# 介護保険法 / Long-Term Care Insurance Act — 第七十一条 (Article 71) - 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: 第七十一条 (Article 71)（指定居宅サービス事業者の特例） — address `art-71` - 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-71 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-71 - 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. --- ### 第七十一条（指定居宅サービス事業者の特例） — (Exception of a Designated In-Home Service Provider) caption: Ministry of Justice translation — Japanese Law Translation Database System art-71 · https://japanlaw.org/ja/long-term-care-insurance-act/art-71 · https://japanlaw.org/l/409AC0000000123/art-71 **第一項** 病院等について、健康保険法第六十三条第三項第一号の規定による保険医療機関又は保険薬局の指定があったとき（同法第六十九条の規定により同号の指定があったものとみなされたときを含む。）は、その指定の時に、当該病院等の開設者について、当該病院等により行われる居宅サービス（病院又は診療所にあっては居宅療養管理指導その他厚生労働省令で定める種類の居宅サービスに限り、薬局にあっては居宅療養管理指導に限る。）に係る第四十一条第一項本文の指定があったものとみなす。ただし、当該病院等の開設者が、厚生労働省令で定めるところにより別段の申出をしたとき、又はその指定の時前に第七十七条第一項若しくは第百十五条の三十五第六項の規定により第四十一条第一項本文の指定を取り消されているときは、この限りでない。 art-71/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-71/par-1 · https://japanlaw.org/l/409AC0000000123/art-71/par-1 With regard to a Hospital, etc., when a medical facility that provides insured services or a pharmacy that provides insured services is appointed pursuant to the provisions of Article 63, paragraph (3), item (i) of the Health Insurance Act (including when it is deemed that the appointment under that item was made pursuant to the provisions of Article 69 of the same Act), it is deemed that the establisher of said Hospital, etc. was provided an appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to In-Home Service provided by said Hospital, etc. (with regard to a hospital or a clinic, limited to Guidance for Management of In-Home Medical Long-Term Care and other types of In-Home Service as determined by Order of the Ministry of Health, Labour and Welfare, and with regard to a pharmacy, limited to Guidance for Management of In-Home Medical Long-Term Care) at the time of said appointment, provided however, that this provision does not apply when the establisher of the Hospital, etc. offers a different notification pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare or when the appointment as service provider as set forth in the main clause of Article 41, paragraph (1) has been rescinded pursuant to the provisions of Article 77, paragraph (1) or Article 115-35, paragraph (6) prior to said appointment. machine translation, not official **第二項** 前項の規定により指定居宅サービス事業者とみなされた者に係る第四十一条第一項本文の指定は、当該指定に係る病院等について、健康保険法第八十条の規定による保険医療機関又は保険薬局の指定の取消しがあったときは、その効力を失う。 art-71/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-71/par-2 · https://japanlaw.org/l/409AC0000000123/art-71/par-2 An appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to a person that was deemed as a Designated In-Home Service Provider pursuant to the provisions of the preceding paragraph, when appointment as service provider of a medical facility that provides insured services or pharmacy that provides insured services is rescinded pursuant to the provisions of Article 80 of the Health Insurance Act with regard to said Hospital, etc., pertaining to said appointment as service provider, ceases to be effective. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-71/par-1: 健康保険法第六十三条第三項第一号 → 健康保険法 第六十三条第三項第一号 (Article 63, paragraph (3), item (i)), art-63/par-3/item-1 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-1 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-1 - art-71/par-1: 同法第六十九条 → 健康保険法 第六十九条 (Article 69), art-69 — https://japanlaw.org/ja/health-insurance-act/art-69 · https://japanlaw.org/l/211AC0000000070/art-69 - art-71/par-1: 第四十一条第一項 → 介護保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-1 - art-71/par-1: 第七十七条第一項 → 介護保険法 第七十七条第一項 (Article 77, paragraph (1)), art-77/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-77/par-1 · https://japanlaw.org/l/409AC0000000123/art-77/par-1 - art-71/par-1: 第百十五条の三十五第六項 → 介護保険法 第百十五条の三十五第六項 (Article 115-35, paragraph (6)), art-115-35/par-6 — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-35/par-6 · https://japanlaw.org/l/409AC0000000123/art-115-35/par-6 - art-71/par-2: 前項 → 介護保険法 第七十一条第一項 (Article 71, paragraph (1)), art-71/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-71/par-1 · https://japanlaw.org/l/409AC0000000123/art-71/par-1 - art-71/par-2: 第四十一条第一項 → 介護保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-1 · https://japanlaw.org/l/409AC0000000123/art-41/par-1 - art-71/par-2: 健康保険法第八十条 → 健康保険法 第八十条 (Article 80), art-80 — https://japanlaw.org/ja/health-insurance-act/art-80 · https://japanlaw.org/l/211AC0000000070/art-80 ## Cited by 4 provisions cite this one. No official source publishes this direction. - 介護保険法 第七十一条第二項（指定居宅サービス事業者の特例） — https://japanlaw.org/ja/long-term-care-insurance-act/art-71/par-2 · https://japanlaw.org/l/409AC0000000123/art-71/par-2 - 介護保険法 第七十八条の十二第一項（準用） — https://japanlaw.org/ja/long-term-care-insurance-act/art-78-12/par-1 · https://japanlaw.org/l/409AC0000000123/art-78-12/par-1 - 介護保険法 第百十五条の十一第一項（準用） — https://japanlaw.org/ja/long-term-care-insurance-act/art-115-11/par-1 · https://japanlaw.org/l/409AC0000000123/art-115-11/par-1 - 生活保護法 別表第二 — https://japanlaw.org/ja/public-assistance-act/appdx-2 · https://japanlaw.org/l/325AC0000000144/appdx-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-20261018T212610-006, 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