# 介護保険法 / Long-Term Care Insurance Act — 第百九条 (Article 109) - Law: 介護保険法 (Long-Term Care Insurance Act), 平成九年法律第百二十三号 - English title "Long-Term Care Insurance Act": Ministry of Justice translation - Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say. - Provision: 第百九条 (Article 109)（介護医療院の管理） — address `art-109` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/long-term-care-insurance-act/art-109 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-109 - Every provision below carries its address and both URLs on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ### 第百九条（介護医療院の管理） — Management of an Integrated Facility for Medical and Long-Term Care caption: machine translation, not official art-109 · https://japanlaw.org/en/long-term-care-insurance-act/art-109 · https://japanlaw.org/l/409AC0000000123/art-109 **第一項** 介護医療院の開設者は、都道府県知事の承認を受けた医師に当該介護医療院を管理させなければならない。 art-109/par-1 · https://japanlaw.org/en/long-term-care-insurance-act/art-109/par-1 · https://japanlaw.org/l/409AC0000000123/art-109/par-1 An establisher of an integrated facility for medical and long-term care must have a physician approved by the prefectural governor manage said integrated facility for medical and long-term care. machine translation, not official **第二項** 前項の規定にかかわらず、介護医療院の開設者は、都道府県知事の承認を受け、医師以外の者に当該介護医療院を管理させることができる。 art-109/par-2 · https://japanlaw.org/en/long-term-care-insurance-act/art-109/par-2 · https://japanlaw.org/l/409AC0000000123/art-109/par-2 Notwithstanding the provisions of the preceding paragraph, an establisher of an integrated facility for medical and long-term care may obtain approval of the prefectural governor and have a person other than a physician manage said integrated facility for medical and long-term care. machine translation, not official --- ## Cites - art-109/par-2: 前項 → 介護保険法 第百九条第一項 (Article 109, paragraph (1)), art-109/par-1 — https://japanlaw.org/en/long-term-care-insurance-act/art-109/par-1 · https://japanlaw.org/l/409AC0000000123/art-109/par-1 ## Cited by 3 provisions cite this one. No official source publishes this direction. - 介護保険法 第百九条第二項（介護医療院の管理） — https://japanlaw.org/en/long-term-care-insurance-act/art-109/par-2 · https://japanlaw.org/l/409AC0000000123/art-109/par-2 - 介護保険法 第二百九条第一項第四号 — https://japanlaw.org/en/long-term-care-insurance-act/art-209/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-209/par-1/item-4 - 労働基準法施行規則 附則第六十九条の三第二項第二号 — https://japanlaw.org/en/labor-standards-act-enforcement-ordinance/suppl-3229-23/art-69-3/par-2/item-2 · https://japanlaw.org/l/322M40000100023/suppl-3229-23/art-69-3/par-2/item-2 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 介護保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/409AC0000000123/20261001_507AC0000000087), retrieved 2026-10-18 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18 - claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T212610-014, translated 2026-10-19 - This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18