Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect as of whichever is later of the date of promulgation or April 1, 2014; provided, however, that the provisions listed in the following items come into effect as of the date specified in the respective items:
この法律は、公布の日又は平成二十六年四月一日のいずれか遅い日から施行する。ただし、次の各号に掲げる規定は、当該各号に定める日から施行する。
the amending provisions of Article 26, paragraph (2) of the Radiology Technicians Act in Article 12 and the provisions of Article 24, and the provisions of the following Article and Article 7, the proviso to Article 13, Article 18, the proviso to Article 20, paragraph (1), Article 22, Article 25, Article 29, Article 31, Article 61, Article 62, Article 64, Article 67, Article 71 and Article 72 of the Supplementary Provisions: the date of promulgation;
the provisions of Article 3 (excluding the provisions amending Article 30-3, paragraph (1) of the Medical Care Act (limited to the part adding ", in line with the comprehensive securing policy prescribed in Article 3, paragraph (1) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities (Act No. 64 of 1989)" after "the Minister of Health, Labour and Welfare")), the provisions of Articles 20 and 23, and the provisions of Article 8, paragraphs (1) and (3), Article 32, paragraph (2), Articles 40, 45 and 53, and Article 69 of the Supplementary Provisions: October 1, 2014
The provisions of Article 2; the provisions of Article 4 (excluding the amending provisions listed in item (v)); among the provisions of Article 5, the amending provisions of the table of contents of the Long-Term Care Insurance Act, the amending provisions of Article 7, paragraph (5), Article 8, Article 8-2, Article 13, Article 24-2, paragraph (5), Article 32, paragraph (4), Article 42-2, Article 42-3, paragraph (2), Article 53, Article 54, paragraph (3), Article 54-2, Article 54-3, paragraph (2), Article 58, paragraph (1), Article 68, paragraph (5), Article 69-34, Article 69-38, paragraph (2), Article 69-39, paragraph (2), Article 78-2, Article 78-14, paragraph (1), Article 115-12, Article 115-22, paragraph (1), and Article 115-45 of that Act, the amending provisions adding ten Articles after Article 115-45 of that Act, the amending provisions of Article 115-46 and Article 115-47 of that Act, the amending provisions in Chapter VI of that Act renumbering Article 115-48 of that Act as Article 115-49 of that Act and adding one Article after Article 115-47 of that Act, the amending provisions of Article 117, Article 118, Article 122-2, Article 123, paragraph (3), and Article 124, paragraph (3) of that Act, the amending provisions adding two Articles after Article 124 of that Act, the amending provisions of Article 126, paragraph (1), Article 127, Article 128, the caption of Article 141 and paragraph (1) of that Article, Article 148, paragraph (2), Article 152 and Article 153, and Article 176 of that Act, the amending provisions of the title of Chapter XI of that Act, the amending provisions of Article 179 through Article 182 of that Act, the amending provisions adding one Article after Article 200 of that Act, and the amending provisions of Article 202, paragraph (1), Article 203 and Article 205 of that Act and of the proviso to Article 9, paragraph (1) of the Supplementary Provisions of that Act, and the amending provisions adding one Article to the Supplementary Provisions of that Act; the provisions of Article 7 (excluding the amending provisions listed in the following item); the provisions of Article 9 and Article 10; the provisions of Article 12 (excluding the amending provisions listed in item (i)); the provisions of Article 13 and Article 14; the provisions of Article 15 (excluding the amending provisions listed in item (vi)); the provisions of Article 16 (excluding the amending provisions listed in item (vi)); the provisions of Article 17; the provisions of Article 18 (excluding the amending provisions listed in item (vi)); the provisions of Article 19, and the amending provisions of Article 2, paragraph (2) of the Act on Assurance of Work Forces of Nurses and Other Medical Experts in Article 21, and the provisions of Article 5, Article 8, paragraph (2) and paragraph (4), Article 9 through Article 12, Article 13 (excluding the proviso), Article 14 through Article 17, Article 28, Article 30, Article 32, paragraph (1), Article 33 through Article 39, Article 44, Article 46, and Article 48 of the Supplementary Provisions; the provisions of Article 50 of the Supplementary Provisions (excluding the amending provisions listed in item (vi)); the provisions of Article 51 of the Supplementary Provisions; the provisions of Article 52 of the Supplementary Provisions (excluding the amending provisions listed in item (vi)); the provisions of Article 54, Article 57 and Article 58 of the Supplementary Provisions; the amending provisions of Article 2, paragraph (5), item (ii) of the Act on the Prevention of Elder Abuse and Support for Caregivers of Elderly Persons (Act No. 124 of 2005) in Article 59 of the Supplementary Provisions (limited to the part replacing "paragraph (14) of that Article" with "paragraph (12) of that Article" and "paragraph (18) of that Article" with "paragraph (16) of that Article"); and the provisions of Article 65, Article 66 and Article 70 of the Supplementary Provisions: April 1, 2015.
