Question 10256 — elderly people

Summary

Mr. Julien Guibert draws the attention of the Minister of Labor, Health, Solidarity, Families, Autonomy and Disabled People to the financial and social consequences of increases in accommodation rates in long-term care units (USLD). In the department of Nièvre, as in other territories participating in the experiment provided for by article 79 of law no. 2023-1250 of December 26, 2023 financing of social security for 2024, establishments apply the provisions of decree no. 2025-168 of February 20, 2025 and the ministerial decree of June 6, 2025 setting a fixed daily contribution of 6.10 euros for autonomy. These texts, combined with departmental decrees setting the accommodation rate, led to several successive increases in 2025, sometimes followed by significant regularizations. In At the USLD Colbert de Nevers, families saw their remaining costs increase by almost 171 euros per month between July and August 2025, an increase of 8.6% in just one month. For retirees with often modest incomes, such additional costs weigh heavily on already fragile budgets. Beyond the particular case of Nièvre, this situation illustrates the growing difficulties encountered by families faced with financing dependence. While maintaining dignified and quality care is a national imperative, the accumulation of rapid and unclear price increases generates concern, discouragement and sometimes a renunciation of appropriate structures. The MP therefore asks him what measures the Government intends to take in order to guarantee better readability and transparency in the setting and evolution of the prices supported. by residents and their families; but also to further regulate the increases in order to avoid sudden regularizations, which are difficult for families to bear, and to preserve the financial accessibility of USLD and EHPAD, an essential condition for respecting the dignity of dependent elderly people. He asks him, finally, what is the real desire of the Government to assume its responsibilities in matters of dependency and guarantee seniors dignified support, accessible to all and not reserved for those who can afford it.

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