# 医療法 / Medical Care Act — 第三十条の十八の六 (Article 30-18-6)

- Law: 医療法 (Medical Care Act), 昭和二十三年法律第二百五号
- English title "Medical Care 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: 第三十条の十八の六 (Article 30-18-6) — address `art-30-18-6`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/medical-care-act/art-30-18-6
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/323AC0000000205/art-30-18-6
- 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.

---

### 第三十条の十八の六
<sup>art-30-18-6 · https://japanlaw.org/en/medical-care-act/art-30-18-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6</sup>

  **第一項**  都道府県知事は、第三十条の四第二項第十四号に規定する区域であつて、外来医療を行う医師の数の、外来患者の数に対する比率に相当するものとして厚生労働省令で定めるところにより算定した率その他厚生労働省令で定める指標が、厚生労働省令で定める基準を超えるものがある場合において、当該区域のうち、特に地域外来医療を確保する必要がある区域があると認めるときは、当該区域を指定するものとする。
  <sup>art-30-18-6/par-1 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-1</sup>
  Where, among the areas prescribed in Article 30-4, paragraph (2), item (xiv), there is an area in which the rate calculated, as provided by Order of the Ministry of Health, Labour and Welfare, as corresponding to the ratio of the number of physicians providing outpatient medical care to the number of out-patients, or other indicators specified by Order of the Ministry of Health, Labour and Welfare, exceed the standards specified by Order of the Ministry of Health, Labour and Welfare, and the prefectural governor finds that, among such areas, there is an area where it is particularly necessary to secure regional outpatient medical care, the prefectural governor is to designate that area.
  <sup>machine translation, not official</sup>

  **第二項**  都道府県知事は、前項の指定をしたときは、厚生労働省令で定めるところにより、その旨を公示しなければならない。
  <sup>art-30-18-6/par-2 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-2 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-2</sup>
  When a prefectural governor has made the designation under the preceding paragraph, the governor must give public notice to that effect, as provided by Order of the Ministry of Health, Labour and Welfare.
  <sup>machine translation, not official</sup>

  **第三項**  第一項の指定を受けた区域において、診療所（医業を行う場所であつて、患者を入院させるための施設を有しないものに限る。）を開設しようとする者は、やむを得ない場合として厚生労働省令で定める場合を除き、当該診療所を開設する日の六月前までに、厚生労働省令で定めるところにより、当該区域における地域外来医療の提供に関する意向その他の厚生労働省令で定める事項を都道府県知事に届け出なければならない。
  <sup>art-30-18-6/par-3 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-3 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-3</sup>
  A person who intends to establish a clinic (limited to a place where medical practice is conducted and which does not have facilities for admitting patients) in an area designated under paragraph (1) must, except in cases specified by Order of the Ministry of Health, Labour and Welfare as unavoidable, notify the prefectural governor, no later than six months before the date on which the clinic is to be established, as provided by Order of the Ministry of Health, Labour and Welfare, of their intention regarding the provision of regional outpatient medical care in that area and other matters specified by Order of the Ministry of Health, Labour and Welfare.
  <sup>machine translation, not official</sup>

  **第四項**  都道府県知事は、第一項の指定を受けた区域において、前項の届出をした者その他厚生労働省令で定める者（以下この条において「届出者等」という。）が当該区域における地域外来医療の提供をしない意向を示しているときは、当該届出者等に対し、前条第一項に規定する協議の場における協議に参加し、当該提供をしない理由その他の厚生労働省令で定める事項（以下この条において「理由等」という。）について説明をするよう求めることができる。
  <sup>art-30-18-6/par-4 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-4 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-4</sup>
  When, in an area designated under paragraph (1), a person who has given the notification under the preceding paragraph or another person specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "notifying person, etc." in this Article) has indicated an intention not to provide regional outpatient medical care in that area, the prefectural governor may request the notifying person, etc. to participate in the consultation at the place of consultation prescribed in paragraph (1) of the preceding Article and to explain the reasons for not providing it and other matters specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "reasons, etc." in this Article).
  <sup>machine translation, not official</sup>

  **第五項**  届出者等は、前項の規定により都道府県知事から求めがあつたときは、当該協議の場における協議に参加し、理由等について説明をするよう努めなければならない。
  <sup>art-30-18-6/par-5 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-5 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-5</sup>
  A notifying person, etc. who is requested by the prefectural governor pursuant to the provisions of the preceding paragraph must endeavor to participate in the consultation at that place and explain the reasons, etc.
  <sup>machine translation, not official</sup>

