{ "article": { "LEGIARTI000017730757": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "37", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000017730757", "URL": "article/LEGI/ARTI/00/00/17/73/07/LEGIARTI000017730757.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006690725", "@num": "L6114-2", "#text": "Code de la santé publique - art. L6114-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017845650", "@num": "L162-1-17", "#text": "Code de la sécurité sociale. - art. L. 162-1-17 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017845644", "@num": "L162-1-14", "#text": "Code de la sécurité sociale. - art. L162-1-14 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017845635", "@num": "L162-1-15", "#text": "Code de la sécurité sociale. - art. L162-1-15 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000017730670", "@fin": "2999-01-01", "#text": "Section 1 : Dispositions relatives aux dépenses d'assurance maladie", "@debut": "2007-12-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000017730681", "@fin": "2999-01-01", "#text": "QUATRIÈME PARTIE : DISPOSITIONS RELATIVES AUX DÉPENSES POUR 2008", "@debut": "2007-12-22" } ] }, "@cid": "JORFTEXT000017726554", "@nor": "BCFX0766311L", "@num": "2007-1786", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000017726554", "@c_titre_court": "LOI n° 2007-1786 du 19 décembre 2007" }, { "@fin": "2999-01-01", "#text": "LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008 (1)", "@debut": "2007-12-22", "@id_txt": "LEGITEXT000017730663", "@c_titre_court": "LOI n° 2007-1786 du 19 décembre 2007" } ], "@date_publi": "2007-12-21", "@date_signature": "2007-12-19" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000017730757", "@fin": "2999-01-01", "@num": "37", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000017726733", "@fin": "2999-01-01", "@num": "37", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

\n
A modifié les dispositions suivantes :

