Question 14647 — health establishments

Summary

Mr. Philippe Schreck draws the attention of the Minister of Labor, Health and Solidarity to the payment defaults of hospitals and other public health structures and their impact on the financial situation of medical transport companies (ambulances, light medical vehicles, taxis, etc.). Since the entry into force on October 1, 2018 of article 80 of the social security financing law for 2017, the support the cost of transporting patients hospitalized or leaving a health establishment has evolved. This reform mainly concerned land transport between hospitals, clinics or any other health structure. These establishments must now cover the costs of land medical transport and have entered into public contracts with medical transport operators. However, too many public health establishments do not respect their contractual obligations, in particular payment deadlines, towards medical transport companies. These delays are now reaching 6 to 8 months, thus putting their co-contractors in a situation of unacceptable financial precariousness. These companies placed in a cash flow situation will no longer carry out their missions and therefore interrupt the transport of patients, with all the consequences. health and human health that this implies, particularly in rural areas. Unless we consider that the public hospital is in a concrete situation of non-payment, it is therefore asked what emergency measures it intends to take so that public health establishments apply the provisions of Law No. 2013-100 of January 28, 2013 and finally respect their payment deadlines, but also their obligation to automatically pay payments. lump sum compensation and default interest, vis-à-vis medical transport companies.

Machine translation from French. The official text remains authoritative.

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