{ "article": { "LEGIARTI000006757479": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "11", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006757479", "URL": "article/LEGI/ARTI/00/00/06/75/74/LEGIARTI000006757479.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSEADHXXXXX011AXXXXXXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006757445", "@num": "7", "#text": "Loi n°91-738 du 31 juillet 1991 - art. 7 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000356641", "@nortexte": "SPSX9100075L", "@numtexte": "91-738", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "1991-07-31" }, { "@id": "LEGIARTI000006740632", "@num": "L162-22-2", "#text": "Code de la sécurité sociale. - art. L162-22-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740643", "@num": "L162-22-3", "#text": "Code de la sécurité sociale. - art. L162-22-3 (P)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740654", "@num": "L162-22-5", "#text": "Code de la sécurité sociale. - art. L162-22-5 (P)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006106242", "@fin": "2999-01-01", "#text": "Chapitre Ier : Mesures relatives à l'action sociale et à la santé.", "@debut": "1992-01-04" } ] }, "@cid": "JORFTEXT000000721455", "@nor": "SPSX9100176L", "@num": "91-1406", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI no 91-1406 du 31 décembre 1991 portant diverses dispositions d'ordre social (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000000721455", "@c_titre_court": "Loi n°91-1406 du 31 décembre 1991" }, { "@fin": "2999-01-01", "#text": "Loi n° 91-1406 du 31 décembre 1991 portant diverses dispositions d'ordre social.", "@debut": "1992-01-04", "@id_txt": "LEGITEXT000006078511", "@c_titre_court": "Loi n° 91-1406 du 31 décembre 1991" } ], "@date_publi": "1992-01-04", "@date_signature": "1991-12-31" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000006757479", "@fin": "2999-01-01", "@num": "11", "@debut": "2999-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "a modifié les dispositions suivantes
\n
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Chaque année est conclu entre le ministre chargé de la sécurité sociale, la Caisse nationale de l'assurance maladie des travailleurs salariés et au moins une autre caisse nationale d'assurance maladie, ainsi qu'une ou plusieurs des organisations syndicales nationales les plus représentatives des établissements de soins privés régis par l'article L. 162-22, un accord fixant en relation avec le taux d'évolution des dépenses hospitalières mentionné à l'article 22 de la loi n° 70-1318 du 31 décembre 1970 portant réforme hospitalière et compte tenu de l'évolution des techniques médicales, des besoins de la population et de la nécessaire maîtrise des dépenses de santé :
\n
1° Le montant total annuel des frais d'hospitalisation dans les établissements de soins ayant passé convention en application de l'article L. 162-22, pris en charge par les régimes d'assurance maladie. Ce montant peut être révisé s'il se produit une modification importante et imprévisible des conditions économiques ou de l'activité médicale ;
\n
2° Les tarifs des prestations servant de base au calcul de la participation de l'assuré ;
\n
3° La classification des prestations ne comportant pas d'hébergement dispensées dans ces établissements et prises en charge par les régimes.
\n
La ou les organisations syndicales signataires de cet accord constituent le comité professionnel national de l'hospitalisation privée et sont habilitées à conclure et à gérer pour l'année considérée la convention nationale visée à l'article L. 162-22-1.
\n
Toutefois, cette ou ces organisations peuvent proposer aux organisations syndicales nationales les plus représentatives non signataires d'entrer dans le comité professionnel national, avec une représentation minoritaire.
\n
Les organisations syndicales nationales les plus représentatives non signataires de l'accord peuvent y adhérer en cours d'année. Elles deviennent alors membres du comité professionnel national de l'hospitalisation privée.