  **第六項**  都道府県知事は、前項の説明の内容を踏まえ、理由等がやむを得ないものと認められないときは、届出者等に対し、期限を定めて、当該区域における地域外来医療の提供をすべきことを要請することができる。
  <sup>art-30-18-6/par-6 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-6</sup>
  If, based on the content of the explanation under the preceding paragraph, the reasons, etc. are not found to be unavoidable, the prefectural governor may request the notifying person, etc. to provide regional outpatient medical care in that area by a set deadline.
  <sup>machine translation, not official</sup>

  **第七項**  都道府県知事は、前項の規定による要請を受けた届出者等により開設された診療所の開設者又は管理者が、当該要請に係る地域外来医療の提供をしていないと認めるときは、当該開設者又は管理者に対し、都道府県医療審議会に出席し、理由等について説明をするよう求めることができる。
  <sup>art-30-18-6/par-7 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-7 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-7</sup>
  When the prefectural governor finds that the establisher or administrator of a clinic established by a notifying person, etc. who received a request under the provisions of the preceding paragraph is not providing the regional outpatient medical care to which the request relates, the governor may request the establisher or administrator to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.
  <sup>machine translation, not official</sup>

  **第八項**  当該診療所の開設者又は管理者は、前項の規定により都道府県知事から求めがあつたときは、都道府県医療審議会に出席し、理由等について説明をするよう努めなければならない。
  <sup>art-30-18-6/par-8 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-8 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-8</sup>
  The establisher or administrator of the clinic, when requested by the prefectural governor pursuant to the provisions of the preceding paragraph, must endeavor to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.
  <sup>machine translation, not official</sup>

  **第九項**  都道府県知事は、前項の説明の内容を踏まえ、理由等がやむを得ないものと認められないときは、当該診療所の開設者又は管理者に対し、都道府県医療審議会の意見を聴いて、当該区域における地域外来医療の提供をすべきことを勧告することができる。
  <sup>art-30-18-6/par-9 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-9 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-9</sup>
  Based on the content of the explanation under the preceding paragraph, if the reasons, etc. are not found to be unavoidable, the prefectural governor may, after hearing the opinions of the Prefectural Council on Medical Service Facilities, recommend that the establisher or administrator of the clinic provide regional outpatient medical care in that area.
  <sup>machine translation, not official</sup>

  **第十項**  都道府県知事は、前項の規定による勧告をした場合において、当該勧告を受けた診療所の開設者又は管理者がこれに従わなかつたときは、その旨を公表することができる。
  <sup>art-30-18-6/par-10 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-10 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-10</sup>
  When a prefectural governor has made a recommendation under the preceding paragraph and the establisher or administrator of the clinic that received the recommendation has not complied with it, the governor may make public that fact.
  <sup>machine translation, not official</sup>

  **第十一項**  都道府県知事は、第六項の規定による要請を受けた届出者等がこれに応じなかつたとき、第九項の規定による勧告をしたとき又は当該勧告を受けた診療所の開設者若しくは管理者がこれに従わなかつたときは、その旨を厚生労働大臣に通知するものとする。
  <sup>art-30-18-6/par-11 · https://japanlaw.org/en/medical-care-act/art-30-18-6/par-11 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-11</sup>
  When a notifying person, etc. who received a request under the provisions of paragraph (6) has not complied with it, when the prefectural governor has made a recommendation under the provisions of paragraph (9), or when the establisher or administrator of the clinic that received the recommendation has not complied with it, the prefectural governor is to notify the Minister of Health, Labour and Welfare to that effect.
  <sup>machine translation, not official</sup>

