Question 16906 — marital status

Summary

Mr. René Pilato draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the problems encountered by transgender people when updating their National Health Identity (INS) following a change in marital status. When a person obtains the modification of the mention of their sex in civil status, this development results in the creation of a new number registration in the social security directory (NIR). However, several testimonies indicate persistent difficulties in the synchronization between this new NIR, the National Health Identity (INS) and the “My health space” platform. These malfunctions can have significant consequences. In particular, they lead certain business software used by health professionals to reveal the old identity of the person, despite the complete regularization of their civil status. This situation is likely to cause involuntary disclosures of transidentity to health professionals or third parties, thus violating respect for privacy. Furthermore, conflicts between the old and new NIR can prevent access to “My health space”, temporarily disappear the medical history or complicate the monitoring of long-term conditions, at the risk of compromising the continuity of the care pathway. The people concerned also indicate that they are faced with a lack of operational solution, with the various contacts - health insurance, assistance from "My health space" or health establishments - passing responsibility for handling these anomalies to each other. In these conditions, he asks him what measures the The Government intends to take steps to make the synchronization mechanisms between the INSEE, Health Insurance, National Health Identity and “My Health Space” databases more reliable, in order to guarantee the continuity of rights, the confidentiality of health data and respect for the privacy of the people concerned. He also wishes to know whether an audit of these dysfunctions is planned and whether a national procedure for Rapid correction will be implemented for situations already affected.

Machine translation from French. The official text remains authoritative.

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