Question 16599 — maternity health insurance

Summary

Mr. Sébastien Saint-Pasteur draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the persistent delays in the effective implementation of reimbursement for medical devices returned to good working order and more particularly reconditioned technical aids intended for the elderly, people with disabilities and people losing their autonomy. The principle of this taking into account charge was voted as part of the social security financing law for 2020. Several years later, the sector remains weakened by the absence or incompleteness of certain texts and opinions essential to its effective deployment, in particular the pricing opinion of the Economic Committee for Health Products, the texts relating to national traceability via the ECO-DM platform, as well as those relating to organizations certification. This situation is all the more worrying as the players in the social and solidarity economy involved in this sector have already invested to structure a secure reuse offer, in compliance with the quality and safety requirements applicable to medical devices. The Envie Autonomie network indicates that it has collected more than 25,000 technical aids in 2025, of which more than 6,000 have been reconditioned and nearly 7 000 distributed, while contributing to reducing the environmental impact of the health sector. On the scale of its activity, it notably reports 2,756 tonnes of CO2 avoided and 1,809 tonnes of materials sent to the recycling sector. The development of the reuse of technical aids meets a triple objective of general interest. It makes it possible to reduce the out-of-pocket costs of the most precarious people, to improve access to technical aids in a context of population aging and loss of autonomy and to contribute to the decarbonization of a health sector whose environmental footprint is now fully documented. It can also constitute a sustainability lever for health insurance, departments, health establishments and medico-social establishments. However, in the absence of complete regulatory execution, Pioneering structures in this sector find themselves today in a situation of economic uncertainty, even though they respond to major social, health and environmental needs. He therefore asks it to kindly specify the timetable retained by the Government for the publication of the final texts necessary for the effective implementation of the reimbursement of reconditioned medical devices, the progress of the pricing opinion expected from the Economic Committee for Health Products, as well as the measures envisaged to sustainably secure the players in this solidarity reuse sector.

Machine translation from French. The official text remains authoritative.

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