---

## Cites
- art-30-18-6/par-1: 第三十条の四第二項第十四号 → 医療法 第三十条の四第二項第十四号 (Article 30-4, paragraph (2), item (xiv)), art-30-4/par-2/item-14 — https://japanlaw.org/en/medical-care-act/art-30-4/par-2/item-14 · https://japanlaw.org/l/323AC0000000205/art-30-4/par-2/item-14
- art-30-18-6/par-2: 前項 → 医療法 第三十条の十八の六第一項 (Article 30-18-6, paragraph (1)), art-30-18-6/par-1 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-1
- art-30-18-6/par-3: 第一項 → 医療法 第三十条の十八の六第一項 (Article 30-18-6, paragraph (1)), art-30-18-6/par-1 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-1
- art-30-18-6/par-4: 第一項 → 医療法 第三十条の十八の六第一項 (Article 30-18-6, paragraph (1)), art-30-18-6/par-1 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-1
- art-30-18-6/par-4: 前項 → 医療法 第三十条の十八の六第三項 (Article 30-18-6, paragraph (3)), art-30-18-6/par-3 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-3 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-3
- art-30-18-6/par-4: この条 → 医療法 第三十条の十八の六 (Article 30-18-6), art-30-18-6 — https://japanlaw.org/en/medical-care-act/art-30-18-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6
- art-30-18-6/par-4: 前条第一項 → 医療法 第三十条の十八の五第一項 (Article 30-18-5, paragraph (1)), art-30-18-5/par-1 — https://japanlaw.org/en/medical-care-act/art-30-18-5/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-5/par-1
- art-30-18-6/par-5: 前項 → 医療法 第三十条の十八の六第四項 (Article 30-18-6, paragraph (4)), art-30-18-6/par-4 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-4 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-4
- art-30-18-6/par-6: 前項 → 医療法 第三十条の十八の六第五項 (Article 30-18-6, paragraph (5)), art-30-18-6/par-5 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-5 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-5
- art-30-18-6/par-7: 前項 → 医療法 第三十条の十八の六第六項 (Article 30-18-6, paragraph (6)), art-30-18-6/par-6 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-6
- art-30-18-6/par-8: 前項 → 医療法 第三十条の十八の六第七項 (Article 30-18-6, paragraph (7)), art-30-18-6/par-7 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-7 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-7
- art-30-18-6/par-9: 前項 → 医療法 第三十条の十八の六第八項 (Article 30-18-6, paragraph (8)), art-30-18-6/par-8 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-8 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-8
- art-30-18-6/par-10: 前項 → 医療法 第三十条の十八の六第九項 (Article 30-18-6, paragraph (9)), art-30-18-6/par-9 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-9 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-9
- art-30-18-6/par-11: 第六項 → 医療法 第三十条の十八の六第六項 (Article 30-18-6, paragraph (6)), art-30-18-6/par-6 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-6
- art-30-18-6/par-11: 第九項 → 医療法 第三十条の十八の六第九項 (Article 30-18-6, paragraph (9)), art-30-18-6/par-9 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-9 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-9

## Cited by

17 provisions cite this one. No official source publishes this direction.

- 健康保険法 第六十八条の二第一項（保険医療機関の期限付指定） — https://japanlaw.org/en/health-insurance-act/art-68-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-68-2/par-1
- 健康保険法 第六十九条第一項（保険医療機関又は保険薬局のみなし指定） — https://japanlaw.org/en/health-insurance-act/art-69/par-1 · https://japanlaw.org/l/211AC0000000070/art-69/par-1
- 医療法 第三十条の十四第一項 — https://japanlaw.org/en/medical-care-act/art-30-14/par-1 · https://japanlaw.org/l/323AC0000000205/art-30-14/par-1
- 医療法 第三十条の十八の五第一項第一号イ — https://japanlaw.org/en/medical-care-act/art-30-18-5/par-1/item-1/sub-1 · https://japanlaw.org/l/323AC0000000205/art-30-18-5/par-1/item-1/sub-1
- 医療法 第三十条の十八の六第二項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-2 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-2
- 医療法 第三十条の十八の六第三項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-3 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-3
- 医療法 第三十条の十八の六第四項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-4 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-4
- 医療法 第三十条の十八の六第五項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-5 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-5
- 医療法 第三十条の十八の六第六項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-6 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-6
- 医療法 第三十条の十八の六第七項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-7 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-7
- 医療法 第三十条の十八の六第八項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-8 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-8
- 医療法 第三十条の十八の六第九項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-9 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-9
- 医療法 第三十条の十八の六第十項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-10 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-10
- 医療法 第三十条の十八の六第十一項 — https://japanlaw.org/en/medical-care-act/art-30-18-6/par-11 · https://japanlaw.org/l/323AC0000000205/art-30-18-6/par-11
- 医療法 第九十二条第一項 — https://japanlaw.org/en/medical-care-act/art-92/par-1 · https://japanlaw.org/l/323AC0000000205/art-92/par-1
- 医療法 附則第二条第一項（検討） — https://japanlaw.org/en/medical-care-act/suppl-5071-87/art-2/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-5071-87/art-2/par-1
- 医療法 附則第四条第一項（医療法の一部改正に伴う経過措置） — https://japanlaw.org/en/medical-care-act/suppl-5071-87/art-4/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-5071-87/art-4/par-1

---

## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 医療法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/323AC0000000205/20261001_507AC0000000087), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Medical Care Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/4006/tb), retrieved 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch medical-care-act-20261019T151250-006, translated 2026-10-20
- This site's parser, version 210 — 医療法 — structure, counts, cross-references and defined terms, computed 2026-10-19