1. État, peuple, "Authorities" 10. Constitution and Other Fundamental Acts

This agreement governs the effects of the transfer of the municipal commune of Moutier (hereinafter referred to as "the commune of Moutier") into the Republic and Canton of Jura (hereinafter referred to as "the canton of Jura") in the field of public health.

The present agreement applies to the following areas

a) the residual financing of the costs of care in a medico-social establishment (hereinafter: "EMS");

b) the remuneration of hospital services;

c) the care of patients from the Jura adult day psychiatric hospital and the Bernese day clinic;

d) the care of patients from the Jura home care and assistance organization and the Bernese home assistance, aid, and care service;

e) health statistics.

1 For individuals residing in the municipality of Moutier admitted to a nursing home as of January 1, 2026, the residual financing of care costs (hereinafter: "residual financing") is covered by the Canton of Jura in accordance with Article 25a, paragraph 5, of the Federal Law of March 18, 1994, on Health Insurance (LAMal).

2 For individuals residing in the municipality of Moutier staying in a nursing home at the time of the transfer of the municipality of Moutier to the Canton of Jura, the residual financing will be settled as follows, starting January 1, 2026

a) the Canton of Jura covers the residual financing for individuals residing in a Jura nursing home (including in Moutier) or located outside the Canton of Bern;

b) the Canton of Bern covers the residual financing for individuals residing in a Bernese nursing home (excluding Moutier).

**1 The Canton of Bern shall cover, until January 31, 2026, the hospitalization costs for persons residing in the municipality of Moutier, admitted to a hospital facility before January 1, 2026, and whose discharge occurs on this date or thereafter.**

**2 The two cantons shall settle, by agreement, the coverage of hospitalization costs for persons residing in the municipality of Moutier, admitted to a hospital facility in 2025 and hospitalized beyond January 31, 2026.**

**3 As of January 1, 2026, the Jurassian hospital list shall apply to persons residing in the municipality of Moutier.**

1 For outpatient psychiatric care, the canton of Bern will cease paying for stays from December 31, 2025, for individuals residing in the municipality of Moutier.

2 Stays in day clinics in Bern will be reassessed by the canton of Jura according to Jura regulations.

3 The institutions concerned are invited to collaborate and agree on finding solutions for the individuals involved.

All benefits within the meaning of Article 7 of the Federal Ordinance of September 29, 1995, of the FOPH on benefits in compulsory health insurance provided on the territory of the municipality of Moutier until December 31, 2025, are covered by the canton of Bern. From January 1, 2026, these benefits shall be the responsibility of the canton of Jura.

1. The Canton of Bern undertakes to draft a letter serving as a Certificate of Good Standing for all healthcare professionals authorized to practice in the territory of the commune of Moutier as of December 31, 2025, and to deliver it to the Canton of Jura.

2. The letter provided for in paragraph 1 shall include the following elements

a) a comprehensive list of the professionals referred to in paragraph 1;

b) a certification that the individuals concerned have not been subject to any proceedings in the five years preceding January 1, 2026;

c) a guarantee to provide the necessary information for proceedings opened in 2026 concerning acts committed before January 1, 2026.

1 The Department of Health, Social Affairs, and Integration of the Canton of Bern is competent to validate the health statistics for the year 2025 produced by the Federal Office of Statistics.

2 No financial compensation is owed between the cantons for the work done in relation to the statistics mentioned in paragraph 1.

3 The Canton of Bern authorizes the Canton of Jura to access the health statistics of the Federal Office of Statistics, for the period from January 1, 2024, to December 31, 2025, of institutions operating within the territory of the municipality of Moutier for steering purposes.

This agreement enters into force on January 1, 2026.