Question 15486 — health

Summary

Ms. Marie-Agnès Poussier-Winsback draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the future of the Asalée system (liberal team health action). Created in 2004, this cooperation model brings together 2,050 nurses in collaboration with 9,000 general practitioners in 4,000 practices spread across the country. This system is a pillar of prevention and treatment burden of chronic diseases, benefiting nearly 2 million patients. Its effectiveness is demonstrated: a study highlights that it allows a saving of 9.4% on health expenses for monitored patients, representing a potential gain of 3 billion euros on a national scale. However, despite these results and the existence of an IGAS report on the subject, the situation of the association has become critical. On January 28, 2026, the management of the National Health Insurance Fund (CNAM), which finances the structure up to 98%, has notified a firm decision to stop financing with immediate effect. This sudden break led to the association going into receivership in February 2026. A situation which jeopardizes twenty years of work with patients and caregivers. The interruption of this system would not only weaken the continuity of care for chronically ill people, but would also aggravate the work overload of general practitioners, already saturated. In this context of social and health emergency, she asks what measures the Government intends to take to guarantee the sustainability of the system via the signing of a 2026-2028 agreement. She wants to know if the Government intends to protect this model of human and local care.

Machine translation from French. The official text remains authoritative.

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