With regard to the obligation of an officer of a Designated In-Home Long-Term Care Support Provider, etc. prescribed in Article 27, paragraph (1) of the Former Long-Term Care Insurance Act that was entrusted with the investigation under Article 27, paragraph (2) of the Former Long-Term Care Insurance Act pursuant to the provisions of the second sentence of Article 27, paragraph (2) of the Former Long-Term Care Insurance Act (including the case where applied mutatis mutandis pursuant to Article 28, paragraph (4), Article 29, paragraph (2), Article 30, paragraph (2), Article 31, paragraph (2) and Article 32, paragraph (2) of the Former Long-Term Care Insurance Act (including the case where applied mutatis mutandis pursuant to Article 33, paragraph (4) and Article 34, paragraph (2) of the Former Long-Term Care Insurance Act)), or of a Long-Term Care Support Specialist under Article 27, paragraph (3) of the Former Long-Term Care Insurance Act or other person specified by Order of the Ministry of Health, Labour and Welfare, or of a person who held any of these positions, not to divulge personal confidential information learned in connection with said entrusted operations, the provisions then in force continue to govern even on or after the Effective Date.

①A Designated In-Home Service Provider (excluding a person deemed to have received the designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of the following paragraph), a Designated In-Home Long-Term Care Support Provider, an establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly (excluding a person deemed to have received the designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of paragraph (3)), or an establisher of a Designated Medical Long-Term Care Sanatorium, or an Establisher of a Long-Term Care Health Facility (hereinafter in this paragraph referred to as a "Designated In-Home Service Provider, etc."), who at the time of enforcement of this Act actually holds the designation under the main clause of Article 41, paragraph (1) of the Former Long-Term Care Insurance Act or under Article 46, paragraph (1) or Article 48, paragraph (1), item (i) or (iii) of the Long-Term Care Insurance Act, or the approval under Article 94, paragraph (1) of that Act, is deemed to have received, on the Effective Date, the designation under the main clause of Article 41, paragraph (1) of the New Long-Term Care Insurance Act or under Article 46, paragraph (1) or Article 48, paragraph (1), item (i) or (iii) of the Long-Term Care Insurance Act, or the approval under Article 94, paragraph (1) of that Act; provided, however, that this does not apply if said Designated In-Home Service Provider, etc. has made a different notification, as provided by Order of the Ministry of Health, Labour and Welfare, by the day before the Effective Date.

②A person that, at the time of enforcement of this Act, is currently designated under the main clause of Article 41, paragraph (1) of the Former Long-Term Care Insurance Act for the business of Communal Daily Long-Term Care for a Dementia Patient or Daily Life Long-Term Care for a Person Admitted to a Specified Facility (limited to that provided at a Fee-Based Home for the Elderly prescribed in Article 29, paragraph (1) of the Former Act on Social Welfare for the Elderly or any other facility specified by Order of the Ministry of Health, Labour and Welfare under Article 7, paragraph (16) of the Former Long-Term Care Insurance Act, the residents of which are limited to a Person Requiring Long-Term Care prescribed in paragraph (3) of that Article, his or her spouse or any other person specified by Order of the Ministry of Health, Labour and Welfare, and the capacity of residents of which is 29 or less) is deemed, on the Effective Date, to have received, from the head of the Municipality of the location of the Business Office that conducts the business (or, if on the day preceding the Effective Date an Insured Person of Long-Term Care Insurance provided by a Municipality other than that Municipality (hereinafter referred to in this Article as an "other Municipality") is using those services, from the head of that other Municipality), the designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act pertaining to the Communal Daily Long-Term Care for a Dementia Patient prescribed in Article 8, paragraph (18) of the New Long-Term Care Insurance Act or the Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility prescribed in paragraph (19) of that Article; provided, however, that this does not apply if the person that conducts the business has made a different notification, as provided by Order of the Ministry of Health, Labour and Welfare, by the day preceding the Effective Date.

③The establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly that, at the time of enforcement of this Act, is currently designated under Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act and whose admission capacity is 29 or less is deemed, on the Effective Date, to have received, from the head of the Municipality of the location of that Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly (or, if on the day preceding the Effective Date an Insured Person of Long-Term Care Insurance provided by an other Municipality is admitted to that Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, from the head of that other Municipality), the designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act pertaining to the 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 prescribed in Article 8, paragraph (20) of the New Long-Term Care Insurance Act.

A person who was admitted to or hospitalized in a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Designated Medical Long-Term Care Sanatorium or a Long-Term Care Health Facility operated by the establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, the establisher of a Designated Medical Long-Term Care Sanatorium or the Establisher of a Long-Term Care Health Facility that, on the Effective Date, was deemed by the provisions of the main clause of paragraph (1) or paragraph (3) of the preceding Article to have received the designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act or Article 48, paragraph (1), item (i) or (iii) of the Long-Term Care Insurance Act, or the approval under Article 94, paragraph (1) of that Act (such a facility being hereinafter referred to in this Article as a "Former Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc."), and who was receiving the Allowance for Long-Term Care Facility Service under Article 48, paragraph (1) of the Former Long-Term Care Insurance Act (hereinafter referred to as a "Person Admitted to a Facility Under the Former Rules"), and who has received the Certification of Needed Support prescribed in Article 19, paragraph (2) of the New Long-Term Care Insurance Act within the period specified by Order of the Ministry of Health, Labour and Welfare on or after the Effective Date (limited to a person who falls under a Category of Needed Support Condition specified by Order of the Ministry of Health, Labour and Welfare (meaning the Category of Needed Support Condition prescribed in Article 7, paragraph (2) of the New Long-Term Care Insurance Act)), is deemed to have received New Certification of Needed Long-Term Care, only for three years counted from the Effective Date, for as long as the person continues to be admitted to or hospitalized in that Former Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc. on or after the Effective Date (including, for a Person Admitted to a Facility Under the Former Rules who, due to the rescission of the designation or rescission of the approval under Article 78-9, Article 92, paragraph (1), Article 104, paragraph (1), Article 114, paragraph (1) or Article 115-29, paragraph (6) of the New Long-Term Care Insurance Act pertaining to that Former Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc. or any other unavoidable reason, has been admitted to or hospitalized in one or more other Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care prescribed in Article 8, paragraph (20) of the New Long-Term Care Insurance Act, Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly prescribed in Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act, Designated Medical Long-Term Care Sanatorium prescribed in item (iii) of that paragraph, or Long-Term Care Health Facility prescribed in Article 8, paragraph (25) of the New Long-Term Care Insurance Act (hereinafter referred to in this Article as a "Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc.") in continuation from that Former Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc., the period during which the person continues to be admitted to or hospitalized in that one or more other Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc.), and Articles 42-2 and 48 of the New Long-Term Care Insurance Act apply.

