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ACT ON SUPPORT FOR OVERSEAS EXPANSION OF HEALTHCARE SYSTEM AND ATTRACTION OF INTERNATIONAL PATIENTS

Act No. 13599, Dec. 22, 2015

CHAPTER I GENERAL PROVISIONS
 Article 1 (Purpose)
The purpose of this Act is to enable foreigners to receive safe and quality health and medical services and contribute to development of the nation’s economy/society, through supporting overseas expansion of medical services and enhancing international patients’ rights and interest and their convenience in using domestic medical services.
 Article 2 (Definitions)
The definitions of the terms used in this Act shall be as follows:
1. “Overseas expansion of medical services” means the actions falling under any of the following items in order to provide health and medical services in foreign countries:
(a) Establishment/operation of a medical institution in a foreign country;
(b) Consultations for operations or entrusted operations of a medical institution in a foreign country;
(c) Secondment of health and medical services personnel or other persons engaging in related businesses to a medical institution in a foreign country;
(d) Transfer of medical treatment technologies or information systems, etc. to a medical institution or personnel in a foreign country;
(e) Provision of medicine, medical devices, etc. necessary for the provision of health and medical services in foreign countries;
(f) Other actions to provide health and medical services in foreign countries, as prescribed by Presidential Decree;
2. “International patient” means a patient of a foreign nationality who is neither a policyholder nor dependent under Article 109 of the National Health Insurance Act (excluding a foreigner who resides in the Republic of Korea, as prescribed by Ordinance of the Ministry of Health and Welfare);
3. “Attraction of international patients” means the activities of providing medical treatment-related conveniences, in order to encourage international patients to use domestic medical institutions, such as making a reservation, concluding a contract for medical treatment including representing therefor, providing information on medical treatment and guiding of traffic and accommodation.
 Article 3 (Relationship with Other Acts)
Except as expressly provided for in this Act, the Medical Service Act shall apply mutatis mutandis to the matters concerning support for overseas expansion of medical services and attraction of international patients.
CHAPTER II MANAGEMENT/SUPERVISION AND PROTECTION OF RIGHTS AND INTERESTS OF INTERNATIONAL PATIENTS
 Article 4 (Report of Overseas Expansion of Medical Service)
(1) A founder of a medical institution under Article 3 of the Medical Service Act who intends to expand his/her medical services abroad shall report it to the Minister of Health and Welfare.
(2) Where the person who is a corporation and intends to report its activities pursuant to paragraph (1) is, the articles of incorporation of the corporation shall, as prescribed in the Medical Service Act or other relevant Acts and subordinate statutes, include matters concerning the expansion of medical services.
(3) The Minister of Health and Welfare shall issue a certificate of report on expansion of medical services abroad to the founder of a medical institution who reported pursuant to paragraph (1).
(4) Matters on content, procedure, and timing of the report pursuant to paragraph (1) and other matters necessary for issuance etc. of the certificate under paragraph (3) shall be prescribed by Presidential Decree.
 Article 5 (Prohibition of Detour Investment)
A founder of a medical institution who reported pursuant to Article 4 (1) shall not invest, through a foreign corporation established for the purpose of establishing/operating a medical institution in a foreign country, in the medical institutions falling under any of the following subparagraphs:
 Article 6 (Registration for Attraction of International Patients)
(1) A medical institution intending to attract international patients shall satisfy the requirements under each of the following subparagraphs and register with the Minister of Health and Welfare:
1. At least one medical specialist under Article 77 of the Medical Service Act shall be assigned for each medical department which intends to attract international patients: Provided, That this shall not apply where the medical department is not the specialized medical department prescribed by Presidential Decree;
2. Purchase of medical malpractice liability insurance as prescribed by Ordinance of the Ministry of Health and Welfare or becoming a member of the Medical Indemnity Mutuals pursuant to the Act on Remedies for Injuries from Medical Malpractice and Mediation of Medical Dispute.
(2) Excluding the medical institutions under paragraph (1), a person who intends to attract international patients shall satisfy the requirements under each of the following subparagraphs and register with the Minister of Health and Welfare:
1. He/she has purchased a guaranty insurance as prescribed by Ordinance of the Ministry of Health and Welfare;
2. He/she has capital more than the minimum amount prescribed by Ordinance of the Ministry of Health and Welfare;
3. He/she has established an office within the Republic of Korea.
(3) The Minister of Health and Welfare shall issue a certificate of registration to the medical institution registered in accordance with paragraph (1) (hereinafter referred to as “medical institution for attraction of international patients”) and to the person who has registered in accordance with paragraph (2) (hereinafter referred to as “international patient attraction agency”).
