Question 10157 — health professions

Summary

Mr. Emmanuel Mandon draws the attention of the Minister of Labor, Health, Solidarity and Families to the situation of the speech therapist profession faced with the worsening of old problems for which the entire profession mobilized throughout France on September 18, 2025. In a context of strong growth in needs, neurodevelopmental disorders in children and the chronicization of pathologies associated with demographic aging, speech therapy care is nevertheless decisive and very often urgent for patients who suffer from it. Certainly, the recent signing of amendment 21 with health insurance will make it possible in 2026 to bring certain concrete measures, in particular with conventional advances. However, in hospitals as in the medico-social sector, employed speech therapists receive particularly unattractive remuneration due to very low salaries, which explains the very high vacancy rate. This shortage directly jeopardizes the continuity of care, in particular for the most fragile patients, which amounts to a real loss of opportunity for patients. Liberal speech therapists, for their part, practice within a framework which remains constrained despite some recent improvements and have no real prospects for advancement. Urgent measures are therefore requested: a better revaluation of the actions of salaried speech therapists, the continuation of conventional revaluations for self-employed speech therapists, the full recognition of speech therapy as a health profession of first resort through the generalization of direct access, and guarantees aimed at ensuring the sustainability of liberal cabinets and the future of their pensions. Finally, very recently, the announcement of the tightening of a health insurance rule intended to avoid "double coverage" of psychological care and speech therapy for children followed in medical-psychological centers alarms both families who will have to choose between these two treatments and professionals for the quality of care for their little patients on a large scale. difficulty. Also, he asks him for his position on each of the issues raised and his intentions to remedy them in order to guarantee citizens throughout the territory access to quality speech therapy care.

Machine translation from French. The official text remains authoritative.

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