{ "article": { "LEGIARTI000006741312": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-1-7-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-01-16", "DATE_DEBUT": "2005-12-20" } }, "META_COMMUN": { "ID": "LEGIARTI000006741312", "URL": "article/LEGI/ARTI/00/00/06/74/13/LEGIARTI000006741312.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L01HXXBA" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006759182", "@num": "37", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 37 () JORF 20 décembre 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CREATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000024660839", "@num": "1", "#text": "Décret n°2011-1268\n du 10 octobre 2011 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000024659255", "@nortexte": "ETSP1100830D", "@numtexte": "2011-1268", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-10-10" }, { "@id": "LEGITEXT000030258990", "#text": "DÉCRET n°2015-188 du 18 février 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030258165", "@nortexte": "AFSS1414563D", "@numtexte": "2015-188", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-02-18" }, { "@id": "LEGIARTI000031935878", "@num": "1", "#text": "Décret n°2016-46 du 26 janvier 2016 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000031922237", "@nortexte": "AFSP1526854D", "@numtexte": "2016-46", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000036516134", "@num": "L6211-21", "#text": "Code de la santé publique - art. L6211-21 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000030261705", "@num": "D162-29", "#text": "Code de la sécurité sociale. - art. D162-29 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045137006", "@num": "L161-37", "#text": "Code de la sécurité sociale. - art. L161-37 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740731", "@num": "L162-1-7", "#text": "Code de la sécurité sociale. - art. L162-1-7 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036393462", "@num": "L162-1-8", "#text": "Code de la sécurité sociale. - art. L162-1-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740596", "@num": "L162-14", "#text": "Code de la sécurité sociale. - art. L162-14 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043413482", "@num": "R162-52", "#text": "Code de la sécurité sociale. - art. R162-52 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043413468", "@num": "R162-52-1", "#text": "Code de la sécurité sociale. - art. R162-52-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006741312", "@fin": "2010-01-16", "@num": "L162-1-7-1", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021709156", "@fin": "2013-12-25", "@num": "L162-1-7-1", "@etat": "MODIFIE", "@debut": "2010-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394252", "@fin": "2014-12-25", "@num": "L162-1-7-1", "@etat": "MODIFIE", "@debut": "2013-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029962635", "@fin": "2015-12-23", "@num": "L162-1-7-1", "@etat": "MODIFIE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031687825", "@fin": "2019-07-27", "@num": "L162-1-7-1", "@etat": "MODIFIE", "@debut": "2015-12-23", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000038887559", "@fin": "2020-04-01", "@num": "L162-1-7-1", "@etat": "ABROGE", "@debut": "2019-07-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les règles de hiérarchisation des actes effectués par les directeurs de laboratoire mentionnés à l'article L. 162-14 sont arrêtées par l'Union nationale des caisses d'assurance maladie après avis de la commission mentionnée au deuxième alinéa de l'article L. 162-1-7.
\n
" } }, "LEGIARTI000006759182": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "37", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006759182", "URL": "article/LEGI/ARTI/00/00/06/75/91/LEGIARTI000006759182.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSEAFPXXXXX037AXXXXXXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006688934", "@num": "L4151-4", "#text": "Code de la santé publique - art. L4151-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741312", "@num": "L162-1-7-1", "#text": "Code de la sécurité sociale. - art. L162-1-7-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740816", "@num": "L162-14-1", "#text": "Code de la sécurité sociale. - art. L162-14-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741334", "@num": "L162-2-2", "#text": "Code de la sécurité sociale. - art. L162-2-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740745", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740977", "@num": "L182-4", "#text": "Code de la sécurité sociale. - art. L182-4 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006127162", "@fin": "2999-01-01", "#text": "Section 1 : Dispositions relatives aux dépenses d'assurance maladie.", "@debut": "2005-12-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106367", "@fin": "2999-01-01", "#text": "QUATRIÈME PARTIE : DISPOSITIONS RELATIVES AUX DÉPENSES POUR 2006", "@debut": "2005-12-20" } ] }, "@cid": "JORFTEXT000000815414", "@nor": "SANX0500246L", "@num": "2005-1579", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2005-1579 du 19 décembre 2005 de financement de la sécurité sociale pour 2006 (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000000815414", "@c_titre_court": "Loi n°2005-1579 du 19 décembre 2005" }, { "@fin": "2999-01-01", "#text": "Loi n° 2005-1579 du 19 décembre 2005 de financement de la sécurité sociale pour 2006 (1).", "@debut": "2005-12-20", "@id_txt": "LEGITEXT000006052881", "@c_titre_court": "Loi n° 2005-1579 du 19 décembre 2005" } ], "@date_publi": "2005-12-20", "@date_signature": "2005-12-19" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000006759182", "@fin": "2999-01-01", "@num": "37", "@debut": "2999-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "a modifié les dispositions suivantes
\n
" } }, "LEGIARTI000024660839": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "ETAT": "ABROGE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-29", "DATE_DEBUT": "2012-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000024660839", "URL": "article/LEGI/ARTI/00/00/24/66/08/LEGIARTI000024660839.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000032788094", "@num": "6", "#text": "Décret n°2016-46 du 26 janvier 2016 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031922237", "@nortexte": "AFSP1526854D", "@numtexte": "2016-46", "@typelien": "ABROGE", "@naturetexte": "DECRET", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000021684624", "@num": "L6211-19", "#text": "Code de la santé publique - art. L6211-19", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691284", "@num": "L6222-2", "#text": "Code de la santé publique - art. L6222-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740731", "@num": "L162-1-7", "#text": "Code de la sécurité sociale. - art. L162-1-7", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741312", "@num": "L162-1-7-1", "#text": "Code de la sécurité sociale. - art. L162-1-7-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000024659255", "@nor": "ETSP1100830D", "@num": "2011-1268", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2011-1268 du 10 octobre 2011 fixant les règles permettant d'apprécier l'activité d'un laboratoire de biologie médicale et le pourcentage maximum d'échantillons biologiques pouvant être transmis entre laboratoires de biologie médicale", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000024659255", "@c_titre_court": "Décret n°2011-1268 du 10 octobre 2011" }, { "@fin": "2016-01-29", "#text": "Décret n° 2011-1268 du 10 octobre 2011 fixant les règles permettant d'apprécier l'activité d'un laboratoire de biologie médicale et le pourcentage maximum d'échantillons biologiques pouvant être transmis entre laboratoires de biologie médicale", "@debut": "2012-01-01", "@id_txt": "LEGITEXT000024660834", "@c_titre_court": "Décret n°2011-1268 du 10 octobre 2011" } ], "@ministere": "Ministère du travail, de l'emploi et de la santé", "@date_publi": "2011-10-12", "@date_signature": "2011-10-10" } }, "VERSIONS": { "VERSION": [ { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000024660839", "@fin": "2016-01-29", "@num": "1", "@etat": "ABROGE", "@debut": "2012-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000024659260", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