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R162-42-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006198194", "@fin": "1998-01-01", "#text": "Section 5 : Etablissements de soins.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006194394", "@fin": "1998-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006185809", "@fin": "1998-01-01", "#text": "Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006172447", "@fin": "1998-01-01", "#text": "Contrôle médical", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155992", "@fin": "1998-01-01", "#text": "Titre 6 : Dispositions relatives aux prestations et aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141599", "@fin": "2004-01-01", "#text": "Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126884", "@fin": "2004-01-01", "#text": "Livre 1 : Généralités", "@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": "LEGIARTI000006740642", "@fin": "1992-01-04", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "1991-08-01", "@origine": "LEGI" } }, { "@etat": "PERIME", "LIEN_ART": { "@id": "LEGIARTI000006740643", "@fin": "1996-04-25", "@num": "L162-22-3", "@etat": "PERIME", "@debut": "1992-01-04", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740644", "@fin": "2000-12-24", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "1999-12-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740645", "@fin": "2002-12-24", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2000-12-24", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740646", "@fin": "2005-01-01", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2002-12-24", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740647", "@fin": "2006-12-22", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740648", "@fin": "2008-12-19", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000019955045", "@fin": "2010-02-26", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2008-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940671", "@fin": "2014-12-25", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029962780", "@fin": "2018-06-14", "@num": "L162-22-3", "@etat": "MODIFIE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000037064856", "@fin": "2022-01-01", "@num": "L162-22-3", "@etat": "ABROGE", "@debut": "2018-06-14", "@origine": "LEGI" } }, { "@etat": "ABROGE_DIFF", "LIEN_ART": { "@id": "LEGIARTI000048702931", "@fin": "2026-01-01", "@num": "L162-22-3", "@etat": "ABROGE_DIFF", "@debut": "2024-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR_DIFF", "LIEN_ART": { "@id": "LEGIARTI000048726042", "@fin": "2999-01-01", "@num": "L162-22-3", "@etat": "VIGUEUR_DIFF", "@debut": "2026-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Une annexe à la convention mise à jour annuellement détermine avant le 15 décembre pour l'année suivante :
\n
1° La répartition par zone géographique du montant total des frais d'hospitalisation fixé par l'accord mentionné à l'article L. 162-22-2 ;
\n
2° Les modalités de la détermination des sommes dues aux établissements de soins privés compte tenu, d'une part, du nombre et de la nature des prestations prises en charge par l'assurance maladie et, d'autre part, des modalités de cette prise en charge ;
\n
3° Les modalités de versement de ces sommes.
" } }, "LEGIARTI000006740654": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-5", "ETAT": "PERIME", "TYPE": "AUTONOME", "DATE_FIN": "1996-04-25", "DATE_DEBUT": "1992-01-04" } }, "META_COMMUN": { "ID": "LEGIARTI000006740654", "URL": "article/LEGI/ARTI/00/00/06/74/06/LEGIARTI000006740654.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L22FXXAB" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006695684", "@num": "22", "#text": "Loi n°70-1318 du 31 décembre 1970 - art. 22 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000874228", "@numtexte": "70-1318", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1970-12-31" }, { "@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": "LEGIARTI000006757448", "@num": "7", "#text": "Loi n°91-738 du 31 juillet 1991 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000356641", "@nortexte": "SPSX9100075L", "@numtexte": "91-738", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1991-07-31" }, { "@id": "LEGIARTI000006757479", "@num": "11", "#text": "Loi n°91-1406 du 31 décembre 1991 - art. 11 () JORF 4 janvier 1992) P(Ordonnance 96-346 1996-04-24 art. 21 JORF 25 avril 1996", "@sens": "source", "@cidtexte": "JORFTEXT000000721455", "@nortexte": "SPSX9100176L", "@numtexte": "91-1406", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "1991-12-31" }, { "@id": "LEGIARTI000006776704", "@num": "10", "#text": "Décret n°92-1257 du 3 décembre 1992 - art. 10 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000712371", "@nortexte": "SPSS9202054D", "@numtexte": "92-1257", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1992-12-03" }, { "@id": "LEGIARTI000006725474", "@num": "ANNEXE", "#text": "Décret