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on 1 April 2028, in 17 months

Medical Care Act

医療法（いりょうほう）

Amended by

Act Partially Amending the Medical Care Act, etc.

医療法等の一部を改正する法律

The whole text as amended, on e-Gov

The same amending law also changes

7 provisions changed · 1 provision added · 2 provisions in the supplementary provisions

Each provision the amendment changes, before and after in one: words it removes are struck through, words it adds are highlighted. The Japanese is the law; the icon beside each English column says whose English it is.

Article 7-2第七条の二

Read it in the amended law
  • ChangedArticle 7-2, paragraph (3)

    Where an application has been made to the prefectural governor for permission to establish a hospital or to increase the number of beds in a hospital (limited toexcluding those related to long-term care infectious disease hospital beds, etc. and tuberculosis hospital beds), or for permission to establish beds in a clinic or to increase the number of beds in a clinic, and all of the following items apply, the governor is to request the person who has filed the relevant application (hereinafter referred to as the "applicant" in this Article) to submit a document stating the reason why it is necessary to establish a hospital, to establish beds in a clinic, or to increase the number of beds in a hospital or clinic in the vision area including the location of the hospital or clinic to which the relevant application relates and other particulars specified by an Order of the Ministry of Health, Labour and Welfare (referred to as the "reasons, etc." in paragraphs (5) and (6)), and to participate in consultation at the place of consultation prescribed in Article 30-14, paragraph (1).

    都道府県知事は、病院の開設の許可若しくは病院の病床数の増加の許可の申請（療養病床等感染症病床及び結核病床に関するものに限るを除く。）又は診療所の病床の設置の許可若しくは診療所の病床数の増加の許可の申請があつた場合において、次の各号のいずれにも該当するときは、当該申請をした者（以下この条において「申請者」という。）に対し、当該申請に係る病院又は診療所の所在地を含む構想区域において病院の開設、診療所の病床の設置又は病院若しくは診療所の病床数の増加が必要である理由その他の厚生労働省令で定める事項（第五項及び第六項において「理由等」という。）を記載した書面を提出し、かつ、第三十条の十四第一項に規定する協議の場における協議に参加するよう求めるものとする。

  • ChangedArticle 7-2, paragraph (3), item (i)

    when the total number of long-term care beds and generalhospital or clinic beds in the area including the location of the hospital or clinic to which the relevant application relates (an where the beds to which the relevant application relates are long-term care beds, etc. only, this is to be the area provided for in Article 30-4, paragraph (2), item (xii) as prescribed by the medical care plan) ; where the beds to which the relevant application relates are psychiatric hospital beds only, this is to be the prefectural area; and where the beds to which the relevant application relates are long-term care beds, etc. and psychiatric hospital beds, this is to be the area provided for in the same item and the prefectural area) that corresponds to the bed classification of the beds to which the relevant application relates (or, where the beds to which the relevant application relates are long-term care beds, etc. only, the total number of long-term care beds and general beds in that area) is found, as a result of the establishment of the hospital, the establishment of beds in a clinic, or the increase in the number of beds in a hospital or clinic to which the relevant application relates, to be less than the target number of beds for that area that corresponds to the bed classification of the beds to which the relevant application relates (or, where the beds to which the relevant application relates are long-term care beds , etc. only, the target number of beds for long-term care beds and general beds in the relevantthat area), as prescribed in the medical care plan in accordance with the requirements prescribed by the Order of the Ministry of Health, Labour and Welfare set forth in Article 30-4, paragraph (7);

    当該申請に係る病院又は診療所の所在地を含む地域（当該申請に係る病床が療養病床等のみである場合は医療計画において定める第三十条の四第二項第十二号に規定する区域をいうとし、当該申請に係る病床が精神病床のみである場合は当該都道府県の区域とし、当該申請に係る病床が療養病床等及び精神病床である場合は同号に規定する区域及び当該都道府県の区域とする。）における療病院又は診療所の病床の当該申請に係る病床の種別に応じた数（当該申請に係る病床が療養病床等のみである場合は、その地域における療養病床及び一般病床の数の合計）が、当該申請に係る病院の開設、診療所の病床の設置又は病院若しくは診療所の病床数の増加によつて、同条第七項の厚生労働省令で定める基準に従い医療計画において定めるその区域の地域の当該申請に係る病床の種別に応じた基準病床数（当該申請に係る病床が療養病床等のみである場合は、その地域における療養病床及び一般病床に係る基準病床数）に満たないと認めるとき。

  • ChangedArticle 7-2, paragraph (3), item (ii)

    when it is found that the number of beds that corresponds to the bed classification of the beds to which the relevant application relates (or, where the beds to which the relevant application relates are long-term care beds, etc. only, the total number of long-term care beds and general beds in that vision area) in the vision area including the location of the hospital or clinic to which the relevant application relates has already reached the total of the future requirements for the number of beds that corresponds to the bed classification of the beds to which the relevant application relates (or, where the beds to which the relevant application relates are long-term care beds, etc. only, the total of the future requirements for the number of beds for long-term care beds and general beds in that vision area) in the relevant vision area specified in the regional medical care vision, or would exceed that total as a result of the establishment of the hospital, the establishment of beds in a clinic, or the increase in the number of beds in a hospital or clinic to which the relevant application relates.

