Question 10508 — maternity health insurance

Summary

Ms. Mathilde Feld draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the consequences, for thousands of children followed in medical-psychological centers (CMP) and their families, of the rules resulting from the social security financing law for 2025 relating to “double care” in speech therapy. The social security financing law of 2025 excluded the possibility of reimbursement of the costs of speech therapists practicing privately when children are also followed in CMP, except in cases where an agreement between CMP and speech therapists has been made. Care is no longer reimbursed on the grounds of avoiding “double financing”. In practice, many CMPs do not have speech therapists on site and many struggle to formalize these agreements due to lack of administrative resources, which leads to suspension of follow-ups and a disruption of care for the children concerned. Several professional organizations and media are warning of a generalized situation: when speech therapy is necessary for the reason for admission, the act is charged to the CMP hospital allocation; when it is not, reimbursement in the city can only take place after a formalized agreement - which, as it stands, is neither systematic nor rapid. On the ground, This results in parents - particularly precarious, isolated or living in under-resourced areas - making an unacceptable choice: going into debt to maintain essential care, or giving up appropriate care, to the detriment of their children's health and learning. Recent reports and testimonies describe children in great difficulty (TND, ADHD, language disorders, etc.) who are likely to lose skills due to lack of continuity. speech therapy. Citizen mobilization attests to the scale of the problem: an online petition asking for continued reimbursement of speech therapy sessions for children in CMP has collected several thousand signatures in just a few weeks. With regard to the principle of equal access to care and the prevention of loss of opportunity, she asks what immediate measures the Government intends to take to guarantee continuity and support without advance costs, of speech therapy sessions for children followed in CMP, when the center does not have a speech therapist or is not able to agree quickly. She thanks her for kindly informing her, as soon as possible, of the measures envisaged so that the desire to avoid double care does not result, for the most fragile families, in a double penalty: indebtedness or renouncing the care of their children.

Machine translation from French. The official text remains authoritative.

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