(4) The term of validity of registration made pursuant to paragraphs (1) and (2) shall be three years from the date of such registration.
(5) A person who intends to continuously attract international patients after expiry of the term of validity under paragraph (4) shall renew his/her registration before the expiry of the term of validity.
(6) Matters necessary for registration pursuant to paragraphs (1) and (2) and the renewal procedure pursuant to paragraph (5) and other matters shall be prescribed by Ordinance of the Ministry of Health and Welfare.
 Article 7 (Prohibition of Leasing, etc. of Certificate of Registration)
(1) The medical institution for attraction of international patients and the international patient attraction agency shall prohibit the use of his/her name or trade name, nor transfer or lease of the certificate of registration by other persons attracting international patients.
(2) Any person shall neither attract international patients by using other person’s name or trade name, nor use other person’s certificate of registration transferred or leased to him/her.
 Article 8 (Protection of the Rights and Interests of International Patients)
(1) The medical institution for attraction of international patients and the international patient attraction agency shall affix its certificate of registration issued pursuant to Article 6 (3) within the concerned medical institution or place of business so that the certificate can be readily seen by other persons, and shall take the necessary measures to make international patients aware of the matters concerning the protection of their rights and interests as prescribed by Ordinance of the Ministry of Health and Welfare.
(2) As prescribed by Ordinance of the Ministry of Health and Welfare, the medical institution for attraction of international patients shall affix, in the relevant foreign languages, patients’ rights and interests, etc. under Article 4 (3) of the Medical Service Act, prepare circulations of patients’ rights and interests within the medical institution, and shall separately prepare and inform matters under each of the following subparagraphs and take other measures to make international patients aware of the concerned matters:
1. Name of diagnosed disease of an international patient, method of treatment, and possible side effects;
2. Medical treatment agreement in accordance with a standard form as determined by the Minister of Health and Welfare and an estimated cost of medical treatment;
3. The dispute resolution procedure to be applied in case of a medical malpractice.
 Article 9 (Restriction of Excessive Fee, Etc.)
(1) The medical institution for attraction of international patients and the international patient attraction agency shall not commit acts that substantially disrupt the market economy such as requesting an excessive fee, or providing fraudulent information for attracting international patients.
(2) The Minister of Health and Welfare may examine and disclose actual conditions of the fees or medical expenses imposed by the medical institution for attraction of international patients and the international patient attraction agency, and shall publicly announce the scope of an appropriate fee rate by reflecting the results of the aforementioned examination.
 Article 10 (Restriction on Attraction of International Patients by General Hospital)
Among general hospitals under Article 3-3 of the Medical Service Act, a medical institution for attraction of international patients shall not attract international patients exceeding the number of hospital beds as stipulated by Ordinance of the Ministry of Health and Welfare.
 Article 11 (Duty of Report)
The medical institution for attraction of international patients and the international patient attraction agency shall, as prescribed by Ordinance of the Ministry of Health and Welfare, immediately report the preceeding year’s business performance to the Minister of Health and Welfare, no later than the end of February of each year.
CHAPTER III SUPPORTING AND FOSTERING
 Article 12 (Businesses of Supporting Overseas Expansion of Medical Service and Attraction of International Patients)
The Minister of Health and Welfare may engage in the following businesses activities in order to support overseas expansion of medical service and attraction of international patients:
1. Collection, analysis and provision of the information concerning overseas medical market;
2. Provision of information, counsel/consultation, and support of negotiation/agreement that are necessary for overseas expansion of medical service;
3. Agreement with foreign governments concerning matters such as dispatching patients, providing consultation for the health and medical care system, acknowledging licences of medical personnel and other affairs on licensing;
4. Activities on overseas marketing and advertisement;
5. Establishment of a computer system for managing performance of attracting international patients, and collection and management of the relevant statistics/information concerning performance management;
6. Provision of information and consultation to protect rights and interests of international patients;
7. Provision of free health and medical services for foreigners at home and abroad;
8. Support for training foreign medical personnel and required cooperation among relevant institutions;
9. Other business activities to support overseas expansion of medical service and attraction of international patients, as prescribed by Ordinance of the Ministry of Health and Welfare.
