{ "article": { "LEGIARTI000039124877": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000039124877", "URL": "article/LEGI/ARTI/00/00/39/12/48/LEGIARTI000039124877.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006690721", "@num": "L6114-1", "#text": "Code de la santé publique - art. L6114-1", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690725", "@num": "L6114-2", "#text": "Code de la santé publique - art. L6114-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000039125022", "@num": "R162-33-16-1", "#text": "Code de la sécurité sociale. - art. R162-33-16-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000039124421", "@nor": "SSAH1920643D", "@num": "2019-977", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2019-977 du 23 septembre 2019 relatif à la rémunération forfaitaire des établissements de santé pour certaines pathologies chroniques prévue par l'article L. 162-22-6-2 du code de la sécurité sociale", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000039124421", "@c_titre_court": "Décret n°2019-977 du 23 septembre 2019" }, { "@fin": "2999-01-01", "#text": "Décret n° 2019-977 du 23 septembre 2019 relatif à la rémunération forfaitaire des établissements de santé pour certaines pathologies chroniques prévue par l'article L. 162-22-6-2 du code de la sécurité sociale", "@debut": "2019-09-25", "@id_txt": "LEGITEXT000039124873", "@c_titre_court": "Décret n°2019-977 du 23 septembre 2019" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2019-09-24", "@date_signature": "2019-09-23", "@num_parution_jo": "0222" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000039124877", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000039124425", "@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. R162-33-16-1\n
\n

