{ "article": { "LEGIARTI000021662925": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9-1", "ETAT": "TRANSFERE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-01", "DATE_DEBUT": "2010-01-07" } }, "META_COMMUN": { "ID": "LEGIARTI000021662925", "URL": "article/LEGI/ARTI/00/00/21/66/29/LEGIARTI000021662925.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000021656632", "@num": "3", "#text": "Décret n°2010-6 du 5 janvier 2010 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000021625996", "@nortexte": "SASS0924398D", "@numtexte": "2010-6", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2010-01-05" }, { "@id": "LEGIARTI000031795302", "@num": "2", "#text": "Décret n°2015-1865 du 30 décembre 2015 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000031740633", "@nortexte": "AFSS1528689D", "@numtexte": "2015-1865", "@typelien": "TRANSFERE", "@naturetexte": "DECRET", "@datesignatexte": "2015-12-30" }, { "@id": "LEGIARTI000031797224", "@num": "R160-18", "#text": "Code de la sécurité sociale. - art. R160-18 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749213", "@num": "R322-1", "#text": "Code de la sécurité sociale. - art. R322-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749228", "@num": "R322-4", "#text": "Code de la sécurité sociale. - art. R322-4", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749995", "@num": "R322-8", "#text": "Code de la sécurité sociale. - art. R322-8", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749231", "@num": "R322-9", "#text": "Code de la sécurité sociale. - art. R322-9", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749988", "@fin": "1988-09-09", "@num": "R322-9-1", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749989", "@fin": "2001-09-15", "@num": "R322-9-1", "@etat": "MODIFIE", "@debut": "1988-09-09", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749990", "@fin": "2004-12-31", "@num": "R322-9-1", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749991", "@fin": "2010-01-07", "@num": "R322-9-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000021662925", "@fin": "2016-01-01", "@num": "R322-9-1", "@etat": "TRANSFERE", "@debut": "2010-01-07", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Par dérogation aux articles R. 322-4, R. 322-8 et au I de l'article R. 322-9, les assurés sociaux mentionnés à ces articles supportent la participation prévue au 6° et au 14° de l'article R. 322-1.

\n
\n
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D761-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "Décret 91-306 1991-03-24 art. 4", "@sens": "source", "@typelien": "SPEC_APPLI" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749213", "@fin": "1992-06-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749214", "@fin": "1993-03-28", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1992-06-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749215", "@fin": "1993-08-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-03-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749216", "@fin": "1999-10-30", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-08-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749217", "@fin": "2000-06-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1999-10-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749218", "@fin": "2003-12-19", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2000-06-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749219", "@fin": "2004-06-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006749220", "@fin": "2004-12-31", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2004-06-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749221", "@fin": "2006-12-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749222", "@fin": "2009-02-25", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2006-12-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020303282", "@fin": "2010-01-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2009-02-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021662912", "@fin": "2011-01-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2010-01-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023432852", "@fin": "2012-01-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2011-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025111819", "@fin": "2014-12-20", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2012-01-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029924694", "@fin": "2015-07-24", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2014-12-20", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000030919417", "@fin": "2016-01-01", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2015-07-24", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 25 p. 100 pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4°) 35 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1°ci-dessus ;
\n
5°) 60 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ;
\n
6°) 30 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
" } }, "LEGIARTI000006749214": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1993-03-28", "DATE_DEBUT": "1992-06-02" } }, "META_COMMUN": { "ID": "LEGIARTI000006749214", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749214.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAB" } }, "NOTA": { "CONTENU": "

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D761-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "Décret 91-306 1991-03-24 art. 4", "@sens": "source", "@typelien": "SPEC_APPLI" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749213", "@fin": "1992-06-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749214", "@fin": "1993-03-28", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1992-06-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749215", "@fin": "1993-08-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-03-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749216", "@fin": "1999-10-30", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-08-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749217", "@fin": "2000-06-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1999-10-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749218", "@fin": "2003-12-19", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2000-06-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749219", "@fin": "2004-06-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006749220", "@fin": "2004-12-31", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2004-06-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749221", "@fin": "2006-12-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749222", "@fin": "2009-02-25", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2006-12-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020303282", "@fin": "2010-01-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2009-02-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021662912", "@fin": "2011-01-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2010-01-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023432852", "@fin": "2012-01-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2011-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025111819", "@fin": "2014-12-20", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2012-01-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029924694", "@fin": "2015-07-24", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2014-12-20", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000030919417", "@fin": "2016-01-01", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2015-07-24", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 25 p. 100 pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4°) 35 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1°ci-dessus ;
\n
5°) 60 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ;
\n
6°) 30 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
" } }, "LEGIARTI000006749215": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1993-08-01", "DATE_DEBUT": "1993-03-28" } }, "META_COMMUN": { "ID": "LEGIARTI000006749215", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749215.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAC" } }, "NOTA": { "CONTENU": "

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D761-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "Décret 91-306 1991-03-24 art. 4", "@sens": "source", "@typelien": "SPEC_APPLI" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749213", "@fin": "1992-06-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749214", "@fin": "1993-03-28", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1992-06-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749215", "@fin": "1993-08-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-03-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749216", "@fin": "1999-10-30", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-08-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749217", "@fin": "2000-06-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1999-10-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749218", "@fin": "2003-12-19", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2000-06-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749219", "@fin": "2004-06-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006749220", "@fin": "2004-12-31", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2004-06-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749221", "@fin": "2006-12-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749222", "@fin": "2009-02-25", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2006-12-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020303282", "@fin": "2010-01-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2009-02-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021662912", "@fin": "2011-01-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2010-01-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023432852", "@fin": "2012-01-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2011-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025111819", "@fin": "2014-12-20", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2012-01-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029924694", "@fin": "2015-07-24", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2014-12-20", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000030919417", "@fin": "2016-01-01", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2015-07-24", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 25 p. 100 pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4°) 35 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1°ci-dessus ;
\n
5°) 60 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ;
\n
6°) 30 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
" } }, "LEGIARTI000006749216": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1999-10-30", "DATE_DEBUT": "1993-08-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006749216", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749216.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAD" } }, "NOTA": { "CONTENU": "

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La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 30 p. 100 pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4°) 40 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5°) 65 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-8 ;
\n
6°) 35 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
" } }, "LEGIARTI000006749217": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2000-06-07", "DATE_DEBUT": "1999-10-30" } }, "META_COMMUN": { "ID": "LEGIARTI000006749217", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749217.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAE" } }, "NOTA": { "CONTENU": "

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La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 30 p. 100 pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4°) 40 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5°) 65 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ;
\n
6°) 35 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
" } }, "LEGIARTI000006749218": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2003-12-19", "DATE_DEBUT": "2000-06-07" } }, "META_COMMUN": { "ID": "LEGIARTI000006749218", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749218.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAF" } }, "NOTA": { "CONTENU": "