第二条の規定、第四条の規定（第五号に掲げる改正規定を除く。）、第五条のうち、介護保険法の目次の改正規定、同法第七条第五項、第八条、第八条の二、第十三条、第二十四条の二第五項、第三十二条第四項、第四十二条の二、第四十二条の三第二項、第五十三条、第五十四条第三項、第五十四条の二、第五十四条の三第二項、第五十八条第一項、第六十八条第五項、第六十九条の三十四、第六十九条の三十八第二項、第六十九条の三十九第二項、第七十八条の二、第七十八条の十四第一項、第百十五条の十二、第百十五条の二十二第一項及び第百十五条の四十五の改正規定、同法第百十五条の四十五の次に十条を加える改正規定、同法第百十五条の四十六及び第百十五条の四十七の改正規定、同法第六章中同法第百十五条の四十八を同法第百十五条の四十九とし、同法第百十五条の四十七の次に一条を加える改正規定、同法第百十七条、第百十八条、第百二十二条の二、第百二十三条第三項及び第百二十四条第三項の改正規定、同法第百二十四条の次に二条を加える改正規定、同法第百二十六条第一項、第百二十七条、第百二十八条、第百四十一条の見出し及び同条第一項、第百四十八条第二項、第百五十二条及び第百五十三条並びに第百七十六条の改正規定、同法第十一章の章名の改正規定、同法第百七十九条から第百八十二条までの改正規定、同法第二百条の次に一条を加える改正規定、同法第二百二条第一項、第二百三条及び第二百五条並びに附則第九条第一項ただし書の改正規定並びに同法附則に一条を加える改正規定、第七条の規定（次号に掲げる改正規定を除く。）、第九条及び第十条の規定、第十二条の規定（第一号に掲げる改正規定を除く。）、第十三条及び第十四条の規定、第十五条の規定（第六号に掲げる改正規定を除く。）、第十六条の規定（第六号に掲げる改正規定を除く。）、第十七条の規定、第十八条の規定（第六号に掲げる改正規定を除く。）、第十九条の規定並びに第二十一条中看護師等の人材確保の促進に関する法律第二条第二項の改正規定並びに附則第五条、第八条第二項及び第四項、第九条から第十二条まで、第十三条（ただし書を除く。）、第十四条から第十七条まで、第二十八条、第三十条、第三十二条第一項、第三十三条から第三十九条まで、第四十四条、第四十六条並びに第四十八条の規定、附則第五十条の規定（第六号に掲げる改正規定を除く。）、附則第五十一条の規定、附則第五十二条の規定（第六号に掲げる改正規定を除く。）、附則第五十四条、第五十七条及び第五十八条の規定、附則第五十九条中高齢者虐待の防止、高齢者の養護者に対する支援等に関する法律（平成十七年法律第百二十四号）第二条第五項第二号の改正規定（「同条第十四項」を「同条第十二項」に、「同条第十八項」を「同条第十六項」に改める部分に限る。）並びに附則第六十五条、第六十六条及び第七十条の規定 平成二十七年四月一日
Omitted
略
among the provisions of Article 4, the provisions amending the table of contents of the Medical Care Act (limited to the part replacing "Chapter III Ensuring Safety in Medical Care (Articles 6-9 through 6-12)" with "/ Chapter III Ensuring Safety in Medical Care / Section 1 Measures for Ensuring Safety in Medical Care (Articles 6-9 through 6-14) / Section 2 Medical Accident Investigation and Support Center (Articles 6-15 through 6-27) /"), the provisions adding a section title before Article 6-9 in Chapter III of that Act, the provisions renumbering Article 6-12 of that Act as Article 6-14 of that Act in that Chapter, the provisions amending Article 6-11, paragraph (1) of that Act, the provisions renumbering Article 6-11 of that Act as Article 6-13 of that Act, the provisions amending Article 6-10 of that Act, the provisions renumbering Article 6-10 of that Act as Article 6-12 of that Act, the provisions adding two Articles after Article 6-9 of that Act, the provisions adding one Section to that Chapter, the provisions amending Article 17 of that Act, the provisions amending Article 72, paragraph (3) of that Act (limited to the part replacing "Article 6-11, paragraph (4)" with "Article 6-13, paragraph (4), Article 6-21 and Article 6-22, paragraph (2)"), the provisions adding one Article after Article 73 of that Act and the provisions amending Article 75 of that Act, the provisions of Article 8, the provisions of Article 21 (excluding the amending provisions listed in item (iii)), and the provisions of Articles 6, 27 and 41 of the Supplementary Provisions: October 1, 2015
