In public health establishments in Mayotte, the proportion of expenditure covered by compulsory health insurance schemes is financed by an annual allocation. The total amount of these allocations is included in the target defined in article L. 174-1-1 of the Social Security Code. Its amount and the total annual amount of authorised hospital expenditure are set by decision of the administrative authority on the basis of the health insurance expenditure target defined in the same article, the health needs of the population, the guidelines of the Mayotte health organisation plan and national or local priorities in terms of health policy, taking into account the activity and costs of the establishments. The amount of authorised hospital expenditure represents the proportion of hospital expenditure taken into account when setting the annual allocation and service charges. This amount is restrictive.