#2026-243Decree No. 2026-243 of April 1, 2026 on the conditions for the practice of chronic renal failure treatment by extra-renal purification
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This French decree updates the Public Health Code to strengthen patient-centered care requirements for facilities authorized to provide dialysis (extra-renal purification) for chronic kidney disease. It mandates that authorized providers implement a multidisciplinary information system enabling informed patient choice among dialysis modalities and techniques, with regular re-evaluation. Providers must also ensure access to therapeutic education programs, supportive care including dietetics, psychological support and social services, and must sign a formal agreement with at least one kidney transplant center for pre-transplant assessment and periodic review. Home dialysis authorization is restricted to patients who are trained and capable of performing their own treatment, with or without a third-party assistant prescribed by a physician. Existing authorization holders have one year from the decree's entry into force to comply with the new organizational obligations.
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Key Changes
- Mandatory multidisciplinary information system for all dialysis modalities and techniques with documented regular re-evaluation and traceability in the medical record
- Requirement to provide access to a therapeutic education program adapted and regularly reassessed for each dialyzed patient
- Obligation to implement supportive care including dietary management, psychological support and social services throughout the patient journey
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Obligations
What this law requires
Implement a multidisciplinary information system that provides each patient with comprehensive information about all treatment modalities for chronic kidney disease and all dialysis techniques and methods, in coordination with the patient's healthcare professionals including their primary care physician.
Document and maintain in the patient's medical file evidence of the implementation of the multidisciplinary information system and the information provided to enable informed patient decision-making.
Conduct regular re-evaluation of each patient's chosen dialysis modality and technique to ensure the patient is fully informed and their treatment remains appropriate to their needs.
Ensure access to therapeutic education programs adapted to patient needs throughout the patient's treatment pathway, either directly or through formal agreements with other providers.
Implement supportive care services including at minimum dietary management, psychological support, and access to social services throughout the patient's treatment pathway, either directly or through formal agreements.