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La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C.
\n
La participation de l'assuré prévue à l'article L. 322-2 est également supprimée pour les frais d'examens de dépistage sous réserve que ces examens soient effectués dans le cadre des programmes figurant sur la liste mentionnée au deuxième alinéa de l'article L. 55 du code de la santé publique.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 30 % pour les frais d'honoraires des praticiens, y compris pour les actes d'anatomie et de cytologie pathologiques quel que soit le coefficient associé à leur cotation, sauf pour les frais mentionnés au 1° ci-dessus ;
\n
4°) 40 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5°) 65 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ;
\n
6°) 35 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
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La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C.
\n
La participation de l'assuré prévue à l'article L. 322-2 est également supprimée pour les frais d'examens de dépistage sous réserve que ces examens soient effectués dans le cadre des programmes figurant sur la liste mentionnée au deuxième alinéa de l'article L. 55 du code de la santé publique.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 30 % pour les frais d'honoraires des praticiens, y compris pour les actes d'anatomie et de cytologie pathologiques quel que soit le coefficient associé à leur cotation, sauf pour les frais mentionnés au 1° ci-dessus ;
\n
4°) 40 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5°) 65 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ;
\n
6°) 65 p. 100 pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 par le ministre chargé de la santé et le ministre chargé de la sécurité sociale ;
\n
7°) 35 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
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La participation de l'assuré prévue à l'article L. 322-2 est supprimée pour certains médicaments reconnus comme irremplaçables et particulièrement coûteux, figurant sur une liste établie par arrêté conjoint du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ainsi que pour les frais d'analyses ou d'examens de laboratoire relatifs au dépistage sérologique de l'infection par le virus de l'immunodéficience humaine et par le virus de l'hépatite C. Il n'y a pas non plus de participation de l'assuré pour les médicaments inscrits sur la liste prévue à l'article L. 5126-4 du code de la santé publique au titre du III de l'article R. 5104-109 du même code et pour ceux bénéficiant d'une autorisation temporaire d'utilisation mentionnée au a de l'article L. 5121-12 du code de la santé publique.
\n
La participation de l'assuré prévue à l'article L. 322-2 est également supprimée pour les frais d'examens de dépistage sous réserve que ces examens soient effectués dans le cadre des programmes figurant sur la liste mentionnée au deuxième alinéa de l'article L. 55 du code de la santé publique.
\n
La participation de l'assuré prévue à l'article L. 322-2 est fixée ainsi qu'il suit :
\n
1°) 20 p. 100 pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement public ou privé ainsi que pour les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2°) 20 p. 100 du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement public ou privé ;
\n
3°) 30 % pour les frais d'honoraires des praticiens, y compris pour les actes d'anatomie et de cytologie pathologiques quel que soit le coefficient associé à leur cotation, sauf pour les frais mentionnés au 1° ci-dessus ;
\n
4°) 40 p. 100 pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus, et pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5°) 65 p. 100 pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité, et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important figurant sur une liste établie par arrêté du ministre chargé de la santé et du ministre chargé de la sécurité sociale, après avis de la commission instituée par l'article R. 163-15 ;
\n
6°) 65 p. 100 pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 par le ministre chargé de la santé et le ministre chargé de la sécurité sociale ;
\n
7°) 35 p. 100 pour tous les autres frais, y compris les frais de transport prévus au 1° de l'article L. 321-1.
\n
La participation de l'assuré en ce qui concerne les frais de transport n'est pas due lorsque l'état du bénéficiaire hospitalisé dans un établissement de soins nécessite son transfert vers un autre établissement d'hospitalisation en vue d'un traitement mieux adapté à cet état. Toutefois, cette disposition dérogatoire n'est pas applicable aux transports vers une maison de repos ou de convalescence, présentant les caractéristiques techniques définies à l'article premier de l'annexe XIX du décret n° 56-284 du 9 mars 1956.
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La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :
\n
1° De 15 à 25 % pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement de santé public ou privé ainsi que les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
\n
2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;
\n
3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5° De 35 à 45 % pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
6° De 60 à 70 % pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important ;
\n
7° De 60 à 70 % pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 ;
\n
8° de 30 à 40 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;
\n
9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;
\n
10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;
\n
11° de 30 à 40 % pour tous les autres frais.
" } }, "LEGIARTI000006749222": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-02-25", "DATE_DEBUT": "2006-12-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006749222", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749222.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R01AXXAJ" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782176", "@num": "71", "#text": "Arrêté du 19 juin 1947 - art. 71 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782191", "@num": "71-2 ter", "#text": "Arrêté du 19 juin 1947 - art. 71-2 ter (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782194", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "JORFARTI000002477949", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - 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D325-7 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006738309", "@num": "D615-1", "#text": "Code de la sécurité sociale. - art. D615-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029436179", "@num": "D911-1", "#text": "Code de la sécurité sociale. - art. D911-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740610", "@num": "L162-17", "#text": "Code de la sécurité sociale. - art. L162-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (MMN)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742902", "@num": "L321-1", "#text": "Code de la sécurité sociale. - art. L321-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742479", "@num": "L322-2", "#text": "Code de la sécurité sociale. - art. L322-2 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031796245", "@num": "R160-5", "#text": "Code de la sécurité sociale. - art. R160-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746687", "@num": "R163-1", "#text": "Code de la sécurité sociale. - art. R163-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000023432842", "@num": "R163-13", "#text": "Code de la sécurité sociale. - art. R163-13 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031829120", "@num": "R163-14-3", "#text": "Code de la sécurité sociale. - art. R163-14-3 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006747678", "@num": "R163-18", "#text": "Code de la sécurité sociale. - art. R163-18 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746697", "@num": "R163-3", "#text": "Code de la sécurité sociale. - art. R163-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746717", "@num": "R163-7", "#text": "Code de la sécurité sociale. - art. R163-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749224", "@num": "R322-2", "#text": "Code de la sécurité sociale. - art. R322-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749227", "@num": "R322-3", "#text": "Code de la sécurité sociale. - art. R322-3 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025767545", "@num": "R322-9-4", "#text": "Code de la sécurité sociale. - art. R322-9-4 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031829115", "@num": "R863-11", "#text": "Code de la sécurité sociale. - art. R863-11 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034623863", "@num": "R871-2", "#text": "Code de la sécurité sociale. - art. R871-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006598266", "@num": "D761-8", "#text": "Code rural - art. D761-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749213", "@fin": "1992-06-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749214", "@fin": "1993-03-28", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1992-06-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749215", "@fin": "1993-08-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-03-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749216", "@fin": "1999-10-30", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-08-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749217", "@fin": "2000-06-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1999-10-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749218", "@fin": "2003-12-19", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2000-06-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749219", "@fin": "2004-06-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006749220", "@fin": "2004-12-31", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2004-06-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749221", "@fin": "2006-12-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749222", "@fin": "2009-02-25", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2006-12-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020303282", "@fin": "2010-01-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2009-02-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021662912", "@fin": "2011-01-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2010-01-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023432852", "@fin": "2012-01-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2011-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025111819", "@fin": "2014-12-20", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2012-01-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029924694", "@fin": "2015-07-24", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2014-12-20", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000030919417", "@fin": "2016-01-01", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2015-07-24", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :
\n
1° De 15 à 25 % pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement de santé public ou privé ainsi que les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;
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2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;
\n
3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
5° De 35 à 45 % pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;
\n
6° De 60 à 70 % pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important ;
\n
7° De 60 à 70 % pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 et pour les préparations homéopathiques répondant aux conditions définies au 11° de l'article L. 5121-1 du code de la santé publique prises en charge par l'assurance maladie ;
\n
8° de 30 à 40 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;
\n
9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;
\n
10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;
\n
11° de 30 à 40 % pour tous les autres frais.
" } }, "LEGIARTI000006749228": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-4", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2004-12-31", "DATE_DEBUT": "1985-12-21" } }, "META_COMMUN": { "ID": "LEGIARTI000006749228", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749228.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R04AXXAA" } }, "NOTA": { "CONTENU": "

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761634", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006761635", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17 art. 1 JORF 21 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CREATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006742446", "@num": "L311-10", "#text": "Code de la sécurité sociale. - art. 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Les pensionnés ou rentiers mentionnés aux articles L. 311-10, L. 313-4 et L. 341-16 sont exonérés de toute participation en ce qui concerne les frais engagés pour eux-mêmes.
\n
Les rentiers mentionnés à l'article L. 371-1 sont exonérés de toute participation en ce qui concerne les frais engagés pour eux-mêmes et pour leurs ayants droit.
\n
Les titulaires d'une pension de réversion qui se trouvent atteints entre cinquante-cinq et soixante ans d'une invalidité permanente satisfaisant aux conditions exigées pour ouvrir droit à une pension d'invalidité sont également exonérés de toute participation, en ce qui concerne les frais engagés pour eux-mêmes.
" } }, "LEGIARTI000006749229": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-4", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-06-03", "DATE_DEBUT": "2004-12-31" } }, "META_COMMUN": { "ID": "LEGIARTI000006749229", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749229.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R04AXXAB" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761634", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006761635", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006237414", "@num": "1", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 1 () JORF 31 décembre 2004", "@sens": "source", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000006237418", "@num": "5", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 5 () JORF 31 décembre 2004", "@sens": "source", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000006742446", "@num": "L311-10", "#text": "Code de la sécurité sociale. - art. L311-10 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742454", "@num": "L313-4", "#text": "Code de la sécurité sociale. - art. L313-4 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742479", "@num": "L322-2", "#text": "Code de la sécurité sociale. - art. L322-2 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742612", "@num": "L341-16", "#text": "Code de la sécurité sociale. - art. L341-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742715", "@num": "L371-1", "#text": "Code de la sécurité sociale. - art. L371-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031796751", "@num": "R160-10", "#text": "Code de la sécurité sociale. - art. R160-10 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752669", "@num": "R761-17", "#text": "Code de la sécurité sociale. - art. R761-17 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752722", "@num": "R762-14", "#text": "Code de la sécurité sociale. - art. R762-14 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749228", "@fin": "2004-12-31", "@num": "R322-4", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749229", "@fin": "2011-06-03", "@num": "R322-4", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000024112984", "@fin": "2016-01-01", "@num": "R322-4", "@etat": "TRANSFERE", "@debut": "2011-06-03", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les pensionnés ou rentiers mentionnés aux articles L. 311-10, L. 313-4 et L. 341-16 sont exonérés de la participation prévue au I de l'article L. 322-2 en ce qui concerne les frais engagés pour eux-mêmes.
\n
Les rentiers mentionnés à l'article L. 371-1 sont exonérés de la participation prévue au I de l'article L. 322-2 en ce qui concerne les frais engagés pour eux-mêmes et pour leurs ayants droit.
\n
Les titulaires d'une pension de réversion qui se trouvent atteints entre cinquante-cinq et soixante ans d'une invalidité permanente satisfaisant aux conditions exigées pour ouvrir droit à une pension d'invalidité sont également exonérés de la participation prévue au I de l'article L. 322-2, en ce qui concerne les frais engagés pour eux-mêmes.
" } }, "LEGIARTI000006749231": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1995-04-07", "DATE_DEBUT": "1985-12-21" } }, "META_COMMUN": { "ID": "LEGIARTI000006749231", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749231.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R09AXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17 art. 1 JORF 21 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CREATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "Décret 91-306 1991-03-24 art. 4, art. 5", "@sens": "source", "@typelien": "SPEC_APPLI" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

\n
\n

1°) pour l'assurée ou l'ayant droit de l'assuré en état de grossesse, pendant une période qui débute quatre mois avant la date présumée de l'accouchement et se termine à la date de l'accouchement ;

\n
\n

2°) pour l'hospitalisation des nouveau-nés, lorsque l'hospitalisation se produit au cours des trente premiers jours suivant le jour de la naissance ;

\n
\n

3°) pour les investigations nécessaires au diagnostic de la stérilité et pour le traitement de celle-ci, y compris au moyen de l'insémination artificielle. La décision de la caisse d'assurance maladie prononçant la suppression de la participation est prise sur avis conforme du contrôle médical ; à défaut d'entente entre le médecin-conseil et le médecin traitant sur les prestations devant bénéficier de la dispense de participation, il est fait appel à un expert dans les conditions prises en application de l'article L. 324-1. La décision de la caisse fixe la durée de la période d'exonération.

