Where the following persons have applied for permission to establish a hospital, to increase the number of beds, or to alter bed classifications in a hospital, notwithstanding the provisions of paragraph (4) of the preceding Article, the prefectural governor may refuse the permission set forth in paragraph (1) or paragraph (2) of the same Article when, in the area that includes the hospital to which the relevant application relates (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 (xiv) as prescribed by the medical care plan; where the beds to which the relevant application relates are psychiatric hospital beds, etc. only, this is to be the area of the prefecture; and where the beds to which the relevant application relates are long-term care beds, etc. and psychiatric hospital beds, etc., this is to be the area provided for in Article 30-4, paragraph (2), item (xiv) and the area of the prefecture), the number of hospital or clinic beds that correspond to the classifications of the beds that the relevant application relates to (or the number of long-term care beds and general beds in the relevant area, where the beds that the relevant application relates to are long-term care beds, etc. only) has already reached the target number of beds for the relevant area that correspond to the classifications of the beds that the relevant application relates to (or the target number of beds for long-term care beds and general beds in the relevant area, where the beds that the relevant application relates to are long-term care beds, etc. only), as prescribed in a medical care plan that is in accordance with the requirements prescribed by the Order of the Ministry of Health, Labour and Welfare set forth in paragraph (8) of the same Article, or if it is considered that establishing a hospital, increasing the number of beds, or altering the bed classifications as per the relevant application would exceed the relevant target:
都道府県知事は、次に掲げる者が病院の開設の許可又は病院の病床数の増加若しくは病床の種別の変更の許可の申請をした場合において、当該申請に係る病院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十四号に規定する区域とし、当該申請に係る病床が精神病床等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等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）が、同条第八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床数の増加若しくは病床の種別の変更によつてこれを超えることになると認めるときは、前条第四項の規定にかかわらず、同条第一項又は第二項の許可を与えないことができる。
a person as provided for in Article 31;
第三十一条に規定する者
mutual aid associations and federations thereof formed under the provisions of the National Public Officers Mutual Aid Association Act (Act No. 128 of 1958);
国家公務員共済組合法（昭和三十三年法律第百二十八号）の規定に基づき設立された共済組合及びその連合会
mutual aid associations formed under the provisions of the Local Public Officers Mutual Aid Association Act (Act No. 152 of 1962);
地方公務員等共済組合法（昭和三十七年法律第百五十二号）の規定に基づき設立された共済組合
beyond what is listed in the preceding two items, mutual aid associations and federations thereof formed under laws and regulations prescribed by Cabinet Order;
前二号に掲げるもののほか、政令で定める法律に基づき設立された共済組合及びその連合会
the Promotion and Mutual Aid Corporation for Private Schools of Japan which administers the private school mutual aid system pursuant to the provisions of the Private School Personnel Mutual Aid Association Act (Act No. 245 of 1953);
私立学校教職員共済法（昭和二十八年法律第二百四十五号）の規定により私立学校教職員共済制度を管掌することとされた日本私立学校振興・共済事業団
the National Federation of Health Insurance Societies and its federations formed under the provisions of the Health Insurance Act (Act No. 70 of 1922);
健康保険法（大正十一年法律第七十号）の規定に基づき設立された健康保険組合及びその連合会
the National Health Insurance Association and national health insurance organizations formed under the provisions of the National Health Insurance Act (Act No. 192 of 1958); or
国民健康保険法（昭和三十三年法律第百九十二号）の規定に基づき設立された国民健康保険組合及び国民健康保険団体連合会
Japan Community Health Care Organization.
独立行政法人地域医療機能推進機構
Where a person listed in any of the items of the preceding paragraph has applied for permission to establish beds in a clinic or to increase the number of beds in a clinic, the prefectural governor may, notwithstanding the provisions of paragraph (4) of the preceding Article, refuse the permission set forth in paragraph (3) of the same Article, when, in the area that includes the clinic to which the relevant application relates (an area provided for in Article 30-4, paragraph (2), item (xiv) as prescribed by the medical care plan) the number of long-term care beds and general beds has already reached the target number of long-term care beds and general beds for the relevant area as prescribed in a medical care plan that is in accordance with the requirements prescribed by the Order of the Ministry of Health, Labour and Welfare as set forth in paragraph (8) of the same Article, or if it is considered that establishing beds or increasing the number of beds as per the relevant application would exceed the relevant target.
