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Subject: Pareri dell'Ufficio legislativo e legale della Regione siciliana
Date: Mon, 6 Jul 2009 19:05:56 +0200
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<HTML><HEAD><TITLE>Ufficio legislativo e legale della Regione siciliana =
- Parere 10 del 2001</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
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<META=20
content=3D"Ufficio legislativo e legale della Regione siciliana - =
Trasposizione : Avv. Michele Arcadipane"=20
name=3DAuthor>
<META=20
content=3D"D.A. 4 agosto 1998 - Trasformazione in societ=E0 delle =
strutture convenzionate. - SANITA' e SERVIZIO SANITARIO"=20
name=3DDESCRIPTION>
<META content=3D"MSHTML 6.00.5730.11" name=3DGENERATOR></HEAD>
<BODY background=3Dhttp://www.gurs.regione.sicilia.it/Pareri/sfondo.jpg>
<DL>
  <DD><IMG=20
src=3D"http://www.gurs.regione.sicilia.it/Pareri/logoull3.gif"></DD></DL>=
<BR><FONT=20
size=3D+1><FONT face=3D"Bookman Old Style">
<DL>
  <DD>
  <P>
  <TABLE width=3D"95%" border=3D0>
    <TBODY>
    <TR>
      <TD>&nbsp;</TD>
      <TD>&nbsp;</TD></TR>
    <TR>
      <TD>Pos. &nbsp;</TD>
      <TD>Prot. N. =
/10.11.01&nbsp;</TD></TR></TBODY></TABLE><BR><BR><BR><B>Oggetto:=20
  <I>D.A. 4 agosto 1998 - Trasformazione in societ=E0 delle strutture=20
  convenzionate.</I></B><BR><BR><BR><BR>Allegati=20
  n...........................<BR><BR><BR><B>Assessorato regionale=20
  Sanit=E0</B><BR><B>Ispettorato Regionale Sanitario</B><BR><B><U>P A L =
E R M O=20
  </U></B><BR><BR><BR><BR>1. Il D.A. (sanit=E0) 4 agosto 1998 avente ad =
oggetto=20
  "Trasformazione in societ=E0 delle strutture convenzionate" all'art. 1 =
prevede:=20
  "I soggetti provvisoriamente accreditati per le branche specialistiche =
di cui=20
  ai DD.PP.RR. n. 119/88 e n. 120/88 che erogano le relative prestazioni =
sotto=20
  forma individuale, possono, a domanda, erogare dette prestazioni sotto =
forma=20
  societaria purch=E9 il titolare del rapporto, ove in esercizio, =
rimanga=20
  corresponsabilizzato nella nuova gestione".<BR>Relativamente alla =
predetta=20
  eventuale trasformazione, con le lettere sopra indicate codesto =
Assessorato=20
  pone all'ufficio i seguenti quesiti:<BR>a) se professionisti o =
societ=E0 possono=20
  contemporaneamente figurare in qualit=E0 di soci in pi=F9 di una =
societ=E0=20
  subentrata ad un rapporto individuale con il S.S.N.;<BR>b) "se il=20
  trasferimento del rapporto di pre-accreditamento rimane assicurato nei =
casi di=20
  decesso, di recesso, di invalidit=E0 permanente, di insorgenti =
incompatibilit=E0 o=20
  limitazioni professionali del titolare originario".<BR><BR>2. Circa il =
primo=20
  quesito va osservato che la legislazione interessata non sembra =
vietare in=20
  astratto n=E9 ad un professionista n=E9 ad una societ=E0 di =
partecipare in qualit=E0=20
  di socio a pi=F9 societ=E0 che gestiscono strutture sanitarie private=20
  accreditate.<BR>In ambito privatistico, tra le disposizioni che =
regolano in=20
  generale le societ=E0, l'unico divieto, per altro di carattere non =
assoluto in=20
  quanto superabile con il consenso degli altri soci, =E8 quello =
desumibile=20
  dall'art. 2301 del cod. civ. che impone al socio di una societ=E0 in =
nome=20
  collettivo l'obbligo di non esercitare per conto proprio o altrui =
un'attivit=E0=20
  concorrente con quella della societ=E0 o partecipare come socio =
illimitatamente=20
  responsabile ad altra societ=E0 concorrente.<BR>Per quanto riguarda la =
normativa=20
  del settore, la legittimazione delle strutture societarie ad =
esercitare=20
  attivit=E0 sanitarie trova da ultimo fondamento nella legge 30 =
dicembre 1991, n.=20
  412.<BR>La citata legge, infatti, all'art. 4 secondo comma, precisa =
tra=20
  l'altro che "le convenzioni possono essere stipulate con istituzioni =
sanitarie=20
  private gestite da persone fisiche e societ=E0", senza per altro =
assoggettare=20
  l'eventuale convenzionamento delle societ=E0 ad alcuna condizione o=20
  incompatibilit=E0, se non quella riguardante il personale (dipendente =
o=20
  convenzionato) del S.S.N.; che, ai sensi di quanto disposto nel citato =
art. 4=20
  settimo comma della legge n. 412/199, non pu=F2 far parte ad alcun =
titolo di=20
  dette societ=E0. Situazione questa che si riscontra nella legislazione =

  successivamente intervenuta che, senza fare pi=F9 cenno alle =