第四条のうち、医療法の目次の改正規定（「第三章 医療の安全の確保（第六条の九―第六条の十二）」を「／第三章 医療の安全の確保／ 第一節 医療の安全の確保のための措置（第六条の九―第六条の十四）／ 第二節 医療事故調査・支援センター（第六条の十五―第六条の二十七）／」に改める部分に限る。）、同法第三章中第六条の九の前に節名を付する改正規定、同章中同法第六条の十二を同法第六条の十四とする改正規定、同法第六条の十一第一項の改正規定、同条を同法第六条の十三とする改正規定、同法第六条の十の改正規定、同条を同法第六条の十二とする改正規定、同法第六条の九の次に二条を加える改正規定、同章に一節を加える改正規定、同法第十七条の改正規定、同法第七十二条第三項の改正規定（「第六条の十一第四項」を「第六条の十三第四項、第六条の二十一、第六条の二十二第二項」に改める部分に限る。）、同法第七十三条の次に一条を加える改正規定及び同法第七十五条の改正規定、第八条の規定並びに第二十一条の規定（第三号に掲げる改正規定を除く。）並びに附則第六条、第二十七条及び第四十一条の規定 平成二十七年十月一日
Supplementary Provisions, Article 2Review
第二条（検討）
The government is to, as necessary after the promulgation of this Act, take into account the status of the promotion of the differentiation and coordination of bed functions in regions, etc., consider measures for the further promotion of the differentiation and coordination of bed functions, and, when it finds it necessary, take required measures based on the results.
政府は、この法律の公布後必要に応じ、地域における病床の機能の分化及び連携の推進の状況等を勘案し、更なる病床の機能の分化及び連携の推進の方策について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
The government is to, taking into account the status of implementation of the medical accident investigation (hereinafter referred to in this paragraph as the "medical accident investigation") prescribed in Article 6-11, paragraph (1) of the Medical Care Act as amended by the provisions of Article 4 (limited to the amending provisions listed in item (v) of the preceding Article) (hereinafter referred to as the "item (v) New Medical Care Act"), etc., examine, among other matters, reviewing the way the notification under Article 21 of the Medical Practitioners' Act (Act No. 201 of 1948), the reporting of medical accidents under Article 6-10, paragraph (1) of the item (v) New Medical Care Act to the medical accident investigation and support center under Article 6-15, paragraph (1) of the item (v) New Medical Care Act (hereinafter referred to in this paragraph as the "medical accident investigation and support center"), the medical accident investigation and the medical accident investigation and support center should be, and, based on the results, take legislative measures and other necessary measures within two years after the promulgation of this Act.
政府は、第四条の規定（前条第五号に掲げる改正規定に限る。）による改正後の医療法（以下「第五号新医療法」という。）第六条の十一第一項に規定する医療事故調査（以下この項において「医療事故調査」という。）の実施状況等を勘案し、医師法（昭和二十三年法律第二百一号）第二十一条の規定による届出及び第五号新医療法第六条の十五第一項の医療事故調査・支援センター（以下この項において「医療事故調査・支援センター」という。）への第五号新医療法第六条の十第一項の規定による医療事故の報告、医療事故調査及び医療事故調査・支援センターの在り方を見直すこと等について検討を加え、その結果に基づき、この法律の公布後二年以内に法制上の措置その他の必要な措置を講ずるものとする。
In light of the fact that demand for the labor force engaged in long-term care-related work is increasing due to the rapid aging of the population in Japan, etc., the government is to consider measures for securing the labor force engaged in long-term care-related work, aiming to do so within one year after the promulgation of this Act, and, when it finds it necessary, is to take required measures based on the results.
