{ "article": { "LEGIARTI000017730777": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "48", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000017730777", "URL": "article/LEGI/ARTI/00/00/17/73/07/LEGIARTI000017730777.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000017833113", "@num": "L162-1-7", "#text": "Code de la sécurité sociale. - art. L162-1-7 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@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" } ] }, "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": "LEGIARTI000017730777", "@fin": "2999-01-01", "@num": "48", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000017726802", "@fin": "2999-01-01", "@num": "48", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

\n
A modifié les dispositions suivantes :

Code de la sécurité sociale.
\nArt. L162-5\nArt. L162-1-7\n
\n

" } }, "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. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024803740", "@nortexte": "ETSS1125718A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-09-22" }, { "@id": "LEGIARTI000024853561", "@num": "6", "#text": "Décret n°2011-1644\n du 25 novembre 2011 - art. 6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000024851756", "@nortexte": "ETSS1130305D", "@numtexte": "2011-1644", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-11-25" }, { "@id": "LEGIARTI000024986437", "#text": "Arrêté du 8 décembre 2011 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982264", "@nortexte": "ETSH1133855A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-08" }, { "@id": "LEGIARTI000045355371", "@num": "70", "#text": "LOI n°2011-1906\n du 21 décembre 2011 - art. 70 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025005833", "@nortexte": "BCRX1125833L", "@numtexte": "2011-1906", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2011-12-21" }, { "@id": "LEGIARTI000025007684", "@num": "56", "#text": "LOI n°2011-1906 du 21 décembre 2011 - art. 56 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000025005833", "@nortexte": "BCRX1125833L", "@numtexte": "2011-1906", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2011-12-21" }, { "@id": "LEGIARTI000033715468", "@num": "48", "#text": "LOI n°2012-1404\n du 17 décembre 2012 - art. 48 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000026785322", "@nortexte": "EFIX1235628L", "@numtexte": "2012-1404", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2012-12-17" }, { "@id": "LEGIARTI000033715404", "@num": "36", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - 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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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Tableau VIII (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000027347647", "@nortexte": "DEFK1310181A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-04-02" }, { "@id": "LEGIARTI000028241820", "@num": "1", "#text": "Arrêté du 19 novembre 2013 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000028240762", "@nortexte": "JUSE1328519A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-19" }, { "@id": "LEGIARTI000031930945", "@num": "2", "#text": "LOI n°2013-1118\n du 6 décembre 2013 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028279423", "@nortexte": "AFSX1316565L", "@numtexte": "2013-1118", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-06" }, { "@id": "LEGIARTI000028375915", "@num": "36", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - art. 36 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGIARTI000050232015", "@num": "4", "#text": "Arrêté du 7 mai 2014 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028927989", "@nortexte": "AFSH1317250A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-05-07" }, { "@id": "LEGIARTI000031310180", "@num": "1", "#text": "DÉCRET n°2014-1523 du 16 décembre 2014 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000029917882", "@nortexte": "AFSS1416423D", "@numtexte": "2014-1523", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2014-12-16" }, { "@id": "LEGIARTI000041733050", "@num": "11", "#text": "ARRÊTÉ du 19 février 2015 - art. 11 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGIARTI000030561990", "#text": "ARRÊTÉ du 30 avril 2015 - art. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034475010", "@nortexte": "AFSS1709690A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-19" }, { "@id": "LEGIARTI000036523880", "@num": "2", "#text": "Arrêté du 19 avril 2017 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000034475023", "@nortexte": "AFSS1709691A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-19" }, { "@id": "LEGIARTI000036524056", "@num": "2", "#text": "Arrêté du 30 décembre 2017 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000036341608", "@nortexte": "SSAS1736152A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-12-30" }, { "@id": "LEGIARTI000036702254", "@num": "1", "#text": "Arrêté du 22 février 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000036701197", "@nortexte": "SSAS1805305A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-02-22" }, { "@id": "LEGIARTI000037417930", "#text": "Arrêté du 1er août 2018 