Code de la sécurité sociale.
\nArt. L162-1-15\n
\n

\n
\nArt. L162-1-14\n
\n

\n
\nArt. L. 162-1-17\n
\n

" } }, "LEGIARTI000006690725": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2002-01-18", "DATE_DEBUT": "2000-06-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006690725", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690725.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAA" } }, "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": "LEGIARTI000006697519", "@num": "127", "#text": "Loi n°2002-303 du 4 mars 2002 - art. 127 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006220641", "@num": "1", "#text": "Arrêté du 25 juin 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000017730757", "@num": "37", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 37", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000046808699", "@num": "78", "#text": "LOI n°2015-1702 du 21 décembre 2015 - art. 78 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031663208", "@nortexte": "FCPX1523191L", "@numtexte": "2015-1702", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2015-12-21" }, { "@id": "LEGIARTI000034392999", "@num": "1", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000039124877", "@num": "1", "#text": "Décret n°2019-977 du 23 septembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039124421", "@nortexte": "SSAH1920643D", "@numtexte": "2019-977", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-09-23" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. 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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé.
\n
A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
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Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par la conférence régionale de santé prévue à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
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Ils favorisent la participation des établissements aux réseaux de soins et aux communautés d'établissements de santé mentionnés aux articles L. 6121-5 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
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Ils précisent les dispositions relatives à la gestion des res-sources humaines nécessaires pour la réalisation des objectifs.
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Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
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En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé. Ils comprennent un volet social.
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A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
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Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par la conférence régionale de santé prévue à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
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Ils favorisent la participation des établissements aux réseaux de soins et aux communautés d'établissements de santé mentionnés aux articles L. 6121-5 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
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Ils précisent, dans le volet social, les actions arrêtées par l'établissement en accord avec l'agence régionale de l'hospitalisation, sur la base du projet social de l'établissement.
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Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
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En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé. Ils comprennent un volet social.
\n
A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
\n
Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par le conseil régional de santé prévu à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
\n
Ils favorisent la participation des établissements aux réseaux de santé et aux communautés d'établissements de santé mentionnés aux articles L. 6321-1 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
\n
Ils précisent, dans le volet social, les actions arrêtées par l'établissement en accord avec l'agence régionale de l'hospitalisation, sur la base du projet social de l'établissement.
\n
Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
\n
En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
" } }, "LEGIARTI000006690728": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-01-01", "DATE_DEBUT": "2003-09-06" } }, "META_COMMUN": { "ID": "LEGIARTI000006690728", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690728.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAD" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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R162-33-15 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046915122", "@num": "R162-33-16-1", "#text": "Code de la sécurité sociale. - art. R162-33-16-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "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": "LEGIARTI000006690725", "@fin": "2002-01-18", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690726", "@fin": "2002-09-05", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-01-18", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690727", "@fin": "2003-09-06", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-09-05", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690728", "@fin": "2005-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690729", "@fin": "2005-04-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690730", "@fin": "2005-12-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-04-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690731", "@fin": "2007-12-22", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017842295", "@fin": "2009-07-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886573", "@fin": "2010-02-26", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940938", "@fin": "2016-01-28", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031930764", "@fin": "2017-01-14", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865495", "@fin": "2018-01-19", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036511270", "@fin": "2020-11-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "ABROGE_DIFF", "LIEN_ART": { "@id": "LEGIARTI000042536689", "@fin": "2025-01-01", "@num": "L6114-2", "@etat": "ABROGE_DIFF", "@debut": "2020-11-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR_DIFF", "LIEN_ART": { "@id": "LEGIARTI000048702618", "@fin": "2999-01-01", "@num": "L6114-2", "@etat": "VIGUEUR_DIFF", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
\n
Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690729": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-04-23", "DATE_DEBUT": "2005-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006690729", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690729.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAE" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
" }, "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": "LEGIARTI000006697519", "@num": "127", "#text": "Loi n°2002-303 du 4 mars 2002 - art. 127 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006220641", "@num": "1", "#text": "Arrêté du 25 juin 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006758866", "@num": "30", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 30 () JORF 19 décembre 2003 en vigueur le 1er janvier 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000017730757", "@num": "37", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 37", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000046808699", "@num": "78", "#text": "LOI n°2015-1702 du 21 décembre 2015 - art. 78 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031663208", "@nortexte": "FCPX1523191L", "@numtexte": "2015-1702", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2015-12-21" }, { "@id": "LEGIARTI000034392999", "@num": "1", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000039124877", "@num": "1", "#text": "Décret n°2019-977 du 23 septembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039124421", "@nortexte": "SSAH1920643D", "@numtexte": "2019-977", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-09-23" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. 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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
\n
Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690730": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-12-20", "DATE_DEBUT": "2005-04-23" } }, "META_COMMUN": { "ID": "LEGIARTI000006690730", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690730.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAF" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
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Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.
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Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690731": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2007-12-22", "DATE_DEBUT": "2005-12-20" } }, "META_COMMUN": { "ID": "LEGIARTI000006690731", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690731.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAG" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
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" }, "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": "LEGIARTI000006697519", "@num": "127", "#text": "Loi n°2002-303 du 4 mars 2002 - art. 127 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006220641", "@num": "1", "#text": "Arrêté du 25 juin 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V) JORF 20 décembre 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000017730757", "@num": "37", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 37", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000046808699", "@num": "78", "#text": "LOI n°2015-1702 du 21 décembre 2015 - art. 78 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031663208", "@nortexte": "FCPX1523191L", "@numtexte": "2015-1702", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2015-12-21" }, { "@id": "LEGIARTI000034392999", "@num": "1", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000039124877", "@num": "1", "#text": "Décret n°2019-977 du 23 septembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039124421", "@nortexte": "SSAH1920643D", "@numtexte": "2019-977", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-09-23" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. 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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
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Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.
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Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés ainsi que les pénalités applicables en cas de non-respect de ces objectifs dans l'autorisation mentionnée à l'article L. 6122-1.
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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.
\n
Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les trois mois suivant le renouvellement ou la décision de révision de l'autorisation.
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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.

Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.

Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements, notamment de retour à l'équilibre financier, donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.

Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.

Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés ainsi que les pénalités applicables en cas de non-respect de ces objectifs dans l'autorisation mentionnée à l'article L. 6122-1.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les trois mois suivant le renouvellement ou la décision de révision de l'autorisation.

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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 d'actes, produits ou prestations figurant sur les listes mentionnées aux articles L. 162-1-7, \nL. 162-17 et L. 165-1 ainsi que 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 :

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 ;

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 ;

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 ;

4° Ou d'un taux de prescription de transports en ambulance, rapporté à l'ensemble des transports prescrits, significativement supérieur aux données moyennes constatées, pour une activité comparable, pour les médecins installés dans le ressort de la même union régionale de caisses d'assurance maladie ;

5° Ou d'un nombre de réalisations ou de prescriptions d'un acte, produit ou prestation figurant sur les listes mentionnées au premier alinéa ou d'un groupe desdits actes, produits ou prestations significativement supérieur à la moyenne des réalisations ou des prescriptions constatée, pour une activité comparable, pour les médecins exerçant dans le ressort de la même union régionale de caisses d'assurance maladie. Un décret définit les modalités de constitution éventuelle de groupes d'actes, de produits ou de prestations pour la mise en oeuvre des dispositions du présent alinéa.

