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Section 1 General Rules

第一節 通則

Article 39

第三十九条

An association or foundation that wishes to establish a hospital, a clinic where a physician or dentist will work full-time, a long-term care health facility, or an integrated facility for medical and long-term care may incorporate the relevant facility pursuant to the provisions of this Act.

病院、医師若しくは歯科医師が常時勤務する診療所、介護老人保健施設又は介護医療院を開設しようとする社団又は財団は、この法律の規定により、これを法人とすることができる。

A corporation pursuant to the provisions of the previous paragraph is to include in its name the term "medical corporation".

前項の規定による法人は、医療法人と称する。

Article 40

第四十条

An entity that is not a medical corporation must not use the term "medical corporation" in its name.

医療法人でない者は、その名称中に、医療法人という文字を用いてはならない。

Article 40-2

第四十条の二

A medical corporation, as well as seeking to independently strengthen its operational foundations, is to seek to improve the quality of the medical care it provides and ensure transparency in its operation, and must endeavor to actively fulfill its role as a major medical care actor in the community.

医療法人は、自主的にその運営基盤の強化を図るとともに、その提供する医療の質の向上及びその運営の透明性の確保を図り、その地域における医療の重要な担い手としての役割を積極的に果たすよう努めなければならない。

Article 41

第四十一条

A medical corporation must possess the assets necessary for it to operate.

医療法人は、その業務を行うに必要な資産を有しなければならない。

Necessary particulars concerning the assets set forth in the preceding paragraph are to be as prescribed by an Order of the Ministry of Health, Labour and Welfare, in accordance with the scale, etc. of medical care functions established by the medical corporation.

前項の資産に関し必要な事項は、医療法人の開設する医療機関の規模等に応じ、厚生労働省令で定める。

Article 42

第四十二条

A medical corporation may carry out all or some of the following operations, provided there is no hindrance to the operation of the hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care it has established (including a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care publically established by the relevant medical corporation and managed by a designated administrator provided for in (hereinafter referred to as "hospital, etc. managed by a designated administrator")), pursuant to the provisions of its articles of incorporation or its act of endowment:

医療法人は、その開設する病院、診療所、介護老人保健施設又は介護医療院(当該医療法人がに規定する指定管理者として管理する公の施設である病院、診療所、介護老人保健施設又は介護医療院(以下「指定管理者として管理する病院等」という。)を含む。)の業務に支障のない限り、定款又は寄附行為の定めるところにより、次に掲げる業務の全部又は一部を行うことができる。

the training or re-training of medical personnel;

医療関係者の養成又は再教育

the establishment of a research center for medicine or dentistry;

医学又は歯学に関する研究所の設置

the establishment of clinics other than clinics provided for in Article 39, paragraph (1);

第三十九条第一項に規定する診療所以外の診療所の開設

the establishment of facilities that allow people to engage in aerobic exercise for the prevention of illness (meaning physical exercise undertaken in order to maintain or rehabilitate physiological functions related to whole-body stamina, through the continuous intake of oxygen; the same applies in the following item) that are affiliated with a clinic and whose personnel, equipment, and operation comply with standards prescribed by the Minister of Health, Labour and Welfare;

疾病予防のために有酸素運動(継続的に酸素を摂取して全身持久力に関する生理機能の維持又は回復のために行う身体の運動をいう。次号において同じ。)を行わせる施設であつて、診療所が附置され、かつ、その職員、設備及び運営方法が厚生労働大臣の定める基準に適合するものの設置

the establishment of facilities that allow the use of a hot spring for the prevention of illness that has a space for aerobic exercise and whose personnel, equipment, and operation comply with standards prescribed by the Minister of Health, Labour and Welfare;

疾病予防のために温泉を利用させる施設であつて、有酸素運動を行う場所を有し、かつ、その職員、設備及び運営方法が厚生労働大臣の定める基準に適合するものの設置

beyond what is listed in each of the preceding items, operations related to health and hygiene;

前各号に掲げるもののほか、保健衛生に関する業務

the establishment of the activities prescribed by the Minister of Health, Labour and Welfare, among those listed in and ; and

及びに掲げる事業のうち厚生労働大臣が定めるものの実施

the establishment of the fee-based home care for the elderly provided for in .

