Question 11547 — health establishments

Summary

Mr. Saïd Ahamada questions the Minister of Solidarity and Health on the future of the financing model for psychiatric hospitals. Indeed, during the presidential campaign, the President of the Republic was resolutely committed to moving French hospitals away from the sole logic of activity-based pricing (T2A). After consulting health and social protection stakeholders, the Minister of Solidarity and Santé then announced in the press, at the beginning of July 2018, that the hospital reform would be presented at the beginning of September 2018. The reform should be based on five levers, among which would be the pricing component, with an evolution in financing and regulation methods. Therefore, the first budgetary measures should be provided for by the social security financing bill for 2019 which will be presented in the fall of 2018. Concerning psychiatric hospitals in particular, although it should be noted that the T2A does not currently apply to psychiatry, the Minister of Solidarity and Health nevertheless committed, in January 2018, to providing more resources to psychiatry in France and to changing its funding model because it is, in particular, subject to strong territorial inequalities. On this occasion, she guaranteed the preservation of a specific budget in the Territorial Hospital Groups (GHT). Consequently, he wishes to know the first avenues of reform envisaged by the Government concerning the financing model of psychiatric hospitals, in particular to combat territorial inequalities. More specifically, he also wishes to have confirmation that the application of T2A to psychiatry will not part of the hospital reform project which will be presented in September 2018.

Machine translation from French. The official text remains authoritative.

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