\n
Pour l'application des articles L. 6211-19, L. 6222-2, L. 6222-3, et L. 6223-4 du code de la santé publique, le nombre total d'examens de biologie médicale est obtenu, pour chaque laboratoire, en additionnant le nombre d'examens unitaires dont le résultat découle d'une phase analytique, que ces examens unitaires fassent ou non l'objet d'un remboursement.
Pour les examens inscrits à la nomenclature des actes de biologie médicale établie en application des articles L. 162-1-7 et L. 162-1-7-1 du code de la sécurité sociale, un examen correspond à un code unitaire de la nomenclature y compris lorsque cet examen est inclus, pour sa facturation, dans un forfait.

" } }, "LEGIARTI000027480532": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6211-21", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-28", "DATE_DEBUT": "2013-06-01" } }, "META_COMMUN": { "ID": "LEGIARTI000027480532", "URL": "article/LEGI/ARTI/00/00/27/48/05/LEGIARTI000027480532.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000027479329", "@num": "6", "#text": "LOI n°2013-442\n du 30 mai 2013 - art. 6", "@sens": "cible", "@cidtexte": "JORFTEXT000027478077", "@nortexte": "AFSX1242935L", "@numtexte": "2013-442", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2013-05-30" }, { "@id": "LEGIARTI000021684943", "@num": "L6212-6", "#text": "Code de la santé publique - art. L6212-6 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031930803", "@num": "L6241-1", "#text": "Code de la santé publique - art. L6241-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740731", "@num": "L162-1-7", "#text": "Code de la sécurité sociale. - art. L162-1-7 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741312", "@num": "L162-1-7-1", "#text": "Code de la sécurité sociale. - art. L162-1-7-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000021708763", "@fin": "2999-01-01", "#text": "Section 2 : Conditions et modalités de réalisation", "@debut": "2010-01-16" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006171482", "@fin": "2010-01-16", "#text": "Chapitre Ier : Fonctionnement.", "@debut": "2000-06-22" }, { "@id": "LEGISCTA000021708785", "@fin": "2999-01-01", "#text": "Chapitre Ier : Examen de biologie médicale", "@debut": "2010-01-16" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155112", "@fin": "2010-01-16", "#text": "Titre Ier : Régime juridique des laboratoires", "@debut": "2000-06-22" }, { "@id": "LEGISCTA000021708787", "@fin": "2999-01-01", "#text": "Titre Ier : Définition et principes généraux", "@debut": "2010-01-16" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140637", "@fin": "2010-01-16", "#text": "Livre II : Laboratoires d'analyses de biologie médicale", "@debut": "2000-06-22" }, { "@id": "LEGISCTA000021708789", "@fin": "2999-01-01", "#text": "Livre II : Biologie médicale", "@debut": "2010-01-16" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006103419", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "2000-06-22" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021708843", "@fin": "2011-12-23", "@num": "L6211-21", "@etat": "MODIFIE", "@debut": "2010-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025014253", "@fin": "2013-06-01", "@num": "L6211-21", "@etat": "MODIFIE", "@debut": "2011-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000027480532", "@fin": "2016-01-28", "@num": "L6211-21", "@etat": "MODIFIE", "@debut": "2013-06-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031929346", "@fin": "2018-01-19", "@num": "L6211-21", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036516134", "@fin": "2020-04-01", "@num": "L6211-21", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000041396864", "@fin": "2999-01-01", "@num": "L6211-21", "@etat": "VIGUEUR", "@debut": "2020-04-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Sous réserve des coopérations dans le domaine de la biologie médicale menées entre des établissements de santé dans le cadre de conventions, de groupements de coopération sanitaire ou de communautés hospitalières de territoire et sous réserve des contrats de coopération mentionnés à l'article L. 6212-6, les examens de biologie médicale sont facturés au tarif des actes de biologie médicale fixé en application des articles L. 162-1-7 et L. 162-1-7-1 du code de la sécurité sociale.

