{ "article": { "LEGIARTI000043497101": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "2", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000043497101", "URL": "article/LEGI/ARTI/00/00/43/49/71/LEGIARTI000043497101.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000043499887", "@num": "L162-14-1", "#text": "Code de la sécurité sociale. - art. L162-14-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043499910", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000043496493", "@nor": "SSAH2111132R", "@num": "2021-584", "@nature": "ORDONNANCE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Ordonnance n° 2021-584 du 12 mai 2021 relative aux communautés professionnelles territoriales de santé et aux maisons de santé", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000043496493", "@c_titre_court": "Ordonnance n°2021-584 du 12 mai 2021" }, { "@fin": "2999-01-01", "#text": "Ordonnance n° 2021-584 du 12 mai 2021 relative aux communautés professionnelles territoriales de santé et aux maisons de santé", "@debut": "2021-05-14", "@id_txt": "LEGITEXT000043497092", "@c_titre_court": "Ordonnance n°2021-584 du 12 mai 2021" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2021-05-13", "@date_signature": "2021-05-12", "@num_parution_jo": "0111" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000043497101", "@fin": "2999-01-01", "@num": "2", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000043496495", "@fin": "2999-01-01", "@num": "2", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. L162-5-3, Art. L162-14-1\n
\n

\n
" } }, "LEGIARTI000043499887": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-14-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2021-11-12", "DATE_DEBUT": "2021-05-14" } }, "META_COMMUN": { "ID": "LEGIARTI000043499887", "URL": "article/LEGI/ARTI/00/00/43/49/98/LEGIARTI000043499887.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006701996", "@num": "2", "#text": "Décret n°76-1004 du 4 novembre 1976 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000860847", "@numtexte": "76-1004", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1976-11-04" }, { "@id": "LEGIARTI000006730329", "@num": "Annexe A", "#text": "Arrêté du 2 novembre 1994 - art. Annexe A (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000184973", "@nortexte": "SPSP9403408A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1994-11-02" }, { "@id": "LEGIARTI000006758494", "@num": "31", "#text": "Loi n°2002-1487 du 20 décembre 2002 - art. 31 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000235196", "@nortexte": "SANX0200141L", "@numtexte": "2002-1487", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2002-12-20" }, { "@id": "LEGIARTI000006791819", "@num": "ANNEXE VI", "#text": "Arrêté du 22 septembre 2003 - art. ANNEXE VI (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000795401", "@nortexte": "SANS0323584A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-09-22" }, { "@id": "LEGIARTI000006758873", "@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": "LEGIARTI000006229166", "@num": "2", "#text": "Arrêté du 20 février 2004 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000800423", "@nortexte": "SOCG0420644A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-02-20" }, { "@id": "LEGIARTI000006758982", "@num": "52", "#text": "Loi n°2004-810 du 13 août 2004 - art. 52 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000625158", "@nortexte": "SANX0400122L", "@numtexte": "2004-810", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2004-08-13" }, { "@id": "LEGIARTI000006236549", "@num": "3", "#text": "Décret n°2004-1319 du 1 décembre 2004 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000446136", "@nortexte": "SANS0423951D", "@numtexte": "2004-1319", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-01" }, { "@id": "LEGIARTI000028275828", "@num": "Annexe", "#text": "Arrêté du 14 juin 2006 - art. 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Annexe (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022630517", "@nortexte": "SASH1020408A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-07-27" }, { "@id": "LEGIARTI000023786515", "@num": "1", "#text": "Arrêté du 28 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023781960", "@nortexte": "ETSH1021075A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-28" }, { "@id": "LEGIARTI000023786530", "@num": "1", "#text": "Arrêté du 28 mars 2011 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023781953", "@nortexte": "ETSH1021073A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2011-03-28" }, { "@id": "LEGIARTI000026756726", "@num": "Annexe X", "#text": "Arrêté du 22 septembre 2011 - art. 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Annexe 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030289835", "@nortexte": "AFSS1505152A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-02-23" }, { "@id": "LEGITEXT000031391244", "#text": "DÉCRET n°2015-1358 du 26 octobre 2015 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031388895", "@nortexte": "AFSS1517484D", "@numtexte": "2015-1358", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-10-26" }, { "@id": "LEGIARTI000031666064", "@num": "84", "#text": "LOI n°2015-1702 du 21 décembre 2015 - art. 84", "@sens": "cible", "@cidtexte": "JORFTEXT000031663208", "@nortexte": "FCPX1523191L", "@numtexte": "2015-1702", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2015-12-21" }, { "@id": "LEGIARTI000045011325", "@num": "1", "#text": "Arrêté du 16 décembre 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031680250", "@nortexte": "AFSZ1531640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-12-16" }, { "@id": "LEGIARTI000031916362", "@num": "114", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 114 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000031916526", "@num": "158", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 158 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000031916620", "@num": "209", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 209", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000033906622", "@num": "1", "#text": "Arrêté du 12 janvier 2017 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000033897676", "@nortexte": "AFSH1701268A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-01-12" }, { "@id": "LEGIARTI000044965713", "@num": "6", "#text": "Décret