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15779

Question 15779 — health establishments

openFrance· National Assembly· FR

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9 June 2026

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posée

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9 June 2026

Summary

Mr. Pierre-Yves Cadalen alerts the Minister of Health, Families, Autonomy and Persons with Disabilities to the cessation of the experimentation of participatory coordinated exercise structures with specific financing (SEC Pa), carried by article 51 of law no. 2017-1836 of December 30, 2017 on the financing of social security for 2018. The final evaluation report of the SEC Pa dated December 20 2023 establishes the viability of the project on the long term, given that all establishments consumed on average only 71% (and 85% on median) of the overall allocated envelope. It underlines the economic solidity of the model for the structures, in fact the financial situation during the experimentation of the targeted structures is much more balanced than the national average, with surpluses reaching on median 11% of their products, while the sector records usually an average deficit of around 10%. These performances thus legitimize the expenses initially allocated. Finally, the feedback from employees and users is unanimously positive. Unfortunately, the withdrawal of the State from this type of system would not allow the possible resumption of the project by local authorities, due to the reduction in their budget. He wishes to know the precise reasons for refusal to generalize the experimentation of the system of participatory coordinated exercise structures with specific financing (SEC Pa) while the model seemed on the path to success.

Machine translation from French. The official text remains authoritative.

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