{ "article": { "LEGIARTI000033685418": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "72", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000033685418", "URL": "article/LEGI/ARTI/00/00/33/68/54/LEGIARTI000033685418.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000033714870", "@num": "L1435-4-2", "#text": "Code de la santé publique - art. L1435-4-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033714859", "@num": "L1435-4-3", "#text": "Code de la santé publique - art. L1435-4-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033714874", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. L162-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000033685177", "@fin": "2999-01-01", "#text": "Chapitre II : Promouvoir les parcours de santé", "@debut": "2016-12-25" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000033685186", "@fin": "2999-01-01", "#text": "Titre IV : DISPOSITIONS RELATIVES À LA BRANCHE MALADIE", "@debut": "2016-12-25" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000034981787", "@fin": "2999-01-01", "#text": "QUATRIÈME PARTIE : DISPOSITIONS RELATIVES AUX DÉPENSES POUR L'EXERCICE 2017", "@debut": "2016-12-25" } ] }, "@cid": "JORFTEXT000033680665", "@nor": "ECFX1623944L", "@num": "2016-1827", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2016-1827 du 23 décembre 2016 de financement de la sécurité sociale pour 2017 (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000033680665", "@c_titre_court": "LOI n° 2016-1827 du 23 décembre 2016" }, { "@fin": "2999-01-01", "#text": "LOI n° 2016-1827 du 23 décembre 2016 de financement de la sécurité sociale pour 2017 (1)", "@debut": "2016-12-25", "@id_txt": "LEGITEXT000033685172", "@c_titre_court": "LOI n°2016-1827 du 23 décembre 2016" } ], "@date_publi": "2016-12-24", "@date_signature": "2016-12-23", "@num_parution_jo": "0299" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000033685418", "@fin": "2999-01-01", "@num": "72", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000033680764", "@fin": "2999-01-01", "@num": "72", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. L162-5\n
\n

- Code de la santé publique
\n Art. L1435-4-2, Art. L1435-4-3\n
\n

\n
" } }, "LEGIARTI000033714859": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L1435-4-3", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2018-01-19", "DATE_DEBUT": "2016-12-25" } }, "META_COMMUN": { "ID": "LEGIARTI000033714859", "URL": "article/LEGI/ARTI/00/00/33/71/48/LEGIARTI000033714859.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000031391075", "@num": "Annexe", "#text": "ARRÊTÉ du 26 octobre 2015 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031388942", "@nortexte": "AFSS1525501A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-10-26" }, { "@id": "LEGIARTI000045011325", "@num": "1", "#text": "Arrêté du 16 décembre 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031680250", "@nortexte": "AFSZ1531640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-12-16" }, { "@id": "LEGIARTI000033685418", "@num": "72", "#text": "LOI n°2016-1827 du 23 décembre 2016 - art. 72", "@sens": "cible", "@cidtexte": "JORFTEXT000033680665", "@nortexte": "ECFX1623944L", "@numtexte": "2016-1827", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000044998022", "@num": "1", "#text": "Arrêté du 23 décembre 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000044572488", "@nortexte": "SSAS2138815A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-12-23" }, { "@id": "LEGIARTI000033714870", "@num": "L1435-4-2", "#text": "Code de la santé publique - art. L1435-4-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031391635", "@num": "R1435-9-17", "#text": "Code de la santé publique - art. R1435-9-17 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031390923", "@num": "R1435-9-18", "#text": "Code de la santé publique - art. R1435-9-18 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034579045", "@num": "R1435-9-25", "#text": "Code de la santé publique - art. R1435-9-25 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740812", "@num": "L162-14-1", "#text": "Code de la sécurité sociale. - art. L162-14-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033714874", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. L162-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006743312", "@num": "L531-4", "#text": "Code de la sécurité sociale. - art. L531-4", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000020897702", "@fin": "2999-01-01", "#text": "Section 2 : Contractualisation avec les offreurs de services de santé", "@debut": "2010-04-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000020897706", "@fin": "2999-01-01", "#text": "Chapitre V : Modalités et moyens d'intervention des agences régionales de santé", "@debut": "2010-04-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000020897740", "@fin": "2999-01-01", "#text": "Titre III : Agences régionales de santé", "@debut": "2010-04-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140607", "@fin": "2999-01-01", "#text": "Livre IV : Administration générale de la santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125345", "@fin": "2999-01-01", "#text": "Première partie : Protection générale de la santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006103419", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "2000-06-22" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029956837", "@fin": "2016-12-25", "@num": "L1435-4-3", "@etat": "MODIFIE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714859", "@fin": "2018-01-19", "@num": "L1435-4-3", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000036511487", "@fin": "2020-04-01", "@num": "L1435-4-3", "@etat": "ABROGE", "@debut": "2018-01-19", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I. - Les agences régionales de santé peuvent conclure avec un médecin conventionné, régi par les articles L. 162-5 et L. 162-14-1 du code de la sécurité sociale, un contrat de praticien territorial de médecine ambulatoire en application duquel il perçoit une rémunération forfaitaire lorsqu'il interrompt son activité médicale pour cause de maladie, de maternité ou de paternité sans bénéficier de la prestation partagée d'éducation de l'enfant prévue à l'article L. 531-4 du même code.