\n
" } }, "LEGIARTI000006690721": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2003-09-06", "DATE_DEBUT": "2000-06-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006690721", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690721.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L01XXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006682725", "@num": "41", "#text": "Décret n°54-883 du 2 septembre 1954 - art. 41 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000492230", "@numtexte": "54-883", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1954-09-02" }, { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006758294", "@num": "40", "#text": "Loi n°2000-1257 du 23 décembre 2000 - art. 40 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000579088", "@nortexte": "MESX0000144L", "@numtexte": "2000-1257", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2000-12-23" }, { "@id": "LEGIARTI000025415017", "@num": "2", "#text": "Décret n°2001-353 du 20 avril 2001 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000222813", "@nortexte": "MESH0120778D", "@numtexte": "2001-353", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-04-20" }, { "@id": "LEGIARTI000025415301", "@num": "8-5", "#text": "Décret n°2001-1242 du 21 décembre 2001 - art. 8-5 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000215372", "@nortexte": "MESH0124179D", "@numtexte": "2001-1242", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-12-21" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000020084216", "#text": "Arrêté du 22 décembre 2008 - art. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034160098", "@nortexte": "AFSA1619718A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-03-03" }, { "@id": "LEGIARTI000034392999", "@num": "1", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000039124877", "@num": "1", "#text": "Décret n°2019-977 du 23 septembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039124421", "@nortexte": "SSAH1920643D", "@numtexte": "2019-977", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-09-23" }, { "@id": "LEGIARTI000043740027", "@num": "3", "#text": "Décret n°2021-868 du 30 juin 2021 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043728249", "@nortexte": "SSAH2114306D", "@numtexte": "2021-868", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-06-30" }, { "@id": "LEGIARTI000044428692", "@num": "37", "#text": "Décret n°2021-1570 du 3 décembre 2021 - art. 37 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000044411107", "@nortexte": "SSAH2121693D", "@numtexte": "2021-1570", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-12-03" }, { "@id": "LEGIARTI000050549749", "@num": "R253-15", "#text": "Code général de la fonction publique - art. 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D6114-9 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043583730", "@num": "D6143-37-1", "#text": "Code de la santé publique - art. D6143-37-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025749779", "@num": "D6311-22", "#text": "Code de la santé publique - art. D6311-22 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. L1112-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044317217", "@num": "L1435-3", "#text": "Code de la santé publique - art. L1435-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043499446", "@num": "L3222-1", "#text": "Code de la santé publique - art. L3222-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036515901", "@num": "L6112-2", "#text": "Code de la santé publique - art. L6112-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021940210", "@num": "L6113-5", "#text": "Code de la santé publique - art. L6113-5 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690724", "@num": "L6114-1", "#text": "Code de la santé publique - art. L6114-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036511270", "@num": "L6114-2", "#text": "Code de la santé publique - art. L6114-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025014243", "@num": "L6114-3", "#text": "Code de la santé publique - art. L6114-3 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690746", "@num": "L6115-2", "#text": "Code de la santé publique - art. 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L6152-3 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021940520", "@num": "L6161-2", "#text": "Code de la santé publique - art. L6161-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702538", "@num": "L6161-2-2", "#text": "Code de la santé publique - art. L6161-2-2 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017842284", "@num": "L6161-3-1", "#text": "Code de la santé publique - art. 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L710-16 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026916619", "@num": "R3131-10-1", "#text": "Code de la santé publique - art. R3131-10-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889671", "@num": "R3131-4", "#text": "Code de la santé publique - art. R3131-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033223174", "@num": "R3131-5", "#text": "Code de la santé publique - art. R3131-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889635", "@num": "R3131-9", "#text": "Code de la santé publique - art. R3131-9 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006799779", "@num": "R5104-21", "#text": "Code de la santé publique - art. R5104-21 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006799839", "@num": "R5104-49", "#text": "Code de la santé publique - art. R5104-49 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006799864", "@num": "R5104-60", "#text": "Code de la santé publique - art. 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R6122-23 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916698", "@num": "R6122-33", "#text": "Code de la santé publique - art. R6122-33 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043855219", "@num": "R6122-34", "#text": "Code de la santé publique - art. R6122-34 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916802", "@num": "R6123-32", "#text": "Code de la santé publique - art. R6123-32 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037443754", "@num": "R6123-32-6", "#text": "Code de la santé publique - art. R6123-32-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916751", "@num": "R6123-7", "#text": "Code de la santé publique - art. R6123-7 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022782470", "@num": "R6132-22", "#text": "Code de la santé publique - art. R6132-22 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917359", "@num": "R6133-13", "#text": "Code de la santé publique - art. R6133-13 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034501959", "@num": "R6133-21", "#text": "Code de la santé publique - art. R6133-21 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917502", "@num": "R6142-42", "#text": "Code de la santé publique - art. 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R6145-35 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000023785140", "@num": "R6146-17", "#text": "Code de la santé publique - art. R6146-17 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022165294", "@num": "R6147-95", "#text": "Code de la santé publique - art. R6147-95 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050745380", "@num": "R6152-340", "#text": "Code de la santé publique - art. R6152-340 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050942850", "@num": "R6161-38", "#text": "Code de la santé publique - art. R6161-38 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033223226", "@num": "R6311-25", "#text": "Code de la santé publique - art. R6311-25 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889739", "@num": "R6311-30", "#text": "Code de la santé publique - art. R6311-30 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043600566", "@num": "R6316-6", "#text": "Code de la santé publique - art. R6316-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006802871", "@num": "R712-69", "#text": "Code de la santé publique - art. R712-69 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803026", "@num": "R713-2-22", "#text": "Code de la santé publique - art. R713-2-22 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803232", "@num": "R714-3-30", "#text": "Code de la santé publique - art. R714-3-30 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029959553", "@num": "L162-30-3", "#text": "Code de la sécurité sociale. - art. L162-30-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034404731", "@num": "R162-23", "#text": "Code de la sécurité sociale. - art. R162-23 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034404693", "@num": "R162-30", "#text": "Code de la sécurité sociale. - art. R162-30 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043188376", "@num": "R162-33-15", "#text": "Code de la sécurité sociale. - art. R162-33-15 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050942119", "@num": "R162-33-16-1", "#text": "Code de la sécurité sociale. - art. R162-33-16-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045635511", "@num": "R162-34-11", "#text": "Code de la sécurité sociale. - art. R162-34-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022896559", "@num": "R162-40", "#text": "Code de la sécurité sociale. - art. R162-40 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034102340", "@num": "R162-42-7-1", "#text": "Code de la sécurité sociale. - art. R162-42-7-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034405700", "@num": "R174-34", "#text": "Code de la sécurité sociale. - art. R174-34 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171446", "@fin": "2003-09-06", "#text": "Chapitre IV : Contrats pluriannuels conclus entre les agences régionales de l'hospitalisation et les établissements de santé.", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de 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": "LEGIARTI000006690721", "@fin": "2003-09-06", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690722", "@fin": "2005-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690723", "@fin": "2005-05-03", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690724", "@fin": "2009-07-23", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-05-03", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886576", "@fin": "2010-02-26", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940556", "@fin": "2017-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031688183", "@fin": "2017-01-14", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865513", "@fin": "2020-11-20", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000042536702", "@fin": "2999-01-01", "@num": "L6114-1", "@etat": "VIGUEUR", "@debut": "2020-11-20", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les agences régionales de l'hospitalisation, mentionnées à l'article L. 6115-2, concluent avec les établissements de santé publics ou privés des contrats pluriannuels d'objectifs et de moyens.
\n
La durée du contrat ne peut être inférieure à trois ans ni supérieure à cinq ans.
\n
Le contrat est signé par le directeur de l'agence régionale et le représentant de l'établissement de santé concerné. Pour les établissements publics de santé, ces contrats sont conclus après délibération du conseil d'administration prise après avis de la commission médicale d'établissement et du comité technique d'établissement.
\n
Des organismes concourant aux soins, des professionnels de santé exerçant à titre libéral, des instituts de recherche ou des universités peuvent être appelés au contrat, pour tout ou partie de ses clauses.
\n
Le contrat fixe son calendrier d'exécution et mentionne les indicateurs de suivi et de résultats nécessaires à son évaluation périodique. L'établissement adresse un rapport annuel d'étape ainsi qu'un rapport final à l'agence régionale.
" } }, "LEGIARTI000006690722": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-01-01", "DATE_DEBUT": "2003-09-06" } }, "META_COMMUN": { "ID": "LEGIARTI000006690722", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690722.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L01XXAB" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-1, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié :
\n après le troisième alinéa, il est inséré à compter du 1er janvier 2005 un alinéa ainsi rédigé :
\n
\"Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.\"
" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006682725", "@num": "41", "#text": "Décret n°54-883 du 2 septembre 1954 - art. 41 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000492230", "@numtexte": "54-883", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1954-09-02" }, { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006758294", "@num": "40", "#text": "Loi n°2000-1257 du 23 décembre 2000 - art. 40 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000579088", "@nortexte": "MESX0000144L", "@numtexte": "2000-1257", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2000-12-23" }, { "@id": "LEGIARTI000025415017", "@num": "2", "#text": "Décret n°2001-353 du 20 avril 2001 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000222813", "@nortexte": "MESH0120778D", "@numtexte": "2001-353", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-04-20" }, { "@id": "LEGIARTI000025415301", "@num": "8-5", "#text": "Décret n°2001-1242 du 21 décembre 2001 - art. 8-5 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000215372", "@nortexte": "MESH0124179D", "@numtexte": "2001-1242", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-12-21" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006276297", "@num": "7", "#text": "Ordonnance n°2003-850 du 4 septembre 2003 - art. 7 () JORF 6 septembre 2003", "@sens": "source", "@cidtexte": "JORFTEXT000000429878", "@nortexte": "SANX0300081R", "@numtexte": "2003-850", "@typelien": "MODIFICATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2003-09-04" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000020084216", "#text": "Arrêté du 22 décembre 2008 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020021401", "@nortexte": "SJSH0830921A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-22" }, { "@id": "LEGIARTI000024679489", "@num": "2", "#text": "Arrêté du 24 mai 2011 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024099489", "@nortexte": "ETSH1110550A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-05-24" }, { "@id": "LEGIARTI000027060738", "@num": "35", "#text": "LOI n° 2011-940 du 10 août 2011 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024457033", "@nortexte": "ETSX1107215L", "@numtexte": "2011-940", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2011-08-10" }, { "@id": "LEGIARTI000025751301", "@num": "4", "#text": "Arrêté du 23 avril 2012 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025747265", "@nortexte": "ETSH1221561A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-04-23" }, { "@id": "LEGIARTI000025748904", "@num": "4", "#text": "Décret n°2012-561\n du 24 avril 2012 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025747070", "@nortexte": "ETSH1203073D", "@numtexte": "2012-561", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2012-04-24" }, { "@id": "LEGIARTI000028390264", "@num": "8", "#text": "Décret n°2013-1217\n du 23 décembre 2013 - art. 8 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000028387362", "@nortexte": "AFSH1327787D", "@numtexte": "2013-1217", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2013-12-23" }, { "@id": "LEGIARTI000031916314", "@num": "99", "#text": "LOI n° 2016-41 du 26 janvier 2016 - art. 99 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000049389162", "@num": "4", "#text": "Arrêté du 27 décembre 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000033825631", "@nortexte": "AFSP1638824A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-27" }, { "@id": "LEGIARTI000036662390", "#text": "Arrêté du 3 mars 2017 - art. 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R253-15 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050549751", "@num": "R253-16", "#text": "Code général de la fonction publique - art. R253-16 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000046812923", "@num": "L313-12", "#text": "Code de l'action sociale et des familles - art. L313-12 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027700450", "@num": "L713-5", "#text": "Code de l'éducation - art. L713-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071191", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022892125", "@num": "D6114-1", "#text": "Code de la santé publique - art. D6114-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916639", "@num": "D6114-2", "#text": "Code de la santé publique - art. D6114-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916648", "@num": "D6114-9", "#text": "Code de la santé publique - art. D6114-9 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043583730", "@num": "D6143-37-1", "#text": "Code de la santé publique - art. D6143-37-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025749779", "@num": "D6311-22", "#text": "Code de la santé publique - art. D6311-22 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049391666", "@num": "L1112-4", "#text": "Code de la santé publique - art. 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R6123-32 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037443754", "@num": "R6123-32-6", "#text": "Code de la santé publique - art. R6123-32-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916751", "@num": "R6123-7", "#text": "Code de la santé publique - art. R6123-7 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022782470", "@num": "R6132-22", "#text": "Code de la santé publique - art. 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R174-34 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740658", "@num": "L162-22-6", "#text": "Code de la sécurité sociale. - art. L162-22-6 (Ab)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de 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": "LEGIARTI000006690721", "@fin": "2003-09-06", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690722", "@fin": "2005-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690723", "@fin": "2005-05-03", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690724", "@fin": "2009-07-23", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-05-03", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886576", "@fin": "2010-02-26", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940556", "@fin": "2017-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031688183", "@fin": "2017-01-14", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865513", "@fin": "2020-11-20", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000042536702", "@fin": "2999-01-01", "@num": "L6114-1", "@etat": "VIGUEUR", "@debut": "2020-11-20", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les agences régionales de l'hospitalisation concluent avec les établissements de santé, les groupements de coopération sanitaire et les autres titulaires de l'autorisation mentionnée à l'article L. 6122-1 des contrats pluriannuels d'objectifs et de moyens d'une durée de cinq ans.
\n
Les contrats sont signés par le directeur de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.
\n
Ils peuvent faire l'objet d'une révision par avenant.
\n
Des organismes concourant aux soins, des professionnels de santé exerçant à titre libéral, des instituts de recherche ou des universités peuvent être appelés au contrat pour tout ou partie de ses clauses.
\n
Pour les établissements publics de santé, ces contrats sont conclus après délibération du conseil d'administration prise après avis de la commission médicale d'établissement et du comité technique d'établissement.
\n
La demande de renouvellement des contrats est déposée auprès de l'agence régionale de l'hospitalisation un an avant leur échéance. L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.
\n
Les contrats peuvent être résiliés ou suspendus avant leur terme par l'agence régionale de l'hospitalisation en cas de manquement grave du titulaire de l'autorisation aux dispositions législatives et réglementaires ou à ses obligations contractuelles.
\n
Les contrats fixent les éléments nécessaires à leur mise en oeuvre, le calendrier d'exécution et mentionnent les indicateurs de suivi et de résultats nécessaires à leur évaluation périodique. Le titulaire de l'autorisation adresse à l'agence régionale un rapport annuel d'étape ainsi qu'un rapport final.
\n
Sans préjudice des dispositions de l'article L. 162-22-6 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux titulaires de l'autorisation au titre des articles L. 6114-2 et L. 6114-3 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues.
" } }, "LEGIARTI000006690723": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-05-03", "DATE_DEBUT": "2005-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006690723", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690723.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L01XXAC" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-1, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié :
\n après le troisième alinéa, il est inséré à compter du 1er janvier 2005 un alinéa ainsi rédigé :
\n
\"Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.\"
" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006682725", "@num": "41", "#text": "Décret n°54-883 du 2 septembre 1954 - art. 41 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000492230", "@numtexte": "54-883", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1954-09-02" }, { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006758294", "@num": "40", "#text": "Loi n°2000-1257 du 23 décembre 2000 - art. 40 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000579088", "@nortexte": "MESX0000144L", "@numtexte": "2000-1257", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2000-12-23" }, { "@id": "LEGIARTI000025415017", "@num": "2", "#text": "Décret n°2001-353 du 20 avril 2001 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000222813", "@nortexte": "MESH0120778D", "@numtexte": "2001-353", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-04-20" }, { "@id": "LEGIARTI000025415301", "@num": "8-5", "#text": "Décret n°2001-1242 du 21 décembre 2001 - art. 8-5 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000215372", "@nortexte": "MESH0124179D", "@numtexte": "2001-1242", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2001-12-21" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000006758866", "@num": "30", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 30 () JORF 19 décembre 2003 en vigueur le 1er janvier 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006759188", "@num": "43", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 43 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000020084216", "#text": "Arrêté du 22 décembre 2008 - art. 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R253-15 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050549751", "@num": "R253-16", "#text": "Code général de la fonction publique - art. R253-16 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046882163", "@num": "1", "#text": "Décret n°2022-1775 du 31 décembre 2022 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000046850805", "@nortexte": "SPRH2231755D", "@numtexte": "2022-1775", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000046812923", "@num": "L313-12", "#text": "Code de l'action sociale et des familles - art. 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Les agences régionales de l'hospitalisation concluent avec les établissements de santé, les groupements de coopération sanitaire et les autres titulaires de l'autorisation mentionnée à l'article L. 6122-1 des contrats pluriannuels d'objectifs et de moyens d'une durée de cinq ans.
\n
Les contrats sont signés par le directeur de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.
\n
Ils peuvent faire l'objet d'une révision par avenant.
\n
Des organismes concourant aux soins, des professionnels de santé exerçant à titre libéral, des instituts de recherche ou des universités peuvent être appelés au contrat pour tout ou partie de ses clauses.
\n
Pour les établissements publics de santé, ces contrats sont conclus après délibération du conseil d'administration prise après avis de la commission médicale d'établissement et du comité technique d'établissement.
\n
La demande de renouvellement des contrats est déposée auprès de l'agence régionale de l'hospitalisation un an avant leur échéance. L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.
\n
Les contrats peuvent être résiliés ou suspendus avant leur terme par l'agence régionale de l'hospitalisation en cas de manquement grave du titulaire de l'autorisation aux dispositions législatives et réglementaires ou à ses obligations contractuelles.
\n
Les contrats fixent les éléments nécessaires à leur mise en oeuvre, le calendrier d'exécution et mentionnent les indicateurs de suivi et de résultats nécessaires à leur évaluation périodique. Le titulaire de l'autorisation adresse à l'agence régionale un rapport annuel d'étape ainsi qu'un rapport final.
\n
Sans préjudice des dispositions de l'article L. 162-22-18 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux titulaires de l'autorisation au titre des articles L. 6114-2 et L. 6114-3 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues.
" } }, "LEGIARTI000006690724": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-07-23", "DATE_DEBUT": "2005-05-03" } }, "META_COMMUN": { "ID": "LEGIARTI000006690724", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690724.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L01XXAD" } }, "NOTA": { "CONTENU": "
Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-1, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié :
après le troisième alinéa, il est inséré à compter du 1er janvier 2005 un alinéa ainsi rédigé :
\n
\" Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code. \"
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Les agences régionales de l'hospitalisation concluent avec les établissements de santé, les groupements de coopération sanitaire et les autres titulaires de l'autorisation mentionnée à l'article L. 6122-1 des contrats pluriannuels d'objectifs et de moyens d'une durée maximale de cinq ans.
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Les contrats sont signés par le directeur de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.
