Activities falling within the remit of the Mayotte public health establishment and carried out in the Mayotte dispensaries are integrated into the public health establishment from the date set by article 50 of law no. 2003-1199 of 18 December 2003 on the financing of social security for 2004. The rights and obligations, receivables and debts arising from these activities prior to this integration remain the responsibility of the departmental authority. Without prejudice to the provisions of article 64 of law no. 2003-660 of 21 July 2003 on programmes for overseas France, agreements between the departmental authority and the public health institution set out the terms and conditions for making available to the public health institution the staff, premises and equipment concerned by these activities.
In the absence of an agreement, a decree will define the terms and conditions. The financing of this integration is ensured, for insured persons in Mayotte, under the conditions provided for in article 20 of order no. 96-1122 of 20 December 1996 relating to the improvement of public health in Mayotte. Under article L. 6416-5, the Mayotte public health establishment continues to receive the contribution paid by the State for the operation of dispensaries.