Unconventional practices contributing to well being: Law no. 1.575 of 17 June 2025 amending Law no. 1.516 of 23 December 2021

Law no. 1.575 of 17 June 2025 amending Law no. 1.516 of 23 December 2021 on unconventional practices contributing to well being (JDM no. 8753 of 27 June 2025) is the result of Bill no. 1098 tabled on 31 July 2024 and passed on 11 June 2025.

Law no. 1.516 established a framework for healthcare practices that are not scientifically recognised by conventional medicine "in order to limit aberrations and guarantee the protection of individuals". (Explanatory memorandum, p. 1)

It is completed by:

• Ministerial Order no. 2022-722 of 14 December 2022 establishing the list of unconventional practices contributing to well being, amended (art therapy; cold or ice baths; fire-cutting; animal mediation; mindfulness meditation; Tui Na modelling; manual reflexology; reiki; shiatsu; relaxation therapy).
• Ministerial Order no. 2022-411 of 1 August 2022 laying down the operating rules for the Advisory Committee responsible for issuing an opinion on the implementation of the list of practices.
• Ministerial order no. 2022-413 of 1 August 2022 laying down the rules governing advertising.

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SUMMARY

The reform is based on the observation that "after almost three years of implementation, it has become apparent that these practices are sometimes carried out in response to specific circumstances that had not been anticipated by the law and which became apparent during the examination of applications for authorisation" (Explanatory Memorandum, p. 1).

Law no. 1.575 introduces the possibility:

• to carry out a non-conventional practice on a voluntary basis, subject to prior declaration to the Director of Health Action ("Directeur de l'action sanitaire"). ("the Government has indicated that the declaration will have to include the practice exercised, the planned place of exercise, the priority ranking, as well as, where applicable, the conditions and qualifications referred to in section 2 of article 6 of law no. 1. 516", Report on the Bill, p. 4).
• for the Director of Health Action to issue an authorisation to practise on a one-off (‘activity carried out discontinuously but regularly, for example ’every Tuesday") or occasional ("non-regular activity corresponding more to a single intervention, for example on a specific date for the benefit
  of a person or a specific group of people") basis in the places it mentions, when the needs of the population are not met for the practice concerned, by derogation from the conditions for issuing the authorisation (being of Monegasque nationality or the spouse of a Monegasque or, failing that, residing or having a professional address in the Principality). Under Law no. 1.516, people from outside the Principality "can no longer legally work in the Principality's medico-social and collective accommodation facilities for the elderly if they do not meet one of the conditions for obtaining authorisation". The aim is to alleviate "difficulties when this non-conventional practice contributing to well-being is not offered by persons authorised in the Principality or when the group of persons authorised to practise in Monaco does not meet all the needs of the population". (Explanatory Memorandum, p. 2 ; Report on the Bill, p. 3) - The Director of Health is empowered to impose penalties for failure to comply with the requirements relating to the practice authorisation it issues.
• to attach special conditions or restrictions to the practice authorisation.

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