{ "article": { "LEGIARTI000006759361": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "104", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2006-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006759361", "URL": "article/LEGI/ARTI/00/00/06/75/93/LEGIARTI000006759361.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSEAFQXXXXX104AXXXXXXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006691331", "@num": "L6314-1", "#text": "Code de la santé publique - art. L6314-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741330", "@num": "L162-1-15", "#text": "Code de la sécurité sociale. - art. L162-1-15 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741355", "@num": "L162-15-1", "#text": "Code de la sécurité sociale. - art. L162-15-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740845", "@num": "L162-16-1", "#text": "Code de la sécurité sociale. - art. L162-16-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741344", "@num": "L162-5-14", "#text": "Code de la sécurité sociale. - art. L162-5-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006127174", "@fin": "2999-01-01", "#text": "Section 1 : Dispositions relatives aux dépenses d'assurance maladie.", "@debut": "2006-12-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106371", "@fin": "2999-01-01", "#text": "QUATRIEME PARTIE : DISPOSITIONS RELATIVES AUX DEPENSES POUR 2007", "@debut": "2006-12-22" } ] }, "@cid": "JORFTEXT000000817095", "@nor": "SANX0600163L", "@num": "2006-1640", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Loi n° 2006-1640 du 21 décembre 2006 de financement de la sécurité sociale pour 2007 (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000000817095", "@c_titre_court": "Loi n°2006-1640 du 21 décembre 2006" }, { "@fin": "2999-01-01", "#text": "Loi n° 2006-1640 du 21 décembre 2006 de financement de la sécurité sociale pour 2007 (1)", "@debut": "2006-12-22", "@id_txt": "LEGITEXT000006054970", "@c_titre_court": "Loi n° 2006-1640 du 21 décembre 2006" } ], "@date_publi": "2006-12-22", "@date_signature": "2006-12-21", "@num_parution_jo": "0296" } }, "VERSIONS": { "VERSION": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000006759361", "@fin": "2999-01-01", "@num": "104", "@etat": "VIGUEUR", "@debut": "2006-12-22", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
I. à IV. - Paragraphes modificateurs
\n
V. - [Dispositions déclarées non conformes à la Constitution par la décision du Conseil constitutionnel n° 2006-544 DC du 14 décembre 2006.]
\n
VI., VII. - Paragraphes modificateurs
" } }, "LEGIARTI000006691331": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6314-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-01-01", "DATE_DEBUT": "2006-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006691331", "URL": "article/LEGI/ARTI/00/00/06/69/13/LEGIARTI000006691331.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6314L01XXAF" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "JORFTEXT000000817095", "#text": "Loi 2006-1640 2006-12-21 art. 104 I, VI JORF 22 décembre 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000006759361", "@num": "104", "#text": "Loi n°2006-1640 du 21 décembre 2006 - art. 104 (V) JORF 22 décembre 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGITEXT000024739781", "#text": "Arrêté du 20 octobre 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024738234", "@nortexte": "ETSH1128790A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-10-20" }, { "@id": "LEGIARTI000030083191", "#text": "ARRÊTÉ du 23 décembre 2014 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000029958765", "@nortexte": "AFSH1427244A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-12-23" }, { "@id": "LEGIARTI000027201618", "@num": "R313-30-1", "#text": "Code de l'action sociale et des familles - art. R313-30-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047568582", "@num": "L1110-4-1", "#text": "Code de la santé publique - art. L1110-4-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048687623", "@num": "L1435-5", "#text": "Code de la santé publique - art. 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L51-5 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691319", "@num": "L6313-1", "#text": "Code de la santé publique - art. L6313-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691322", "@num": "L6313-1", "#text": "Code de la santé publique - art. L6313-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691332", "@num": "L6315-1", "#text": "Code de la santé publique - art. L6315-1 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691332", "@num": "L6315-1", "#text": "Code de la santé publique - art. L6315-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000035253970", "@num": "L6422-2", "#text": "Code de la santé publique - art. L6422-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022047007", "@num": "R1435-2", "#text": "Code de la santé publique - art. R1435-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017725729", "@num": "R6141-33", "#text": "Code de la santé publique - art. R6141-33 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033548269", "@num": "R6146-22", "#text": "Code de la santé publique - art. 