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000037306389", "@nortexte": "SSAS1821639A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-01" }, { "@id": "LEGIARTI000037341717", "@num": "Annexe I", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341720", "@num": "Annexe III", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341725", "@num": "Annexe V", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341742", "@num": "Annexe XIII", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341746", "@num": "Annexe XVI", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341790", "@num": "4", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341750", "@num": "16", "#text": "Arrêté du 20 août 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341801", "@num": "11", "#text": "Arrêté du 20 août 2018 - art. 11 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037342689", "@num": "12", "#text": "Arrêté du 20 août 2018 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037342696", "@num": "13", "#text": "Arrêté du 20 août 2018 - art. 13 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037342850", "@num": "23", "#text": "Arrêté du 20 août 2018 - art. 23 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037343321", "@num": "38", "#text": "Arrêté du 20 août 2018 - art. 38 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037342275", "@num": "7", "#text": "Arrêté du 20 août 2018 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037947344", "@num": "2", "#text": "Arrêté du 27 décembre 2018 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000037880156", "@nortexte": "SSAS1832594A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-27" }, { "@id": "LEGIARTI000039028041", "#text": "Arrêté du 14 août 2019 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000038934376", "@nortexte": "SSAS1923989A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-14" }, { "@id": "LEGIARTI000039028051", "#text": "Arrêté du 14 août 2019 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000038934376", "@nortexte": "SSAS1923989A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-14" }, { "@id": "LEGIARTI000039201771", "#text": "Arrêté du 14 août 2019 - art. 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art. 8", "@sens": "cible", "@cidtexte": "JORFTEXT000041661407", "@nortexte": "SSAH2006254A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-02-28" }, { "@id": "LEGIARTI000041700431", "@num": "1", "#text": "Arrêté du 7 mars 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041698000", "@nortexte": "SSAS2006844A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-07" }, { "@id": "LEGIARTI000041700230", "@num": "1", "#text": "Décret n°2020-223 du 7 mars 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041697880", "@nortexte": "PRMX2006992D", "@numtexte": "2020-223", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-03-07" }, { "@id": "LEGIARTI000041737932", "@num": "1", "#text": "Arrêté du 19 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041737443", "@nortexte": "SSAZ2008066A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-19" }, { "@id": "LEGIARTI000041867006", "@num": "4-1", "#text": "Arrêté du 23 mars 2020 - art. 4-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041746744", "@nortexte": "SSAX2007864A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-23" }, { "@id": "LEGIARTI000041891791", "@num": "8", "#text": "Arrêté du 23 mars 2020 - art. 8 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041746744", "@nortexte": "SSAX2007864A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-23" }, { "@id": "LEGIARTI000041891785", "@num": "8-1", "#text": "Arrêté du 23 mars 2020 - art. 8-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041746744", "@nortexte": "SSAX2007864A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-23" }, { "@id": "LEGIARTI000041756295", "@num": "1", "#text": "Arrêté du 25 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041755801", "@nortexte": "SSAZ2008363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-25" }, { "@id": "LEGIARTI000041774693", "@num": "1", "#text": "Arrêté du 31 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041774063", "@nortexte": "SSAZ2008819A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-31" }, { "@id": "LEGIARTI000041807647", "@num": "1", "#text": "Arrêté du 16 avril 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041807257", "@nortexte": "SSAZ2009852A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-04-16" }, { "@id": "LEGIARTI000041811410", "@num": "3", "#text": "Arrêté du 15 avril 2020 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041810621", "@nortexte": "SSAH2009797A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-04-15" }, { "@id": "LEGITEXT000041871933", "#text": "Arrêté du 12 mai 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041869967", "@nortexte": "SSAZ2011557A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-12" }, { "@id": "LEGIARTI000041871937", "@num": "1", "#text": "Arrêté du 12 mai 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041869967", "@nortexte": "SSAZ2011557A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-12" }, { "@id": "LEGIARTI000041871391", "@num": "1", "#text": "Décret