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, actes, produits ou prestations figurant sur les listes mentionnées au premier alinéa.

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\nL'inobservation des règles du présent code et de \nl'article L. 1111-3 du code de la santé publique \npar les professionnels de santé, les fournisseurs ou les autres prestataires de services, les établissements de santé\n, les établissements d'hébergement pour personnes âgées dépendantes, les employeurs ou les assurés, ayant abouti à une demande de remboursement ou de prise en charge ou à un remboursement ou à une prise en charge indus, ou ayant exposé les assurés à des dépassements d'honoraires dépassant le tact et la mesure, ainsi que le refus par les professionnels de santé de reporter dans le dossier médical personnel les éléments issus de chaque acte ou consultation, l'obstacle volontaire à la procédure d'accord préalable prévue à l'article L. 162-1-15 ainsi que l'absence de déclaration par les assurés d'un changement dans la situation justifiant le service de ces prestations peuvent faire l'objet d'une pénalité prononcée par le directeur de l'organisme local d'assurance maladie, après avis d'une commission composée et constituée au sein du conseil de cet organisme. Lorsque la pénalité envisagée concerne un professionnel de santé, un fournisseur ou autre prestataire de services, \n
\ndes représentants de la même profession participent à la commission. Lorsqu'elle concerne un établissement de santé ou un établissement d'hébergement pour personnes âgées dépendantes, des représentants au niveau régional des organisations nationales représentatives des établissements participent à la commission. Celle-ci apprécie la responsabilité de l'assuré, de l'employeur, du professionnel de santé du fournisseur ou autre prestataire de services, de l'établissement de santé ou de l'établissement d'hébergement pour personnes âgées dépendantes dans l'inobservation des règles du présent code. Le montant de la pénalité est fixé en fonction de la gravité des faits, dans la limite de deux fois le plafond mensuel de la sécurité sociale. Ce montant est doublé en cas de récidive.L'organisme d'assurance maladie notifie le montant envisagé de la pénalité et les faits reprochés à la personne ou l'établissement en cause, afin qu'il puisse présenter leurs observations écrites ou orales dans un délai d'un mois.A l'issue de ce délai, l'organisme d'assurance maladie prononce, le cas échéant, la pénalité et la notifie à l'intéressé ou à l'établissement en lui indiquant le délai dans lequel il doit s'en acquitter.

La mesure prononcée est motivée et peut être contestée devant le tribunal administratif.

En l'absence de paiement dans le délai prévu par la notification de la pénalité, le directeur de l'organisme d'assurance maladie envoie une mise en demeure à l'intéressé de payer dans le délai d'un mois. La mise en demeure ne peut concerner que des pénalités notifiées dans les deux ans précédant son envoi. Le directeur de l'organisme, lorsque la mise en demeure est restée sans effet, peut délivrer une contrainte qui, à défaut d'opposition du débiteur devant le tribunal des affaires de sécurité sociale, comporte tous les effets d'un jugement et confère notamment le bénéfice de l'hypothèque judiciaire. Une majoration de 10 % est applicable aux pénalités qui n'ont pas été réglées aux dates d'exigibilité mentionnées sur la mise en demeure.

L'organisme de sécurité sociale ne peut concurremment recourir au dispositif de pénalité prévu par le présent article et aux procédures conventionnelles visant à sanctionner la même inobservation des règles du présent code par un professionnel de santé, un fournisseur ou un autre prestataire de services.

Le présent article s'applique à la couverture complémentaire prévue à l'article L. 861-1. La pénalité est prononcée et notifiée par l'autorité administrative ou par délégation de pouvoir par le directeur de l'organisme local d'assurance maladie.

Les modalités d'application du présent article, notamment les règles mentionnées au premier alinéa et le barème des pénalités, sont fixées par décret en Conseil d'Etat.

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Sur proposition du directeur de l'organisme local d'assurance maladie, la commission exécutive de l'agence régionale de l'hospitalisation, après mise en oeuvre d'une procédure contradictoire, peut décider de subordonner à l'accord préalable du service du contrôle médical de l'organisme local d'assurance maladie, pour une durée ne pouvant excéder six mois, la prise en charge par l'assurance maladie de prestations d'hospitalisation mentionnées au 1° de l'article L. 162-22-6 du présent code. Dans ce cas, les prestations d'hospitalisation non prises en charge par l'assurance maladie ne peuvent être facturées aux patients. La proposition du directeur de l'organisme local d'assurance maladie est motivée par le constat d'une proportion élevée de prestations d'hospitalisation avec hébergement qui auraient pu donner lieu à des prises en charge sans hébergement. La procédure contradictoire est mise en oeuvre dans les mêmes conditions que celles prévues pour les pénalités applicables pour non-respect des objectifs quantifiés mentionnées à l'article L. 6114-2 du code de la santé publique.

