Question 14357 — health

Summary

Mr. Patrice Martin draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the worrying situation of the Liberal Health Team Action association, known as “Asalée”. Created in 2004, this association relies on 2,080 nurses practicing throughout the national territory and 9,000 general practitioners who are partners in this network. These professionals contribute significantly to improving the care of patients with chronic diseases, therapeutic education and ensuring long-term follow-up of patients, accompanied by early detection and preventive actions. Thanks to this support, patients become active and autonomous in the management of their health and their pathology. In a context where the health system is faced with numerous challenges, such as aging of the population, the increase in chronic pathologies and the tensions on medical demographics, the Asalée association provides a concrete and effective response on the ground. Recognized as a public utility since 2017, it receives 100 million euros per year from the National Health Insurance Fund, which represents 98% of its own resources. After a reduction in its subsidies two years ago, the CNAM decided, in 2026, to stop paying its funding to the association, accusing it of not having implemented the recommendations issued in a report from the general inspection of social affairs (IGAS no. 2024-043R) dated July 4, 2025, which was particularly harsh on the management of the association. This report highlights several dysfunctions considered serious, particularly in terms of governance, overall financial management and compliance with rules. of public procurement. Considering that the corrections made by the management of the association were insufficient following the publication of this report, the CNAM decided to suspend its financing and its payments from December 2025. Since January 2026, it is therefore unpaid professionals who have continued their activities and missions within the framework of the system. Even more worrying, the structure is faced with a worrying budgetary impasse: it has been in a state of cessation of payments since March 5, 2026 and has a deficit of 67 million euros, accompanied by debts to the Union for the Recovery of Social Security Contributions and Family Allowances (Urssaf), as well as allowances and compensation due to the association's partner doctors. The consequences are critical for these professionals. health, even though the results observed throughout the national territory demonstrate the health and medical effectiveness of the system: improvement in health indicators, patient satisfaction and strengthening of multi-professional team work. It is a model based on trust and the complementarity of skills, which is fully in line with the transformation objectives pursued by our system of health. Taking these elements into account, he wishes to know the actions that the Government intends to undertake as well as all the solutions envisaged to support this public utility association, invested in local, humane, coordinated and prevention-oriented medicine.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.