Article 30-18-6

②When a prefectural governor has made the designation under the preceding paragraph, the governor must give public notice to that effect, as provided by Order of the Ministry of Health, Labour and Welfare.

③A person who intends to establish a clinic (limited to a place where medical practice is conducted and which does not have facilities for admitting patients) in an area designated under paragraph (1) must, except in cases specified by Order of the Ministry of Health, Labour and Welfare as unavoidable, notify the prefectural governor, no later than six months before the date on which the clinic is to be established, as provided by Order of the Ministry of Health, Labour and Welfare, of their intention regarding the provision of regional outpatient medical care in that area and other matters specified by Order of the Ministry of Health, Labour and Welfare.

④When, in an area designated under paragraph (1), a person who has given the notification under the preceding paragraph or another person specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "notifying person, etc." in this Article) has indicated an intention not to provide regional outpatient medical care in that area, the prefectural governor may request the notifying person, etc. to participate in the consultation at the place of consultation prescribed in paragraph (1) of the preceding Article and to explain the reasons for not providing it and other matters specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "reasons, etc." in this Article).

⑤A notifying person, etc. who is requested by the prefectural governor pursuant to the provisions of the preceding paragraph must endeavor to participate in the consultation at that place and explain the reasons, etc.

⑥If, based on the content of the explanation under the preceding paragraph, the reasons, etc. are not found to be unavoidable, the prefectural governor may request the notifying person, etc. to provide regional outpatient medical care in that area by a set deadline.

⑦When the prefectural governor finds that the establisher or administrator of a clinic established by a notifying person, etc. who received a request under the provisions of the preceding paragraph is not providing the regional outpatient medical care to which the request relates, the governor may request the establisher or administrator to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.

⑧The establisher or administrator of the clinic, when requested by the prefectural governor pursuant to the provisions of the preceding paragraph, must endeavor to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.

⑨Based on the content of the explanation under the preceding paragraph, if the reasons, etc. are not found to be unavoidable, the prefectural governor may, after hearing the opinions of the Prefectural Council on Medical Service Facilities, recommend that the establisher or administrator of the clinic provide regional outpatient medical care in that area.

⑩When a prefectural governor has made a recommendation under the preceding paragraph and the establisher or administrator of the clinic that received the recommendation has not complied with it, the governor may make public that fact.

⑪When a notifying person, etc. who received a request under the provisions of paragraph (6) has not complied with it, when the prefectural governor has made a recommendation under the provisions of paragraph (9), or when the establisher or administrator of the clinic that received the recommendation has not complied with it, the prefectural governor is to notify the Minister of Health, Labour and Welfare to that effect.