 Article 13 (Fostering of Professional Personnel)
(1) The State or a local government shall assist professional personnel required to support overseas expansion of medical service and attraction of international patients.
(2) The Minister of Health and Welfare may, in order to support smooth communication between domestic medical personnel and international patients, assist with personnel that provide medical interpretation service and continuing education, and examination to verify medical interpreting competence of the aforementioned personnel.
(3) In order to assist professional personnel and provide examinations for medical interpreting competence, the Minister of Health and Welfare may designate those institutions equipped with the appropriate human resources and facilities as professional personnel fostering institutions.
(4) The State may, within its budget, support all or part of the expenses incurred by a fostering institution to conduct its business activities.
(5) Matters necessary for examinations for medical interpreting competence and for the method, procedure, eligible institutions, details, etc. of designation as fostering institutions in accordance with paragraphs (2) and (3) shall be prescribed by Ordinance of the Ministry of Health and Welfare.
 Article 14 (Evaluation and Designation of Promotion Agency)
(1) In order to support attracting international patients and enhance the quality of medical services, the Minister of Health and Welfare may evaluate the medical institutions for attraction of international patients and the international patient attraction agency (hereafter referred to as “attraction institution” in this Article) taking into account the factors such as results of attracting international patients, medical departments, status of possessing professional personnel, level of contribution to the development of domestic medical service, and may selectively designate the attraction institutions which has satisfied certain standards based on the result of the aforementioned evaluation.
(2) The attraction institution designated in accordance with paragraph (1) may use a mark indicating that it has been so designated as prescribed by Presidential Decree.
(3) The term of validity for the aforementioned designation shall be two years from the date of such designation, and the attraction institution may be re-designated every two years: Provided, That where the registration of a designated attraction institution is revoked pursuant to Article 24 (1), the designation shall become null and void although the term of designation is not yet expired.
(4) The State and local governments may provide the attraction institution designated pursuant to paragraph (1) with the following support:
1. Advertisement within and outside of the Republic of Korea;
2. Creating a basis to employ the professional personnel specialized in attracting international patients;
3. Other matters, as prescribed by Presidential Decree, necessary to promote attraction of international patients.
(5) Matters necessary for the evaluation and designation under paragraph (1) and the standards, procedures etc. of re-designation under paragraph (3) shall be prescribed by Presidential Decree.
 Article 15 (Special Cases Concerning Medical Advertisement)
(1) Notwithstanding Article 56 (2) 10 of the Medical Service Act, the medical institution for attraction of international patients may advertise its medical service in a foreign language at the places falling under any of the following subparagraphs, in order to attract international patients: Provided, That it shall not run an advertisement having a potential danger of deceiving or misleading international patients such as an image or video comparing before and after treating a patient:
1. A foreigner exclusive shop under Article 17 of the Individual Consumption Tax Act;
2. A bonded shop under Article 196 of the Customs Act;
4. Airports opened for international air routes among those airports under subparagraph 7 of Article 2 of the Aviation Act;
5. The trade harbor under subparagraph 2 of Article 2 of the Harbor Act.
(2) Where the medical institution for attraction of international patients intends to advertise its medical service pursuant to paragraph (1), it shall, in advance, have the advertisement reviewed by the Minister of Health and Welfare with respect to the content and methods, etc. of the advertisement.
(3) A medical advertisement emphasizing a particular medical department such as plastic surgery, dermatology, etc. may not be at locations pursuant to paragraph (1) 4 and 5, as prescribed by Ordinance of the Ministry of Health and Welfare.
(4) With respect to the standards and review of the medical advertisement pursuant to paragraphs (1) and (2), the provisions in Articles 56 and 57 (2) through (4) of the Medical Service Act shall apply mutatis mutandis.
