Question 13525 — health

Summary

Mr. Yannick Monnet questions the Minister of Health, Families, Autonomy and People with Disabilities on the financing of SECPa, an experimental system set up in 2021 and renewed in 2023. On January 29, 2026, the Ministry of Health announced that it wanted to end the transitional period for the experimentation of this system from April 2026, without transition to common law as had been envisaged until then. This announcement, perceived as fatal for a unanimously recognized system and concerning 26 homes and health centers on the national territory, provoked numerous reactions. Indeed, the sudden cessation of this system would lead to forgoing care, diagnostic delays and consequently, paradoxically, additional costs. It would reduce the attractiveness of territories for health professionals, endanger the continuity of the teams in place and would prevent the opening of new places of coordinated care, particularly in rural areas. The “alternative” funding put forward by the Ministry of Health seems insufficient in their amounts and unsatisfactory in their terms: the specifications of the new “France santé” label (for which access to care is reduced to offering unscheduled care slots) are not known. Furthermore, the supplement announced via the regional intervention funds of the ARS seems random, their function not being to finance in a sustainable manner and their amounts being restricted and largely consumed. Overall, some estimates suggest SECPa funding is three to seven times less than today. During the Questions to the Government session on February 3, 2026, the Prime Minister, recognizing the interest of device, affirmed that “all 26 SECPa structures, in the two components which have existed since the post-covid experiments of 2021, will be well-sustained and financed”, without further quantified and precise commitments less than three months before the end of the financing. Within the structures and living areas concerned, concern therefore remains. Also, he asks for clear and quantified confirmation of maintenance full funding allocated to the SECPa system, which currently amounts to 14 million euros nationally, or 0.005% of the annual health insurance budget.

Machine translation from French. The official text remains authoritative.

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1. 10 March 2026

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• Yannick Monnet · auteur

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