{ "article": { "LEGIARTI000049386911": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "4", "ETAT": "VIGUEUR", "TYPE": "PARTIELLEMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2024-04-10" } }, "META_COMMUN": { "ID": "LEGIARTI000049386911", "URL": "article/LEGI/ARTI/00/00/49/38/69/LEGIARTI000049386911.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000020891625", "@num": "L1434-3", "#text": "Code de la santé publique - art. L1434-3", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049391440", "@num": "L1434-3", "#text": "Code de la santé publique - art. L1434-3 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006797403", "@num": "L312-4", "#text": "Code de l'action sociale et des familles - art. L312-4", "@sens": "source", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049391456", "@num": "L312-4", "#text": "Code de l'action sociale et des familles - art. L312-4 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006074069", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000049386901", "@fin": "2999-01-01", "#text": "Titre Ier : RENFORCER LE PILOTAGE DE LA POLITIQUE DE PRÉVENTION DE LA PERTE D'AUTONOMIE ET LUTTER CONTRE L'ISOLEMENT SOCIAL", "@debut": "2024-04-10" } ] }, "@cid": "JORFTEXT000049385823", "@nor": "TSSX2310018L", "@num": "2024-317", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI n° 2024-317 du 8 avril 2024 portant mesures pour bâtir la société du bien vieillir et de l'autonomie (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000049385823", "@c_titre_court": "LOI n°2024-317 du 8 avril 2024" }, { "@fin": "2999-01-01", "#text": "LOI n° 2024-317 du 8 avril 2024 portant mesures pour bâtir la société du bien-vieillir et de l'autonomie (1)", "@debut": "2024-04-10", "@id_txt": "LEGITEXT000049386900", "@c_titre_court": "LOI n°2024-317 du 8 avril 2024" } ], "@date_publi": "2024-04-09", "@date_signature": "2024-04-08", "@num_parution_jo": "0083" } }, "VERSIONS": { "VERSION": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000049386911", "@fin": "2999-01-01", "@num": "4", "@etat": "VIGUEUR", "@debut": "2024-04-10", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000049385853", "@fin": "2999-01-01", "@num": "4", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

\n
\nI. et II. - A modifié les dispositions suivantes :

- Code de l'action sociale et des familles\n
\n Art. L312-4\n
\n

- Code de la santé publique\n
\n Art. L1434-3\n
\n

III. - Les I et II du présent article entrent en vigueur le premier jour du soixantième mois suivant la promulgation de la présente loi.

