Question 10360 — health establishments

Summary

Ms. Marianne Maximi draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the growing difficulties of access to speech therapy care, particularly in the medico-social sector and medico-psychological centers (CMP). Many CMPs no longer have salaried speech therapists today, a direct consequence of a shortage of professionals and insufficient salary attractiveness, so even though the needs are increasing sharply, whether it concerns the care of children with neurodevelopmental disorders or elderly people suffering from strokes or suffering from chronic illnesses. Furthermore, the recent evolution of billing methods in the event of dual care (liberal speech therapist and CMP) causes serious disruptions in care. Since the last financing law social security, overpayments are no longer claimed from self-employed speech therapists but from medico-social establishments covered by the social action and families code, while CMPs, governed by the public health code, remain excluded from this system. From now on, any dual care requires a written agreement between the CMP and the private speech therapist, whether or not it involves follow-up linked to the reason for the care. in CMP. In fact, many CMPs are reluctant to establish these agreements, due to a lack of sufficient budgetary resources allocated by their home hospitals. This situation endangers the continuity of care for several tens of thousands of children, whose families risk having to assume the cost of liberal speech therapy sessions, which is often unbearable, aggravating inequalities in access to care. As such, she asks what measures it intends to take to guarantee continuity of care for patients followed simultaneously in CMP and private speech therapy and what specific financial resources will be granted to CMPs within the framework of the next social security financing bill in order to enable them to conclude the agreements provided for by law and to ensure real coordinated care.

Machine translation from French. The official text remains authoritative.

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