Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect on April 1, 2019; provided, however, that the provisions set forth in the following items come into effect as of the days specified in those items.
この法律は、平成三十一年四月一日から施行する。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 provisions of Articles 1 and 4, the provisions of the following Article through Article 4 of the Supplementary Provisions, and the provisions of Articles 9 and 15 of the Supplementary Provisions: the date of promulgation.
第一条及び第四条の規定並びに次条から附則第四条まで並びに附則第九条及び第十五条の規定 公布の日
the provisions of Articles 3 and 5, and the provisions of Articles 6 through 8, Article 11 and Article 12 of the Supplementary Provisions: April 1, 2020.
第三条及び第五条の規定並びに附則第六条から第八条まで、第十一条及び第十二条の規定 令和二年四月一日
Supplementary Provisions, Article 2Review
第二条（検討）
In order that medical practitioners can fully perform their duties even amid circumstances in which the demand of the public in the field of medical care is becoming more sophisticated and more diverse, the government is to, taking into account the state of education relating to medical science, including clinical practice conducted by universities prescribed in Article 1 of the School Education Act (Act No. 26 of 1947) (referred to simply as "university" in Article 8, paragraph (1) of the Supplementary Provisions), review the provisions of the Medical Practitioners' Act from the viewpoint of improving the quality of medical practitioners, and, based on the results, take legislative and other necessary measures within three years after the promulgation of this Act.
政府は、医療の分野における国民の需要が高度化し、かつ、多様化している状況においても、医師がその任務を十分に果たすことができるよう、学校教育法（昭和二十二年法律第二十六号）第一条に規定する大学（附則第八条第一項において単に「大学」という。）が行う臨床実習をはじめとする医学に係る教育の状況を勘案し、医師の資質の向上を図る観点から、医師法の規定について検討を加え、その結果に基づき、この法律の公布後三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。
The government is to conduct research and study on the evaluation of clinical training, and, taking into account the results of that research and study, review the way clinical training should be, so that the quality of medical practitioners is improved more effectively by, among other things, ensuring consistency between clinical training and training concerning specialized knowledge and skills relating to medical care that medical practitioners receive after completing clinical training, and, based on the results, is to take legislative and other necessary measures within three years after the promulgation of this Act.
政府は、臨床研修の評価に関する調査研究を行うものとし、当該調査研究の結果を勘案し、臨床研修と医師が臨床研修を修了した後に受ける医療に関する専門的な知識及び技能に関する研修とが整合性のとれたものとすること等により、医師の資質の向上がより実効的に図られるよう、臨床研修の在り方について検討を加え、その結果に基づき、この法律の公布後三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 addition to the matters provided for in the preceding two paragraphs, the government is to, with a target of five years after this Act comes into effect, taking into account the status of the enforcement, etc. of the respective Acts as amended by this Act (or, with regard to the provisions listed in the items of the preceding Article, those provisions; the same applies in Article 4 of the Supplementary Provisions) (hereinafter referred to in this paragraph as "the respective Acts as amended"), when it finds it necessary, review the provisions of the respective Acts as amended, and take the required measures based on the results of that review.
Supplementary Provisions, Article 3Transitional Measures Accompanying Partial Amendment of the Medical Care Act
第三条（医療法の一部改正に伴う経過措置）
With regard to an application for permission to establish a hospital or permission to increase the number of beds in a hospital, or permission to set up new beds in a clinic or permission to increase the number of beds in a clinic, made pursuant to the provisions of the Medical Care Act prior to amendment by the provisions of Article 1, the provisions of Article 7-3 of the Medical Care Act as amended by the provisions of that Article do not apply.
Supplementary Provisions, Article 4
第四条
A person who, at the time this Act comes into effect, has received the permission under Article 12, paragraph (2) of the Medical Care Act prior to amendment by this Act is deemed to have received the permission under Article 12, paragraph (2) of the Medical Care Act as amended by this Act.