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R6316-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000030060076", "@num": "D643-10", "#text": "Code de la sécurité sociale. - art. D643-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031687797", "@num": "L162-5-14", "#text": "Code de la sécurité sociale. - art. L162-5-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031930936", "@num": "151 ter", "#text": "Code général des impôts, CGI. - art. 151 ter (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740879", "@num": "L162-32-1", "#text": "Code de la sécurité sociale. - art. L162-32-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740758", "@num": "L162-5-10", "#text": "Code de la sécurité sociale. - art. L162-5-10 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171614", "@fin": "2999-01-01", "#text": "Chapitre IV : Permanence des soins", "@debut": "2006-07-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155115", "@fin": "2009-07-23", "#text": "Titre Ier : Aide médicale urgente, permanence des soins et transports sanitaires", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020891698", "@fin": "2019-07-27", "#text": "Titre Ier : Aide médicale urgente, permanence des soins, télémédecine et transports sanitaires", "@debut": "2009-07-23" }, { "@id": "LEGISCTA000038887066", "@fin": "2999-01-01", "#text": "Titre Ier : Aide médicale urgente, permanence des soins, télésanté et transports sanitaires", "@debut": "2019-07-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140639", "@fin": "2009-07-23", "#text": "Livre III : Aide médicale urgente, permanence des soins, transports sanitaires et autres services de santé", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020891696", "@fin": "2019-07-27", "#text": "Livre III : Aide médicale urgente, permanence des soins, transports sanitaires, télémédecine et autres services de santé", "@debut": "2009-07-23" }, { "@id": "LEGISCTA000038887069", "@fin": "2999-01-01", "#text": "Livre III : Aide médicale urgente, permanence des soins, transports sanitaires, télésanté et autres services de santé", "@debut": "2019-07-27" } ] }, "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": "LEGIARTI000006691326", "@fin": "2002-01-01", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006691327", "@fin": "2002-03-05", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2002-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006691328", "@fin": "2003-09-06", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2002-03-05", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006691329", "@fin": "2006-07-01", "@num": "L6314-1", "@etat": "TRANSFERE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006691330", "@fin": "2006-12-22", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2006-07-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006691331", "@fin": "2010-01-01", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020890655", "@fin": "2016-01-28", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2010-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928671", "@fin": "2018-01-19", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036516239", "@fin": "2023-05-21", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000047568547", "@fin": "2023-12-28", "@num": "L6314-1", "@etat": "MODIFIE", "@debut": "2023-05-21", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048687605", "@fin": "2999-01-01", "@num": "L6314-1", "@etat": "VIGUEUR", "@debut": "2023-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Sous réserve des missions dévolues aux établissements de santé, les médecins mentionnés à l'article L. 162-5, dans le cadre de leur activité libérale, à l'article L. 162-5-10 du code de la sécurité sociale et à l'article L. 162-32-1 du code de la sécurité sociale participent à la mission de service public de permanence des soins dans des conditions et selon des modalités d'organisation définies par un décret en Conseil d'Etat.
\n
Un arrêté fixe les modalités d'indemnisation des astreintes effectuées par les médecins mentionnés à l'article L. 162-5-10 du code de la sécurité sociale.
" } }, "LEGIARTI000006740845": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-07-23", "DATE_DEBUT": "2006-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006740845", "URL": "article/LEGI/ARTI/00/00/06/74/08/LEGIARTI000006740845.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L16BXXAE" } }, "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": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000048701807", "@num": "20-4", "#text": "Ordonnance n°96-1122 du 20 décembre 1996 - 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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation(s) syndicales(s) représentative(s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.
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La convention détermine notamment :
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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;
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2° Les mesures tendant à favoriser la qualité de la dispensation pharmaceutique aux assurés sociaux, le bon usage du médicament et les conditions dans lesquelles les pharmaciens peuvent être appelés à participer à la coordination des soins ;
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3° Les thèmes de formation correspondant aux objectifs de l'assurance maladie susceptibles d'être retenus et les modalités de financement ;
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4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;
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5° La participation des pharmaciens au développement des médicaments génériques ;
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6° Les modes de rémunération par l'assurance maladie de la participation des pharmaciens au dispositif de permanence pharmaceutique en application des dispositions prévues à l'article L. 5125-22 du code de la santé publique.
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Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.
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La convention et ses avenants, lors de leur conclusion ou lors d'une tacite reconduction, n'entrent en vigueur qu'après approbation par arrêté des ministres chargés de la sécurité sociale, de la santé, de l'agriculture, de l'économie et du budget.
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L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.
