When the Director General of the Regional Health Agency establishes that the quantitative and qualitative targets mentioned in article L. 6122-8 are not being sufficiently met according to criteria defined by decree, he may revise the authorisation mentioned in article L. 6122-1.
From the date of notification by the Regional Health Agency of the proposed revision of the authorisation, together with the reasons for the revision, the holder of the authorisation has a period of three months in which to make its observations known, present its plans for improving its operation or make a proposal for the development of the care activity or equipment in accordance with the requirements set out in the regional or inter-regional health plan.
These observations and proposals are the subject of an adversarial procedure between the Regional Health Agency and the authorisation holder, with a view to amending the authorisation if necessary. Where an agreement is reached between the Regional Agency and the authorisation holder, the Director General of the Regional Health Agency, after obtaining the opinion of the specialised commission of the Regional Conference on Health and Autonomy responsible for the health sector, decides to modify the authorisation on the basis of this agreement.
If no agreement has been reached within six months of the Agency receiving the holder’s observations and proposals, the Director General of the Regional Health Agency may, after consulting the specialised commission of the Regional Health and Autonomy Conference responsible for the health sector, take a decision to modify or, if necessary, withdraw the authorisation.