n°2020-550 du 12 mai 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041869658", "@nortexte": "PRMX2011791D", "@numtexte": "2020-550", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-05-12" }, { "@id": "LEGITEXT000041890381", "#text": "Arrêté du 18 mai 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041889362", "@nortexte": "SSAZ2011564A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-18" }, { "@id": "LEGIARTI000041890409", "@num": "1", "#text": "Arrêté du 18 mai 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041889362", "@nortexte": "SSAZ2011564A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-18" }, { "@id": "LEGITEXT000041924857", "#text": "Arrêté du 27 mai 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041923558", "@nortexte": "SSAZ2012672A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-27" }, { "@id": "LEGIARTI000041924863", "@num": "1", "#text": "Arrêté du 27 mai 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041923558", "@nortexte": "SSAZ2012672A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-27" }, { "@id": "LEGIARTI000041924900", "@num": "1", "#text": "Décret n°2020-635 du 27 mai 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041923279", "@nortexte": "PRMX2012687D", "@numtexte": "2020-635", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-05-27" }, { "@id": "LEGITEXT000041976357", "#text": "Arrêté du 8 juin 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041976098", "@nortexte": "SSAZ2014294A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-06-08" }, { "@id": "LEGITEXT000042433098", "#text": "Arrêté du 10 juillet 2020 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000042106233", "@nortexte": "SSAZ2018110A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-10" }, { "@id": "LEGIARTI000043418141", "@num": "17", "#text": "Arrêté du 10 juillet 2020 - art. 17 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000042106233", "@nortexte": "SSAZ2018110A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-10" }, { "@id": "LEGIARTI000043568777", "@num": "18", "#text": "Arrêté du 10 juillet 2020 - art. 18 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000042106233", "@nortexte": "SSAZ2018110A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-10" }, { "@id": "LEGIARTI000042107193", "@num": "6 EUS", "#text": "Arrêté du 10 juillet 2020 - art. 6 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000042106233", "@nortexte": "SSAZ2018110A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-10" }, { "@id": "LEGIARTI000042507505", "@num": "6", "#text": "Arrêté du 10 juillet 2020 - art. 6 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000042106233", "@nortexte": "SSAZ2018110A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-10" }, { "@id": "LEGITEXT000042153582", "#text": "Arrêté du 24 juillet 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042148309", "@nortexte": "SSAZ2019742A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-07-24" }, { "@id": "LEGITEXT000042331644", "#text": "Arrêté du 15 septembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042331277", "@nortexte": "SSAZ2024530A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-09-15" }, { "@id": "LEGIARTI000042331652", "@num": "1", "#text": "Arrêté du 15 septembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042331277", "@nortexte": "SSAZ2024530A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-09-15" }, { "@id": "LEGITEXT000042368835", "#text": "Arrêté du 25 septembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042366311", "@nortexte": "SSAZ2023833A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-09-25" }, { "@id": "LEGITEXT000042369551", "#text": "Arrêté du 25 septembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042366348", "@nortexte": "SSAZ2025708A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-09-25" }, { "@id": "LEGIARTI000042369554", "@num": "1", "#text": "Arrêté du 25 septembre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042366348", "@nortexte": "SSAZ2025708A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-09-25" }, { "@id": "LEGITEXT000042432206", "#text": "Arrêté du 16 octobre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430920", "@nortexte": "SSAZ2028012A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGITEXT000042432517", "#text": "Arrêté du 16 octobre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430864", "@nortexte": "SSAZ2027698A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGITEXT000042432555", "#text": "Arrêté du 16 octobre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430854", "@nortexte": "SSAZ2027696A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGIARTI000042432533", "@num": "1", "#text": "Arrêté du 16 octobre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042430864", "@nortexte": "SSAZ2027698A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGIARTI000042432210", "@num": "1", "#text": "Arrêté du 16 octobre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430920", "@nortexte": "SSAZ2028012A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGIARTI000042432558", "@num": "1", "#text": "Arrêté du 16 