    当該申請に係る病院又は診療所の所在地を含む構想区域における当該申請に係る病床の種別に応じた数（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床の数の合計）が、地域医療構想において定める当該構想区域における当該申請に係る病床の種別に応じた将来の病床数の必要量の合計（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床に係る将来の病床数の必要量の合計）に既に達しているか、又は当該申請に係る病院の開設、診療所の病床の設置若しくは病院若しくは診療所の病床数の増加によつてこれを超えることになると認めるとき。

Article 7-3第七条の三

Read it in the amended law
  • ChangedArticle 7-3, paragraph (1)

    Where a prefectural governor has received an application for permission to establish a hospital or permission to increase the number of beds in a hospital (limited toexcluding those related to long-term care infectious disease hospital beds, etc. and tuberculosis hospital beds), if the governor finds that the number of beds that corresponds to the bed classification of the beds pertaining to the relevant application (or, where the beds pertaining to the relevant application are long-term care beds, etc. only, the total number of long-term care beds and general beds in the relevant vision area ) in the vision area including the location of the hospital pertaining to the relevant application has already reached the total of the future requirements for the number of beds that corresponds to the bed classification of the beds pertaining to the relevant application (or, where the beds pertaining to the relevant application are long-term care beds, etc. only, the total of the future requirements for the number of beds for long-term care beds and general beds in the relevant vision area) in the relevant vision area as specified in the regional medical care vision, or will exceed that total due to the establishment of the hospital or the increase in the number of beds in the hospital pertaining to the relevant application, the governor may request the person who has filed the relevant application (hereinafter referred to as the "applicant" in this Article) to submit a document stating the reason why it is necessary to establish a hospital or increase the number of beds in the hospital in the relevant vision area and other particulars specified by an Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as the "reasons, etc." in this Article).

    都道府県知事は、病院の開設の許可又は病院の病床数の増加の許可の申請（療養病床等感染症病床及び結核病床に関するものに限るを除く。）があつた場合において、当該申請に係る病院の所在地を含む構想区域における当該申請に係る病床の種別に応じた数（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床の数の合計）が、地域医療構想において定める当該構想区域における当該申請に係る病床の種別に応じた将来の病床数の必要量の合計（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床に係る将来の病床数の必要量の合計）に既に達しているか、又は当該申請に係る病院の開設若しくは病院の病床数の増加によつてこれを超えることになると認めるときは、当該申請をした者（以下この条において「申請者」という。）に対し、当該構想区域において病院の開設又は病院の病床数の増加が必要である理由その他の厚生労働省令で定める事項（以下この条において「理由等」という。）を記載した書面の提出を求めることができる。

  • ChangedArticle 7-3, paragraph (8)

    The provisions of the preceding paragraphs apply mutatis mutandis to an application for permission to set up new beds in a clinic or permission to increase the number of beds in a clinic. In this case, the term "excluding those related to infectious disease hospital beds and tuberculosis hospital beds" in paragraph (1) is to be replaced with "limited to those related to long-term care beds, etc.", the term "the number of beds that corresponds to the bed classification of the beds pertaining to the relevant application (or, where the beds pertaining to the relevant application are long-term care beds, etc. only, the total number of long-term care beds and general beds in the relevant vision area)" is to be replaced with "the total number of long-term care beds and general beds", the term "the total of the future requirements for the number of beds that corresponds to the bed classification of the beds pertaining to the relevant application (or, where the beds pertaining to the relevant application are long-term care beds, etc. only, the total of the future requirements for the number of beds for long-term care beds and general beds in the relevant vision area)" is to be replaced with "the total of the future requirements for the number of beds for long-term care beds and general beds", the term "paragraph (1) or (2) of the same Article" in paragraph (6) is to be replaced with "paragraph (3) of the same Article", and the term "paragraph (1) or (2) of Article 7" in the preceding paragraph is to be replaced with "paragraph (3) of Article 7".

    前各項の規定は、診療所の病床の設置の許可又は診療所の病床数の増加の許可の申請について準用する。この場合において、第一項中「感染症病床及び結核病床に関するものを除く」とあるのは「療養病床等に関するものに限る」と、「当該申請に係る病床の種別に応じた数（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床の数の合計）」とあるのは「療養病床及び一般病床の数の合計」と、「当該申請に係る病床の種別に応じた将来の病床数の必要量の合計（当該申請に係る病床が療養病床等のみである場合は、当該構想区域における療養病床及び一般病床に係る将来の病床数の必要量の合計）」とあるのは「療養病床及び一般病床に係る将来の病床数の必要量の合計」と、第六項中「同条第一項又は第二項」とあるのは「同条第三項」と、前項中「第七条第一項又は第二項」とあるのは「第七条第三項」と読み替えるものとする。

