{ "article": { "LEGIARTI000017730767": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "43", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000017730767", "URL": "article/LEGI/ARTI/00/00/17/73/07/LEGIARTI000017730767.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000017833093", "@num": "L162-12-21", "#text": "Code de la sécurité sociale. - art. L162-12-21 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017833097", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. L162-5 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017833111", "@num": "L162-5-1-1", "#text": "Code de la sécurité sociale. - art. L162-5-1-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@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": "LEGIARTI000017730767", "@fin": "2999-01-01", "@num": "43", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000017726757", "@fin": "2999-01-01", "@num": "43", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

\n
A modifié les dispositions suivantes :

Code de la sécurité sociale.
\nArt. L162-12-21\nArt. L162-5\nArt. L162-5-1-1\n
\n

" } }, "LEGIARTI000017833093": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-12-21", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-12-28", "DATE_DEBUT": "2007-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000017833093", "URL": "article/LEGI/ARTI/00/00/17/83/30/LEGIARTI000017833093.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000017730767", "@num": "43", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 43", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CREE", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000028267927", "@num": "Annexe XVII", "#text": "Arrêté du 22 septembre 2011 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024803740", "@nortexte": "ETSS1125718A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-09-22" }, { "@id": "LEGIARTI000019065964", "@num": "D162-1-9", "#text": "Code de la sécurité sociale. - art. D. 162-1-9 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033865789", "@num": "L162-1-11", "#text": "Code de la sécurité sociale. - art. L162-1-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740879", "@num": "L162-32-1", "#text": "Code de la sécurité sociale. - art. L162-32-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740684", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. L162-5", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006172904", "@fin": "2999-01-01", "#text": "Section 2.2 : Accords de bon usage et contrats de bonne pratique des soins", "@debut": "2003-12-19" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017833093", "@fin": "2009-12-28", "@num": "L162-12-21", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000021536280", "@fin": "2999-01-01", "@num": "L162-12-21", "@etat": "VIGUEUR", "@debut": "2009-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Les organismes locaux d'assurance maladie peuvent proposer aux médecins conventionnés et aux centres de santé adhérant à l'accord national mentionné à l'article L. 162-32-1 de leur ressort d'adhérer à un contrat conforme à un contrat type élaboré par l'Union nationale des caisses d'assurance maladie, après avis de l'Union nationale des organismes d'assurance maladie complémentaire et après avis des organisations syndicales signataires de la convention mentionnée à l'article L. 162-5 ou à l'article L. 162-32-1 pour ce qui les concerne.

Ce contrat comporte des engagements individualisés qui peuvent porter sur la prescription, la participation à des actions de dépistage et de prévention, des actions destinées à favoriser la continuité et la coordination des soins, la participation à la permanence de soins, le contrôle médical, ainsi que toute action d'amélioration des pratiques, de la formation et de l'information des professionnels.

Ce contrat détermine les contreparties financières, qui sont liées à l'atteinte des objectifs par le professionnel ou le centre de santé.

Le contrat type est transmis par l'Union nationale des caisses d'assurance maladie aux ministres chargés de la santé et de la sécurité sociale qui peuvent s'y opposer dans un délai fixé par décret.

Ces ministres peuvent suspendre l'application des contrats pour des motifs de santé publique ou de sécurité sanitaire, ou lorsque les effets constatés de ces contrats ne sont pas conformes aux objectifs poursuivis.