n°2017-500 du 6 avril 2017 - art. 6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000034390458", "@nortexte": "AFSH1702718D", "@numtexte": "2017-500", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-06" }, { "@id": "LEGIARTI000034493759", "@num": "1", "#text": "Décret n°2017-632 du 25 avril 2017 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000034492913", "@nortexte": "AFSH1704926D", "@numtexte": "2017-632", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-25" }, { "@id": "LEGIARTI000034493765", "@num": "4", "#text": "Décret n°2017-632 du 25 avril 2017 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000034492913", "@nortexte": "AFSH1704926D", "@numtexte": "2017-632", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2017-04-25" }, { "@id": "LEGIARTI000049056288", "#text": "Arrêté du 13 novembre 2017 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000036021089", "@nortexte": "SSAH1731778A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2017-11-13" }, { "@id": "LEGIARTI000036758750", "@num": "2", "#text": "Décret n°2018-224 du 30 mars 2018 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000036756048", "@nortexte": "SSAH1802943D", "@numtexte": "2018-224", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2018-03-30" }, { "@id": "LEGIARTI000047321184", "#text": "Arrêté du 31 mai 2018 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000036985490", "@nortexte": "SSAH1815197A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-05-31" }, { "@id": "LEGITEXT000037341676", "#text": "Arrêté du 20 août 2018 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000037341772", "@num": "36", "#text": "Arrêté du 20 août 2018 - art. 36 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037335538", "@nortexte": "SSAS1821640A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-08-20" }, { "@id": "LEGIARTI000038439476", "@num": "9", "#text": "Décret n°2019-406 du 2 mai 2019 - art. 9", "@sens": "cible", "@cidtexte": "JORFTEXT000038437984", "@nortexte": "ARMD1831990D", "@numtexte": "2019-406", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-05-02" }, { "@id": "LEGIARTI000049340462", "#text": "Arrêté du 17 octobre 2019 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000039281722", "@nortexte": "SSAH1930365A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-10-17" }, { "@id": "LEGIARTI000041457490", "@num": "1", "#text": "Arrêté du 31 décembre 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000039726828", "@nortexte": "SSAS1936243A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-12-31" }, { "@id": "LEGIARTI000041705062", "@num": "2 bis", "#text": "Décret n°2020-73 du 31 janvier 2020 - art. 2 bis (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041513432", "@nortexte": "SSAS2002571D", "@numtexte": "2020-73", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-01-31" }, { "@id": "LEGIARTI000041737915", "@num": "2 ter", "#text": "Décret n°2020-73 du 31 janvier 2020 - art. 2 ter (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041513432", "@nortexte": "SSAS2002571D", "@numtexte": "2020-73", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-01-31" }, { "@id": "LEGIARTI000041704884", "@num": "1", "#text": "Décret n°2020-227 du 9 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041704122", "@nortexte": "SSAS2006807D", "@numtexte": "2020-227", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-03-09" }, { "@id": "LEGIARTI000041734310", "@num": "1", "#text": "Décret n°2020-268 du 17 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041733484", "@nortexte": "SSAH2000739D", "@numtexte": "2020-268", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-03-17" }, { "@id": "LEGIARTI000041737794", "@num": "1", "#text": "Décret n°2020-277 du 19 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041737421", "@nortexte": "SSAS2007770D", "@numtexte": "2020-277", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-03-19" }, { "@id": "LEGIARTI000041891791", "@num": "8", "#text": "Arrêté du 23 mars 2020 - art. 8 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041746744", "@nortexte": "SSAX2007864A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-23" }, { "@id": "LEGIARTI000041891785", "@num": "8-1", "#text": "Arrêté du 23 mars 2020 - art. 8-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000041746744", "@nortexte": "SSAX2007864A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-23" }, { "@id": "LEGIARTI000041756295", "@num": "1", "#text": "Arrêté du 25 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041755801", "@nortexte": "SSAZ2008363A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-25" }, { "@id": "LEGIARTI000041768003", "@num": "1", "#text": "Arrêté du 28 mars 2020 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041763348", "@nortexte": "SSAZ2008730A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-28" }, { "@id": "LEGIARTI000041768011", "@num": "2", "#text": "Arrêté du 28 mars 2020 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000041763348", "@nortexte": "SSAZ2008730A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-28" }, { "@id": "LEGIARTI000041774693", "@num": "1", "#text": "Arrêté du 31 mars 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041774063", "@nortexte": "SSAZ2008819A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-03-31" }, { "@id": "LEGIARTI000041807647", "@num": "1", "#text": "Arrêté du 16 avril 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041807257", "@nortexte": "SSAZ2009852A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-04-16" }, { "@id": "LEGIARTI000041815054", "@num": "1", "#text": "Décret n°2020-459 du 21 avril 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041814492", "@nortexte": "SSAS2008838D", "@numtexte": "2020-459", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-04-21" }, { "@id": "LEGIARTI000041890409", "@num": "1", "#text": "Arrêté du 18 mai 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000041889362", "@nortexte": "SSAZ2011564A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-18" }, { "@id": "LEGIARTI000043418141", "@num": "17", "#text": "Arrêté du 10 juillet 2020 - 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I.-La ou les conventions prévues aux articles L. 162-5, L. 162-9, L. 162-12-2, L. 162-12-9, L. 162-14 et L. 322-5-2 sont conclues pour une durée égale au plus à cinq ans. Elles définissent :

