Question 15285 — health

Summary

Mr. Pierre Pribetich alerts the Minister of Health, Families, Autonomy and People with Disabilities to the situation of nurses in the Asalée system. Created in 2004, the Asalée association “Liberal team health action” organizes cooperation between nurses and private doctors to improve the care of patients suffering from chronic illnesses. It is financed on average to the tune of 100 million euros per year through health insurance. On June 24, 2025, the General Inspectorate of Social Affairs (IGAS) published a report entitled Control of the management and deployment of the Asalée system. This report notes “serious and multiple dysfunctions” in areas such as the management of the system, irregularities in the conclusion of agreements between health insurance and the association as well as breaches of law of work. Reading the report is made difficult by the numerous passages of blurred text, the IGAS invoking article L. 311-6 of the code of relations between the public and the administration relating to medical confidentiality and the protection of private life. However, under such conditions, it is not possible to precisely determine the failings alleged against the management or nurses of Asalée. This situation deprives the association of the possibility of fully ensuring his defense, in particular of his fundamental right to be informed of the charges brought against him, a right guaranteed by the European Convention for the Protection of Human Rights and Fundamental Freedoms and recalled in the preliminary article of the penal code. On March 6, 2026, the Paris Economic Affairs Court received a request for judicial recovery from Asalée. This procedure allowed the payment of two months' salary to the nurses of the system, who continued to carry out their missions with patients despite the lack of remuneration and the increase in their professional expenses, the first of which is transport. On March 27, 2026, the Paris Economic Affairs Court placed the Asalée association in receivership. This procedure will allow the payment of employee remuneration, including arrears, thanks to the intervention of the Association for the Management of the Employee Claims Guarantee Scheme (AGS). Even if breaches have been established against Asalée management, nurses should not be penalized for decisions that are not their responsibility. This system has largely proven its relevance, making it possible to create social bonds for patients with chronic diseases, to maintain a medical network in territories which are now medical deserts and even by allowing savings with a reduction in the taking of medicines by the patients being monitored. Furthermore, all the nurses, as well as the doctors registered in the Asalée system, underline the quality of the working environment while, at the same time, these professions are losing their vocation. Therefore, he wishes to know the measures it intends to take to ensure the continuity of the Asalée system, guarantee the continuity of care throughout the territory and allow the professionals registered in this framework to continue to exercise their essential mission.

Machine translation from French. The official text remains authoritative.

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