\n
" } }, "LEGIARTI000006749232": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2001-09-15", "DATE_DEBUT": "1995-04-07" } }, "META_COMMUN": { "ID": "LEGIARTI000006749232", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749232.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R09AXXAB" } }, "LIENS": { "LIEN": [ { "#text": "Décret 91-306 1991-03-24 art. 4, art. 5", "@sens": "source", "@typelien": "SPEC_APPLI" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006778155", "@num": "1", "#text": "Décret n°95-361 du 31 mars 1995 - art. 1 () JORF 7 avril 1995", "@sens": "source", "@cidtexte": "JORFTEXT000000551956", "@nortexte": "SPSS9500603D", "@numtexte": "95-361", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1995-03-31" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

\n
\n

2°) pour l'hospitalisation des nouveau-nés, lorsqu'elle se produit dans les trente jours qui suivent la naissance, ainsi que pour les soins de toute nature qui leur sont dispensés dans un établissement de santé au cours de la période de trente jours qui suit la naissance ;

\n
\n

\n
" } }, "LEGIARTI000006749233": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2004-12-31", "DATE_DEBUT": "2001-09-15" } }, "META_COMMUN": { "ID": "LEGIARTI000006749233", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749233.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R09AXXAC" } }, "NOTA": { "CONTENU": "

(1) Il convient de lire 706-48 du code de procédure pénale.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006780068", "@num": "1", "#text": "Décret n°2001-833 du 13 septembre 2001 - art. 1 () JORF 15 septembre 2001", "@sens": "source", "@cidtexte": "JORFTEXT000000590999", "@nortexte": "MESS0122805D", "@numtexte": "2001-833", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-09-13" }, { "@id": "LEGITEXT000006070719", "#text": "Code pénal 222-23 à 222-32, 227-22 à 227-27, 706-48", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006426773", "@num": "375", "#text": "Code civil - art. 375 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006070721", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

II. - La participation de l'assuré est également supprimée, dans les conditions définies ci-après, pour les soins consécutifs aux sévices sexuels subis par les mineurs victimes d'actes prévus et réprimés par les articles 222-23 à 222-32 et 227-22 à 227-27 du code pénal, à compter de la date présumée de commission des faits.

Saisie d'une demande de l'assuré, de la victime, de son médecin ou de son représentant légal, ou lorsqu'une enquête de police judiciaire, une instruction préparatoire ou une mesure d'assistance éducative prévue à l'article 375 du code civil a été engagée, la caisse d'assurance maladie sollicite l'avis du contrôle médical sur le principe et la durée de l'exonération prévue à l'alinéa précédent. Le contrôle médical se prononce sur la base des éléments communiqués par le médecin traitant et, le cas échéant, de l'expertise médico-psychologique mentionnée à l'article 706-48 du code pénal (1).

L'exonération est fixée pour la durée du traitement, si nécessaire au-delà de la majorité de la victime, et peut être prolongée dans les conditions prévues à l'alinéa précédent.

" } }, "LEGIARTI000006749234": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-02-26", "DATE_DEBUT": "2005-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006749234", "URL": "article/LEGI/ARTI/00/00/06/74/92/LEGIARTI000006749234.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R09AXXAD" } }, "NOTA": { "CONTENU": "

(1) Il convient de lire 706-48 du code de procédure pénale.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006237414", "@num": "1", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 1 () JORF 31 décembre 2004 en vigueur le 1er janvier 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000006237420", "@num": "7", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 7 () JORF 31 décembre 2004 en vigueur le 1er janvier 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGITEXT000006070719", "#text": "Code pénal 222-23 à 222-32, 227-22 à 227-27, 706-48", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006426773", "@num": "375", "#text": "Code civil - art. 375 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006070721", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

\n
\n

1°) pour l'hospitalisation des nouveau-nés, lorsqu'elle se produit dans les trente jours qui suivent la naissance, ainsi que pour les soins de toute nature qui leur sont dispensés dans un établissement de santé au cours de la période de trente jours qui suit la naissance ;

\n
\n

2°) pour les investigations nécessaires au diagnostic de la stérilité et pour le traitement de celle-ci, y compris au moyen de l'insémination artificielle. La décision de la caisse d'assurance maladie prononçant la suppression de la participation est prise sur avis conforme du contrôle médical ; à défaut d'entente entre le médecin-conseil et le médecin traitant sur les prestations devant bénéficier de la dispense de participation, il est fait appel à un expert dans les conditions prises en application de l'article L. 324-1. La décision de la caisse fixe la durée de la période d'exonération.

\n
\n

L'exonération est fixée pour la durée du traitement, si nécessaire au-delà de la majorité de la victime, et peut être prolongée dans les conditions prévues à l'alinéa précédent.

\n
" } }, "LEGIARTI000006749995": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1987-01-01", "DATE_DEBUT": "1985-12-21" } }, "META_COMMUN": { "ID": "LEGIARTI000006749995", "URL": "article/LEGI/ARTI/00/00/06/74/99/LEGIARTI000006749995.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAA" } }, "NOTA": { "CONTENU": "

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Un décret en Conseil d'Etat fixe les conditions d'application des dispositions des 1° et 2° de l'article L. 322-3. Jusqu'à l'intervention de ce décret, demeurent en vigueur les dispositions applicables au 21 août 1967 et limitant ou supprimant la participation de l'assuré, à l'exception de celles qui concernent les affections de longue durée.
\n
" } }, "LEGIARTI000006749996": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2004-01-01", "DATE_DEBUT": "1987-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006749996", "URL": "article/LEGI/ARTI/00/00/06/74/99/LEGIARTI000006749996.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAB" } }, "NOTA": { "CONTENU": "