" } }, "LEGIARTI000006797403": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L312-4", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2002-01-03", "DATE_DEBUT": "2000-12-23" } }, "META_COMMUN": { "ID": "LEGIARTI000006797403", "URL": "article/LEGI/ARTI/00/00/06/79/74/LEGIARTI000006797403.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SXAXXXXXXXX1X312L04AXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006681760", "@num": "8", "#text": "Loi n°75-535 du 30 juin 1975 - art. 8 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000699217", "@numtexte": "75-535", "@typelien": "CONCORDANCE", "@naturetexte": "LOI", "@datesignatexte": "1975-06-30" }, { "@id": "LEGIARTI000006681760", "@num": "8", "#text": "Loi n°75-535 du 30 juin 1975 - art. 8 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000699217", "@numtexte": "75-535", "@typelien": "CONCORDE", "@naturetexte": "LOI", "@datesignatexte": "1975-06-30" }, { "@id": "LEGIARTI000037670245", "@num": "2", "#text": "Loi n° 90-449 du 31 mai 1990 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000159413", "@nortexte": "EQUX8900132L", "@numtexte": "90-449", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1990-05-31" }, { "@id": "LEGIARTI000025760631", "@num": "4", "#text": "Loi n° 90-449 du 31 mai 1990 - art. 4 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000159413", "@nortexte": "EQUX8900132L", "@numtexte": "90-449", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1990-05-31" }, { "@id": "JORFTEXT000000402347", "#text": "Ordonnance 2000-1249 2000-12-21", "@sens": "source", "@cidtexte": "JORFTEXT000000402347", "@nortexte": "MESX0000083P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "JORFTEXT000000215460", "#text": "Loi 2002-2 2002-01-02 art. 87 JORF 3 janvier 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000215460", "@nortexte": "MESX0000158L", "@numtexte": "2002-2", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-01-02" }, { "@id": "LEGIARTI000006684509", "@num": "22", "#text": "Décret n°2003-1010 du 22 octobre 2003 - art. 22 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000610356", "@nortexte": "SOCA0323026D", "@numtexte": "2003-1010", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-10-22" }, { "@id": "LEGIARTI000028252501", "@num": "11", "#text": "Décret n°2007-1688\n du 29 novembre 2007 - art. 11 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000017628377", "@nortexte": "MLVU0752784D", "@numtexte": "2007-1688", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-11-29" }, { "@id": "LEGIARTI000030972603", "@num": "1", "#text": "DÉCRET n°2015-986 du 31 juillet 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000030968145", "@nortexte": "VJSV1508500D", "@numtexte": "2015-986", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2015-07-31" }, { "@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": "LEGIARTI000049386911", "@num": "4", "#text": "LOI n°2024-317 du 8 avril 2024 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000049385823", "@nortexte": "TSSX2310018L", "@numtexte": "2024-317", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2024-04-08" }, { "@id": "LEGIARTI000033142440", "@num": "D112-4", "#text": "Code de l'action sociale et des familles - art. D112-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000020489037", "@num": "D312-10-12", "#text": "Code de l'action sociale et des familles - art. D312-10-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000032206004", "@num": "L112-5", "#text": "Code de l'action sociale et des familles - art. L112-5 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027574785", "@num": "L113-2", "#text": "Code de l'action sociale et des familles - art. L113-2 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006797382", "@num": "L312-1", "#text": "Code de l'action sociale et des familles - art. L312-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006797433", "@num": "L313-1", "#text": "Code de l'action sociale et des familles - art. L313-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037670426", "@num": "L313-9", "#text": "Code de l'action sociale et des familles - art. L313-9 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022022520", "@num": "L546-2", "#text": "Code de l'action sociale et des familles - art. L546-2 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006906722", "@num": "R313-9", "#text": "Code de l'action sociale et des familles - art. R313-9 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006906794", "@num": "R314-23", "#text": "Code de l'action sociale et des familles - art. R314-23 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006815019", "@num": "L221-1-1", "#text": "Code de l'urbanisme - art. L221-1-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074075", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006817149", "@num": "R*123-13", "#text": "Code de l'urbanisme - art. R*123-13 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074075", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027087920", "@num": "R*123-15", "#text": "Code de l'urbanisme - art. R*123-15 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074075", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034355011", "@num": "R132-2", "#text": "Code de l'urbanisme - art. R132-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074075", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049392211", "@num": "L302-10", "#text": "Code de la construction et de l'habitation. - art. L302-10 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074096", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000045213681", "@num": "L1434-3", "#text": "Code de la santé publique - art. L1434-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000017833737", "@num": "L162-47", "#text": "Code de la sécurité sociale. - art. L162-47 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006174388", "@fin": "2002-01-03", "#text": "Section 1 : Création, extension et transformation.", "@debut": "2000-12-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006157618", "@fin": "2002-01-03", "#text": "Chapitre II : Statut des