# 医療法 / Medical Care Act — 第百十三条 (Supplementary Provisions, Article 113)

- 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: 第百十三条 (Supplementary Provisions, Article 113) — address `suppl-3231-205/art-113`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113
- 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.

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### 第百十三条
<sup>suppl-3231-205/art-113 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113</sup>

**第一項**  都道府県知事は、当分の間、次に掲げる医療のいずれかを提供するために医師をやむを得ず長時間従事させる必要がある業務として厚生労働省令で定めるものがあると認められる病院又は診療所（当該都道府県の区域に所在するものに限る。）を、当該病院又は診療所の開設者の申請により、特定地域医療提供機関として指定することができる。
<sup>suppl-3231-205/art-113/par-1 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1</sup>
The prefectural governor may, for the time being, upon application by the establisher of the hospital or clinic, designate as a specified regional medical care provision institution a hospital or clinic (limited to one situated in the area of the relevant prefecture) that is found to have operations specified by an Order of the Ministry of Health, Labour and Welfare for which it is unavoidably necessary to have physicians engage in work for long hours in order to provide any of the following medical care:
<sup>machine translation, not official</sup>

  **一**  救急医療
  <sup>suppl-3231-205/art-113/par-1/item-1 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1/item-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1/item-1</sup>
  emergency medical care;
  <sup>machine translation, not official</sup>

  **二**  居宅等における医療
  <sup>suppl-3231-205/art-113/par-1/item-2 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1/item-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1/item-2</sup>
  medical care at home, etc.; or
  <sup>machine translation, not official</sup>

  **三**  地域において当該病院又は診療所以外で提供することが困難な医療
  <sup>suppl-3231-205/art-113/par-1/item-3 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1/item-3 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1/item-3</sup>
  medical care that is difficult to provide in the region by any hospital or clinic other than the relevant hospital or clinic.
  <sup>machine translation, not official</sup>

**第二項**  前項の規定による指定の申請は、厚生労働省令で定める事項を記載した申請書に、同項に規定する業務に従事する医師の労働時間の短縮に関する計画（以下「労働時間短縮計画」という。）の案を添えてしなければならない。
<sup>suppl-3231-205/art-113/par-2 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-2</sup>
An application for designation under the preceding paragraph must be made by attaching a draft of a plan relating to the shortening of working hours of the physicians engaged in the operations prescribed in that paragraph (hereinafter referred to as the "plan for shortening working hours") to a written application stating the particulars specified by an Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第三項**  都道府県知事は、第一項の申請に係る病院又は診療所が次に掲げる要件に該当すると認めるときは、同項の規定による指定をすることができる。
<sup>suppl-3231-205/art-113/par-3 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3</sup>
When the prefectural governor finds that the hospital or clinic pertaining to the application under paragraph (1) falls under the following requirements, the prefectural governor may make the designation under that paragraph:
<sup>machine translation, not official</sup>

  **一**  前項の労働時間短縮計画の案が、当該病院又は診療所に勤務する医師その他関係者の意見を聴いて作成されたものであることその他の厚生労働省令で定める要件を満たすものであること。
  <sup>suppl-3231-205/art-113/par-3/item-1 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3/item-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3/item-1</sup>
  the draft of the plan for shortening working hours under the preceding paragraph satisfies the requirements specified by an Order of the Ministry of Health, Labour and Welfare, such as having been prepared after hearing the opinions of the physicians working at the relevant hospital or clinic and other related parties;
  <sup>machine translation, not official</sup>

  **二**  第百八条第一項の規定による面接指導並びに第百二十三条第一項本文及び第二項後段の規定による休息時間の確保を行うことができる体制が整備されていること。
  <sup>suppl-3231-205/art-113/par-3/item-2 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3/item-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3/item-2</sup>
  a system has been established that makes it possible to conduct face-to-face guidance under Article 108, paragraph (1) of the Supplementary Provisions and to ensure rest periods under the main clause of Article 123, paragraph (1) and the second sentence of paragraph (2) of the Supplementary Provisions; and
  <sup>machine translation, not official</sup>

