This Act comes into effect on April 1, 2019; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.

①In order that medical practitioners can fully perform their duties even amid circumstances in which the demand of the public in the field of medical care is becoming more sophisticated and more diverse, the government is to, taking into account the state of education relating to medical science, including clinical practice conducted by universities prescribed in Article 1 of the School Education Act (Act No. 26 of 1947) (referred to simply as "university" in Article 8, paragraph (1) of the Supplementary Provisions), review the provisions of the Medical Practitioners' Act from the viewpoint of improving the quality of medical practitioners, and, based on the results, take legislative and other necessary measures within three years after the promulgation of this Act.

②The government is to conduct research and study on the evaluation of clinical training, and, taking into account the results of that research and study, review the way clinical training should be, so that the quality of medical practitioners is improved more effectively by, among other things, making clinical training consistent with training concerning specialized knowledge and skills relating to medical care that medical practitioners receive after completing clinical training, and, based on the results, is to take legislative and other necessary measures within three years after the promulgation of this Act.

③In addition to the matters provided for in the preceding two paragraphs, 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 (or, with regard to the provisions listed in the items of the preceding Article, those provisions; the same applies in Article 4 of the Supplementary Provisions) (hereinafter referred to in this paragraph 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.

Dispositions such as designations and other acts made, before the item (ii) Effective Date, pursuant to the provisions of Article 16-2, paragraph (1) of the Medical Practitioners' Act prior to its amendment by the provisions of Article 5 (hereinafter referred to in this Article and paragraph (2) of the following Article as the "item (ii) former Medical Practitioners' Act") (hereinafter referred to in this Article as a "disposition or other act"), and applications for designation and other acts being made pursuant to the provisions of the item (ii) former Medical Practitioners' Act at the time of the enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions (hereinafter referred to in this Article as an "application or other act"), for which the person who is to conduct the administrative affairs relating to those acts will differ on the item (ii) Effective Date, are, with regard to the application of the Medical Practitioners' Act as amended by the provisions of Article 5 (hereinafter referred to in this Article and the following Article as the "item (ii) New Medical Practitioners' Act") on or after the item (ii) Effective Date, deemed to be a disposition or other act or an application or other act made pursuant to the corresponding provisions of the item (ii) New Medical Practitioners' Act.

①A hospital that is attached to a university having a course of study in medical science at the time of the enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions and that is conducting clinical training is deemed to be a hospital designated by the prefectural governor pursuant to the provisions of Article 16-2, paragraph (1) of the item (ii) New Medical Practitioners' Act.

②A hospital that, at the time of the enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions, is deemed to be a hospital designated by the Minister of Health, Labour and Welfare under paragraph (1) of the same Article pursuant to the provisions of Article 16-2, paragraph (4) of the item (ii) former Medical Practitioners' Act is deemed to be a hospital designated by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 16-2, paragraph (1) of the item (ii) New Medical Practitioners' Act.

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.