établissements", "@debut": "2000-12-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006142843", "@fin": "2002-01-03", "#text": "Titre Ier : Etablissements soumis à autorisation", "@debut": "2000-12-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006128459", "@fin": "2002-01-03", "#text": "Livre III : Etablissements", "@debut": "2000-12-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006107980", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "2000-12-23" } ] }, "@cid": "LEGITEXT000006074069", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de l'action sociale et des familles", "@debut": "2000-12-23", "@id_txt": "LEGITEXT000006074069", "@c_titre_court": "Code de l'action sociale et des familles" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006797403", "@fin": "2002-01-03", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2000-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006797404", "@fin": "2005-01-01", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2002-01-03", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006797405", "@fin": "2010-02-26", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2005-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000021941032", "@fin": "2015-12-30", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2010-02-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031728744", "@fin": "2016-01-28", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2015-12-30", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031930925", "@fin": "2022-02-09", "@num": "L312-4", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "ABROGE_DIFF", "LIEN_ART": { "@id": "LEGIARTI000045136949", "@fin": "2029-05-01", "@num": "L312-4", "@etat": "ABROGE_DIFF", "@debut": "2022-02-09", "@origine": "LEGI" } }, { "@etat": "VIGUEUR_DIFF", "LIEN_ART": { "@id": "LEGIARTI000049391456", "@fin": "2999-01-01", "@num": "L312-4", "@etat": "VIGUEUR_DIFF", "@debut": "2029-05-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
La publicité des décisions de création et d'extension des établissements mentionnés à l'article L. 312-1 qui relèvent des collectivités publiques ainsi que celles des autorisations résultant de l'application de l'article L. 313-1 est organisée par voie réglementaire.
\n
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Les schémas d'organisation sociale et médico-sociale, établis pour une période maximum de cinq ans en cohérence avec les schémas mentionnés aux articles L. 6121-1 et L. 6121-3 du code de la santé publique et avec les dispositifs de coordination prévus au chapitre V du titre IV du livre Ier :
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1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;
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2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;
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3° Déterminent les perspectives et les objectifs de développement de l'offre sociale et médico-sociale et, notamment, ceux nécessitant des interventions sous forme de création, transformation ou suppression d'établissements et services et, le cas échéant, d'accueils familiaux relevant du titre IV du livre IV ;
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4° Précisent le cadre de la coopération et de la coordination entre les établissements et services mentionnés à l'article L. 312-1, à l'exception des structures expérimentales prévues au 12° du I de cet article, ainsi qu'avec les établissements de santé définis aux articles L. 6111-1 et L. 6111-2 du code de la santé publique ou tout autre organisme public ou privé, afin de satisfaire tout ou partie des besoins mentionnés au 1° ;
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5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas.
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Un document annexé aux schémas définis au présent article peut préciser, pour leur période de validité, la programmation pluriannuelle des établissements et services sociaux et médico-sociaux qu'il serait nécessaire de créer, de transformer ou de supprimer afin de satisfaire les perspectives et objectifs définis au 3°.
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Les schémas peuvent être révisés à tout moment à la demande de l'une des autorités compétentes.
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Les schémas d'organisation sociale et médico-sociale, établis pour une période maximum de cinq ans en cohérence avec les schémas mentionnés aux articles L. 6121-1 et L. 6121-3 du code de la santé publique :
\n
1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;
\n
2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;
\n
3° Déterminent les perspectives et les objectifs de développement de l'offre sociale et médico-sociale et, notamment, ceux nécessitant des interventions sous forme de création, transformation ou suppression d'établissements et services et, le cas échéant, d'accueils familiaux relevant du titre IV du livre IV ;
\n
4° Précisent le cadre de la coopération et de la coordination entre les établissements et services mentionnés à l'article L. 312-1, à l'exception des structures expérimentales prévues au 12° du I de cet article, ainsi qu'avec les établissements de santé définis aux articles L. 6111-1 et L. 6111-2 du code de la santé publique ou tout autre organisme public ou privé, afin de satisfaire tout ou partie des besoins mentionnés au 1° ;
\n
5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas.
\n
Un document annexé aux schémas définis au présent article peut préciser, pour leur période de validité, la programmation pluriannuelle des établissements et services sociaux et médico-sociaux qu'il serait nécessaire de créer, de transformer ou de supprimer afin de satisfaire les perspectives et objectifs définis au 3°.
\n
Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.
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Le projet régional de santé fait l'objet d'un avis de la conférence régionale de la santé et de l'autonomie, des collectivités territoriales et du représentant de l'Etat dans la région.

