{ "article": { "LEGIARTI000043185554": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "12", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000043185554", "URL": "article/LEGI/ARTI/00/00/43/18/55/LEGIARTI000043185554.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000043188422", "@num": "R6111-10", "#text": "Code de la santé publique - art. R6111-10 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741377", "@num": "L162-22-7", "#text": "Code de la sécurité sociale. - art. L162-22-7", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000023265707", "@num": "L162-30-2", "#text": "Code de la sécurité sociale. - art. L162-30-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000043185531", "@fin": "2999-01-01", "#text": "Chapitre II : Dispositions diverses", "@debut": "2021-02-27" } ] }, "@cid": "JORFTEXT000043185042", "@nor": "SSAH2033151D", "@num": "2021-216", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2021-216 du 25 février 2021 relatif à la réforme du financement des structures des urgences et des structures mobiles d'urgence et de réanimation et portant diverses dispositions relatives aux établissements de santé", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000043185042", "@c_titre_court": "Décret n°2021-216 du 25 février 2021" }, { "@fin": "2999-01-01", "#text": "Décret n° 2021-216 du 25 février 2021 relatif à la réforme du financement des structures des urgences et des structures mobiles d'urgence et de réanimation et portant diverses dispositions relatives aux établissements de santé", "@debut": "2021-02-27", "@id_txt": "LEGITEXT000043185520", "@c_titre_court": "Décret n°2021-216 du 25 février 2021" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2021-02-26", "@date_signature": "2021-02-25", "@num_parution_jo": "0049" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000043185554", "@fin": "2999-01-01", "@num": "12", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000043185101", "@fin": "2999-01-01", "@num": "12", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la santé publique
\n Art. R6111-10\n
\n