 Article 16 (Proactive and Ex Post Facto Management of International Patients)
(1) Notwithstanding Article 33 (1) of the Medical Service Act, a medical doctor, dentist, or oriental medical doctor who engages in medical service (limited to the person who has established the medical institution for attraction of international patients and the persons belonging to the concerned medical institutions) may engage in conduct of each of the following subparagraphs (hereinafter referred to as “proactive and ex post facto management of international patients”) for medical personnel abroad, through the use of information and communication technologies such as a computer and a visual communication, etc.:
1. Support of medical knowledge or technology;
2. Consultation/education concerning a patient’s health or disease.
(2) With respect to the responsibility of a person who engages in the proactive and ex post facto management of international patients and a medical personnel abroad toward his/her patients, the provisions in Article 34 (3) and (4) of the Medical Service Act shall apply mutatis mutandis.
(3) Matters necessary for the methods, procedures and facilities or equipment, etc. of the proactive and ex post facto management of international patients shall be prescribed by Ordinance of the Ministry of Health and Welfare.
 Article 17 (Financial Support and Tax Incentive)
(1) The State may, in order to support overseas expansion of medical services, provide a medical institution which has reported pursuant to Article 4 with financial support for small and medium-sized enterprises under Article 18 (1) of the Export-Import Bank of Korea Act and financial support or tax incentives prescribed in other relevant Acts or subordinate statutes.
(2) Details, eligibility, requirements, etc. for the support under paragraph (1) shall be prescribed by Presidential Decree. In this case, scale of the eligible medical institution and de facto independence between ownership and management of the said medical institutions and other factors shall be taken into account.
CHAPTER IV OPERATION SYSTEM
 Article 18 (Establishment of Comprehensive Plan)
(1) The Minister of Health and Welfare shall establish a comprehensive plan to support overseas expansion of medical services and attraction of international patients (hereinafter referred to as “comprehensive plan”), every five years, after going through review thereof by the policy review committee under Article 19.
(2) The comprehensive plan shall include each of the following subparagraphs concerning the support for overseas expansion of medical services and attraction of international patients:
1. Objectives and promotional direction;
2. Plans for securing financial sources of investment and use thereof;
3. Establishment of a basis of the support;
4. International exchange and cooperation;
5. Impact on domestic health and medical services, and guarantee of rights and interests of international patients;
6. Other matters as prescribed by Presidential Decree.
(3) In accordance with the comprehensive plan, the Minister of Health and Welfare shall establish and administer an implementation plan thereof and evaluate its promotional performance on a yearly basis.
(4) Other matters necessary for establishment of the comprehensive plan shall be stipulated by Presidential Decree.
 Article 19 (Policy Review Committee)
(1) For the cooperation between relevant administrative institutions and the establishment of the comprehensive plan that are necessary to support overseas expansion of medical services and attraction of international patients, a policy review committee shall be established within the Minister of Health and Welfare.
(2) The policy review committee shall comprise of fifteen (15) commissioners including one chairperson, and the chairperson shall be the Minister of Health and Welfare.
(3) The commissioners of the policy review committee shall be commissioned or appointed by the Minister of Health and Welfare from among the following persons:
1. The persons recommended by the head of the organizations to which they belong, from among public officers belonging to the Senior Civil Service Corps within the Ministry of Strategy and Finance, the Ministry of Justice, the Ministry of Culture, Sports and Tourism, the Ministry of Trade, Industry and Energy, the Ministry of Land, Infrastructure and Transport, the Financial Services Commission and other relevant central administrative agencies;
2. Heads of the relevant public institutions;
3. Other persons having extensive professional knowledge and experience concerning the impact on domestic medical services, overseas expansion of medical services or attraction of international patients.
(4) Other matters necessary for organization and operation, etc. of the policy review committee shall be prescribed by Presidential Decree.
 Article 20 (Annual Report)
(1) The Minister of Health and Welfare shall prepare a report on the actual status of promotion and the evaluation of the policy for overseas expansion of medical services and attraction of international patients, and the Minister shall annually submit the aforementioned report to the responsible Standing Committee of the National Assembly prior to opening of the annual regular session of the National Assembly.
(2) The report under paragraph (1) shall include each of the following information:
1. Establishment and management of the annual implementation plan in accordance with the comprehensive plan;
2. The actual status of promotion and the evaluation of policy for overseas expansion of medical services and attraction of international patients;
3. Actual status domestically and abroad concerning the overseas expansion of medical services and attraction of international patients.
(3) Other matters necessary for preparation and submission, etc. of the report under paragraph (1) shall be prescribed by Presidential Decree.
