Where the conditions set out in Article D. 6145-72-1 are not met, the Director General of the Regional Health Agency may authorise public health institutions to use an assignment of receivables notified as a discount.
The director of the institution shall send his request for authorisation to the Regional Health Agency, together with contracts for all short-term financing products available to him, commercial proposals for assignment of receivables contracts, a projected cash flow plan and an update of the projected statement of income and expenditure for the current financial year.
The Director General of the Regional Health Agency shall have one month to notify the director of the institution of his decision, which must be substantiated. On expiry of this one-month period, any silence on the part of the Director General of the Regional Health Agency will constitute an implied decision to reject the application, which may be appealed.
On receipt of the application for authorisation, and within the one-month period referred to in the previous paragraph, the Director General of the Regional Health Agency may refer the matter to the Regional Director of Public Finances for an opinion, who will then have fifteen days to give his opinion.
If the decision is favourable, it sets the maximum amount of monthly assignments of receivables authorised, within the limit provided for in the last paragraph of Article D. 6145-72-1.