Question 11946 — health establishments

Summary

Mr. Christophe Proença draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the risks of weakening the public hospital service created by certain recent measures which, in practice, introduce a distortion between public and private establishments, even though public hospitals are today at the heart of healthcare provision in many territories. In a context marked by high medical tensions, the public hospital service ensures continuity of care, particularly in rural or under-resourced areas. As such, it requires stronger support and fair rules. However, the decree of September 5, 2025 extending the application of article 33 of law no. 2021-502 imposes on public hospitals a much more restrictive recruitment framework than that applicable to lucrative or private establishments. associative. In fact, this article obliges the public accountant to reject the payment of temporary medical remuneration exceeding the regulatory ceilings and provides for referral to the administrative court in the event of an irregularity. These provisions, which only concern public establishments, place them in an unfavorable situation for recruiting the practitioners essential to maintaining activities, whereas the private sector, not subject to the same restrictions, can offer more attractive conditions. This asymmetry risks leading to unequal access to medical services for patients, particularly in areas where the public hospital is the only recourse. At the same time, the UNCAM decision of October 14, 2025, published in the Official Journal of October 18, 2025, gradually reduces the technical packages for scanners and MRIs: from 5 November 2025, then July 1, 2026 and January 1, 2027. The estimated loss for scanners exceeds 12 euros per package, in a context where contrast products have already been the exclusive responsibility of imaging services for a year. These price reductions weaken the financial viability of public imaging services, even though certain establishments have taken on significant debt to modernize their technical platforms, notably in Figeac and Gourdon. To maintain economic balance, hospitals should significantly increase the number of procedures performed, which presupposes the presence of a sufficient number of radiologists, a presence that has become more difficult to guarantee due to restrictions weighing on medical temporary work. The MP therefore asks the Minister what measures the Government intends to take to avoid any distortion between establishments public and private in terms of medical recruitment, guarantee equal access to care, and whether it considers a compensatory system or a revision of prices so as not to compromise the sustainability of public medical imaging services affected by the reduction in technical packages. More broadly, he asks what solutions will be implemented to preserve the radiological supply in rural or fragile territories, where the maintaining practitioners depends largely on flexibility solutions such as temporary work.

Machine translation from French. The official text remains authoritative.

Timeline

1. 23 December 2025

   Question

   Source: DateQuestion

Votes

No vote records are attached yet.

Versions

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

Documents

No documents linked.

Sponsors

• Christophe Proença · auteur

Related records

No cross-record relationships stored yet.