" } }, "LEGIARTI000017833097": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-5", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-02-26", "DATE_DEBUT": "2007-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000017833097", "URL": "article/LEGI/ARTI/00/00/17/83/30/LEGIARTI000017833097.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006885046", "@num": "1", "#text": "Arrêté du 3 novembre 1987 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000683407", "@nortexte": "ECOC8700123A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1987-11-03" }, { "@id": "LEGIARTI000006717102", "@num": "1", "#text": "Arrêté du 16 février 1988 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000296521", "@nortexte": "ASES8800279A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1988-02-16" }, { "@id": "LEGIARTI000006717104", "@num": "2", "#text": "Arrêté du 16 février 1988 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000296521", "@nortexte": "ASES8800279A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1988-02-16" }, { "@id": "LEGIARTI000006786516", "@num": "1", "#text": "Arrêté du 29 juin 1989 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000841134", "@nortexte": "ACVA8910041A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1989-06-29" }, { "@id": "LEGIARTI000006787212", "@num": "1", "#text": "Arrêté du 12 juillet 1990 - art. 1 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000000351005", "@nortexte": "ACVP9020017A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1990-07-12" }, { "@id": "LEGIARTI000006787152", "@num": "1", "#text": "Arrêté du 4 septembre 1990 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000351996", "@nortexte": "ACVP9020027A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1990-09-04" }, { "@id": "LEGIARTI000006757674", "@num": "6", "#text": "Loi n°93-8 du 4 janvier 1993 - art. 6 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000727115", "@nortexte": "SPSX9200085L", "@numtexte": "93-8", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1993-01-04" }, { "@id": "LEGIARTI000006757679", "@num": "8", "#text": "Loi n°93-8 du 4 janvier 1993 - art. 8 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000727115", "@nortexte": "SPSX9200085L", "@numtexte": "93-8", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1993-01-04" }, { "@id": "LEGIARTI000006757681", "@num": "9", "#text": "Loi n°93-8 du 4 janvier 1993 - art. 9 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000727115", "@nortexte": "SPSX9200085L", "@numtexte": "93-8", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1993-01-04" }, { "@id": "LEGIARTI000006925339", "@num": "1", "#text": "Arrêté du 1 décembre 1992 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000542943", "@nortexte": "ACVP9220022A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1992-12-01" }, { "@id": "LEGIARTI000006777259", "@num": "1", "#text": "Décret n°93-1302 du 14 décembre 1993 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000518204", "@nortexte": "SPSS9302305D", "@numtexte": "93-1302", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1993-12-14" }, { "@id": "LEGIARTI000006777299", "@num": "23", "#text": "Décret n°93-1302 du 14 décembre 1993 - art. 23 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000518204", "@nortexte": "SPSS9302305D", "@numtexte": "93-1302", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1993-12-14" }, { "@id": "LEGIARTI000006777268", "@num": "7", "#text": "Décret n°93-1302 du 14 décembre 1993 - art. 7 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000518204", "@nortexte": "SPSS9302305D", "@numtexte": "93-1302", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1993-12-14" }, { "@id": "LEGIARTI000006789691", "@num": "1", "#text": "Arrêté du 19 octobre 1994 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000347650", "@nortexte": "ACVP9420008A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1994-10-19" }, { "@id": "LEGIARTI000006790233", "@num": "1", "#text": "Arrêté du 9 octobre 1995 - art. 1 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000738393", "@nortexte": "ACVP9520016A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1995-10-09" }, { "@id": "LEGIARTI000006759773", "@num": "1", "#text": "Ordonnance n°96-51 du 24 janvier 1996 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000190293", "@nortexte": "TASX9500195R", "@numtexte": "96-51", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-01-24" }, { "@id": "LEGIARTI000006700631", "@num": "7", "#text": "Décret n°96-1050 du 5 décembre 1996 - art. 7 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000746907", "@nortexte": "TASP9624127D", "@numtexte": "96-1050", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1996-12-05" }, { "@id": "LEGIARTI000006698094", "@num": "20-3", "#text": "Ordonnance n°96-1122 du 20 décembre 1996 - art. 20-3 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000368749", "@nortexte": "DOMX9600135R", "@numtexte": "96-1122", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-12-20" }, { "@id": "LEGIARTI000046813093", "@num": "20-5-6", "#text": "Ordonnance n°96-1122 du 20 décembre 1996 - art. 20-5-6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000368749", "@nortexte": "DOMX9600135R", "@numtexte": "96-1122", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-12-20" }, { "@id": "LEGIARTI000006732909", "@num": "1", "#text": "Arrêté du 17 mars 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198002", "@nortexte": "TASS9720964A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1997-03-17" }, { "@id": "LEGIARTI000006771852", "@num": "1", "#text": "Décret n°97-379 du 21 avril 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771854", "@num": "2", "#text": "Décret n°97-379 du 21 avril 1997 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771859", "@num": "5", "#text": "Décret n°97-379 du 21 avril 1997 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006685413", "@num": "2", "#text": "Arrêté du 29 juin 1998 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000206232", "@nortexte": "MESG9822185A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-06-29" }, { "@id": "LEGIARTI000006791418", "@num": "1", "#text": "Arrêté du 22 septembre 1998 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000197158", "@nortexte": "DEFP9852012A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-09-22" }, { "@id": "LEGIARTI000006220570", "@num": "1", "#text": "Arrêté du 3 juillet 2003 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000785376", "@nortexte": "SOCS0320505A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-07-03" }, { "@id": "LEGIARTI000006223265", "@num": "1", "#text": "Arrêté du 7 juillet 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000245891", "@nortexte": "DEFP0301795A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-07-07" }, { "@id": "LEGIARTI000006725964", "@num": "16", "#text": "Décret n°2003-1077 du 14 novembre 2003 - art. 16 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000247998", "@nortexte": "SANP0324039D", "@numtexte": "2003-1077", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-11-14" }, { "@id": "LEGIARTI000006405002", "@num": "11", "#text": "Loi n°2005-270 du 24 mars 2005 - art. 11 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000808186", "@nortexte": "DEFX0400144L", "@numtexte": "2005-270", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-03-24" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759360", "@num": "103", "#text": "Loi n°2006-1640 du 21 décembre 2006 - art. 103 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000006259857", "@num": "24", "#text": "Loi n°2007-127 du 30 janvier 2007 - art. 24 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000822417", "@nortexte": "SANX0500266L", "@numtexte": "2007-127", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-01-30" }, { "@id": "LEGIARTI000043011831", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000464188", "@nortexte": "SANS0721128A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000045355399", "@num": "44", "#text": "LOI n° 2007-1786 du 19 décembre 2007 - art. 44 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000017730767", "@num": "43", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 43", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000017730777", "@num": "48", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 48", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000021100823", "@num": "Annexe", "#text": "Décret n°2009-1173\n du 1er octobre 2009 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021097320", "@nortexte": "SASS0917580D", "@numtexte": "2009-1173", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2009-10-01" }, { "@id": "LEGIARTI000024808324", "@num": "4", "#text": "Décret n°2010-735\n du 29 juin 2010 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022414984", "@nortexte": "SASH1010968D", "@numtexte": "2010-735", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-29" }, { "@id": "LEGIARTI000027844374", "@num": "4-1", "#text": "Décret n°2010-735\n du 29 juin 2010 - art. 4-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022414984", "@nortexte": "SASH1010968D", "@numtexte": "2010-735", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-29" }, { "@id": "LEGIARTI000028159380", "@num": "Annexe", "#text": "Arrêté du 27 juillet 2010 - art. 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Les rapports entre les organismes d'assurance maladie et les médecins sont définis par des conventions nationales conclues séparément pour les médecins généralistes et les médecins spécialistes, par l'Union nationale des caisses d'assurance maladie et une ou plusieurs organisations syndicales les plus représentatives pour l'ensemble du territoire de médecins généralistes ou de médecins spécialistes ou par une convention nationale conclue par l'Union nationale des caisses d'assurance maladie et au moins une organisation syndicale représentative pour l'ensemble du territoire de médecins généralistes et une organisation syndicale représentative pour l'ensemble du territoire de médecins spécialistes.

