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the Charter of the French Language, access to \u003Ca href=\"https:\u002F\u002Fwww.quebec.ca\u002Fen\u002Fgovernment\u002Fpolicies-orientations\u002Ffrench-language\u002Fmodernization-charter-french-language#c214022\">English-language content is subject to certain regulations\u003C\u002Fa>\u003C\u002Fp>\n","\u003Cp>Under the Charter of the French Language, access to \u003Ca href=\"https:\u002F\u002Fwww.quebec.ca\u002Fen\u002Fgovernment\u002Fpolicies-orientations\u002Ffrench-language\u002Fmodernization-charter-french-language#c214022\">English-language content is subject to certain regulations\u003C\u002Fa>\u003C\u002Fp>",{"value":83},"\u003Cp>Toutes nos excuses, la page que vous cherchez n’est pas disponible.\u003C\u002Fp>",{"__typename":85,"id":86,"titre":87,"tuileBasdepage":88},"ParagraphRedirectionBasdepage","647","Pour en savoir plus",[89,98],{"__typename":90,"id":91,"titreLongBasdepage":92,"description":93,"cta":95},"ParagraphTuileBasdepage","645","Tableau de bord en temps 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use","cbbc92f5-75b9-43f2-bb63-099a395c91a0",{"url":493,"title":494,"id":495,"internal":103,"route":19},"\u002Fsq-1\u002Fen\u002Fprivacy-policy","Politique de confidentialité","6dfe2fad-2575-43d3-9bb1-356432696c73",{"url":497,"title":498,"id":499,"internal":103,"route":19},"\u002Fsq-1\u002Fen\u002Fethics-compliance","Éthique et conformité","2f365644-f316-4f48-b969-f0d2472bf895",{"route":501},{"__typename":502,"breadcrumbs":503,"entity":509},"RouteInternal",[504,507],{"title":505,"url":506,"internal":103},"Accueil","\u002Fsq-1\u002Fen",{"title":508,"url":310,"internal":103},"Aide et ressources en santé",{"metatag":510,"translationOutdated":103,"translations":550,"title":552,"regionEntete":555,"regionBasdepage":19,"id":558,"paragraphe":559},[511,517,521,522,527,530,534,538,542,546],{"__typename":512,"tag":513,"attributes":514},"MetaTagValue","meta",{"content":515,"name":516},"Médecins : devenir non participant ou non participante au régime d’assurance maladie - Santé Québec","title",{"__typename":512,"tag":513,"attributes":518},{"content":519,"name":520},"Santé Québec est désormais responsable de l’autorisation des demandes de non-participation des médecins de famille et des spécialistes au régime d’assurance maladie du Québec (RAMQ).","description",{},{"__typename":523,"tag":513,"attributes":524},"MetaTagProperty",{"content":525,"property":526},"Médecins : devenir non participant ou non participante au régime d’assurance maladie","og:title",{"__typename":523,"tag":513,"attributes":528},{"content":519,"property":529},"og:description",{"__typename":523,"tag":513,"attributes":531},{"content":532,"property":533},"https:\u002F\u002Fsite-sq-ws.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002Fensites\u002Fsq-1\u002Ffiles\u002F2026-02\u002Fog-image.jpg","og:image",{"__typename":523,"tag":513,"attributes":535},{"content":536,"property":537},"image\u002Fjpg","og:image:type",{"__typename":523,"tag":513,"attributes":539},{"content":540,"property":541},"1200","og:image:width",{"__typename":523,"tag":513,"attributes":543},{"content":544,"property":545},"630","og:image:height",{"__typename":523,"tag":513,"attributes":547},{"content":548,"property":549},"Santé Québec","og:image:alt",[551,553],{"title":552,"path":336},"Médecins : devenir non participant",{"title":552,"path":554},"\u002Fsq-1\u002Faide-et-ressources\u002Fdevenir-non-participant-au-regime-dassurance-maladie",{"__typename":556,"id":557,"arrierePlan":10,"imageEnteteNiveau1":19,"titreLongEnteteNiveau1":525,"description":19},"ParagraphEnteteNiveau1","702","168",[560,588,614,628],{"__typename":561,"id":562,"couleurArrierePlan":19,"entete":563,"liste2col":569},"ParagraphTexteListe2col","689",{"__typename":564,"id":565,"titreLong":566,"description":567,"cta":19},"ParagraphTexteTitre","684","Qu’est-ce que dit la loi? ",{"value":568},"\u003Cp>La \u003Cem>Loi