Question 12830 — health professions

Summary

Mr. Yannick Monnet draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the absence of rating of certain acts concerning home nurses. There are a certain number of procedures outside the nomenclature which are not covered by health insurance. In theory, they can be billed to the patient, provided they are informed in advance that they will not be reimbursed by Security. social. However, in practice this is not always feasible, for example in the case of monitoring and caring for a patient during a medical evacuation. As specified in Decree No. 2025-1306 of December 24, 2025, “the nurse decides on the gestures and precautionary measures to be practiced while awaiting the intervention of a doctor. He takes, if necessary, all useful measures to direct the person towards the structure of care most suited to his condition. In this situation, the action carried out by the nurse does not correspond to the care initially prescribed by the doctor. To date, the time he will have devoted to managing the emergency situation, such as that dedicated to his travel and the compensation linked to it, are not covered by social security. Another situation well known to liberal nurses is that of a trip to home of a patient, where the nurse upon arrival finds the door closed and the patient absent. He cannot therefore bill for the scheduled act, even if he respected the schedule. This is understandable, the nursing act being linked to an effective intervention. In the event of absence, no quotation is possible, except in exceptional circumstances (for example, a passage for home hospitalization care (Had) with a very precise protocol). However, apart from the fact that this represents a waste of time, sometimes to the detriment of other patients and such a situation can even jeopardize the health of the patient, the time that the nurse will have devoted to his travel, his real costs linked to gasoline will be neither counted nor covered. Likewise, the refusal of care by a patient for psychiatric care will have identical consequences for the health professional who will have traveled without having could apply a prescription. This is why he draws her attention to these situations which contribute to complicating the professional practice of independent nurses and asks her if she plans to take these situations into account.

Machine translation from French. The official text remains authoritative.

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1. 10 February 2026

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• Yannick Monnet · auteur

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