All authorisations are deemed to have lapsed if the operation has not been started within three years.
The authorisation is also deemed to have lapsed for any part of the activity, structure or equipment that has not been completed, implemented or installed within four years.
Similarly, unless the Director of the Regional Health Agency gives his prior consent at the justified request of the holder of the authorisation, the receiver or the liquidator appointed by the Commercial Court, the cessation of operation of a healthcare activity, an alternative structure to hospitalisation or a facility for more than six months results in the authorisation lapsing.
This lapse is recorded by the Director of the Regional Health Agency, in particular when the assessment provided for in article L. 6122-9 is drawn up.