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Les schémas d'organisation sociale et médico-sociale, établis pour une période maximum de cinq ans en cohérence avec les autres schémas mentionnés au 2° de l'article L. 1434-2 du code de la santé publique :

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1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;

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2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;

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3° Déterminent les perspectives et les objectifs de développement de l'offre sociale et médico-sociale et, notamment, ceux nécessitant des interventions sous forme de création, transformation ou suppression d'établissements et services et, le cas échéant, d'accueils familiaux relevant du titre IV du livre IV ;

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4° Précisent le cadre de la coopération et de la coordination entre les établissements et services mentionnés à l'article L. 312-1, à l'exception des structures expérimentales prévues au 12° du I de cet article, ainsi qu'avec les établissements de santé définis à l'article L. 6111-1 du code de la santé publique ou tout autre organisme public ou privé, afin de satisfaire tout ou partie des besoins mentionnés au 1° ;

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5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas.

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Un document annexé aux schémas définis au présent article peut préciser, pour leur période de validité, la programmation pluriannuelle des établissements et services sociaux et médico-sociaux qu'il serait nécessaire de créer, de transformer ou de supprimer afin de satisfaire les perspectives et objectifs définis au 3°.

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Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.

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Le projet régional de santé fait l'objet, avant son adoption, d'une publication sous forme électronique. La conférence régionale de la santé et de l'autonomie, le représentant de l'Etat dans la région et les collectivités territoriales disposent de deux mois, à compter de la publication de l'avis de consultation sur le projet régional de santé au recueil des actes administratifs de la préfecture de région, pour transmettre leur avis à l'agence régionale de santé.

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1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;

2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;

5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas.

Les centres régionaux d'études, d'actions et d'informations en faveur des personnes en situation de vulnérabilité et les centres locaux d'information et de coordination mentionnés au 11° du I de l'article L. 312-1 contribuent, en réponse à la demande des autorités compétentes pour l'élaboration des schémas d'organisation sociale et médico-sociale et des schémas régionaux de santé, à l'analyse des besoins et de l'offre mentionnés aux 1° et 2° du présent article, ainsi qu'à toute action liée à la mise en œuvre de ces schémas.

Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.

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I. - Le schéma régional de santé :

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1° Indique, dans le respect de la liberté d'installation, les besoins en implantations pour l'exercice des soins de premier recours mentionnés à l'article L. 1411-11 et des soins de second recours mentionnés à l'article L. 1411-12. Les dispositions qu'il comporte à cet égard ne sont pas opposables aux professionnels de santé libéraux ;

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2° Fixe, pour chaque zone définie au a du 2° de l'article L. 1434-9 :

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a) Les objectifs quantitatifs et qualitatifs de l'offre de soins, précisés par activité de soins et par équipement matériel lourd, selon des modalités définies par décret ;

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b) Les créations et suppressions d'activités de soins et d'équipements matériels lourds ;

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c) Les transformations, les regroupements et les coopérations entre les établissements de santé ;

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3° Fixe les objectifs quantitatifs et qualitatifs de l'offre des établissements et des services médico-sociaux mentionnés aux b, d et f de l'article L. 313-3 du code de l'action sociale et des familles, sur la base d'une évaluation des besoins sociaux et médico-sociaux, prévue au 2° de l'article L. 1434-2 du présent code ;

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4° Définit l'offre d'examens de biologie médicale mentionnée à l'article L. 6222-2, en fonction des besoins de la population ;

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5° Comporte, le cas échéant, un volet consacré à la mise en œuvre d'actions de sensibilisation de la population et de formation des professionnels de santé visant à limiter d'éventuelles contaminations par des maladies vectorielles.