\n
" } }, "LEGIARTI000006741377": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-01-01", "DATE_DEBUT": "1999-12-30" } }, "META_COMMUN": { "ID": "LEGIARTI000006741377", "URL": "article/LEGI/ARTI/00/00/06/74/13/LEGIARTI000006741377.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L22HXXAA" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "JORFTEXT000000214048", "#text": "Loi 99-1140 1999-12-29 art. 33 II JORF 30 décembre 1999", "@sens": "source", "@cidtexte": "JORFTEXT000000214048", "@nortexte": "MESX9900120L", "@numtexte": "99-1140", "@typelien": "CREATION", "@naturetexte": "LOI", "@datesignatexte": "1999-12-29" }, { "@id": "LEGIARTI000006219595", "@num": "1", "#text": "Arrêté du 27 mai 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000595843", "@nortexte": "SANH0321929A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-05-27" }, { "@id": "LEGIARTI000046808822", "@num": "33", "#text": "Loi n° 2003-1199 du 18 décembre 2003 - art. 33 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006758875", "@num": "34", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 34 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006235049", "@num": "3", "#text": "Arrêté du 8 octobre 2004 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000006235052", "@num": "6", "#text": "Arrêté du 8 octobre 2004 - art. 6 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000006237552", "@num": "6", "#text": "Décret n°2004-1539 du 30 décembre 2004 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000805740", "@nortexte": "SANH0424352D", "@numtexte": "2004-1539", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000030118885", "@num": "2", "#text": "Arrêté du 31 décembre 2004 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000628165", "@nortexte": "SANH0520003A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-12-31" }, { "@id": "LEGIARTI000017886602", "@num": "12", "#text": "Décret n°2005-30 du 14 janvier 2005 - art. 12 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000628651", "@nortexte": "SANH0424404D", "@numtexte": "2005-30", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-01-14" }, { "@id": "LEGIARTI000019721891", "@num": "ANNEXE", "#text": "Décret n°2005-1023 du 24 août 2005 - art. ANNEXE (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000000631121", "@nortexte": "SANS0522239D", "@numtexte": "2005-1023", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-08-24" }, { "@id": "LEGIARTI000006262686", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000274143", "@nortexte": "SANH0721300A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000006262691", "@num": "7", "#text": "Arrêté du 30 mars 2007 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000274143", "@nortexte": "SANH0721300A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000034830240", "@num": "2", "#text": "Arrêté du 23 janvier 2008 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGIARTI000047594806", "@num": "4", "#text": "Arrêté du 23 janvier 2008 - art. 4 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000017985919", "@nortexte": "SJSH0801209A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-01-23" }, { "@id": "LEGITEXT000018149951", "#text": "Arrêté du 4 février 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000018149474", "@nortexte": "SJSS0801102A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-04" }, { "@id": "LEGIARTI000018149957", "#text": "Arrêté du 4 février 2008 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000018149474", "@nortexte": "SJSS0801102A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-04" }, { "@id": "LEGIARTI000018149960", "@num": "1", "#text": "Arrêté du 4 février 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000018149474", "@nortexte": "SJSS0801102A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-04" }, { "@id": "LEGIARTI000030118983", "@num": "3", "#text": "Arrêté du 22 février 2008 - art. 3 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000018194127", "@nortexte": "SJSH0804977A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-22" }, { "@id": "LEGIARTI000030118980", "@num": "4", "#text": "Arrêté du 22 février 2008 - art. 4 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000018194127", "@nortexte": "SJSH0804977A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-22" }, { "@id": "LEGIARTI000031852903", "@num": "8", "#text": "Arrêté du 22 février 2008 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000018194127", "@nortexte": "SJSH0804977A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-02-22" }, { "@id": "LEGITEXT000019241253", "#text": "Arrêté du 20 juin 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019103909", "@nortexte": "SJSS0815184A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-06-20" }, { "@id": "LEGITEXT000019241229", "#text": "Arrêté du 8 juillet 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019237722", "@nortexte": "SJSS0816837A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-07-08" }, { "@id": "LEGITEXT000019347481", "#text": "Arrêté du 1er août 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019344831", "@nortexte": "SJSS0818344A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-08-01" }, { "@id": "LEGIARTI000019347487", "#text": "Arrêté du 1er août 2008 - art. 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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000019987836", "@num": "1", "#text": "Arrêté du 18 décembre 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000022153658", "@num": "2", "#text": "Décret n°2008-1528\n du 30 décembre 2008 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020018744", "@nortexte": "SJSH0825684D", "@numtexte": "2008-1528", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-30" }, { "@id": "LEGIARTI000034829560", "@num": "1", "#text": "Arrêté du 21 janvier 2009 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000047594855", "@num": "2", "#text": "Arrêté du 21 janvier 2009 - art. 2 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000023660592", "@num": "8", "#text": "Arrêté du 19 février 2009 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000020310296", "@nortexte": "SASH0904095A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-19" }, { "@id": "LEGITEXT000020316234", "#text": "Arrêté du 18 février 2009 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020315160", "@nortexte": "SJSS0828100A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-18" }, { "@id": "LEGIARTI000021984479", "@num": "1", "#text": "Arrêté du 15 mars 2010 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000021983900", "@nortexte": "SASS1006030A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-15" }, { "@id": "LEGIARTI000022076341", "@num": "1", "#text": "Arrêté du 8 mars 2010 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022075448", "@nortexte": "SASS1002630A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-08" }, { "@id": "LEGIARTI000022365439", "@num": "2", "#text": "Décret n°2010-667\n du 17 juin 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022362587", "@nortexte": "SASH1003494D", "@numtexte": "2010-667", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-17" }, { "@id": "LEGITEXT000023722789", "#text": "Arrêté du 14 mars 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000023722792", "@num": "1", "#text": "Arrêté du 14 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000031846972", "@num": "1", "#text": "Arrêté du 30 juin 2011 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000024290191", "@nortexte": "ETSH1032982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-06-30" }, { "@id": "LEGIARTI000030527539", "@num": "1", "#text": "Arrêté du 14 décembre 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982301", "@nortexte": "ETSS1134190A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-14" }, { "@id": "LEGITEXT000025526962", "#text": "Arrêté du 8 mars 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000025526966", "@num": "1", "#text": "Arrêté du 8 mars 2012 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000028222587", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220967", "@nortexte": "AFSS1328318A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028222613", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - 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Un arrêté des ministres chargés de la santé et de la sécurité sociale, pris après avis des organisations nationales les plus représentatives des établissements mentionnés à l'article L. 710-16-2 du code de la santé publique, détermine chaque année, en fonction de l'objectif national de dépenses d'assurance maladie, les taux d'évolution moyens des tarifs des prestations afférentes aux activités d'alternatives à la dialyse en centre et d'hospitalisation à domicile. Cet arrêté détermine également les variations maximale et minimale des taux d'évolution des tarifs des prestations qui peuvent être alloués à ces établissements par les agences régionales de l'hospitalisation, selon des critères définis par l'accord prévu à l'article L. 162-22-4.
\n
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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019344831", "@nortexte": "SJSS0818344A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-08-01" }, { "@id": "LEGIARTI000019347489", "@num": "1", "#text": "Arrêté du 1er août 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019344831", "@nortexte": "SJSS0818344A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-08-01" }, { "@id": "LEGITEXT000019721140", "#text": "Décret n°2008-1121\n du 31 octobre 2008 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019720616", "@nortexte": "SJSS0802130D", "@numtexte": "2008-1121", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-10-31" }, { "@id": "LEGIARTI000019721152", "@num": "6", "#text": "Décret n°2008-1121\n du 31 octobre 2008 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019720616", "@nortexte": "SJSS0802130D", "@numtexte": "2008-1121", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-10-31" }, { "@id": "LEGIARTI000019987825", "@num": "Annexe", "#text": "Arrêté du 18 décembre 2008 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000019987836", "@num": "1", "#text": "Arrêté du 18 décembre 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000022153658", "@num": "2", "#text": "Décret n°2008-1528\n du 30 décembre 2008 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020018744", "@nortexte": "SJSH0825684D", "@numtexte": "2008-1528", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-30" }, { "@id": "LEGIARTI000034829560", "@num": "1", "#text": "Arrêté du 21 janvier 2009 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000047594855", "@num": "2", "#text": "Arrêté du 21 janvier 2009 - art. 2 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000023660592", "@num": "8", "#text": "Arrêté du 19 février 2009 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000020310296", "@nortexte": "SASH0904095A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-19" }, { "@id": "LEGITEXT000020316234", "#text": "Arrêté du 18 février 2009 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020315160", "@nortexte": "SJSS0828100A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-18" }, { "@id": "LEGIARTI000021984479", "@num": "1", "#text": "Arrêté du 15 mars 2010 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000021983900", "@nortexte": "SASS1006030A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-15" }, { "@id": "LEGIARTI000022076341", "@num": "1", "#text": "Arrêté du 8 mars 2010 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022075448", "@nortexte": "SASS1002630A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-08" }, { "@id": "LEGIARTI000022365439", "@num": "2", "#text": "Décret n°2010-667\n du 17 juin 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022362587", "@nortexte": "SASH1003494D", "@numtexte": "2010-667", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-17" }, { "@id": "LEGITEXT000023722789", "#text": "Arrêté du 14 mars 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000023722792", "@num": "1", "#text": "Arrêté du 14 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000031846972", "@num": "1", "#text": "Arrêté du 30 juin 2011 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000024290191", "@nortexte": "ETSH1032982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-06-30" }, { "@id": "LEGIARTI000030527539", "@num": "1", "#text": "Arrêté du 14 décembre 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982301", "@nortexte": "ETSS1134190A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-14" }, { "@id": "LEGITEXT000025526962", "#text": "Arrêté du 8 mars 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000025526966", "@num": "1", "#text": "Arrêté du 8 mars 2012 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000028222587", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220967", "@nortexte": "AFSS1328318A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028222613", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934264", "@num": "3", "#text": "Arrêté du 23 décembre 2016 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034113932", "@num": "15", "#text": "Arrêté du 27 février 2017 - art. 15", "@sens": "cible", "@cidtexte": "JORFTEXT000034104388", "@nortexte": "AFSH1706291A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-02-27" }, { "@id": "LEGIARTI000034456294", "@num": "2", "#text": "Décret n°2017-584 du 20 avril 2017 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770366", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768918", "@num": "4", "#text": "Arrêté du 5 mai 2017 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000045311130", "@num": "1", "#text": "Arrêté du 12 décembre 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037846009", "@nortexte": "SSAS1834177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-12" }, { "@id": "LEGIARTI000048702348", "#text": "Arrêté du 28 août 2019 - art. 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L'Etat fixe la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées.