La ou les conventions nationales peuvent faire l'objet de clauses locales particulières, sous forme d'accords complémentaires entre les caisses primaires d'assurance maladie et les organisations syndicales de médecins les plus représentatives de leur ressort. Un décret en Conseil d'Etat fixe les conditions et modalités d'approbation de ces accords.

La ou les conventions déterminent notamment :

1° Les obligations respectives des caisses primaires d'assurance maladie et des médecins d'exercice libéral ;

2° Les conditions de l'exercice de la médecine générale et de la médecine spécialisée ainsi que les dispositions permettant, d'une part, une meilleure coordination de leurs interventions et, d'autre part, l'amélioration du recours aux établissements de soins hospitaliers ;

2° bis Le cas échéant, les conditions tendant à éviter à l'assuré social de payer directement les honoraires aux médecins ;

3° (Abrogé) ;

3° bis Le cas échéant, les conditions de promotion des actions d'évaluation des pratiques professionnelles individuelles ou collectives ;

4° Les modalités de financement des expérimentations et des actions innovantes ;

5° Les modalités de réalisation et de financement de programmes d'évaluation des stratégies diagnostiques et thérapeutiques permettant l'établissement de références médicales nationales et locales ;

6° Les mécanismes de maîtrise des dépenses médicales concourant au respect des dispositions prévues à l'article L. 162-5-2, et notamment des mesures appropriées pour garantir la qualité des soins dispensés, la sélection des thèmes de références médicales, l'opposabilité de ces références et ses conditions d'application, et la mise en oeuvre de contrats locaux de maîtrise de dépenses dans chaque circonscription de caisse ;

