Supplementary Provisions

This Act comes into effect on April 1, 2018; provided, however, that the provisions set forth in the following items come into effect on the dates specified respectively in those items:

②In addition to the matters specified in the preceding paragraph, the government is to, with a view to five years after this Act comes into effect, review the status of enforcement of the provisions as amended by the provisions of this Act and, if it finds it necessary, take required measures based on the results of that review.

When a prefectural governor, in the cases of Article 7-2, paragraphs (1) through (3) of the Medical Care Act or in the case of Article 7-2, paragraph (3) of the Medical Care Act as applied mutatis mutandis with replacement of terms pursuant to Article 30-12, paragraph (1) of the Medical Care Act as amended by the provisions of Article 7 (referred to as the "New Medical Care Act" in the following Article), calculates the number of existing beds in the area prescribed in Article 30-4, paragraph (2), item (xiv) of that Act that is specified in the medical care plan prescribed in paragraph (1) of that Article, the admission capacity of new long-term care health facilities and integrated facilities for medical and long-term care is, until March 31, 2024, deemed to be the number of beds of existing long-term care beds (meaning long-term care beds prescribed in Article 7, paragraph (2), item (iv) of that Act), as provided by Prefectural Ordinance in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare.

The authorization procedure under Article 44, paragraph (1) of the Medical Care Act (limited to that in which a person intending to establish a medical corporation specifies, by the articles of incorporation or act of endowment, the name and established location of an integrated facility for medical and long-term care as the particulars prescribed in Article 44, paragraph (2), item (iii) of the New Medical Care Act) and the approval procedure under Article 54-9, paragraph (3) of the Medical Care Act (limited to that in which the name and established location of an integrated facility for medical and long-term care are specified, by the articles of incorporation or act of endowment of a medical corporation, as the particulars prescribed in that item) may be carried out even before the Effective Date.

With regard to the application of penal provisions to conduct engaged in before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions; the same applies hereinafter in this Article) comes into effect and to conduct engaged in after this Act comes into effect in the case where the provisions then in force are to remain applicable pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.