\n
Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi par le directeur de l'agence régionale de l'hospitalisation dans des conditions définies par décret.
\n
Lorsque l'établissement adhérent ne respecte pas les stipulations de ce contrat et après qu'il a été mis en demeure de présenter ses observations, ce remboursement peut être réduit dans la limite de 30 % de la part prise en charge par l'assurance maladie et en tenant compte des manquements constatés.
\n
Les établissements qui n'ont pas adhéré au contrat de bon usage des médicaments et des produits et prestations bénéficient d'un remboursement à hauteur de 70 % de la part prise en charge par les régimes obligatoires d'assurance maladie.
\n
Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.
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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000019987836", "@num": "1", "#text": "Arrêté du 18 décembre 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000022153658", "@num": "2", "#text": "Décret n°2008-1528\n du 30 décembre 2008 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020018744", "@nortexte": "SJSH0825684D", "@numtexte": "2008-1528", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-30" }, { "@id": "LEGIARTI000034829560", "@num": "1", "#text": "Arrêté du 21 janvier 2009 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000047594855", "@num": "2", "#text": "Arrêté du 21 janvier 2009 - art. 2 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000023660592", "@num": "8", "#text": "Arrêté du 19 février 2009 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000020310296", "@nortexte": "SASH0904095A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-19" }, { "@id": "LEGITEXT000020316234", "#text": "Arrêté du 18 février 2009 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020315160", "@nortexte": "SJSS0828100A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-18" }, { "@id": "LEGIARTI000021984479", "@num": "1", "#text": "Arrêté du 15 mars 2010 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000021983900", "@nortexte": "SASS1006030A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-15" }, { "@id": "LEGIARTI000022076341", "@num": "1", "#text": "Arrêté du 8 mars 2010 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022075448", "@nortexte": "SASS1002630A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-08" }, { "@id": "LEGIARTI000022365439", "@num": "2", "#text": "Décret n°2010-667\n du 17 juin 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022362587", "@nortexte": "SASH1003494D", "@numtexte": "2010-667", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-17" }, { "@id": "LEGITEXT000023722789", "#text": "Arrêté du 14 mars 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000023722792", "@num": "1", "#text": "Arrêté du 14 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000031846972", "@num": "1", "#text": "Arrêté du 30 juin 2011 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000024290191", "@nortexte": "ETSH1032982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-06-30" }, { "@id": "LEGIARTI000030527539", "@num": "1", "#text": "Arrêté du 14 décembre 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982301", "@nortexte": "ETSS1134190A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-14" }, { "@id": "LEGITEXT000025526962", "#text": "Arrêté du 8 mars 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000025526966", "@num": "1", "#text": "Arrêté du 8 mars 2012 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000028222587", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220967", "@nortexte": "AFSS1328318A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028222613", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934264", "@num": "3", "#text": "Arrêté du 23 décembre 2016 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034113932", "@num": "15", "#text": "Arrêté du 27 février 2017 - art. 15", "@sens": "cible", "@cidtexte": "JORFTEXT000034104388", "@nortexte": "AFSH1706291A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-02-27" }, { "@id": "LEGIARTI000034456294", "@num": "2", "#text": "Décret n°2017-584 du 20 avril 2017 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770366", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768918", "@num": "4", "#text": "Arrêté du 5 mai 2017 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000045311130", "@num": "1", "#text": "Arrêté du 12 décembre 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037846009", "@nortexte": "SSAS1834177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-12" }, { "@id": "LEGIARTI000048702348", "#text": "Arrêté du 28 août 2019 - art. (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000039003584", "@nortexte": "SSAS1924947A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-28" }, { "@id": "LEGIARTI000041619114", "#text": "Arrêté du 19 février 2020 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000041617382", "@nortexte": "SSAS2005311A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-02-19" }, { "@id": "LEGIARTI000047354872", "@num": "6", "#text": "Arrêté du 6 mai 2020 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000047354883", "@num": "7", "#text": "Arrêté du 6 mai 2020 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000043185554", "@num": "12", "#text": "Décret n°2021-216 du 25 février 2021 - art. 12", "@sens": "cible", "@cidtexte": "JORFTEXT000043185042", "@nortexte": "SSAH2033151D", "@numtexte": "2021-216", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-02-25" }, { "@id": "LEGIARTI000044010568", "@num": "5", "#text": "Arrêté du 13 avril 2021 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGIARTI000044010558", "@num": "6", "#text": "Arrêté du 13 avril 2021 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGITEXT000044473881", "#text": "Décret n°2021-1614 du 9 décembre 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044469706", "@nortexte": "SSAH2124761D", "@numtexte": "2021-1614", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-12-09" }, { "@id": "LEGIARTI000048928080", "@num": "3", "#text": "Arrêté du 31 décembre 2022 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928050", "@num": "4", "#text": "Arrêté du 31 décembre 2022 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928001", "@num": "5", "#text": "Arrêté du 31 décembre 2022 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000047543476", "@num": "2", "#text": "Décret n°2023-367 du 13 mai 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047542080", "@nortexte": "SPRS2300922D", "@numtexte": "2023-367", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-05-13" }, { "@id": "LEGITEXT000047750734", "#text": "Décret n°2023-518 du 27 juin 2023 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047749196", "@nortexte": "SPRS2234375D", "@numtexte": "2023-518", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-06-27" }, { "@id": "LEGIARTI000048911679", "@num": "1", "#text": "Arrêté du 19 décembre 2023 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048730514", "@nortexte": "SPRH2334455A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-19" }, { "@id": "LEGIARTI000048912247", "@num": "2", "#text": "Arrêté du 27 décembre 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048737581", "@nortexte": "SPRH2335342A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-27" }, { "@id": "LEGIARTI000031920738", "@num": "L5212-2-1", "#text": "Code de la santé publique - art. L5212-2-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690734", "@num": "L6114-3", "#text": "Code de la santé publique - art. L6114-3 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048725982", "@num": "L6145-1", "#text": "Code de la santé publique - art. L6145-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000035837242", "@num": "R1413-90", "#text": "Code de la santé publique - art. R1413-90 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043188422", "@num": "R6111-10", "#text": "Code de la santé publique - art. 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L'Etat fixe la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées.
\n
Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur de l'agence régionale de l'hospitalisation et l'assurance maladie dans des conditions définies par décret.
\n
Lorsque l'établissement adhérent ne respecte pas les stipulations de ce contrat et après qu'il a été mis en demeure de présenter ses observations, ce remboursement peut être réduit dans la limite de 30 % de la part prise en charge par l'assurance maladie et en tenant compte des manquements constatés.
\n
Les établissements qui n'ont pas adhéré au contrat de bon usage des médicaments et des produits et prestations bénéficient d'un remboursement à hauteur de 70 % de la part prise en charge par les régimes obligatoires d'assurance maladie.
\n
Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.
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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934264", "@num": "3", "#text": "Arrêté du 23 décembre 2016 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034113932", "@num": "15", "#text": "Arrêté du 27 février 2017 - art. 15", "@sens": "cible", "@cidtexte": "JORFTEXT000034104388", "@nortexte": "AFSH1706291A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-02-27" }, { "@id": "LEGIARTI000034456294", "@num": "2", "#text": "Décret n°2017-584 du 20 avril 2017 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770366", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768918", "@num": "4", "#text": "Arrêté du 5 mai 2017 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000045311130", "@num": "1", "#text": "Arrêté du 12 décembre 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037846009", "@nortexte": "SSAS1834177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-12" }, { "@id": "LEGIARTI000048702348", "#text": "Arrêté du 28 août 2019 - art. (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000039003584", "@nortexte": "SSAS1924947A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-28" }, { "@id": "LEGIARTI000041619114", "#text": "Arrêté du 19 février 2020 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000041617382", "@nortexte": "SSAS2005311A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-02-19" }, { "@id": "LEGIARTI000047354872", "@num": "6", "#text": "Arrêté du 6 mai 2020 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000047354883", "@num": "7", "#text": "Arrêté du 6 mai 2020 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000043185554", "@num": "12", "#text": "Décret n°2021-216 du 25 février 2021 - art. 12", "@sens": "cible", "@cidtexte": "JORFTEXT000043185042", "@nortexte": "SSAH2033151D", "@numtexte": "2021-216", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-02-25" }, { "@id": "LEGIARTI000044010568", "@num": "5", "#text": "Arrêté du 13 avril 2021 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGIARTI000044010558", "@num": "6", "#text": "Arrêté du 13 avril 2021 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGITEXT000044473881", "#text": "Décret n°2021-1614 du 9 décembre 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044469706", "@nortexte": "SSAH2124761D", "@numtexte": "2021-1614", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-12-09" }, { "@id": "LEGIARTI000048928080", "@num": "3", "#text": "Arrêté du 31 décembre 2022 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928050", "@num": "4", "#text": "Arrêté du 31 décembre 2022 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928001", "@num": "5", "#text": "Arrêté du 31 décembre 2022 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000047543476", "@num": "2", "#text": "Décret n°2023-367 du 13 mai 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047542080", "@nortexte": "SPRS2300922D", "@numtexte": "2023-367", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-05-13" }, { "@id": "LEGITEXT000047750734", "#text": "Décret n°2023-518 du 27 juin 2023 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047749196", "@nortexte": "SPRS2234375D", "@numtexte": "2023-518", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-06-27" }, { "@id": "LEGIARTI000048911679", "@num": "1", "#text": "Arrêté du 19 décembre 2023 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048730514", "@nortexte": "SPRH2334455A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-19" }, { "@id": "LEGIARTI000048912247", "@num": "2", "#text": "Arrêté du 27 décembre 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048737581", "@nortexte": "SPRH2335342A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-27" }, { "@id": "LEGIARTI000031920738", "@num": "L5212-2-1", "#text": "Code de la santé publique - art. 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L'Etat fixe la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées.

Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur de l'agence régionale de l'hospitalisation et l'assurance maladie dans des conditions définies par décret.

Lorsque l'établissement adhérent ne respecte pas les stipulations de ce contrat et après qu'il a été mis en demeure de présenter ses observations, ce remboursement peut être réduit dans la limite de 30 % de la part prise en charge par l'assurance maladie et en tenant compte des manquements constatés.

Les établissements qui n'ont pas adhéré au contrat de bon usage des médicaments et des produits et prestations bénéficient d'un remboursement à hauteur de 70 % de la part prise en charge par les régimes obligatoires d'assurance maladie.

Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

La prise en charge des médicaments orphelins au sens du règlement (CE) n° 141 / 2000 du Parlement européen et du Conseil du 16 décembre 1999 concernant les médicaments orphelins est subordonnée à la validation de la prescription initiale par le centre de référence de la maladie pour le traitement de laquelle la prescription est envisagée, lorsqu'il existe, ou par l'un des centres de compétence qui lui sont rattachés.

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Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur général de l'agence régionale de santé et l'assurance maladie dans des conditions définies par décret.

Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

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Sur la base de l'analyse nationale de l'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, et sur recommandation du conseil de l'hospitalisation, l'Etat arrête, chaque année, un taux prévisionnel d'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, remboursées sur l'enveloppe de soins de ville, prescrits par les professionnels de santé exerçant au sein des établissements publics de santé et des établissements de santé mentionnés à l'article L. 162-22-6.

Lorsque l'agence régionale de santé, conjointement avec l'organisme local d'assurance maladie, constate que les dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, occasionnées par les prescriptions des médecins exerçant leur activité au sein d'un établissement de santé ont connu une progression supérieure à ce taux non justifiée au regard de son activité et de sa patientèle, elle peut proposer de conclure avec l'établissement de santé et l'organisme local d'assurance maladie un contrat d'amélioration de la qualité et de l'organisation des soins portant sur les médicaments mentionnés à l'article L. 162-17 du présent code et les produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, d'une durée de trois ans.

Ce contrat est conforme à un contrat-type élaboré selon les modalités définies à l'article L. 1435-4 du code de la santé publique et comporte notamment :

1° Un objectif de réduction du taux d'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, de l'établissement, corrélée à son activité et à sa patientèle, en lien avec le taux d'évolution des dépenses de médicaments fixé nationalement et actualisé annuellement par avenant ;

2° Un objectif d'amélioration des pratiques hospitalières en termes de prescription de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste.

En cas de refus de l'établissement de conclure ce contrat, l'agence régionale de santé lui enjoint de verser à l'organisme local d'assurance maladie une fraction du montant des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, qui lui sont imputables, dans la limite de 10 % de ces dépenses.

Si, à la fin de chacune des trois années de durée du contrat, il est constaté que l'établissement de santé n'a pas respecté l'objectif de réduction du taux d'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, et après qu'il a été mis en mesure de présenter ses observations, l'agence régionale de santé peut lui enjoindre de verser à l'organisme local d'assurance maladie une fraction du montant des dépenses de médicaments qui lui sont imputables, dans la limite du dépassement de son objectif.

Si, à la fin de chacune des trois années de durée du contrat, il est constaté que des économies ont été réalisées par rapport à l'objectif, l'agence régionale de santé peut enjoindre à l'organisme local d'assurance maladie de verser à l'établissement de santé une fraction des économies réalisées.

Un décret en Conseil d'Etat précise les modalités d'application du présent article.

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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028375946", "@num": "51", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - art. 51 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934264", "@num": "3", "#text": "Arrêté du 23 décembre 2016 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034113932", "@num": "15", "#text": "Arrêté du 27 février 2017 - art. 15", "@sens": "cible", "@cidtexte": "JORFTEXT000034104388", "@nortexte": "AFSH1706291A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-02-27" }, { "@id": "LEGIARTI000034456294", "@num": "2", "#text": "Décret n°2017-584 du 20 avril 2017 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770366", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768918", "@num": "4", "#text": "Arrêté du 5 mai 2017 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000045311130", "@num": "1", "#text": "Arrêté du 12 décembre 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037846009", "@nortexte": "SSAS1834177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-12" }, { "@id": "LEGIARTI000048702348", "#text": "Arrêté du 28 août 2019 - art. (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000039003584", "@nortexte": "SSAS1924947A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-28" }, { "@id": "LEGIARTI000041619114", "#text": "Arrêté du 19 février 2020 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000041617382", "@nortexte": "SSAS2005311A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-02-19" }, { "@id": "LEGIARTI000047354872", "@num": "6", "#text": "Arrêté du 6 mai 2020 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000047354883", "@num": "7", "#text": "Arrêté du 6 mai 2020 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000043185554", "@num": "12", "#text": "Décret n°2021-216 du 25 février 2021 - art. 12", "@sens": "cible", "@cidtexte": "JORFTEXT000043185042", "@nortexte": "SSAH2033151D", "@numtexte": "2021-216", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-02-25" }, { "@id": "LEGIARTI000044010568", "@num": "5", "#text": "Arrêté du 13 avril 2021 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGIARTI000044010558", "@num": "6", "#text": "Arrêté du 13 avril 2021 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGITEXT000044473881", "#text": "Décret n°2021-1614 du 9 décembre 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044469706", "@nortexte": "SSAH2124761D", "@numtexte": "2021-1614", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-12-09" }, { "@id": "LEGIARTI000048928080", "@num": "3", "#text": "Arrêté du 31 décembre 2022 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928050", "@num": "4", "#text": "Arrêté du 31 décembre 2022 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928001", "@num": "5", "#text": "Arrêté du 31 décembre 2022 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000047543476", "@num": "2", "#text": "Décret n°2023-367 du 13 mai 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047542080", "@nortexte": "SPRS2300922D", "@numtexte": "2023-367", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-05-13" }, { "@id": "LEGITEXT000047750734", "#text": "Décret n°2023-518 du 27 juin 2023 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047749196", "@nortexte": "SPRS2234375D", "@numtexte": "2023-518", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-06-27" }, { "@id": "LEGIARTI000048911679", "@num": "1", "#text": "Arrêté du 19 décembre 2023 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048730514", "@nortexte": "SPRH2334455A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-19" }, { "@id": "LEGIARTI000048912247", "@num": "2", "#text": "Arrêté du 27 décembre 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048737581", "@nortexte": "SPRH2335342A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-27" }, { "@id": "LEGIARTI000031920738", "@num": "L5212-2-1", "#text": "Code de la santé publique - art. 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I. - L'Etat fixe la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

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Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur général de l'agence régionale de santé et l'assurance maladie dans des conditions définies par décret.

