The first meeting of the “Medical and Health Management Issues Reform Committee,” which will consider measures to address high health risks for residents of Nakai Yamayuri En (Nakai Town), a prefectural facility for the intellectually disabled, was held on December 18th at the prefectural office in Naka Ward, Yokohama. As investigations into cases of abuse of residents at the facility progress, issues such as residents not receiving appropriate medical care have emerged. At the beginning of the meeting, Governor Yuji Kuroiwa said, “A new issue of medical gaps has come to light. We would like to position this as part of the reform of Nakai Yamayuri En.” ‘Nakai Yamayuri En’ is ran by the same company that manages the ‘Tsukui Yamayuri En’ care facility where, in the early hours of July 26th 2016, a former employee broke in and killed 19 residents between the ages of 19 and 70 with a knife, injuring 26 others.