Question 1049 — transportation

Summary

Mr. Philippe Schreck alerts the Minister of Health and Access to Care about payment defaults by hospitals and other public health structures and their impact on the financial situation of medical transport companies (ambulances, light medical vehicles, taxis, etc.). Since the entry into force on October 1, 2018 of article 80 of the social security financing law for 2017, the coverage of the cost of transport of patients hospitalized or leaving a health establishment has evolved. This reform mainly concerned land transport between hospitals, clinics or any other health structure. These establishments must now cover the costs of land medical transport and have entered into public contracts with medical transport operators. However, too many public health establishments do not respect their contractual obligations, in particular payment deadlines, vis-à-vis medical transport companies. These delays are now reaching 6 to 8 months, thus putting their co-contractors in a situation of unacceptable financial precariousness. These companies placed in a cash flow situation will no longer carry out their missions and therefore interrupt the transport of patients, with all the health and human consequences that this brings. particularly in rural areas. Unless we consider that the public hospital is in a concrete situation of non-payment, it therefore asks it what emergency measures it intends to take so that public health establishments apply the provisions of Law No. 2013-100 of January 28, 2013 and finally respect their payment deadlines, but also automatic payment of lump sum compensation and default interest, vis-à-vis medical transport companies.

Machine translation from French. The official text remains authoritative.

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