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Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

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II. - Lorsque l'agence régionale de santé constate, notamment sur la base de l'analyse nationale de l'évolution des prescriptions des spécialités pharmaceutiques et des produits et prestations mentionnés au I, au sein d'un établissement de santé, des prescriptions non conformes aux référentiels et recommandations élaborés par la Haute Autorité de santé, l'Institut national du cancer ou l'Agence nationale de sécurité du médicament et des produits de santé, elle peut conclure un avenant annuel au contrat mentionné au même I comportant les mesures nécessaires à l'amélioration et à une plus grande efficience des pratiques de prescription de cet établissement pour les produits concernés.

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\n
\n

En cas de refus de l'établissement de signer l'avenant mentionné au premier alinéa du présent II ou en cas de non-respect manifeste de ces dispositions, l'agence régionale de santé peut, après que l'établissement a été mis en mesure de présenter ses observations et en tenant compte des manquements constatés, prononcer la réduction du remboursement de 10 % de la part prise en charge par l'assurance maladie pour une durée d'un an. Le cas échéant, cette réduction se cumule avec celle résultant du I, dans la limite maximale de 30 % de la part prise en charge par l'assurance maladie.

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\n
\n

Les modalités d'application du présent II sont fixées par décret.

\n
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I.-Sur la base de l'analyse nationale de l'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, et sur recommandation du conseil de l'hospitalisation, l'Etat arrête, chaque année, un taux prévisionnel d'évolution des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, remboursées sur l'enveloppe de soins de ville, prescrits par les professionnels de santé exerçant au sein des établissements publics de santé et des établissements de santé mentionnés à l'article L. 162-22-6.

II.-L'Etat arrête, chaque année, un taux prévisionnel de prescription, par les professionnels de santé exerçant au sein des établissements publics de santé et des établissements de santé mentionnés à l'article L. 162-22-6, des médicaments mentionnés au premier alinéa de l'article L. 162-17 du présent code et appartenant au répertoire des groupes génériques mentionné au b du 5° de l'article L. 5121-1 du code de la santé publique. Ce taux est arrêté sur recommandation du conseil de l'hospitalisation, sur la base de l'analyse de l'évolution nationale annuelle du nombre d'unités de conditionnement de ces médicaments rapporté au nombre d'unités de conditionnement des médicaments mentionnés au premier alinéa de l'article L. 162-17 du présent code prescrits par les professionnels de santé exerçant au sein des établissements publics de santé et des établissements de santé mentionnés à l'article L. 162-22-6.

III.-Lorsque l'agence régionale de santé, conjointement avec l'organisme local d'assurance maladie, constate que les dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, occasionnées par les prescriptions des médecins exerçant leur activité au sein d'un établissement de santé ont connu une progression supérieure à ce taux non justifiée au regard de son activité et de sa patientèle ou que le taux de prescription des médicaments mentionnés au II du présent article affiche une valeur inférieure au taux prévisionnel mentionné au même II, non justifiée au regard de l'activité ou de la patientèle de l'établissement, elle peut proposer de conclure avec l'établissement de santé et l'organisme local d'assurance maladie un contrat d'amélioration de la qualité et de l'organisation des soins portant sur les médicaments mentionnés à l'article L. 162-17 du présent code et les produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, d'une durée de trois ans.

Ce contrat est conforme à un contrat-type élaboré selon les modalités définies à l'article L. 1435-4 du code de la santé publique et comporte notamment, en fonction du ou des manquements constatés aux objectifs respectivement définis au I et au II :

1° bis Un objectif de progression du volume de prescription des médicaments mentionnés au premier alinéa de l'article L. 162-17 et appartenant au répertoire des groupes génériques, résultant des prescriptions des médecins exerçant leur activité au sein de l'établissement, corrélé à son activité et à sa patientèle, en lien avec le taux prévisionnel mentionné au II du présent article ;

2° Et, dans tous les cas, un objectif d'amélioration des pratiques hospitalières en termes de prescription de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste.

IV.-En cas de refus de l'établissement de conclure ce contrat, l'agence régionale de santé lui enjoint de verser à l'organisme local d'assurance maladie une fraction du montant des dépenses de médicaments mentionnés à l'article L. 162-17 du présent code et de produits et prestations inscrits sur la liste mentionnée à l'article L. 165-1, à l'exception des produits figurant au titre III de cette liste, qui lui sont imputables, dans la limite de 10 % de ces dépenses.

Si, à la fin de chacune des trois années de durée du contrat, il est constaté que l'établissement de santé n'a pas atteint son objectif mentionné au 1° bis du III du présent article, l'agence régionale de santé peut enjoindre à l'établissement, après qu'il a été mis en mesure de présenter ses observations, de verser à l'organisme local d'assurance maladie une fraction du montant des dépenses correspondant à l'écart entre le taux réalisé de prescription, par les médecins exerçant leur activité au sein de l'établissement, de médicaments mentionnés au II et l'objectif de progression du volume de prescription desdits médicaments prévu au contrat.

Le cas échéant, les montants des versements définis aux deuxième et troisième alinéas du présent IV peuvent se cumuler, dans la limite définie au premier alinéa.

Si, à la fin de chacune des trois années de durée du contrat, il est constaté que des économies ont été réalisées par rapport à l'objectif de réduction du taux d'évolution des dépenses mentionnées au I ou par rapport à l'objectif de progression du volume de prescription des médicaments mentionnés au II, l'agence régionale de santé peut enjoindre à l'organisme local d'assurance maladie de verser à l'établissement de santé une fraction des économies réalisées.

Un décret en Conseil d'Etat précise les modalités d'application du présent article.

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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients hospitalisés dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur général de l'agence régionale de santé et l'assurance maladie dans des conditions définies par décret.

Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

Les modalités d'application du présent II sont fixées par décret.

" } }, "LEGIARTI000031688222": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-30-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2018-01-01", "DATE_DEBUT": "2017-04-23" } }, "META_COMMUN": { "ID": "LEGIARTI000031688222", "URL": "article/LEGI/ARTI/00/00/31/68/82/LEGIARTI000031688222.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Ces dispositions entrent en vigueur le lendemain de la publication du décret mentionné au même article L. 162-30-2 pour les nouveaux contrats, et au plus tard au 1er janvier 2018.

Les contrats conclus avant la publication du décret précité continuent à produire leurs effets jusqu'au 31 décembre 2017.

Le décret n° 2017-584 du 20 avril 2017 est entré en vigueur le 23 avril 2017.