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II. - Les autorisations accordées par le directeur général de l'agence régionale de santé sont compatibles avec les objectifs fixés en application des 2° et 3° du I du présent article. Ce principe est mis en œuvre, s'agissant des établissements et services mentionnés au 3° du même I, conformément à l'article L. 312-4 du code de l'action sociale et des familles et dans le respect des conditions prévues aux articles L. 313-4, L. 313-8 et L. 313-9 du même code.

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III. - Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional de santé est établi et actualisé en cohérence avec les schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les présidents de conseil départemental de la région et mentionnés à l'article L. 312-5 du même code.

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Les schémas d'organisation sociale et médico-sociale, établis pour une période maximum de cinq ans en cohérence avec le schéma régional de santé prévu l'article L. 1434-2 du code de la santé publique :

1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;

2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;

5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas.

Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.

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I.-Le schéma régional de santé :

2° Fixe, pour chaque zone définie au a du 2° de l'article L. 1434-9 :

a) Les objectifs quantitatifs et qualitatifs de l'offre de soins, précisés par activité de soins et par équipement matériel lourd, selon des modalités définies par décret ;

b) Les créations et suppressions d'activités de soins et d'équipements matériels lourds ;

c) Les transformations, les regroupements et les coopérations entre les établissements de santé ;

4° Définit l'offre d'examens de biologie médicale mentionnée à l'article L. 6222-2, en fonction des besoins de la population ;

6° Comporte, le cas échéant, un volet consacré aux besoins de santé spécifiques des populations des zones de montagne, notamment en termes d'accès aux soins urgents et d'évacuation des blessés, et tenant compte des spécificités géographiques, démographiques et saisonnières de ces territoires.

II.-Les autorisations accordées par le directeur général de l'agence régionale de santé sont compatibles avec les objectifs fixés en application des 2° et 3° du I du présent article. Ce principe est mis en œuvre, s'agissant des établissements et services mentionnés au 3° du même I, conformément à l'article L. 312-4 du code de l'action sociale et des familles et dans le respect des conditions prévues aux articles L. 313-4, L. 313-8 et L. 313-9 du même code.

III.-Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional de santé est établi et actualisé en cohérence avec les schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les présidents de conseil départemental de la région et mentionnés à l'article L. 312-5 du même code.

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I.-Le schéma régional de santé :

2° Fixe, pour chaque zone définie au a du 2° de l'article L. 1434-9 :

a) Les objectifs quantitatifs et qualitatifs de l'offre de soins, précisés par activité de soins et par équipement matériel lourd, selon des modalités définies par décret ;

b) Les créations et suppressions d'activités de soins et d'équipements matériels lourds ;

c) Les transformations, les regroupements et les coopérations entre les établissements de santé ;

4° Définit l'offre d'examens de biologie médicale mentionnée à l'article L. 6222-2, en fonction des besoins de la population ;

II.-Les autorisations accordées par le directeur général de l'agence régionale de santé sont compatibles avec les objectifs fixés en application des 2° et 3° du I du présent article. Ce principe est mis en œuvre, s'agissant des établissements et services mentionnés au 3° du même I, conformément à l'article L. 312-4 du code de l'action sociale et des familles et dans le respect des conditions prévues aux articles L. 313-4, L. 313-8 et L. 313-9 du même code.

III.-Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional de santé est établi et actualisé en cohérence avec les schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les présidents de conseil départemental de la région et mentionnés à l'article L. 312-5 du même code.

IV.-Les installations et activités mentionnées dans l'arrêté prévu au II de l'article L. 6147-7 sont inscrites dans les schémas régionaux de santé concernés. La modification de cet arrêté entraîne celle du schéma régional de santé concerné.
\n
Le schéma régional de santé est établi et actualisé en cohérence avec le protocole prévu à l'article L. 6147-11.
\n
Il prend en compte, lorsqu'ils existent :
\n
1° Les besoins spécifiques de la défense ;
\n
2° Les autres contributions du service de santé des armées à la politique de santé, notamment celles de ses centres médicaux mentionnés à l'article L. 6326-1 ;
\n
3° Sous réserve de la satisfaction de sa mission prioritaire mentionnée à l'article L. 6147-7 et de l'accord du ministre de la défense, les moyens pouvant être mis en œuvre par le service de santé des armées dans le cadre de la préparation du système de santé aux situations sanitaires exceptionnelles et du dispositif d'organisation de la réponse du système de santé en cas de situation sanitaire exceptionnelle ;
\n
4° Les coopérations entre les éléments du service de santé des armées et les acteurs du système de santé mentionnés au I de l'article L. 6147-10.

