{ "article": { "LEGIARTI000019945434": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "47", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000019945434", "URL": "article/LEGI/ARTI/00/00/19/94/54/LEGIARTI000019945434.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000019954067", "@num": "L162-22-7", "#text": "Code de la sécurité sociale. - art. L162-22-7 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000019954075", "@num": "L162-22-7-2", "#text": "Code de la sécurité sociale. - art. L162-22-7-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000019954071", "@num": "L162-5-17", "#text": "Code de la sécurité sociale. - art. L162-5-17 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000019945320", "@fin": "2999-01-01", "#text": "SECTION 1 : DISPOSITIONS RELATIVES AUX DEPENSES D'ASSURANCE MALADIE", "@debut": "2008-12-19" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000019945330", "@fin": "2999-01-01", "#text": "QUATRIEME PARTIE : DISPOSITIONS RELATIVES AUX DEPENSES POUR 2009", "@debut": "2008-12-19" } ] }, "@cid": "JORFTEXT000019942966", "@nor": "BCFX0823210L", "@num": "2008-1330", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2008-1330 du 17 décembre 2008 de financement de la sécurité sociale pour 2009 (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000019942966", "@c_titre_court": "LOI n°2008-1330 du 17 décembre 2008" }, { "@fin": "2999-01-01", "#text": "LOI n° 2008-1330 du 17 décembre 2008 de financement de la sécurité sociale pour 2009 (1)", "@debut": "2008-12-19", "@id_txt": "LEGITEXT000019945312", "@c_titre_court": "LOI n° 2008-1330 du 17 décembre 2008" } ], "@date_publi": "2008-12-18", "@date_signature": "2008-12-17" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000019945434", "@fin": "2999-01-01", "@num": "47", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000019943217", "@fin": "2999-01-01", "@num": "47", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
\n
\n
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
Art. L162-22-7-2, Art. L162-5-17, Art. L162-22-7\n
\n

\n
" } }, "LEGIARTI000019954067": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-02-26", "DATE_DEBUT": "2008-12-19" } }, "META_COMMUN": { "ID": "LEGIARTI000019954067", "URL": "article/LEGI/ARTI/00/00/19/95/40/LEGIARTI000019954067.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006219595", "@num": "1", "#text": "Arrêté du 27 mai 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000595843", "@nortexte": "SANH0321929A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-05-27" }, { "@id": "LEGIARTI000046808822", "@num": "33", "#text": "Loi n° 2003-1199 du 18 décembre 2003 - art. 33 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006758875", "@num": "34", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 34 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006235049", "@num": "3", "#text": "Arrêté du 8 octobre 2004 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000006235052", "@num": "6", "#text": "Arrêté du 8 octobre 2004 - art. 6 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000006237552", "@num": "6", "#text": "Décret n°2004-1539 du 30 décembre 2004 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000805740", "@nortexte": "SANH0424352D", "@numtexte": "2004-1539", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000030118885", "@num": "2", "#text": "Arrêté du 31 décembre 2004 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000628165", "@nortexte": "SANH0520003A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-12-31" }, { "@id": "LEGIARTI000017886602", "@num": "12", "#text": "Décret n°2005-30 du 14 janvier 2005 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000628651", "@nortexte": "SANH0424404D", "@numtexte": "2005-30", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-01-14" }, { "@id": "LEGIARTI000019721891", "@num": "ANNEXE", "#text": "Décret n°2005-1023 du 24 août 2005 - art. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000019987836", "@num": "1", "#text": "Arrêté du 18 décembre 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000022153658", "@num": "2", "#text": "Décret n°2008-1528\n du 30 décembre 2008 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020018744", "@nortexte": "SJSH0825684D", "@numtexte": "2008-1528", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-30" }, { "@id": "LEGIARTI000034829560", "@num": "1", "#text": "Arrêté du 21 janvier 2009 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000047594855", "@num": "2", "#text": "Arrêté du 21 janvier 2009 - art. 2 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000023660592", "@num": "8", "#text": "Arrêté du 19 février 2009 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000020310296", "@nortexte": "SASH0904095A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-19" }, { "@id": "LEGITEXT000020316234", "#text": "Arrêté du 18 février 2009 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020315160", "@nortexte": "SJSS0828100A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-18" }, { "@id": "LEGIARTI000021984479", "@num": "1", "#text": "Arrêté du 15 mars 2010 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000021983900", "@nortexte": "SASS1006030A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-15" }, { "@id": "LEGIARTI000022076341", "@num": "1", "#text": "Arrêté du 8 mars 2010 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022075448", "@nortexte": "SASS1002630A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-08" }, { "@id": "LEGIARTI000022365439", "@num": "2", "#text": "Décret n°2010-667\n du 17 juin 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022362587", "@nortexte": "SASH1003494D", "@numtexte": "2010-667", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-17" }, { "@id": "LEGITEXT000023722789", "#text": "Arrêté du 14 mars 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000023722792", "@num": "1", "#text": "Arrêté du 14 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000031846972", "@num": "1", "#text": "Arrêté du 30 juin 2011 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000024290191", "@nortexte": "ETSH1032982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-06-30" }, { "@id": "LEGIARTI000030527539", "@num": "1", "#text": "Arrêté du 14 décembre 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982301", "@nortexte": "ETSS1134190A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-14" }, { "@id": "LEGITEXT000025526962", "#text": "Arrêté du 8 mars 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000025526966", "@num": "1", "#text": "Arrêté du 8 mars 2012 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000028222587", "#text": "Arrêté du 18 novembre 2013 - art. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000051282570", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - 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L'Etat fixe la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées.

Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur de l'agence régionale de l'hospitalisation et l'assurance maladie dans des conditions définies par décret.

Lorsque l'établissement adhérent ne respecte pas les stipulations de ce contrat et après qu'il a été mis en demeure de présenter ses observations, ce remboursement peut être réduit dans la limite de 30 % de la part prise en charge par l'assurance maladie et en tenant compte des manquements constatés.

Les établissements qui n'ont pas adhéré au contrat de bon usage des médicaments et des produits et prestations bénéficient d'un remboursement à hauteur de 70 % de la part prise en charge par les régimes obligatoires d'assurance maladie.

Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

La prise en charge des médicaments orphelins au sens du règlement (CE) n° 141 / 2000 du Parlement européen et du Conseil du 16 décembre 1999 concernant les médicaments orphelins est subordonnée à la validation de la prescription initiale par le centre de référence de la maladie pour le traitement de laquelle la prescription est envisagée, lorsqu'il existe, ou par l'un des centres de compétence qui lui sont rattachés.

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A défaut d'identification par le numéro personnel mentionné à l'article L. 162-5-15 des prescriptions de spécialités pharmaceutiques mentionnées à l'article L. 162-22-7, les dépenses y afférentes ne sont pas prises en charge par les organismes de sécurité sociale.

Ces dépenses ne peuvent être facturées au patient.

\n
" } }, "LEGIARTI000019954075": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-02-26", "DATE_DEBUT": "2008-12-19" } }, "META_COMMUN": { "ID": "LEGIARTI000019954075", "URL": "article/LEGI/ARTI/00/00/19/95/40/LEGIARTI000019954075.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Loi n° 2008-1330 du 17 décembre 2008 article 47 IV : Le I s'applique pour la première fois au titre des dépenses de santé de l'année 2009.

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L'Etat arrête, sur la base de l'analyse nationale de l'évolution des prescriptions des spécialités pharmaceutiques et des produits et prestations mentionnés à l'article L. 162-22-7 et sur recommandation du conseil de l'hospitalisation mentionné à l'article L. 162-21-2, un taux prévisionnel d'évolution des dépenses d'assurance maladie afférentes à ces spécialités et à ces produits et prestations.

Lorsqu'elle estime, compte tenu des référentiels et recommandations élaborés par la Haute Autorité de santé, l'Institut national du cancer et l'Agence française de sécurité sanitaire des produits de santé, que le dépassement de ce taux par un établissement de santé n'est pas justifié, l'agence régionale de l'hospitalisation conclut, pour une durée d'un an, avec les autres signataires du contrat de bon usage des médicaments et des produits et prestations mentionné à l'article L. 162-22-7, un plan d'actions visant à maîtriser l'évolution des dépenses par l'amélioration des pratiques de cet établissement.

En cas de refus de l'établissement de signer ce plan ou si l'établissement ne respecte pas le plan auquel il a souscrit, le remboursement de la part prise en charge par l'assurance maladie est réduit à concurrence de 10 %, pour une durée d'un an, en fonction des manquements observés, après que l'établissement a été mis en mesure de présenter ses observations. Le cas échéant, cette réduction se cumule avec celle résultant de l'article L. 162-22-7, dans la limite maximale de 30 %. La différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

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Article 47 ENTIEREMENT_MODIF (LOI n° 2008-1330 du 17 décembre 2008 de financement de la sécurité sociale pour 2009 (1))