Question 15434 — social and medico-social institutions

Summary

Mr. Nicolas Pacquot questions the Minister of Labor, Health and Solidarity on the future of pricing for home nursing services (SSIAD) and multi-purpose home care and help services (SPASAD). Decree No. 2023-608 of July 13, 2023 introduced a major restructuring of the home sector by merging existing services (SAAD, SSIAD and SPASAD) to create a new category of services, independent home services (SAD). This initiative aims to offer a more complete response to people's needs while simplifying daily procedures and strengthening coordination between aid and care professionals, with the aim of a one-stop shop in particular. However, while the new, long-awaited pricing arrangements for SSIADs came into force in 2023 with the aim of better taking taking into account the activity of the services and the level of loss of autonomy of the people supported, as well as providing more financial resources to the services treating people with more extensive care, uncertainty reigns as to the prices planned for 2025, at the time of the planned transformation of the SSIADs. In this context, he asks for clarification on the measures envisaged by the Government in pricing matters once the groupings are effective.

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