When a medical practitioner comes to fall under any item of Article 4 or has acted in a way that damages their respectability as a medical practitioner, the Minister of Health, Labour and Welfare may render the following dispositions:
医師が第四条各号のいずれかに該当し、又は医師としての品位を損するような行為のあつたときは、厚生労働大臣は、次に掲げる処分をすることができる。
admonition;
戒告
suspension from medical practice for up to three years; or
三年以内の医業の停止
revocation of license.
免許の取消し
A person who has been rendered a disposition of revocation pursuant to the provisions of the preceding paragraph (excluding persons who have been rendered a disposition of revocation pursuant to the provisions of that paragraph as a person who falls under Article 4, item (iii) or item (iv) or who has acted in a way that damages their respectability as a medical practitioner, for whom five years have not elapsed since the date of disposition) may be granted a new license when the person no longer falls under the circumstances which led to the revocation or when it is found appropriate to grant a new license due to subsequent circumstances. In this case, the provisions of Article 6, paragraph (1) and paragraph (2) apply mutatis mutandis.
In rendering a disposition as provided for in the preceding two paragraphs, the Minister of Health, Labour and Welfare must hear the opinions of the Medical Ethics Council in advance.
厚生労働大臣は、前二項に規定する処分をするに当たつては、あらかじめ、医道審議会の意見を聴かなければならない。
When the Minister of Health, Labour and Welfare seeks to render a disposition to revoke a license pursuant to the provisions of paragraph (1), the Minister may request that the prefectural governor hear the opinions of the person subject to the disposition, and the hearing of opinions may be substituted for the hearing by the Minister of Health, Labour and Welfare.
厚生労働大臣は、第一項の規定による免許の取消処分をしようとするときは、都道府県知事に対し、当該処分に係る者に対する意見の聴取を行うことを求め、当該意見の聴取をもつて、厚生労働大臣による聴聞に代えることができる。
The provisions of Chapter III, Section 2 (excluding Article 25, Article 26, and Article 28) of the Administrative Procedure Act (Act No. 88 of 1993) apply mutatis mutandis to the case in which a hearing of opinions is conducted by a prefectural governor pursuant to the preceding paragraph. In this case, the term "hearing" in Section 2 is deemed to be replaced with "hearing of opinions," the term "administrative agency" in Article 15, paragraph (1) and paragraph (3) of that Act (including as applied mutatis mutandis pursuant to Article 22, paragraph (3) of that Act) with "prefectural governor," the phrase "the administrative agency has" in Article 15, paragraph (4) of that Act (including as applied mutatis mutandis pursuant to Article 22, paragraph (3) of that Act) with "the prefectural governor has," the phrase "of the administrative agency" in that paragraph with "of the prefecture," the term "administrative agency" in Article 16, paragraph (4) and Article 18, paragraph (1) and paragraph (3) of that Act with "prefectural governor," the phrase "an employee nominated by an administrative agency or other persons specified by Cabinet Order" in Article 19, paragraph (1) of that Act with "an employee nominated by the prefectural governor," the term "administrative agency" in Article 20, paragraph (1), paragraph (2), and paragraph (4) of that Act with "prefecture," and the term "administrative agency" in paragraph (6) of that Article and Article 24, paragraph (3) of that Act with "prefectural governor."
行政手続法（平成五年法律第八十八号）第三章第二節（第二十五条、第二十六条及び第二十八条を除く。）の規定は、都道府県知事が前項の規定により意見の聴取を行う場合について準用する。この場合において、同節中「聴聞」とあるのは「意見の聴取」と、同法第十五条第一項及び第三項（同法第二十二条第三項において準用する場合を含む。）中「行政庁」とあるのは「都道府県知事」と、同法第十五条第四項（同法第二十二条第三項において準用する場合を含む。）中「当該行政庁が」とあるのは「当該都道府県知事が」と、「当該行政庁の」とあるのは「当該都道府県の」と、同法第十六条第四項並びに第十八条第一項及び第三項中「行政庁」とあるのは「都道府県知事」と、同法第十九条第一項中「行政庁が指名する職員その他政令で定める者」とあるのは「都道府県知事が指名する職員」と、同法第二十条第一項、第二項及び第四項中「行政庁」とあるのは「都道府県」と、同条第六項及び同法第二十四条第三項中「行政庁」とあるのは「都道府県知事」と読み替えるものとする。
When documents proving the facts leading to the relevant disposition or other documents necessary for conducting a hearing of opinions is requested by a prefectural governor, the Minister of Health, Labour and Welfare must promptly send the documents to the prefectural governor.
厚生労働大臣は、都道府県知事から当該処分の原因となる事実を証する書類その他意見の聴取を行う上で必要となる書類を求められた場合には、速やかにそれらを当該都道府県知事あて送付しなければならない。
When a prefectural governor, in conducting a hearing of opinions pursuant to the provisions of paragraph (4), has received the record as set forth in Article 24, paragraph (1) of the Administrative Procedure Act and the report as set forth in paragraph (3) of that Article pursuant to the provisions of Article 24, paragraph (3) of that Act as applied mutatis mutandis pursuant to paragraph (5) following the deemed replacement of terms, the governor must keep them and submit copies of the record and the report to the Minister of Health, Labour and Welfare. In this case, if there is an opinion on the decision on the disposition, the governor must submit, in addition to the copies, a written opinion stating that opinion.
