Question 17172 — people with disabilities

Summary

Ms. Lisette Pollet draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the absence of publication of the implementing decree provided for by article 61 of Law No. 2025-199 of February 28, 2025 on the financing of social security for 2025, relating to transport companies for people with reduced mobility (TPMR). Coming into force in February 2025, this provision provides for the intervention of a implementing decree within six months in order to specify the conditions of operation, approval and articulation of these companies with other players in medical transport. However, to date, this decree has still not been published, leaving the professionals concerned in a situation of legal and economic uncertainty which is detrimental, both for the sustainability of businesses and for the continuity of patient care. accompanied. Indeed, on the ground, the consequences are already visible. Many companies are experiencing serious cash flow difficulties, some have initiated layoffs, others are forced to request the opening of a judicial recovery procedure, while several have already ceased their activity. Beyond the economic and social consequences, this situation directly threatens the continuity of access to care. In many areas, particularly rural areas, paratransit companies provide daily travel for people with disabilities, elderly or dependent people, often without any other mobility solution. Their gradual disappearance risks leading to a breakdown in equality in access to care, by forcing certain patients to forgo their medical appointments or their treatments due to fault. adapted transport. However, technical exchanges took place in the fall of 2025 between the trade union organizations representing transport companies for people with reduced mobility and the services of the General Directorate for Healthcare Supply (DGOS). Despite this work, no decision has been made public and no publication schedule has been communicated. The implementation of this reform is particularly awaited by the professionals concerned and by users of the health system, particularly in rural areas where adapted transport constitutes an essential link in access to care for the elderly, sick or disabled. Also, she asks him to kindly indicate the progress of the ongoing interministerial arbitrations, the possible obstacles identified to the publication of this decree as well as the provisional timetable now retained by the Government for its entry into force.

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