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Un contrat d'amélioration de la qualité et de l'efficience des soins est conclu entre le directeur général de l'agence régionale de santé, le directeur de l'organisme local d'assurance maladie et le représentant légal de chaque établissement de santé relevant de leur ressort géographique. Il a pour objet d'améliorer la qualité, la sécurité et la pertinence des soins et des prescriptions et de permettre une diminution des dépenses de l'assurance maladie.
\n
Ce contrat comporte :
\n
1° Un volet obligatoire relatif au bon usage des médicaments, des produits et des prestations ;
\n
2° Le cas échéant, un ou plusieurs volets additionnels conclus avec les établissements identifiés en application du plan d'actions pluriannuel régional d'amélioration de la pertinence des soins ou ne respectant pas, pour certains actes, prestations ou prescriptions des établissements de santé ou des professionnels y exerçant, un ou plusieurs référentiels de qualité, de sécurité des soins ou de seuils exprimés en volume ou en dépenses d'assurance maladie mentionnés à l'article L. 162-30-3.
\n
Le contrat est conclu pour une durée indéterminée. Par dérogation, les volets additionnels peuvent être conclus pour une durée maximale de cinq ans. Il prévoit notamment, conformément à un contrat type fixé par arrêté des ministres chargés de la santé et de la sécurité sociale, les obligations respectives des parties, les objectifs à atteindre par l'établissement ainsi que leurs modalités d'évaluation. En l'absence de contrat type national, l'agence régionale de santé peut arrêter un contrat type régional.
\n
En cas de refus par un établissement de santé de conclure ce contrat ou l'un de ses volets, le directeur général de l'agence régionale de santé prononce, après que l'établissement a été mis en mesure de présenter ses observations, une sanction financière correspondant à 1 % des produits reçus des régimes obligatoires d'assurance maladie par l'établissement de santé au titre du dernier exercice clos. La somme de cette sanction et de celles mentionnées à l'article L. 162-30-4 ne peut être supérieure à 5 % des produits reçus des régimes obligatoires d'assurance maladie par l'établissement de santé au titre du dernier exercice clos. Le produit de ces sanctions est versé à l'assurance maladie. En cas de refus de conclure les volets relatifs aux produits de santé, le directeur général de l'agence régionale de santé peut choisir, à la place de la sanction mentionnée à la première phrase du présent alinéa, de réduire de 30 % la part prise en charge par les régimes obligatoires d'assurance maladie des spécialités pharmaceutiques, produits et prestations mentionnés à l'article L. 162-22-7. Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.
\n
Les modalités d'application du présent article sont déterminées par décret.

\n
\n

" } }, "LEGIARTI000031688235": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-12-28", "DATE_DEBUT": "2018-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000031688235", "URL": "article/LEGI/ARTI/00/00/31/68/82/LEGIARTI000031688235.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Ces dispositions entrent en vigueur le lendemain de la publication du décret mentionné à l'article L. 162-30-2 pour les nouveaux contrats, et au plus tard au 1er janvier 2018.

Les contrats conclus avant la publication du décret précité continuent à produire leurs effets jusqu'au 31 décembre 2017.
\n
\n

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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

II. - Abrogé.

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art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - 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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

Bénéficient d'un remboursement intégral de la part prise en charge par les régimes obligatoires d'assurance maladie les établissements qui ont adhéré au contrat de bon usage des médicaments et des produits et prestations établi conjointement par le directeur général de l'agence régionale de santé et l'assurance maladie dans des conditions définies par décret.

Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

Les modalités d'application du présent II sont fixées par décret.

" } }, "LEGIARTI000036393565": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-30-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-12-28", "DATE_DEBUT": "2018-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000036393565", "URL": "article/LEGI/ARTI/00/00/36/39/35/LEGIARTI000036393565.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au II de l'article 57 de la loi n° 2017-1836 du 31 décembre 2017, ces dispositions s'appliquent à l'évaluation des contrats ou avenants entrant en vigueur à compter du 1er janvier 2018 en application de l'article L. 162-30-2 du code de la sécurité sociale.

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R162-43-5 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186124", "@fin": "2017-01-01", "#text": "Sous-section 4 : Dispositions diverses", "@debut": "2004-12-21" }, { "@id": "LEGISCTA000031688088", "@fin": "2999-01-01", "#text": "Sous-section 6 : Dispositions diverses", "@debut": "2017-01-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006172518", "@fin": "2010-02-26", "#text": "Section 5 : Etablissements de soins.", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000021940000", "@fin": "2999-01-01", "#text": "Section 5 : Etablissements de santé", "@debut": "2010-02-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023265862", "@fin": "2014-12-25", "@num": "L162-30-2", "@etat": "MODIFIE", "@debut": "2010-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029962729", "@fin": "2017-04-23", "@num": "L162-30-2", "@etat": "MODIFIE", "@debut": "2014-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031688222", "@fin": "2018-01-01", "@num": "L162-30-2", "@etat": "MODIFIE", "@debut": "2017-04-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036393565", "@fin": "2019-12-28", "@num": "L162-30-2", "@etat": "MODIFIE", "@debut": "2018-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000041398036", "@fin": "2999-01-01", "@num": "L162-30-2", "@etat": "VIGUEUR", "@debut": "2019-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Ce contrat comporte :

1° Un volet obligatoire relatif au bon usage des médicaments, des produits et des prestations ;

2° Le cas échéant, un ou plusieurs volets additionnels conclus avec les établissements identifiés en application du plan d'actions pluriannuel régional d'amélioration de la pertinence des soins ou ne respectant pas, pour certains actes, prestations ou prescriptions des établissements de santé ou des professionnels y exerçant, un ou plusieurs référentiels de qualité, de sécurité des soins ou de seuils exprimés en volume ou en dépenses d'assurance maladie mentionnés à l'article L. 162-30-3.

Le contrat est conclu pour une durée indéterminée. Par dérogation, les volets additionnels peuvent être conclus pour une durée maximale de cinq ans. Il prévoit notamment, conformément à un contrat type fixé par arrêté des ministres chargés de la santé et de la sécurité sociale, les obligations respectives des parties, les objectifs à atteindre par l'établissement ainsi que leurs modalités d'évaluation. En l'absence de contrat type national, l'agence régionale de santé peut arrêter un contrat type régional.

En cas de refus par un établissement de santé de conclure ce contrat ou l'un de ses volets, le directeur général de l'agence régionale de santé prononce, après que l'établissement a été mis en mesure de présenter ses observations, une sanction financière correspondant à 1 % des produits reçus des régimes obligatoires d'assurance maladie par l'établissement de santé au titre du dernier exercice clos. La somme de cette sanction et de celles mentionnées à l'article L. 162-30-4 ne peut être supérieure à 5 % des produits reçus des régimes obligatoires d'assurance maladie par l'établissement de santé au titre du dernier exercice clos. Le produit de ces sanctions est versé à l'assurance maladie. En cas de refus de conclure les volets relatifs aux produits de santé, le directeur général de l'agence régionale de santé peut choisir, à la place de la sanction mentionnée à la première phrase du présent alinéa, de réduire de 30 % la part prise en charge par les régimes obligatoires d'assurance maladie des spécialités pharmaceutiques, produits et prestations mentionnés à l'article L. 162-22-7. Dans tous les cas, la différence entre le montant remboursable et le montant remboursé ne peut être facturée aux patients.

Les modalités d'application du présent article sont déterminées par décret.

" } }, "LEGIARTI000041397219": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2021-12-25", "DATE_DEBUT": "2019-12-28" } }, "META_COMMUN": { "ID": "LEGIARTI000041397219", "URL": "article/LEGI/ARTI/00/00/41/39/72/LEGIARTI000041397219.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Ces dispositions entrent en vigueur le lendemain de la publication du décret mentionné à l'article L. 162-30-2 pour les nouveaux contrats, et au plus tard au 1er janvier 2018.