7° Le cas échéant, les modalités de financement et d'organisation de la reconversion professionnelle des médecins exerçant à titre libéral et les conditions d'attribution d'une aide à la reconversion dont le montant peut varier en fonction de la zone géographique et de l'exercice, par le médecin, d'une spécialité ou de la médecine générale. Elles peuvent prévoir de subordonner cette aide à l'engagement du médecin à renoncer à tout exercice de la médecine nécessitant une inscription au tableau de l'Ordre des médecins ainsi que les modalités de son remboursement en cas de reprise d'une activité telle que définie ci-dessus ;

8° Le cas échéant, les conditions dans lesquelles les tarifs et les rémunérations visés à l'article L. 162-5-2 peuvent être majorés pour certains médecins conventionnés ou certaines activités en vue de valoriser une pratique médicale correspondant à des critères de qualité qu'elles déterminent ;

9° Les conditions de l'utilisation pour l'application de la convention des informations mentionnées aux articles L. 161-28 et L. 161-29, relatives à l'activité des praticiens et notamment les modalités de transmission de ces données aux instances conventionnelles et aux unions de médecins visées à l'article 6 de la loi n° 93-8 du 4 janvier 1993 relative aux relations entre les professions de santé et l'assurance maladie ;

10° Les conditions dans lesquelles est assuré le suivi des dépassements d'honoraires et de leur évolution ;

11° (Abrogé) ;

12° Le cas échéant :

a) Les conditions particulières d'exercice propres à favoriser la coordination des soins par un médecin généraliste choisi par le patient, et les modes de rémunération, autres que le paiement à l'acte, y afférents ;

b) Les conditions particulières d'exercice permettant la prise en charge globale de patients dans le cadre de réseaux de soins et les modes de rémunération des médecins participant à ces réseaux ;

c) Les droits et obligations respectifs des médecins, des patients et des caisses, ainsi que des modalités d'évaluation associées aux formes d'exercice et modes de rémunération mentionnés aux a et b ci-dessus ;

13° Le cas échéant, les modes de rémunération, autres que le paiement à l'acte, des activités de soins ainsi que les modes de rémunération des activités non curatives des médecins, et notamment de prévention, d'éducation pour la santé, de formation, d'évaluation, d'études de santé publique, de veille sanitaire, prévus par des contrats passés entre les médecins concernés et les organismes d'assurance maladie et définissant les obligations relatives aux conditions d'exercice qui en résultent pour les intéressés.

Pour la mise en oeuvre des 12° et 13°, il peut être fait application des dérogations mentionnées au II de l'article L. 162-31-1 ;

14° Les objectifs et les modalités d'organisation de la formation professionnelle conventionnelle, le montant de la contribution annuelle des caisses nationales d'assurance maladie signataires assurant son financement, les conditions d'indemnisation des médecins participant à des actions de formation professionnelle conventionnelle agréées ainsi que la dotation allouée à ce titre par les caisses nationales d'assurance maladie signataires. La gestion des sommes affectées à ces opérations est confiée à l'organisme gestionnaire conventionnel mentionné à l'article L. 162-5-12 ;

15° Les mesures et procédures applicables aux médecins dont les pratiques abusives sont contraires aux objectifs de bonnes pratiques et de bon usage des soins fixés par la convention ;

16° Les modes de rémunération par l'assurance maladie, le cas échéant autres que le paiement à l'acte, de la participation des médecins au dispositif de permanence des soins en application des dispositions prévues à l'article L. 6325-1 du code de la santé publique ;

17° Les missions particulières des médecins traitants mentionnés à l'article L. 162-5-3 et les modalités de l'organisation de la coordination des soins ;

18° Les modalités selon lesquelles les médecins relevant de certaines spécialités sont autorisés à pratiquer, dans certaines limites respectant les dispositions de l'article L. 162-2-1, des dépassements d'honoraires sur le tarif des actes et consultations pour les patients qui les consultent sans prescription préalable de leur médecin traitant et qui ne relèvent pas d'un protocole de soins, et les engagements des professionnels pour assurer l'égalité de traitement des patients au regard des délais d'accès au médecin ;

19° Des objectifs de prescription de médicaments appartenant à un groupe générique tel que défini à l'article L. 5121-1 du code de la santé publique ;

20° Les mesures d'adaptation, notamment incitatives, des dispositions de l'article L. 162-14-1 et du présent article applicables aux médecins en fonction du niveau de l'offre en soins au sein de chaque région dans les zones au sens du 2° de l'article L. 162-47. Ces modalités sont définies après concertation des organisations les plus représentatives des étudiants en médecine, des internes, des chefs de clinique et des médecins récemment diplômés ou installés avec l'Union nationale des caisses d'assurance maladie.

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Article 43 ENTIEREMENT_MODIF (LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008)