Section 1 Approval
第一節 認定
第七十条
A general incorporated association that has as its members the following persons (excluding persons engaged in a business for profit; hereinafter referred to as "participating corporations, etc." in this Chapter) and persons specified by an Order of the Ministry of Health, Labour and Welfare as persons necessary for efficiently providing high-quality and appropriate medical care in the region, and that has the purpose of establishing policies for promoting coordination of operations pertaining to a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care (hereinafter referred to as "hospital, etc." in this Chapter) (hereinafter referred to as the "medical coordination promotion policy" in this Chapter) and performing medical coordination promotion operations may obtain approval from the governor of the prefecture to which the area to promote the relevant coordination specified in the articles of incorporation (hereinafter referred to as "medical coordination promotion area") belongs (in the case where the relevant medical coordination promotion area extends over two or more prefectures, any one of these prefectures):
次に掲げる者（営利を目的とする事業を営む者を除く。以下この章において「参加法人等」という。）及び地域において良質かつ適切な医療を効率的に提供するために必要な者として厚生労働省令で定める者を社員とし、かつ、病院、診療所、介護老人保健施設又は介護医療院（以下この章において「病院等」という。）に係る業務の連携を推進するための方針（以下この章において「医療連携推進方針」という。）を定め、医療連携推進業務を行うことを目的とする一般社団法人は、定款において定める当該連携を推進する区域（以下「医療連携推進区域」という。）の属する都道府県（当該医療連携推進区域が二以上の都道府県にわたる場合にあつては、これらの都道府県のいずれか一の都道府県）の知事の認定を受けることができる。
a corporation that establishes a hospital, etc. in the medical coordination promotion area; or
a corporation that establishes or manages in the medical coordination promotion area a facility or office related to nursing care business (meaning business that provides welfare services or health and medical services to persons with physical or mental disabilities that hinder them from performing daily activities, including care for bathing, excretion, meals, etc., functional training, nursing care and medical treatment management, and other services, to enable them to lead self-reliant daily lives according to their abilities) and other businesses that contribute to the establishment of a community-based integrated care system (hereinafter referred to as "nursing care business, etc." in this Chapter);
医療連携推進区域において、介護事業（身体上又は精神上の障害があることにより日常生活を営むのに支障がある者に対し、入浴、排せつ、食事等の介護、機能訓練、看護及び療養上の管理その他のその者の能力に応じ自立した日常生活を営むことができるようにするための福祉サービス又は保健医療サービスを提供する事業をいう。）その他の地域包括ケアシステムの構築に資する事業（以下この章において「介護事業等」という。）に係る施設又は事業所を開設し、又は管理する法人
a person (excluding corporations) that establishes a hospital, etc. in the medical coordination promotion area; or
a person (excluding corporations) that establishes or manages a facility or office related to nursing care business, etc. in the medical coordination promotion area.
The medical coordination promotion operations set forth in the preceding paragraph means the following operations and other operations performed for the purpose of promoting coordination of operations pertaining to a hospital, etc. in accordance with the medical coordination promotion policy:
training to improve the qualities of medical care professionals;
医療従事者の資質の向上を図るための研修
supplying medicines, medical equipment and other supplies necessary for operations pertaining to a hospital, etc.; and
病院等に係る業務に必要な医薬品、医療機器その他の物資の供給
fund lending and other support specified by an Order of the Ministry of Health, Labour and Welfare as support for raising funds necessary for a participating corporation, etc. (excluding the persons listed in items (iii) and (iv) of the preceding paragraph) to perform operations pertaining to a hospital, etc.
第七十条の二
A general incorporated association that intends to obtain the approval set forth in paragraph (1) of the preceding Article (hereinafter referred to as "approval for medical coordination promotion" in this Chapter), pursuant to the provisions of a Cabinet Order, must apply to the prefectural governor with a medical coordination promotion policy.
The medical coordination promotion policy must contain the following particulars:
医療連携推進方針には、次に掲げる事項を記載しなければならない。
particulars concerning the sharing of functions and the coordination of operations among hospitals, etc. established by participating corporations, etc. in the medical coordination promotion area (referred to as "participating hospitals, etc." in paragraph (4) and Article 70-11);
particulars concerning the targets of the particulars listed in the preceding item; and
前号に掲げる事項の目標に関する事項
other particulars specified by an Order of the Ministry of Health, Labour and Welfare.
その他厚生労働省令で定める事項
A medical coordination promotion area is established by taking into consideration the vision area specified in the medical care plan of the prefecture to which the relevant medical coordination promotion area belongs.
Beyond the particulars listed in each item of paragraph (2), the medical coordination promotion policy may contain particulars concerning the coordination of operations among participating hospitals, etc. and participating nursing care facilities, etc. (referring to facilities or offices pertaining to nursing care business, etc. established or managed by a participating corporation, etc. in a medical coordination promotion area; the same applies in Article 70-11).