に規定する有料老人ホームの設置

Article 42-2

第四十二条の二

A medical corporation that has received authorization from the prefectural governor as falling under the following requirements, pursuant to the provisions of a Cabinet Order (hereinafter referred to as "social medical corporations") may undertake operations as prescribed by the Minister of Health, Labour and Welfare (hereinafter referred to as "profit-making activities"), for the purpose of allocating its proceeds to the administration of a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care established by the relevant social medical corporation, pursuant to the provisions of its articles of incorporation or act of endowment, provided that this does not hinder the operation of the hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care the relevant medical corporation has established (including hospitals, etc. managed by a designated administrator):

医療法人のうち、次に掲げる要件に該当するものとして、政令で定めるところにより都道府県知事の認定を受けたもの(以下「社会医療法人」という。)は、その開設する病院、診療所、介護老人保健施設又は介護医療院(指定管理者として管理する病院等を含む。)の業務に支障のない限り、定款又は寄附行為の定めるところにより、その収益を当該社会医療法人が開設する病院、診療所、介護老人保健施設又は介護医療院の経営に充てることを目的として、厚生労働大臣が定める業務(以下「収益業務」という。)を行うことができる。

no more than one-third of the total number of officers is composed of the officer, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the officer as specified by an Order of the Ministry of Health, Labour and Welfare.;

役員のうちには、各役員について、その役員、その配偶者及び三親等以内の親族その他各役員と厚生労働省令で定める特殊の関係がある者が役員の総数の三分の一を超えて含まれることがないこと。

no more than one-third of the total number of members of an associated medical corporation is composed of the member, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the member as specified by an Order of the Ministry of Health, Labour and Welfare;

社団たる医療法人の社員のうちには、各社員について、その社員、その配偶者及び三親等以内の親族その他各社員と厚生労働省令で定める特殊の関係がある者が社員の総数の三分の一を超えて含まれることがないこと。

no more than one-third of the total number of councillors of an associated medical corporation is composed of the councillor, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the councillor as specified by an Order of the Ministry of Health, Labour and Welfare;

財団たる医療法人の評議員のうちには、各評議員について、その評議員、その配偶者及び三親等以内の親族その他各評議員と厚生労働省令で定める特殊の関係がある者が評議員の総数の三分の一を超えて含まれることがないこと。

it carries out operations related to activities to ensure emergency medical care (limited to those listed in the medical care plan prepared by the prefecture of the hospital or clinic established by the relevant medical corporation; the same applies in the following Article) in the prefecture (in the case of a medical corporation listed in (a) or (b) below, the prefecture specified in (a) or (b) respectively) in which the relevant hospital or clinic is situated;

救急医療等確保事業(当該医療法人が開設する病院又は診療所の所在地の都道府県が作成する医療計画に記載されたものに限る。次条において同じ。)に係る業務を当該病院又は診療所の所在地の都道府県(次のイ又はロに掲げる医療法人にあつては、それぞれイ又はロに定める都道府県)において行つていること。

a medical corporation that establishes hospitals or clinics in two or more prefectures (excluding those listed in (b)):All prefectures where the relevant hospitals or clinics are located; or

二以上の都道府県において病院又は診療所を開設する医療法人(ロに掲げる者を除く。) 当該病院又は診療所の所在地の全ての都道府県

a medical corporation that establishes hospitals in one prefecture and clinics in the area prescribed in Article 30-4, paragraph (2), item (xiv) specified in the medical care plan of the prefecture other than the prefecture where the relevant hospitals are located, which is adjacent to the area prescribed in the same item specified in the medical care plan of the prefecture where the relevant hospitals are located, and medical care in the relevant hospitals and the relevant clinics is provided in an integrated manner in conformity with the standards specified by an Order of the Ministry of Health, Labour and Welfare:The prefecture where the relevant hospitals are located;

一の都道府県において病院を開設し、かつ、当該病院の所在地の都道府県の医療計画において定める第三十条の四第二項第十四号に規定する区域に隣接した当該都道府県以外の都道府県の医療計画において定める同号に規定する区域において診療所を開設する医療法人であつて、当該病院及び当該診療所における医療の提供が一体的に行われているものとして厚生労働省令で定める基準に適合するもの 当該病院の所在地の都道府県

the operations set forth in the preceding item comply with the standards prescribed by the Minister of Health, Labour and Welfare with regard to the following particulars:

前号の業務について、次に掲げる事項に関し厚生労働大臣が定める基準に適合していること。

the buildings and equipment of the hospitals or clinics engaged in the relevant operations;

当該業務を行う病院又は診療所の構造設備

the system by which the relevant operations are undertaken; and

当該業務を行うための体制

the outcome of the relevant operations;

当該業務の実績

beyond what is listed in each of the preceding items, particulars that comply with the requirements set out by an Order of the Ministry of Health, Labour and Welfare with regard to public operations; and

前各号に掲げるもののほか、公的な運営に関する厚生労働省令で定める要件に適合するものであること。

it is stipulated in the articles of incorporation or the act of endowment that any residual assets at the time of dissolution will belong to the national government, local government, or another social medical corporation.