" } }, "LEGIARTI000029962630": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-1-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2015-12-23", "DATE_DEBUT": "2014-12-25" } }, "META_COMMUN": { "ID": "LEGIARTI000029962630", "URL": "article/LEGI/ARTI/00/00/29/96/26/LEGIARTI000029962630.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret n° 85-1353 du 17 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000029954565", "@num": "57", "#text": "LOI n°2014-1554 du 22 décembre 2014 - art. 57", "@sens": "cible", "@cidtexte": "JORFTEXT000029953502", "@nortexte": "FCPX1422901L", "@numtexte": "2014-1554", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2014-12-22" }, { "@id": "LEGITEXT000030258990", "#text": "DÉCRET n°2015-188 du 18 février 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030258165", "@nortexte": "AFSS1414563D", "@numtexte": "2015-188", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-02-18" }, { "@id": "LEGIARTI000047236318", "@num": "24", "#text": "Arrêté du 1 juin 2021 - art. 24 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000044164159", "@num": "1", "#text": "Arrêté du 4 octobre 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000044163276", "@nortexte": "SSAZ2129735A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-10-04" }, { "@id": "LEGIARTI000030261705", "@num": "D162-29", "#text": "Code de la sécurité sociale. - art. D162-29 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048580976", "@num": "L161-37", "#text": "Code de la sécurité sociale. - art. L161-37 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740731", "@num": "L162-1-7", "#text": "Code de la sécurité sociale. - art. L162-1-7 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741312", "@num": "L162-1-7-1", "#text": "Code de la sécurité sociale. - art. L162-1-7-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043413482", "@num": "R162-52", "#text": "Code de la sécurité sociale. - art. R162-52 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740736", "@fin": "1999-12-30", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "1996-04-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740737", "@fin": "2005-12-09", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "1999-12-30", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000006740738", "@fin": "2009-05-14", "@num": "L162-1-8", "@etat": "ABROGE", "@debut": "2005-12-09", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394255", "@fin": "2014-12-25", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "2013-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029962630", "@fin": "2015-12-23", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031687816", "@fin": "2018-01-01", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "2015-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036393462", "@fin": "2020-04-01", "@num": "L162-1-8", "@etat": "MODIFIE", "@debut": "2018-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000041396907", "@fin": "2999-01-01", "@num": "L162-1-8", "@etat": "VIGUEUR", "@debut": "2020-04-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
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En l'absence de hiérarchisation par les commissions prévues au deuxième alinéa de l'article L. 162-1-7, dans un délai qui ne peut être supérieur à cinq mois à compter de la transmission à l'Union nationale des caisses d'assurance maladie de l'avis de la Haute Autorité de santé mentionné au troisième alinéa du même article et de l'évaluation mentionnée au deuxième alinéa du présent article, l'Union nationale des caisses d'assurance maladie peut procéder à la hiérarchisation d'un acte dont le service attendu est suffisant, lorsqu'il appartient à l'une ou l'autre des catégories mentionnées aux 1° à 3° de l'article L. 162-1-7-1, sans relever des actes mentionnés au premier alinéa du même article.

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L'impact sur l'organisation des soins et les dépenses de l'assurance maladie des actes mentionnés aux 2° et 3° dudit article est évalué par la Haute Autorité de santé.

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Lorsqu'il est fait usage de la faculté prévue au premier alinéa du présent article, la décision d'inscription de cet acte est adressée par l'Union nationale des caisses d'assurance maladie aux ministres chargés de la santé et de la sécurité sociale dans un délai maximal de trente jours à compter de l'expiration du délai mentionné à ce même premier alinéa.

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En l'absence de décision de l'Union nationale des caisses d'assurance maladie dans le délai mentionné au deuxième alinéa, l'Union en informe les ministres chargés de la santé et de la sécurité sociale et en précise les motifs.

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Dans le cas prévu au 3° de l'article L. 162-1-7-1, l'acte reste pris en charge dans les conditions de l'expérimentation si une demande d'évaluation a été déposée auprès de la Haute Autorité de santé dans un délai maximal de six mois avant la fin de l'expérimentation. Cette prise en charge est valable au maximum un an à compter du dépôt de cette demande, jusqu'à l'intervention de la décision de l'Union nationale des caisses d'assurance maladie.

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Les modalités d'application du présent article, notamment la définition des critères mentionnés aux 1° à 3° du même article L. 162-1-7-1, sont déterminées par décret en Conseil d'Etat. Les modalités relatives aux délais sont fixées par décret.

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" } }, "LEGIARTI000029962640": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L161-37", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2015-12-23", "DATE_DEBUT": "2014-12-25" } }, "META_COMMUN": { "ID": "LEGIARTI000029962640", "URL": "article/LEGI/ARTI/00/00/29/96/26/LEGIARTI000029962640.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000031217592", "@num": "21", "#text": "Loi n° 78-753 du 17 juillet 1978 - art. 21 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000339241", "@numtexte": "78-753", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1978-07-17" }, { "@id": "LEGIARTI000033158385", "@num": "1", "#text": "Arrêté du 31 décembre 2009 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021683534", "@nortexte": "SASH0931982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-12-31" }, { "@id": "LEGIARTI000042012478", "@num": "7", "#text": "Ordonnance n° 2010-49 du 13 janvier 2010 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021683301", "@nortexte": "SASX0927179R", "@numtexte": "2010-49", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2010-01-13" }, { "@id": "LEGIARTI000021684172", "@num": "1", "#text": "Ordonnance n°2010-49\n du 13 janvier 2010 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000021683301", "@nortexte": "SASX0927179R", "@numtexte": "2010-49", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2010-01-13" }, { "@id": "LEGIARTI000022657890", "@num": "3", "#text": "Arrêté du 21 juillet 2010 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022630498", "@nortexte": "SASH1019846A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-07-21" }, { "@id": "LEGIARTI000029954565", "@num": "57", "#text": "LOI n°2014-1554 du 22 décembre 2014 - art. 57", "@sens": "cible", "@cidtexte": "JORFTEXT000029953502", "@nortexte": "FCPX1422901L", "@numtexte": "2014-1554", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2014-12-22" }, { "@id": "LEGIARTI000030094090", "@num": "1", "#text": "ARRÊTÉ du 29 décembre 2014 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030005444", "@nortexte": "AFSS1431280A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-12-29" }, { "@id": "LEGIARTI000036393921", "@num": "166", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 166 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000031916230", "@num": "179", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 179", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000031935878", "@num": "1", "#text": "Décret n°2016-46 du 26 janvier 2016 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000031922237", "@nortexte": "AFSP1526854D", "@numtexte": "2016-46", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000032896250", "@num": "5", "#text": "Ordonnance n°2016-967 du 15 juillet 2016 - art. 5", "@sens": "cible", "@cidtexte": "JORFTEXT000032894095", "@nortexte": "AFSP1614796R", "@numtexte": "2016-967", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2016-07-15" }, { "@id": "LEGIARTI000034618363", "@num": "1", "#text": "Décret n°2017-815 du 5 mai 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034602650", "@nortexte": "AFSA1710836D", "@numtexte": "2017-815", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000037047883", "@num": "1", "#text": "Décret n°2018-465 du 11 juin 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037047116", "@nortexte": "SSAA1805331D", "@numtexte": "2018-465", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2018-06-11" }, { "@id": "LEGITEXT000045162844", "#text": "Décret n°2022-169 du 11 février 2022 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045160998", "@nortexte": "SSAS2137123D", "@numtexte": "2022-169", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-02-11" }, { "@id": "LEGITEXT000050737119", "#text": "Décret n°2024-1138 du 4 décembre 2024 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000050731558", "@nortexte": "SAEA2429058D", "@numtexte": "2024-1138", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2024-12-04" }, { "@id": "LEGIARTI000006686901", "@num": "L1411-2", "#text": "Code de la santé publique - art. 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La Haute Autorité de santé, autorité publique indépendante à caractère scientifique dotée de la personnalité morale, est chargée de :

