{ "article": { "LEGIARTI000017730787": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "54", "ETAT": "VIGUEUR", "TYPE": "PARTIELLEMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2007-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000017730787", "URL": "article/LEGI/ARTI/00/00/17/73/07/LEGIARTI000017730787.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000017841949", "@num": "L861-3", "#text": "Code de la sécurité sociale. - art. L861-3 (M)", "@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": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000017730787", "@fin": "2999-01-01", "@num": "54", "@etat": "VIGUEUR", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000017726839", "@fin": "2999-01-01", "@num": "54", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I. - A modifié les dispositions suivantes :

Code de la sécurité sociale.
Art. L861-3
\n

II. - Les modalités d'application du présent article sont fixées par décret.

" } }, "LEGIARTI000017841949": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L861-3", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2014-12-25", "DATE_DEBUT": "2007-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000017841949", "URL": "article/LEGI/ARTI/00/00/17/84/19/LEGIARTI000017841949.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006756625", "@num": "6-1", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006756626", "@num": "6-2", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000037950400", "@num": "6-3", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006756611", "@num": "9", "#text": "Loi n°89-1009 du 31 décembre 1989 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006758129", "@num": "28", "#text": "Loi n°99-641 du 27 juillet 1999 - art. 28 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198392", "@nortexte": "MESX9900011L", "@numtexte": "99-641", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1999-07-27" }, { "@id": "LEGIARTI000006758181", "@num": "72", "#text": "Loi n°99-641 du 27 juillet 1999 - art. 72 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198392", "@nortexte": "MESX9900011L", "@numtexte": "99-641", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1999-07-27" }, { "@id": "LEGIARTI000006779223", "@num": "2", "#text": "Décret n°99-1079 du 21 décembre 1999 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000568256", "@nortexte": "MESS9923699D", "@numtexte": "99-1079", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1999-12-21" }, { "@id": "LEGITEXT000005628955", "#text": "Arrêté du 31 décembre 1999", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGIARTI000006791673", "@num": "1", "#text": "Arrêté du 31 décembre 1999 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGIARTI000006791676", "@num": "2", "#text": "Arrêté du 31 décembre 1999 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGIARTI000006791677", "@num": "3", "#text": "Arrêté du 31 décembre 1999 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGITEXT000005629438", "#text": "Arrêté du 15 mai 2000", "@sens": "cible", "@cidtexte": "JORFTEXT000000216929", "@nortexte": "MESS0021520A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2000-05-15" }, { "@id": "LEGIARTI000006791708", "@num": "1", "#text": "Arrêté du 15 mai 2000 - art. 1 ()", "@sens": "cible", "@cidtexte": "JORFTEXT000000216929", "@nortexte": "MESS0021520A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2000-05-15" }, { "@id": "LEGIARTI000027193817", "@num": "1", "#text": "Arrêté du 27 avril 2001 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000212954", "@nortexte": "MESS0121648A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2001-04-27" }, { "@id": "LEGIARTI000028202372", "@num": "5-1", "#text": "Décret n°2004-325 du 8 avril 2004 - art. 5-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000436465", "@nortexte": "INDI0302128D", "@numtexte": "2004-325", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-04-08" }, { "@id": "LEGIARTI000017730787", "@num": "54", "#text": "LOI n°2007-1786 du 19 décembre 2007 - art. 54 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000043138095", "@num": "Annexe", "#text": "Arrêté du 20 octobre 2010 - art. 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Les personnes mentionnées à l'article L. 861-1 ont droit, sans contrepartie contributive, à la prise en charge, sous réserve de la réduction, de la suppression ou de la dispense de participation prévues par le présent code ou stipulées par les garanties collectives obligatoires professionnelles :

1° De la participation de l'assuré aux tarifs de responsabilité des organismes de sécurité sociale prévue au I de l'article L. 322-2 pour les prestations couvertes par les régimes obligatoires ; cette participation demeure toutefois à la charge des personnes mentionnées à l'article L. 861-1, dans les conditions prévues par le présent code, lorsqu'elles se trouvent dans l'une des situations prévues à l'avant-dernier alinéa de l'article L. 162-5-3 ;

2° Du forfait journalier prévu à l'article L. 174-4 ;

3° Des frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dento-faciale et pour les dispositifs médicaux à usage individuel admis au remboursement, dans des limites fixées par arrêté interministériel.

La prise en charge prévue au 1° ci-dessus peut être limitée par décret en Conseil d'Etat afin de respecter les dispositions de l'article L. 871-1 et de prendre en compte les avis de la Haute Autorité de santé eu égard à l'insuffisance du service médical rendu des produits, actes ou prestations de santé.

L'arrêté mentionné au 3° ci-dessus précise notamment la liste des dispositifs et la limite du montant des frais pris en charge.

Sauf lorsqu'elles se trouvent dans l'une des situations mentionnées à l'avant-dernier alinéa de l'article L. 162-5-3, les personnes mentionnées à l'article L. 861-1 sont dispensées de l'avance de frais pour les dépenses prises en charge par les régimes obligatoires des assurances maladie et maternité et celles prévues au présent article dans les conditions fixées au troisième alinéa de l'article L. 162-16-7.

Les personnes ayant souscrit un acte d'adhésion, transmis à leur caisse d'assurance maladie, formalisant leur engagement auprès d'un médecin référent dans une démarche qualité fondée sur la continuité et la coordination des soins bénéficient de la procédure de dispense d'avance de frais pour les frais des actes réalisés par ce médecin ou par les médecins spécialistes qui se déclarent correspondants de ce médecin, pour eux-mêmes ou leurs ayants droit.

Les personnes dont le droit aux prestations définies aux six premiers alinéas du présent article vient à expiration bénéficient, pour une durée d'un an à compter de la date d'expiration de ce droit, de la procédure de dispense d'avance des frais prévue à l'alinéa précédent pour la part de leurs dépenses prise en charge par les régimes obligatoires d'assurance maladie et maternité.

Pour l'application de cette dispense d'avance de frais, un décret détermine les modalités de paiement des professionnels et établissements de santé permettant notamment qu'ils aient un interlocuteur unique pour l'ensemble de la procédure.

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Article 54 PARTIELLEMENT_MODIF VIGUEUR, en vigueur depuis le 22/12/2007 (LOI n° 2007-1786 du 19 décembre 2007 de financement de la sécurité sociale pour 2008)