Le praticien territorial de médecine ambulatoire s'engage pendant une durée fixée par le contrat, qui ne peut être inférieure à trente-six mois et supérieure à soixante-douze mois :

1° A respecter les tarifs opposables ou, lorsqu'il est autorisé à pratiquer des honoraires différents des tarifs conventionnels, à limiter ses dépassements d'honoraires ;

2° A exercer une activité médicale libérale dans une zone définie par l'agence régionale de santé et caractérisée, pour la spécialité qu'il exerce, par une offre médicale insuffisante ou des difficultés dans l'accès aux soins ;

3° A se faire remplacer pendant toute la période de cessation de son activité en cas d'interruption pour cause de maternité ou de paternité ;

4° A ne pas être lié par un contrat de praticien territorial de médecine générale mentionné à l'article L. 1435-4-2 du présent code.

La rémunération complémentaire perçue lors de l'interruption d'activité pour cause de maternité ou de paternité, au titre du présent contrat, n'est pas cumulable avec l'aide financière prévue au 25° de l'article L. 162-5 du code de la sécurité sociale.

II. - Le contrat prévoit des engagements individualisés qui peuvent porter sur les modalités d'exercice, des actions d'amélioration des pratiques, des actions de dépistage, de prévention et d'éducation à la santé et des actions destinées à favoriser la continuité de la coordination des soins et la permanence des soins.

III. - Un décret en Conseil d'Etat précise les conditions d'application du présent article, notamment les règles limitant les dépassements d'honoraires des médecins autorisés à pratiquer des honoraires différents des tarifs conventionnels.
\n

" } }, "LEGIARTI000033714870": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L1435-4-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2020-04-01", "DATE_DEBUT": "2016-12-25" } }, "META_COMMUN": { "ID": "LEGIARTI000033714870", "URL": "article/LEGI/ARTI/00/00/33/71/48/LEGIARTI000033714870.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGITEXT000027844190", "#text": "Décret n°2013-736 du 14 août 2013 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000027842715", "@nortexte": "AFSH1317205D", "@numtexte": "2013-736", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2013-08-14" }, { "@id": "LEGIARTI000045011325", "@num": "1", "#text": "Arrêté du 16 décembre 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031680250", "@nortexte": "AFSZ1531640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-12-16" }, { "@id": "LEGIARTI000033685418", "@num": "72", "#text": "LOI n°2016-1827 du 23 décembre 2016 - art. 72", "@sens": "cible", "@cidtexte": "JORFTEXT000033680665", "@nortexte": "ECFX1623944L", "@numtexte": "2016-1827", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034493765", "@num": "4", "#text": "Décret n°2017-632 du 25 avril 2017 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034492913", "@nortexte": "AFSH1704926D", "@numtexte": "2017-632", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-25" }, { "@id": "LEGITEXT000043131743", "#text": "Arrêté du 2 février 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043130252", "@nortexte": "SSAS2103872A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-02-02" }, { "@id": "LEGIARTI000043131750", "@num": "ANNEXE 1", "#text": "Arrêté du 2 février 2021 - art. 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I.-Les agences régionales de santé peuvent conclure avec un médecin spécialisé en médecine générale, à la condition qu'il n'exerce pas d'activité médicale libérale ou que son installation en cabinet libéral date de moins d'un an, ou avec un assistant spécialiste à temps partiel au sein d'un établissement public de santé un contrat de praticien territorial de médecine générale sur la base duquel il perçoit une rémunération complémentaire aux revenus de ses activités de soins exercées en qualité de praticien territorial de médecine générale. Le praticien territorial de médecine générale s'engage à exercer, pendant une durée fixée par le contrat, la médecine générale dans une zone caractérisée par une offre de soins insuffisante ou des difficultés dans l'accès aux soins, mentionnée à l'article L. 1434-4.

La conclusion de ce contrat n'est pas cumulable avec la perception de l'aide financière prévue au 25° de l'article L. 162-5 du code de la sécurité sociale.

II.-Le contrat prévoit des engagements individualisés qui peuvent porter sur les modalités d'exercice, le respect des tarifs opposables, la prescription, des actions d'amélioration des pratiques, des actions de dépistage, de prévention et d'éducation à la santé, des actions destinées à favoriser la continuité de la coordination des soins, la permanence des soins ainsi que sur des actions de collaboration auprès d'autres médecins.

