Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect as of April 1, 2024; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.
この法律は、令和六年四月一日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
the provisions amending Article 104 of the Medical Care Act in Article 1, the provisions of Article 14, the provisions of the following Article, and the provisions of Article 3, Article 13, paragraph (2), Article 14, paragraph (2), Article 15, paragraph (2) and Article 18 of the Supplementary Provisions: the date of promulgation;
Omitted
略
the provisions of Articles 9 through 12, and the provisions of Article 13, paragraphs (1) and (3), Article 14, paragraphs (1) and (3), Article 15, paragraphs (1) and (3), Articles 16, 17, 22 and 23 of the Supplementary Provisions: October 1, 2021;
第九条から第十二条までの規定並びに附則第十三条第一項及び第三項、第十四条第一項及び第三項、第十五条第一項及び第三項、第十六条、第十七条、第二十二条並びに第二十三条の規定 令和三年十月一日
the provisions of Article 1 (excluding the amending provisions set forth in item (i)), the provisions in Article 13 amending Article 1-2, paragraph (2) of the Supplementary Provisions of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities and the provisions amending that Article to make it Article 1-3 of the Supplementary Provisions of that Act and adding one Article after Article 1 of the Supplementary Provisions of that Act, the provisions of Articles 4 and 9 of the Supplementary Provisions, the provisions in Article 25 of the Supplementary Provisions amending the provisions amending Article 1-2, paragraphs (1) and (2) of the Supplementary Provisions of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities in Article 7 of the Act Partially Amending the Social Welfare Act, etc. to Realize an Inclusive Community Society (Act No. 52 of 2020), and the provisions of Article 26 of the Supplementary Provisions: the date specified by Cabinet Order within a period ending on March 31, 2022;
the provisions of Article 2, and the provisions of Articles 5 through 8 and Article 10 of the Supplementary Provisions: April 1, 2022;
第二条の規定並びに附則第五条から第八条まで及び第十条の規定 令和四年四月一日
Omitted
略
the provisions amending Article 35, paragraph (1), item (ii) of the Medical Care Act in Article 3 (limited to the part replacing "Article 11, item (ii) or" with "Article 11, paragraph (1), item (ii) or"), the provisions of Article 6 (excluding the provisions amending Article 16-11, paragraph (1) of the Medical Practitioners' Act), and the provisions of Articles 11, 20 and 27 of the Supplementary Provisions: April 1, 2025.
第三条中医療法第三十五条第一項第二号の改正規定（「第十一条第二号若しくは」を「第十一条第一項第二号若しくは」に改める部分に限る。）及び第六条の規定（医師法第十六条の十一第一項の改正規定を除く。）並びに附則第十一条、第二十条及び第二十七条の規定 令和七年四月一日
the provisions amending Article 35, paragraph (1), item (ii) of the Medical Care Act in Article 3 (excluding the amending provisions set forth in the preceding item), the provisions of Article 8, and the provisions of Article 12 of the Supplementary Provisions: April 1, 2026.
第三条中医療法第三十五条第一項第二号の改正規定（前号に掲げる改正規定を除く。）及び第八条の規定並びに附則第十二条の規定 令和八年四月一日
Supplementary Provisions, Article 2Review
第二条（検討）
The government is to, with a target of five years after this Act comes into effect, taking into account the status of the enforcement, etc. of the respective Acts as amended by this Act (hereinafter referred to in this Article as "the respective Acts as amended"), when it finds it necessary, review the provisions of the respective Acts as amended, and take the required measures based on the results of that review.
政府は、この法律の施行後五年を目途として、この法律による改正後のそれぞれの法律（以下この条において「改正後の各法律」という。）の施行の状況等を勘案し、必要があると認めるときは、改正後の各法律の規定について検討を加え、その結果に基づいて所要の措置を講ずるものとする。
Supplementary Provisions, Article 3Preparatory Acts Concerning Designation of Medical Institution Work Environment Evaluation Centers
第三条（医療機関勤務環境評価センターの指定に係る準備行為）
A person who intends to receive designation under Article 107, paragraph (1) of the Medical Care Act as amended by the provisions of Article 2 (hereinafter referred to as the "item (v) New Medical Care Act") may file the application therefor even before the day of enforcement of the provisions set forth in Article 1, item (v) of the Supplementary Provisions (referred to as the "item (v) Effective Date" in the following paragraph and paragraph (3)), in accordance with the provisions of Article 107, paragraph (1) of the item (v) New Medical Care Act.