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Ils peuvent faire l'objet d'une révision par avenant.
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Des organismes concourant aux soins, des universités, des établissements publics scientifiques et technologiques ou d'autres organismes de recherche ainsi que des professionnels de santé exerçant à titre libéral, peuvent être appelés au contrat pour tout ou partie de ses clauses. En cas de pluralité d'organismes de recherche, le contrat est signé par l'Institut national de la santé et de la recherche médicale.
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Pour les établissements publics de santé, ces contrats sont conclus après délibération du conseil d'administration prise après avis de la commission médicale d'établissement et du comité technique d'établissement.
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La demande de renouvellement des contrats est déposée auprès de l'agence régionale de l'hospitalisation un an avant leur échéance. L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.
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Les contrats peuvent être résiliés ou suspendus avant leur terme par l'agence régionale de l'hospitalisation en cas de manquement grave du titulaire de l'autorisation aux dispositions législatives et réglementaires ou à ses obligations contractuelles.
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Les contrats fixent les éléments nécessaires à leur mise en oeuvre, le calendrier d'exécution et mentionnent les indicateurs de suivi et de résultats nécessaires à leur évaluation périodique. Le titulaire de l'autorisation adresse à l'agence régionale un rapport annuel d'étape ainsi qu'un rapport final.
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Sans préjudice des dispositions de l'article L. 162-22-18 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux titulaires de l'autorisation au titre des articles L. 6114-2 et L. 6114-3 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues.
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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé.
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A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
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Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par la conférence régionale de santé prévue à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
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Ils favorisent la participation des établissements aux réseaux de soins et aux communautés d'établissements de santé mentionnés aux articles L. 6121-5 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
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Ils précisent les dispositions relatives à la gestion des res-sources humaines nécessaires pour la réalisation des objectifs.
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Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
\n
En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé. Ils comprennent un volet social.
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A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
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Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par la conférence régionale de santé prévue à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
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Ils favorisent la participation des établissements aux réseaux de soins et aux communautés d'établissements de santé mentionnés aux articles L. 6121-5 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
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Ils précisent, dans le volet social, les actions arrêtées par l'établissement en accord avec l'agence régionale de l'hospitalisation, sur la base du projet social de l'établissement.
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Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
\n
En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
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Les contrats mentionnés à l'article L. 6114-1 conclus avec les établissements publics de santé et les établissements de santé privés à but non lucratif mentionnés aux articles L. 6161-4 et L. 6161-6, déterminent les orientations stratégiques des établissements, en tenant compte des objectifs du schéma d'organisation sanitaire, et définissent les conditions de mise en oeuvre de ces orientations, notamment dans le cadre du projet médical et du projet d'établissement approuvé. Ils comprennent un volet social.
\n
A cet effet, ils décrivent les transformations que l'établissement s'engage à opérer dans ses activités, son organisation, sa gestion et dans ses modes de coopération.
\n
Ils définissent, en outre, des objectifs en matière de qualité et de sécurité des soins ainsi que de mise en oeuvre des orientations adoptées par le conseil régional de santé prévu à l'article L. 1411-3. Ils prévoient les délais de mise en oeuvre de la procédure d'accréditation mentionnée à l'article L. 6113-3.
\n
Ils favorisent la participation des établissements aux réseaux de santé et aux communautés d'établissements de santé mentionnés aux articles L. 6321-1 et L. 6121-6 ainsi qu'aux actions de coopération prévues au titre III du présent livre.
\n
Ils précisent, dans le volet social, les actions arrêtées par l'établissement en accord avec l'agence régionale de l'hospitalisation, sur la base du projet social de l'établissement.
\n
Ils fixent les éléments financiers, tant en fonctionnement qu'en investissement, ainsi que les autres mesures nécessaires à leur mise en oeuvre et prévoient pour l'établissement co-contractant, le cas échéant et compte tenu de son activité, les objectifs pluriannuels de réduction des inégalités de ressources mentionnées à l'article L. 174-1-1 du code de la sécurité sociale. Ils précisent également les critères en fonction desquels les budgets de l'établissement peuvent évoluer selon le degré de réalisation des objectifs fixés.
\n
En cas d'inexécution du contrat, le directeur de l'agence peut, après mise en demeure restée sans effet, mettre en oeuvre les sanctions, notamment à caractère financier, prévues au contrat.
\n
En l'absence de conclusion du contrat prévu au présent article, le directeur de l'agence régionale de l'hospitalisation en tient compte dans l'exercice de ses compétences budgétaires.
" } }, "LEGIARTI000006690728": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-01-01", "DATE_DEBUT": "2003-09-06" } }, "META_COMMUN": { "ID": "LEGIARTI000006690728", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690728.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAD" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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R162-33-15 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050942119", "@num": "R162-33-16-1", "#text": "Code de la sécurité sociale. - art. R162-33-16-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de 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": "LEGIARTI000006690725", "@fin": "2002-01-18", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690726", "@fin": "2002-09-05", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-01-18", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690727", "@fin": "2003-09-06", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-09-05", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690728", "@fin": "2005-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690729", "@fin": "2005-04-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690730", "@fin": "2005-12-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-04-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690731", "@fin": "2007-12-22", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017842295", "@fin": "2009-07-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886573", "@fin": "2010-02-26", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940938", "@fin": "2016-01-28", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031930764", "@fin": "2017-01-14", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865495", "@fin": "2018-01-19", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036511270", "@fin": "2020-11-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042536689", "@fin": "2025-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2020-11-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048702618", "@fin": "2999-01-01", "@num": "L6114-2", "@etat": "VIGUEUR", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
\n
Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690729": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-04-23", "DATE_DEBUT": "2005-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006690729", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690729.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAE" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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L162-22-14 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de 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": "LEGIARTI000006690725", "@fin": "2002-01-18", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690726", "@fin": "2002-09-05", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-01-18", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690727", "@fin": "2003-09-06", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2002-09-05", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690728", "@fin": "2005-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690729", "@fin": "2005-04-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690730", "@fin": "2005-12-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-04-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690731", "@fin": "2007-12-22", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017842295", "@fin": "2009-07-23", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886573", "@fin": "2010-02-26", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940938", "@fin": "2016-01-28", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031930764", "@fin": "2017-01-14", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865495", "@fin": "2018-01-19", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036511270", "@fin": "2020-11-20", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042536689", "@fin": "2025-01-01", "@num": "L6114-2", "@etat": "MODIFIE", "@debut": "2020-11-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048702618", "@fin": "2999-01-01", "@num": "L6114-2", "@etat": "VIGUEUR", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
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Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690730": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-12-20", "DATE_DEBUT": "2005-04-23" } }, "META_COMMUN": { "ID": "LEGIARTI000006690730", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690730.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAF" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
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Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.
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Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés dans l'autorisation mentionnée à l'article L. 6122-1.
" } }, "LEGIARTI000006690731": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2007-12-22", "DATE_DEBUT": "2005-12-20" } }, "META_COMMUN": { "ID": "LEGIARTI000006690731", "URL": "article/LEGI/ARTI/00/00/06/69/07/LEGIARTI000006690731.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6114L02XXAG" } }, "NOTA": { "CONTENU": "
Nota : Ordonnance 2004-688 2004-07-12 art. 9 II : pour son application à Mayotte l'article L6114-2, dans sa rédaction antérieure à l'ordonnance 2003-850 du 4 septembre 2003, est ainsi modifié : les attributions dévolues au conseil régional de santé sont exercées par le comité de l'organisation sanitaire de Mayotte.
\n
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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.
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Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.
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Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.
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Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.
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Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés ainsi que les pénalités applicables en cas de non-respect de ces objectifs dans l'autorisation mentionnée à l'article L. 6122-1.
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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.
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Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les trois mois suivant le renouvellement ou la décision de révision de l'autorisation.
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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements, groupements de coopération sanitaire et titulaires d'autorisations sur la base des schémas d'organisation sanitaire.