favorisant l’exercice de la médecine dans le réseau public de la santé et des services sociaux\u003C\u002Fem> (adoptée le 24 avril 2025 avec effet rétroactif au 1er avril 2025) vise à favoriser l’accès public aux soins de santé. Elle soumet les médecins qui souhaitent exercer en dehors du régime public d’assurance maladie (c’est-à-dire comme médecins non participants ou non participantes) à un régime temporaire d’autorisation jusqu’au 24 avril 2027. \u003C\u002Fp>",[570],{"__typename":571,"id":572,"colonne1":573,"colonne2":576},"ParagraphListe2col","688",{"__typename":564,"id":574,"titreLong":575,"description":19,"cta":19},"685","Cette loi agit sur deux volets majeurs :",[577,583],{"__typename":578,"id":579,"numeros":580,"titreLongListeSimple":19,"description":581,"cta":19},"ParagraphListeNumeros","686","01",{"value":582},"\u003Cp>Les nouveaux et nouvelles médecins devront obligatoirement avoir exercé dans le réseau public pendant cinq années avant de pouvoir solliciter une autorisation de non-participation. \u003C\u002Fp>",{"__typename":578,"id":584,"numeros":585,"titreLongListeSimple":19,"description":586,"cta":19},"687","02",{"value":587},"\u003Cp>L’ensemble des médecins, toutes cohortes confondues, devra dorénavant obtenir une autorisation préalable de Santé Québec pour exercer en dehors du régime public. \u003C\u002Fp>",{"__typename":589,"id":590,"titreLongImage":591,"description":592,"cta":19,"image":595,"listeImbriquee":19},"ParagraphTexteImage","690","Évaluations des demandes de non-participation",{"format":79,"processed":593,"value":594},"\u003Cp>Les demandes de non‑participation seront évaluées en fonction des orientations ministérielles, de tout facteur jugé pertinent, ainsi que de plusieurs considérations légales, notamment :\u003C\u002Fp>\n\u003Cul>\n\u003Cli>Le nombre de médecins non participants et non participantes est trop considérable pour que les services médicaux assurés puissent continuer à être rendus selon des conditions uniformes.  \u003C\u002Fli>\n\u003Cli>L’effet que pourrait avoir l’autorisation sur la qualité ou l’accessibilité des services médicaux assurés offerts.  \u003C\u002Fli>\n\u003Cli>La capacité de mettre à contribution le ou la médecin pour accroître la qualité et l’accessibilité des services médicaux assurés. \u003C\u002Fli>\n\u003Cli>Lorsque le ou la médecin qui présente la demande est la seule personne à offrir un service médical assuré dans la région sociosanitaire où il ou elle exerce au moment de sa demande, Santé Québec doit refuser d’accorder une autorisation.\u003C\u002Fli>\n\u003C\u002Ful>\n\u003Cp>Découvrez l’\u003Ca href=\"https:\u002F\u002Fwww.ramq.gouv.qc.ca\u002Ffr\u002Fprofessionnels\u002Fmedecins-omnipraticiens\u002Fevenements-carriere\u002Fparticiper\u002FPages\u002Frepercussions.aspx\">\u003Cu>incidence de ne plus participer au régime d’assurance maladie du Québec ou de s’en désengager\u003C\u002Fu>\u003C\u002Fa>.\u003C\u002Fp>\n","\u003Cp>Les demandes de non‑participation seront évaluées en fonction des orientations ministérielles, de tout facteur jugé pertinent, ainsi que de plusieurs considérations légales, notamment :\u003C\u002Fp>\u003Cul>\u003Cli data-list-item-id=\"e7bae1fc94d692d2f2c7beb8cb5759455\">Le nombre de médecins non participants et non participantes est trop considérable pour que les services médicaux assurés puissent continuer à être rendus selon des conditions uniformes.  \u003C\u002Fli>\u003Cli data-list-item-id=\"e5377844a885b5bb77c2c03280eba88ef\">L’effet que pourrait avoir l’autorisation sur la qualité ou l’accessibilité des services médicaux assurés offerts.  \u003C\u002Fli>\u003Cli data-list-item-id=\"ec22fb0499cc71ca850eed69abde70c94\">La capacité de mettre à contribution le ou la médecin pour accroître la qualité et l’accessibilité des services médicaux assurés. \u003C\u002Fli>\u003Cli data-list-item-id=\"ec2b04e13afd5803571a49125a50ab25e\">Lorsque le ou la médecin qui présente la demande est la seule personne à offrir un service médical assuré dans la région sociosanitaire où il ou elle exerce au moment de sa demande, Santé Québec doit refuser d’accorder une autorisation.