Question 11274 — maternity health insurance

Summary

Ms. Anaïs Belouassa-Cherifi draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to Decree No. 2025-599 of June 30, 2025 relating to the organization of the medical control service (SCM). The latter enshrines the project to transform health insurance through the abolition of the SCM, with the consequence of transferring the employment contracts of nearly 7,200 employees, without their opinion having been given to them. request. From now on, the medical control service is no longer an economic entity in its own right and sees its staff dispersed within the primary health insurance funds (CPAM). This brutal reform directly threatens the functions previously occupied by the medical control service: observation of non-compliance with legislative or regulatory provisions governing the coverage of medical costs, analysis of the activity health establishments, control of the collection of quality and safety indicators of care, management of long-term conditions or even allocation of disability pensions. There are hundreds of medical advisors and thousands of administrative staff who work within these medical services, throughout France, to carry out their missions. So many employees who are today under the threat of this reorganization, carried out despite their total disapproval. Proof of this is the massive resignation of medical advisors since October 1, 2025, as well as the massive rejection of employee representative organizations. In short, 85% of medical service employees do not support this reform or doubt its relevance. Hardly surprising results when we take into account that this reform, imposed without preparation or dialogue, puts jeopardize their social gains. The MP also underlines that this attachment to the CPAM means that the opinions given by the medical control service are no longer given independently, but are now subject to the financial considerations of the paying funds that are the CPAM, relegating the health of the insured to second place. Consulting practitioners completely lose their independence, which goes against the case law of the Council of State, which concludes, in its decision no. 342699, that “consulting practitioners belong to an autonomous body”. Equally worrying is the inclusion of doctors within CPAMs, which poses a major risk for the confidentiality of medical data. She therefore questions him about the relevance of maintaining the provisions of decree no. 2025-599 of June 30, 2025 relating to the organization of the medical control service and asks him if its repeal is on the Government's agenda, as desired by the workers concerned, as well as users.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.