A person who, at the time of enforcement of this Act, is currently a Long-Term Care Support Specialist prescribed in Article 79, paragraph (2), item (ii) of the Former Long-Term Care Insurance Act is deemed, on the Effective Date, to have been registered by the prefectural governor as set forth in Article 69-2, paragraph (1) of the New Long-Term Care Insurance Act and to have received delivery of a Long-Term Care Support Specialist Certification pursuant to the provisions of Article 69-7, paragraph (1) of the New Long-Term Care Insurance Act.

With regard to the establisher of a hospital, clinic or pharmacy that, at the time of enforcement of this Act, is currently designated as a medical facility that provides insured services or a pharmacy that provides insured services pursuant to Article 63, paragraph (3), item (i) of the Health Insurance Act (Act No. 70 of 1922), or a hospital or clinic that is currently approved as a specially approved medical facility that provides insured services pursuant to Article 86, paragraph (1), item (i) of that Act, the designation under the main clause of Article 53, paragraph (1) of the New Long-Term Care Insurance Act is deemed to have been made, on the Effective Date, pertaining to the Preventive Long-Term Care Service prescribed in Article 8-2, paragraph (1) of the New Long-Term Care Insurance Act that is provided by that hospital, clinic or pharmacy (limited, for a hospital or clinic, to Management and Guidance for In-Home Medical Service for Preventive Long-Term Care (meaning the Management and Guidance for In-Home Medical Service for Preventive Long-Term Care prescribed in paragraph (6) of that Article; the same applies below in this Article) and other types of Preventive Long-Term Care Service prescribed in Article 8-2, paragraph (1) of the New Long-Term Care Insurance Act that are specified by Order of the Ministry of Health, Labour and Welfare, and, for a pharmacy, limited to Management and Guidance for In-Home Medical Service for Preventive Long-Term Care); provided, however, that this does not apply if the establisher of that hospital, clinic or pharmacy has made a different notification, as provided by Order of the Ministry of Health, Labour and Welfare, by the day preceding the Effective Date.

For fiscal year 2006, in Article 134, paragraph (4) of the Long-Term Care Insurance Act as amended by the provisions of Article 4, the phrase "during the period from August 2 to October 1 of said year" is deemed to be replaced with "during the period from April 2 to October 1 of said year", and the phrase "a person (except for" is deemed to be replaced with "a person (including a person who corresponds to paragraph (2), item (i) during the period from March 1 to April 1 of said year and who has not received payment of the old age, etc. pension benefit from said Pension Insurer as of April 1 of said year, and except for".

The enactment or amendment of Prefectural or Municipal Ordinances necessary to enforce this Act, the procedure for designation under Article 24-2, paragraph (1) of the New Long-Term Care Insurance Act, the procedure for registration under Article 69-11, paragraph (1) of the New Long-Term Care Insurance Act, the procedure for approval under Article 69-18, paragraph (1) of the New Long-Term Care Insurance Act, the procedure for designation under Article 69-27 of the New Long-Term Care Insurance Act, the procedure for designation under Article 69-33, paragraph (1) of the New Long-Term Care Insurance Act, the procedure for designation under the main clause of Article 41, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of Article 70 of the New Long-Term Care Insurance Act (limited to that pertaining to Sale of Specified Equipment Covered by Public Aid), the procedure for designation under the main clause of Article 42-2, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of Article 78-2 of the New Long-Term Care Insurance Act, the procedure for designation under the main clause of Article 53, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of Article 115-2 of the New Long-Term Care Insurance Act, the procedure for designation under the main clause of Article 54-2, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of Article 115-11 of the New Long-Term Care Insurance Act, the procedure for designation under Article 58, paragraph (1) of the New Long-Term Care Insurance Act pursuant to the provisions of Article 115-20 of the New Long-Term Care Insurance Act, the procedure for designation under Article 115-30, paragraph (1) of the New Long-Term Care Insurance Act, the procedure for designation under Article 115-36, paragraph (1) of the New Long-Term Care Insurance Act, and other acts may be performed even before the date of enforcement of this Act.

With regard to the application of penal provisions to acts committed before this Act comes into effect, and to acts committed after this Act comes into effect in cases where the provisions then in force continue to govern pursuant to Article 9 of the Supplementary Provisions, the provisions then in force continue to govern.

Beyond what is provided for in Article 3 through Article 27, Article 36 and Article 37 of the Supplementary Provisions, the transitional measures necessary incidental to the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.