Les contrats conclus avant la publication du décret précité continuent à produire leurs effets jusqu'au 31 décembre 2017.
\n
\n

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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché, de l'entreprise assurant l'exploitation, de l'entreprise assurant l'importation parallèle, de l'entreprise assurant la distribution parallèle du médicament ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

II. - Abrogé.

\n
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Sont soumis à l'obligation prévue au premier alinéa les établissements qui relèvent de priorités nationales définies par l'arrêté pris en application du premier alinéa de l'article L. 162-30-3, après avis de la Caisse nationale de l'assurance maladie, ou qui ne respectent pas un ou plusieurs référentiels de pertinence et d'efficience des actes, prestations ou prescriptions des établissements de santé ou des professionnels y exerçant, ou de seuils exprimés en volume ou en dépenses d'assurance maladie mentionnés au même article L. 162-30-3, prévus par un plan d'actions pluriannuel régional d'amélioration de la pertinence des soins.

Le contrat est conclu pour une durée maximale de cinq ans. Il prévoit notamment, conformément à un contrat type fixé par arrêté des ministres chargés de la santé et de la sécurité sociale, les volets du contrat mentionnés audit article L. 162-30-3, les objectifs à atteindre par l'établissement ainsi que leurs modalités d'évaluation. En l'absence de contrat type national, l'agence régionale de santé peut arrêter un contrat type régional.

En cas de refus par l'établissement de santé identifié de conclure ce contrat, le directeur général de l'agence régionale de santé prononce, après que l'établissement a été mis en mesure de présenter ses observations, une sanction financière correspondant à 1 % des produits reçus des régimes obligatoires d'assurance maladie par l'établissement de santé au titre du dernier exercice clos. Le produit de ces sanctions est versé à l'assurance maladie.

Les modalités d'application du présent article sont déterminées par décret.

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I. ― La commission médicale d'établissement dans les établissements publics de santé ou la conférence médicale d'établissement dans les établissements de santé privés élabore :

1° Un programme d'actions, assorti d'indicateurs de suivi, en matière de bon usage des médicaments notamment des antibiotiques et des dispositifs médicaux stériles. Ce programme contribue au management de la qualité de la prise en charge médicamenteuse du patient et au management de la qualité du circuit des dispositifs médicaux stériles, selon des modalités définies par arrêté du ministre chargé de la santé. Il comprend, le cas échéant, les actions nécessaires pour mettre en œuvre les engagements relatifs aux produits de santé fixés dans le contrat d'amélioration de la qualité et de l'efficience des soins mentionné à l'article L. 162-30-2 du code de la sécurité sociale ;

2° Un bilan des actions d'amélioration en matière de bon usage des médicaments et des dispositifs médicaux stériles ;

3° La liste des médicaments et dispositifs médicaux stériles dont l'utilisation est préconisée dans l'établissement ;

4° Des préconisations en matière de prescription des dispositifs médicaux stériles et des médicaments notamment les antibiotiques.

II. ― Le programme mentionné au 1° du I et le bilan des actions mentionnées au 2° du I sont intégrés au programme d'actions d'amélioration continue de la qualité et de la sécurité des soins mentionné aux articles L. 6144-1 et L. 6161-2.

III. - En vue d'assurer la mise en œuvre du programme mentionné au 1° du I et des préconisations mentionnées au 4° du I, le représentant légal de l'établissement de santé désigne, en concertation avec le président de la commission médicale d'établissement dans les établissements de santé publics ou la conférence médicale d'établissement dans les établissements de santé privés, un référent en antibiothérapie. Ce référent assiste la commission médicale d'établissement ou la conférence médicale d'établissement dans la proposition des actions de bon usage des antibiotiques et l'élaboration des indicateurs de suivi de mise en œuvre de ces mesures ; il organise le conseil thérapeutique et diagnostique dans l'établissement. Une même personne peut assurer cette fonction au sein de plusieurs établissements de santé dans le cadre d'une action de coopération.

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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché, de l'entreprise assurant l'exploitation, de l'entreprise assurant l'importation parallèle, de l'entreprise assurant la distribution parallèle du médicament ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients dans les établissements de santé mentionnés à l'article L. 162-22-6 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° du même article, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments et des produits et prestations en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22-6.

II. - Abrogé.

" } }, "LEGIARTI000048702880": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-22-7", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2024-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000048702880", "URL": "article/LEGI/ARTI/00/00/48/70/28/LEGIARTI000048702880.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au VII de l’article 49 de la loi n° 2023-1250 du 26 décembre 2023, ces dispositions entrent en vigueur le 1er janvier 2024.