octobre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430854", "@nortexte": "SSAZ2027696A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-16" }, { "@id": "LEGIARTI000042431328", "@num": "1", "#text": "Décret n°2020-1260 du 16 octobre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042430397", "@nortexte": "PRMX2028014D", "@numtexte": "2020-1260", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-10-16" }, { "@id": "LEGITEXT000042470129", "#text": "Arrêté du 26 octobre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042469123", "@nortexte": "SSAZ2029050A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-26" }, { "@id": "LEGIARTI000042470139", "@num": "1", "#text": "Arrêté du 26 octobre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042469123", "@nortexte": "SSAZ2029050A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-10-26" }, { "@id": "LEGIARTI000042507028", "@num": "1", "#text": "Arrêté du 7 novembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042506409", "@nortexte": "SSAZ2030422A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-11-07" }, { "@id": "LEGITEXT000042526456", "#text": "Arrêté du 16 novembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042525251", "@nortexte": "SSAZ2031430A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-11-16" }, { "@id": "LEGITEXT000042608578", "#text": "Arrêté du 3 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042607794", "@nortexte": "SSAZ2033724A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-03" }, { "@id": "LEGIARTI000042608596", "@num": "1", "#text": "Arrêté du 3 décembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042607794", "@nortexte": "SSAZ2033724A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-03" }, { "@id": "LEGITEXT000042671706", "#text": "Arrêté du 12 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042660111", "@nortexte": "SSAS2035127A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-12" }, { "@id": "LEGIARTI000042671715", "@num": "1", "#text": "Arrêté du 12 décembre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042660111", "@nortexte": "SSAS2035127A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-12" }, { "@id": "LEGIARTI000049704331", "@num": "3", "#text": "Arrêté du 7 décembre 2020 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042660034", "@nortexte": "SSAH2034287A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-07" }, { "@id": "LEGIARTI000042704121", "@num": "1", "#text": "Décret n°2020-1623 du 18 décembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042702359", "@nortexte": "SSAS2028916D", "@numtexte": "2020-1623", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-12-18" }, { "@id": "LEGITEXT000042842776", "#text": "Arrêté du 30 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042841279", "@nortexte": "SSAZ2037116A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-30" }, { "@id": "LEGIARTI000042842793", "@num": "1", "#text": "Arrêté du 30 décembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042841279", "@nortexte": "SSAZ2037116A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-30" }, { "@id": "LEGITEXT000042906448", "#text": "Arrêté du 28 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042855919", "@nortexte": "SSAS2036905A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-28" }, { "@id": "LEGIARTI000042906452", "@num": "1", "#text": "Arrêté du 28 décembre 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042855919", "@nortexte": "SSAS2036905A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-28" }, { "@id": "LEGIARTI000042984238", "@num": "5", "#text": "Décret n°2021-13 du 8 janvier 2021 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042895619", "@nortexte": "SSAS2036847D", "@numtexte": "2021-13", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-01-08" }, { "@id": "LEGIARTI000042984252", "@num": "8", "#text": "Décret n°2021-13 du 8 janvier 2021 - art. 8 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000042895619", "@nortexte": "SSAS2036847D", "@numtexte": "2021-13", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-01-08" }, { "@id": "LEGIARTI000042984254", "@num": "9", "#text": "Décret n°2021-13 du 8 janvier 2021 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042895619", "@nortexte": "SSAS2036847D", "@numtexte": "2021-13", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-01-08" }, { "@id": "LEGITEXT000043040493", "#text": "Arrêté du 23 janvier 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043040039", "@nortexte": "SSAZ2102659A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-01-23" }, { "@id": "LEGIARTI000043040503", "@num": "1", "#text": "Arrêté du 23 janvier 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043040039", "@nortexte": "SSAZ2102659A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-01-23" }, { "@id": "LEGIARTI000043102736", "@num": "1", "#text": "Arrêté du 5 février 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043099878", "@nortexte": "SSAZ2104247A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-02-05" }, { "@id": "LEGITEXT000043168905", "#text": "Arrêté du 22 février 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043168520", "@nortexte": "SSAZ2106097A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-02-22" }, { "@id": "LEGIARTI000043242193", "@num": "1", "#text": "Décret