When the medical coordination promotion area pertaining to an application for approval for medical coordination promotion extends over two or more prefectures, the prefectural governor who conducts the affairs concerning the approval for medical coordination promotion must be determined through consultation among the governors of the prefectures to which the relevant medical coordination promotion area belongs. In this case, the prefectural governor who has received the application for approval for medical coordination promotion is to notify the general incorporated association that has applied for approval for medical coordination promotion of the prefectural governor who is to conduct the affairs concerning the approval for medical coordination promotion.
第七十条の三
When the prefectural governor finds that a general incorporated association that has applied for approval for medical coordination promotion conforms to the following standards, the prefectural governor may grant approval for medical coordination promotion to the relevant general incorporated association:
都道府県知事は、医療連携推進認定の申請をした一般社団法人が次に掲げる基準に適合すると認めるときは、当該一般社団法人について医療連携推進認定をすることができる。
the main purpose of the general incorporated association is to perform medical coordination promotion operations (which means the medical coordination promotion operations prescribed in Article 70, paragraph (2); the same applies hereinafter in this Chapter);
医療連携推進業務（第七十条第二項に規定する医療連携推進業務をいう。以下この章において同じ。）を行うことを主たる目的とするものであること。
the general incorporated association has the financial basis and technical capability necessary to perform medical coordination promotion operations;
医療連携推進業務を行うのに必要な経理的基礎及び技術的能力を有するものであること。
in the performance of medical coordination promotion operations, the general incorporated association does not provide any special benefits to its members, directors, auditors, employees or any other related parties specified by Cabinet Order;
医療連携推進業務を行うに当たり、当該一般社団法人の社員、理事、監事、職員その他の政令で定める関係者に対し特別の利益を与えないものであること。
the articles of incorporation stipulate that, where a person set forth in Article 70, paragraph (1), item (iii) or (iv) is a member, the operations and investments set forth in item (iii) of paragraph (2) of that Article are not to be carried out;
第七十条第一項第三号又は第四号に掲げる者が社員である場合には、同条第二項第三号に掲げる業務及び出資を行わない旨を定款で定めているものであること。
when the general incorporated association conducts any operations other than medical coordination promotion operations, there is no risk that the implementation of medical coordination promotion operations will be hindered by conducting any operations other than medical coordination promotion operations;
医療連携推進業務以外の業務を行う場合には、医療連携推進業務以外の業務を行うことによつて医療連携推進業務の実施に支障を及ぼすおそれがないものであること。
the medical coordination promotion policy does not violate the provisions of paragraphs (2) and (3) of the preceding Article;
the medical coordination promotion area is specified in the articles of incorporation;
医療連携推進区域を定款で定めているものであること。
the articles of incorporation stipulate that the members should be limited to participating corporations, etc. and persons specified by an Order of the Ministry of Health, Labour and Welfare as necessary for efficiently providing high-quality and appropriate medical care in the medical coordination promotion area;
the number of participating corporations, etc. establishing a hospital, etc. is two or more and other requirements for the composition of the participating corporations, etc. specified by an Order of the Ministry of Health, Labour and Welfare as appropriate in light of the purpose prescribed in Article 70, paragraph (1) (referred to as the "purpose of medical coordination promotion" in the following item and item (xi), (a)) are met;
no unfairly discriminatory conditions or other unreasonable conditions are attached to the member's acquisition or loss of qualification in light of the purpose of medical coordination promotion;
社員の資格の得喪に関して、医療連携推進目的に照らし、不当に差別的な取扱いをする条件その他の不当な条件を付していないものであること。
each member has one voting right. However, this does not apply if provisions of the articles of incorporation concerning voting rights of members, such as the number of voting rights that may be exercised at a general meeting of members, particulars on which voting rights may be exercised, conditions for exercising voting rights, fall under all of the following:
社員は、各一個の議決権を有するものであること。ただし、社員総会において行使できる議決権の数、議決権を行使することができる事項、議決権の行使の条件その他の社員の議決権に関する定款の定めが次のいずれにも該当する場合は、この限りでない。
the voting rights of members are not treated in an unfairly discriminatory manner in light of the purpose of medical coordination promotion;
社員の議決権に関して、医療連携推進目的に照らし、不当に差別的な取扱いをしないものであること。
the voting rights of members are not treated differently according to the value of money or other property that the members have provided to the general incorporated association;
社員の議決権に関して、社員が当該一般社団法人に対して提供した金銭その他の財産の価額に応じて異なる取扱いをしないものであること。
the total number of voting rights held by the participating corporations, etc. accounts for a majority of the voting rights of all members;
参加法人等の有する議決権の合計が総社員の議決権の過半を占めているものであること。
the articles of incorporation stipulate that persons specified by an Order of the Ministry of Health, Labour and Welfare as those who are likely to have an undue influence on the resolution of a general meeting of members due to their interest in a profit-oriented organization or its officers or other circumstances should not be designated as members, directors or auditors (referred to as "officers" in the following item);