Article 7-4第七条の四

Read it in the amended law
  • ChangedArticle 7-4, paragraph (1), item (i)

    when the total number of long-term care beds and general beds in the vision area has already reached the total of the future requirements for the number of beds for long-term care beds and general beds in the relevant vision area as specified in the regional medical care vision;

    構想区域における療養病床及び一般病床の数の合計が、地域医療構想において定める当該構想区域における療養病床及び一般病床に係る将来の病床数の必要量の合計に既に達しているとき。

  • AddedArticle 7-4, paragraph (3)

    The provisions of the preceding two paragraphs apply mutatis mutandis to psychiatric hospital beds. In this case, the term "the establisher or administrator of a hospital (limited to those having long-term care beds, etc.) or clinic (limited to those that have established beds with the permission set forth in Article 7, paragraph (3))" in paragraph (1) is to be replaced with "the establisher or administrator of a hospital (limited to those having long-term care beds, etc.)", the term "the area prescribed in Article 30-4, paragraph (2), item (xii) as specified in the medical care plan" in item (ii) of that paragraph is to be replaced with "the area within the boundaries of the relevant prefecture", and the term "hospital or clinic" in the preceding paragraph is to be replaced with "hospital".

    前二項の規定は、精神病床について準用する。この場合において、第一項中「又は診療所（第七条第三項の許可を得て病床を設置するものに限る。）の開設者」とあるのは「の開設者」と、同項第二号中「医療計画において定める第三十条の四第二項第十二号に規定する区域」とあるのは「当該都道府県の区域」と、前項中「病院又は診療所」とあるのは「病院」と読み替えるものとする。

Article 30-3-3第三十条の三の三

Read it in the amended law
  • ChangedArticle 30-3-3, paragraph (2), item (iii)

    the outlook for future medical institution functions for each classification specified by an Order of the Ministry of Health, Labour and Welfare according to the medical institution functions prescribed in Article 30-13, paragraph (1) (limited to the part pertaining to long-term care beds or general beds; the same applies hereinafter in this Article) in a vision area (referred to simply as the "outlook for future medical institution functions" in Article 30-14, paragraph (1));

    構想区域における第三十条の十三第一項（療養病床又は一般病床に関する部分に限る。以下この条において同じ。）に規定する医療機関機能に応じ厚生労働省令で定める区分ごとの将来の医療機関機能の見通し（第三十条の十四第一項において単に「将来の医療機関機能の見通し」という。）

2 changes in the supplementary provisions (附則)

Supplementary Provisions, Article 3 · Transitional Measures Accompanying Partial Amendment of the Medical Care Act附則第三条（医療法の一部改正に伴う経過措置）

Read it in the amended law
  • AddedSupplementary Provisions, Article 3, paragraph (2)

    A regional medical care vision established before the day of enforcement of the provisions set forth in Article 1, item (viii) of the Supplementary Provisions (hereinafter referred to as the "Effective Date of item (viii)" in this paragraph) pursuant to the provisions of Article 30-3-3, paragraph (1) of the Medical Care Act prior to its amendment by the provisions of Article 3 is deemed, during the period from the Effective Date of item (viii) to March 31, 2029 (where a regional medical care vision is established pursuant to the provisions of Article 30-3-3, paragraph (1) of the Medical Care Act as amended by the provisions of Article 3 (hereinafter referred to as the "Article 3 Amended Medical Care Act" in this Article), the period until it is established pursuant to the provisions of Article 30-3-3, paragraph (1) of the Article 3 Amended Medical Care Act), to be a regional medical care vision established pursuant to the provisions of Article 30-3-3, paragraph (1) of the Article 3 Amended Medical Care Act.

    附則第一条第八号に掲げる規定の施行の日（以下この項において「第八号施行日」という。）前に第三条の規定による改正前の医療法第三十条の三の三第一項の規定により定められた地域医療構想は、第八号施行日から令和十一年三月三十一日までの間（地域医療構想が第三条の規定による改正後の医療法（以下この条において「第三条改正後医療法」という。）第三十条の三の三第一項の規定により定められた場合には、同項の規定により定められるまでの間）は、第三条改正後医療法第三十条の三の三第一項の規定により定められた地域医療構想とみなす。

  • AddedSupplementary Provisions, Article 3, paragraph (4)

    The provisions of Articles 7-2 through 7-4 of the Article 3 Amended Medical Care Act do not apply to a regional medical care vision (limited to the portion pertaining to psychiatric hospital beds) that is deemed under the provisions of paragraph (2) to have been established pursuant to the provisions of Article 30-3-3, paragraph (1) of the Article 3 Amended Medical Care Act.

    第三条改正後医療法第七条の二から第七条の四までの規定は、第二項の規定により第三条改正後医療法第三十条の三の三第一項の規定により定められたものとみなされた地域医療構想（精神病床に係る部分に限る。）については、適用しない。