This Act comes into effect on April 1, 2007; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items:

The government is, with a target of five years after this Act comes into effect, taking into account the status of enforcement of this Act, etc., to review how regulation under the provisions of the Medical Care Act, etc. as amended by this Act should be, and if it finds it necessary, take necessary measures based on the results.

①A bed in a clinic other than a long-term care bed for whose buildings and equipment a license was issued pursuant to Article 27 of the Medical Care Act before the date on which the provisions set forth in Article 1, item (ii) of the Supplementary Provisions come into effect is deemed, on that date, to be a bed for which permission to set up a general bed in a clinic has been received under Article 7, paragraph (3) of the Medical Care Act as amended by the provisions of Article 1.

②The following beds are not to be subject to a recommendation by the prefectural governor under Article 30-7 of the Medical Care Act as amended by the provisions of Article 1, notwithstanding the provisions of that Article:

③A bed deemed under paragraph (1) to have received permission to set up a general bed in a clinic and a bed listed in the items of the preceding paragraph (referred to as a "specified bed" in the following paragraph) are not to be included in the number of general beds prescribed in Article 7-2, paragraphs (1) and (2) of the Medical Care Act as amended by the provisions of Article 1, from the date on which the provisions set forth in Article 1, item (ii) of the Supplementary Provisions come into effect until the date specified by Cabinet Order.

④A specified bed is not to be included in the number of general beds prescribed in Article 7-2, paragraph (3) of the Medical Care Act as amended by the provisions of Article 2 (hereinafter referred to as the "New Medical Care Act"), from the date of enforcement of this Act (hereinafter referred to as the "Effective Date") until the date specified by Cabinet Order in the preceding paragraph.

With regard to a patient who is actually hospitalized in a hospital or clinic on the Effective Date, the provisions of Article 6-4, paragraphs (1), (2) and (4) of the New Medical Care Act do not apply.

With regard to a report on operations submitted before the Effective Date pursuant to Article 12-2 or 12-3 of the Medical Care Act before its amendment by the provisions of Article 2 (hereinafter referred to as the "Former Medical Care Act"), the provisions of Article 12-2, paragraph (2) or Article 12-3, paragraph (2) of the New Medical Care Act do not apply.

With regard to the application of Article 19 of the New Medical Care Act to an establisher of a birthing center that is already established as of the Effective Date, the provisions then in force continue to govern until the day on which one year elapses from the Effective Date.

A medical care plan determined pursuant to the provisions of Article 30-3, paragraph (1) of the Former Medical Care Act before the Effective Date (including one changed pursuant to the provisions of paragraph (10) of that Article) is deemed to be a medical care plan determined pursuant to the provisions of Article 30-4, paragraph (1) of the New Medical Care Act until it is determined pursuant to the provisions of that paragraph.

With regard to a person that is a special medical corporation prescribed in Article 42, paragraph (2) of the Former Medical Care Act at the time of enforcement of this Act (hereinafter in this Article referred to as a "former special medical corporation"), the provisions of Article 42, paragraphs (2) and (3) and Article 64-2 of the Former Medical Care Act (including where applied by replacing terms pursuant to Article 68-2, paragraph (1) of the Former Medical Care Act) (including the penal provisions pertaining to the provisions of Article 64-2 of the Former Medical Care Act) remain in force until the day on which five years elapse from the Effective Date (if the person receives the authorization under Article 42-2, paragraph (1) of the New Medical Care Act within that period, until that day). In the case where a former special medical corporation has filed an application for the authorization under Article 42-2, paragraph (1) of the New Medical Care Act by the day on which five years elapse from the Effective Date and that period has elapsed, the same applies until a disposition on the application is made.

①A medical corporation established before the Effective Date must, within one year from the Effective Date, file an application for the approval under Article 50, paragraph (1) of the Medical Care Act for a change of the articles of incorporation or act of endowment that becomes necessary in connection with enforcement of this Act (for a medical corporation that establishes a hospital, clinic or long-term care health facility in the areas of two or more prefectures, the approval under Article 50, paragraph (1) of the Medical Care Act as applied by replacing terms pursuant to Article 68-2, paragraph (1) of the New Medical Care Act).

②The articles of incorporation or act of endowment of a medical corporation established before the Effective Date are deemed to be articles of incorporation or act of endowment determined pursuant to the provisions of Chapter VI of the New Medical Care Act until the day on which one year elapses from the Effective Date (for a medical corporation that has filed an application for approval of a change of the articles of incorporation or act of endowment pursuant to the provisions of the preceding paragraph, the day on which a disposition on the application is made). In this case, where the articles of incorporation or act of endowment conflict with the provisions of that Chapter, the provisions of that Chapter do not apply to the conflicting part.

①The provisions of Article 44, paragraph (5) of the Medical Care Act apply to the authorization under paragraph (1) of that Article for which an application is filed on or after the Effective Date, and the provisions then in force continue to govern the authorization under that paragraph for which an application is filed before the Effective Date.

②With regard to a medical corporation established before the Effective Date, or a medical corporation that filed an application for the authorization under Article 44, paragraph (1) of the Medical Care Act before the Effective Date and received authorization for establishment on or after the Effective Date, that, as of the Effective Date, has not established in its articles of incorporation or act of endowment provisions on the person to whom the residual assets are to belong, or has provided as the person to whom the residual assets are to belong a person other than those prescribed in paragraph (5) of that Article, for the time being (where that medical corporation has, on or after the Effective Date, made a change of its articles of incorporation or act of endowment the content of which is to determine as the person to whom the residual assets are to belong a person prescribed in that paragraph, until it receives the approval under Article 50, paragraph (1) of that Act for that change of the articles of incorporation or act of endowment), the provisions of Article 50, paragraph (4) of that Act do not apply, and the provisions of Article 56 of the Former Medical Care Act remain in force.

In order to ensure the medical care required in communities, the Government is to make efforts to promote the necessary measures so that the transition of transitional medical corporations (meaning medical corporations as associations established before the Effective Date, or medical corporations as associations that filed an application for the authorization under Article 44, paragraph (1) of the Medical Care Act before the Effective Date and received authorization for establishment on or after the Effective Date, whose articles of incorporation do not include provisions on the person to whom the residual assets are to belong, and those whose articles of incorporation provide as the person to whom the residual assets are to belong a person other than those prescribed in paragraph (5) of that Article; the same applies in the following Article and Article 10-4 of the Supplementary Provisions) to new medical corporations (meaning medical corporations as associations whose articles of incorporation provide as the person to whom the residual assets are to belong the persons prescribed in Article 44, paragraph (5) of that Act; the same applies hereinafter) is promoted.