n°2021-271 du 11 mars 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043241265", "@nortexte": "SSAS2105885D", "@numtexte": "2021-271", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-03-11" }, { "@id": "LEGIARTI000043247741", "@num": "1", "#text": "Arrêté du 12 mars 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043244185", "@nortexte": "SSAZ2108391A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-03-12" }, { "@id": "LEGITEXT000043412678", "#text": "Décret n°2021-492 du 21 avril 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043411835", "@nortexte": "SSAS2112157D", "@numtexte": "2021-492", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-04-21" }, { "@id": "LEGITEXT000043460637", "#text": "Arrêté du 29 avril 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043459800", "@nortexte": "SSAZ2113612A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-29" }, { "@id": "LEGIARTI000043509723", "@num": "1", "#text": "Arrêté du 28 avril 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043508692", "@nortexte": "SSAH2113564A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-28" }, { "@id": "LEGITEXT000043564207", "#text": "Arrêté du 29 mai 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043558149", "@nortexte": "SSAZ2116594A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-05-29" }, { "@id": "LEGIARTI000043564217", "@num": "1", "#text": "Arrêté du 29 mai 2021 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043558149", "@nortexte": "SSAZ2116594A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-05-29" }, { "@id": "LEGITEXT000043568340", "#text": "Arrêté du 31 mai 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043567515", "@nortexte": "SSAZ2116611A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-05-31" }, { "@id": "LEGIARTI000047779249", "@num": "11", "#text": "Arrêté du 1 juin 2021 - art. 11 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000047779227", "@num": "15", "#text": "Arrêté du 1 juin 2021 - art. 15 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000047236318", "@num": "24", "#text": "Arrêté du 1 juin 2021 - art. 24 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000047779156", "@num": "33", "#text": "Arrêté du 1 juin 2021 - art. 33 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000047513169", "@num": "43-1", "#text": "Arrêté du 1 juin 2021 - art. 43-1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000044549344", "@num": "14", "#text": "Arrêté du 1er juin 2021 - art. 14 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGITEXT000043764908", "#text": "Arrêté du 6 juillet 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043764103", "@nortexte": "SSAS2120918A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-07-06" }, { "@id": "LEGITEXT000043768971", "#text": "Arrêté du 7 juillet 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043767971", "@nortexte": "SSAZ2121002A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-07-07" }, { "@id": "LEGITEXT000043803984", "#text": "Arrêté du 17 juillet 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043800041", "@nortexte": "SSAZ2122252A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-07-17" }, { "@id": "LEGIARTI000043917161", "@num": "1", "#text": "Arrêté du 7 août 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000043915556", "@nortexte": "SSAZ2124340A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-08-07" }, { "@id": "LEGIARTI000049704400", "@num": "4", "#text": "Arrêté du 22 septembre 2021 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044087701", "@nortexte": "SSAH2128254A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-09-22" }, { "@id": "LEGIARTI000047544560", "#text": "Arrêté du 22 septembre 2021 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000044097701", "@nortexte": "SSAS2128599A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-09-22" }, { "@id": "LEGIARTI000047544558", "#text": "Arrêté du 22 septembre 2021 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044097701", "@nortexte": "SSAS2128599A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-09-22" }, { "@id": "LEGITEXT000044164152", "#text": "Arrêté du 4 octobre 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044163276", "@nortexte": "SSAZ2129735A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-10-04" }, { "@id": "LEGIARTI000044164159", "@num": "1", "#text": "Arrêté du 4 octobre 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000044163276", "@nortexte": "SSAZ2129735A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-10-04" }, { "@id": "LEGIARTI000044316326", "@num": "1", "#text": "Arrêté du 10 novembre 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000044315500", "@nortexte": "SSAZ2133780A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-11-10" }, { "@id": "LEGIARTI000047397770", "@num": "1", "#text": "Arrêté du 27 décembre 2021 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000044592184", "@nortexte": "SSAH2138157A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-12-27" }, { "@id": "LEGIARTI000047397783", "@num": "3", "#text": "Arrêté du 27 décembre 2021 