1° Les tarifs des honoraires, rémunérations et frais accessoires dus aux professionnels par les assurés sociaux en dehors des cas de dépassement autorisés par la convention pour les médecins et les chirurgiens-dentistes. La ou les conventions déterminent pour les actes techniques la trajectoire de convergence vers le prix de l'acte établi à partir de la hiérarchisation déterminée par le Haut Conseil des nomenclatures prévue au IV de l'article L. 162-1-7. Le cas échéant, la ou les conventions définissent en particulier le tarif et les modalités de réalisation des actes de télémédecine, définie à l'article L. 6316-1 du code de la santé publique. Les actes de téléconsultation remboursés par l'assurance maladie sont effectués par vidéotransmission. La ou les conventions définissent également, le cas échéant, les tarifs ou les modes de rémunération ainsi que les modalités de réalisation des activités de télésoin définies en application de l'article L. 6316-2 du même code. Les activités de télésoin prises en charge par l'assurance maladie mettent en relation un auxiliaire médical et un patient et sont effectuées par vidéotransmission. Leur prise en charge est subordonnée à la réalisation préalable, en présence du patient, d'un premier soin par un auxiliaire médical de la même profession que celle du professionnel assurant le télésoin ; l'activité du professionnel de santé présent, le cas échéant, auprès du patient n'est pas prise en charge dans le cadre du télésoin ;