n°2002-780 du 3 mai 2002 - art. ANNEXE (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000590829", "@nortexte": "MESH0221552D", "@numtexte": "2002-780", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2002-05-03" }, { "@id": "LEGIARTI000017886563", "@num": "6", "#text": "Décret n°2004-1539 du 30 décembre 2004 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000805740", "@nortexte": "SANH0424352D", "@numtexte": "2004-1539", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000006918973", "@num": "R6161-30", "#text": "Code de la santé publique - art. R6161-30 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGITEXT000006073189", "#text": "Code de la sécurité sociale L162-22-2, L162-22, annexe, L162-22-3, L162-22-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741572", "@num": "L162-22", "#text": "Code de la sécurité sociale. - art. L162-22 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740625", "@num": "L162-22-1", "#text": "Code de la sécurité sociale. - art. L162-22-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702942", "@num": "L162-22-2", "#text": "Code de la sécurité sociale. - art. L162-22-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740642", "@num": "L162-22-3", "#text": "Code de la sécurité sociale. - art. L162-22-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740659", "@num": "L162-22-6", "#text": "Code de la sécurité sociale. - art. L162-22-6 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034404726", "@num": "R162-24", "#text": "Code de la sécurité sociale. - art. R162-24 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022896526", "@num": "R162-41-6", "#text": "Code de la sécurité sociale. - art. R162-41-6 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006747960", "@num": "R174-22-1", "#text": "Code de la sécurité sociale. - art. 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R174-22-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006198194", "@fin": "1998-01-01", "#text": "Section 5 : Etablissements de soins.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006194394", "@fin": "1998-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006185809", "@fin": "1998-01-01", "#text": "Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006172447", "@fin": "1998-01-01", "#text": "Contrôle médical", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155992", "@fin": "1998-01-01", "#text": "Titre 6 : Dispositions relatives aux prestations et aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141599", "@fin": "2004-01-01", "#text": "Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126884", "@fin": "2004-01-01", "#text": "Livre 1 : Généralités", "@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": "LEGIARTI000006740653", "@fin": "1992-01-04", "@num": "L162-22-5", "@etat": "MODIFIE", "@debut": "1991-08-01", "@origine": "LEGI" } }, { "@etat": "PERIME", "LIEN_ART": { "@id": "LEGIARTI000006740654", "@fin": "1996-04-25", "@num": "L162-22-5", "@etat": "PERIME", "@debut": "1992-01-04", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740655", "@fin": "2000-12-24", "@num": "L162-22-5", "@etat": "MODIFIE", "@debut": "1999-12-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740656", "@fin": "2005-01-01", "@num": "L162-22-5", "@etat": "MODIFIE", "@debut": "2000-12-24", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740657", "@fin": "2010-02-26", "@num": "L162-22-5", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940023", "@fin": "2014-12-25", "@num": "L162-22-5", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000029962773", "@fin": "2022-01-01", "@num": "L162-22-5", "@etat": "ABROGE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "VIGUEUR_DIFF", "LIEN_ART": { "@id": "LEGIARTI000048702913", "@fin": "2999-01-01", "@num": "L162-22-5", "@etat": "VIGUEUR_DIFF", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
I.-A défaut de conclusion avant le 1er décembre de l'accord mentionné à l'article L. 162-22-2, un arrêté interministériel fixe pour l'année suivante, en relation avec le taux d'évolution des dépenses hospitalières mentionné à l'article 22 de la loi n° 70-1318 du 31 décembre 1970 portant réforme hospitalière et compte tenu de l'évolution des techniques médicales, des besoins de la population et de la nécessaire maîtrise des dépenses de santé :
\n
1° Le montant annuel des frais d'hospitalisation dans les établissements de soins ayant passé convention en application de l'article L. 162-22, pris en charge par les régimes d'assurance maladie ;
\n
2° Les tarifs des prestations servant de base au calcul de la participation de l'assuré.
\n
3° La classification des prestations ne comportant pas d'hébergement dispensées dans ces établissements et prises en charge par les régimes.
\n
Cet arrêté fixe, en outre, les dispositions prévues aux 1°, 2° et 3° du II.