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1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;

2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;

5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas ;

6° Définissent la stratégie de prévention des risques de maltraitance dans les établissements, services et lieux de vie mentionnés aux 1°, 4° et 17° du I de l'article L. 312-1 du présent code. Cette stratégie comporte des recommandations sur la détection des risques de maltraitance, la prévention et le traitement des situations de maltraitance et les modalités de contrôle de la qualité de l'accueil et de l'accompagnement par ces établissements et services et tient compte des parcours des enfants protégés ayant une double vulnérabilité en raison de leur handicap et de la protection de l'enfance. Le président du conseil départemental présente à l'assemblée délibérante un rapport annuel sur la gestion de ces établissements, qui recense notamment les événements indésirables graves, et le publie.

Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.

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I.-Le schéma régional de santé :

2° Fixe, pour chaque zone définie au a du 2° de l'article L. 1434-9 :

a) Les objectifs quantitatifs et qualitatifs de l'offre de soins, précisés par activité de soins et par équipement matériel lourd, selon des modalités définies par décret ;

b) Les créations et suppressions d'activités de soins et d'équipements matériels lourds ;

c) Les transformations, les regroupements et les coopérations entre les établissements de santé ;

4° Définit l'offre d'examens de biologie médicale mentionnée à l'article L. 6222-2, en fonction des besoins de la population ;

7° Comporte, le cas échéant, un volet consacré à la mise en œuvre des accords internationaux de coopération sanitaire applicables dans les territoires et collectivités mentionnés au dernier alinéa de l'article L. 1434-2, qui porte notamment sur l'organisation de la continuité des soins, l'accès aux soins urgents ainsi que sur la coordination en cas de crise sanitaire, dans le respect des attributions du représentant de l'Etat territorialement compétent et du directeur général de l'agence régionale de santé.

II.-Les autorisations accordées par le directeur général de l'agence régionale de santé sont compatibles avec les objectifs fixés en application des 2° et 3° du I du présent article. Ce principe est mis en œuvre, s'agissant des établissements et services mentionnés au 3° du même I, conformément à l'article L. 312-4 du code de l'action sociale et des familles et dans le respect des conditions prévues aux articles L. 313-4, L. 313-8 et L. 313-9 du même code.

III.-Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional de santé est établi et actualisé en cohérence avec les schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les présidents de conseil départemental de la région et mentionnés à l'article L. 312-5 du même code.

Le schéma régional de santé est établi et actualisé en cohérence avec le protocole prévu à l'article L. 6147-11.

Il prend en compte, lorsqu'ils existent :

1° Les besoins spécifiques de la défense ;

2° Les autres contributions du service de santé des armées à la politique de santé, notamment celles de ses centres médicaux mentionnés à l'article L. 6326-1 ;

3° Sous réserve de la satisfaction de sa mission prioritaire mentionnée à l'article L. 6147-7 et de l'accord du ministre de la défense, les moyens pouvant être mis en œuvre par le service de santé des armées dans le cadre de la préparation du système de santé aux situations sanitaires exceptionnelles et du dispositif d'organisation de la réponse du système de santé en cas de situation sanitaire exceptionnelle ;

4° Les coopérations entre les éléments du service de santé des armées et les acteurs du système de santé mentionnés au I de l'article L. 6147-10.

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Conformément au III de l'article 4 de la loi n° 2024-317 du 8 avril 2024, ces dispositions entrent en vigueur le premier jour du soixantième mois suivant la promulgation de la présente loi.