Ils identifient les services au sein desquels sont dispensés des soins palliatifs et définissent, pour chacun d'entre eux, le nombre de référents en soins palliatifs qu'il convient de former ainsi que le nombre de lits qui doivent être identifiés comme des lits de soins palliatifs.

Ils précisent la ou les missions d'intérêt général mentionnées à l'article L. 162-22-13 du code de la sécurité sociale auxquelles l'établissement concerné participe et ses engagements relatifs à la mise en oeuvre de la politique nationale d'innovation médicale et de recours, ainsi que ses autres engagements, notamment de retour à l'équilibre financier, donnant lieu à un financement par la dotation prévue à l'article L. 162-22-14 du même code.

Ils décrivent les transformations qu'ils s'engagent à opérer dans leurs activités et dans leurs actions de coopération.

Ils fixent, le cas échéant par avenant, les objectifs quantifiés des activités de soins et équipements lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en oeuvre, au plus tard trois mois après la délivrance de cette autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de l'hospitalisation inscrit ces objectifs quantifiés ainsi que les pénalités applicables en cas de non-respect de ces objectifs dans l'autorisation mentionnée à l'article L. 6122-1.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les trois mois suivant le renouvellement ou la décision de révision de l'autorisation.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini aux articles L. 1434-7 et L. 1434-9 ou du schéma interrégional défini à l'article L. 1434-10.

Ils précisent leurs engagements relatifs à la mise en œuvre de la politique nationale d'innovation médicale et de recours, ainsi que leurs autres engagements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par la dotation prévue à l'article L. 162-22-14 du code de la sécurité sociale.

Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Les contrats fixent, le cas échéant par avenant, les éléments relatifs aux missions de service public prévus au dernier alinéa de l'article L. 6112-2 ainsi que ceux relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantifiés des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation ou l'attribution d'une mission de service public.A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantifiés et les pénalités prévues à l'article L. 6114-1 et les obligations relatives aux missions de service public qu'elle assigne ainsi que, le cas échéant, les modalités selon lesquelles est calculée leur compensation financière.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6121-2 ou à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

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L'agence régionale de santé conclut avec chaque établissement de santé ou titulaire de l'autorisation prévue à l'article L. 6122-1 un contrat pluriannuel d'objectifs et de moyens d'une durée maximale de cinq ans. Lorsqu'il comporte des clauses relatives à l'exécution d'une mission de service public, le contrat est signé pour une durée de cinq ans.

Les contrats sont signés par le directeur de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.

Ils peuvent faire l'objet d'une révision par avenant.

Des organismes concourant aux soins, des universités, des établissements publics scientifiques et technologiques ou d'autres organismes de recherche ainsi que des professionnels de santé exerçant à titre libéral, peuvent être appelés au contrat pour tout ou partie de ses clauses. En cas de pluralité d'organismes de recherche, le contrat est signé par l'Institut national de la santé et de la recherche médicale.

La demande de renouvellement des contrats est déposée auprès de l'agence régionale de l'hospitalisation un an avant leur échéance.L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.

Le contrat peut être résilié par l'agence régionale de santé en cas de manquement grave de l'établissement de santé ou du titulaire de l'autorisation à ses obligations contractuelles.