2° Des engagements des signataires, collectifs et individuels, le cas échéant pluriannuels, portant sur l'évolution de l'activité des professions concernées ; la ou les conventions prévoient les modalités permettant de s'assurer de la cohérence de leur mise en oeuvre avec les dispositions définies au deuxième alinéa du II de l'article L. 227-1 ; la ou les conventions définissent à cet effet les mesures de toute nature propres à assurer le respect de ces engagements et, en particulier, les modalités du suivi annuel et, le cas échéant, pluriannuel, de l'évolution des dépenses de la profession concernée ; elles précisent également les actions d'information, de promotion des références professionnelles opposables et des recommandations de bonne pratique ainsi que les dispositions applicables en cas de non-respect des engagements ;

3° Le cas échéant, les modalités de constitution, d'organisation et de fonctionnement de fonds de modernisation de la profession considérée ;

4° Le cas échéant, des dispositifs d'aides visant à faciliter l'installation des professionnels de santé libéraux ou des centres de santé mentionnés à l'article L. 6323-1 du code de la santé publique ou le remplacement de professionnels de santé libéraux, dans les zones définies à l'article L. 1434-4 du code de la santé publique ainsi que les conditions dans lesquelles les praticiens libéraux exerçant dans ces zones ou les centres de santé qui y sont implantés bénéficient, en contrepartie, d'une rémunération forfaitaire annuelle qui peut être modulée en fonction de leur niveau d'activité et de leurs modalités d'exercice ou d'organisation, notamment pour favoriser l'exercice regroupé. La convention fixe également les modalités de calcul et de répartition, entre régimes, de cette rémunération. Les obligations auxquelles sont soumis les professionnels ou les centres de santé qui bénéficient de ces aides peuvent être adaptées par les agences régionales de santé après consultation des organisations représentatives des professionnels de santé pour tenir compte de la situation régionale ;

5° Les conditions dans lesquelles les caisses d'assurance maladie participent au financement des cotisations dues par les professionnels de santé au titre de leurs honoraires ou de leurs revenus tirés des activités non salariées réalisées dans le cadre des activités de permanence des soins, mentionnées à l'article L. 1435-5 du code de la santé publique, et dans des structures dont le financement inclut leur rémunération, en application des articles L. 613-1, L. 621-2, L. 642-1, L. 645-2 et L. 646-3 ; la ou les conventions fixent les catégories de revenus pour lesquelles ces cotisations peuvent être prises en charge, le niveau de cette participation et les modalités de sa modulation, notamment en fonction du lieu d'installation ou d'exercice ; elles fixent également les modalités de calcul et de répartition entre régimes de cette participation ; la participation ne peut être allouée que si le professionnel de santé est à jour du versement des cotisations et contributions sociales dues aux organismes mentionnés aux articles L. 213-1 et L. 752-4, ou a souscrit et respecte un plan d'apurement accordé par eux dans des conditions fixées par décret ; elle peut être en outre partiellement ou totalement suspendue, dans les conditions prévues par les conventions, pour les professionnels de santé ne respectant pas tout ou partie des obligations qu'elles déterminent ;

6° Les modalités d'organisation et de fonctionnement des commissions mentionnées à l'article L. 162-1-7.

7° Les conditions de modulation de la rémunération des professionnels de santé en fonction de leur participation à un cadre d'exercice coordonné.

II.-Des accords conventionnels interprofessionnels intéressant plusieurs professions de santé et visant à améliorer l'organisation, la coordination et la continuité des soins ou la prise en charge des patients peuvent être conclus pour une durée au plus égale à cinq ans entre l'Union nationale des caisses d'assurance maladie et une ou plusieurs organisations représentatives habilitées à participer aux négociations des conventions nationales de ces professions et, le cas échéant, des centres de santé, après avis des conseils de l'ordre concernés, sur leurs dispositions relatives à la déontologie.