Toutefois, en cas d'urgence attestée par l'établissement, l'accord préalable du service du contrôle médical n'est pas requis pour la prise en charge des prestations d'hospitalisation susvisées.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini aux articles L. 1434-7 et L. 1434-9 ou du schéma interrégional défini à l'article L. 1434-10.

Ils précisent leurs engagements relatifs à la mise en œuvre de la politique nationale d'innovation médicale et de recours, ainsi que leurs autres engagements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par la dotation prévue à l'article L. 162-22-14 du code de la sécurité sociale.

Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Les contrats fixent, le cas échéant par avenant, les éléments relatifs aux missions de service public prévus au dernier alinéa de l'article L. 6112-2 ainsi que ceux relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantifiés des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation ou l'attribution d'une mission de service public.A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantifiés et les pénalités prévues à l'article L. 6114-1 et les obligations relatives aux missions de service public qu'elle assigne ainsi que, le cas échéant, les modalités selon lesquelles est calculée leur compensation financière.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

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Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini à l'article L. 1434-3 ou du schéma interrégional défini à l'article L. 1434-10.

\n
\n

Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

\n
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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

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\n

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini à l'article L. 1434-3 ou du schéma interrégional défini à l'article L. 1434-10.

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Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

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Les contrats fixent, le cas échéant par avenant, les éléments relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantifiés des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

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Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantifiés et les pénalités prévues à l'article L. 6114-1.

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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.

Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Les contrats fixent, le cas échéant par avenant, les éléments relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantitatifs et qualitatifs des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantitatifs et qualitatifs et les pénalités prévues à l'article L. 6114-1.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantitatifs et qualitatifs mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6122-12, les objectifs quantitatifs et qualitatifs fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

" } }, "LEGIARTI000042536689": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "ABROGE_DIFF", "TYPE": "AUTONOME", "DATE_FIN": "2025-01-01", "DATE_DEBUT": "2020-11-20" } }, "META_COMMUN": { "ID": "LEGIARTI000042536689", "URL": "article/LEGI/ARTI/00/00/42/53/66/LEGIARTI000042536689.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au III de l'article 5 de l'ordonnance n° 2020-1407 du 18 novembre 2020, Ies contrats pluriannuels d'objectifs et de moyens en cours à la date de publication de l'ordonnance restent régis, jusqu'à leur terme, par les dispositions modifiées par les I et II du présent article 5 dans leur rédaction applicable antérieurement à l'entrée en vigueur de cet article.