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1° Procéder à l'évaluation périodique du service attendu des produits, actes ou prestations de santé et du service qu'ils rendent, et contribuer par ses avis à l'élaboration des décisions relatives à l'inscription, au remboursement et à la prise en charge par l'assurance maladie des produits, actes ou prestations de santé ainsi qu'aux conditions particulières de prise en charge des soins dispensés aux personnes atteintes d'affections de longue durée. A cet effet, elle émet également un avis sur les conditions de prescription, de réalisation ou d'emploi des actes, produits ou prestations de santé ainsi que sur leur efficience. Elle réalise ou valide notamment les études médico-économiques nécessaires à l'évaluation des actes mentionnés aux articles L. 162-1-7-1 et L. 162-1-8 et des produits et technologies de santé. Un décret en Conseil d'Etat précise les cas dans lesquels cette évaluation médico-économique est requise, en raison notamment de l'amélioration du service attendu de l'acte, de l'amélioration du service médical rendu par le produit ou la technologie et des coûts prévisibles de son utilisation ou prescription, et les conditions dans lesquelles elle est réalisée, notamment les critères d'appréciation et les délais applicables ;

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3° Etablir et mettre en oeuvre des procédures d'accréditation des professionnels et des équipes médicales mentionnées à l'article L. 1414-3-3 du code de la santé publique ;

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4° Etablir et mettre en oeuvre les procédures de certification des établissements de santé prévues aux articles L. 6113-3 et L. 6113-4 du code de la santé publique ;

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5° Participer au développement de l'évaluation de la qualité de la prise en charge sanitaire de la population par le système de santé ;

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6° Rendre un avis sur tout projet de loi ou de décret instituant des modes particuliers de soins préventifs ou curatifs ;

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7° Rendre l'avis mentionné à l'article L. 1414-5 du code de la santé publique sur les références aux normes harmonisées prévues pour l'accréditation des laboratoires de biologie médicale ;

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8° Coordonner l'élaboration et assurer la diffusion d'une information adaptée sur la qualité des prises en charge dans les établissements de santé à destination des usagers et de leurs représentants ;

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9° Rendre les avis mentionnés, respectivement, au dernier alinéa de l'article L. 4011-2 du code de la santé publique et au second alinéa du I de l'article L. 4011-2-3 du même code.

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Pour l'accomplissement de ses missions, la Haute Autorité de santé travaille en liaison notamment avec l'Agence nationale de sécurité du médicament et des produits de santé, l'Institut national de veille sanitaire et l'Agence nationale chargée de la sécurité sanitaire de l'alimentation, de l'environnement et du travail. Elle peut mener toute action commune avec les organismes ayant compétence en matière de recherche dans le domaine de la santé.

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La Haute Autorité de santé rend publics l'ordre du jour et les comptes rendus assortis des détails et explications des votes, y compris les opinions minoritaires, à l'exclusion des informations relatives au secret des stratégies commerciales, des réunions de la commission prévue à l'article L. 5123-3 du code de la santé publique siégeant auprès d'elle et consultée sur l'inscription des médicaments inscrits sur les listes prévues à l'article L. 162-17 du présent code et à l'article L. 5126-4 du code de la santé publique, ainsi que son règlement intérieur.

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Dans l'exercice de ses missions, la Haute Autorité tient compte des objectifs pluriannuels de la politique de santé publique mentionnés à l'article L. 1411-2 du code de la santé publique.

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La Haute Autorité de santé établit un rapport annuel d'activité adressé au Parlement et au Gouvernement avant le 1er juillet, qui porte notamment sur les travaux des commissions mentionnées à l'article L. 161-41 du présent code ainsi que sur les actions d'information mises en oeuvre en application du 2° du présent article. Les commissions spécialisées mentionnées au même article L. 161-41 autres que celles créées par la Haute Autorité de santé remettent chaque année au Parlement un rapport d'activité mentionnant notamment les modalités et principes selon lesquels elles mettent en œuvre les critères d'évaluation des produits de santé en vue de leur prise en charge par l'assurance maladie.

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Les décisions et communications prises en vertu des 1° et 2° du présent article sont transmises sans délai à la Conférence nationale de santé prévue à l'article L. 1411-3 du code de la santé publique.

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I. ― Les tarifs fixés en application des conventions mentionnées à l'article L. 162-14-1 sont déterminés d'après une liste des actes et prestations établie dans les conditions prévues à l'article L. 162-1-7.

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Cette liste peut comporter des majorations pour les actes accomplis dans des circonstances spéciales ou par certaines catégories de praticiens, en raison de leurs titres, de leur valeur scientifique, de leurs travaux ou de leur spécialisation. Elle détermine, en pareil cas, les conditions d'application de ces majorations.

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La liste peut également comporter des prescriptions de nature à faciliter le contrôle médical de certains actes.

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Lorsqu'un accord est exigé, en application du présent I, préalablement au remboursement d'un acte ou d'un traitement par un organisme de sécurité sociale, le silence gardé pendant plus de quinze jours par cet organisme sur la demande de prise en charge vaut décision d'acceptation.

