When the association of one or more medical, pharmaceutical or odontological structures of public health establishments or another public body with the missions of a university hospital centre defined in article L. 6142-1 proves to be essential, and this establishment or body refuses to enter into an agreement in application of article L. 6142-5, it may be given formal notice to do so by joint decision of the ministers responsible for higher education and health.
This decision sets a deadline for the conclusion of the agreement; after this deadline, the necessary measures may be imposed on the institution or organisation by regulation.