 Article 21 (Designation of Supporting Institution and Entrustment, etc. of Services)
(1) In order to effectively support overseas expansion of medical services and attraction of international patients, the Minister of Health and Welfare may delegate all or part of the following services to an institution or group (hereinafter referred to as “supporting institution”) which is a corporate having the manpower and facility prescribed by Presidential Decree and designated by the Minister of Health and Welfare:
1. Receiving reports of overseas expansion of medical services and issuing certificate of report as prescribed in Article 4;
2. Receiving applications for registration concerning attraction of international patients, confirming details of an application for registration and issuing a certificate of registration, as prescribed in Article 6;
3. Supporting overseas expansion of medical services and attraction of international patients pursuant to Article 12, such as an offer of free health and medical services;
4. Evaluating and designating the attraction institution pursuant to Article 14;
5. Other services as prescribed by Presidential Decree.
(2) The State may assist, within its budget, the supporting institution with all or part of the expenses necessary to provide the services falling under each subparagraph of paragraph (1).
(3) Other matters necessary for standards and procedures of designating the supporting institution and for its operation, etc. of the supporting institution pursuant to paragraphs (1) and (2) shall be prescribed by Presidential Decree.
CHAPTER V SUPPLEMENTAL AND PENALTY PROVISIONS
 Article 22 (Corrective Order)
The Minister of Health and Welfare may order a medical institution intending to expand its medical service abroad, the medical institution for attraction of international patients or the international patient attraction agency to rectify the violations within a certain period determined by the Minister, where falling under any of the following circumstances:
1. Where the report pursuant to Article 4 (1) is not made or where Article 5 is violated;
2. Where the requirements for registration under Article 6 (1) and (2) are not satisfied;
3. Where the certificate of registration is not affixed within the medical institution or place of business, in violation of Article 8 (1);
4. Where the total number of attracted international patients exceeds the number of hospital beds, in violation of Article 10;
5. Where the report is not or fraudulently made, in violation of Article 11.
 Article 23 (Prohibition of Use of a Similar Name)
(1) No person but the medical institution for attraction of international patients under this Act shall use the name of the medical institution for attraction of international patients or other names similar thereto.
(2) No person but the international patient attraction agency under this Act shall use the name of the international patient attraction agency or other names similar thereto.
 Article 24 (Cancellation of Registration)
(1) The Minister of Health and Welfare may cancel the registration under Article 6 (1) and (2), where the medical institution for attraction of international patients or the international patient attraction agency falls under any of the following subparagraphs: Provided, That the Minister shall cancel the registration in case of falling under subparagraph 1:
1. Where the registration is made by fraud or other improper means;
2. Where a person who is not a international patient is attracted;
3. Where the international patient attraction agency introduces a medical treatment agreement for international patients to a medical institution not qualifying as a medical institution for attraction of international patients or acts on behalf of the unqualified medical institution;
4. Where the medical institution for attraction of international patients receives an introduction/referral concerning a medical treatment agreement for international patients from a person not qualifying as the international patient attraction agency;
5. Where transferring or leasing its name/trade name or certificate of registration, in violation of Article 7 (1);
6. Where the market economy is gravely disrupted, in violation of Article 9 (1);
7. Where a medical advertisement is made in violation of the standards prescribed in Article 15;
8. Where the proactive and ex post facto management of international patients is conducted, in violation of the method and procedure, etc. prescribed in Article 16;
9. Where the corrective order under Article 22 is not implemented, or upon committing a conduct subject to another corrective order after receiving at least two corrective orders during the concerned period of registration.
(2) A person whose registration is cancelled in accordance with paragraph (1) may not apply for registration, prior to the completion of one year from the date of the aforementioned cancellation of registration, with respect to the attraction of international patients pursuant to Article 6 (1) and (2).
(3) Matters necessary for the procedure, etc. of cancellation of registration shall be prescribed by Ordinance of the Ministry of Health and Welfare.
 Article 25 (Cancellation of Designation)
(1) The Minister of Health and Welfare may cancel a designation as an attraction institution in accordance with Article 14, where the institution falls under any of the subparagraphs in Article 24 (1) or is subject to imposition of administrative fine under Article 31.
