Question 12304 — diseases

Summary

Ms. Marine Hamelet reminds the Minister of Health, Families, Autonomy and People with Disabilities that the implementing decrees of Law No. 2025-106 of February 5, 2025 aimed at improving the coverage of care and devices specific to the treatment of breast cancer by health insurance have still not been published. This law, definitively adopted by Parliament at the beginning of 2025 then promulgated on February 5 2025, was the subject of a broad parliamentary consensus. The effective entry into force of these provisions is, however, conditional on the publication of several decrees and implementing orders. Breast cancer constitutes a major public health issue. It is the most common cancer among women in France, with around 61,000 new cases diagnosed each year. It also remains the leading cause of cancer mortality. in women, with more than 12,000 deaths annually, despite progress made in screening and therapeutic care. Five-year survival, now close to 88%, leads to an increase in the number of women living with the physical, psychological and social after-effects of the disease, making comprehensive and lasting treatment of the consequences of breast cancer all the more necessary. This law is, as such, particularly awaited by thousands of women. It includes significant advances in reducing out-of-pocket costs, particularly for care and devices that have until now been insufficiently or unevenly reimbursed, such as certain supportive care, dermopigmentation of the areola-nipple plaque, the renewal of breast prostheses or even specific devices not included in the legal nomenclatures. common. It also meets strong expectations in terms of territorial and social equity, by guaranteeing a national base of care and by improving patient information on existing resources throughout their care journey. However, more than a year after the final adoption of this law, none of the four implementing decrees necessary for its full effectiveness have been published, even though their publication was announced for the month of December 2025. This situation deprives the patients concerned of rights voted by Parliament and delays the implementation of measures unanimously recognized as necessary. It therefore asks him to please indicate the precise reasons for this delay, the timetable now envisaged for the publication of the implementing decrees of Law No. 2025-106 of February 5, 2025, as well as the measures that the Government intends to take steps to guarantee rapid and effective implementation of these measures expected by many patients.

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