Title IV: Public health establishments

When, in application of article L. 6143-4, the statement of projected income and expenditure is subject to express approval, this is given within thirty days of receipt of the draft statement of projected income and expenditure. In the absence of express approval, the director of the institution will draw up a new statement of projected income and expenditure in accordance with the conditions set out in article R. 6145-32. To…

Where the Director General of the Regional Health Agency objects to the budget, he shall set a time limit, not exceeding thirty days from notification of the objection, within which the director of the institution shall draw up a new budget. This new budget is sent without delay to the Director General of the Regional Health Agency for approval.

Subject to the provisions of the second paragraph of Article L. 6145-1, the Director General of the Regional Health Agency may comment on the draft statement of projected income and expenditure without expressly refusing to approve it.

The provisions of the first paragraph of Article L. 6145-2 apply when the statement of estimated revenue and expenditure has not been drawn up by the Director by 1st January of the year to which it relates.

Where the budget has not yet been implemented, and subject to the provisions of article L. 6145-2, revenue and expenditure transactions shall be carried out temporarily on the basis of the implemented statement of estimates for the previous financial year.

The charges for hospital services mentioned in 2° of article L. 162-22-8-2, in article L. 162-22-10 and in 1° of I of article L. 162-23-4 of the Social Security Code are invoiced in accordance with the conditions in force at the end of the patient’s stay. Pending determination of the tariffs used as a basis for calculating the patient’s contribution, the amount of the lump sums provided for in article…

By way of derogation from the provisions of article R. 6145-2 and subject to the provisions of article R. 6145-38, at the beginning of each year, the authorising officer has a period of one month in which to complete, on the one hand, as regards operating operations, the issue of revenue vouchers and mandates corresponding to entitlements acquired and services rendered during the previous year and, on the other hand,…

The authorising officer shall notify the accounting officer, together with the necessary supporting documents, of operating expenditure duly committed but not yet authorised at the close of the financial year and for which the service has been rendered at 31 December, and shall charge it to the outturn for that financial year.

Subject to the exercise of his general powers of control, the Director General of the Regional Health Agency may, on his own initiative or at the request of the Supervisory Board or the Director of the institution, submit the operation and management of a public health institution in difficulty to the examination of a fact-finding mission. The Director General of the Regional Health Agency may call on specialist representatives of…

The director of the establishment is required to make an amending decision when : 1° One of the titles or chapters on the list mentioned in article R. 6145-14 is insufficiently funded; 2° Expenditure incurred on an account that may not have been allocated sufficient funds or may have been allocated insufficient funds in the approved budget is such as to upset the general structure of the budget; 3° Changes…