Question 10628 — health professions

Summary

Ms. Marie-Agnès Poussier-Winsback draws the attention of the Minister of Labor and Solidarity to the threats weighing on the supply of medical imaging, both at national and regional level, particularly in Normandy. Law No. 2025-199 of February 28, 2025 on financing social security for 2025 provides for a saving of 300 million euros on medical imaging expenses between 2025 and 2027. In this context, the National Health Insurance Fund (CNAM) proposed, without prior consultation with organizations representing doctors, a price reduction of 50%, or 150 million euros, on technical packages. This decision concerns the technical packages applicable to scanner, MRI and positron emission tomography (PET) examinations, paid by health insurance to equipment owners in order to cover the operating costs of the structures, while these packages only represent 30% of total spending in the sector. Such a reduction weakens the entire medical imaging sector at a time when needs are increasing. It threatens the sustainability of jobs, the proximity of healthcare provision, screening programs as well as the capacity to invest in technological innovation. This development also accentuates territorial inequalities, in particular in areas that are already under-resourced, reducing their attractiveness for young specialists. In Normandy, private radiologists note a worrying drop in the rate of adherence to the controlled pricing option (OPTAM), falling from 40% to 12.6% and sometimes falling below 5% in certain areas. Also, the MP wishes to know what measures the Government intends to take to re-examine the 50% reduction in packages techniques applied to heavy examinations. She also asks the Minister to reassess the method of calculating the OPTAM membership rate, in order to guarantee true territorial equity between the regions. Finally, it calls for increased support for the installation of radiologists in vulnerable areas. She wants to know the perspectives on this subject.

Machine translation from French. The official text remains authoritative.

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