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" }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "JORFTEXT000000701454", "#text": "Décret 86-1376 1986-12-31 art. 1 JORF 1er janvier 1987", "@sens": "source", "@cidtexte": "JORFTEXT000000701454", "@numtexte": "86-1376", "@typelien": "CREATION", "@naturetexte": "DECRET", "@datesignatexte": "1986-12-31" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@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": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. 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R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "Décret 91-306 1991-03-24 art. 4", "@sens": "source", "@typelien": "SPEC_APPLI" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. 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Un décret en Conseil d'Etat fixe les conditions d'application des dispositions des 1° et 2° de l'article L. 322-3. Jusqu'à l'intervention de ce décret, demeurent en vigueur les dispositions applicables au 21 août 1967 et limitant ou supprimant la participation de l'assuré, à l'exception de celles qui concernent les affections de longue durée et de celles qui concernent les affections entraînant une cessation de travail pendant une période continue d'au moins trois mois.
\n
" } }, "LEGIARTI000006749997": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2004-12-31", "DATE_DEBUT": "2004-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006749997", "URL": "article/LEGI/ARTI/00/00/06/74/99/LEGIARTI000006749997.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAC" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006226313", "@num": "1", "#text": "Décret n°2003-1207 du 18 décembre 2003 - art. 1 () JORF 19 décembre 2003 en vigueur le 1er janvier 2004", "@sens": "source", "@cidtexte": "JORFTEXT000000798743", "@nortexte": "SANS0324433D", "@numtexte": "2003-1207", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@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": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (MMN)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797159", "@num": "R160-16", "#text": "Code de la sécurité sociale. - art. R160-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749995", "@fin": "1987-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749996", "@fin": "2004-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749997", "@fin": "2004-12-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749998", "@fin": "2005-03-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749999", "@fin": "2006-06-20", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2005-03-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006750000", "@fin": "2011-02-24", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2006-06-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023625339", "@fin": "2012-01-02", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2011-02-24", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000025111812", "@fin": "2016-01-01", "@num": "R322-8", "@etat": "TRANSFERE", "@debut": "2012-01-02", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Pour l'application des 1 et 2 de l'article L. 322-3 :
\n
I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée dans les cas suivants :
\n
1. Pour les actes de nomenclature générale des actes professionnels affectés d'un coefficient égal ou supérieur à 50 ;
\n
2. Pour l'ensemble des frais intervenant au cours d'une hospitalisation dans un établissement de santé, lorsqu'il est effectué un acte thérapeutique ou un acte diagnostique dont la réalisation en établissement de santé est nécessaire à la sécurité des soins, affecté d'un coefficient égal ou supérieur à celui prévu au 1 ci-dessus.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle, ainsi que pour les frais de transport entre les deux établissements ou entre l'établissement et le domicile en cas d'hospitalisation à domicile.
\n
En cas d'hospitalisation mentionnée au 2 ci-dessus, la participation de l'assuré est également supprimée pour les frais de transport d'urgence entre le lieu de prise en charge de la personne et l'établissement de santé.
\n
Les frais des prothèses dentaires, des analyses de biologie et des actes d'anatomo-cyto-pathologie ne donnent pas lieu à exonération sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 ci-dessus.
\n
Pour l'appréciation des règles fixées aux 1 et 2 ci-dessus, les coefficients des actes peuvent se cumuler lorsque ces actes sont réalisés au cours d'une même séance, ou pour un même examen ou dans le cadre d'une même thérapeutique. Les conditions d'application de ces dispositions sont fixées par arrêté du ministre chargé de la sécurité sociale et du ministre chargé de l'agriculture.
\n
Les coefficients de chacun des actes de radiodiagnostic ne peuvent être cumulés.
\n
II. - La participation de l'assuré est également supprimée dans les cas suivants :
\n
1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.
\n
2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du 31e jour d'hospitalisation consécutif.
" } }, "LEGIARTI000006749998": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-03-31", "DATE_DEBUT": "2004-12-31" } }, "META_COMMUN": { "ID": "LEGIARTI000006749998", "URL": "article/LEGI/ARTI/00/00/06/74/99/LEGIARTI000006749998.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAD" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006237414", "@num": "1", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 1 () JORF 31 décembre 2004", "@sens": "source", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@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": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (MMN)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797159", "@num": "R160-16", "#text": "Code de la sécurité sociale. - art. R160-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749995", "@fin": "1987-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749996", "@fin": "2004-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749997", "@fin": "2004-12-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749998", "@fin": "2005-03-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749999", "@fin": "2006-06-20", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2005-03-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006750000", "@fin": "2011-02-24", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2006-06-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023625339", "@fin": "2012-01-02", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2011-02-24", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000025111812", "@fin": "2016-01-01", "@num": "R322-8", "@etat": "TRANSFERE", "@debut": "2012-01-02", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Pour l'application des 1 et 2 de l'article L. 322-3 :
\n
I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée dans les cas suivants :
\n
1. Pour les actes de nomenclature générale des actes professionnels affectés d'un coefficient égal ou supérieur à 50 ;
\n
2. Pour l'ensemble des frais intervenant au cours d'une hospitalisation dans un établissement de santé, lorsqu'il est effectué un acte thérapeutique ou un acte diagnostique dont la réalisation en établissement de santé est nécessaire à la sécurité des soins, affecté d'un coefficient égal ou supérieur à celui prévu au 1 ci-dessus.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle, ainsi que pour les frais de transport entre les deux établissements ou entre l'établissement et le domicile en cas d'hospitalisation à domicile.
\n
En cas d'hospitalisation mentionnée au 2 ci-dessus, la participation de l'assuré est également supprimée pour les frais de transport d'urgence entre le lieu de prise en charge de la personne et l'établissement de santé.
\n
Les frais des prothèses dentaires, des analyses de biologie et des actes d'anatomo-cyto-pathologie ne donnent pas lieu à exonération sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 ci-dessus.
\n
Pour l'appréciation des règles fixées aux 1 et 2 ci-dessus, les coefficients des actes peuvent se cumuler lorsque ces actes sont réalisés au cours d'une même séance, ou pour un même examen ou dans le cadre d'une même thérapeutique. Les conditions d'application de ces dispositions sont fixées par arrêté du ministre chargé de la sécurité sociale et du ministre chargé de l'agriculture.
\n
Les coefficients de chacun des actes de radiodiagnostic ne peuvent être cumulés.
\n
II. - La participation de l'assuré est également supprimée dans les cas suivants :
\n
1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.
\n
2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du 31e jour d'hospitalisation consécutif.
" } }, "LEGIARTI000006749999": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2006-06-20", "DATE_DEBUT": "2005-03-31" } }, "META_COMMUN": { "ID": "LEGIARTI000006749999", "URL": "article/LEGI/ARTI/00/00/06/74/99/LEGIARTI000006749999.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAE" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006239759", "@num": "1", "#text": "Décret n°2005-292 du 30 mars 2005 - art. 1 () JORF 31 mars 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000257698", "@nortexte": "SANS0521139D", "@numtexte": "2005-292", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-03-30" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@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": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (MMN)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797159", "@num": "R160-16", "#text": "Code de la sécurité sociale. - art. R160-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746679", "@num": "R162-52", "#text": "Code de la sécurité sociale. - art. R162-52 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749995", "@fin": "1987-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749996", "@fin": "2004-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749997", "@fin": "2004-12-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749998", "@fin": "2005-03-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749999", "@fin": "2006-06-20", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2005-03-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006750000", "@fin": "2011-02-24", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2006-06-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023625339", "@fin": "2012-01-02", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2011-02-24", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000025111812", "@fin": "2016-01-01", "@num": "R322-8", "@etat": "TRANSFERE", "@debut": "2012-01-02", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Pour l'application des 1 et 2 de l'article L. 322-3 :
\n
I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée dans les cas suivants :
\n
1. Pour les actes inscrits sur la liste mentionnée à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 50, soit d'un tarif égal ou supérieur à 91 euros.
\n
Le montant de ce tarif évolue chaque année conformément à l'évolution du tarif moyen pondéré afférent aux actes de la classification commune des actes médicaux constaté par le directeur général de l'Union nationale des caisses d'assurance maladie à la fin de l'année précédente.
\n
2. Pour l'ensemble des frais intervenant au cours d'une hospitalisation dans un établissement de santé, lorsqu'il est effectué un acte thérapeutique ou un acte diagnostique dont la réalisation en établissement de santé est nécessaire à la sécurité des soins, affecté d'un coefficient égal ou supérieur à 50 ou d'un tarif égal ou supérieur à 91 euros.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle, ainsi que pour les frais de transport entre les deux établissements ou entre l'établissement et le domicile en cas d'hospitalisation à domicile.
\n
En cas d'hospitalisation mentionnée au 2 ci-dessus, la participation de l'assuré est également supprimée pour les frais de transport d'urgence entre le lieu de prise en charge de la personne et l'établissement de santé.
\n
Les frais des prothèses dentaires, des analyses de biologie et des actes d'anatomo-cyto-pathologie ne donnent pas lieu à exonération sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 ci-dessus.
\n
4. Pour l'appréciation des règles fixées aux 1 et 2 ci-dessus, les coefficients des actes peuvent se cumuler lorsque ces actes sont réalisés dans le même temps, par le même praticien et pour le même patient. Les conditions d'application de ces dispositions sont fixées par arrêté du ministre chargé de la sécurité sociale et du ministre chargé de l'agriculture. Les tarifs des actes peuvent se cumuler dans les mêmes conditions. Lorsque le cumul concerne un acte affecté d'un coefficient et un acte affecté d'un tarif, la participation de l'assuré est supprimée, lorsque le montant en euros résultant de ce cumul est égal ou supérieur à 91 euros.
\n
5. Les coefficients ou les tarifs de chacun des actes de radiodiagnostic ne peuvent être cumulés.
\n
II. - La participation de l'assuré est également supprimée dans les cas suivants :
\n
1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.
\n
2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du 31e jour d'hospitalisation consécutif.
" } }, "LEGIARTI000006750000": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-02-24", "DATE_DEBUT": "2006-06-20" } }, "META_COMMUN": { "ID": "LEGIARTI000006750000", "URL": "article/LEGI/ARTI/00/00/06/75/00/LEGIARTI000006750000.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX2X322R08AXXAF" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006252192", "@num": "1", "#text": "Décret n°2006-707 du 19 juin 2006 - art. 1 () JORF 20 juin 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000792524", "@nortexte": "SANS0620526D", "@numtexte": "2006-707", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2006-06-19" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@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": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (MMN)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797159", "@num": "R160-16", "#text": "Code de la sécurité sociale. - art. R160-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746679", "@num": "R162-52", "#text": "Code de la sécurité sociale. - art. R162-52 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749995", "@fin": "1987-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749996", "@fin": "2004-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749997", "@fin": "2004-12-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749998", "@fin": "2005-03-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749999", "@fin": "2006-06-20", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2005-03-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006750000", "@fin": "2011-02-24", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2006-06-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023625339", "@fin": "2012-01-02", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2011-02-24", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000025111812", "@fin": "2016-01-01", "@num": "R322-8", "@etat": "TRANSFERE", "@debut": "2012-01-02", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Pour l'application des 1° et 2° de l'article L. 322-3 :
\n
I. - La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est réduite à 18 euros dans les cas suivants :
\n
1. Pour les actes inscrits sur la liste mentionnée à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 50, soit d'un tarif égal ou supérieur à 91 euros.
\n
2. Pour l'ensemble des frais intervenant au cours d'une hospitalisation dans un établissement de santé, lorsqu'il est effectué un acte thérapeutique ou un acte diagnostique dont la réalisation en établissement de santé est nécessaire à la sécurité des soins, affecté d'un coefficient égal ou supérieur à 50 ou d'un tarif égal ou supérieur à 91 euros.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle.
\n
Dans les cas mentionnés aux 2 et 3 ci-dessus, la participation de l'assuré est due au titre des frais d'hospitalisation.
\n
Dans le cas mentionné au 1 ci-dessus, lorsqu'au cours d'une même consultation sont réalisés par un même praticien et pour un même patient plusieurs actes affectés soit d'un coefficient égal du supérieur à 50, soit d'un tarif égal ou supérieur à 91 euros, la participation de l'assuré pour l'ensemble de ces actes est réduite au montant défini au premier alinéa du présent I.
\n
Pour l'application de ces dispositions, les coefficients ou les tarifs des actes peuvent se cumuler lorsque ces actes sont réalisés dans le même temps, par le même praticien et pour le même patient. Les conditions d'application de ces dispositions sont fixées par arrêté du ministre chargé de la sécurité sociale. Lorsque le cumul concerne un acte affecté d'un coefficient et un acte affecté d'un tarif, la participation de l'assuré est égale au montant défini au premier alinéa du présent I lorsque le montant en euros résultant de ce cumul est égal ou supérieur à 91 euros.
\n
II. - La participation de l'assuré est supprimée :
\n
1. Pour les actes de radiodiagnostic, d'imagerie par résonance magnétique, de scanographie, de scintigraphie ou de tomographie à émission de positons mentionnés dans la liste des actes et prestations pris en charge ou admis au remboursement par l'assurance maladie prévue à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 50, soit d'un tarif égal ou supérieur à 91 euros ; cette suppression ne dispense pas du versement du montant de la participation due par l'assuré au titre des autres actes pratiqués à l'occasion de la consultation ou des frais intervenus au cours de l'hospitalisation.
\n
2. Pour les frais de transport d'urgence entre le lieu de prise en charge de la personne et l'établissement de santé, en cas d'hospitalisation mentionnée au 2 du I ainsi que, en cas d'hospitalisation mentionnée au 3, pour les frais de transport entre les deux établissements ou entre l'établissement et le domicile en cas d'hospitalisation à domicile.
\n
Pour l'application des dispositions du 1 ci-dessus, les coefficients ou tarifs de chacun des actes mentionnés ne peuvent être cumulés.
\n
III. - Le tarif ouvrant droit à réduction est revalorisé chaque année conformément à l'évolution du tarif moyen pondéré afférent aux actes de la classification commune des actes médicaux constaté par le directeur général de l'Union nationale des caisses d'assurance maladie à la fin de l'année précédente.
\n
IV. - La participation de l'assuré n'est ni réduite ni supprimée pour les frais de prothèses dentaires, d'analyses de biologie et d'actes d'anatomo-cyto-pathologie sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 du I ci-dessus.
\n
V. - La participation de l'assuré est supprimée dans les cas suivants :
\n
1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.
\n
2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.
\n
3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du trente et unième jour d'hospitalisation consécutif.
" } }, "LEGIARTI000020303282": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-01-07", "DATE_DEBUT": "2009-02-25" } }, "META_COMMUN": { "ID": "LEGIARTI000020303282", "URL": "article/LEGI/ARTI/00/00/20/30/32/LEGIARTI000020303282.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782176", "@num": "71", "#text": "Arrêté du 19 juin 1947 - art. 71 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782191", "@num": "71-2 ter", "#text": "Arrêté du 19 juin 1947 - art. 71-2 ter (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782194", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "JORFARTI000002477949", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1, v. init.", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006271526", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006775227", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006779165", "@num": "6", "#text": "Décret n°99-915 du 27 octobre 1999 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000384938", "@nortexte": "MESS9923357D", "@numtexte": "99-915", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1999-10-27" }, { "@id": "LEGIARTI000006779633", "@num": "3", "#text": "Décret n°2000-501 du 6 juin 2000 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000764550", "@nortexte": "AGRS0000741D", "@numtexte": "2000-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2000-06-06" }, { "@id": "LEGIARTI000006237425", "@num": "12", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000020302324", "@num": "2", "#text": "Décret n°2009-213\n du 23 février 2009 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000020301774", "@nortexte": "SJSH0830762D", "@numtexte": "2009-213", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2009-02-23" }, { "@id": "LEGITEXT000023429978", "#text": "Décret n°2011-56\n du 14 janvier 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023428168", "@nortexte": "ETSS1030166D", "@numtexte": "2011-56", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-01-14" }, { "@id": "LEGIARTI000023760755", "@num": "2", "#text": "Arrêté du 18 mars 2011 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023759818", "@nortexte": "ETSS1107785A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-18" }, { "@id": "LEGITEXT000025147748", "#text": "Décret n°2012-43\n du 13 janvier 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGIARTI000025147753", "@num": "2", "#text": "Décret n°2012-43\n du 13 janvier 2012 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGITEXT000030917293", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000031829794", "@num": "3", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 - art. 3 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000006689870", "@num": "L5121-1", "#text": "Code de la santé publique - art. 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La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :

\n
\n

1° De 15 à 25 % pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement de santé public ou privé ainsi que les frais d'analyses ou de laboratoires afférents à des soins dispensés dans les mêmes conditions ;

\n
\n

2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;

\n
\n

3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

\n
\n

4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

\n
\n

5° De 35 à 45 % pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

\n
\n

6° De 60 à 70 % pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, n'a pas été classé en application du 6° de l'article R. 163-18 comme majeur ou important ;

\n
\n

7° De 60 à 70 % pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 et pour les préparations homéopathiques répondant aux conditions définies au 11° de l'article L. 5121-1 du code de la santé publique prises en charge par l'assurance maladie ;

\n
\n

8° de 30 à 40 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;

\n
\n

9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;

\n
\n

10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;

\n
\n

11° de 30 à 40 % pour tous les autres frais ;

12° De 15 à 25 % pour les forfaits mentionnés aux 2°, 4° et 5° de l'article R. 162-32 ;
\n
13° De 15 à 25 % pour les consultations et les actes mentionnés au 3° de l'article R. 162-32-1 facturés en sus des forfaits mentionnés au 12°.

\n
" } }, "LEGIARTI000020313048": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2012-03-22", "DATE_DEBUT": "2009-02-26" } }, "META_COMMUN": { "ID": "LEGIARTI000020313048", "URL": "article/LEGI/ARTI/00/00/20/31/30/LEGIARTI000020313048.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

(1) Il convient de lire 706-48 du code de procédure pénale.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000020308840", "@num": "2", "#text": "Décret n°2009-217\n du 24 février 2009 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000020308356", "@nortexte": "SJSP0813925D", "@numtexte": "2009-217", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2009-02-24" }, { "@id": "LEGIARTI000006417678", "@num": "222-23", "#text": "Code pénal - art. 222-23", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006418081", "@num": "227-22", "#text": "Code pénal - art. 227-22", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006426773", "@num": "375", "#text": "Code civil - art. 375", "@sens": "source", "@cidtexte": "LEGITEXT000006070721", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006908659", "@num": "R1211-2", "#text": "Code de la santé publique - art. R1211-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

3° Pour les donneurs mentionnés à l'article L. 1211-2 du code de la santé publique, pour les frais d'examens et de traitement prescrits en vue du prélèvement d'éléments ou de la collecte de produits du corps humain, y compris des gamètes, les frais d'hospitalisation ainsi que les frais de suivi et de soins dispensés au donneur en raison du prélèvement ou de la collecte dont il a fait l'objet.

II.-La participation de l'assuré est également supprimée, dans les conditions définies ci-après, pour les soins consécutifs aux sévices sexuels subis par les mineurs victimes d'actes prévus et réprimés par les articles 222-23 à 222-32 et 227-22 à 227-27 du code pénal, à compter de la date présumée de commission des faits.

L'exonération est fixée pour la durée du traitement, si nécessaire au-delà de la majorité de la victime, et peut être prolongée dans les conditions prévues à l'alinéa précédent.

" } }, "LEGIARTI000021656632": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "3", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000021656632", "URL": "article/LEGI/ARTI/00/00/21/65/66/LEGIARTI000021656632.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000021625996", "@nor": "SASS0924398D", "@num": "2010-6", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2010-6 du 5 janvier 2010 relatif à la participation de l'assuré prévue à l'article L. 322-2 du code de la sécurité sociale", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000021625996", "@c_titre_court": "Décret n°2010-6 du 5 janvier 2010" }, { "@fin": "2999-01-01", "#text": "Décret n° 2010-6 du 5 janvier 2010 relatif à la participation de l'assuré prévue à l'article L. 322-2 du code de la sécurité sociale", "@debut": "2010-01-07", "@id_txt": "LEGITEXT000021656622", "@c_titre_court": "Décret n°2010-6 du 5 janvier 2010" } ], "@ministere": "Ministère de la santé et des sports", "@date_publi": "2010-01-06", "@date_signature": "2010-01-05" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000021656632", "@fin": "2999-01-01", "@num": "3", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000021626004", "@fin": "2999-01-01", "@num": "3", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. R322-9-1\n
\n

\n
" } }, "LEGIARTI000021662912": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-01-16", "DATE_DEBUT": "2010-01-07" } }, "META_COMMUN": { "ID": "LEGIARTI000021662912", "URL": "article/LEGI/ARTI/00/00/21/66/29/LEGIARTI000021662912.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782176", "@num": "71", "#text": "Arrêté du 19 juin 1947 - art. 71 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782191", "@num": "71-2 ter", "#text": "Arrêté du 19 juin 1947 - art. 71-2 ter (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782194", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "JORFARTI000002477949", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1, v. init.", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006271526", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006775227", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006779165", "@num": "6", "#text": "Décret n°99-915 du 27 octobre 1999 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000384938", "@nortexte": "MESS9923357D", "@numtexte": "99-915", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1999-10-27" }, { "@id": "LEGIARTI000006779633", "@num": "3", "#text": "Décret n°2000-501 du 6 juin 2000 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000764550", "@nortexte": "AGRS0000741D", "@numtexte": "2000-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2000-06-06" }, { "@id": "LEGIARTI000006237425", "@num": "12", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000021656624", "@num": "2", "#text": "Décret n°2010-6 du 5 janvier 2010 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000021625996", "@nortexte": "SASS0924398D", "@numtexte": "2010-6", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2010-01-05" }, { "@id": "LEGITEXT000023429978", "#text": "Décret n°2011-56\n du 14 janvier 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023428168", "@nortexte": "ETSS1030166D", "@numtexte": "2011-56", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-01-14" }, { "@id": "LEGIARTI000023760755", "@num": "2", "#text": "Arrêté du 18 mars 2011 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023759818", "@nortexte": "ETSS1107785A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-18" }, { "@id": "LEGITEXT000025147748", "#text": "Décret n°2012-43\n du 13 janvier 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGIARTI000025147753", "@num": "2", "#text": "Décret n°2012-43\n du 13 janvier 2012 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGITEXT000030917293", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000031829794", "@num": "3", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 - art. 3 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000006689870", "@num": "L5121-1", "#text": "Code de la santé publique - art. L5121-1", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006784196", "@num": "3", "#text": "Arrêté du 9 mai 1986 - art. 3 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073830", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1986-05-09" }, { "@id": "LEGIARTI000006784200", "@num": "4", "#text": "Arrêté du 9 mai 1986 - art. 4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073830", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1986-05-09" }, { "@id": "LEGIARTI000030192757", "@num": "R251-1", "#text": "Code de l'action sociale et des familles - art. R251-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006799938", "@num": "R5104-110", "#text": "Code de la santé publique - art. R5104-110 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038597095", "@num": "R5126-110", "#text": "Code de la santé publique - art. R5126-110 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006736475", "@num": "D325-1", "#text": "Code de la sécurité sociale. - art. D325-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006736491", "@num": "D325-7", "#text": "Code de la sécurité sociale. - art. D325-7 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006738309", "@num": "D615-1", "#text": "Code de la sécurité sociale. - art. D615-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029436179", "@num": "D911-1", "#text": "Code de la sécurité sociale. - art. D911-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740610", "@num": "L162-17", "#text": "Code de la sécurité sociale. - art. L162-17", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742902", "@num": "L321-1", "#text": "Code de la sécurité sociale. - art. L321-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742479", "@num": "L322-2", "#text": "Code de la sécurité sociale. - art. L322-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031796245", "@num": "R160-5", "#text": "Code de la sécurité sociale. - art. R160-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006748357", "@num": "R162-32", "#text": "Code de la sécurité sociale. - art. 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La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :

2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;

3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

5° De 35 à 45 % pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

6° De 60 à 70 % pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, a été classé comme modéré en application du 6° de l'article R. 163-18 ;

8° de 30 à 40 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;

9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;

10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;

11° de 30 à 40 % pour tous les autres frais ;

12° De 15 à 25 % pour les forfaits mentionnés aux 2°, 4° et 5° de l'article R. 162-32 ;

13° De 15 à 25 % pour les consultations et les actes mentionnés au 3° de l'article R. 162-32-1 facturés en sus des forfaits mentionnés au 12° ;

14° De 80 à 90 % pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, a été classé comme faible, dans toutes les indications thérapeutiques, en application du 6° de l'article R. 163-18.

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La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :

2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;

3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

5° De 35 à 45 % pour les frais d'analyses ou de laboratoires, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

6° De 70 à 75 % pour les médicaments principalement destinés au traitement des troubles ou affections sans caractère habituel de gravité et pour les médicaments dont le service médical rendu, tel que défini au I de l'article R. 163-3, a été classé comme modéré en application du 6° de l'article R. 163-18 ;

7° De 70 à 75 % pour les spécialités homéopathiques, dès lors qu'elles sont inscrites sur la liste établie en application du premier alinéa de l'article L. 162-17 et pour les préparations homéopathiques répondant aux conditions définies au 11° de l'article L. 5121-1 du code de la santé publique prises en charge par l'assurance maladie ;

8° de 40 à 50 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;

9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;

10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;

11° de 30 à 40 % pour tous les autres frais ;

12° De 15 à 25 % pour les forfaits mentionnés aux 2°,4° et 5° de l'article R. 162-32 ;

13° De 15 à 25 % pour les consultations et les actes mentionnés au 3° de l'article R. 162-32-1 facturés en sus des forfaits mentionnés au 12° ;

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Pour l'application des 1° et 2° de l'article L. 322-3 :

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I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est réduite à 18 euros dans les cas suivants :

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1. Pour les actes inscrits sur la liste mentionnée à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 60, soit d'un tarif égal ou supérieur à 120 euros.

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2. Pour l'ensemble des frais intervenant au cours d'une hospitalisation dans un établissement de santé, lorsqu'il est effectué un acte thérapeutique ou un acte diagnostique dont la réalisation en établissement de santé est nécessaire à la sécurité des soins, affecté d'un coefficient égal ou supérieur à 60 ou d'un tarif égal ou supérieur à 120 euros.

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3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle.

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Dans les cas mentionnés aux 2 et 3 ci-dessus, la participation de l'assuré est due au titre des frais d'hospitalisation.

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Dans le cas mentionné au 1 ci-dessus, lorsqu'au cours d'une même consultation sont réalisés par un même praticien et pour un même patient plusieurs actes affectés soit d'un coefficient égal du supérieur à 60, soit d'un tarif égal ou supérieur à 120 euros, la participation de l'assuré pour l'ensemble de ces actes est réduite au montant défini au premier alinéa du présent I.

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Pour l'application de ces dispositions, les coefficients ou les tarifs des actes peuvent se cumuler lorsque ces actes sont réalisés dans le même temps, par le même praticien et pour le même patient. Les conditions d'application de ces dispositions sont fixées par arrêté du ministre chargé de la sécurité sociale. Lorsque le cumul concerne un acte affecté d'un coefficient et un acte affecté d'un tarif, la participation de l'assuré est égale au montant défini au premier alinéa du présent I lorsque le montant en euros résultant de ce cumul est égal ou supérieur à 120 euros.

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II.-La participation de l'assuré est supprimée :

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1. Pour les actes de radiodiagnostic, d'imagerie par résonance magnétique, de scanographie, de scintigraphie ou de tomographie à émission de positons mentionnés dans la liste des actes et prestations pris en charge ou admis au remboursement par l'assurance maladie prévue à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 60, soit d'un tarif égal ou supérieur à 120 euros ; cette suppression ne dispense pas du versement du montant de la participation due par l'assuré au titre des autres actes pratiqués à l'occasion de la consultation ou des frais intervenus au cours de l'hospitalisation.

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2. Pour les frais de transport d'urgence entre le lieu de prise en charge de la personne et l'établissement de santé, en cas d'hospitalisation mentionnée au 2 du I ainsi que, en cas d'hospitalisation mentionnée au 3, pour les frais de transport entre les deux établissements ou entre l'établissement et le domicile en cas d'hospitalisation à domicile.

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Pour l'application des dispositions du 1 ci-dessus, les coefficients ou tarifs de chacun des actes mentionnés ne peuvent être cumulés.

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III.-Le tarif ouvrant droit à réduction est revalorisé chaque année conformément à l'évolution du tarif moyen pondéré afférent aux actes de la classification commune des actes médicaux constaté par le directeur général de l'Union nationale des caisses d'assurance maladie à la fin de l'année précédente.

\n
\n

IV.-La participation de l'assuré n'est ni réduite ni supprimée pour les frais de prothèses dentaires, d'analyses de biologie et d'actes d'anatomo-cyto-pathologie sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 du I ci-dessus.

\n
\n

V.-La participation de l'assuré est supprimée dans les cas suivants :

\n
\n

1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.

\n
\n

2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.

\n
\n

3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du trente et unième jour d'hospitalisation consécutif.

\n
" } }, "LEGIARTI000024112984": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-4", "ETAT": "TRANSFERE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-01", "DATE_DEBUT": "2011-06-03" } }, "META_COMMUN": { "ID": "LEGIARTI000024112984", "URL": "article/LEGI/ARTI/00/00/24/11/29/LEGIARTI000024112984.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761634", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006761635", "@num": "4", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "JORFTEXT000000866621", "#text": "Décret n° 85-1353 du 17 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000024111676", "@num": "4", "#text": "Décret n°2011-620 du 31 mai 2011 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000024110091", "@nortexte": "ETSS1106151D", "@numtexte": "2011-620", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2011-05-31" }, { "@id": "LEGIARTI000031795302", "@num": "2", "#text": "Décret n°2015-1865 du 30 décembre 2015 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000031740633", "@nortexte": "AFSS1528689D", "@numtexte": "2015-1865", "@typelien": "TRANSFERE", "@naturetexte": "DECRET", "@datesignatexte": "2015-12-30" }, { "@id": "LEGIARTI000023024749", "@num": "L161-17-2", "#text": "Code de la sécurité sociale. - art. L161-17-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742446", "@num": "L311-10", "#text": "Code de la sécurité sociale. - art. L311-10", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742454", "@num": "L313-4", "#text": "Code de la sécurité sociale. - art. L313-4", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742479", "@num": "L322-2", "#text": "Code de la sécurité sociale. - art. L322-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742612", "@num": "L341-16", "#text": "Code de la sécurité sociale. - art. L341-16", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742715", "@num": "L371-1", "#text": "Code de la sécurité sociale. - art. L371-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031796751", "@num": "R160-10", "#text": "Code de la sécurité sociale. - art. R160-10 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752669", "@num": "R761-17", "#text": "Code de la sécurité sociale. - art. R761-17 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752722", "@num": "R762-14", "#text": "Code de la sécurité sociale. - art. R762-14 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749228", "@fin": "2004-12-31", "@num": "R322-4", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749229", "@fin": "2011-06-03", "@num": "R322-4", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000024112984", "@fin": "2016-01-01", "@num": "R322-4", "@etat": "TRANSFERE", "@debut": "2011-06-03", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les pensionnés ou rentiers mentionnés aux articles L. 311-10, L. 313-4 et L. 341-16 sont exonérés de la participation prévue au I de l'article L. 322-2 en ce qui concerne les frais engagés pour eux-mêmes.
\n
Les rentiers mentionnés à l'article L. 371-1 sont exonérés de la participation prévue au I de l'article L. 322-2 en ce qui concerne les frais engagés pour eux-mêmes et pour leurs ayants droit.
\n
Les titulaires d'une pension de réversion qui se trouvent atteints entre cinquante-cinq et l'âge prévu par l'article L. 161-17-2 d'une invalidité permanente satisfaisant aux conditions exigées pour ouvrir droit à une pension d'invalidité sont également exonérés de la participation prévue au I de l'article L. 322-2, en ce qui concerne les frais engagés pour eux-mêmes.
" } }, "LEGIARTI000025111812": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-8", "ETAT": "TRANSFERE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-01", "DATE_DEBUT": "2012-01-02" } }, "META_COMMUN": { "ID": "LEGIARTI000025111812", "URL": "article/LEGI/ARTI/00/00/25/11/18/LEGIARTI000025111812.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "LEGIARTI000006761029", "@num": "4", "#text": "Décret n°69-132 du 6 février 1969 - art. 4 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000306978", "@numtexte": "69-132", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1969-02-06" }, { "@id": "JORFTEXT000000866621", "#text": "Décret n° 85-1353 du 17 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000031829787", "@num": "1", "#text": "Arrêté du 18 décembre 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249449", "@nortexte": "SANS0324434A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000031829779", "@num": "2", "#text": "Arrêté du 19 décembre 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017757242", "@nortexte": "BCFF0771955A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000031829771", "@num": "2", "#text": "Arrêté du 7 septembre 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022820863", "@nortexte": "DEFH1020424A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-09-07" }, { "@id": "LEGITEXT000023621343", "#text": "Décret n°2011-201 du 21 février 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023620542", "@nortexte": "ETSS1031883D", "@numtexte": "2011-201", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-02-21" }, { "@id": "LEGIARTI000025106289", "@num": "5", "#text": "Décret n°2011-2119 du 30 décembre 2011 - art. 5", "@sens": "cible", "@cidtexte": "JORFTEXT000025062493", "@nortexte": "ETSS1118339D", "@numtexte": "2011-2119", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2011-12-30" }, { "@id": "LEGIARTI000031795302", "@num": "2", "#text": "Décret n°2015-1865 du 30 décembre 2015 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000031740633", "@nortexte": "AFSS1528689D", "@numtexte": "2015-1865", "@typelien": "TRANSFERE", "@naturetexte": "DECRET", "@datesignatexte": "2015-12-30" }, { "@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": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797159", "@num": "R160-16", "#text": "Code de la sécurité sociale. - art. R160-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006746679", "@num": "R162-52", "#text": "Code de la sécurité sociale. - art. R162-52", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749995", "@fin": "1987-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749996", "@fin": "2004-01-01", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "1987-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749997", "@fin": "2004-12-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749998", "@fin": "2005-03-31", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749999", "@fin": "2006-06-20", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2005-03-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006750000", "@fin": "2011-02-24", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2006-06-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023625339", "@fin": "2012-01-02", "@num": "R322-8", "@etat": "MODIFIE", "@debut": "2011-02-24", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000025111812", "@fin": "2016-01-01", "@num": "R322-8", "@etat": "TRANSFERE", "@debut": "2012-01-02", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Pour l'application des 1° et 2° de l'article L. 322-3 :

I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est réduite à 18 euros dans les cas suivants :

1. Pour les actes inscrits sur la liste mentionnée à l'article R. 162-52 qui sont affectés soit d'un coefficient égal ou supérieur à 60, soit d'un tarif égal ou supérieur à 120 euros.

3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation consécutive à une hospitalisation répondant aux conditions mentionnées au 2 et en lien direct avec elle.

Dans les cas mentionnés aux 2 et 3 ci-dessus, la participation de l'assuré est due au titre des frais d'hospitalisation.

II.-La participation de l'assuré est supprimée :

Pour l'application des dispositions du 1 ci-dessus, les coefficients ou tarifs de chacun des actes mentionnés ne peuvent être cumulés.

IV.-La participation de l'assuré n'est ni réduite ni supprimée pour les frais de prothèses dentaires, d'examens de biologie médicale et d'actes d'anatomo-cyto-pathologie sauf si ces actes sont dispensés dans le cadre d'une hospitalisation prévue aux 2 ou 3 du I ci-dessus.

V.-La participation de l'assuré est supprimée dans les cas suivants :

1. Pour les frais d'acquisition des prothèses oculaires et faciales, des orthoprothèses et des véhicules pour handicapés physiques figurant sur la liste prévue par l'article L. 165-1.

2. Pour les frais afférents à la fourniture du sang humain, du plasma ou de leurs dérivés et de la fourniture du lait humain.

3. Pour l'ensemble des frais intervenant au cours d'une hospitalisation à compter du trente et unième jour d'hospitalisation consécutif.

" } }, "LEGIARTI000025111819": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2014-12-20", "DATE_DEBUT": "2012-01-02" } }, "META_COMMUN": { "ID": "LEGIARTI000025111819", "URL": "article/LEGI/ARTI/00/00/25/11/18/LEGIARTI000025111819.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782176", "@num": "71", "#text": "Arrêté du 19 juin 1947 - art. 71 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782191", "@num": "71-2 ter", "#text": "Arrêté du 19 juin 1947 - art. 71-2 ter (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782194", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "JORFARTI000002477949", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1, v. init.", "@sens": "source", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006271526", "@num": "1", "#text": "Décret n°67-925 du 19 octobre 1967 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000702776", "@numtexte": "67-925", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1967-10-19" }, { "@id": "LEGIARTI000006775227", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006779165", "@num": "6", "#text": "Décret n°99-915 du 27 octobre 1999 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000384938", "@nortexte": "MESS9923357D", "@numtexte": "99-915", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1999-10-27" }, { "@id": "LEGIARTI000006779633", "@num": "3", "#text": "Décret n°2000-501 du 6 juin 2000 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000764550", "@nortexte": "AGRS0000741D", "@numtexte": "2000-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2000-06-06" }, { "@id": "LEGIARTI000006237425", "@num": "12", "#text": "Décret n°2004-1490 du 30 décembre 2004 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000423976", "@nortexte": "SANS0424379D", "@numtexte": "2004-1490", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGITEXT000023429978", "#text": "Décret n°2011-56\n du 14 janvier 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023428168", "@nortexte": "ETSS1030166D", "@numtexte": "2011-56", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-01-14" }, { "@id": "LEGIARTI000023760755", "@num": "2", "#text": "Arrêté du 18 mars 2011 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023759818", "@nortexte": "ETSS1107785A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-18" }, { "@id": "LEGIARTI000025106289", "@num": "5", "#text": "Décret n°2011-2119 du 30 décembre 2011 - art. 5", "@sens": "cible", "@cidtexte": "JORFTEXT000025062493", "@nortexte": "ETSS1118339D", "@numtexte": "2011-2119", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2011-12-30" }, { "@id": "LEGITEXT000025147748", "#text": "Décret n°2012-43\n du 13 janvier 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGIARTI000025147753", "@num": "2", "#text": "Décret n°2012-43\n du 13 janvier 2012 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025145365", "@nortexte": "ETSS1135393D", "@numtexte": "2012-43", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-01-13" }, { "@id": "LEGITEXT000030917293", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000031829794", "@num": "3", "#text": "DÉCRET n°2015-887 du 21 juillet 2015 - art. 3 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000030916469", "@nortexte": "AFSH1510026D", "@numtexte": "2015-887", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-21" }, { "@id": "LEGIARTI000006689870", "@num": "L5121-1", "#text": "Code de la santé publique - art. L5121-1", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006784196", "@num": "3", "#text": "Arrêté du 9 mai 1986 - art. 3 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073830", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1986-05-09" }, { "@id": "LEGIARTI000006784200", "@num": "4", "#text": "Arrêté du 9 mai 1986 - art. 4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073830", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1986-05-09" }, { "@id": "LEGIARTI000030192757", "@num": "R251-1", "#text": "Code de l'action sociale et des familles - art. R251-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006799938", "@num": "R5104-110", "#text": "Code de la santé publique - art. 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D761-8 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749213", "@fin": "1992-06-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749214", "@fin": "1993-03-28", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1992-06-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749215", "@fin": "1993-08-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-03-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749216", "@fin": "1999-10-30", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1993-08-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749217", "@fin": "2000-06-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "1999-10-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749218", "@fin": "2003-12-19", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2000-06-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749219", "@fin": "2004-06-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006749220", "@fin": "2004-12-31", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2004-06-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749221", "@fin": "2006-12-01", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749222", "@fin": "2009-02-25", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2006-12-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020303282", "@fin": "2010-01-07", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2009-02-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021662912", "@fin": "2011-01-16", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2010-01-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023432852", "@fin": "2012-01-02", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2011-01-16", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025111819", "@fin": "2014-12-20", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2012-01-02", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029924694", "@fin": "2015-07-24", "@num": "R322-1", "@etat": "MODIFIE", "@debut": "2014-12-20", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000030919417", "@fin": "2016-01-01", "@num": "R322-1", "@etat": "TRANSFERE", "@debut": "2015-07-24", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

La participation de l'assuré prévue au I de l'article L. 322-2 est fixée par le conseil de l'Union nationale des caisses d'assurance maladie dans les limites suivantes :

1° De 15 à 25 % pour les frais d'honoraires des praticiens et auxiliaires médicaux afférents aux soins dispensés au cours d'une hospitalisation dans un établissement de santé public ou privé ainsi que les frais d'examens de biologie médicale afférents à des soins dispensés dans les mêmes conditions ;

2° De 15 à 25 % du tarif de responsabilité de la caisse pour les frais d'hospitalisation dans un établissement de santé public ou privé ;

3° De 25 à 35 % pour les frais d'honoraires des praticiens, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

4° De 35 à 45 % pour les frais d'honoraires des auxiliaires médicaux, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

5° De 35 à 45 % pour les frais d'examens de biologie médicale, sauf pour ceux qui sont mentionnés au 1° ci-dessus ;

8° de 40 à 50 % pour les frais de produits et prestations figurant sur la liste mentionnée à l'article L. 165-1 ;

9° de 30 à 40 % pour les frais de transport prévus au 2° de l'article L. 321-1 ;

10° de 30 à 40 % pour les frais de soins thermaux dispensés dans un établissement thermal ;

11° de 30 à 40 % pour tous les autres frais ;

12° De 15 à 25 % pour les forfaits mentionnés aux 2°, 4° et 5° de l'article R. 162-32 ;

13° De 15 à 25 % pour les consultations et les actes mentionnés au 3° de l'article R. 162-32-1 facturés en sus des forfaits mentionnés au 12° ;

" } }, "LEGIARTI000025547238": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2013-03-31", "DATE_DEBUT": "2012-03-22" } }, "META_COMMUN": { "ID": "LEGIARTI000025547238", "URL": "article/LEGI/ARTI/00/00/25/54/72/LEGIARTI000025547238.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

(1) Il convient de lire 706-48 du code de procédure pénale.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000025546129", "@num": "1", "#text": "Décret n°2012-380\n du 19 mars 2012 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000025545495", "@nortexte": "ETSS1201096D", "@numtexte": "2012-380", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2012-03-19" }, { "@id": "LEGIARTI000006417678", "@num": "222-23", "#text": "Code pénal - art. 222-23", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006418081", "@num": "227-22", "#text": "Code pénal - art. 227-22", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006426773", "@num": "375", "#text": "Code civil - art. 375", "@sens": "source", "@cidtexte": "LEGITEXT000006070721", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006908659", "@num": "R1211-2", "#text": "Code de la santé publique - art. R1211-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

1° Pour l'hospitalisation des nouveau-nés, lorsqu'elle se produit dans les trente jours qui suivent la naissance, ainsi que pour les soins de toute nature qui leur sont dispensés dans un établissement de santé au cours de la période de trente jours qui suit la naissance ;

2° Pour les investigations nécessaires au diagnostic de la stérilité et pour le traitement de celle-ci, y compris au moyen de l'insémination artificielle. La décision de la caisse d'assurance maladie prononçant la suppression de la participation est prise sur avis conforme du contrôle médical ; à défaut d'entente entre le médecin-conseil et le médecin traitant sur les prestations devant bénéficier de la dispense de participation, il est fait appel à un expert dans les conditions prises en application de l'article L. 324-1. La décision de la caisse fixe la durée de la période d'exonération.

Lorsqu'un assuré change d'organisme gestionnaire au cours de la période d'exonération, ce changement est sans incidence sur la durée pendant laquelle il bénéficie de cette exonération ;
\n

II.-La participation de l'assuré est également supprimée, dans les conditions définies ci-après, pour les soins consécutifs aux sévices sexuels subis par les mineurs victimes d'actes prévus et réprimés par les articles 222-23 à 222-32 et 227-22 à 227-27 du code pénal, à compter de la date présumée de commission des faits.

L'exonération est fixée pour la durée du traitement, si nécessaire au-delà de la majorité de la victime, et peut être prolongée dans les conditions prévues à l'alinéa précédent.

Lorsqu'un assuré change d'organisme gestionnaire au cours de la période d'exonération, ce changement est sans incidence sur la durée pendant laquelle il bénéficie de cette exonération.

" } }, "LEGIARTI000027226138": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R322-9", "ETAT": "TRANSFERE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-01", "DATE_DEBUT": "2013-03-31" } }, "META_COMMUN": { "ID": "LEGIARTI000027226138", "URL": "article/LEGI/ARTI/00/00/27/22/61/LEGIARTI000027226138.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

(1) Il convient de lire 706-48 du code de procédure pénale.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000006761926", "@num": "1", "#text": "Décret n°78-997 du 6 octobre 1978 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000681312", "@numtexte": "78-997", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1978-10-06" }, { "@id": "LEGIARTI000027223592", "@num": "1", "#text": "Décret n°2013-248\n du 25 mars 2013 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000027221802", "@nortexte": "AFSS1301628D", "@numtexte": "2013-248", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2013-03-25" }, { "@id": "LEGIARTI000031795302", "@num": "2", "#text": "Décret n°2015-1865 du 30 décembre 2015 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000031740633", "@nortexte": "AFSS1528689D", "@numtexte": "2015-1865", "@typelien": "TRANSFERE", "@naturetexte": "DECRET", "@datesignatexte": "2015-12-30" }, { "@id": "LEGIARTI000006417678", "@num": "222-23", "#text": "Code pénal - art. 222-23", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006418081", "@num": "227-22", "#text": "Code pénal - art. 227-22", "@sens": "source", "@cidtexte": "LEGITEXT000006070719", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006426773", "@num": "375", "#text": "Code civil - art. 375", "@sens": "source", "@cidtexte": "LEGITEXT000006070721", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006687522", "@num": "L2212-2", "#text": "Code de la santé publique - art. L2212-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006908659", "@num": "R1211-2", "#text": "Code de la santé publique - art. R1211-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740610", "@num": "L162-17", "#text": "Code de la sécurité sociale. - art. L162-17", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740893", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742482", "@num": "L322-3", "#text": "Code de la sécurité sociale. - art. L322-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006742522", "@num": "L324-1", "#text": "Code de la sécurité sociale. - art. L324-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031797167", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021662925", "@num": "R322-9-1", "#text": "Code de la sécurité sociale. - art. R322-9-1 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752260", "@num": "R711-18", "#text": "Code de la sécurité sociale. - art. R711-18 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752275", "@num": "R713-1", "#text": "Code de la sécurité sociale. - art. R713-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752359", "@num": "R722-5", "#text": "Code de la sécurité sociale. - art. R722-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186453", "@fin": "2999-01-01", "#text": "Sous-section 1 : Montant de la participation de l'assuré.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173383", "@fin": "2999-01-01", "#text": "Section 1 : Participation de l'assuré.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156608", "@fin": "2999-01-01", "#text": "Chapitre 2 : Prestations en nature", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141864", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126956", "@fin": "2999-01-01", "#text": "Livre III : Dispositions relatives aux assurances sociales et à diverses catégories de personnes rattachées au régime général", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@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": "LEGIARTI000006749231", "@fin": "1995-04-07", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749232", "@fin": "2001-09-15", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "1995-04-07", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749233", "@fin": "2004-12-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2001-09-15", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006749234", "@fin": "2009-02-26", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020313048", "@fin": "2012-03-22", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2009-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025547238", "@fin": "2013-03-31", "@num": "R322-9", "@etat": "MODIFIE", "@debut": "2012-03-22", "@origine": "LEGI" } }, { "@etat": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000027226138", "@fin": "2016-01-01", "@num": "R322-9", "@etat": "TRANSFERE", "@debut": "2013-03-31", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
\n

I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations en nature de l'assurance maladie est supprimée, par application de l'article L. 322-3 :

Lorsqu'un assuré change d'organisme gestionnaire au cours de la période d'exonération, ce changement est sans incidence sur la durée pendant laquelle il bénéficie de cette exonération ;
\n

4° Pour les frais de soins, de surveillance et d'hospitalisation liés à une interruption volontaire de grossesse par voie instrumentale ou médicamenteuse pratiquée dans les conditions prévues à l'article L. 2212-2 du code de la santé publique ;

5° Pour les mineures âgées d'au moins quinze ans, pour les frais d'acquisition des spécialités pharmaceutiques à visée contraceptive inscrites sur la liste des spécialités remboursables prévue au premier alinéa de l'article L. 162-17 du présent code ainsi que des dispositifs médicaux à visée contraceptive inscrits sur la liste des produits et prestations remboursables prévue à l'article L. 165-1.

\n
\n
\n

II.-La participation de l'assuré est également supprimée, dans les conditions définies ci-après, pour les soins consécutifs aux sévices sexuels subis par les mineurs victimes d'actes prévus et réprimés par les articles 222-23 à 222-32 et 227-22 à 227-27 du code pénal, à compter de la date présumée de commission des faits.

L'exonération est fixée pour la durée du traitement, si nécessaire au-delà de la majorité de la victime, et peut être prolongée dans les conditions prévues à l'alinéa précédent.

Lorsqu'un assuré change d'organisme gestionnaire au cours de la période d'exonération, ce changement est sans incidence sur la durée pendant laquelle il bénéficie de cette exonération.

\n
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Article R322-9-1 AUTONOME TRANSFERE, en vigueur du 07/01/2010 au 01/01/2016 (Code de la sécurité sociale)