営利を目的とする団体又はその役員と利害関係を有することその他の事情により社員総会の決議に不当な影響を及ぼすおそれがある者として厚生労働省令で定めるものを社員並びに理事及び監事（次号において「役員」という。）としない旨を定款で定めているものであること。
the general incorporated association falls under all of the following with regard to its officers:
役員について、次のいずれにも該当するものであること。
the general incorporated association has three or more directors and one or more auditors as its officers;
役員として、理事三人以上及び監事一人以上を置くものであること。
no more than one-third of the total number of officers consist of an 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ものであること。
at least one of the directors is a representative of an organization of academic experts on medical treatment or other persons specified by an Order of the Ministry of Health, Labour and Welfare as necessary for the effective implementation of medical coordination promotion operations;
理事のうち少なくとも一人は、診療に関する学識経験者の団体の代表者その他の医療連携推進業務の効果的な実施のために必要な者として厚生労働省令で定める者であるものであること。
the general incorporated association has one representative director;
代表理事を一人置いているものであること。
the general incorporated association has a board of directors;
理事会を置いているものであること。
the articles of incorporation stipulate that the general incorporated association should have a council that meets the following requirements (referred to as the "council for regional medical coordination promotion" in Article 70-13, paragraph (2)):
次に掲げる要件を満たす評議会（第七十条の十三第二項において「地域医療連携推進評議会」という。）を置く旨を定款で定めているものであること。
the council consists of recipients of medical care or nursing care, organizations of academic experts on medical treatment and other related organizations, persons with academic background, and other related persons;
医療又は介護を受ける立場にある者、診療に関する学識経験者の団体その他の関係団体、学識経験を有する者その他の関係者をもつて構成するものであること。
the council is able to provide necessary opinions to the general incorporated association when the relevant general incorporated association expresses the opinions prescribed in the following item;
当該一般社団法人が次号の意見を述べるに当たり、当該一般社団法人に対し、必要な意見を述べることができるものであること。
the council is able to evaluate the status of the implementation of the operations of the general incorporated association in light of the targets set forth in paragraph (2), item (iii) of the preceding Article, and to state its opinions at a general meeting of members and board of directors meeting when it finds it necessary;
前条第二項第三号の目標に照らし、当該一般社団法人の業務の実施の状況について評価を行い、必要があると認めるときは、社員総会及び理事会において意見を述べることができるものであること。
the articles of incorporation stipulate that the participating corporations, etc. should, prior to making decisions on the following particulars (excluding the particulars set forth in (a), (b) and (e) in the case of a general incorporated association whose articles of incorporation stipulate that it does not carry out the operations and investments set forth in Article 70, paragraph (2), item (iii)) and other important particulars, seek the opinions of the general incorporated association:
参加法人等が次に掲げる事項（その定款に第七十条第二項第三号に掲げる業務及び出資を行わない旨を定めている一般社団法人については、イ、ロ及びホに掲げる事項を除く。）その他重要な事項を決定するに当たつては、あらかじめ、当該一般社団法人に意見を求めなければならないものとする旨を定款で定めているものであること。
decision or change of the budget;
予算の決定又は変更
borrowings (excluding temporary borrowings to be redeemed with income within the fiscal year);
借入金（当該会計年度内の収入をもつて償還する一時の借入金を除く。）の借入れ
disposal of important assets pertaining to the business;
事業に係る重要な資産の処分
decision or change of the business plan;
事業計画の決定又は変更
change of the articles of incorporation or act of endowment;
定款又は寄附行為の変更
merger or split of the corporation;
法人の合併又は分割
dissolution or discontinuation of business due to inability to succeed in the intended business or other reasons specified by an Order of the Ministry of Health, Labour and Welfare;
目的たる事業の成功の不能その他の厚生労働省令で定める事由による解散又は事業の廃止
the articles of incorporation stipulate that in the event that a disposition of rescission of the approval for medical coordination promotion is made pursuant to the provisions of Article 70-21, paragraph (1) or (2), when there is a remaining balance of property acquired for medical coordination promotion purposes prescribed in Article 70-22, paragraph (2), the equivalent amount of property should be donated to the national government, local governments, medical corporations or other medical care providers specified by an Order of the Ministry of Health, Labour and Welfare (referred to as "the State, etc." in the following item) within one month from the day of the relevant disposition of rescission of the approval for medical coordination promotion;
第七十条の二十一第一項又は第二項の規定による医療連携推進認定の取消しの処分を受けた場合において、第七十条の二十二第二項に規定する医療連携推進目的取得財産残額があるときは、これに相当する額の財産を当該医療連携推進認定の取消しの処分の日から一月以内に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（次号において「国等」という。）に贈与する旨を定款で定めているものであること。
the articles of incorporation stipulate that in the case of liquidation, the residual property is to be attributed to the state, etc.; and
清算をする場合において残余財産を国等に帰属させる旨を定款で定めているものであること。
beyond what is listed in each of the preceding items, the general incorporated association meets the requirements specified by an Order of the Ministry of Health, Labour and Welfare as necessary for the appropriate performance of medical coordination promotion operations.
In granting approval for medical coordination promotion, the prefectural governor must give consideration to consistency with the regional medical care vision specified in the medical care plan of the prefecture and hear the opinions of the Prefectural Council on Medical Service Facilities in advance.