  **三**  労働に関する法律の規定であつて政令で定めるものの違反に関し、法律に基づく処分、公表その他の措置が講じられた事実であつて厚生労働省令で定めるものがないこと。
  <sup>suppl-3231-205/art-113/par-3/item-3 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3/item-3 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3/item-3</sup>
  there are no facts, specified by an Order of the Ministry of Health, Labour and Welfare, of dispositions, publications or other measures having been taken under law with respect to violations of the provisions of laws concerning labour that are specified by Cabinet Order.
  <sup>machine translation, not official</sup>

**第四項**  都道府県知事は、第一項の規定による指定をするに当たつては、第百三十二条の規定により通知を受けた同項の申請に係る病院又は診療所の評価の結果を踏まえなければならない。
<sup>suppl-3231-205/art-113/par-4 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-4 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-4</sup>
In making the designation under paragraph (1), the prefectural governor must take into account the result of the evaluation of the hospital or clinic pertaining to the application under that paragraph, of which notice has been received pursuant to Article 132 of the Supplementary Provisions.
<sup>machine translation, not official</sup>

**第五項**  都道府県知事は、第一項の規定による指定をするに当たつては、あらかじめ、都道府県医療審議会の意見を聴かなければならない。
<sup>suppl-3231-205/art-113/par-5 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-5 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-5</sup>
In making the designation under paragraph (1), the prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance.
<sup>machine translation, not official</sup>

**第六項**  都道府県知事は、第一項の規定による指定をしたときは、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>suppl-3231-205/art-113/par-6 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-6 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-6</sup>
When the prefectural governor has made the designation under paragraph (1), the prefectural governor must give public notice to that effect, pursuant to an Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第七項**  都道府県知事は、この条の規定の施行に必要な限度において、第百三十条第一項の医療機関勤務環境評価センター（第百十六条第一項において単に「医療機関勤務環境評価センター」という。）に対し、必要な事項の報告を求めることができる。
<sup>suppl-3231-205/art-113/par-7 · https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-7 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-7</sup>
The prefectural governor may, to the extent necessary for the enforcement of the provisions of this Article, request a report on necessary matters from the medical institution work environment evaluation center referred to in Article 130, paragraph (1) of the Supplementary Provisions (referred to simply as the "medical institution work environment evaluation center" in Article 116, paragraph (1) of the Supplementary Provisions).
<sup>machine translation, not official</sup>

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## Cites
- suppl-3231-205/art-113/par-2: 前項 → 医療法 附則第百十三条第一項 (Supplementary Provisions, Article 113, paragraph (1)), suppl-3231-205/art-113/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1
- suppl-3231-205/art-113/par-3: 第一項 → 医療法 附則第百十三条第一項 (Supplementary Provisions, Article 113, paragraph (1)), suppl-3231-205/art-113/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1
- suppl-3231-205/art-113/par-3/item-1: 前項 → 医療法 附則第百十三条第二項 (Supplementary Provisions, Article 113, paragraph (2)), suppl-3231-205/art-113/par-2 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-2
- suppl-3231-205/art-113/par-3/item-2: 第百八条第一項 → 医療法 附則第百八条第一項 (Supplementary Provisions, Article 108, paragraph (1)), suppl-3231-205/art-108/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-108/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-108/par-1
- suppl-3231-205/art-113/par-3/item-2: 第百二十三条第一項 → 医療法 附則第百二十三条第一項 (Supplementary Provisions, Article 123, paragraph (1)), suppl-3231-205/art-123/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-123/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-123/par-1
- suppl-3231-205/art-113/par-3/item-2: 第二項 → 医療法 附則第百二十三条第二項 (Supplementary Provisions, Article 123, paragraph (2)), suppl-3231-205/art-123/par-2 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-123/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-123/par-2
- suppl-3231-205/art-113/par-4: 第一項 → 医療法 附則第百十三条第一項 (Supplementary Provisions, Article 113, paragraph (1)), suppl-3231-205/art-113/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1
- suppl-3231-205/art-113/par-4: 第百三十二条 → 医療法 附則第百三十二条 (Supplementary Provisions, Article 132), suppl-3231-205/art-132 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-132 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-132
- suppl-3231-205/art-113/par-5: 第一項 → 医療法 附則第百十三条第一項 (Supplementary Provisions, Article 113, paragraph (1)), suppl-3231-205/art-113/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1
- suppl-3231-205/art-113/par-6: 第一項 → 医療法 附則第百十三条第一項 (Supplementary Provisions, Article 113, paragraph (1)), suppl-3231-205/art-113/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-1
- suppl-3231-205/art-113/par-7: この条 → 医療法 附則第百十三条 (Supplementary Provisions, Article 113), suppl-3231-205/art-113 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113
- suppl-3231-205/art-113/par-7: 第百三十条第一項 → 医療法 附則第百三十条第一項 (Supplementary Provisions, Article 130, paragraph (1)), suppl-3231-205/art-130/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-130/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-130/par-1
- suppl-3231-205/art-113/par-7: 第百十六条第一項 → 医療法 附則第百十六条第一項 (Supplementary Provisions, Article 116, paragraph (1)), suppl-3231-205/art-116/par-1 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-116/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-116/par-1