Sans préjudice des dispositions de l'article L. 162-22-18 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux titulaires de l'autorisation au titre des articles L. 6114-2 et L. 6114-3 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues. Ces pénalités financières sont proportionnées à la gravité du manquement constaté et ne peuvent excéder, au cours d'une même année, 5 % des produits reçus, par l'établissement de santé ou par le titulaire de l'autorisation, des régimes obligatoires d'assurance maladie au titre du dernier exercice clos.

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Les contrats sont signés par le directeur général de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.

Ils peuvent faire l'objet d'une révision par avenant.

La demande de renouvellement des contrats est déposée auprès de l'agence régionale de santé un an avant leur échéance.L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.

Le contrat peut être résilié par l'agence régionale de santé en cas de manquement grave de l'établissement de santé ou du titulaire de l'autorisation à ses obligations contractuelles.

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Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6122-12, les objectifs quantifiés fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

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Les contrats sont signés par le directeur général de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.

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Ils peuvent faire l'objet d'une révision par avenant.

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La demande de renouvellement des contrats est déposée auprès de l'agence régionale de santé un an avant leur échéance. L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.

\n
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Le contrat peut être résilié par l'agence régionale de santé en cas de manquement grave de l'établissement de santé ou du titulaire de l'autorisation à ses obligations contractuelles.

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Sans préjudice des dispositions de l'article L. 162-23-13 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux titulaires de l'autorisation au titre des articles L. 6114-2 et L. 6114-3 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues. Ces pénalités financières sont proportionnées à la gravité du manquement constaté et ne peuvent excéder, au cours d'une même année, 5 % des produits reçus, par l'établissement de santé ou par le titulaire de l'autorisation, des régimes obligatoires d'assurance maladie au titre du dernier exercice clos.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini à l'article L. 1434-3 ou du schéma interrégional défini à l'article L. 1434-10.

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Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional d'organisation des soins défini à l'article L. 1434-3 ou du schéma interrégional défini à l'article L. 1434-10.

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Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

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Les contrats fixent, le cas échéant par avenant, les éléments relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantifiés des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

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Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantifiés et les pénalités prévues à l'article L. 6114-1.

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Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantifiés mentionnés à l'alinéa précédent sont révisés.

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\n

\n
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Les contrats sont signés par le directeur général de l'agence régionale et les personnes physiques et morales mentionnées à l'alinéa précédent.

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Ils peuvent faire l'objet d'une révision par avenant.

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La demande de renouvellement des contrats est déposée auprès de l'agence régionale de santé un an avant leur échéance. L'agence est tenue de se prononcer sur cette demande dans un délai de quatre mois à compter de sa réception. Le refus de renouvellement doit être motivé.

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Le contrat peut être résilié par l'agence régionale de santé en cas de manquement grave de l'établissement de santé ou du titulaire de l'autorisation à ses obligations contractuelles.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les orientations stratégiques des établissements de santé ou des titulaires de l'autorisation prévue à l'article L. 6122-1 et des groupements de coopération sanitaire sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.

Ils précisent les engagements pris par l'établissement de santé ou le titulaire de l'autorisation en vue de la transformation de ses activités et de ses actions de coopération.

Les contrats fixent, le cas échéant par avenant, les éléments relatifs à des missions de soins ou de santé publique spécifiques qui sont assignées à l'établissement de santé ou au titulaire de l'autorisation par l'agence régionale de santé. Ils fixent également les objectifs quantitatifs et qualitatifs des activités de soins et équipements matériels lourds pour lesquels une autorisation a été délivrée et en définissent les conditions de mise en œuvre.

Les contrats sont signés ou révisés au plus tard six mois après la délivrance de l'autorisation. A défaut de signature du contrat ou de l'avenant dans ce délai, l'agence régionale de santé fixe les objectifs quantitatifs et qualitatifs et les pénalités prévues à l'article L. 6114-1.

Lors du renouvellement du contrat pluriannuel d'objectifs et de moyens prévu à l'article L. 6114-1, les objectifs quantitatifs et qualitatifs mentionnés à l'alinéa précédent sont révisés.

Lors du renouvellement de l'autorisation prévu à l'article L. 6122-10, ou lorsque l'autorisation a fait l'objet de la révision prévue à l'article L. 6122-12, les objectifs quantitatifs et qualitatifs fixés par le contrat pluriannuel d'objectifs et de moyens, relatifs à l'activité de soins ou l'équipement matériel lourd faisant l'objet de l'autorisation, sont révisés dans les six mois suivant le renouvellement ou la décision de révision de l'autorisation.

" } }, "LEGIARTI000039125022": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R162-33-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2021-02-27", "DATE_DEBUT": "2019-09-25" } }, "META_COMMUN": { "ID": "LEGIARTI000039125022", "URL": "article/LEGI/ARTI/00/00/39/12/50/LEGIARTI000039125022.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément à l'article 3 du décret n° 2019-977 du 23 septembre 2019 : Au titre de la période comprise entre la date d'entrée en vigueur du présent décret et le 31 décembre 2020, par dérogation aux III, IV et V de l'article R. 162-33-16-1 du code de la sécurité sociale, le montant arrêté par le directeur général de l'agence régionale de santé, établi notamment en fonction du nombre de patients estimé pour la période concernée, et mentionné à ce même V peut faire l'objet d'une régularisation au plus tard le 31 mai de l'année suivante, selon des modalités fixées par arrêté des ministres chargés de la santé et de la sécurité sociale.

