community care system (meaning an integrated community care system provided in Article 2, paragraph (1) of the Act on Promotion of Securing Comprehensive Medical Care and Long-Term Care in Local Communities (Act No. 64 of 1989)) 

二 都道府県知事が、都道府県医療審議会の意見を聴いて、へき地の医療、小児医療、 周産期医療、救急医療その他の地域において良質かつ適切な医療が提供されるため に必要な診療所として認めるものに療養病床又は一般病床を設けようとするとき。 

(ii) When a person wishes to provide long-term care beds or general beds in a clinic approved by the prefectural governor, based on the opinions of the Prefectural Council on Medical Service Facilities, as that required for the provision of medical care, medical care for children, perinatal care, and emergency medical care in a remote area, and for the provision of good quality and appropriate medical care in other areas 

三 前二号に規定する診療所に療養病床又は一般病床を設置した者が、第五項第三号 に掲げる事項を変更しようとする場合において、療養病床又は一般病床の病床数を 増加させようとするとき（次号に掲げる場合を除く。）。 

(iii) When a person who has provided long-term care beds or general beds in a clinic provided in the preceding two items wishes to increase the number of long-term care beds or general beds (excluding the cases set forth in the following item) in the case of changing the matters set forth in paragraph (5), item (iii) 

四 診療所に療養病床又は一般病床を設置した者が、第五項第三号に掲げる事項を変 更しようとする場合において、療養病床若しくは一般病床の病床数を減少させよう とするとき又は療養病床若しくは一般病床に係る病室の病床数を変更しようとする とき。 

(iv) When a person who has provided long-term care beds or general beds in a clinic wishes to reduce the number of long-term care beds or general beds, or to change the number of beds in a room for long-term care beds or general beds in the case of changing the matters set forth in paragraph (5), item (iii) 

五 新型インフルエンザ等対策特別措置法（平成二十四年法律第三十一号）第三十八 条第一項に規定する特定都道府県の区域内において診療所を開設した者が、同法第 三十二条第一項に規定する新型インフルエンザ等緊急事態における医療の提供を行 うことを目的として、診療所に病床を設けようとするとき、又は診療所の病床数、 病床の種別その他第五項各号に掲げる事項を変更しようとするとき。 

(v) When a person who has established a clinic in an area of a specified prefecture provided in Article 38, paragraph (1) of the Act on Special Measures for Novel Influenza (Act No. 31 of 2012) wishes to provide beds in a clinic for the purpose of providing medical care in the event of novel influenza or other emergency situations provided in Article 32, paragraph (1) of the same Act, or wishes to change the number of beds in the clinic, the bed classification, or other matters set forth in each item of paragraph (5) 

