{ "article": { "LEGIARTI000026787359": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "60", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000026787359", "URL": "article/LEGI/ARTI/00/00/26/78/73/LEGIARTI000026787359.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000026799310", "@num": "L114-4-1", "#text": "Code de la sécurité sociale. - art. L114-4-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026799312", "@num": "L162-22-10", "#text": "Code de la sécurité sociale. - art. L162-22-10 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026799305", "@num": "L162-22-9", "#text": "Code de la sécurité sociale. - art. L162-22-9 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026790219", "@num": "L162-22-9-1", "#text": "Code de la sécurité sociale. - art. L162-22-9-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000026787226", "@fin": "2999-01-01", "#text": "Section 1 : Dispositions relatives aux dépenses d'assurance maladie", "@debut": "2012-12-19" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000026787235", "@fin": "2999-01-01", "#text": "QUATRIÈME PARTIE : DISPOSITIONS RELATIVES AUX DÉPENSES POUR L'EXERCICE 2013", "@debut": "2012-12-19" } ] }, "@cid": "JORFTEXT000026785322", "@nor": "EFIX1235628L", "@num": "2012-1404", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2012-1404 du 17 décembre 2012 de financement de la sécurité sociale pour 2013", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000026785322", "@c_titre_court": "LOI n° 2012-1404 du 17 décembre 2012" }, { "@fin": "2999-01-01", "#text": "LOI n° 2012-1404 du 17 décembre 2012 de financement de la sécurité sociale pour 2013 (1)", "@debut": "2012-12-19", "@id_txt": "LEGITEXT000026787220", "@c_titre_court": "LOI n°2012-1404 du 17 décembre 2012" } ], "@date_publi": "2012-12-18", "@date_signature": "2012-12-17" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000026787359", "@fin": "2999-01-01", "@num": "60", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000026785788", "@fin": "2999-01-01", "@num": "60", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. L114-4-1, Art. L162-22-9, Art. L162-22-9-1\n
\n

\n
\n
\n
\n
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. L162-22-10\n
\n

\n
" } }, "LEGIARTI000026790219": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-9-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-12-25", "DATE_DEBUT": "2012-12-19" } }, "META_COMMUN": { "ID": "LEGIARTI000026790219", "URL": "article/LEGI/ARTI/00/00/26/79/02/LEGIARTI000026790219.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000026787359", "@num": "60", "#text": "LOI n°2012-1404\n du 17 décembre 2012 - art. 60", "@sens": "cible", "@cidtexte": "JORFTEXT000026785322", "@nortexte": "EFIX1235628L", "@numtexte": "2012-1404", "@typelien": "CREE", "@naturetexte": "LOI", "@datesignatexte": "2012-12-17" }, { "@id": "LEGITEXT000027120524", "#text": "Décret n°2013-179\n du 28 février 2013 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000027119676", "@nortexte": "AFSH1302992D", "@numtexte": "2013-179", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2013-02-28" }, { "@id": "LEGIARTI000027125087", "@num": "1", "#text": "Arrêté du 2 mars 2013 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000027123874", "@nortexte": "AFSH1305526A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-03-02" }, { "@id": "LEGIARTI000028663346", "@num": "1", "#text": "Arrêté du 25 février 2014 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028661264", "@nortexte": "AFSH1404927A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-25" }, { "@id": "LEGIARTI000030339379", "@num": "1", "#text": "ARRÊTÉ du 4 mars 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030337494", "@nortexte": "AFSH1506167A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-03-04" }, { "@id": "LEGITEXT000047354795", "#text": "Arrêté du 6 mai 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGITEXT000043381272", "#text": "Arrêté du 13 avril 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGITEXT000044001086", "#text": "Arrêté du 17 août 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044000485", "@nortexte": "SSAH2125167A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-08-17" }, { "@id": "LEGIARTI000006741017", "@num": "L114-4-1", "#text": "Code de la sécurité sociale. - art. L114-4-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000041396752", "@num": "L162-22-10", "#text": "Code de la sécurité sociale. - art. L162-22-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037949712", "@num": "L162-22-12", "#text": "Code de la sécurité sociale. - art. L162-22-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048725906", "@num": "L174-15", "#text": "Code de la sécurité sociale. - art. L174-15 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045163997", "@num": "R162-33-22", "#text": "Code de la sécurité sociale. - art. R162-33-22 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034395942", "@num": "R162-33-24", "#text": "Code de la sécurité sociale. - art. R162-33-24 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034395898", "@num": "R162-33-7", "#text": "Code de la sécurité sociale. - art. R162-33-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034395900", "@num": "R162-33-8", "#text": "Code de la sécurité sociale. - art. R162-33-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034395902", "@num": "R162-33-9", "#text": "Code de la sécurité sociale. - art. R162-33-9 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027120694", "@num": "R162-42-1-1", "#text": "Code de la sécurité sociale. - art. R162-42-1-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034102317", "@num": "R162-42-1-2", "#text": "Code de la sécurité sociale. - art. R162-42-1-2 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027120698", "@num": "R162-42-1-3", "#text": "Code de la sécurité sociale. - art. R162-42-1-3 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006185862", "@fin": "2010-02-26", "#text": "Sous-section 3 : Frais d'hospitalisation afférents aux activités de médecine, chirurgie, obstétrique et odontologie des établissements de santé.", "@debut": "2004-10-01" }, { "@id": "LEGISCTA000021940021", "@fin": "2017-01-01", "#text": "Sous-section 3 : Frais d'hospitalisation remboursés sur la base de tarifs nationaux", "@debut": "2010-02-26" }, { "@id": "LEGISCTA000031688090", "@fin": "2022-01-01", "#text": "Sous-section 3 : Dispositions relatives aux activités de médecine, de chirurgie, de gynécologie-obstétrique et d'odontologie", "@debut": "2017-01-01" }, { "@id": "LEGISCTA000041396471", "@fin": "2999-01-01", "#text": "Sous-section 2 : Dispositions relatives aux activités de médecine, de chirurgie, de gynécologie-obstétrique et d'odontologie", "@debut": "2022-01-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006172518", "@fin": "2010-02-26", "#text": "Section 5 : Etablissements de soins.", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000021940000", "@fin": "2999-01-01", "#text": "Section 5 : Etablissements de santé", "@debut": "2010-02-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026790219", "@fin": "2016-12-25", "@num": "L162-22-9-1", "@etat": "MODIFIE", "@debut": "2012-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033715014", "@fin": "2021-09-01", "@num": "L162-22-9-1", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000042685185", "@fin": "2024-01-01", "@num": "L162-22-9-1", "@etat": "ABROGE", "@debut": "2021-09-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I.-Les tarifs nationaux des prestations mentionnés au 1° du I de l'article L. 162-22-10 des établissements de santé mentionnés à l'article L. 162-22-6 peuvent être minorés par l'application d'un coefficient, de manière à concourir au respect de l'objectif national de dépenses d'assurance maladie. La valeur de ce coefficient peut être différenciée par catégorie d'établissements.
\n
II.-Au regard notamment de l'avis mentionné à l'avant-dernier alinéa de l'article L. 114-4-1, l'Etat peut décider de verser aux établissements de santé tout ou partie du montant correspondant à la différence entre les montants issus de la valorisation de l'activité des établissements par les tarifs mentionnés au 1° du I de l'article L. 162-22-10 et ceux issus de la valorisation de cette même activité par les tarifs minorés du coefficient mentionné au I du présent article.
\n
Les modalités d'application du présent article sont définies par décret en Conseil d'Etat.

" } }, "LEGIARTI000026799305": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-9", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2015-12-23", "DATE_DEBUT": "2012-12-19" } }, "META_COMMUN": { "ID": "LEGIARTI000026799305", "URL": "article/LEGI/ARTI/00/00/26/79/93/LEGIARTI000026799305.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000028394073", "@num": "33", "#text": "Loi n° 2003-1199 du 18 décembre 2003 - art. 33 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006235049", "@num": "3", "#text": "Arrêté du 8 octobre 2004 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000006235050", "@num": "4", "#text": 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I.-Chaque année est défini un objectif des dépenses d'assurance maladie commun aux activités mentionnées au 1° de l'article L. 162-22 qui sont exercées par les établissements de santé mentionnés à l'article L. 162-22-6. Cet objectif est constitué du montant annuel des charges supportées par les régimes obligatoires d'assurance maladie afférentes aux frais d'hospitalisation au titre des soins dispensés au cours de l'année dans le cadre de ces activités. Le contenu de cet objectif est défini par décret.

Le montant de cet objectif commun est arrêté par l'Etat en fonction de l'objectif national de dépenses d'assurance maladie.

Cet objectif prend en compte les évolutions de toute nature à la suite desquelles des établissements, des services ou des activités sanitaires ou médico-sociaux se trouvent placés pour tout ou partie sous un régime juridique ou de financement différent de celui sous lequel ils étaient placés auparavant, notamment celles relatives aux conversions d'activité. Il peut être corrigé en fin d'année pour prendre en compte ces évolutions réalisées en cours d'année.

II.-Un décret en Conseil d'Etat précise les éléments pris en compte pour la détermination de cet objectif commun ainsi que les modalités selon lesquelles, chaque année, sont déterminés les éléments mentionnés aux 1° à 4° du I de l'article L. 162-22-10 compatibles avec le respect de l'objectif, en prenant en compte à cet effet, notamment, les prévisions d'évolution de l'activité des établissements pour l'année en cours, mesurée notamment à partir des données mentionnées aux articles L. 6113-7 et L. 6113-8 du code de la santé publique. Les tarifs nationaux des prestations mentionnées au 1° du I du même article peuvent également être déterminés en tout ou partie à partir des données afférentes au coût relatif des prestations.

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Le Comité d'alerte sur l'évolution des dépenses de l'assurance maladie est chargé d'alerter le Parlement, le Gouvernement, les caisses nationales d'assurance maladie et l'Union nationale des organismes d'assurance maladie complémentaire en cas d'évolution des dépenses d'assurance maladie incompatible avec le respect de l'objectif national voté par le Parlement. Le comité est composé du secrétaire général de la Commission des comptes de la sécurité sociale, du directeur général de l'Institut national de la statistique et des études économiques et d'une personnalité qualifiée nommée par le président du Conseil économique, social et environnemental.

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Ce comité est placé auprès de la Commission des comptes de la sécurité sociale.

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Chaque année, au plus tard le 15 avril, le comité rend un avis public dans lequel il analyse les anticipations de réalisation de l'objectif national de dépenses d'assurance maladie de l'année précédente en se fondant sur les données statistiques disponibles. Il en déduit les conséquences sur le respect de l'objectif de l'exercice en cours.
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Chaque année, au plus tard le 1er juin, et en tant que de besoin, le comité rend un avis sur le respect de l'objectif national de dépenses d'assurance maladie pour l'exercice en cours. Il analyse notamment l'impact des mesures conventionnelles et celui des déterminants conjoncturels et structurels des dépenses d'assurance maladie. Il analyse les conditions d'exécution de l'objectif national de dépenses d'assurance maladie pour l'année précédente et le risque qui en résulte pour le respect de l'objectif de l'année en cours.

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Lorsque le comité considère qu'il existe un risque sérieux que les dépenses d'assurance maladie dépassent l'objectif national de dépenses d'assurance maladie avec une ampleur supérieure à un seuil fixé par décret qui ne peut excéder 1 %, il le notifie au Parlement, au Gouvernement et aux caisses nationales d'assurance maladie. Celles-ci proposent des mesures de redressement. Le comité rend un avis sur l'impact financier de ces mesures et, le cas échéant, de celles que l'Etat entend prendre pour sa part qui sont transmises dans un délai d'un mois au comité par l'Union nationale des caisses d'assurance maladie. Le comité notifie également le risque sérieux de dépassement à l'Union nationale des organismes d'assurance maladie complémentaire qui propose des mesures de redressement.

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Le comité rend un avis, au plus tard le 15 octobre, dans lequel il contrôle les éléments ayant permis l'élaboration de l'objectif national de dépenses d'assurance maladie envisagé pour l'année à venir et présente ses réserves s'il constate, compte tenu des données dont il dispose, que cet objectif ne peut pas être respecté au vu de l'évolution prévisionnelle des dépenses d'assurance maladie. Cet avis porte également sur le respect de l'objectif national de dépenses d'assurance maladie de l'année en cours.

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Cet avis est rendu public et transmis au Parlement.

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I.-Chaque année, l'Etat fixe, selon les modalités prévues au II de l'article L. 162-22-9, les éléments suivants :

1° Les tarifs nationaux des prestations mentionnées au 1° de l'article L. 162-22-6 servant de base au calcul de la participation de l'assuré, qui peuvent être différenciés par catégories d'établissements, notamment en fonction des conditions d'emploi du personnel médical ;

2° Les montants des forfaits annuels mentionnés à l'article L. 162-22-8 ;

3° Le cas échéant, les coefficients géographiques s'appliquant aux tarifs nationaux et aux forfaits annuels mentionnés ci-dessus, des établissements implantés dans certaines zones afin de tenir compte d'éventuels facteurs spécifiques, qui modifient de manière manifeste, permanente et substantielle le prix de revient de certaines prestations dans la zone considérée ;

4° Le coefficient mentionné au I de l'article L. 162-22-9-1.

Les éléments mentionnés aux 1°, 3° et 4° prennent effet le 1er mars de l'année en cours et ceux mentionnés au 2° le 1er janvier de la même année, à l'exception de ceux fixés en application du II bis.

II.-La Caisse nationale de l'assurance maladie des travailleurs salariés communique à l'Etat, pour l'ensemble des régimes obligatoires d'assurance maladie, des états provisoires et des états définitifs du montant total des charges mentionnées au I de l'article L. 162-22-9 en distinguant, d'une part, le montant annuel des charges afférentes à la fourniture des spécialités pharmaceutiques et des produits et prestations mentionnés à l'article L. 162-22-7 et, d'autre part, le montant annuel des autres charges en identifiant les dépenses relatives aux activités d'alternative à la dialyse en centre et d'hospitalisation à domicile.

II bis.-Lorsque le Comité d'alerte sur l'évolution des dépenses de l'assurance maladie émet un avis considérant qu'il existe un risque sérieux de dépassement de l'objectif national de dépenses d'assurance maladie en application du dernier alinéa de l'article L. 114-4-1 et dès lors qu'il apparaît que ce risque de dépassement est en tout ou partie imputable à l'évolution de l'objectif mentionné au I de l'article L. 162-22-9, l'Etat peut, après consultation de l'observatoire économique de l'hospitalisation publique et privée, modifier les tarifs des prestations mentionnées au 1° de l'article L. 162-22-6 de manière à concourir au respect de l'objectif mentionné au I de l'article L. 162-22-9. Cette modification est différenciée, le cas échéant, par catégories d'établissements et par tarifs de prestations.

III.-Le décret prévu au II de l'article L. 162-22-9 détermine les modalités du suivi statistique des charges supportées par les régimes obligatoires d'assurance maladie.

IV.-Les tarifs de responsabilité afférents aux activités de médecine, chirurgie, obstétrique et odontologie exercées par les établissements de santé privés mentionnés au e de l'article L. 162-22-6 sont fixés par l'Etat.

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Article 60 ENTIEREMENT_MODIF (LOI n° 2012-1404 du 17 décembre 2012 de financement de la sécurité sociale pour 2013)