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I bis. ― Les procédures d'inscription sur la liste et de tarification prévues aux articles L. 162-1-7-1 et L. 162-1-8 s'appliquent aux actes innovants nécessaires à l'utilisation ou à la prise en charge par l'assurance maladie d'un dispositif médical pour lesquels la Haute Autorité de santé a prononcé en application du c du 2° de l'article R. 162-52-1 une amélioration du service attendu majeure, importante ou modérée.

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II. ― Avant de procéder aux consultations rendues obligatoires par le troisième alinéa de l'article L. 162-1-7, l'Union nationale des caisses d'assurance maladie informe de son intention d'inscrire un acte ou une prestation, d'en modifier les conditions d'inscription ou de procéder à sa radiation les ministres chargés de la santé et de la sécurité sociale, l'Union nationale des professionnels de santé, les organisations représentatives des professionnels de santé autorisés à pratiquer l'acte ou la prestation et les organisations représentatives des établissements de santé.

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Les avis de la Haute Autorité de santé et de l'Union nationale des organismes d'assurance maladie complémentaire sont rendus au plus tard à la fin du sixième mois qui suit la date à laquelle elles sont saisies par l'Union nationale des caisses d'assurance maladie. A titre exceptionnel, lorsque des travaux supplémentaires sont nécessaires, la Haute Autorité de santé peut rajouter à ce délai un délai supplémentaire qui ne peut excéder six mois. Passé ces délais, les avis sont réputés rendus.

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Lorsque l'acte ou la prestation est nécessaire à l'utilisation d'un produit inscrit à la liste prévue à l'article L. 165-1 pour lequel l'amélioration du service attendu ou rendu est majeure ou importante, au sens des articles R. 165-11 et R. 165-11-1, l'avis de l'Union nationale des organismes d'assurance maladie complémentaire est rendu au plus tard vingt et un jours à compter de la date à laquelle elle a été saisie par l'Union nationale des caisses d'assurance maladie. Ce délai s'applique également lorsque l'acte est nécessaire à l'utilisation ou à la prise en charge par l'assurance maladie d'un dispositif médical et que sont applicables les procédures prévues au deuxième alinéa de l'article L. 162-1-7-1 et à l'article L. 162-1-8. Passé ce délai, l'avis est réputé rendu.

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Ces avis sont adressés aux ministres chargés de la santé et de la sécurité sociale, à l'Union nationale des caisses d'assurance maladie, ainsi qu'aux autres personnes morales mentionnées au premier alinéa du présent II.

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III. ― La décision d'inscription d'un acte ou d'une prestation mentionne les indications thérapeutiques ou diagnostiques tenant compte notamment de l'état du patient ainsi que les conditions particulières de prescription, d'utilisation ou de réalisation de l'acte ou de la prestation.

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L'Union nationale des caisses d'assurance maladie définit le tarif de l'acte ou de la prestation dans le respect des règles de hiérarchisation établies par les commissions mentionnées à l'article L. 162-1-7. Lorsque l'acte ou la prestation constitue une alternative à des traitements thérapeutiques déjà inscrits sur la liste mentionnée à l'article L. 162-1-7, l'Union nationale des caisses d'assurance maladie évalue l'opportunité de l'inscription de l'acte ou de la prestation et définit, le cas échéant, son tarif au regard des coûts de mise en oeuvre comparés de ces différents traitements.

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La décision de l'Union nationale des caisses d'assurance maladie sur les conditions d'inscription d'un acte ou d'une prestation, leur inscription ou leur radiation, accompagnée des avis mentionnés au II ci-dessus et d'une estimation chiffrée de son impact financier, est transmise aux ministres chargés de la santé et de la sécurité sociale.

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Les ministres compétents peuvent s'opposer à la décision de l'Union nationale des caisses d'assurance maladie dans un délai de quarante-cinq jours. Ce délai est ramené à quinze jours, lorsque l'acte ou la prestation est nécessaire à l'utilisation d'un produit inscrit à la liste prévue à l'article L. 165-1 pour lequel l'amélioration du service attendu ou rendu est majeure ou importante, au sens des articles R. 165-11 et R. 165-11-1. Passés ces délais, la décision est réputée approuvée.

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L'opposition des ministres compétents est motivée et notifiée à l'Union nationale des caisses d'assurance maladie. Les ministres en informent la Haute Autorité de santé et l'Union nationale des organismes d'assurance maladie complémentaire, ainsi que les autres personnes morales mentionnées au premier alinéa du II ci-dessus.

