In the case where the reference date bed functions and the bed functions after the reference date pertaining to a report under the provisions of Article 30-13, paragraph (1) are different, or in other cases specified by an Order of the Ministry of Health, Labour and Welfare, the prefectural governor, if the number of beds of hospitals, etc. subject to a report on medical institution functions, etc. in the vision area including the location of the hospital, etc. subject to a report on medical institution functions, etc. having filed the relevant report (hereinafter referred to as a "reporting hospital, etc." in this Article), according to the functional classification of beds pertaining to the bed functions after the reference date pertaining to the relevant report, has already reached the future requirements for the number of beds in the relevant vision area as specified in the medical care plan according to the functional classification of beds pertaining to the bed functions after the reference date pertaining to the relevant report, may request the establisher or administrator of a reporting hospital, etc. to submit a document stating the reasons why the reference date bed functions and the bed functions after the reference date pertaining to the relevant report are different, and other particulars specified by an Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "reasons, etc." in this Article).
都道府県知事は、第三十条の十三第一項の規定による報告に係る基準日病床機能と基準日後病床機能とが異なる場合その他の厚生労働省令で定める場合において、当該報告をした医療機関機能等報告対象病院等（以下この条において「報告病院等」という。）の所在地を含む構想区域における医療機関機能等報告対象病院等の病床の当該報告に係る基準日後病床機能に係る病床の機能区分に応じた数が、医療計画において定める当該構想区域における当該報告に係る基準日後病床機能に係る病床の機能区分に応じた将来の病床数の必要量に既に達しているときは、報告病院等の開設者又は管理者に対し、当該報告に係る基準日病床機能と基準日後病床機能とが異なる理由その他の厚生労働省令で定める事項（以下この条において「理由等」という。）を記載した書面の提出を求めることができる。
When the prefectural governor finds that the reasons, etc. stated in the document set forth in the preceding paragraph are not sufficient, the governor may request the establisher or administrator of the relevant reporting hospital, etc. to participate in the consultation at the place of consultation.
The establisher or administrator of a reporting hospital, etc., when requested by the prefectural governor under the preceding paragraph, must endeavor to respond to the request.
When no agreement is reached through the consultation at the place of consultation set forth in paragraph (2), or when otherwise specified by an Order of the Ministry of Health, Labour and Welfare, the prefectural governor may request the establisher or administrator of the relevant reporting hospital, etc. to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the relevant reasons, etc.
The establisher or administrator of a reporting hospital, etc., when requested by the prefectural governor under the preceding paragraph, must endeavor to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the relevant reasons, etc.
If the relevant reasons, etc. are not found to be unavoidable based on the content of the consultation at the place of consultation set forth in paragraph (2) and the content of the explanation set forth in the preceding paragraph, the prefectural governor may order the establisher or administrator of the reporting hospital, etc. (limited to those established by the persons listed in the items of Article 7-2, paragraph (1)) not to change the reference date bed functions pertaining to a report under the provisions of Article 30-13, paragraph (1) to the bed functions after the reference date pertaining to the relevant report and to take other necessary measures, after hearing the opinions of the Prefectural Council on Medical Service Facilities.
The provisions of the preceding paragraph apply mutatis mutandis to a reporting hospital, etc. established by a person other than those listed in the items of Article 7-2, paragraph (1), when it is especially necessary for promoting the achievement of the regional medical care vision specified in the medical care plan. In this case, the term "order" in the preceding paragraph is replaced with "request".
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