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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000019987836", "@num": "1", "#text": "Arrêté du 18 décembre 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000019986530", "@nortexte": "SJSS0817851A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2008-12-18" }, { "@id": "LEGIARTI000022153658", "@num": "2", "#text": "Décret n°2008-1528\n du 30 décembre 2008 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020018744", "@nortexte": "SJSH0825684D", "@numtexte": "2008-1528", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-12-30" }, { "@id": "LEGIARTI000034829560", "@num": "1", "#text": "Arrêté du 21 janvier 2009 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000047594855", "@num": "2", "#text": "Arrêté du 21 janvier 2009 - art. 2 (MMN)", "@sens": "cible", "@cidtexte": "JORFTEXT000020146684", "@nortexte": "SASH0901726A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-01-21" }, { "@id": "LEGIARTI000023660592", "@num": "8", "#text": "Arrêté du 19 février 2009 - art. 8 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000020310296", "@nortexte": "SASH0904095A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-19" }, { "@id": "LEGITEXT000020316234", "#text": "Arrêté du 18 février 2009 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020315160", "@nortexte": "SJSS0828100A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-02-18" }, { "@id": "LEGIARTI000021984479", "@num": "1", "#text": "Arrêté du 15 mars 2010 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000021983900", "@nortexte": "SASS1006030A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-15" }, { "@id": "LEGIARTI000022076341", "@num": "1", "#text": "Arrêté du 8 mars 2010 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022075448", "@nortexte": "SASS1002630A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-03-08" }, { "@id": "LEGIARTI000022365439", "@num": "2", "#text": "Décret n°2010-667\n du 17 juin 2010 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022362587", "@nortexte": "SASH1003494D", "@numtexte": "2010-667", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-17" }, { "@id": "LEGITEXT000023722789", "#text": "Arrêté du 14 mars 2011 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000023722792", "@num": "1", "#text": "Arrêté du 14 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023720582", "@nortexte": "ETSS1105858A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-14" }, { "@id": "LEGIARTI000031846972", "@num": "1", "#text": "Arrêté du 30 juin 2011 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000024290191", "@nortexte": "ETSH1032982A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-06-30" }, { "@id": "LEGIARTI000030527539", "@num": "1", "#text": "Arrêté du 14 décembre 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024982301", "@nortexte": "ETSS1134190A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-12-14" }, { "@id": "LEGITEXT000025526962", "#text": "Arrêté du 8 mars 2012 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000025526966", "@num": "1", "#text": "Arrêté du 8 mars 2012 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000025524512", "@nortexte": "ETSS1135743A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-03-08" }, { "@id": "LEGIARTI000028222587", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220967", "@nortexte": "AFSS1328318A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028222613", "#text": "Arrêté du 18 novembre 2013 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028220981", "@nortexte": "AFSS1328324A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-11-18" }, { "@id": "LEGIARTI000028690434", "@num": "1", "#text": "Arrêté du 24 février 2014 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028684816", "@nortexte": "AFSS1404818A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-02-24" }, { "@id": "LEGIARTI000041733103", "@num": "17", "#text": "ARRÊTÉ du 19 février 2015 - art. 17 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030280539", "@nortexte": "AFSH1504915A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-19" }, { "@id": "LEGITEXT000030541933", "#text": "DÉCRET n°2015-501 du 30 avril 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030540989", "@nortexte": "AFSH1506019D", "@numtexte": "2015-501", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-04-30" }, { "@id": "LEGITEXT000032291693", "#text": "Décret n°2016-349 du 24 mars 2016 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032291186", "@nortexte": "AFSH1532721D", "@numtexte": "2016-349", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2016-03-24" }, { "@id": "LEGIARTI000032304872", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032304106", "@nortexte": "AFSH1608652A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000032348661", "@num": "2", "#text": "Arrêté du 25 mars 2016 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000032325156", "@nortexte": "AFSH1608658A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-03-25" }, { "@id": "LEGIARTI000034802799", "@num": "4", "#text": "Arrêté du 23 juin 2016 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000032851535", "@nortexte": "AFSH1618616A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-23" }, { "@id": "LEGIARTI000044965310", "@num": "1", "#text": "Arrêté du 23 décembre 2016 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793709", "@nortexte": "AFSH1638457A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934267", "@num": "2", "#text": "Arrêté du 23 décembre 2016 - art. 2 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000048934264", "@num": "3", "#text": "Arrêté du 23 décembre 2016 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000033793735", "@nortexte": "AFSH1638462A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-12-23" }, { "@id": "LEGIARTI000034113932", "@num": "15", "#text": "Arrêté du 27 février 2017 - art. 15", "@sens": "cible", "@cidtexte": "JORFTEXT000034104388", "@nortexte": "AFSH1706291A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-02-27" }, { "@id": "LEGIARTI000034456294", "@num": "2", "#text": "Décret n°2017-584 du 20 avril 2017 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034453909", "@nortexte": "AFSS1703616D", "@numtexte": "2017-584", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-20" }, { "@id": "LEGIARTI000034547287", "@num": "1", "#text": "Arrêté du 27 avril 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034517818", "@nortexte": "AFSS1712944A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-04-27" }, { "@id": "LEGIARTI000034768914", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770364", "@num": "2", "#text": "Arrêté du 5 mai 2017 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768916", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034770366", "@num": "3", "#text": "Arrêté du 5 mai 2017 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000034634729", "@nortexte": "AFSH1713799A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000034768918", "@num": "4", "#text": "Arrêté du 5 mai 2017 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000034634858", "@nortexte": "AFSH1713962A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-05-05" }, { "@id": "LEGIARTI000045311130", "@num": "1", "#text": "Arrêté du 12 décembre 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037846009", "@nortexte": "SSAS1834177A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-12-12" }, { "@id": "LEGIARTI000048702348", "#text": "Arrêté du 28 août 2019 - art. (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000039003584", "@nortexte": "SSAS1924947A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-28" }, { "@id": "LEGIARTI000041619114", "#text": "Arrêté du 19 février 2020 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000041617382", "@nortexte": "SSAS2005311A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-02-19" }, { "@id": "LEGIARTI000047354872", "@num": "6", "#text": "Arrêté du 6 mai 2020 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000047354883", "@num": "7", "#text": "Arrêté du 6 mai 2020 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041853566", "@nortexte": "SSAH2011363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000043185554", "@num": "12", "#text": "Décret n°2021-216 du 25 février 2021 - art. 12", "@sens": "cible", "@cidtexte": "JORFTEXT000043185042", "@nortexte": "SSAH2033151D", "@numtexte": "2021-216", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-02-25" }, { "@id": "LEGIARTI000044010568", "@num": "5", "#text": "Arrêté du 13 avril 2021 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGIARTI000044010558", "@num": "6", "#text": "Arrêté du 13 avril 2021 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000043379013", "@nortexte": "SSAH2111835A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-04-13" }, { "@id": "LEGITEXT000044473881", "#text": "Décret n°2021-1614 du 9 décembre 2021 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000044469706", "@nortexte": "SSAH2124761D", "@numtexte": "2021-1614", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-12-09" }, { "@id": "LEGIARTI000048928080", "@num": "3", "#text": "Arrêté du 31 décembre 2022 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928050", "@num": "4", "#text": "Arrêté du 31 décembre 2022 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000048928001", "@num": "5", "#text": "Arrêté du 31 décembre 2022 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000046850933", "@nortexte": "SPRH2235892A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2022-12-31" }, { "@id": "LEGIARTI000047543476", "@num": "2", "#text": "Décret n°2023-367 du 13 mai 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047542080", "@nortexte": "SPRS2300922D", "@numtexte": "2023-367", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-05-13" }, { "@id": "LEGITEXT000047750734", "#text": "Décret n°2023-518 du 27 juin 2023 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000047749196", "@nortexte": "SPRS2234375D", "@numtexte": "2023-518", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-06-27" }, { "@id": "LEGIARTI000048670512", "@num": "49", "#text": "LOI n°2023-1250 du 26 décembre 2023 - art. 49 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048668665", "@nortexte": "ECOX2320994L", "@numtexte": "2023-1250", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2023-12-26" }, { "@id": "LEGIARTI000048911679", "@num": "1", "#text": "Arrêté du 19 décembre 2023 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048730514", "@nortexte": "SPRH2334455A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-19" }, { "@id": "LEGIARTI000048912247", "@num": "2", "#text": "Arrêté du 27 décembre 2023 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000048737581", "@nortexte": "SPRH2335342A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2023-12-27" }, { "@id": "LEGIARTI000031920738", "@num": "L5212-2-1", "#text": "Code de la santé publique - art. 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I. - L'Etat fixe, sur demande du titulaire de l'autorisation de mise sur le marché, de l'entreprise assurant l'exploitation, de l'entreprise assurant l'importation parallèle, de l'entreprise assurant la distribution parallèle du médicament ou à l'initiative des ministres chargés de la santé et de la sécurité sociale, la liste des spécialités pharmaceutiques bénéficiant d'une autorisation de mise sur le marché dispensées aux patients dans les établissements de santé mentionnés à l'article L. 162-22 qui peuvent être prises en charge, sur présentation des factures, par les régimes obligatoires d'assurance maladie en sus des prestations d'hospitalisation mentionnées au 1° de l'article L. 162-22-3, ainsi que les conditions dans lesquelles certains produits et prestations mentionnés à l'article L. 165-1 peuvent faire l'objet d'une prise en charge en sus des prestations d'hospitalisation susmentionnées. Cette liste précise les seules indications thérapeutiques ouvrant droit à la prise en charge des médicaments et des produits et prestations en sus des prestations d'hospitalisation mentionnées à l'article L. 162-22.

II. - Abrogé.

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Article 12 ENTIEREMENT_MODIF (Décret n° 2021-216 du 25 février 2021 relatif à la réforme du financement des structures des urgences et des structures mobiles d'urgence et de réanimation et portant diverses dispositions relatives aux établissements de santé)