政府は、我が国における急速な高齢化の進展等に伴い、介護関係業務に係る労働力への需要が増大していることに鑑み、この法律の公布後一年を目途として、介護関係業務に係る労働力の確保のための方策について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
In addition to the matters provided for in the preceding three paragraphs, the government is to, aiming to do so within five years after the promulgation of this Act, take into account the status of enforcement, etc. of the respective Acts as revised by this Act (hereinafter referred to in this paragraph as the "respective Acts as amended"), review the provisions of the respective Acts as amended, and, when it finds it necessary, take required measures based on the results.
政府は、前三項に定める事項のほか、この法律の公布後五年を目途として、この法律による改正後のそれぞれの法律（以下この項において「改正後の各法律」という。）の施行の状況等を勘案し、改正後の各法律の規定について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
Supplementary Provisions, Article 5Transitional Measures Accompanying Partial Amendment of the Medical Care Act
第五条（医療法の一部改正に伴う経過措置）
With regard to a person who is actually using the name "core hospital for clinical research" when the provisions set forth in Article 1, item (iii) of the Supplementary Provisions come into effect, the provisions of Article 4-3, paragraph (3) of the item (iii) New Medical Care Act do not apply for six months after the provisions set forth in that item come into effect.
Supplementary Provisions, Article 6
第六条
The provisions of Articles 6-10 and 6-11 of the item (v) New Medical Care Act apply to a death or stillbirth that occurs on or after the date of enforcement of the provisions set forth in Article 1, item (v) of the Supplementary Provisions (referred to as the "item (v) Effective Date" in the following Article and Article 28 of the Supplementary Provisions).
第五号新医療法第六条の十及び第六条の十一の規定は、附則第一条第五号に掲げる規定の施行の日（次条及び附則第二十八条において「第五号施行日」という。）以後の死亡又は死産について適用する。
Supplementary Provisions, Article 7
第七条
The designation under Article 6-15, paragraph (1) of the item (v) New Medical Care Act and the procedures and other acts necessary in relation thereto may be carried out before the item (v) Effective Date as well, in accordance with the provisions of that paragraph and Articles 6-18 and 6-19, paragraph (1) of the item (v) New Medical Care Act.
第五号新医療法第六条の十五第一項の規定による指定及びこれに関し必要な手続その他の行為は、第五号施行日前においても、同項並びに第五号新医療法第六条の十八及び第六条の十九第一項の規定の例により行うことができる。
Supplementary Provisions, Article 8
第八条
A medical care plan that, before the date of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions (hereinafter in this Article and Article 40 of the Supplementary Provisions referred to as the "item (ii) Effective Date"), was determined pursuant to the provisions of Article 30-4, paragraph (1) of the Medical Care Act prior to its amendment by the provisions of Article 3 (limited to the amending provisions set forth in that item) (hereinafter in this Article referred to as the "item (ii) Former Medical Care Act") or was changed pursuant to the provisions of Article 30-6 of the item (ii) Former Medical Care Act is deemed to be a medical care plan determined pursuant to the provisions of Article 30-4, paragraph (1) of the Medical Care Act after its amendment by the provisions of Article 3 (limited to the amending provisions set forth in that item) (hereinafter in this Article referred to as the "item (ii) New Medical Care Act") or changed pursuant to the provisions of Article 30-6 of the item (ii) New Medical Care Act, during the period from the item (ii) Effective Date to March 31, 2015 (where that medical care plan is changed pursuant to the provisions of Article 30-6 of the item (ii) New Medical Care Act, or a medical care plan is determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (ii) New Medical Care Act, until it is so changed pursuant to the provisions of Article 30-6 of the item (ii) New Medical Care Act or determined pursuant to the provisions of that paragraph).