" } }, "LEGIARTI000006741330": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-1-15", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2007-12-22", "DATE_DEBUT": "2006-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006741330", "URL": "article/LEGI/ARTI/00/00/06/74/13/LEGIARTI000006741330.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L01PXXAB" } }, "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": "LEGIARTI000006759361", "@num": "104", "#text": "Loi n°2006-1640 du 21 décembre 2006 - art. 104 (V) JORF 22 décembre 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000021530897", "@num": "41", "#text": "LOI n°2009-1646\n du 24 décembre 2009 - art. 41 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021528998", "@nortexte": "BCFX0922820L", "@numtexte": "2009-1646", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2009-12-24" }, { "@id": "LEGITEXT000024044610", "#text": "Décret n°2011-551\n du 19 mai 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024043201", "@nortexte": "ETSS1027098D", "@numtexte": "2011-551", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-05-19" }, { "@id": "LEGIARTI000024044646", "@num": "3", "#text": "Décret n°2011-551\n du 19 mai 2011 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000024043201", "@nortexte": "ETSS1027098D", "@numtexte": "2011-551", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-05-19" }, { "@id": "LEGITEXT000037258085", "#text": "Décret n°2018-661 du 26 juillet 2018 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037256925", "@nortexte": "SSAS1816707D", "@numtexte": "2018-661", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-26" }, { "@id": "LEGIARTI000019108160", "@num": "D162-1-10", "#text": "Code de la sécurité sociale. - art. 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Le directeur de l'organisme local d'assurance maladie peut décider, après que le médecin a été mis en mesure de présenter ses observations et après avis de la commission prévue à l'article L. 162-1-14, à laquelle participent des professionnels de santé, de subordonner à l'accord préalable du service du contrôle médical, pour une durée ne pouvant excéder six mois, la couverture des frais de transport ou le versement des indemnités journalières mentionnés aux 2° et 5° de l'article L. 321-1 et aux 1° et 2° de l'article L. 431-1 du présent code ainsi qu'aux 1° et 2° de l'article L. 752-3 du code rural, en cas de constatation par ce service :
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1° Du non-respect par le médecin des conditions prévues au 2° ou au 5° de l'article L. 321-1 et au 1° ou au 2° de l'article L. 431-1 du présent code ainsi qu'aux 1° et 2° de l'article L. 752-3 du code rural ;
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2° Ou d'un nombre ou d'une durée d'arrêts de travail prescrits par le médecin et donnant lieu au versement d'indemnités journalières significativement supérieurs aux données moyennes constatées, pour une activité comparable, pour les médecins exerçant dans le ressort de la même union régionale de caisses d'assurance maladie ;
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3° Ou d'un nombre de prescriptions de transports significativement supérieur à la moyenne des prescriptions de transport constatée, pour une activité comparable, pour les médecins exerçant dans le ressort de la même union régionale de caisses d'assurance maladie.
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Toutefois, en cas d'urgence attestée par le médecin prescripteur, l'accord préalable de l'organisme débiteur des prestations n'est pas requis pour la prise en charge des frais de transport.
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Les frais relatifs aux actes effectués dans le cadre de la permanence des soins prévue à l'article L. 6314-1 du code de la santé publique par les médecins mentionnés à l'article L. 162-5-10, par les médecins bénéficiant des dispositions de l'article L. 643-6 du présent code ainsi que les médecins concernés par l'article 4 de la loi n° 88-16 du 5 janvier 1988 relative à la sécurité sociale sont pris en charge par l'assurance maladie sur la base des tarifs fixés par la convention prévue à l'article L. 162-5 du présent code ou par le règlement arbitral prévu à l'article L. 162-14-2. Ces médecins sont tenus de respecter ces tarifs.
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La caisse primaire d'assurance maladie peut décider de placer un professionnel de santé hors de la convention pour violation des engagements prévus par celle-ci ; cette décision doit être prononcée selon les conditions prévues par la convention, lui permettant notamment de présenter ses observations ; elle ne fait pas obstacle à l'application éventuelle des dispositions de l'article L. 133-4 et du chapitre V du titre IV du présent livre.
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En cas d'urgence, lorsque la violation des engagements prévus par la convention est particulièrement grave ou qu'il en résulte pour l'organisme un préjudice financier, la caisse primaire d'assurance maladie peut décider de suspendre les effets de la convention après avoir mis à même le professionnel de présenter ses observations. Un décret en Conseil d'Etat précise les conditions et les modalités d'application du présent alinéa.
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Article 104 AUTONOME VIGUEUR, en vigueur depuis le 22/12/2006 (Loi n° 2006-1640 du 21 décembre 2006 de financement de la sécurité sociale pour 2007 (1))