Supplementary Provisions, Article 5Transitional Measures Concerning Designated Medical Care Providers
第五条（指定医療機関に関する経過措置）
A hospital or clinic (including those specified by Cabinet Order under Article 49 of the old Act) or pharmacy that is, at the time this Act comes into effect, designated under Article 49 of the old Act (including in the case where that Article is applied with replacement of terms pursuant to Article 12, paragraph (1) of the Act on Promotion of Wide-Area Administration in Special Districts for Consolidated Local Governments (Act No. 116 of 2006; referred to as the "Former Consolidated Local Government Special Districts Act" in paragraph (1) of the following Article) prior to the amendment by Article 16 of the Supplementary Provisions) is deemed, on the Effective Date, to have been designated under Article 49 of the Public Assistance Act as Amended in 2014 (including in the case where that Article is applied with replacement of terms pursuant to Article 12, paragraph (1) of the Act on Promotion of Wide-Area Administration in Special Districts for Consolidated Local Governments after the amendment by Article 16 of the Supplementary Provisions (referred to as the "New Consolidated Local Government Special Districts Act" in paragraph (1) of the following Article); the same applies in the following paragraph and paragraph (3)).
この法律の施行の際現に旧法第四十九条（附則第十六条の規定による改正前の道州制特別区域における広域行政の推進に関する法律（平成十八年法律第百十六号。次条第一項において「旧道州制特区法」という。）第十二条第一項の規定により読み替えて適用する場合を含む。）の指定を受けている病院若しくは診療所（旧法第四十九条の政令で定めるものを含む。）又は薬局は、施行日に、平成二十六年改正後生活保護法第四十九条（附則第十六条の規定による改正後の道州制特別区域における広域行政の推進に関する法律（次条第一項において「新道州制特区法」という。）第十二条第一項の規定により読み替えて適用する場合を含む。次項及び第三項において同じ。）の指定を受けたものとみなす。
With regard to the designation of a hospital or clinic (including those specified by Cabinet Order under that Article; the same applies in this paragraph and the following paragraph) or pharmacy deemed pursuant to the provisions of the preceding paragraph to have been designated under Article 49 of the Public Assistance Act as Amended in 2014, if that hospital, clinic or pharmacy does not file the application referred to in Article 49-2, paragraph (1) of the Public Assistance Act as Amended in 2014 within the period specified by Order of the Ministry of Health, Labour and Welfare that falls within one year from the Effective Date, that designation ceases to be effective upon the lapse of that period, notwithstanding Article 49-3, paragraph (1) of the Public Assistance Act as Amended in 2014.
前項の規定により平成二十六年改正後生活保護法第四十九条の指定を受けたものとみなされた病院若しくは診療所（同条の政令で定めるものを含む。以下この項及び次項において同じ。）又は薬局に係る当該指定は、当該病院若しくは診療所又は薬局が、施行日から一年以内であって厚生労働省令で定める期間内に平成二十六年改正後生活保護法第四十九条の二第一項の申請をしないときは、平成二十六年改正後生活保護法第四十九条の三第一項の規定にかかわらず、当該期間の経過によって、その効力を失う。
With regard to the first renewal after the Effective Date of the designation of a hospital or clinic or pharmacy deemed pursuant to the provisions of paragraph (1) to have been designated under Article 49 of the Public Assistance Act as Amended in 2014, the term "every six years" in Article 49-3, paragraph (1) of the Public Assistance Act as Amended in 2014 is deemed to be replaced with "until the date on which the period specified by Order of the Ministry of Health, Labour and Welfare elapses from the date on which it was deemed to have been designated under Article 49 pursuant to the provisions of Article 5, paragraph (1) of the Supplementary Provisions of the Act Partially Amending the Public Assistance Act (Act No. 104 of 2013)".
第一項の規定により平成二十六年改正後生活保護法第四十九条の指定を受けたものとみなされた病院若しくは診療所又は薬局の当該指定に係る施行日後の最初の更新については、平成二十六年改正後生活保護法第四十九条の三第一項中「六年ごと」とあるのは、「生活保護法の一部を改正する法律（平成二十五年法律第百四号）附則第五条第一項の規定により第四十九条の指定を受けたとみなされた日から厚生労働省令で定める期間を経過する日まで」とする。
A doctor or dentist who is, at the time this Act comes into effect, designated under Article 49 of the old Act is deemed to have established a clinic and, deeming that he/she has been designated under Article 49 of the Public Assistance Act as Amended in 2014 on the Effective Date, the Public Assistance Act as Amended in 2014 and the provisions of the preceding two paragraphs apply to him/her.
この法律の施行の際現に旧法第四十九条の指定を受けている医師又は歯科医師は、診療所を開設しているものとみなし、施行日に、平成二十六年改正後生活保護法第四十九条の指定を受けたものとみなして、平成二十六年改正後生活保護法及び前二項の規定を適用する。