\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Découvrez l’\u003Ca href=\"https:\u002F\u002Fwww.ramq.gouv.qc.ca\u002Ffr\u002Fprofessionnels\u002Fmedecins-omnipraticiens\u002Fevenements-carriere\u002Fparticiper\u002FPages\u002Frepercussions.aspx\">\u003Cu>incidence de ne plus participer au régime d’assurance maladie du Québec ou de s’en désengager\u003C\u002Fu>\u003C\u002Fa>.\u003C\u002Fp>",{"__typename":14,"id":596,"name":597,"mediaImage":598},"140","Texte_Image_Medecins.jpg",{"mime":18,"title":19,"alt":19,"width":20,"height":21,"size":599,"url":600,"focalPoint":601,"large":602,"small":608},94142,"https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002F2026-02\u002FTexte_Image_Medecins.jpg",{"x":25,"y":26},[603],{"name":604,"url":605,"height":606,"width":607},"GRAND_PARAGRAPH_TEXTE_IMAGE","https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002Fstyles\u002Fgrand_paragraph_texte_image\u002Fpublic\u002F2026-02\u002FTexte_Image_Medecins.jpg.webp?h=6e038edf&itok=-hIJzKOO",1580,1188,[609],{"name":610,"url":611,"height":612,"width":613},"PETIT_PARAGRAPH_TEXTE_IMAGE","https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002Fstyles\u002Fpetit_paragraph_texte_image\u002Fpublic\u002F2026-02\u002FTexte_Image_Medecins.jpg.webp?h=6e038edf&itok=Vup0dZpA",975,718,{"__typename":615,"id":616,"couleurArrierePlanRedirectionBanniere":617,"titreRedirectionBanniere":622,"descriptionRedirectionBanniere":623,"ctaRedirectionBanniere":625},"ParagraphRedirectionBanniere","691",{"__typename":618,"id":619,"name":620,"codeHex":621},"TermCouleurArrierePlan","9","Mauve #D4D4FF","#D4D4FF","Faire votre demande",{"value":624},"\u003Cp>Santé Québec est désormais responsable de l’autorisation des demandes de non-participation des médecins de famille et des spécialistes au régime d’assurance maladie du Québec (RAMQ).\u003C\u002Fp>",{"url":626,"title":627,"internal":10},"https:\u002F\u002Fforms.office.com\u002Fpages\u002Fresponsepage.aspx?id=KP7hBotfdUC_bK4kvhp5kvI-lgqmGzJCn1Az0H7lWmdUNVI2Vk01MkhQQVhIOUtRNlBON0RDT0c0MSQlQCN0PWcu&route=shorturl","Faire une demande",{"__typename":629,"id":630,"titreLong":631,"cta":19,"description":19,"couleurArrierePlan":19,"listeTexteTiroirs":632},"ParagraphTexteTiroirs","701","Foire aux questions",[633,639,644,649,654,659,664,669,674],{"__typename":634,"id":635,"titreLong":636,"description":637,"cta":19},"ParagraphListeTiroirs","692","Qu’est-ce que le projet de loi 83?",{"value":638},"\u003Cp>La \u003Cem>Loi favorisant l’exercice de la médecine dans le réseau public de la santé et des services sociaux\u003C\u002Fem> a été adoptée le 24 avril 2025 avec effet rétroactif au 1er avril 2025.  \u003C\u002Fp>\u003Cp>Cette loi vise à favoriser l’accès public aux soins de santé. Elle soumet les médecins qui souhaitent exercer en dehors du régime public d’assurance maladie (c’est-à-dire comme médecins non participants ou non participantes) à un régime temporaire d’autorisation.  \u003C\u002Fp>\u003Cp>Cette loi agit sur deux volets majeurs :  \u003C\u002Fp>\u003Col>\u003Cli data-list-item-id=\"eba2a4fa74dbefd87aef0a4fef5c244cd\">Les nouveaux ou nouvelles médecins devront obligatoirement avoir exercé dans le réseau public pendant ​​cinq années avant de pouvoir solliciter une autorisation de non-participation.  \u003C\u002Fli>\u003Cli data-list-item-id=\"e03d2d5df4f0249d1dbd027105cf129fb\">L’ensemble des médecins, toutes cohortes confondues, devra dorénavant obtenir une autorisation préalable de Santé Québec pour exercer en dehors du régime public. \u003C\u002Fli>\u003C\u002Fol>",{"__typename":634,"id":640,"titreLong":641,"description":642,"cta":19},"693","Quelles sont les principales mesures?",{"value":643},"\u003Cp>Un ou une médecin pourra demander l’autorisation de devenir non participant ou non participante (travailler à l’extérieur du régime public) qu’après cinq ans de pratique sous entente dans le réseau public.