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L6145-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691077", "@num": "L6147-1", "#text": "Code de la santé publique - art. L6147-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691163", "@num": "L6161-4", "#text": "Code de la santé publique - art. L6161-4 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691173", "@num": "L6161-8", "#text": "Code de la santé publique - art. L6161-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006691428", "@num": "L6412-8", "#text": "Code de la santé publique - art. L6412-8 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006694610", "@num": "L710-16-1", "#text": "Code de la santé publique - art. L710-16-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006694609", "@num": "L710-16-1", "#text": "Code de la santé publique - art. L710-16-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916649", "@num": "R6114-10", "#text": "Code de la santé publique - art. R6114-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037443784", "@num": "R6122-32-2", "#text": "Code de la santé publique - art. R6122-32-2 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043855219", "@num": "R6122-34", "#text": "Code de la santé publique - art. R6122-34 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044957643", "@num": "R6123-125-2", "#text": "Code de la santé publique - art. R6123-125-2 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916834", "@num": "R6123-38-7", "#text": "Code de la santé publique - art. R6123-38-7 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022068730", "@num": "R6123-95", "#text": "Code de la santé publique - art. R6123-95 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917342", "@num": "R6132-22", "#text": "Code de la santé publique - art. R6132-22 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033548296", "@num": "R6134-1", "#text": "Code de la santé publique - art. R6134-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803026", "@num": "R713-2-22", "#text": "Code de la santé publique - art. R713-2-22 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803052", "@num": "R713-3-22", "#text": "Code de la santé publique - art. R713-3-22 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021940647", "@num": "L162-1-17", "#text": "Code de la sécurité sociale. - art. L162-1-17 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047060315", "@num": "L162-22-13", "#text": "Code de la sécurité sociale. - art. L162-22-13 (MMN)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702913", "@num": "L162-22-5", "#text": "Code de la sécurité sociale. - art. L162-22-5 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036511387", "@num": "L162-23-8", "#text": "Code de la sécurité sociale. - art. L162-23-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043188376", "@num": "R162-33-15", "#text": "Code de la sécurité sociale. - art. R162-33-15 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046915122", "@num": "R162-33-16-1", "#text": "Code de la sécurité sociale. - art. R162-33-16-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741404", "@num": "L162-22-14", "#text": "Code de la sécurité sociale. - art. L162-22-14", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "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": "LEGIARTI000006690725", "@fin": "2002-01-18", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690726", "@fin": "2002-09-05", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-01-18", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690727", "@fin": "2003-09-06", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-09-05", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690728", "@fin": "2005-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690729", "@fin": "2005-04-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690730", "@fin": "2005-12-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-04-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690731", "@fin": "2007-12-22", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017842295", "@fin": "2009-07-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886573", "@fin": "2010-02-26", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940938", "@fin": "2016-01-28", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031930764", "@fin": "2017-01-14", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865495", "@fin": "2018-01-19", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036511270", "@fin": "2020-11-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "ABROGE_DIFF", "LIEN_ART": { "@id": "LEGIARTI000042536689", "@fin": "2025-01-01", "@num": "L6114-2", "@etat": "ABROGE_DIFF", "@debut": "2020-11-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR_DIFF", "LIEN_ART": { "@id": "LEGIARTI000048702618", "@fin": "2999-01-01", "@num": "L6114-2", "@etat": "VIGUEUR_DIFF", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Les contrats mentionnés à l'article L. 6114-1 déterminent les objectifs stratégiques des établissements de santé sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.
\n
\n Ces objectifs stratégiques concernent le positionnement territorial de l'établissement et le pilotage interne de l'établissement.
\n
\n Le contrat peut également déterminer d'autres objectifs stratégiques en lien avec les missions des établissements de santé définies aux articles L. 6111-1 à L. 6111-7.
\n
\n Chaque objectif est assorti d'un indicateur unique.
\n
\n Les contrats précisent les engagements des établissements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par la dotation prévue à l'article L. 162-22-14 du code de la sécurité sociale.

" } }, "LEGIARTI000048702618": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "VIGUEUR_DIFF", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2025-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000048702618", "URL": "article/LEGI/ARTI/00/00/48/70/26/LEGIARTI000048702618.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au 7° du A du VII de l’article 49 de la loi n° 2023-1250 du 26 décembre 2023, ces dispositions prennent effet au 1er janvier 2025.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006697519", "@num": "127", "#text": "Loi n°2002-303 du 4 mars 2002 - art. 127 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006220641", "@num": "1", "#text": "Arrêté du 25 juin 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000017730757", "@num": "37", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 37", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000046808699", "@num": "78", "#text": "LOI n°2015-1702 du 21 décembre 2015 - art. 78 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031663208", "@nortexte": "FCPX1523191L", "@numtexte": "2015-1702", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2015-12-21" }, { "@id": "LEGIARTI000034392999", "@num": "1", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000039124877", "@num": "1", "#text": "Décret n°2019-977 du 23 septembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039124421", "@nortexte": "SSAH1920643D", "@numtexte": "2019-977", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-09-23" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048670512", "@num": "49", "#text": "LOI n°2023-1250 du 26 décembre 2023 - art. 49 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048668665", "@nortexte": "ECOX2320994L", "@numtexte": "2023-1250", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2023-12-26" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. L1112-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036515287", "@num": "L1435-8", "#text": "Code de la santé publique - art. L1435-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690724", "@num": "L6114-1", "#text": "Code de la santé publique - art. L6114-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017842295", "@num": "L6114-2", "#text": "Code de la santé publique - art. L6114-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690734", "@num": "L6114-3", "#text": "Code de la santé publique - art. 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Les contrats mentionnés à l'article L. 6114-1 déterminent les objectifs stratégiques des établissements de santé sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.
\n
\nCes objectifs stratégiques concernent le positionnement territorial de l'établissement et le pilotage interne de l'établissement.
\n
\nLe contrat peut également déterminer d'autres objectifs stratégiques en lien avec les missions des établissements de santé définies aux articles L. 6111-1 à L. 6111-7.
\n
\nChaque objectif est assorti d'un indicateur unique.
\n
\nLes contrats précisent les engagements des établissements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par les dotations prévues aux articles L. 162-22-4 et L. 162-22-5 du code de la sécurité sociale.

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Article 37 ENTIEREMENT_MODIF (LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008)