Supplementary Provisions, Article 116
第百十六条
When the establisher of a specified regional medical care provision institution intends to change the operations prescribed in Article 113, paragraph (1) of the Supplementary Provisions (excluding minor changes specified by an Order of the Ministry of Health, Labour and Welfare), the establisher must obtain the approval of the prefectural governor who made the designation of the relevant specified regional medical care provision institution, pursuant to an Order of the Ministry of Health, Labour and Welfare. In this case, the administrator of the relevant specified regional medical care provision institution must, in advance, after hearing the opinions of the physicians working at the relevant specified regional medical care provision institution and other related parties, conduct a review for revising the plan for shortening working hours and make the necessary changes, and must receive the evaluation under Article 131, paragraph (1), item (i) of the Supplementary Provisions by the medical institution work environment evaluation center, pursuant to an Order of the Ministry of Health, Labour and Welfare.
特定地域医療提供機関の開設者は、第百十三条第一項に規定する業務の変更（厚生労働省令で定める軽微な変更を除く。）をしようとするときは、厚生労働省令で定めるところにより、当該特定地域医療提供機関の指定をした都道府県知事の承認を受けなければならない。この場合において、当該特定地域医療提供機関の管理者は、あらかじめ、当該特定地域医療提供機関に勤務する医師その他関係者の意見を聴いて、労働時間短縮計画の見直しのための検討を行い、必要な変更を加えるとともに、厚生労働省令で定めるところにより、医療機関勤務環境評価センターによる第百三十一条第一項第一号の評価を受けなければならない。
The provisions of Article 113, paragraphs (2) through (7) of the Supplementary Provisions apply mutatis mutandis to the approval under the preceding paragraph. In this case, the term "that paragraph" in paragraph (2) of that Article is deemed to be replaced with "Article 113, paragraph (1)", and the term "a draft of" in that paragraph is deemed to be replaced with "a draft of a change to", and the term "the draft of" in paragraph (3), item (i) of that Article is deemed to be replaced with "the draft of a change to".