Ces accords peuvent déterminer les objectifs et les modalités de mise en oeuvre et d'évaluation de dispositifs visant à favoriser une meilleure organisation et coordination des professionnels de santé, notamment par la création de réseaux de santé, la proposition d'orientations pluriannuelles relevant de l'article L. 4021-2 du code de la santé publique et la promotion du développement professionnel continu ainsi que de dispositifs visant à améliorer la qualité des soins.

Ces accords définissent les engagements et objectifs, notamment de santé publique, de qualité et d'efficience des soins des communautés professionnelles territoriales de santé, des équipes de soins primaires, des maisons, centres et professionnels de santé, sous la forme d'un ou de plusieurs contrats types. Des contrats conformes à ces contrats types peuvent être conclus conjointement par l'agence régionale de santé et un organisme local d'assurance maladie avec des communautés professionnelles territoriales de santé, des équipes de soins primaires, des maisons, centres et professionnels de santé intéressés. Ces accords conventionnels interprofessionnels établissent les modalités de calcul d'une rémunération annuelle versée en contrepartie, d'une part, du respect de ces engagements et, d'autre part, du respect des objectifs fixés. Ils précisent les possibilités d'adaptation de ces engagements et objectifs et de modulation des rémunérations prévues, par décision conjointe de l'agence régionale de santé et de l'organisme local d'assurance maladie.

Les tarifs applicables aux actes réalisés par les professionnels de santé salariés par une société interprofessionnelle de soins ambulatoires dans les conditions prévues à l'article L. 4041-2 du code de la santé publique sont ceux fixés pour chacune des professions dans les conditions prévues aux sections 1, 2 et 3 du présent chapitre.

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Afin de favoriser la coordination des soins, tout assuré ou ayant droit âgé de seize ans ou plus indique à son organisme gestionnaire de régime de base d'assurance maladie le nom du médecin traitant qu'il a choisi, avec l'accord de celui-ci. Le choix du médecin traitant suppose, pour les ayants droit mineurs, l'accord de l'un au moins des deux parents ou du titulaire de l'autorité parentale. Le médecin traitant choisi peut être un généraliste ou un spécialiste. Il peut être un médecin hospitalier.

Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant peut être un médecin salarié dans les conditions prévues par le a du 3° de l'article L. 4041-2 du code de la santé publique ou un médecin salarié d'un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique ou d'un établissement ou service visé à l'article L. 312-1 du code de l'action sociale et des familles. Les médecins exerçant dans le cadre de la même spécialité au sein d'un cabinet médical situé dans les mêmes locaux ou dans un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique peuvent être conjointement désignés médecins traitants. Un arrêté fixe les missions du médecin traitant quand celui-ci est un médecin salarié.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Dans le cas où l'assuré désigne un médecin traitant autre que son médecin référent, ce dernier, pour ce qui concerne cet assuré, perd les avantages relatifs à l'adhésion à cette option conventionnelle. L'assuré perd également ces avantages.

Sauf pour les patients âgés de moins de seize ans, la participation prévue au I de l'article L. 160-13 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins ou lors d'une consultation dans une structure de médecine humanitaire ou un centre de planification ou d'éducation familiale.

Les dispositions prévues à l'alinéa précédent ne sont pas applicables :

1° Lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie ;

2° Lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus ;

3° Lorsqu'un militaire consulte sur prescription d'un médecin des armées ;

4° Lorsque le patient est adressé par une sage-femme à un autre médecin à l'occasion des soins qu'elle est amenée à lui dispenser.

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Article 2 ENTIEREMENT_MODIF (Ordonnance n° 2021-584 du 12 mai 2021 relative aux communautés professionnelles territoriales de santé et aux maisons de santé)