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L174-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043305201", "@num": "R162-33-5", "#text": "Code de la sécurité sociale. - art. R162-33-5 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000034395920", "@fin": "2019-09-25", "#text": "Paragraphe 6 : Modalités de versement des forfaits mentionnés aux articles L. 162-22-8 et L. 162-22-8-1", "@debut": "2017-04-09" }, { "@id": "LEGISCTA000039126047", "@fin": "2025-01-02", "#text": "Paragraphe 6 : Modalités de versement des forfaits mentionnés aux articles L. 162-22-8-1 et L. 162-22-12", "@debut": "2019-09-25" }, { "@id": "LEGISCTA000050942142", "@fin": "2999-01-01", "#text": "Paragraphe 6 : Modalités de versement des forfaits mentionnés à l'article L. 162-22-5-3", "@debut": "2025-01-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000023905867", "@fin": "2017-04-09", "#text": "Sous-section 4 : Régulation des dépenses de médicaments et de certains produits et prestations résultant de prescriptions médicales effectuées dans les établissements de santé et remboursées sur l'enveloppe de soins de ville", "@debut": "2011-04-25" }, { "@id": "LEGISCTA000034404880", "@fin": "2999-01-01", "#text": "Sous-section 4 : Dispositions relatives aux activités de médecine, de chirurgie, de gynécologie-obstétrique et d'odontologie", "@debut": "2017-04-09" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006173267", "@fin": "2010-04-01", "#text": "Section 5 : Etablissements de soins.", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000022055017", "@fin": "2999-01-01", "#text": "Section 5 : Etablissements de santé", "@debut": "2010-04-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156529", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141849", "@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": "LEGISCTA000006126950", "@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": "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": "LEGIARTI000039125022", "@fin": "2021-02-27", "@num": "R162-33-16-1", "@etat": "MODIFIE", "@debut": "2019-09-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000043188403", "@fin": "2023-01-02", "@num": "R162-33-16-1", "@etat": "MODIFIE", "@debut": "2021-02-27", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000046915122", "@fin": "2025-01-02", "@num": "R162-33-16-1", "@etat": "MODIFIE", "@debut": "2023-01-02", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000050942119", "@fin": "2999-01-01", "@num": "R162-33-16-1", "@etat": "VIGUEUR", "@debut": "2025-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I.-Pour l'application des dispositions de l'article L. 162-22-6-2, la prise en charge des patients atteints de pathologies chroniques mentionnées sur la liste prévue à l'article L. 162-22-6-2 fait l'objet d'une rémunération annuelle, sous réserve, pour l'établissement de santé l'assurant, d'être éligible à cette rémunération dans les conditions fixées au II.
\n
Un arrêté des ministres chargés de la santé et de la sécurité sociale précise pour les pathologies chroniques concernées :
\n
1° Le périmètre des prises en charge couvertes par la rémunération annuelle compte tenu de l'objectif d'amélioration du parcours de soins ;
\n
2° Les critères d'inclusion des patients qui dépendent des caractéristiques des pathologies concernées et des parcours des soins ;
\n
3° L'équipe pluriprofessionnelle requise pour la prise en charge.
\n
II.-Un établissement de santé est éligible à la rémunération annuelle prévue au I, lorsqu'il prend en charge annuellement, au titre des pathologies mentionnées au I, un nombre minimal de patients répondant aux critères fixés au 2° du I. Ce nombre minimal est défini par arrêté des ministres chargés de la santé et de la sécurité sociale.
\n
Par dérogation aux dispositions de l'alinéa précédent, un établissement ne prenant pas en charge ce nombre minimal de patients est éligible à la rémunération annuelle prévue au I, sur proposition du directeur général de l'agence régionale de santé, lorsque son activité est nécessaire pour garantir l'accessibilité territoriale des patients aux prises en charge concernées, dans des conditions définies par arrêté des ministres chargés de la santé et de la sécurité sociale.
\n
La liste des établissements éligibles est établie par arrêté des ministres chargés de la santé et de la sécurité sociale.
\n
Les établissements inscrits sur cette liste sont éligibles à la rémunération prévue au I, pour une durée de trois ans renouvelable. Cette liste est révisable tous les ans.
\n
Lorsqu'un établissement est éligible, il s'engage, à mettre en place une équipe pluriprofessionnelle conformément au I dans un délai d'un an maximum. Cet engagement est inscrit dans le contrat pluriannuel d'objectifs et de moyens prévu aux articles L. 6114-1 et L. 6114-2 du code de la santé publique.
\n
III.-Le montant de la rémunération annuelle perçue par les établissements éligibles au sens du II tient compte de l'activité réalisée par l'établissement de santé au titre des prises en charge concernées, mesurée notamment par le nombre de patients pris en charge annuellement. Ce montant tient également compte le cas échéant :
\n
1° Du respect de conditions minimales de prise en charge, mesurées par le nombre et la nature des prestations réalisées ;
\n
2° Des caractéristiques des patients et, le cas échéant, des prises en charge en fonction de la gradation des soins ;
\n
3° Des résultats de l'établissement de santé pour des indicateurs liés à la qualité de la prise en charge.
\n
Une rémunération minimale est garantie aux établissements éligibles afin de préserver leur capacité à exercer une activité minimale.
\n
Un arrêté des ministres chargés de la santé et de la sécurité sociale détermine les informations qui sont recueillies par les établissements éligibles et tenues à la disposition des agences régionales de santé, les modalités de calcul du montant de la rémunération annuelle et de fixation du montant de la rémunération minimale.
\n
IV.-Les indicateurs mentionnés au 3° du III sont fixés par arrêté des ministres chargés de la santé et de la sécurité sociale. Ces indicateurs appartiennent aux catégories suivantes :
\n
1° Indicateur de la qualité des prises en charge cliniques ;
\n
2° Indicateur de la qualité des prises en charge perçue par les patients ;
\n
3° Indicateur de la qualité de la coordination des prises en charge.
\n
V.-Dans un délai de quinze jours suivant la publication de l'arrêté mentionné à l'article R. 162-33-5 du présent code, le directeur général de l'agence régionale de santé arrête, pour chaque établissement de santé éligible, le montant de la rémunération annuelle mentionnée à l'article L. 162-22-6-2 sur la base des données recueillies sur l'activité de l'année antérieure conformément aux modalités fixées par arrêté des ministres chargés de la santé et de la sécurité sociale.
\n
Cette rémunération est versée par douzièmes par la caisse dont relève l'établissement en application des articles L. 174-2 et L. 174-18.

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Conformément au III de l'article 5 de l'ordonnance n° 2020-1407 du 18 novembre 2020, Ies contrats pluriannuels d'objectifs et de moyens en cours à la date de publication de l'ordonnance restent régis, jusqu'à leur terme, par les dispositions modifiées par les I et II du présent article 5 dans leur rédaction applicable antérieurement à l'entrée en vigueur de cet article.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les objectifs stratégiques des établissements de santé sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.
\n
\n Ces objectifs stratégiques concernent le positionnement territorial de l'établissement et le pilotage interne de l'établissement.
\n
\n Le contrat peut également déterminer d'autres objectifs stratégiques en lien avec les missions des établissements de santé définies aux articles L. 6111-1 à L. 6111-7.
\n
\n Chaque objectif est assorti d'un indicateur unique.
\n
\n Les contrats précisent les engagements des établissements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par la dotation prévue à l'article L. 162-22-14 du code de la sécurité sociale.

