Question 15326 — health professions

Summary

Mr. Olivier Gaillard alerts the Minister of Solidarity and Health to the consequences of the regulatory implementation of article 80 of the social security financing bill (PLFSS) for 2017. The entry into force of this article allows clinics and hospitals to organize calls for tenders for transfers of patients between establishments. This article concerns the management of patient transport. Previously, it was health insurance that reimbursed the transport of patients from one health facility to another. However, since October 1, 2018, it is health establishments that bill and pay for transfers. This poses several problems for paramedics. Previously, the patient had the free choice of the company that transported him. Now, it is the hospital centers which draw up the calls for tenders, and it is up to them The final choice is the transport company. One of the great fears of ambulance workers is therefore that the smallest companies will not have the means - both financial and human - to respond to calls for tenders compared to large groups like Keolis or Transdev. These large patient transportation players pose threats to small businesses. Small “family” businesses therefore have no other choice but to carry out groupings to respond together to a call for tenders and then share a market. With this system, we fear that the relationships of trust that were established between hospitals and ambulance workers will be replaced by economic and financial logic, with lower quality services. Not to mention that payment deadlines for transport have now increased to 90 days, which is far too long for businesses. Given these foreseeable consequences, he asks if measures are planned to support this sector, and these very numerous companies providing jobs throughout the territory.

Machine translation from French. The official text remains authoritative.

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