定款又は寄附行為において解散時の残余財産を国、地方公共団体又は他の社会医療法人に帰属させる旨を定めていること。

In granting the authorization set forth in the preceding paragraph, the prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance.

都道府県知事は、前項の認定をするに当たつては、あらかじめ、都道府県医療審議会の意見を聴かなければならない。

Accounting for profit-making activities are to be kept separate from accounting for the operation of a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care established by the relevant social medical corporation (including a hospital, etc. managed by a designated administrator), and from operations listed in each item of the preceding Article, and must be accounted for in a special account.

収益業務に関する会計は、当該社会医療法人が開設する病院、診療所、介護老人保健施設又は介護医療院(指定管理者として管理する病院等を含む。)の業務及び前条各号に掲げる業務に関する会計から区分し、特別の会計として経理しなければならない。

Article 42-3

第四十二条の三

Out of medical corporations that have received authorization set forth in paragraph (1) of the preceding Article (hereinafter referred to as "authorization as a social medical corporation" in this paragraph and Article 64-2, paragraph (1)), those that have fallen under Article 64-2, paragraph (1), item (i) due to the fact that they no longer meet the requirements listed in paragraph (1), item (v), (c) of the preceding Article (limited to the case where the relevant failure to meet the requirements is due to reasons specified by an Order of the Ministry of Health, Labour and Welfare as reasons not attributable to the relevant medical corporations) and have their authorization as a social medical corporation rescinded pursuant to the provisions of Article 64-2, paragraph (1) (limited to those that fall under the requirements listed in each item (excluding item (v), (c)) of paragraph (1) of the preceding Article) may prepare a plan for the continuous implementation of activities to ensure emergency medical care (hereinafter referred to as the "implementation plan" in this Article) and submit it to the prefectural governor to receive approval to the effect that the implementation plan is appropriate.

前条第一項の認定(以下この項及び第六十四条の二第一項において「社会医療法人の認定」という。)を受けた医療法人のうち、前条第一項第五号ハに掲げる要件を欠くに至つたこと(当該要件を欠くに至つたことが当該医療法人の責めに帰することができない事由として厚生労働省令で定める事由による場合に限る。)により第六十四条の二第一項第一号に該当し、同項の規定により社会医療法人の認定を取り消されたもの(前条第一項各号(第五号ハを除く。)に掲げる要件に該当するものに限る。)は、救急医療等確保事業に係る業務の継続的な実施に関する計画(以下この条において「実施計画」という。)を作成し、これを都道府県知事に提出して、その実施計画が適当である旨の認定を受けることができる。

A medical corporation that has received the approval set forth in the preceding paragraph may conduct profit-making operations in accordance with the provisions of paragraphs (1) and (3) of the preceding Article.

前項の認定を受けた医療法人は、前条第一項及び第三項の規定の例により収益業務を行うことができる。

The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to the case of granting the approval set forth in paragraph (1).

前条第二項の規定は、第一項の認定をする場合について準用する。

Beyond what is provided for in the preceding three paragraphs, particulars necessary for the approval of an implementation plan and its revocation is specified by Cabinet Order.

前三項に規定するもののほか、実施計画の認定及びその取消しに関し必要な事項は、政令で定める。

Article 43

第四十三条

A medical corporation must complete its registration pursuant to the provisions of a Cabinet Order, in the case of its establishment, the establishment of secondary offices, a relocation of its offices, a change in other registered particulars, dissolution, merger, split, the appointment or change of a liquidator, and the completion of liquidation.

医療法人は、政令で定めるところにより、その設立、従たる事務所の新設、事務所の移転、その他登記事項の変更、解散、合併、分割、清算人の就任又はその変更及び清算の結了の各場合に、登記をしなければならない。

Particulars which are to be registered pursuant to the provisions of the preceding paragraph may not be duly asserted against a third party after registration.

前項の規定により登記しなければならない事項は、登記の後でなければ、これをもつて第三者に対抗することはできない。

Section 2 Establishment

第二節 設立

Article 44

第四十四条

A medical corporation may not be established without the authorization of the prefectural governor of the location of its principal office (hereinafter referred to simply as "prefectural governor" in this Chapter (excluding paragraph (3) and Article 66-3)).