" } }, "LEGIARTI000042536702": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2020-11-20" } }, "META_COMMUN": { "ID": "LEGIARTI000042536702", "URL": "article/LEGI/ARTI/00/00/42/53/67/LEGIARTI000042536702.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

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R6152-340 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050942850", "@num": "R6161-38", "#text": "Code de la santé publique - art. R6161-38 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033223226", "@num": "R6311-25", "#text": "Code de la santé publique - art. R6311-25 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889739", "@num": "R6311-30", "#text": "Code de la santé publique - art. R6311-30 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043600566", "@num": "R6316-6", "#text": "Code de la santé publique - art. R6316-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006802871", "@num": "R712-69", "#text": "Code de la santé publique - art. R712-69 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803026", "@num": "R713-2-22", "#text": "Code de la santé publique - art. R713-2-22 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803232", "@num": "R714-3-30", "#text": "Code de la santé publique - art. R714-3-30 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029959553", "@num": "L162-30-3", "#text": "Code de la sécurité sociale. - art. L162-30-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034404731", "@num": "R162-23", "#text": "Code de la sécurité sociale. - art. R162-23 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034404693", "@num": "R162-30", "#text": "Code de la sécurité sociale. - art. 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R162-34-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022896559", "@num": "R162-40", "#text": "Code de la sécurité sociale. - art. R162-40 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034102340", "@num": "R162-42-7-1", "#text": "Code de la sécurité sociale. - art. R162-42-7-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034405700", "@num": "R174-34", "#text": "Code de la sécurité sociale. - art. R174-34 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031671567", "@num": "L162-23-13", "#text": "Code de la sécurité sociale. - art. L162-23-13", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de 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": "LEGIARTI000006690721", "@fin": "2003-09-06", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690722", "@fin": "2005-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2003-09-06", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690723", "@fin": "2005-05-03", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690724", "@fin": "2009-07-23", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2005-05-03", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886576", "@fin": "2010-02-26", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021940556", "@fin": "2017-01-01", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031688183", "@fin": "2017-01-14", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033865513", "@fin": "2020-11-20", "@num": "L6114-1", "@etat": "MODIFIE", "@debut": "2017-01-14", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000042536702", "@fin": "2999-01-01", "@num": "L6114-1", "@etat": "VIGUEUR", "@debut": "2020-11-20", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

L'agence régionale de santé conclut avec chaque établissement de santé un contrat pluriannuel d'objectifs et de moyens d'une durée de cinq ans.

Toutefois, le directeur général de l'agence régionale de santé peut conclure un contrat unique avec plusieurs établissements publics de santé dans le cas prévu à l'article L. 6132-5-1 ou avec plusieurs établissements de santé privés relevant d'une même personne morale.

Les contrats sont signés par le directeur général de l'agence régionale et les personnes morales mentionnées aux alinéas précédents.
\n
\n Les contrats font l'objet d'une évaluation à échéance de la moitié de la durée du contrat.
\n
\n Le directeur général de l'agence régionale de santé peut décider d'une évaluation annuelle du contrat lorsque la situation de l'établissement le justifie.

Ils peuvent faire l'objet d'une révision par avenant.

Des organismes ou collectivités territoriales concourant aux soins, des universités, des établissements publics scientifiques et technologiques ou d'autres organismes de recherche ainsi que des professionnels de santé exerçant à titre libéral, peuvent être appelés au contrat pour tout ou partie de ses clauses. En cas de pluralité d'organismes de recherche, le contrat est signé par l'Institut national de la santé et de la recherche médicale.

Le directeur général de l'agence régionale de santé peut également appeler au contrat toute structure distincte d'un établissement de santé et concourant à la prise en charge du patient.

La demande de renouvellement des contrats est déposée auprès de l'agence régionale de santé un an avant leur échéance. L'absence de décision expresse, à l'expiration d'un délai de quatre mois après le dépôt de la demande, vaut renouvellement tacite du contrat. Le refus de renouvellement doit être motivé.

Le contrat peut être résilié par l'agence régionale de santé en cas de manquement grave de l'établissement de santé à ses obligations contractuelles.

Sans préjudice des dispositions de l'article L. 162-23-13 du code de la sécurité sociale, les contrats déterminent les pénalités applicables aux établissements de santé au titre de l'article L. 6114-2 en cas d'inexécution partielle ou totale des engagements dont les parties sont convenues. Ces pénalités financières sont proportionnées à la gravité du manquement constaté et ne peuvent excéder, au cours d'une même année, 5 % des produits reçus, par l'établissement de santé, des régimes obligatoires d'assurance maladie au titre du dernier exercice clos.

" } }, "LEGIARTI000048702618": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-2", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2025-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000048702618", "URL": "article/LEGI/ARTI/00/00/48/70/26/LEGIARTI000048702618.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au 7° du A du VII de l’article 49 de la loi n° 2023-1250 du 26 décembre 2023, ces dispositions prennent effet au 1er janvier 2025.

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Les contrats mentionnés à l'article L. 6114-1 déterminent les objectifs stratégiques des établissements de santé sur la base du projet régional de santé défini à l'article L. 1434-1, notamment du schéma régional de santé défini à l'article L. 1434-3 ou du schéma interrégional mentionné au 2° de l'article L. 1434-6.
\n
\nCes objectifs stratégiques concernent le positionnement territorial de l'établissement et le pilotage interne de l'établissement.
\n
\nLe contrat peut également déterminer d'autres objectifs stratégiques en lien avec les missions des établissements de santé définies aux articles L. 6111-1 à L. 6111-7.
\n
\nChaque objectif est assorti d'un indicateur unique.
\n
\nLes contrats précisent les engagements des établissements, notamment de retour à l'équilibre financier, qui peuvent donner lieu à un financement par les dotations prévues aux articles L. 162-22-4 et L. 162-22-5 du code de la sécurité sociale.

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Article 1 ENTIEREMENT_MODIF (Décret n° 2019-977 du 23 septembre 2019 relatif à la rémunération forfaitaire des établissements de santé pour certaines pathologies chroniques prévue par l'article L. 162-22-6-2 du code de la sécurité sociale)