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I.-Le schéma régional de santé :

2° Fixe, pour chaque zone définie au a du 2° de l'article L. 1434-9 :

a) Les objectifs quantitatifs et qualitatifs de l'offre de soins, précisés par activité de soins et par équipement matériel lourd, selon des modalités définies par décret ;

b) Les créations et suppressions d'activités de soins et d'équipements matériels lourds ;

c) Les transformations, les regroupements et les coopérations entre les établissements de santé ;

4° Définit l'offre d'examens de biologie médicale mentionnée à l'article L. 6222-2, en fonction des besoins de la population ;

II.-Les autorisations accordées par le directeur général de l'agence régionale de santé sont compatibles avec les objectifs fixés en application des 2° et 3° du I du présent article. Ce principe est mis en œuvre, s'agissant des établissements et services mentionnés au 3° du même I, conformément à l'article L. 312-4 du code de l'action sociale et des familles et dans le respect des conditions prévues aux articles L. 313-4, L. 313-8 et L. 313-9 du même code.

III.-Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional de santé est établi et actualisé en cohérence et selon une même temporalité avec les schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les présidents de conseil départemental de la région et mentionnés à l'article L. 312-5 du même code.

Le schéma régional de santé est établi et actualisé en cohérence avec le protocole prévu à l'article L. 6147-11.

Il prend en compte, lorsqu'ils existent :

1° Les besoins spécifiques de la défense ;

2° Les autres contributions du service de santé des armées à la politique de santé, notamment celles de ses centres médicaux mentionnés à l'article L. 6326-1 ;

4° Les coopérations entre les éléments du service de santé des armées et les acteurs du système de santé mentionnés au I de l'article L. 6147-10.

" } }, "LEGIARTI000049391456": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L312-4", "ETAT": "VIGUEUR_DIFF", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2029-05-01" } }, "META_COMMUN": { "ID": "LEGIARTI000049391456", "URL": "article/LEGI/ARTI/00/00/49/39/14/LEGIARTI000049391456.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au III de l'article 4 de la loi n° 2024-317 du 8 avril 2024, ces dispositions entrent en vigueur le premier jour du soixantième mois suivant la promulgation de la présente loi.

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Les schémas d'organisation sociale et médico-sociale, établis pour une période maximum de cinq ans en cohérence et selon une même temporalité avec le schéma régional de santé prévu l'article L. 1434-2 du code de la santé publique :

1° Apprécient la nature, le niveau et l'évolution des besoins sociaux et médico-sociaux de la population ;

2° Dressent le bilan quantitatif et qualitatif de l'offre sociale et médico-sociale existante ;

5° Définissent les critères d'évaluation des actions mises en oeuvre dans le cadre de ces schémas ;

Les schémas peuvent être révisés à tout moment à l'initiative de l'autorité compétente pour l'adopter.

" } } }, "article_lien": [ { "article_id": "LEGIARTI000024469104", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000036515360", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000045213681", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000006797404", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000006797405", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000006797403", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000031728744", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000031930925", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000033745684", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000020897652", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000031930621", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000049391440", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000049391440", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "MODIFIE" }, { "article_id": "LEGIARTI000049391456", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000049391456", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "MODIFIE" }, { "article_id": "LEGIARTI000045136949", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" }, { "article_id": "LEGIARTI000021941032", "cible": true, "cidtexte": "JORFTEXT000049385823", "id": "LEGIARTI000049386911", "typelien": "CITATION" } ], "follow": [ "LIENS.LIEN[@sens=cible,@typelien=CREATION].@id" ], "id": "LEGIARTI000049386911", "liens_entrants": true }

Article 4 PARTIELLEMENT_MODIF VIGUEUR, en vigueur depuis le 10/04/2024 (LOI n° 2024-317 du 8 avril 2024 portant mesures pour bâtir la société du bien vieillir et de l'autonomie (1))