# 介護保険法 / Long-Term Care Insurance Act — 第百十四条の四 (Article 114-4) - 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: 第百十四条の四 (Article 114-4)（変更命令） — address `art-114-4` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-114-4 - 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. --- ### 第百十四条の四（変更命令） — Order to Change caption: machine translation, not official art-114-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4 · https://japanlaw.org/l/409AC0000000123/art-114-4 **第一項** 都道府県知事は、介護医療院の管理者が介護医療院の管理者として不適当であると認めるときは、当該介護医療院の開設者に対し、期限を定めて、介護医療院の管理者の変更を命ずることができる。 art-114-4/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4/par-1 · https://japanlaw.org/l/409AC0000000123/art-114-4/par-1 A prefectural governor, when it is determined that a manager of an integrated facility for medical and long-term care is inappropriate as a manager of an integrated facility for medical and long-term care, may order the establisher of said integrated facility for medical and long-term care, setting a due date, to change the manager of the integrated facility for medical and long-term care. machine translation, not official **第二項** 厚生労働大臣は、前項に規定する都道府県知事の権限に属する事務について、介護医療院に入所している者の生命又は身体の安全を確保するため緊急の必要があると認めるときは、都道府県知事に対し同項の事務を行うことを指示することができる。 art-114-4/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4/par-2 · https://japanlaw.org/l/409AC0000000123/art-114-4/par-2 The Minister of Health, Labour and Welfare, with regard to the affairs belonging to the authority of a prefectural governor as prescribed in the preceding paragraph, when he or she determines there is an urgent necessity to ensure the life and the physical safety of persons admitted to an integrated facility for medical and long-term care, may instruct the prefectural governor to conduct the affairs set forth in the same paragraph. machine translation, not official --- ## Cites - art-114-4/par-2: 前項 → 介護保険法 第百十四条の四第一項 (Article 114-4, paragraph (1)), art-114-4/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4/par-1 · https://japanlaw.org/l/409AC0000000123/art-114-4/par-1 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 介護保険法 第百十四条の二第三項（報告等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-114-2/par-3 · https://japanlaw.org/l/409AC0000000123/art-114-2/par-3 - 介護保険法 第百十四条の四第二項（変更命令） — https://japanlaw.org/ja/long-term-care-insurance-act/art-114-4/par-2 · https://japanlaw.org/l/409AC0000000123/art-114-4/par-2 - 介護保険法 第百十四条の八第一項（医療法の準用） — https://japanlaw.org/ja/long-term-care-insurance-act/art-114-8/par-1 · https://japanlaw.org/l/409AC0000000123/art-114-8/par-1 - 介護保険法 第二百六条第一項第四号 — https://japanlaw.org/ja/long-term-care-insurance-act/art-206/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-206/par-1/item-4 --- ## 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-20261018T212610-015, 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