III.-Un décret en Conseil d'Etat précise les conditions d'application du présent article.

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art. 20-5-6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000368749", "@nortexte": "DOMX9600135R", "@numtexte": "96-1122", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-12-20" }, { "@id": "LEGIARTI000006732909", "@num": "1", "#text": "Arrêté du 17 mars 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198002", "@nortexte": "TASS9720964A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1997-03-17" }, { "@id": "LEGIARTI000006771852", "@num": "1", "#text": "Décret n°97-379 du 21 avril 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771854", "@num": "2", "#text": "Décret n°97-379 du 21 avril 1997 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771859", "@num": "5", "#text": "Décret n°97-379 du 21 avril 1997 - 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art. 103 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000006259857", "@num": "24", "#text": "Loi n°2007-127 du 30 janvier 2007 - art. 24 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000822417", "@nortexte": "SANX0500266L", "@numtexte": "2007-127", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-01-30" }, { "@id": "LEGIARTI000043011831", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000464188", "@nortexte": "SANS0721128A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000045355399", "@num": "44", "#text": "LOI n° 2007-1786 du 19 décembre 2007 - art. 44 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000021100823", "@num": "Annexe", "#text": "Décret n°2009-1173\n du 1er octobre 2009 - 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Les rapports entre les organismes d'assurance maladie et les médecins sont définis par des conventions nationales conclues séparément pour les médecins généralistes et les médecins spécialistes, par l'Union nationale des caisses d'assurance maladie et une ou plusieurs organisations syndicales les plus représentatives pour l'ensemble du territoire de médecins généralistes ou de médecins spécialistes ou par une convention nationale conclue par l'Union nationale des caisses d'assurance maladie et au moins une organisation syndicale représentative pour l'ensemble du territoire de médecins généralistes et une organisation syndicale représentative pour l'ensemble du territoire de médecins spécialistes.

La ou les conventions déterminent notamment :

1° Les obligations respectives des caisses primaires d'assurance maladie et des médecins d'exercice libéral ;

2° Les conditions de l'exercice de la médecine générale et de la médecine spécialisée ainsi que les dispositions permettant, d'une part, une meilleure coordination de leurs interventions et, d'autre part, l'amélioration du recours aux établissements de soins hospitaliers ;

2° bis Le cas échéant, les conditions tendant à éviter à l'assuré social de payer directement les honoraires aux médecins ;

3° (Abrogé) ;

3° bis Le cas échéant, les conditions de promotion des actions d'évaluation des pratiques professionnelles individuelles ou collectives ;

4° Les modalités de financement des expérimentations et des actions innovantes ;

5° Les modalités de réalisation et de financement de programmes d'évaluation des stratégies diagnostiques et thérapeutiques permettant l'établissement de références médicales nationales et locales ;

6° Les mécanismes de maîtrise des dépenses médicales concourant au respect des dispositions prévues à l'article L. 162-5-2, et notamment des mesures appropriées pour garantir la qualité des soins dispensés, la sélection des thèmes de références médicales, l'opposabilité de ces références et ses conditions d'application, et la mise en oeuvre de contrats locaux de maîtrise de dépenses dans chaque circonscription de caisse ;

7° Le cas échéant, les modalités de financement et d'organisation de la reconversion professionnelle des médecins exerçant à titre libéral et les conditions d'attribution d'une aide à la reconversion dont le montant peut varier en fonction de la zone géographique et de l'exercice, par le médecin, d'une spécialité ou de la médecine générale. Elles peuvent prévoir de subordonner cette aide à l'engagement du médecin à renoncer à tout exercice de la médecine nécessitant une inscription au tableau de l'Ordre des médecins ainsi que les modalités de son remboursement en cas de reprise d'une activité telle que définie ci-dessus ;

8° Le cas échéant, les conditions dans lesquelles les tarifs et les rémunérations visés à l'article L. 162-5-2 peuvent être majorés pour certains médecins conventionnés ou certaines activités en vue de valoriser une pratique médicale correspondant à des critères de qualité qu'elles déterminent ;

9° Les conditions de l'utilisation pour l'application de la convention des informations mentionnées aux articles L. 161-28 et L. 161-29, relatives à l'activité des praticiens et notamment les modalités de transmission de ces données aux instances conventionnelles et aux unions de médecins visées à l'article 6 de la loi n° 93-8 du 4 janvier 1993 relative aux relations entre les professions de santé et l'assurance maladie ;

10° Les conditions dans lesquelles est assuré le suivi des dépassements d'honoraires et de leur évolution ;

11° (Abrogé) ;