\n
II.-A défaut de la signature avant le 15 décembre, ou de l'approbation avant le 31 décembre de l'annexe mentionnée à l'article L. 162-22-3 mise à jour pour l'année suivante, un arrêté interministériel fixe, pour ladite année, après information par le ministre chargé de la sécurité sociale de la Caisse nationale d'assurance maladie des travailleurs salariés et des organisations syndicales nationales les plus représentatives des établissements de soins privés :
\n
1° La répartition par zone géographique du montant total des frais afférents à l'hospitalisation dans les établissements de soins ayant passé convention en application de l'article L. 162-22, pris en charge par les régimes d'assurance maladie ;
\n
2° Les modalités de détermination des sommes dues à ces établissements de soins compte tenu, d'une part, du nombre et de la nature des prestations prises en charge par l'assurance maladie et, d'autre part, des modalités de cette prise en charge ;
\n
3° Les modalités de versement de ces sommes.
\n
III.-A défaut de signature ou d'approbation d'une convention nationale, un arrêté interministériel fixe, après information par le ministre chargé de la sécurité sociale de la Caisse nationale d'assurance maladie des travailleurs salariés et des organisations syndicales nationales les plus représentatives des établissements de soins privés :
\n
1° La convention type mentionnée au premier alinéa de l'article L. 162-22-1 ;
\n
2° La classification des prestations d'hospitalisation comportant un hébergement ; pour les services de médecine, de chirurgie et d'obstétrique, cette classification tiendra compte des traitements par pathologie ou par groupe de pathologies ;
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3° Les prestations pour exigence particulière des malades sans fondement médical qui peuvent donner lieu à facturation sans prise en charge par les régimes obligatoires d'assurance maladie.
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I. - Sous réserve des dispositions du II ci-après, les conventions conclues entre les caisses régionales d'assurance maladie et les établissements de soins privés sur le fondement de l'article L. 162-22 du code de la sécurité sociale et applicables à la promulgation de la présente loi cessent d'avoir effet à l'entrée en vigueur de la première annexe mentionnée à l'article L. 162-22-3 de ce code ou à défaut lors de l'intervention de l'arrêté interministériel mentionné au II de l'article L. 162-22-5 du même code.
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II. - A titre transitoire, les tarifs des prestations dispensées avec hébergement dans les établissements mentionnés à l'article L. 162-22 du code de la sécurité sociale sont fixés par les conventions prévues par cet article tant que ces prestations ne sont pas incluses dans la classification mentionnée au 2° de l'article L. 162-22-1 et au 2° du III de l'article L. 162-22-5 du code de la sécurité sociale.
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Ces tarifs comprennent les frais d'analyses et d'examens de biologie médicale : leur homologation est accordée au vu, d'une part, des caractéristiques propres de chaque établissement, notamment du volume de son activité, d'autre part, de l'évolution des dépenses hospitalières définie à partir des hypothèses économiques générales et par référence à la politique sociale et sanitaire de l'Etat.
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A défaut des conventions prévues par l'article L. 162-22 du code de la sécurité sociale ou si les tarifs conventionnels n'ont pas été homologués, les caisses fixent des tarifs de responsabilité applicables pour les soins mentionnés au premier alinéa. Ces tarifs sont homologués dans les mêmes conditions que les tarifs conventionnels.
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Les dispositions transitoires figurant aux trois alinéas qui précèdent prendront fin au plus tard le 31 décembre 1993.
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III. - La classification des prestations ne comportant pas d'hébergement dispensées dans les établissements relevant de l'article L. 162-22 du code de la sécurité sociale, prises en charge par les régimes d'assurance maladie, ainsi que les tarifs afférents à ces prestations seront, à titre transitoire, fixés par arrêté interministériel jusqu'à l'entrée en vigueur de l'accord mentionné à l'article L. 162-22-2 de ce code ou à défaut de l'arrêté mentionné au I de l'article L. 162-22-5 du même code.
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Article 11 ENTIEREMENT_MODIF (LOI no 91-1406 du 31 décembre 1991 portant diverses dispositions d'ordre social (1))