Where the number of long-term care beds and general beds in the area (an area provided for in Article 30-4, paragraph (2), item (xiv) as prescribed by a medical care plan) in which a hospital (limited to those with long-term care beds, etc.) or clinic (limited to those with beds permitted as set forth in paragraph (3) of the preceding Article) established by a person listed in any of the items of paragraph (1) has already reached the target number for long-term care beds and general beds in the relevant area as specified in a medical care plan that is in accordance with the requirements prescribed by the Order of the Ministry of Health, Labour and Welfare, as set forth in paragraph (8) of the same Article, when the relevant hospital or clinic is not engaging in all or some of the services related to long-term care beds, etc. under the permission set forth in paragraph (1) or paragraph (2) of the preceding Article or beds for which the permission set forth in paragraph (3) of the same Article has been received, without justifiable grounds, the prefectural governor may order the establisher or administrator of the relevant hospital or clinic to adopt measures to amend such permission so as to reduce the number of beds, up to and including the number of beds which are not used for the relevant services.
都道府県知事は、第一項各号に掲げる者が開設する病院（療養病床等を有するものに限る。）又は診療所（前条第三項の許可を得て病床を設置するものに限る。）の所在地を含む地域（医療計画において定める第三十条の四第二項第十四号に規定する区域をいう。）における療養病床及び一般病床の数が、同条第八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当該区域の療養病床及び一般病床に係る基準病床数を既に超えている場合において、当該病院又は診療所が、正当な理由がなく、前条第一項若しくは第二項の許可に係る療養病床等又は同条第三項の許可を受けた病床に係る業務の全部又は一部を行つていないときは、当該業務を行つていない病床数の範囲内で、当該病院又は診療所の開設者又は管理者に対し、病床数を削減することを内容とする許可の変更のための措置をとるべきことを命ずることができる。
In the cases set forth in the preceding three paragraphs, in calculating the number of existing beds in the relevant area and the number of beds to which the relevant application relates, the prefectural governor must carry out any necessary adjustments in consideration of the function and nature of the hospital or clinic, pursuant to the provisions of the Prefectural Ordinance in accordance with the requirements prescribed by the Order of the Ministry of Health, Labour and Welfare set forth in Article 30-4, paragraph (8).
The prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance, when the governor wishes to refuse permission as set forth in paragraph (1) through paragraph (3) of the preceding Article pursuant to the provisions of paragraph (1) or paragraph (2) or if the governor wishes to issue an order pursuant to the provisions of paragraph (3).
都道府県知事は、第一項若しくは第二項の規定により前条第一項から第三項までの許可を与えない処分をし、又は第三項の規定により命令しようとするときは、あらかじめ、都道府県医療審議会の意見を聴かなければならない。
When a prefectural governor has issued an order as prescribed in paragraph (3) and the establisher or administrator of the hospital or clinic that has received the relevant order fails to comply with it, the prefectural governor may make a public announcement to that effect.
When an incorporated administrative agency (an incorporated administrative agency as provided for in Article 2, paragraph (1) of the Act on General Rules for Incorporated Administrative Agencies (Act No. 103 of 1999)) that has been specified by a Cabinet Order, or the Japan Institute for Health Security, wishes to establish a hospital, increase bed numbers, or alter bed classifications at a hospital it has established, or where it wishes to establish beds in a clinic or increase bed numbers or alter bed classifications at a clinic, it must consult (or give notice where specially prescribed by Cabinet Order) with the Minister of Health, Labour and Welfare in advance regarding such plans. The same applies when it wishes to amend such plans.
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