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I.-Les actes ou prestations sont inscrits sur la liste prévue à l'article L. 162-1-7 au vu de l'avis de la Haute Autorité mentionné à l'article au a du 1° de l'article R. 161-71.
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Le service attendu d'un acte ou d'une prestation est évalué dans chacune de ses indications diagnostiques ou thérapeutiques et, le cas échéant, par groupe de population, en fonction des deux critères suivants :
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1° L'intérêt diagnostique ou thérapeutique de cet acte ou prestation en fonction, notamment, de sa sécurité, de son niveau d'efficacité et des effets indésirables ou risques liés à sa pratique, d'une part, de sa place dans la stratégie de prise en charge des pathologies concernées, d'autre part ;
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2° Son intérêt de santé publique attendu dont, notamment, son impact sur la santé de la population en termes de mortalité, de morbidité et de qualité de vie, sa capacité à répondre à un besoin thérapeutique non couvert, eu égard à la gravité de la pathologie, son impact sur le système de soins et son impact sur les politiques et programmes de santé publique.
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L'avis précise :
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a) Les indications pour lesquelles le service attendu a été apprécié et celles pour lesquelles la Haute Autorité estime fondée l'inscription, en distinguant, le cas échéant, les groupes de population concernés ;
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b) La description de la place de l'acte ou de la prestation dans la stratégie thérapeutique ;
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c) L'appréciation de l'amélioration du service attendu par rapport aux traitements thérapeutiques alternatifs de référence selon les données actuelles de la science, notamment au regard de l'efficience comparée de ces traitements. L'amélioration du service attendu est évaluée dans chacune des indications, le cas échéant par groupe de population. Cette évaluation conduit à considérer l'amélioration du service attendu comme majeure, importante, modérée, mineure ou à en constater l'absence ;
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d) L'estimation du nombre de patients relevant des indications thérapeutiques pour lesquelles la Haute Autorité estime fondée l'inscription, ainsi que l'estimation du nombre de patients relevant de chaque groupe de population identifié pour l'appréciation du service attendu et de l'amélioration du service attendu, selon les données épidémiologiques disponibles ;
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e) L'appréciation sur les modalités de mise en oeuvre de l'acte ou de la prestation et les autres informations utiles à un bon usage de l'acte ou de la prestation ; ces modalités sont précisées à l'égard de chacune des indications diagnostiques ou thérapeutiques proposées ;
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f) L'appréciation du caractère préventif, curatif ou symptomatique de l'acte ou de la prestation ;
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g) L'appréciation du caractère de gravité de la ou des pathologies correspondant aux indications dont le remboursement est proposé ;
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h) L'énoncé des exigences de qualité et de sécurité des soins lorsque l'inscription de l'acte ou de la prestation au remboursement nécessite d'être assortie de conditions relatives à l'état de la personne ou concernant la qualification, la compétence ou l'expérience des professionnels concernés, l'environnement technique ou l'organisation de ces soins ou la mise en place d'un dispositif de suivi des patients traités ;
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i) Le cas échéant, les objectifs des études nécessaires à l'évaluation du service rendu, dont notamment les études de suivi en population générale des effets de la pratique de l'acte ou de la prestation dans les conditions réelles de mise en oeuvre et les recueils d'information nécessaires à cet effet.
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Cet avis préconise, le cas échéant, de soumettre la réalisation de l'acte ou de la prestation à l'accord préalable du service médical en application des dispositions prévues par l'article L. 315-2.
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II.-Pour la première inscription sur la liste d'un acte ou d'une prestation précédemment inscrit à la nomenclature générale des actes professionnels ou régulièrement assimilé à celle-ci, la Haute Autorité de santé peut, à l'occasion de la première attribution à chacun d'entre eux de leur numéro de code prévu par l'article L. 161-29, ne pas mentionner dans l'avis qu'elle rend les différents éléments mentionnés aux alinéas six à quatorze du I ci-dessus. En ce cas, elle précise dans cet avis le programme d'évaluation complémentaire du service attendu de ces actes et prestations.
" } }, "LEGIARTI000030261705": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D162-29", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2015-02-21" } }, "META_COMMUN": { "ID": "LEGIARTI000030261705", "URL": "article/LEGI/ARTI/00/00/30/26/17/LEGIARTI000030261705.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret n° 85-1353 du 17 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006775790", "@num": "2", "#text": "Décret n°91-655 du 15 juillet 1991 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000504362", "@nortexte": "SANS9101463D", "@numtexte": "91-655", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1991-07-15" }, { "@id": "LEGIARTI000030259000", "@num": "3", "#text": "DÉCRET n°2015-188 du 18 février 2015 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000030258165", "@nortexte": "AFSS1414563D", "@numtexte": "2015-188", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2015-02-18" }, { "@id": "LEGIARTI000006735475", "@num": "D162-30", "#text": "Code de la sécurité sociale. - art. D162-30 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006735476", "@num": "D162-31", "#text": "Code de la sécurité sociale. - art. D162-31 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741312", "@num": "L162-1-7-1", "#text": "Code de la sécurité sociale. - art. L162-1-7-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740736", "@num": "L162-1-8", "#text": "Code de la sécurité sociale. - art. L162-1-8", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000020586970", "@fin": "2999-01-01", "#text": "Section 8 : Dispositions diverses.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155770", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141507", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126846", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106031", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets simples", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000006735474", "@fin": "2000-12-15", "@num": "D162-29", "@etat": "ABROGE", "@debut": "1991-07-16", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000030261705", "@fin": "2999-01-01", "@num": "D162-29", "@etat": "VIGUEUR", "@debut": "2015-02-21", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le délai prévu au deuxième alinéa de l'article L. 162-1-7-1 est fixé à six mois.

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Le délai prévu au premier alinéa de l'article L. 162-1-8 est fixé à cinq mois.

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Le délai prévu au deuxième alinéa de l'article L. 162-1-8 est fixé à trente jours.

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La Haute Autorité de santé, autorité publique indépendante à caractère scientifique dotée de la personnalité morale, est chargée de :

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3° Etablir et mettre en oeuvre des procédures d'accréditation des professionnels et des équipes médicales mentionnées à l'article L. 1414-3-3 du code de la santé publique ;

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4° Etablir et mettre en oeuvre les procédures de certification des établissements de santé prévues aux articles L. 6113-3 et L. 6113-4 du code de la santé publique ;

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5° Participer au développement de l'évaluation de la qualité de la prise en charge sanitaire de la population par le système de santé ;

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6° Rendre un avis sur tout projet de loi ou de décret instituant des modes particuliers de soins préventifs ou curatifs ;

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7° Rendre l'avis mentionné à l'article L. 1414-5 du code de la santé publique sur les références aux normes harmonisées prévues pour l'accréditation des laboratoires de biologie médicale ;

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9° Rendre l'avis mentionné au dernier alinéa de l'article L. 4011-2 du code de la santé publique ;

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10° Rendre l'avis mentionné au second alinéa du I de l'article L. 4011-2-3 du code de la santé publique, ainsi qu'un avis portant évaluation de chacun des actes prévus par les protocoles de coopération conformément au 1° du présent article.

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Dans l'exercice de ses missions, la Haute Autorité tient compte des objectifs pluriannuels de la politique de santé publique mentionnés à l'article L. 1411-2 du code de la santé publique.