\u003C\u002Fp>\u003Cp>Un ou une médecin qui facture des services assurés à un usager ou une usagère sans avoir obtenu l’autorisation de non-participation s’expose à des sanctions comme prévu à l’article 22 de la\u003Cem> Loi sur l’assurance maladie\u003C\u002Fem>.\u003C\u002Fp>\u003Cp>Pour plus de détails, nous vous invitons à consulter la \u003Ca href=\"https:\u002F\u002Fwww.legisquebec.gouv.qc.ca\u002Ffr\u002Fdocument\u002Flc\u002FA-29\">Loi : A-29 – Loi sur l’assurance maladie\u003C\u002Fa>.\u003C\u002Fp>",{"__typename":634,"id":645,"titreLong":646,"description":647,"cta":19},"694","Quel est l’effet de cette loi sur les médecins ayant transmis un avis de modification de statut pour celui de non participant ou non participante avant le 1er avril 2025?",{"value":648},"\u003Cp>Ils et elles conservent leur statut de non-participation, à moins de transmettre à la Régie de l’assurance maladie un avis de réengagement ou de désengagement.\u003C\u002Fp>",{"__typename":634,"id":650,"titreLong":651,"description":652,"cta":19},"695","Comment cette loi est-elle surveillée?",{"value":653},"\u003Cp>La RAMQ assurera le suivi des statuts des médecins. Des vérifications, des inspections et des enquêtes seront possibles, et toute infraction pourra entraîner des sanctions.\u003C\u002Fp>",{"__typename":634,"id":655,"titreLong":656,"description":657,"cta":19},"696","Et si je quitte le Québec pour pratiquer ailleurs?",{"value":658},"\u003Cp>Le projet de loi cible la pratique au Québec. Si vous quittez la province pour exercer dans une autre juridiction sans dispenser de services professionnels au Québec, vous n’êtes pas soumis ou soumise à l’application de la \u003Cem>Loi favorisant l’exercice de la médecine au sein du réseau public de la santé et des services sociaux\u003C\u002Fem>.\u003C\u002Fp>",{"__typename":634,"id":660,"titreLong":661,"description":662,"cta":19},"697","Est-ce que je peux facturer des services médicaux assurés à un usager ou une usagère au privé lorsque je quitte le régime public sans l’obtention d’une autorisation de non-participation? ",{"value":663},"\u003Cp>Le ou la médecin qui décide de quitter le régime public sans autorisation de non-participation conserve son statut initial. Ainsi, il ou elle ne peut pas obtenir une rémunération d’un usager ou d’une usagère pour des services médicaux assurés.\u003C\u002Fp>",{"__typename":634,"id":665,"titreLong":666,"description":667,"cta":19},"698","Quels sont les effets pour un ou une médecin de famille qui devient non participant ou non participante?",{"value":668},"\u003Cp>En devenant non participant ou non participante, un ou une médecin de famille perd son avis de non-conformité sur le plan territorial d’effectifs médicaux, ou sa dérogation tenant lieu d’avis de conformité, le cas échéant.\u003C\u002Fp>",{"__typename":634,"id":670,"titreLong":671,"description":672,"cta":19},"699","Dans le cas d’un refus de Santé Québec pour une demande de non-participation, quels sont les recours possibles pour le ou la médecin qui souhaite contester la décision?",{"value":673},"\u003Cp>Le ou la médecin peut s’adresser au tribunal pour réviser la décision de Santé Québec.\u003C\u002Fp>",{"__typename":634,"id":675,"titreLong":676,"description":677,"cta":19},"700","Quel est le délai minimal entre la transmission du formulaire et la date de début souhaitée de la non-participation?",{"value":678},"\u003Cp>Afin de permettre l’analyse de votre demande et d’obtenir une réponse en temps opportun, la demande doit être transmise au moins 45 jours calendaires avant la date à compter de laquelle la non-participation est souhaitée.\u003C\u002Fp>\u003Cp>Pour plus d’information, vous pouvez nous écrire à l’adresse suivante \u003Ca href=\"mailto:SQ_non-participation@sante.quebec\">SQ_non-participation@sante.quebec\u003C\u002Fa>.\u003C\u002Fp>",1777655945525]