#SFHH2609436AOrder Defining Healthcare Establishments for Individual Billing
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This law outlines the healthcare establishments that will implement individual billing starting April 1, 2026, according to specific medical services and consultations. It also details the scope of services included in this billing structure and exceptions that apply. The law specifies that certain types of consultations and treatments will continue to be funded through existing arrangements and will not be included in the individual billing framework for the general population, focusing instead on specific beneficiaries such as AME patients.
AI-generated summary. May contain errors. Refer to official sources for legal decisions.
Key Changes
- Introduction of individual billing for specific healthcare services
- Establishment of scope for included and excluded services
- Special provisions for AME beneficiaries
Obligations
What this law requires
Healthcare establishment HIA SAINTE ANNE (Finess juridique 750810814) must implement individual billing to health insurance funds for external acts and consultations as of April 1, 2026
Include in individual billing: external acts and consultations referenced in article L. 162-26 of the social security code, including technical imaging flat rates
Include in individual billing: medication retroession and C2S billing and services provided to migrants
For AME beneficiaries only, include in individual billing: external consultations and acts, ATU, FFM, SE and APE flat rates, and abortion flat rates
Exclude from individual billing: external acts and consultations conducted under the liberal activity framework of full-time hospital practitioners