## Cited by

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

- 医療法 附則第百十三条第二項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-2
- 医療法 附則第百十三条第三項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3
- 医療法 附則第百十三条第三項第一号 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-3/item-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-3/item-1
- 医療法 附則第百十三条第四項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-4 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-4
- 医療法 附則第百十三条第五項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-5 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-5
- 医療法 附則第百十三条第六項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-6 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-6
- 医療法 附則第百十三条第七項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-113/par-7 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-113/par-7
- 医療法 附則第百十四条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-114/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-114/par-1
- 医療法 附則第百十五条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-115/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-115/par-1
- 医療法 附則第百十五条第四項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-115/par-4 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-115/par-4
- 医療法 附則第百十六条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-116/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-116/par-1
- 医療法 附則第百十六条第二項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-116/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-116/par-2
- 医療法 附則第百十七条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-117/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-117/par-1
- 医療法 附則第百十七条第一項第一号 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-117/par-1/item-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-117/par-1/item-1
- 医療法 附則第百十七条第一項第二号 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-117/par-1/item-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-117/par-1/item-2
- 医療法 附則第百十八条第二項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-118/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-118/par-2
- 医療法 附則第百十九条第二項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-119/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-119/par-2
- 医療法 附則第百二十条第二項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-120/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-120/par-2
- 医療法 附則第百二十八条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-128/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-128/par-1
- 医療法 附則第百二十九条第一項 — https://japanlaw.org/ja/medical-care-act/suppl-3231-205/art-129/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-3231-205/art-129/par-1
- 医療法 附則第三条第三項（医療機関勤務環境評価センターの指定に係る準備行為） — https://japanlaw.org/ja/medical-care-act/suppl-5031-49/art-3/par-3 · https://japanlaw.org/l/323AC0000000205/suppl-5031-49/art-3/par-3
- 医療法 附則第五条第一項（特定労務管理対象機関の指定に係る準備行為） — https://japanlaw.org/ja/medical-care-act/suppl-5031-49/art-5/par-1 · https://japanlaw.org/l/323AC0000000205/suppl-5031-49/art-5/par-1
- 医療法 附則第五条第二項（特定労務管理対象機関の指定に係る準備行為） — https://japanlaw.org/ja/medical-care-act/suppl-5031-49/art-5/par-2 · https://japanlaw.org/l/323AC0000000205/suppl-5031-49/art-5/par-2

---

## 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-20261019T151250-012, translated 2026-10-20
- This site's parser, version 210 — 医療法 — structure, counts, cross-references and defined terms, computed 2026-10-19