医療法人は、その主たる事務所の所在地の都道府県知事(以下この章(第三項及び第六十六条の三を除く。)において単に「都道府県知事」という。)の認可を受けなければ、これを設立することができない。

A person who wishes to establish a medical corporation must stipulate at least the following particulars in its articles of incorporation or act of endowment:

医療法人を設立しようとする者は、定款又は寄附行為をもつて、少なくとも次に掲げる事項を定めなければならない。

its purpose;

目的

its name;

名称

the name and established location of the hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care (including a publically established hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care that is to be managed by a designated administrator as provided in ) to be established;

その開設しようとする病院、診療所、介護老人保健施設又は介護医療院(に規定する指定管理者として管理しようとする公の施設である病院、診療所、介護老人保健施設又は介護医療院を含む。)の名称及び開設場所

the location of its offices;

事務所の所在地

provisions on assets and accounting;

資産及び会計に関する規定

provisions on officers;

役員に関する規定

provisions on the board of directors;

理事会に関する規定

for an association of medical corporations, provisions on general meetings and the acquisition or loss of member status;

社団たる医療法人にあつては、社員総会及び社員たる資格の得喪に関する規定

for medical corporation foundations, provisions on the board of councillors and councillors;

財団たる医療法人にあつては、評議員会及び評議員に関する規定

provisions on dissolution;

解散に関する規定

provisions on changes to the articles of incorporation or act of endowment; and

定款又は寄附行為の変更に関する規定

the method of public notice.

公告の方法

If a person who wishes to establish a medical corporation foundation dies without stipulating the name, location of its offices, or method of appointment and dismissal of directors, the prefectural governor must determine such particulars by the authority of the governor or at the request of an interested party.

財団たる医療法人を設立しようとする者が、その名称、事務所の所在地又は理事の任免の方法を定めないで死亡したときは、都道府県知事は、利害関係人の請求により又は職権で、これを定めなければならない。

The initial officers at the time of the establishment of a medical corporation must be stipulated in the articles of incorporation or act of endowment.

医療法人の設立当初の役員は、定款又は寄附行為をもつて定めなければならない。

Where, among the particulars listed in paragraph (2), item (x), provisions on persons with vested rights to residual assets have been established, such persons must be selected from among the national government or local governments, or medical corporations or other persons who deliver medical care, as prescribed by an Order of the Ministry of Health, Labour and Welfare.

第二項第十号に掲げる事項中に、残余財産の帰属すべき者に関する規定を設ける場合には、その者は、国若しくは地方公共団体又は医療法人その他の医療を提供する者であつて厚生労働省令で定めるもののうちから選定されるようにしなければならない。

Beyond the provisions of this Section, any necessary particulars related to applications for authorization to establish a medical corporation is to be as prescribed by an Order of the Ministry of Health, Labour and Welfare.

この節に定めるもののほか、医療法人の設立認可の申請に関して必要な事項は、厚生労働省令で定める。

Article 45

第四十五条

Where there has been an application for authorization pursuant to the provisions of paragraph (1) of the preceding Article, the prefectural governor must reach a decision on such authorization based on an examination of whether the assets of the medical corporation to which the relevant application relates comply with the requirements set forth in Article 41, and whether the articles of incorporation or act of endowment are not in violation of laws and regulations.

都道府県知事は、前条第一項の規定による認可の申請があつた場合には、当該申請にかかる医療法人の資産が第四十一条の要件に該当しているかどうか及びその定款又は寄附行為の内容が法令の規定に違反していないかどうかを審査した上で、その認可を決定しなければならない。

In granting or refusing authorization pursuant to the provisions of paragraph (1) of the preceding Article, the prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance.

都道府県知事は、前条第一項の規定による認可をし、又は認可をしない処分をするに当たつては、あらかじめ、都道府県医療審議会の意見を聴かなければならない。

Article 46

第四十六条

A medical corporation is to be incorporated through the registration of its establishment at the location of the principal office thereof, pursuant to the provisions of a Cabinet Order.

医療法人は、その主たる事務所の所在地において政令の定めるところにより設立の登記をすることによつて、成立する。

A medical corporation must prepare an inventory of assets at the time of incorporation, and keep it in its principal office at all times.

医療法人は、成立の時に財産目録を作成し、常にこれをその主たる事務所に備え置かなければならない。

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