societ=E0, nel=20
  sostituire al precedente sistema di convenzionamento quello=20
  dell'accreditamento, si limita a precisare i requisiti strutturali,=20
  tecnologici ed organizzativi minimi che le strutture sanitarie =
pubbliche e=20
  private devono possedere per l'esercizio delle attivit=E0 sanitarie, =
nonch=E9 le=20
  modalit=E0 per la determinazione dei requisiti ulteriori per=20
  l'accreditamento.<BR>Si ritiene pertanto di poter condividere quanto=20
  manifestato da codesto Assessorato nella richiesta d'avviso, ferma =
restando,=20
  ovviamente, l'opportunit=E0 di accertare, da parte =
dell'amministrazione attiva,=20
  che la situazione ipotizzata non pregiudichi la funzionalit=E0 delle =
strutture=20
  societarie interessate.<BR><BR>3. Passando al secondo quesito, l'art. =
1 del=20
  decreto in oggetto, come si =E8 visto, consente la trasformazione del =
rapporto=20
  di accreditamento provvisorio da individuale a societario "purch=E8 il =
titolare=20
  del rapporto, ove in esercizio, rimanga corresponsabilizzato nella =
nuova=20
  gestione".<BR>Ora, la soluzione del problema qui prospettato dipende, =
secondo=20
  questo Ufficio, dal significato da attribuire all'ambigua espressione =
"ove in=20
  esercizio", che pu=F2 sintatticamente riferirsi o al rapporto <U>de =
quo</U> - ed=20
  in questo caso a quello preesistente o a quello futuro - ovvero al =
titolare=20
  del medesimo.<BR>Al riguardo appare subito da escludere che la =
predetta=20
  espressione significhi che il rapporto di accreditamento provvisorio =
da=20
  trasformare in societario sia <U>operativo</U> ovvero - che =E8 lo =
stesso - che=20
  il relativo titolare esplichi in esso la propria attivit=E0; atteso =
che l'una e=20
  l'altra cosa costituiscono ovviamente l'imprescindibile presupposto =
della=20
  disposizione in esame. Per cui non resta, secondo lo Scrivente, che =
riferire=20
  l'inciso in discussione al <U>nuovo</U> rapporto societario nascente =
dalla=20
  trasformazione: nel senso che la richiesta corresponsabilizzazione =
nella nuova=20
  gestione del titolare originario sia subordinata alla circostanza che =
lo=20
  stesso <U>continui</U> a far parte della societ=E0.<BR>Da questa =
interpretazione=20
  discende che il venir meno del soggetto gi=E0 provvisoriamente =
accreditato in=20
  forma individuale, ad esempio per uno dei motivi elencati nella =
richiesta di=20
  avviso, nella fase <U>successiva</U> al perfezionamento del =
trasferimento del=20
  rapporto <U>de quo </U>al nuovo soggetto societario (cfr. art. 5 del =
D.A. 4=20
  agosto 1998) non sembra dover necessariamente riflettersi sulla =
permanenza del=20
  rapporto costituitosi tra la nuova struttura ed il S.S.N.; sempre che=20
  ovviamente tale rapporto sia stato validamente costituito.<BR>Va =
infine=20
  aggiunto, per completezza, che costituisce ipotesi diversa il venir =
meno del=20
  soggetto interessato, sempre per una delle cause sopra menzionate, =
nelle more=20
  del perfezionamento del rapporto <U>de quo </U>da individuale a =
societario;=20
  nel qual caso non sembra pi=F9 ricorrere l'ipotesi stessa della =
trasformazione=20
  (cfr. in merito TAR Sicilia 30 gennaio 2001, n. 146).<BR><BR>
  <CENTER>* * * * * *</CENTER><BR><BR>Ai sensi dell'art. 15 secondo =
comma del=20
  D.P.Reg. 16 giugno 1998, n. 12, lo Scrivente acconsente sin d'ora =
all'accesso=20
  presso codesta Amministrazione al presente parere da parte di =
eventuali=20
  soggetti richiedenti.<BR>Si ricorda poi che in conformit=E0 alla =
circolare=20
  presidenziale 8 settembre 1998, n. 16586/66.98.12, trascorsi 90 giorni =
dalla=20
  data di ricevimento del presente parere senza che codesta =
Amministrazione ne=20
  comunichi la riservatezza, lo stesso potr=E0 essere inserito nella =
banca dati=20
  "FONS".<BR><BR></FONT></DD></DL><FONT face=3D"Times New Roman,Times">
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permission.<BR></FONT></I>
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<FONT size=3D-1><B>Ideazione grafica e programmi di trasposizione =A9 =
1998-2002=20
</B><A href=3D"mailto:arcadp@neomedia.it"><B>Avv. Michele Arcadipane</B> =

</A></FONT></FONT></CENTER><FONT size=3D-1><B>Trasposizione e =
classificazione=20
curata da </B><A href=3D"mailto:fspedale@neomedia.it"><B>Avv. Francesca=20
Spedale</B></A></FONT>
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