Section 1: Estimated revenue and expenditure, accounts and general provisions

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…

For the application of Article L. 6145-3 and the second paragraph of Article L. 6145-5, the Director General of the Regional Health Agency shall give formal notice to the authorising officer to fulfil his obligations. If at the end of a period of 30 days following this formal notice, the authorising officer has not complied, the Director General of the Regional Health Agency determines the amount of the sums due…

The procedures for automatic payment by mandate or automatic registration provided for in article L. 6145-5 are implemented when the amount of the mandate corresponding to the payment of the principal exceeds 7,600 euros.