①When the establisher or administrator of a hospital or clinic fails to comply with the conditions attached to the permission granted under the provisions of Article 7, paragraph (5) or (6) without justifiable grounds, the prefectural governor may recommend that the relevant establisher or administrator comply with the relevant conditions by a set deadline, after hearing the opinions of the Prefectural Council on Medical Service Facilities.

②When the establisher or administrator of a hospital or clinic who has received a recommendation pursuant to the provisions of the preceding paragraph fails to take measures pertaining to the relevant recommendation without justifiable grounds, the prefectural governor may order the relevant establisher or administrator to take measures pertaining to the relevant recommendation by a set deadline, after hearing the opinions of the Prefectural Council on Medical Service Facilities.

③If a prefectural governor has issued an order under the preceding paragraph, and the establisher or administrator of a hospital or clinic who has received the relevant order fails to comply with it, the prefectural governor may make a public announcement to that effect.

When the prefectural governor finds the administrator of a hospital, clinic, or birthing center to have committed a criminal act, to have committed an unlawful act related to medical practice, or to be unfit to manage, the governor may order the establisher of the relevant hospital, clinic, or birthing center to replace the relevant administrator by a set deadline.

①The prefectural governor may rescind permission for establishment of a hospital, clinic, or birthing center, or may order the establisher of the hospital, clinic or birthing center or the founder of the facility for receiving online medical care to close it by a period that the governor prescribes, if it falls under any of the following items:

②The prefectural governor may, when operation related to the permission pursuant to the provisions of Article 7, paragraph (2) or (3) has not commenced six months or more after the relevant permission was received without justifiable grounds, rescind the relevant permission.

③The prefectural governor may rescind the approval for a regional medical care support hospital if it falls under any of the following items:

④The Minister of Health, Labour and Welfare may rescind their approval for an advanced treatment hospital, if it falls under any of the following items:

⑤The Minister of Health, Labour and Welfare may revoke the approval for a core hospital for clinical research, if it falls under any of the following items:

⑥In revoking the approval for a regional medical care support hospital pursuant to the provisions of paragraph (3), the prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance.

⑦In revoking the approval for an advanced treatment hospital, etc. pursuant to the provisions of paragraph (4) or (5), the Minister of Health, Labour and Welfare must hear the opinions of the Social Security Council in advance.

If the Minister of Health, Labour and Welfare finds an urgent necessity to protect the health of the citizens, the minister may instruct a prefectural governor to render a disposition pursuant to the provisions of Article 28, and paragraph (1) and paragraph (2) of the preceding Article.

When a disposition has been rendered pursuant to the provisions of Article 23-2, Article 24, paragraph (1), Article 24-2, Article 28, or Article 29, paragraph (1) or (3) in advance of an opportunity for explanation being granted or a hearing being undertaken pursuant to Article 13, paragraph (2), item (i) of the Administrative Procedure Act (Act No. 88 of 1993), the prefectural governor must grant an opportunity for explanation to parties subject to the relevant disposition within three days of the relevant disposition.

Beyond those provided for in this Chapter, the necessary particulars concerning the establishment and management of hospitals, clinics and birthing centers, and the establishment of facilities for receiving online medical care, are to be as specified by Cabinet Order.