12° Le cas échéant :

a) Les conditions particulières d'exercice propres à favoriser la coordination des soins par un médecin généraliste choisi par le patient, et les modes de rémunération, autres que le paiement à l'acte, y afférents ;

b) Les conditions particulières d'exercice permettant la prise en charge globale de patients dans le cadre de réseaux de soins et les modes de rémunération des médecins participant à ces réseaux ;

c) Les droits et obligations respectifs des médecins, des patients et des caisses, ainsi que des modalités d'évaluation associées aux formes d'exercice et modes de rémunération mentionnés aux a et b ci-dessus ;

13° Le cas échéant, les modes de rémunération, autres que le paiement à l'acte, des activités de soins ainsi que les modes de rémunération des activités non curatives des médecins, et notamment de prévention, d'éducation pour la santé, de formation, d'évaluation, d'études de santé publique, de veille sanitaire, prévus par des contrats passés entre les médecins concernés et les organismes d'assurance maladie et définissant les obligations relatives aux conditions d'exercice qui en résultent pour les intéressés.

Pour la mise en oeuvre des 12° et 13°, il peut être fait application des dérogations mentionnées au II de l'article L. 162-31-1 ;

13° bis Les propositions d'orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

14° (Abrogé) ;

15° Les mesures et procédures applicables aux médecins dont les pratiques abusives sont contraires aux objectifs de bonnes pratiques et de bon usage des soins fixés par la convention ;

16° (Abrogé) ;

17° Les missions particulières des médecins traitants mentionnés à l'article L. 162-5-3 et les modalités de l'organisation de la coordination des soins. Ces missions et modalités d'organisation sont distinctes de celles prévues au 23° ;

18° Les modalités selon lesquelles les médecins relevant de certaines spécialités sont autorisés à pratiquer, dans certaines limites respectant les dispositions de l'article L. 162-2-1, des dépassements d'honoraires sur le tarif des actes et consultations pour les patients qui les consultent sans prescription préalable de leur médecin traitant et qui ne relèvent pas d'un protocole de soins, et les engagements des professionnels pour assurer l'égalité de traitement des patients au regard des délais d'accès au médecin. Ces modalités ne sont pas applicables aux patients âgés de moins de seize ans ;

19° Des objectifs de prescription de médicaments appartenant à un groupe générique tel que défini à l'article L. 5121-1 du code de la santé publique ;

20° Les mesures d'adaptation, notamment incitatives, des dispositions de l'article L. 162-14-1 et du présent article applicables aux médecins en fonction du niveau de l'offre en soins au sein de chaque région dans les zones au sens du 2° de l'article L. 162-47. Ces modalités sont définies après concertation des organisations les plus représentatives des étudiants en médecine, des internes, des chefs de clinique et des médecins récemment diplômés ou installés avec l'Union nationale des caisses d'assurance maladie ;

21° Le cas échéant, le montant et les conditions d'attribution d'une aide à l'utilisation ou à l'acquisition d'un logiciel d'aide à la prescription certifié suivant la procédure prévue à l'article L. 161-38 ;

22° Le cas échéant, des engagements individualisés et la contrepartie financière associée. Ces engagements peuvent porter sur la prescription, la participation à des actions de dépistage, de prévention, la prise en charge de patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que toute action d'amélioration des pratiques, de formation et d'information des professionnels. Ces engagements sont distincts de ceux prévus au 23. La contrepartie financière est fonction de l'atteinte des objectifs par le professionnel de santé. Ces engagements et cette contrepartie peuvent être révisés durant la période conventionnelle par les instances conventionnelles compétentes. Ces révisions sont mises en œuvre par décision du directeur général de l'Union nationale des caisses d'assurance maladie ;

23° Les missions particulières des médecins traitants des patients de moins de seize ans mentionnés à l'article L. 162-5-3 et les modalités de l'organisation de la coordination des soins spécifique à ces patients, le cas échéant, avec les médecins d'autres spécialités, notamment en ce qui concerne le parcours de soins des enfants atteints d'une maladie chronique et la transition vers le parcours de soins de l'adulte ;

24° Le cas échéant, les modes de rémunération autres que le paiement à l'acte, y compris ceux intervenant en contrepartie d'engagements individualisés définis au 22° relatifs aux missions et aux modalités d'organisation prévues au 23° ;

25° Le cas échéant, les modalités de versement d'une aide financière complémentaire aux médecins interrompant leur activité médicale pour cause de maternité ou de paternité.

26° S'agissant des médecins spécialistes en radiodiagnostic et en imagerie médicale et des médecins spécialistes en médecine nucléaire, les rémunérations liées à l'acquisition et au fonctionnement des équipements lourds d'imagerie médicale ainsi que la classification associée, dans le respect des dispositions des articles L. 162-1-9 et L. 162-1-9-1.

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Article 72 ENTIEREMENT_MODIF (LOI n° 2016-1827 du 23 décembre 2016 de financement de la sécurité sociale pour 2017 (1))