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000044592184", "@nortexte": "SSAH2138157A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-12-27" }, { "@id": "LEGIARTI000047397793", "@num": "4", "#text": "Arrêté du 27 décembre 2021 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000044592184", "@nortexte": "SSAH2138157A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-12-27" }, { "@id": "LEGIARTI000045077173", "@num": "2", "#text": "Arrêté du 26 janvier 2022 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000045076515", "@nortexte": "SSAZ2202902A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-01-26" }, { "@id": "LEGITEXT000045100801", "#text": "Arrêté du 1er février 2022 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045100297", "@nortexte": "SSAZ2203470A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-02-01" }, { "@id": "LEGIARTI000045100813", "@num": "1", "#text": "Arrêté du 1er février 2022 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045100297", "@nortexte": "SSAZ2203470A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-02-01" }, { "@id": "LEGIARTI000045100819", "@num": "1", "#text": "Décret n°2022-97 du 1er février 2022 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045100020", "@nortexte": "PRMX2203535D", "@numtexte": "2022-97", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-02-01" }, { "@id": "LEGIARTI000045134330", "@num": "35", "#text": "LOI n°2022-140 du 7 février 2022 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045133771", "@nortexte": "SSAA2115600L", "@numtexte": "2022-140", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2022-02-07" }, { "@id": "LEGITEXT000045948443", "#text": "Arrêté du 21 juin 2022 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000045946584", "@nortexte": "SPRZ2218177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-06-21" }, { "@id": "LEGIARTI000045948457", "@num": "2", "#text": "Arrêté du 21 juin 2022 - 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La prise en charge ou le remboursement par l'assurance maladie de tout acte ou prestation réalisé par un professionnel de santé, dans le cadre d'un exercice libéral ou d'un exercice salarié auprès d'un autre professionnel de santé libéral, ou en centre de santé ou dans un établissement ou un service médico-social, ainsi que, à compter du 1er janvier 2005, d'un exercice salarié dans un établissement de santé, à l'exception des prestations mentionnées à l'article L. 165-1, est subordonné à leur inscription sur une liste établie dans les conditions fixées au présent article.L'inscription sur la liste peut elle-même être subordonnée au respect d'indications thérapeutiques ou diagnostiques, à l'état du patient ainsi qu'à des conditions particulières de prescription, d'utilisation ou de réalisation de l'acte ou de la prestation.
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La hiérarchisation des prestations et des actes est établie dans le respect des règles déterminées par des commissions créées pour chacune des professions dont les rapports avec les organismes d'assurance maladie sont régis par une convention mentionnée à l'article L. 162-14-1. Ces commissions, présidées par une personnalité désignée d'un commun accord par leurs membres, sont composées de représentants des syndicats représentatifs des professionnels de santé et de représentants de l'Union nationale des caisses d'assurance maladie. Un représentant de l'Etat assiste à leurs travaux.
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Les conditions d'inscription d'un acte ou d'une prestation, leur inscription et leur radiation sont décidées par l'Union nationale des caisses d'assurance maladie, après avis de la Haute Autorité de santé et de l'Union nationale des organismes d'assurance maladie complémentaire.L'avis de la Haute Autorité de santé n'est pas nécessaire lorsque la décision ne modifie que la hiérarchisation d'un acte ou d'une prestation.
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Les décisions de l'Union nationale des caisses d'assurance maladie sont réputées approuvées sauf opposition motivée des ministres chargés de la santé et de la sécurité sociale. Le ministre chargé de la santé peut procéder d'office à l'inscription ou à la radiation d'un acte ou d'une prestation pour des raisons de santé publique par arrêté pris après avis de la Haute Autorité de santé. Dans ce cas, il fixe la hiérarchisation de l'acte ou de la prestation dans le respect des règles mentionnées ci-dessus. Les tarifs de ces actes et prestations sont publiés au Journal officiel de la République française.
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Après avis de la Haute Autorité de santé, un acte en phase de recherche clinique ou d'évaluation du service qu'il rend peut être inscrit, pour une période déterminée, sur la liste visée au premier alinéa.L'inscription et la prise en charge sont soumises au respect d'une procédure et de conditions particulières définies par convention entre l'Union nationale des caisses d'assurance maladie et la Haute Autorité de santé.
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Article 48 ENTIEREMENT_MODIF (LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008)