The deliberations of the Board of Directors are forwarded to the Minister for Health. Decisions relating to the budget and financial statements are enforceable under the conditions set out in Title III of Decree no. 2012-1246 of 7 November 2012 relating to public budgetary and accounting management. Other decisions are enforceable fifteen days after their receipt by the Minister, unless the Minister has objected. In an emergency, the Minister for Health may authorise the immediate implementation of a decision taken by the Board of Directors.
However, the decisions referred to in 5°, 8° and 9° of article R. 1222-6 must be approved jointly by the ministers responsible for the budget and health within one month of receipt. On expiry of this period, in the absence of explicit approval, these deliberations are enforceable.