Question 14338 — health establishments

Summary

Mr. Hervé Saulignac draws the attention of the Minister of Solidarity and Health to the financing of hospital transport. The provisions of article 80 of the PLFSS 2017, which came into force on October 1, 2018, transfer responsibility for financing hospital transport from the patient to health establishments. Hospitals, provided with envelopes to cover travel-related expenses, are now, instead of customer, the choice of their private ambulance service during outpatient consultations and transfers between hospitals. If this measure aims to avoid fraud and rationalize the expense of hospital transport, it greatly undermines small ambulance companies with regulated prices. Hospitals, in fact, carry out calls for tender which favor large medical transport companies equipped with human resources and significant logistics, and able to offer discounted prices, at the risk of creating significant social dumping. Small and medium-sized structures, cut off from part of their activity, find themselves in difficulty, as demonstrated by the very strong mobilization of the profession in recent days. The consequences are multiple. The risk of “Uberization” of this sector of activity is not excluded knowing that the large companies owning markets, subcontract hospital transport to non-approved taxis. In addition, there is a risk of seeing health transport disappear in rural areas, with significant repercussions in terms of local health policy in areas already suffering greatly from medical deserts. These fears are all the greater as the regulatory provisions have been exceeded by the hospitals and the The ministry has already had to send a circular to regulate relations between carriers and health establishments. Also, he asks him, on the one hand, to specify what are the means of control, on the part of the State, of strict compliance with the legislation in force and, on the other hand, to confirm to him that the scope of this measure will not, in the long term, concern other activities such as returning home, definitely putting small ambulance companies at risk.

Machine translation from French. The official text remains authoritative.

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