Question 15596 — foreigners

Summary

Mr. Guillaume Gouffier Valente questions the Minister of Health, Families, Autonomy and Disabled People on recent developments in State medical aid (AME) and their concrete consequences on access to care for people in precarious administrative situations, particularly women. Two decrees published in February 2026 (decree no. 2026-66 and 67) substantially modified the conditions of access to this system. The first strengthens the requirements in terms of supporting documents, particularly identity, with a stated objective of combating fraud, while the second extends access to beneficiary data to a greater number of administrations. These measures are part of a logic of budgetary savings estimated at around 180 million euros. Furthermore, several avenues for reform, such as taking into account the resources of the spouse or even the restriction of the healthcare basket, remain regularly mentioned in public and parliamentary debate. These developments call for particular vigilance with regard to their differentiated effects on women, particularly migrant women. The strengthening of administrative requirements in fact constitutes an additional factor of exclusion for populations already highly exposed to non-recourse. Many women, in particularly those faced with situations of violence, exploitation or dependence, do not always have the required documents, or may be deprived of them as part of administrative detention. Under these conditions, access to care, which often represents a first entry point towards protection, support and reporting, is weakened. In this context, he asks her what are the first evaluations of the consequences of these decrees on effective access to AME, in particular for women in vulnerable situations. He would also like to know what measures the Government intends to implement to prevent a worsening of non-seeking of care and its effects on public health. He also questions him about the existence or implementation of a gendered impact analysis of these reforms. Finally, he requests to clarify the Government's intentions regarding possible changes to the healthcare basket or the introduction of new restrictions on access to AME, as well as the reasons for the absence of in-depth parliamentary debate on measures with structural effects for access to healthcare.

Machine translation from French. The official text remains authoritative.

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