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La Haute Autorité de santé, autorité publique indépendante à caractère scientifique dotée de la personnalité morale, est chargée de :

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1° bis Elaborer ou mettre à jour des fiches sur le bon usage de certains médicaments permettant notamment de définir leur place dans la stratégie thérapeutique, à l'exclusion des médicaments anticancéreux pour lesquels l'Institut national du cancer élabore ou met à jour les fiches de bon usage ;

2° Elaborer les guides de bon usage des soins ou les recommandations de bonne pratique, procéder à leur diffusion et contribuer à l'information des professionnels de santé et du public dans ces domaines, sans préjudice des mesures prises par l'Agence nationale de sécurité du médicament et des produits de santé dans le cadre de ses missions de sécurité sanitaire. Elle élabore ou valide également, à destination des professionnels de santé, dans des conditions définies par décret, un guide des stratégies diagnostiques et thérapeutiques les plus efficientes ainsi que des listes de médicaments à utiliser préférentiellement, après avis de l'Institut national du cancer s'agissant des médicaments anticancéreux ;

3° Etablir et mettre en oeuvre des procédures d'accréditation des professionnels et des équipes médicales mentionnées à l'article L. 1414-3-3 du code de la santé publique ;

4° Etablir et mettre en oeuvre les procédures de certification des établissements de santé prévues aux articles L. 6113-3 et L. 6113-4 du code de la santé publique ;

5° Participer au développement de l'évaluation de la qualité de la prise en charge sanitaire de la population par le système de santé et élaborer des référentiels de compétences, de formation et de bonnes pratiques dans le domaine de la médiation sanitaire et de l'interprétariat linguistique ;

6° Rendre un avis sur tout projet de loi ou de décret instituant des modes particuliers de soins préventifs ou curatifs ;

7° Rendre l'avis mentionné à l'article L. 1414-5 du code de la santé publique sur les références aux normes harmonisées prévues pour l'accréditation des laboratoires de biologie médicale ;

9° Rendre l'avis mentionné au dernier alinéa de l'article L. 4011-2 du code de la santé publique ;

10° Organiser des consultations précoces avec ses services à la demande des entreprises développant des spécialités pharmaceutiques, des produits ou prestations innovants du fait de leur nouveau mécanisme d'action et d'un besoin médical insuffisamment couvert, avant la mise en œuvre des essais cliniques nécessaires à l'évaluation mentionnée au 1° du présent article.

Sans préjudice de l'application de la loi n° 2013-316 du 16 avril 2013 relative à l'indépendance de l'expertise en matière de santé et d'environnement et à la protection des lanceurs d'alerte, les associations agréées au titre de l'article L. 1114-1 du code de la santé publique disposent également d'un droit d'alerte auprès de la Haute Autorité de santé. A ce titre, elles peuvent la saisir de tout fait ayant des incidences importantes sur la santé, nécessitant que la Haute Autorité fasse usage de ses compétences définies au présent chapitre.

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La Haute Autorité de santé rend publiques les suites qu'elle apporte aux saisines des associations ainsi que les modalités selon lesquelles elle les a instruites. Elle peut entendre publiquement l'association auteur de la saisine ainsi que toute personne intéressée.

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La Haute Autorité de santé rend publics l'ordre du jour et les comptes rendus assortis des domaines d'action prioritaires et des objectifs de la stratégie nationale de santé mentionnée à l'article L. 1411-1-1 du code de la santé publique.

Dans l'exercice de ses missions, la Haute Autorité tient compte des objectifs pluriannuels de la politique de santé publique mentionnés à l'article L. 1411-2 du code de la santé publique.

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Sous réserve des coopérations dans le domaine de la biologie médicale menées entre des établissements de santé dans le cadre de conventions, de groupements de coopération sanitaire ou de groupements hospitaliers de territoire et sous réserve des contrats de coopération mentionnés à l'article L. 6212-6, les examens de biologie médicale sont facturés au tarif des actes de biologie médicale fixé en application des articles L. 162-1-7 et L. 162-1-7-1 du code de la sécurité sociale.

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\n
\n
A modifié les dispositions suivantes :

- Code de la santé publique
\n Sct. Livre II : Biologie médicale, Sct. Titre Ier : Définitions et principes généraux, Sct. Chapitre Ier : Examen de biologie médicale, Sct. Section 1 : Définitions et champ d'application, Sct. Sous-section 1 : Dispositions générales, Art. D6211-1, Art. D6211-2, Art. D6211-3, Art. R6211-1, Art. R6211-2, Art. R6211-3, Art. R6211-4, Art. D6211-5, Art. R6211-5, Art. D6211-6, Sct. Paragraphe 1 : Personnel et équipement., Sct. Sous-section 2 : Examens réalisés en des lieux éloignés de tout laboratoire de biologie médicale, Art. D6211-7, Sct. Section 2 : Conditions et modalités de réalisation, Sct. Sous-section 1 : Cohérence entre les données du dispositif médical ou du dispositif médical de diagnostic in vitro et le résultat de l'examen de biologie médicale, Art. D6211-8, Art. D6211-9, Art. D6211-10, Art. D6211-11, Sct. Sous-section 2 : Prélèvements hors des territoires de santé où sont localisés les laboratoires de biologie médicale, Art. R6211-9, Art. R6211-10, Art. R6211-11, Art. R6211-12, Sct. Sous-section 3 : Activité du laboratoire de biologie médicale, Art. R6211-13, Sct. Paragraphe 2 : Normes applicables à l'installation, à l'équipement et à la bonne exécution des analyses., Art. D6211-13, Sct. Sous-section 3 : Retrait de l'autorisation., Art. D6211-14, Art. R6211-15, Art. R6211-16, Art. R6211-17, Art. D6211-15, Art. D6211-16, Art. D6211-17, Art. R6211-18, Art. R6211-19, Art. R6211-20, Art. R6211-21, Art. R6211-22, Art. R6211-23, Art. R6211-24, Art. R6211-25, Art. R6211-26, Art. R6211-27, Art. R6211-28, Art. R6211-29, Art. R6211-30, Art. R6211-31, Art. R6211-31-1, Sct. Section 3 : Commission nationale permanente de biologie médicale., Sct. Section 4 : Actes et examens biologiques réalisés en dehors des laboratoires, Sct. Section 5 : Régime de déclaration et d'autorisation des laboratoires établis dans un Etat membre de la Communauté européenne ou partie à l'accord sur l'Espace économique européen, Sct. Chapitre II : Laboratoires de biologie médicale, Sct. Section unique : Compatibilité des contrats de coopération avec le schéma régional de l'organisation des soins, Art. R6212-1, Sct. Chapitre III : Biologiste médical, Sct. Section 1 : Conditions d'exercice, Sct. Sous-section 1 : Procédure de reconnaissance d'un domaine de spécialisation\n, Art. R6213-1, Art. R6213-2, Art. R6213-3, Art. R6213-4, Sct. Sous-section 2 : Directeur ou directeur adjoint d'un centre national de référence pour la lutte contre les maladies transmissibles\n, Art. R6213-5, Art. R6213-6, Art. R6213-7, Sct. Sous-section 3 : Médecins et pharmaciens exerçant dans les centres hospitaliers universitaires\n\n, Art. R6213-8, Art. R6213-9, Art. R6213-10, Sct. Sous-section 4 : Conditions d'habilitation à effectuer certains actes de prélèvement, Art. R6213-11, Art. R6213-12, Sct. Section 2 : Modalités d'exercice, Sct. Sous-section 1 : Remplacement à titre temporaire, Art. D6213-13, Art. D6213-14, Sct. Sous-section 2 : Commission nationale de biologie médicale, Art. R6213-15, Art. R6213-16, Art. R6213-17, Art. R6213-18, Art. R6213-19, Art. R6213-20, Art. R6213-21, Art. R6213-22, Art. R6213-23, Art. R6213-24, Art. R6213-25, Art. R6213-26, Art. R6213-27, Art. R6213-28\n
\n

