (i) of the preceding paragraph, is to establish it in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare.
都道府県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。
In a case of an application as set forth in paragraph (1) for Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility (which means Daily Life Long-Term Care Admitted to a Specified Facility provided to a Person Requiring Long-Term Care who is admitted to a Specialized Long-Term Care Specified Facility; the same applies hereinafter), a prefectural governor, when the total sum of the capacity of users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total capacity of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area including the location of the Business Office pertaining to said application (which is to be the area specified by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) has reached or is it determined to exceed due to the appointment as service provider of said business pertaining to said application the total sum of the total capacity of users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total capacity of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area as prescribed by a Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that said application may interfere with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may determine not to execute the appointment as service provider as set forth in the main clause of Article 41, paragraph (1).
都道府県知事は、介護専用型特定施設入居者生活介護（介護専用型特定施設に入居している要介護者について行われる特定施設入居者生活介護をいう。以下同じ。）につき第一項の申請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、第四十一条第一項本文の指定をしないことができる。
In a case of an application as set forth in paragraph (1) for Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means Daily Life Long-Term Care Admitted to a Specified Facility provided for a Person Requiring Long-Term Care who is a resident in a Specified Facility other than a Specialized Long-Term Care Specified Facility; the same applies herein), a prefectural governor, when the total of assumed capacity of users of Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means a capacity calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare) in the area including the location of the Business Office pertaining to said application (which means an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) has been reached or is it determined that said capacity will be exceeded by the appointment as service provider pertaining to said application the total of prospective capacity of necessary users of Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means a capacity calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare) in said area provided by a Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that said application may interfere with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may determine not to execute an appointment as service provider as set forth in the main clause of Article 41, paragraph (1).
都道府県知事は、混合型特定施設入居者生活介護（介護専用型特定施設以外の特定施設に入居している要介護者について行われる特定施設入居者生活介護をいう。以下同じ。）につき第一項の申請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。）における混合型特定施設入居者生活介護の推定利用定員（厚生労働省令で定めるところにより算定した定員をいう。）の総数が、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混合型特定施設入居者生活介護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、第四十一条第一項本文の指定をしないことができる。
A prefectural governor, when he or she intends to determine an appointment as service provider as set forth in the main clause of Article 41, paragraph (1) (limited to Daily Life Long-Term Care Admitted to a Specified Facility or other In-Home Service as determined by Order of the Ministry of Health, Labour, and Welfare), must provide notice of matters as determined by Order of the Ministry of Health, Labour, and Welfare to the mayor of the relevant Municipality, specify a reasonable period, and request opinions from the perspective of coordination with the Municipal Insured Long-Term Care Service Plan as prescribed in Article 117, paragraph (1) of said relevant Municipality.
都道府県知事は、第四十一条第一項本文の指定（特定施設入居者生活介護その他の厚生労働省令で定める居宅サービスに係るものに限る。）をしようとするときは、関係市町村長に対し、厚生労働省令で定める事項を通知し、相当の期間を指定して、当該関係市町村の第百十七条第一項に規定する市町村介護保険事業計画との調整を図る見地からの意見を求めなければならない。
The mayor of a relevant Municipality may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, request the prefectural governor to notify said mayor of the relevant Municipality to that effect in advance, when the prefectural governor intends to make the designation prescribed in the main clause of Article 41, paragraph (1) (excluding that pertaining to In-Home Service specified by Order of the Ministry of Health, Labour and Welfare under the preceding paragraph; the same applies in the following paragraph). In this case, said prefectural governor must comply with the request.
The mayor of a relevant Municipality, upon receiving the notification under the provisions of the preceding paragraph, may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, submit to the prefectural governor an opinion, from the perspective of coordination with the Municipal Insured Long-Term Care Service Plan prescribed in Article 117, paragraph (1) of said relevant Municipality, regarding the designation prescribed in the main clause of Article 41, paragraph (1).
関係市町村長は、前項の規定による通知を受けたときは、厚生労働省令で定めるところにより、第四十一条第一項本文の指定に関し、都道府県知事に対し、当該関係市町村の第百十七条第一項に規定する市町村介護保険事業計画との調整を図る見地からの意見を申し出ることができる。
A prefectural governor may, in consideration of the opinions under paragraph (6) or the preceding paragraph, attach conditions found necessary for ensuring appropriate operation of said business when making the designation prescribed in the main clause of Article 41, paragraph (1).
The mayor of a Municipality may, in the case where a Business Office conducting the business of a person who has received the designation prescribed in 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, being Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Multifunctional Long-Term Care in a Small Group Home, or other service specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this Article), pertaining to said designation (hereinafter referred to as a "Business Office for Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc." in this paragraph) is located in the area of said Municipality, or in any other case specified by Order of the Ministry of Health, Labour and Welfare, and the mayor finds that any of the following items applies, request the prefectural governor, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, to hold the consultation necessary for securing the prospective volume of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc. in the area including said Municipality or the location of said Business Office for Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc. (meaning the area determined by said Municipality pursuant to the provisions of Article 117, paragraph (2), item (i); hereinafter referred to as the "Daily Activities Area" in this paragraph) that is set out in the Municipal Insured Long-Term Care Service Plan determined by said Municipality (meaning the Municipal Insured Long-Term Care Service Plan prescribed in Article 117, paragraph (1); the same applies hereinafter in this paragraph), with regard to the designation prescribed in the main clause of Article 41, paragraph (1) pertaining to Home-Visit Long-Term Care, Outpatient Day Long-Term Care and other In-Home Service specified by Order of the Ministry of Health, Labour and Welfare (limited to that provided by Business Offices located in the area of said Municipality). In this case, said prefectural governor must comply with the request.
市町村長は、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。以下この条において同じ。）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（以下この項において「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であって、次の各号のいずれかに該当すると認めるときは、都道府県知事に対し、訪問介護、通所介護その他の厚生労働省令で定める居宅サービス（当該市町村の区域に所在する事業所が行うものに限る。）に係る第四十一条第一項本文の指定について、厚生労働省令で定めるところにより、当該市町村が定める市町村介護保険事業計画（第百十七条第一項に規定する市町村介護保険事業計画をいう。以下この項において同じ。）において定める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。以下この項において「日常生活圏域」という。）における定期巡回・随時対応型訪問介護看護等の見込量を確保するため必要な協議を求めることができる。この場合において、当該都道府県知事は、その求めに応じなければならない。
when the volume of each type of In-Home Service (limited to that for which consultation is to be held pursuant to the provisions of this paragraph; the same applies hereinafter in this item and the following paragraph) in said Municipality or Daily Activities Area has already reached the prospective volume of each type of said In-Home Service in said Municipality or Daily Activities Area set out in the Municipal Insured Long-Term Care Service Plan determined by said Municipality, or would exceed it through the designation of the provider pertaining to the application under paragraph (1);
in any other case where there is a risk of hindering the achievement of said Municipal Insured Long-Term Care Service Plan.
その他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き。
A prefectural governor may, based on the result of the consultation under the preceding paragraph, in the case where an application under paragraph (1) is made for In-Home Service provided by a Business Office located in the area under the jurisdiction of the mayor of the Municipality who requested the consultation, decide, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, not to make the designation prescribed in the main clause of Article 41, paragraph (1), or attach, when making the designation prescribed in the main clause of that paragraph, conditions found necessary for ensuring appropriate operation of the business of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc.