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Le délai mentionné au huitième alinéa de l'article L. 324-1 est fixé à deux semaines. Toute observation émise par le service du contrôle médical au médecin suspend ce délai pour une durée maximale de deux mois.

" } }, "LEGIARTI000006742522": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L324-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2003-12-19", "DATE_DEBUT": "1985-12-21" } }, "META_COMMUN": { "ID": "LEGIARTI000006742522", "URL": "article/LEGI/ARTI/00/00/06/74/25/LEGIARTI000006742522.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X324L01AXXAA" } }, "NOTA": { "CONTENU": "

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R322-9 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031827857", "@num": "R323-1", "#text": "Code de la sécurité sociale. - art. R323-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006749280", "@num": "R323-12", "#text": "Code de la sécurité sociale. - art. R323-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006750013", "@num": "R324-1", "#text": "Code de la sécurité sociale. - art. R324-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240358", "@num": "R324-1", "#text": "Code de la sécurité sociale. - art. 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R324-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031827804", "@num": "R331-2", "#text": "Code de la sécurité sociale. - art. R331-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006750513", "@num": "R412-8", "#text": "Code de la sécurité sociale. - art. R412-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752155", "@num": "R753-19", "#text": "Code de la sécurité sociale. - art. R753-19 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045875553", "@num": "R1803-30-7", "#text": "Code des transports - art. R1803-30-7 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000023086525", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038610069", "@num": "L6315-1", "#text": "Code du travail - art. L6315-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072050", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027980858", "@num": "D732-2-3", "#text": "Code rural - art. D732-2-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006597794", "@num": "R742-14", "#text": "Code rural - art. R742-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006580778", "@num": "1033-1", "#text": "Code rural ancien - art. 1033-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071366", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000035918599", "@num": "D732-2-10", "#text": "Code rural et de la pêche maritime - art. D732-2-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045739440", "@num": "D732-2-2", "#text": "Code rural et de la pêche maritime - art. D732-2-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047098148", "@num": "D732-2-4", "#text": "Code rural et de la pêche maritime - art. D732-2-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006585395", "@num": "L725-20", "#text": "Code rural et de la pêche maritime - art. L725-20 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156086", "@fin": "2004-08-17", "#text": "Chapitre 4 : Affections de longue durée.", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141617", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126889", "@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": "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": "LEGIARTI000006742522", "@fin": "2003-12-19", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006742523", "@fin": "2004-08-17", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006742524", "@fin": "2011-05-19", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2004-08-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000024041070", "@fin": "2016-01-28", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2011-05-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031932281", "@fin": "2022-01-01", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000041399098", "@fin": "2999-01-01", "@num": "L324-1", "@etat": "VIGUEUR", "@debut": "2022-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
En cas d'affection de longue durée et en cas d'interruption de travail ou de soins continus supérieurs à une durée déterminée, la caisse doit faire procéder périodiquement à un examen spécial du bénéficiaire, conjointement par le médecin traitant et le médecin conseil de la sécurité sociale en vue de déterminer le traitement que l'intéressé doit suivre si les soins sont dispensés sans interruption ; la continuation du service des prestations est subordonnée à l'obligation pour le bénéficiaire :
\n
1°) de se soumettre aux traitements et mesures de toute nature prescrits d'un commun accord par le médecin traitant et le médecin conseil de la sécurité sociale, et, en cas de désaccord entre ces deux médecins, par un expert ;
\n
2°) de se soumettre aux visites médicales et contrôles spéciaux organisés par la caisse ;
\n
3°) de s'abstenir de toute activité non autorisée ;
\n
4°) d'accomplir les exercices ou travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.
\n
En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.
" } }, "LEGIARTI000006742523": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L324-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2004-08-17", "DATE_DEBUT": "2003-12-19" } }, "META_COMMUN": { "ID": "LEGIARTI000006742523", "URL": "article/LEGI/ARTI/00/00/06/74/25/LEGIARTI000006742523.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X324L01AXXAB" } }, "NOTA": { "CONTENU": "
Nota : Loi 2003-1199 2003-12-18 art. 38 III : les dispositions du présent article sont applicables aux patients pour lesquels un protocole de soins est élaboré ou renouvelé à compter de l'entrée en vigueur du décret qui en fixe les conditions d'application.
\n
" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782195", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782196", "@num": "71-4-1", "#text": "Arrêté du 19 juin 1947 - art. 71-4-1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006773901", "@num": "31", "#text": "Décret n°50-1225 du 21 septembre 1950 - art. 31 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000675489", "@numtexte": "50-1225", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1950-09-21" }, { "@id": "LEGIARTI000032078893", "@num": "9", "#text": "Ordonnance n° 77-1102 du 26 septembre 1977 - art. 9 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000699946", "@numtexte": "77-1102", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1977-09-26" }, { "@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": "LEGIARTI000006787297", "@num": "1", "#text": "Arrêté du 2 octobre 1990 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000167406", "@nortexte": "AGRS9002091A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1990-10-02" }, { "@id": "LEGIARTI000032741676", "@num": "72", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 72 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006772425", "@num": "3", "#text": "Décret n°98-311 du 23 avril 1998 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000556321", "@nortexte": "AGRS9800147D", "@numtexte": "98-311", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1998-04-23" }, { "@id": "LEGIARTI000006791276", "@num": "10", "#text": "Arrêté du 10 juillet 1998 - art. 10 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000390604", "@nortexte": "MESS9822187A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-07-10" }, { "@id": "LEGIARTI000006791220", "@num": "9", "#text": "Arrêté du 13 novembre 1998 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000758249", "@nortexte": "MESS9823519A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-11-13" }, { "@id": "LEGIARTI000006758880", "@num": "38", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 38 () JORF 19 décembre 2003", "@sens": "source", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759214", "@num": "65", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 65 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006252690", "@num": "2", "#text": "Arrêté du 26 juin 2006 - 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En cas d'affection de longue durée et en cas d'interruption de travail ou de soins continus supérieurs à une durée déterminée, la caisse doit faire procéder périodiquement à un examen spécial du bénéficiaire, conjointement par le médecin traitant et le médecin conseil de la sécurité sociale en vue de déterminer le traitement que l'intéressé doit suivre si les soins sont dispensés sans interruption ; la continuation du service des prestations est subordonnée à l'obligation pour le bénéficiaire :
\n
1°) de se soumettre aux traitements et mesures de toute nature prescrits d'un commun accord par le médecin traitant et le médecin conseil de la sécurité sociale, et, en cas de désaccord entre ces deux médecins, par un expert ;
\n
2°) de se soumettre aux visites médicales et contrôles spéciaux organisés par la caisse ;
\n
3°) de s'abstenir de toute activité non autorisée ;
\n
4°) d'accomplir les exercices ou travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.
\n
En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.
\n
Lorsque les soins sont dispensés à des patients atteints d'une affection de longue durée, le médecin traitant et le médecin-conseil établissent conjointement un protocole de diagnostic et de soins. Ce protocole révisable définit les actes et prestations nécessités par le traitement de l'affection et pour lesquels la participation de l'assuré peut être limitée ou supprimée, en application des 3° et 4° de l'article L. 322-3.
\n
Les modalités de mise en oeuvre du présent article, notamment les conditions dans lesquelles l'assuré prend connaissance du protocole de soins et le communique au médecin lors de la prescription, sont fixées par décret.
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En cas d'affection de longue durée et en cas d'interruption de travail ou de soins continus supérieurs à une durée déterminée, la caisse doit faire procéder périodiquement à un examen spécial du bénéficiaire, conjointement par le médecin traitant et le médecin conseil de la sécurité sociale en vue de déterminer le traitement que l'intéressé doit suivre si les soins sont dispensés sans interruption ; la continuation du service des prestations est subordonnée à l'obligation pour le bénéficiaire :
\n
1°) de se soumettre aux traitements et mesures de toute nature prescrits d'un commun accord par le médecin traitant et le médecin conseil de la sécurité sociale, et, en cas de désaccord entre ces deux médecins, par un expert ;
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2°) de se soumettre aux visites médicales et contrôles spéciaux organisés par la caisse ;
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3°) de s'abstenir de toute activité non autorisée ;
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4°) d'accomplir les exercices ou travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.
\n
En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.
\n
Le médecin traitant, qu'il exerce en ville ou en établissement de santé, et le médecin conseil établissent conjointement un protocole de soins qui mentionne les obligations prévues ci-dessus. Ce protocole périodiquement révisable, notamment en fonction de l'état de santé du patient et des avancées thérapeutiques, définit en outre, compte tenu des recommandations établies par la Haute Autorité mentionnée à l'article L. 161-37, les actes et prestations nécessités par le traitement de l'affection et pour lesquels la participation de l'assuré peut être limitée ou supprimée, en application des 3° et 4° de l'article L. 322-3. La durée du protocole est fixée compte tenu des recommandations de la Haute Autorité mentionnée à l'article L. 161-37. Ce protocole est signé par le patient ou son représentant légal.
\n
Sauf en cas d'urgence, le patient ou son représentant légal est tenu de communiquer son protocole au médecin consulté pour bénéficier de la limitation ou de la suppression de sa participation.
\n
Le médecin, qu'il exerce en ville ou en établissement de santé, est tenu de certifier, lors de l'établissement des documents nécessaires au remboursement ou à la prise en charge, qu'il a pris connaissance du protocole et de se conformer aux dispositions réglementant la limitation ou la suppression de la participation de l'assuré.
\n
Les modalités de mise en oeuvre du présent article, notamment les conditions dans lesquelles l'assuré prend connaissance du protocole de soins et le communique au médecin lors de la prescription, sont fixées par décret.
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R324-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "TXT_SOURCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240353", "@num": "R324-2", "#text": "Code de la sécurité sociale. - art. R324-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031827804", "@num": "R331-2", "#text": "Code de la sécurité sociale. - art. R331-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006750513", "@num": "R412-8", "#text": "Code de la sécurité sociale. - art. R412-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006752155", "@num": "R753-19", "#text": "Code de la sécurité sociale. - art. R753-19 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045875553", "@num": "R1803-30-7", "#text": "Code des transports - art. R1803-30-7 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000023086525", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038610069", "@num": "L6315-1", "#text": "Code du travail - art. L6315-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072050", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027980858", "@num": "D732-2-3", "#text": "Code rural - art. D732-2-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006597794", "@num": "R742-14", "#text": "Code rural - art. R742-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006580778", "@num": "1033-1", "#text": "Code rural ancien - art. 1033-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071366", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000035918599", "@num": "D732-2-10", "#text": "Code rural et de la pêche maritime - art. D732-2-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045739440", "@num": "D732-2-2", "#text": "Code rural et de la pêche maritime - art. D732-2-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047098148", "@num": "D732-2-4", "#text": "Code rural et de la pêche maritime - art. D732-2-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006585395", "@num": "L725-20", "#text": "Code rural et de la pêche maritime - art. L725-20 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156366", "@fin": "2999-01-01", "#text": "Chapitre 4 : Qualité et coordination des soins des patients atteints d'une affection de longue durée", "@debut": "2004-08-17" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141617", "@fin": "2999-01-01", "#text": "Titre II : Assurance maladie", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126889", "@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": "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": "LEGIARTI000006742522", "@fin": "2003-12-19", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006742523", "@fin": "2004-08-17", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2003-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006742524", "@fin": "2011-05-19", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2004-08-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000024041070", "@fin": "2016-01-28", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2011-05-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031932281", "@fin": "2022-01-01", "@num": "L324-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000041399098", "@fin": "2999-01-01", "@num": "L324-1", "@etat": "VIGUEUR", "@debut": "2022-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

En cas d'affection de longue durée et en cas d'interruption de travail ou de soins continus supérieurs à une durée déterminée, la caisse doit faire procéder périodiquement à un examen spécial du bénéficiaire, conjointement par le médecin traitant et le médecin conseil de la sécurité sociale en vue de déterminer le traitement que l'intéressé doit suivre si les soins sont dispensés sans interruption ; la continuation du service des prestations est subordonnée à l'obligation pour le bénéficiaire :

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1°) de se soumettre aux traitements et mesures de toute nature prescrits d'un commun accord par le médecin traitant et le médecin conseil de la sécurité sociale, et, en cas de désaccord entre ces deux médecins, par un expert ;

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2°) de se soumettre aux visites médicales et contrôles spéciaux organisés par la caisse ;

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3°) de s'abstenir de toute activité non autorisée ;

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4°) d'accomplir les exercices ou travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.

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En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.

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Le médecin traitant, qu'il exerce en ville ou en établissement de santé, et le médecin conseil établissent conjointement un protocole de soins qui mentionne les obligations prévues ci-dessus. Ce protocole périodiquement révisable, notamment en fonction de l'état de santé du patient et des avancées thérapeutiques, définit en outre, compte tenu des recommandations établies par la Haute Autorité mentionnée à l'article L. 161-37, les actes et prestations nécessités par le traitement de l'affection et pour lesquels la participation de l'assuré peut être limitée ou supprimée, en application des 3° et 4° de l'article L. 322-3. La durée du protocole est fixée compte tenu des recommandations de la Haute Autorité mentionnée à l'article L. 161-37. Ce protocole est signé par le patient ou son représentant légal.

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Sauf en cas d'urgence, le patient ou son représentant légal est tenu de communiquer son protocole au médecin consulté pour bénéficier de la limitation ou de la suppression de sa participation.

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Le médecin, qu'il exerce en ville ou en établissement de santé, est tenu de certifier, lors de l'établissement des documents nécessaires au remboursement ou à la prise en charge, qu'il a pris connaissance du protocole et de se conformer aux dispositions réglementant la limitation ou la suppression de la participation de l'assuré.

\n
" } }, "LEGIARTI000031932281": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L324-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2022-01-01", "DATE_DEBUT": "2016-01-28" } }, "META_COMMUN": { "ID": "LEGIARTI000031932281", "URL": "article/LEGI/ARTI/00/00/31/93/22/LEGIARTI000031932281.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

(1) L'article L322-3 du code la sécurité sociale a été transféré à l'article L160-14 du même code par la loi n° 2015-1702 du 21 décembre 2015.

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art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000167406", "@nortexte": "AGRS9002091A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1990-10-02" }, { "@id": "LEGIARTI000032741676", "@num": "72", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 72 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006772425", "@num": "3", "#text": "Décret n°98-311 du 23 avril 1998 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000556321", "@nortexte": "AGRS9800147D", "@numtexte": "98-311", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1998-04-23" }, { "@id": "LEGIARTI000006791276", "@num": "10", "#text": "Arrêté du 10 juillet 1998 - art. 10 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000390604", "@nortexte": "MESS9822187A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-07-10" }, { "@id": "LEGIARTI000006791220", "@num": "9", "#text": "Arrêté du 13 novembre 1998 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000758249", "@nortexte": "MESS9823519A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-11-13" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759214", "@num": "65", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 65 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006252690", "@num": "2", "#text": "Arrêté du 26 juin 2006 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000792699", "@nortexte": "SANS0622660A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2006-06-26" }, { "@id": "LEGIARTI000006778614", "@num": "3", "#text": "Décret n°2007-1516 du 22 octobre 2007 - art. 3 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000793434", "@nortexte": "AGRF0765574D", "@numtexte": "2007-1516", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-10-22" }, { "@id": "LEGITEXT000020036316", "#text": "Décret n°2008-1440 du 22 décembre 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020010002", "@nortexte": "SJSS0819354D", "@numtexte": "2008-1440", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-22" }, { "@id": "LEGIARTI000021188156", "@num": "8", "#text": "Décret n°2009-1273\n du 22 octobre 2009 - art. 8 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021187382", "@nortexte": "SASS0922224D", "@numtexte": "2009-1273", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2009-10-22" }, { "@id": "LEGIARTI000021802975", "@num": "2", "#text": "Décret n°2010-125 du 8 février 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021801916", "@nortexte": "SASS0926272D", "@numtexte": "2010-125", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-02-08" }, { "@id": "LEGIARTI000024148526", "@num": "31", "#text": "Décret n°2011-636\n du 8 juin 2011 - art. 31 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024147682", "@nortexte": "DEVL1100264D", "@numtexte": "2011-636", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-06-08" }, { "@id": "LEGIARTI000036520452", "@num": "43", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - art. 43 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGITEXT000030909402", "#text": "DÉCRET n°2015-881 du 17 juillet 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030907542", "@nortexte": "AFSH1506845D", "@numtexte": "2015-881", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-17" }, { "@id": "LEGIARTI000030909413", "@num": "2", "#text": "DÉCRET n°2015-881 du 17 juillet 2015 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030907542", "@nortexte": "AFSH1506845D", "@numtexte": "2015-881", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-17" }, { "@id": "LEGITEXT000043035972", "#text": "Arrêté du 29 mai 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031255521", "@nortexte": "AFSS1522412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-05-29" }, { "@id": "LEGIARTI000043035963", "@num": "1", "#text": "Arrêté du 29 mai 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031255521", "@nortexte": "AFSS1522412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-05-29" }, { "@id": "LEGIARTI000031916662", "@num": "198", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 198", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000048685870", "@num": "115", "#text": "LOI n°2017-1837 du 30 décembre 2017 - art. 115 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000036339197", "@nortexte": "CPAX1723900L", "@numtexte": "2017-1837", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2017-12-30" }, { "@id": "LEGITEXT000038098517", "#text": "Arrêté du 26 décembre 2018 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037865091", "@nortexte": "SSAS1831978A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-26" }, { "@id": "LEGITEXT000043026154", "#text": "Arrêté du 29 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042845737", "@nortexte": "SSAS1933584A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-29" }, { "@id": "LEGIARTI000045874488", "@num": "1", "#text": "Décret n°2022-862 du 7 juin 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000045873905", "@nortexte": "MOMO2208923D", "@numtexte": "2022-862", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-06-07" }, { "@id": "LEGIARTI000006798659", "@num": "R145-13", "#text": "Code de la santé publique - art. 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En cas d'affection de longue durée et en cas d'interruption de travail ou de soins continus supérieurs à une durée déterminée, le médecin traitant détermine le traitement que le bénéficiaire de l'assurance maladie doit suivre si les soins sont dispensés sans interruption ; la continuation du service des prestations est subordonnée à l'obligation pour le bénéficiaire :

1° De se soumettre aux traitements et aux mesures de toute nature prescrits par le médecin traitant et, en cas de désaccord avec le service du contrôle médical, par un expert ;

2° De se soumettre aux visites médicales et aux contrôles spéciaux organisés par la caisse ;

3° De s'abstenir de toute activité non autorisée ;

4° D'accomplir les exercices ou les travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.

En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.

Le médecin traitant, qu'il exerce en ville ou en établissement de santé, établit un protocole de soins. Ce protocole, périodiquement révisable, notamment en fonction de l'état de santé du patient et des avancées thérapeutiques, définit, compte tenu des recommandations établies par la Haute Autorité mentionnée à l'article L. 161-37, les actes et les prestations nécessités par le traitement de l'affection et pour lesquels la participation de l'assuré peut être limitée ou supprimée, en application des 3° et 4° de l'article L. 322-3 (1). La durée du protocole est fixée compte tenu des recommandations de la Haute Autorité mentionnée à l'article L. 161-37.

Le protocole établi par le médecin traitant est adressé au service du contrôle médical, qui fait connaître son avis à la caisse d'assurance maladie dont relève l'assuré. A défaut d'observations transmises dans un délai fixé par voie réglementaire, l'avis est réputé favorable. Le directeur de l'organisme notifie à l'assuré la décision statuant sur la suppression ou la limitation de la participation de ce dernier.

Sauf en cas d'urgence, le patient ou son représentant légal est tenu de communiquer son protocole au médecin consulté pour bénéficier de la limitation ou de la suppression de sa participation.

" } }, "LEGIARTI000033235676": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000033235676", "URL": "article/LEGI/ARTI/00/00/33/23/56/LEGIARTI000033235676.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000033240403", "@num": "R160-11", "#text": "Code de la sécurité sociale. - art. R160-11 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240399", "@num": "R160-13", "#text": "Code de la sécurité sociale. - art. R160-13 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240395", "@num": "R160-15", "#text": "Code de la sécurité sociale. - art. R160-15 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240369", "@num": "R160-17", "#text": "Code de la sécurité sociale. - art. R160-17 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240358", "@num": "R324-1", "#text": "Code de la sécurité sociale. - art. R324-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033235836", "@num": "R324-1-1", "#text": "Code de la sécurité sociale. - art. R324-1-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033240353", "@num": "R324-2", "#text": "Code de la sécurité sociale. - art. R324-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000033234535", "@nor": "AFSS1617099D", "@num": "2016-1362", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2016-1362 du 12 octobre 2016 relatif à la simplification du régime des affections de longue durée", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000033234535", "@c_titre_court": "Décret n°2016-1362 du 12 octobre 2016" }, { "@fin": "2999-01-01", "#text": "Décret n° 2016-1362 du 12 octobre 2016 relatif à la simplification du régime des affections de longue durée", "@debut": "2016-10-15", "@id_txt": "LEGITEXT000033235671", "@c_titre_court": "Décret n°2016-1362 du 12 octobre 2016" } ], "@ministere": "Ministère des affaires sociales et de la santé", "@date_publi": "2016-10-14", "@date_signature": "2016-10-12", "@num_parution_jo": "0240" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000033235676", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000033234540", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A créé les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. R324-1-1\n
\n

\n
\n
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. R160-11, Art. R160-13, Art. R160-15, Art. R160-17, Art. R324-1, Art. R324-2\n
\n

\n
\n
" } }, "LEGIARTI000033240353": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R324-2", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2016-10-15" } }, "META_COMMUN": { "ID": "LEGIARTI000033240353", "URL": "article/LEGI/ARTI/00/00/33/24/03/LEGIARTI000033240353.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006760575", "@num": "40", "#text": "Décret n°45-0179 du 29 décembre 1945 - art. 40 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000682675", "@numtexte": "45-0179", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1945-12-29" }, { "@id": "LEGIARTI000006760575", "@num": "40", "#text": "Décret n°45-0179 du 29 décembre 1945 - art. 40 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000682675", "@numtexte": "45-0179", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1945-12-29" }, { "@id": "LEGIARTI000006773901", "@num": "31", "#text": "Décret n°50-1225 du 21 septembre 1950 - art. 31 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000675489", "@numtexte": "50-1225", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1950-09-21" }, { "@id": "LEGIARTI000033235676", "@num": "1", "#text": "Décret n°2016-1362 du 12 octobre 2016 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000033234535", "@nortexte": "AFSS1617099D", "@numtexte": "2016-1362", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2016-10-12" }, { "@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": "LEGIARTI000033235836", "@num": "R324-1-1", "#text": "Code de la sécurité sociale. - art. R324-1-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006597794", "@num": "R742-14", "#text": "Code rural - art. R742-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156610", "@fin": "2999-01-01", "#text": "Chapitre 4 : Affections de longue durée.", "@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": "LEGIARTI000006749281", "@fin": "2008-12-31", "@num": "R324-2", "@etat": "MODIFIE", "@debut": "1985-12-21", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020044295", "@fin": "2010-04-01", "@num": "R324-2", "@etat": "MODIFIE", "@debut": "2008-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000022073098", "@fin": "2016-01-01", "@num": "R324-2", "@etat": "MODIFIE", "@debut": "2010-04-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031827836", "@fin": "2016-10-15", "@num": "R324-2", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000033240353", "@fin": "2999-01-01", "@num": "R324-2", "@etat": "VIGUEUR", "@debut": "2016-10-15", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

La décision intervenant en application de l'article L. 324-1 est prise par le directeur de la caisse primaire d'assurance maladie, ou par le directeur de tout organisme assurant la prise en charge des frais de santé, après avis du service du contrôle médical.

Le directeur de la caisse ou de l'organisme dispose d'un délai d'un mois à compter de la date de réception de la demande par le service du contrôle médical pour notifier sa décision à l'assuré. Dans le cas où le service du contrôle médical transmet une observation sur la demande avant l'expiration du délai fixé à l'article R. 324-1-1, le délai d'un mois est suspendu pour une durée maximale de deux mois.
\n
La décision, dont une copie est adressée au médecin traitant, est notifiée à l'assuré par tout moyen donnant date certaine à sa réception toutes les fois qu'il s'agit d'une décision de suspension, de réduction ou de suppression du service des prestations.

" } }, "LEGIARTI000041399098": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L324-1", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2022-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000041399098", "URL": "article/LEGI/ARTI/00/00/41/39/90/LEGIARTI000041399098.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément aux III de l'article 87 de la loi n° 2019-1446 du 24 décembre 2019, ces dispositions sont applicables aux contestations, aux recours préalables et aux recours juridictionnels introduits à compter d'une date fixée par décret en Conseil d'Etat, et au plus tard le 1er janvier 2022.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006782195", "@num": "71-4", "#text": "Arrêté du 19 juin 1947 - art. 71-4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006782196", "@num": "71-4-1", "#text": "Arrêté du 19 juin 1947 - art. 71-4-1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000470499", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1947-06-19" }, { "@id": "LEGIARTI000006773901", "@num": "31", "#text": "Décret n°50-1225 du 21 septembre 1950 - art. 31 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000675489", "@numtexte": "50-1225", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1950-09-21" }, { "@id": "LEGIARTI000032078893", "@num": "9", "#text": "Ordonnance n° 77-1102 du 26 septembre 1977 - art. 9 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000699946", "@numtexte": "77-1102", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1977-09-26" }, { "@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": "LEGIARTI000006787297", "@num": "1", "#text": "Arrêté du 2 octobre 1990 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000167406", "@nortexte": "AGRS9002091A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1990-10-02" }, { "@id": "LEGIARTI000032741676", "@num": "72", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 72 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006772425", "@num": "3", "#text": "Décret n°98-311 du 23 avril 1998 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000556321", "@nortexte": "AGRS9800147D", "@numtexte": "98-311", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1998-04-23" }, { "@id": "LEGIARTI000006791276", "@num": "10", "#text": "Arrêté du 10 juillet 1998 - art. 10 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000390604", "@nortexte": "MESS9822187A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-07-10" }, { "@id": "LEGIARTI000006791220", "@num": "9", "#text": "Arrêté du 13 novembre 1998 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000758249", "@nortexte": "MESS9823519A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-11-13" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759214", "@num": "65", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 65 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006252690", "@num": "2", "#text": "Arrêté du 26 juin 2006 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000792699", "@nortexte": "SANS0622660A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2006-06-26" }, { "@id": "LEGIARTI000006778614", "@num": "3", "#text": "Décret n°2007-1516 du 22 octobre 2007 - art. 3 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000793434", "@nortexte": "AGRF0765574D", "@numtexte": "2007-1516", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-10-22" }, { "@id": "LEGITEXT000020036316", "#text": "Décret n°2008-1440 du 22 décembre 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020010002", "@nortexte": "SJSS0819354D", "@numtexte": "2008-1440", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-22" }, { "@id": "LEGIARTI000021188156", "@num": "8", "#text": "Décret n°2009-1273\n du 22 octobre 2009 - art. 8 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021187382", "@nortexte": "SASS0922224D", "@numtexte": "2009-1273", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2009-10-22" }, { "@id": "LEGIARTI000021802975", "@num": "2", "#text": "Décret n°2010-125 du 8 février 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021801916", "@nortexte": "SASS0926272D", "@numtexte": "2010-125", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-02-08" }, { "@id": "LEGIARTI000024148526", "@num": "31", "#text": "Décret n°2011-636\n du 8 juin 2011 - art. 31 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024147682", "@nortexte": "DEVL1100264D", "@numtexte": "2011-636", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-06-08" }, { "@id": "LEGIARTI000036520452", "@num": "43", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - art. 43 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGITEXT000030909402", "#text": "DÉCRET n°2015-881 du 17 juillet 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030907542", "@nortexte": "AFSH1506845D", "@numtexte": "2015-881", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-17" }, { "@id": "LEGIARTI000030909413", "@num": "2", "#text": "DÉCRET n°2015-881 du 17 juillet 2015 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030907542", "@nortexte": "AFSH1506845D", "@numtexte": "2015-881", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-17" }, { "@id": "LEGITEXT000043035972", "#text": "Arrêté du 29 mai 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031255521", "@nortexte": "AFSS1522412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-05-29" }, { "@id": "LEGIARTI000043035963", "@num": "1", "#text": "Arrêté du 29 mai 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031255521", "@nortexte": "AFSS1522412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-05-29" }, { "@id": "LEGIARTI000048685870", "@num": "115", "#text": "LOI n°2017-1837 du 30 décembre 2017 - art. 115 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000036339197", "@nortexte": "CPAX1723900L", "@numtexte": "2017-1837", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2017-12-30" }, { "@id": "LEGITEXT000038098517", "#text": "Arrêté du 26 décembre 2018 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037865091", "@nortexte": "SSAS1831978A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-26" }, { "@id": "LEGIARTI000039755096", "@num": "87", "#text": "LOI n° 2019-1446 du 24 décembre 2019 - art. 87", "@sens": "cible", "@cidtexte": "JORFTEXT000039675317", "@nortexte": "CPAX1927098L", "@numtexte": "2019-1446", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2019-12-24" }, { "@id": "LEGITEXT000043026154", "#text": "Arrêté du 29 décembre 2020 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042845737", "@nortexte": "SSAS1933584A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-12-29" }, { "@id": "LEGIARTI000045874488", "@num": "1", "#text": "Décret n°2022-862 du 7 juin 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000045873905", "@nortexte": "MOMO2208923D", "@numtexte": "2022-862", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-06-07" }, { "@id": "LEGIARTI000006798659", "@num": "R145-13", "#text": "Code de la santé publique - art. 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1° De se soumettre aux traitements et aux mesures de toute nature prescrits par le médecin traitant ;

2° De se soumettre aux visites médicales et aux contrôles spéciaux organisés par la caisse ;

3° De s'abstenir de toute activité non autorisée ;

4° D'accomplir les exercices ou les travaux prescrits en vue de favoriser sa rééducation ou son reclassement professionnel.

En cas d'inobservation des obligations ci-dessus indiquées, la caisse peut suspendre, réduire ou supprimer le service des prestations.

Sauf en cas d'urgence, le patient ou son représentant légal est tenu de communiquer son protocole au médecin consulté pour bénéficier de la limitation ou de la suppression de sa participation.

\n
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Article R324-1-1 AUTONOME VIGUEUR, en vigueur depuis le 15/10/2016 (Code de la sécurité sociale)