附則第一条第二号に掲げる規定の施行の日（以下この条及び附則第四十条において「第二号施行日」という。）前に第三条の規定（同号に掲げる改正規定に限る。）による改正前の医療法（以下この条において「第二号旧医療法」という。）第三十条の四第一項の規定により定められ、又は第二号旧医療法第三十条の六の規定により変更された医療計画は、第二号施行日から平成二十七年三月三十一日までの間（当該医療計画が第三条の規定（同号に掲げる改正規定に限る。）による改正後の医療法（以下この条において「第二号新医療法」という。）第三十条の六の規定により変更され、又は医療計画が第二号新医療法第三十条の四第一項の規定により定められた場合には、第二号新医療法第三十条の六の規定により変更され、又は同項の規定により定められるまでの間）は、第二号新医療法第三十条の四第一項の規定により定められ、又は第二号新医療法第三十条の六の規定により変更された医療計画とみなす。
A medical care plan that, before the date of enforcement of the provisions set forth in Article 1, item (iii) of the Supplementary Provisions (hereinafter referred to as the "item (iii) Effective Date"), was determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (ii) Former Medical Care Act or changed pursuant to the provisions of Article 30-6 of the item (ii) Former Medical Care Act, or was determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (ii) New Medical Care Act or changed pursuant to the provisions of Article 30-6 of the item (ii) New Medical Care Act, is deemed to be a medical care plan determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (iii) New Medical Care Act or changed pursuant to the provisions of Article 30-6 of the item (iii) New Medical Care Act, during the period from the item (iii) Effective Date to March 31, 2018 (where that medical care plan is changed pursuant to the provisions of Article 30-6 of the item (iii) New Medical Care Act, or a medical care plan is determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (iii) New Medical Care Act, until it is so changed pursuant to the provisions of Article 30-6 of the item (iii) New Medical Care Act or determined pursuant to the provisions of that paragraph).
附則第一条第三号に掲げる規定の施行の日（以下「第三号施行日」という。）前に第二号旧医療法第三十条の四第一項の規定により定められ、若しくは第二号旧医療法第三十条の六の規定により変更された医療計画又は第二号新医療法第三十条の四第一項の規定により定められ、若しくは第二号新医療法第三十条の六の規定により変更された医療計画は、第三号施行日から平成三十年三月三十一日までの間（当該医療計画が第三号新医療法第三十条の六の規定により変更され、又は医療計画が第三号新医療法第三十条の四第一項の規定により定められた場合には、第三号新医療法第三十条の六の規定により変更され、又は同項の規定により定められるまでの間）は、第三号新医療法第三十条の四第一項の規定により定められ、又は第三号新医療法第三十条の六の規定により変更された医療計画とみなす。
With regard to the application of the provisions of Article 30-6 of the item (ii) New Medical Care Act to a medical care plan determined or changed during the period from the item (ii) Effective Date to March 31, 2018, the term "three years" in paragraph (1) of that Article and the term "six years" in paragraph (2) of that Article are deemed to be replaced with "five years".
第二号施行日から平成三十年三月三十一日までの間に定められ、又は変更された医療計画についての第二号新医療法第三十条の六の規定の適用については、同条第一項中「三年」とあり、及び同条第二項中「六年」とあるのは、「五年」とする。
The provisions of Article 7, paragraph (5), Article 7-2, paragraph (7), Article 27-2, Article 29, paragraph (3), items (v) through (vii) and paragraph (4), items (v) through (vii), Article 30-12, Articles 30-14 through 30-18, and Article 73, item (iii) (limited to the part pertaining to Article 30-15, paragraph (6) of the item (iii) New Medical Care Act) of the item (iii) New Medical Care Act do not apply until a medical care plan is determined pursuant to the provisions of Article 30-4, paragraph (1) of the item (iii) New Medical Care Act or changed pursuant to the provisions of Article 30-6 of the item (iii) New Medical Care Act.
第三号新医療法第七条第五項、第七条の二第七項、第二十七条の二、第二十九条第三項第五号から第七号まで及び第四項第五号から第七号まで、第三十条の十二、第三十条の十四から第三十条の十八まで並びに第七十三条第三号（第三号新医療法第三十条の十五第六項に係る部分に限る。）の規定は、医療計画が第三号新医療法第三十条の四第一項の規定により定められ、又は第三号新医療法第三十条の六の規定により変更されるまでの間は、適用しない。
Supplementary Provisions, Article 71Transitional Measures Concerning the Application of Penal Provisions
第七十一条（罰則の適用に関する経過措置）
With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, those provisions; the same applies hereinafter in this Article) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, the provisions then in force continue to govern.
この法律（附則第一条各号に掲げる規定にあっては、当該規定。以下この条において同じ。）の施行前にした行為並びにこの附則の規定によりなお従前の例によることとされる場合におけるこの法律の施行後にした行為及びこの附則の規定によりなお効力を有することとされる場合におけるこの法律の施行後にした行為に対する罰則の適用については、なお従前の例による。
Supplementary Provisions, Article 72Delegation to Cabinet Order
第七十二条（政令への委任）
Beyond what is provided for in Articles 3 through 41 of the Supplementary Provisions and the preceding Article, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.
附則第三条から第四十一条まで及び前条に定めるもののほか、この法律の施行に伴い必要な経過措置は、政令で定める。