Question 12857 — personal services

Summary

Ms. Alexandra Martin (Alpes-Maritimes) draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the difficulties encountered by the home help sector, in a context of accelerated aging of the population. The 50% tax credit for personal services constitutes a central element of the home policy. However, it is the subject of recurring challenges during the examination of finance bills, creating instability for households and businesses alike. Furthermore, the immediate advance of the tax credit, although it has facilitated access to personal services for certain households, does not apply to beneficiaries of aid plans. The reform of home autonomy services (SAD) does not make it possible to fully respond to the structural difficulties of the sector, in particular the shortage of professionals, continuity of interventions, economic sustainability and territorial coverage. The transition to mixed SAD status remains conditional on the existence or absorption of an SSIAD. In the Alpes-Maritimes, a territory already over-endowed with SSIAD capacities, this condition strongly limits the creation or independent extension of the home care offer. However, according to a DREES study published on February 5, 2026, France will have 22.9 million people over 60 in 2050, almost five million more than in 2021, which would result in around 738,000 additional people losing their autonomy and an estimated need for 200,000 additional jobs in the sector. These projections come as the “Old Age” plan, announced for February 12, 2026, has been postponed again without a new date communicated. Finally, a difference in treatment persists between the modes of providing home help. Service providers are subject to high requirements in terms of authorization, control and continuity, while the use of private employers, including within the framework of the APA, is based on direct allocation of funding to the beneficiary, without equivalent requirements. She asks him what measures the Government intends to take in order to sustainably secure the framework for home help, guarantee the sustainability of the tax credit, extend the immediate advance to beneficiaries of aid plans, ease access to mixed SAD status and restore equity between modes of exercise.

Machine translation from French. The official text remains authoritative.

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