第二条の規定による改正後の医療法（以下「第五号新医療法」という。）第百七条第一項の規定による指定を受けようとする者は、附則第一条第五号に掲げる規定の施行の日（次項及び第三項において「第五号施行日」という。）前においても、第五号新医療法第百七条第一項の規定の例により、その申請を行うことができる。
In the case where an application has been filed pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare may make the designation even before the item (v) Effective Date, in accordance with the provisions of Article 107, paragraphs (1) and (2) of the item (v) New Medical Care Act. In this case, that designation is deemed to have been made on the item (v) Effective Date pursuant to the provisions of paragraph (1) of that Article.
厚生労働大臣は、前項の規定により申請があった場合には、第五号施行日前においても、第五号新医療法第百七条第一項及び第二項の規定の例により、指定をすることができる。この場合において、当該指定は、第五号施行日において同条第一項の規定によりされたものとみなす。
A person who has received designation in accordance with the provisions of Article 107, paragraph (1) of the item (v) New Medical Care Act pursuant to the provisions of the preceding paragraph may obtain the approval from the Minister of Health, Labour and Welfare even before the item (v) Effective Date, in accordance with the provisions of Article 112, paragraph (1) and Article 113, paragraph (1) of the item (v) New Medical Care Act. In this case, that approval is deemed to have been granted on the item (v) Effective Date pursuant to the provisions of Article 112, paragraph (1) or Article 113, paragraph (1) of the item (v) New Medical Care Act.
前項の規定により第五号新医療法第百七条第一項の規定の例による指定を受けた者は、第五号施行日前においても、第五号新医療法第百十二条第一項及び第百十三条第一項の規定の例により、厚生労働大臣の認可を受けることができる。この場合において、当該認可は、第五号施行日において第五号新医療法第百十二条第一項又は第百十三条第一項の規定によりされたものとみなす。
Supplementary Provisions, Article 4Transitional Measures Concerning Preparation of Working Hours Reduction Plans
第四条（労働時間短縮計画の作成に関する経過措置）
If, during the period until the day preceding the day this Act comes into effect (hereinafter referred to as the "Effective Date"), the working hours of a physician working at a hospital (meaning a hospital prescribed in Article 1-5, paragraph (1) of the Medical Care Act; the same applies hereinafter) or a clinic (meaning a clinic prescribed in paragraph (2) of that Article; the same applies hereinafter) exceed the hours specified by Order of the Ministry of Health, Labour and Welfare, the administrator of that hospital or clinic must make efforts to prepare a plan for shortening the working hours of that physician (hereinafter referred to as a "plan for shortening working hours").
病院（医療法第一条の五第一項に規定する病院をいう。以下同じ。）又は診療所（同条第二項に規定する診療所をいう。以下同じ。）の管理者は、この法律の施行の日（以下「施行日」という。）の前日までの間、当該病院又は診療所に勤務する医師の労働時間が厚生労働省令で定める時間を超えている場合には、当該医師の労働時間の短縮に関する計画（以下「労働時間短縮計画」という。）を作成するよう努めなければならない。
In preparing a plan for shortening working hours, the administrator of a hospital or clinic must, pursuant to the provisions of an Order of the Ministry of Health, Labour and Welfare, hear the opinions of the physicians working at that hospital or clinic and other persons concerned.
When the administrator of a hospital or clinic has prepared a plan for shortening working hours, that administrator may, pursuant to the provisions of an Order of the Ministry of Health, Labour and Welfare, submit that plan for shortening working hours to the prefectural governor for the location of that hospital or clinic (referred to simply as the "prefectural governor" in this Article).
When the prefectural governor has received the submission of a plan for shortening working hours pursuant to the provisions of the preceding paragraph, the prefectural governor is to, as necessary, provide the relevant hospital or clinic with support such as the provision of information useful for reducing the working hours of the physicians working at that hospital or clinic, and advice.
When the administrator of a hospital or clinic, after submitting a plan for shortening working hours pursuant to the provisions of paragraph (3), has made a change to that plan for shortening working hours in light of the status of efforts to reduce the working hours of the physicians working at that hospital or clinic, the administrator must, pursuant to the provisions of an Order of the Ministry of Health, Labour and Welfare, submit the plan for shortening working hours after the change to the prefectural governor.
Supplementary Provisions, Article 5Preparatory Acts Concerning Designation of Specified Labor Management Target Institutions
第五条（特定労務管理対象機関の指定に係る準備行為）
A person who intends to receive designation under Article 113, paragraph (1) of the Medical Care Act as amended by the provisions of Article 3 (hereinafter referred to as the "New Medical Care Act") may file the application therefor even before the Effective Date, in accordance with the provisions of that Article and Article 129 of the New Medical Care Act.