この法律の施行の際現にこの法律による改正前の医療法第十二条第二項の許可を受けている者は、この法律による改正後の医療法第十二条第二項の許可を受けたものとみなす。
Supplementary Provisions, Article 5
第五条
A medical care plan (meaning the medical care plan prescribed in Article 30-4, paragraph (1) of the Medical Care Act; the same applies hereinafter in this Article) that was established pursuant to the provisions of Article 30-4 of the Medical Care Act prior to amendment by the provisions of Article 2, or changed pursuant to the provisions of Article 30-6 of that Act, before the day this Act comes into effect (referred to as the "Effective Date" in this paragraph and paragraph (3)) is deemed, from the Effective Date until March 31, 2020, to be a medical care plan established pursuant to the provisions of Article 30-4 of the Medical Care Act as amended by the provisions of Article 2 (hereinafter referred to as the "2019 New Medical Care Act" in this Article), or changed pursuant to the provisions of Article 30-6 of the 2019 New Medical Care Act.
この法律の施行の日（以下この項及び第三項において「施行日」という。）前に第二条の規定による改正前の医療法第三十条の四の規定により定められ、又は同法第三十条の六の規定により変更された医療計画（医療法第三十条の四第一項に規定する医療計画をいう。以下この条において同じ。）は、施行日から令和二年三月三十一日までの間は、第二条の規定による改正後の医療法（以下この条において「平成三十一年新医療法」という。）第三十条の四の規定により定められ、又は平成三十一年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。
Until March 31, 2020, with regard to the application of the provisions of Article 12, paragraph (2), Article 30-21, paragraph (3), Article 30-23, paragraphs (1) through (3), Article 30-24, Article 30-25, paragraph (1), Article 30-27 and Article 31 of the 2019 New Medical Care Act, the provisions then in force continue to govern, and the provisions of Article 30-4, paragraphs (6) and (7) and Article 30-18-2 of the 2019 New Medical Care Act do not apply.
令和二年三月三十一日までの間は、平成三十一年新医療法第十二条第二項、第三十条の二十一第三項、第三十条の二十三第一項から第三項まで、第三十条の二十四、第三十条の二十五第一項、第三十条の二十七及び第三十一条の規定の適用については、なお従前の例によることとし、平成三十一年新医療法第三十条の四第六項及び第七項並びに第三十条の十八の二の規定は、適用しない。
With regard to the matters set forth in Article 30-4, paragraph (2), items (x) and (xi) of the 2019 New Medical Care Act, notwithstanding the provisions of Article 30-6, paragraph (1) of the 2019 New Medical Care Act, the prefecture is to conduct the investigation, analysis and evaluation at the time of the first investigation, analysis and evaluation under paragraph (2) of that Article conducted on or after the Effective Date, and is to change the medical care plan of that prefecture if it finds it necessary.
平成三十一年新医療法第三十条の四第二項第十号及び第十一号に掲げる事項については、平成三十一年新医療法第三十条の六第一項の規定にかかわらず、都道府県は、施行日以後最初に行われる同条第二項に基づく調査、分析及び評価の際に、当該調査、分析及び評価を行うものとし、必要があると認めるときは、当該都道府県の医療計画を変更するものとする。
When a prefecture first prescribes the matters set forth in Article 30-4, paragraph (2), items (x) and (xi) of the 2019 New Medical Care Act in the medical care plan of that prefecture, and when it changes the medical care plan of that prefecture pursuant to the provisions of the preceding paragraph, the provisions of paragraphs (17) and (18) of that Article apply mutatis mutandis.
Supplementary Provisions, Article 6
第六条
The provisions of Article 10, paragraph (3) of the Medical Care Act as amended by the provisions of Article 3 apply to cases where the establisher of a hospital specified by Order of the Ministry of Health, Labour and Welfare under that paragraph appoints the administrator of that hospital on or after the day of enforcement of the provisions set forth in Article 1, item (ii) of the Supplementary Provisions (referred to as the "item (ii) Effective Date" in the following Article).
Supplementary Provisions, Article 15Delegation to Cabinet Order
第十五条（政令への委任）
Beyond what is provided for in these Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act (including transitional measures concerning penal provisions) are specified by Cabinet Order.
この附則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（罰則に関する経過措置を含む。）は、政令で定める。