都道府県知事は、第四項の規定により意見の聴取を行う場合において、第五項において読み替えて準用する行政手続法第二十四条第三項の規定により同条第一項の調書及び同条第三項の報告書の提出を受けたときは、これらを保存するとともに、当該調書及び報告書の写しを厚生労働大臣に提出しなければならない。この場合において、当該処分の決定についての意見があるときは、当該写しのほか当該意見を記載した意見書を提出しなければならない。
When the Minister of Health, Labour and Welfare finds it necessary in light of the circumstances that arose after the conclusion of the hearing of opinions, the Minister may request the prefectural governor to return the copies of the record and the report submitted pursuant to the provisions of the first sentence of the preceding paragraph and the written opinion submitted pursuant to the provisions of the second sentence of that paragraph, and to order the presiding official to resume the hearing of opinions. The provisions of the main text of Article 22, paragraph (2), and paragraph (3) of the Administrative Procedure Act apply mutatis mutandis to this case.
厚生労働大臣は、意見の聴取の終結後に生じた事情に鑑み必要があると認めるときは、都道府県知事に対し、前項前段の規定により提出された調書及び報告書の写し並びに同項後段の規定により提出された意見書を返戻して主宰者に意見の聴取の再開を命ずるよう求めることができる。行政手続法第二十二条第二項本文及び第三項の規定は、この場合について準用する。
In making a decision on the disposition, the Minister of Health, Labour and Welfare must carefully consider the details of the written opinion and copies of the record and report submitted pursuant to the provisions of paragraph (7).
厚生労働大臣は、当該処分の決定をするときは、第七項の規定により提出された意見書並びに調書及び報告書の写しの内容を十分参酌してこれをしなければならない。
When the Minister of Health, Labour and Welfare seeks to order the suspension of medical practice pursuant to the provisions of paragraph (1), the Minister may request the prefectural governor to hear the explanation of the person subject to the disposition, and may substitute the hearing of explanation for the Minister's grant of an opportunity for explanation.
厚生労働大臣は、第一項の規定による医業の停止の命令をしようとするときは、都道府県知事に対し、当該処分に係る者に対する弁明の聴取を行うことを求め、当該弁明の聴取をもつて、厚生労働大臣による弁明の機会の付与に代えることができる。
In conducting an explanation hearing pursuant to the provisions of the preceding paragraph, the prefectural governor must notify the person subject to the disposition of the following matters in writing, within a reasonable period of time prior to the date of the explanation hearing:
前項の規定により弁明の聴取を行う場合において、都道府県知事は、弁明の聴取を行うべき日時までに相当な期間をおいて、当該処分に係る者に対し、次に掲げる事項を書面により通知しなければならない。
that the disposition is to be held based on the provisions of paragraph (1) and its details;
第一項の規定を根拠として当該処分をしようとする旨及びその内容
the facts leading to the disposition; and
当該処分の原因となる事実
the time and place of the explanation hearing.
弁明の聴取の日時及び場所
In addition to the case referred to in paragraph (10), the Minister of Health, Labour and Welfare may have a member of the Medical Ethics Council hear the explanation of the person subject to the disposition, in lieu of the Minister's grant of an opportunity for explanation. In this case, the term "the preceding paragraph" in the preceding paragraph is deemed to be replaced with "the following paragraph," the term "the prefectural governor" is deemed to be replaced with "the Minister of Health, Labour and Welfare," and the provisions of the same paragraph apply.
A person who has received a notice as set forth in paragraph (11) (including cases where the deemed replacement of terms is applied pursuant to the provisions of the second sentence of the preceding paragraph) may have an agent appear and submit documentary evidence or articles of evidence.
When an explanation hearing has been conducted pursuant to the provisions of paragraph (10) or the first sentence of paragraph (12), the prefectural governor or a member of the Medical Ethics Council must prepare and keep a hearing report, and also prepare a report and submit it to the Minister of Health, Labour and Welfare. In this case, if there is an opinion on the decision on the disposition, the opinion must be stated in the report.
When a prefectural governor is to conduct a hearing of opinions or an explanation hearing pursuant to the provisions of paragraph (4) or paragraph (10), the Minister of Health, Labour and Welfare must notify the governor of the following matters in advance:
the name and address of the person subject to the disposition;
当該処分に係る者の氏名及び住所
the details of the disposition and the provisions on which it is based; and
当該処分の内容及び根拠となる条項
the facts leading to the disposition.
当該処分の原因となる事実
Both the notice under Article 15, paragraph (1) of the Administrative Procedure Act as applied mutatis mutandis pursuant to the provisions of paragraph (5) following the deemed replacement of terms in which a hearing of opinions is conducted pursuant to the provisions of paragraph (4), and the notice under paragraph (11) in which an explanation hearing is conducted pursuant to the provisions of paragraph (10), must be based on the details notified pursuant to the provisions of the preceding paragraph.
The provisions of Chapter III of the Administrative Procedure Act (excluding Article 12 and Article 14) do not apply to the disposition when the prefectural governor conducts a hearing of opinions or an explanation hearing pursuant to the provisions of paragraph (4) or paragraph (10), or when a member of the Medical Ethics Council conducts an explanation hearing pursuant to the provisions of the first sentence of paragraph (12).