(2) The Minister of Health and Welfare may cancel a designation as an supporting institution under any of the following conditions: Provided, That the Minister shall cancel the registration in case of falling under subparagraph 1:
1. Where a designation is made by fraud or other improper means;
2. Where a supporting institution becomes unable to satisfy the standards of designation under Article 21 (1);
3. Where a supporting institution fails to provide the services for at least one month, without justifiable reasons.
(3) Procedures concerning the cancellation of designation pursuant to paragraphs (1) and (2) shall be prescribed by Presidential Decree.
 Article 26 (Penalty Surcharge)
The Minister of Health and Welfare may impose a penalty surcharge, within the scope not exceeding the amount of sale prescribed by Presidential Decree, on a person who has attracted international patients without making registration concerning the attraction of international patients under Article 6 (1) and (2), or on a person who has received excessive fee in violation of Article 9 (1): Provided, That where the person in violation has no amount of sale or it is deemed difficult to calculate the amount of sale and as prescribed by Presidential Decree, the Minister may impose a penalty surcharge within the scope not exceeding one billion won.
 Article 27 (Reward of Reporter)
(1) The Minister of Health and Welfare may grant a reward, within the limit of the budget, to a person who has reported or charged those persons falling under any of the following subparagraphs to a relevant administrative or investigative authority:
1. A medical institution for attraction of international patients or the international patient attraction agency which has attracted a person who is not a international patient;
2. A person who has attracted international patients, without making the registration concerning attraction of international patients pursuant to Article 6 (1) and (2);
3. A person who has violated Article 7, 9 or 15.
(2) Matters necessary for standards, methods, procedures, etc. of payment of the reward pursuant to paragraph (1) shall be prescribed by Presidential Decree.
 Article 28 (Penalty Provision)
A person who has engaged international patients, without making the registration concerning attraction of international patients pursuant to Article 6 (1) and (2) shall be punished by imprisonment with labor for not exceeding three years or by a fine up to thirty (30) million won.
 Article 29 (Penalty Provision)
Any persons falling under any of the following subparagraphs shall be punished by imprisonment with labor for not more than one year or by a fine up to ten (10) million won:
1. A person who has fraudulently made the report on extension of medical service abroad under Article 4 (1), or failed to comply with the corrective order under subparagraph 1 of Article 22;
2. A person who has completed registration under Article 6 (1) and/or (2) by fraud or other improper means;
3. A person who has transferred/leased his/her name/trade name or certificate of registration, or received a transferred/leased name/trade name or certificate of registration, in violation of Article 7;
4. A person who has circulated a medical advertisement in violation of Article 15 (1) or (2).
 Article 30 (Joint Penalty Provisions)
If the representative of a corporation or an agent or employee of, or other persons employed by, the corporation or an individual commits any violations under Article 28 or 29 while conducting affairs of the corporation or individual, the corporation or individual shall, in addition to punishing the violator accordingly, be subject to a fine prescribed in the aforementioned Articles: Provided, That this shall not apply where the corporation or individual has not been negligent in giving due attention and supervision with respect to the relevant affair in order to prevent such violation.
 Article 31 (Administrative Fine)
(1) Any persons falling under any of the following subparagraphs shall be punished by an administrative fine up to five (5) million won:
1. A person who fails to post his/her certificate of registration, international patients’ rights, etc. or fails to take measures necessary to make international patients aware of the matters concerning their rights and interests, in violation of Article 8 (1) or (2);
2. A person who has fraudulently reported his/her performance of business, in violation of Article 11;
3. A person who has used the similar name as prohibited in Article 23.
(2) The administrative fine under paragraph (1) shall be imposed and collected by the Minister of Health and Welfare, as prescribed by Presidential Decree.
ADDENDA
Article 1 (Enforcement Date)
This Act shall enter into force six months after the date of its promulgation.
Article 2 (Transitional Measures concerning Registration of Attracting International Patient)
A medical institution registered pursuant to Article 27-2 (1) of the Medical Service Act and a international patient attraction agency registered pursuant to Article 27-2 (2) of the same Act as at the time this Act enters into force shall be deemed the medical institution for attraction of international patients and the international patient attraction agency, respectively, registered under this Act: Provided, That they shall renew their registration, within one year from the date of enforcement of this Act, after satisfying the requirements as prescribed in Article 6 (1) and (2).
Article 3 (Transitional Measures concerning Penalty, Etc.)
Upon imposing penalties or administrative fines concerning the violation committed before the enforcement of this Act, the former Medical Service Act shall apply.
Article 4 Omitted.