Question 13713 — maternity health insurance

Summary

Mr. Laurent Lhardit draws the attention of the Minister of Health, Families, Autonomy and Persons with Disabilities to the absence of publication of 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. In France, nearly 700,000 women live with active breast cancer or under surveillance, which remains the deadliest female cancer, causing more than 12,000 deaths each year. Even if this disease is recognized as a long-term condition (ALD), allowing 100% coverage of the main treatments (chemotherapy, radiotherapy, hormonal therapy, surgery), patients often have to face out-of-pocket costs, which vary depending on their complementary health insurance, estimated on average at 1,400 euros. This includes in particular the costs transport and supportive care: creams, varnishes, adapted physical activity, psychological monitoring which are an integral part of the care pathway and are neither secondary nor optional. Law No. 2025-106 of February 5, 2025 finally responds to this reality that has been neglected for too long, by reducing out-of-pocket costs and improving access to devices that are insufficiently or unevenly reimbursed, such as medical tattooing (on areas of the areola and nipple) after breast removal, the renewal of breast prostheses allowing patients to rebuild themselves after the ordeal of cancer. However, more than a year after the promulgation of this text, several implementing decrees remain awaited, delaying the effective implementation of the advances voted on and depriving patients of the rights which have been recognized to them. This situation leads to uncertainty legal and financial and the fact that, to this day, thousands of women continue to bear significant expenses even as they face a major physical and psychological ordeal. In this context, he asks it to please indicate, precisely, the timetable for publication of the decrees still awaited and the immediate measures that the Government intends to take to put an end to this situation and ensure finally the effectiveness of the law.

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