第三条の規定による改正後の医療法（以下「新医療法」という。）第百十三条第一項の指定を受けようとする者は、施行日前においても、同条及び新医療法第百二十九条の規定の例により、その申請を行うことができる。
In the case where an application has been filed pursuant to the provisions of the preceding paragraph, the prefectural governor may make the designation even before the Effective Date, in accordance with the provisions of Articles 113 and 129 of the New Medical Care Act. In this case, that designation is deemed to have been made on the Effective Date pursuant to the provisions of Article 113, paragraph (1) of the New Medical Care Act.
都道府県知事は、前項の規定による申請があった場合には、施行日前においても、新医療法第百十三条及び第百二十九条の規定の例により、指定をすることができる。この場合において、当該指定は、施行日において新医療法第百十三条第一項の規定によりされたものとみなす。
Supplementary Provisions, Article 6
第六条
The provisions of the preceding Article apply mutatis mutandis to the designation under Article 118, paragraph (1) of the New Medical Care Act. In this case, the phrase "Articles 113 and" in paragraph (2) of the preceding Article is deemed to be replaced with "Articles 118 and", and the phrase "Article 113, paragraph (1)" is deemed to be replaced with "Article 118, paragraph (1)".
前条の規定は、新医療法第百十八条第一項の規定による指定について準用する。この場合において、前条第二項中「第百十三条及び」とあるのは「第百十八条及び」と、「第百十三条第一項」とあるのは「第百十八条第一項」と読み替えるものとする。
Supplementary Provisions, Article 7
第七条
The provisions of Article 5 of the Supplementary Provisions apply mutatis mutandis to the designation under Article 119, paragraph (1) of the New Medical Care Act. In this case, the phrase "Articles 113 and" in Article 5, paragraph (2) of the Supplementary Provisions is deemed to be replaced with "Articles 119 and", and the phrase "Article 113, paragraph (1)" is deemed to be replaced with "Article 119, paragraph (1)".
附則第五条の規定は、新医療法第百十九条第一項の規定による指定について準用する。この場合において、附則第五条第二項中「第百十三条及び」とあるのは「第百十九条及び」と、「第百十三条第一項」とあるのは「第百十九条第一項」と読み替えるものとする。
Supplementary Provisions, Article 8
第八条
The provisions of Article 5 of the Supplementary Provisions apply mutatis mutandis to the designation under Article 120, paragraph (1) of the New Medical Care Act. In this case, the phrase "Articles 113 and" in Article 5, paragraph (2) of the Supplementary Provisions is deemed to be replaced with "Articles 120 and", and the phrase "Article 113, paragraph (1)" is deemed to be replaced with "Article 120, paragraph (1)".
附則第五条の規定は、新医療法第百二十条第一項の規定による指定について準用する。この場合において、附則第五条第二項中「第百十三条及び」とあるのは「第百二十条及び」と、「第百十三条第一項」とあるのは「第百二十条第一項」と読み替えるものとする。
Supplementary Provisions, Article 9
第九条
With regard to the designation under the provisions of the preceding Article, the Minister of Health, Labour and Welfare may, even before the Effective Date, give public notice of the fields of medical care in Article 120, paragraph (1) of the New Medical Care Act in which the training of physicians with advanced skills is found to be particularly necessary in the public interest.
厚生労働大臣は、施行日前においても、前条の規定による指定に関し、新医療法第百二十条第一項の医療の分野のうち高度な技能を有する医師を育成することが公益上特に必要と認められるものを公示することができる。
Supplementary Provisions, Article 10
第十条
The Minister of Health, Labour and Welfare may, even before the Effective Date, make the confirmation under Article 120, paragraph (1) of the New Medical Care Act, in accordance with the provisions of Article 120, paragraph (1), Article 121 and Article 129 of the New Medical Care Act.
厚生労働大臣は、施行日前においても、新医療法第百二十条第一項、第百二十一条及び第百二十九条の規定の例により、新医療法第百二十条第一項の確認を行うことができる。
Supplementary Provisions, Article 17Transitional Measures Concerning Penal Provisions
第十七条（罰則に関する経過措置）
With regard to the application of penal provisions to acts committed before this Act (for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those respective provisions) comes into effect, the provisions then in force continue to govern.
この法律（附則第一条各号に掲げる規定については、当該各規定）の施行前にした行為に対する罰則の適用については、なお従前の例による。
Supplementary Provisions, Article 18Delegation to Cabinet Order
第十八条（政令への委任）
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.
この附則に定めるもののほか、この法律の施行に伴い必要な経過措置（罰則に関する経過措置を含む。）は、政令で定める。