\n
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La Haute Autorité de santé, autorité publique indépendante à caractère scientifique dotée de la personnalité morale, est chargée de :

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3° Etablir et mettre en oeuvre des procédures d'accréditation des professionnels et des équipes médicales mentionnées à l'article L. 1414-3-3 du code de la santé publique ;

4° Etablir et mettre en oeuvre les procédures de certification des établissements de santé prévues aux articles L. 6113-3 et L. 6113-4 du code de la santé publique ;

6° Rendre un avis sur tout projet de loi ou de décret instituant des modes particuliers de soins préventifs ou curatifs ;

7° Rendre l'avis mentionné à l'article L. 1414-5 du code de la santé publique sur les références aux normes harmonisées prévues pour l'accréditation des laboratoires de biologie médicale ;

9° Rendre l'avis mentionné au dernier alinéa de l'article L. 4011-2 du code de la santé publique ;

Pour l'accomplissement de ses missions, la Haute Autorité de santé travaille en liaison notamment avec l'Agence nationale de sécurité du médicament et des produits de santé, l'Agence nationale de santé publique et l'Agence nationale chargée de la sécurité sanitaire de l'alimentation, de l'environnement et du travail. Elle peut mener toute action commune avec les organismes ayant compétence en matière de recherche dans le domaine de la santé.

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Dans l'exercice de ses missions, la Haute Autorité tient compte des objectifs pluriannuels de la politique de santé publique mentionnés à l'article L. 1411-2 du code de la santé publique.

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La Haute Autorité de santé, autorité publique indépendante à caractère scientifique, est chargée de :

3° Etablir et mettre en oeuvre des procédures d'accréditation des professionnels et des équipes médicales mentionnées à l'article L. 1414-3-3 du code de la santé publique ;

4° Etablir et mettre en oeuvre les procédures de certification des établissements de santé prévues aux articles L. 6113-3 et L. 6113-4 du code de la santé publique ;

6° Rendre un avis sur tout projet de loi ou de décret instituant des modes particuliers de soins préventifs ou curatifs ;

7° Rendre l'avis mentionné à l'article L. 1414-5 du code de la santé publique sur les références aux normes harmonisées prévues pour l'accréditation des laboratoires de biologie médicale ;

9° Rendre l'avis mentionné au dernier alinéa de l'article L. 4011-2 du code de la santé publique ;

Pour l'accomplissement de ses missions, la Haute Autorité de santé travaille en liaison notamment avec l'Agence nationale de sécurité du médicament et des produits de santé, l'Agence nationale de santé publique et l'Agence nationale chargée de la sécurité sanitaire de l'alimentation, de l'environnement et du travail. Elle peut mener toute action commune avec les organismes ayant compétence en matière de recherche dans le domaine de la santé.

Dans l'exercice de ses missions, la Haute Autorité tient compte des objectifs pluriannuels de la politique de santé publique mentionnés à l'article L. 1411-2 du code de la santé publique.

Le rapport annuel d'activité établi par la Haute Autorité de santé présente notamment :

a) Les travaux des commissions mentionnées à l'article L. 161-41 du présent code ;

b) Les actions d'information mises en œuvre en application du 2° du présent article.

Les commissions spécialisées mentionnées à l'article L. 161-41 autres que celles créées par la Haute Autorité de santé remettent chaque année au Parlement un rapport d'activité mentionnant notamment les modalités et les principes selon lesquels elles mettent en œuvre les critères d'évaluation des produits de santé en vue de leur prise en charge par l'assurance maladie.

" } }, "LEGIARTI000033930680": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L161-37", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2017-05-23", "DATE_DEBUT": "2017-01-28" } }, "META_COMMUN": { "ID": "LEGIARTI000033930680", "URL": "article/LEGI/ARTI/00/00/33/93/06/LEGIARTI000033930680.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au II de l'article 2 de l'ordonnance n° 2017-84 du 26 janvier 2017, les dispositions des dix-neuvième à vingt-deuxième alinéas s'appliquent pour la première fois au rapport établi au titre de l'année 2017.

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Article L162-1-7-1 AUTONOME MODIFIE, en vigueur du 20/12/2005 au 16/01/2010 (Code de la sécurité sociale)