Amendement 377 — art. 17 quater

Dispositif :

    Supprimer cet article.

Exposé sommaire :

    Cet amendement du groupe parlementaire La France Insoumise vise la suppression de l'article 17 quater.
    Cet article prévoit d'aligner la situation des organismes complémentaires sur celle de l'Assurance Maladie, en les autorisant à déroger à leur obligation de proposer le tiers payant en cas d'ouverture d'une enquête ou de notification de sanction du professionnel de santé.
    Actuellement, le contrat responsable impose aux OCAM de proposer le tiers payant si le professionnel le pratique. En laissant les organismes déroger à cette obligation, cet article va porter préjudice aux patients, qui se verront priver de tiers-payant alors qu'il ne sont pas responsables d'autres actes par ailleurs frauduleux du professionnel de santé.

Sort : Rejeté | Déposé le 19/02/2026
Source : https://www.assemblee-nationale.fr/dyn/opendata/AMANR5L17PO838901BTC2250P0D1N000377.xml

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Groupe: LFI-NFP
Angit-Diff: auto

articles/article-17-quater.md

@@ -1,8 +1,4 @@
 # Article 17 quater
 
-Le code de la sécurité sociale est ainsi modifié :
-
-1° À la troisième phrase du premier alinéa de l'article L. 161‑36‑3, les mots : « de l'avant‑dernier alinéa » sont remplacés par les mots : « du III » ;
-
-2° Le dernier alinéa de l'article L. 871‑1 est complété par une phrase ainsi rédigée : « Lorsque le mécanisme du tiers payant s'applique, les organismes d'assurance maladie complémentaire peuvent déroger au délai de paiement à la seule fin de procéder aux contrôles adéquats si le professionnel de santé a été sanctionné ou condamné pour fraude en application du III de l'article L. 114‑9. »
+(Supprimé)