Question 13256 — maternity health insurance

Summary

Mr. Sylvain Carrière alerts the Minister of Health, Families, Autonomy and People with Disabilities about the refusal to cover continuous glucose sensors in nursing homes. The list of devices included in the care package of accommodation establishments for dependent elderly people is defined by the decree of May 30, 2008. However, the publication of this decree predates the marketing of glucose sensors in continuous, which are therefore not explicitly mentioned. Many establishments therefore consider that these devices are not integrated into the care package and therefore do not cover them. Mr. MP was questioned by the French Federation of Diabetics, which brought him numerous testimonies from patients, families, regulatory doctors and nursing home managers along these lines. Glucose sensors in continuous (like FreestyleLibre 2, Dexcom G6, etc.) nevertheless constitute an essential device for people with diabetes. They are a less painful and more effective solution than capillary blood glucose tests to guarantee the safety of residents. They also help relieve the burden on caregivers in nursing homes, whose working conditions are often very difficult due to understaffing. and lack of resources. These sensors represent a cost of around 80 to 100 euros per month per patient, a cost which should not fall on residents, especially since this device is reimbursed by health insurance for people who do not reside in nursing homes. Following the alerts issued by the French Federation of Diabetics in August 2025, the National Federation of Associations of Directors of Establishments and Services for elderly people conducted a flash survey on the subject among its 1,600 members. The results are clear: 76% of their members report that their CPAM refuses to finance continuous glucose sensors when an elderly person enters a nursing home. 16% of the establishments surveyed stated that their residents were sometimes forced to abandon their continuous sensors for blood glucose self-monitoring, in the absence of dedicated funding. This situation is unacceptable and risks getting worse due to the aging of the population and the increase in the number of residents with diabetes. Since the summer of 2025, the French Federation of Diabetics has contacted the minister's office, the National Health Insurance Fund, and the social security department, but the answers have not been forthcoming even though the situation is urgent. Mr. member therefore asks the Minister what responses she intends to put in place to resolve this situation. He asks her if she plans to integrate the sensors into the care package and, more generally, increase the overall allocation as treatments and medical devices evolve.

Machine translation from French. The official text remains authoritative.

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