#SFHH2609007ADecree of 31 March 2026 setting the list of health establishments starting individual billing of hospital care services to mandatory health insurance funds, and the scope of billing for each establishment
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This French decree adds two public hospitals to the list of facilities required to begin direct individual billing (facturation individuelle) of outpatient services to health insurance funds starting 1 April 2026. The hospitals are EPS Lomagne Site de Fleurance (Gers) and Centre Hospitalier Bresse Louhannaise (Saône-et-Loire). Covered services include external acts and consultations under Article L.162-26 (including technical imaging packages), drug retrocession, C2S and migrant care billing, plus specific packages for AME beneficiaries. Certain liberal practitioner activities and most forfait payments (ATU, FFM, SE, APE) for social security insured patients remain excluded and continue to be paid via monthly ARS allocations. Transitional financial adjustments reduce the hospitals' 2026–2028 instalment payments to account for the shift from lump-sum to individual billing.
AI-generated summary. May contain errors. Refer to official sources for legal decisions.
Key Changes
- Two new hospitals (EPS Lomagne Fleurance and Centre Hospitalier Bresse Louhannaise) begin individual billing of outpatient services on 1 April 2026
- Billing scope includes L.162-26 external acts & consultations, technical imaging packages, drug retrocession, C2S, migrant care and AME-specific packages
- Liberal practitioner outpatient activities and most ATU/FFM/SE/APE forfaits for social-security patients remain excluded from individual billing
+ 3 more changes with Pro
Obligations
What this law requires
EPS Lomagne Site de Fleurance (FINESS 320004310) and Centre Hospitalier Bresse Louhannaise (FINESS 710780214) must implement individual billing (facturation individuelle) of outpatient services to health insurance funds effective 1 April 2026
Both designated hospitals must bill external acts and consultations under Article L.162-26 of the Social Security Code, including technical imaging packages, individually to their respective insurance funds (CPAM des Hautes-Pyrénées for Fleurance; MSA Bourgogne for Bresse Louhannaise)
Both designated hospitals must bill drug retrocession (rétrocession de médicaments) individually to health insurance funds starting 1 April 2026
Both designated hospitals must bill C2S and migrant care services (facturation de la C2S et des prestations aux migrants) individually to health insurance funds starting 1 April 2026
For AME beneficiaries only, both hospitals must bill external consultations, acts, ATU, FFM, SE and APE packages, and IVG packages individually; these forfaits must NOT be billed individually for standard social security insured patients