The designation under Article 49 loses its effect upon the lapse of the period unless it is renewed every six years.
第四十九条の指定は、六年ごとにその更新を受けなければ、その期間の経過によつて、その効力を失う。
In the case where an application for renewal under the preceding paragraph has been filed, if the disposition on the application has not been made by the day of expiry of the period under that paragraph (hereinafter referred to in this Article as the "validity period of designation"), the previous designation remains in force even after the expiry of the validity period of designation until the disposition is made.
In a case as set forth in the preceding paragraph, when the designation is renewed, the validity period of designation is to be from the date following the date of expiry of the prior validity period of designation.
The provisions of the preceding Article and Article 68, paragraph (2) of the Health Insurance Act apply mutatis mutandis to the renewal of the designation under paragraph (1). In this case, necessary technical replacement of terms is to be specified by Cabinet Order.
前条及び健康保険法第六十八条第二項の規定は、第一項の指定の更新について準用する。この場合において、必要な技術的読替えは、政令で定める。
Read this with the articles around it