Question 17503 — dependency

Summary

Mr. Hubert Brigand draws the attention of the Minister of Labor and Solidarity to the use of revenues from the solidarity day, established following the heatwave of summer 2003 in order to strengthen the resources devoted to supporting the elderly and people with disabilities. More than twenty years after its creation, episodes of extreme heat remain a major threat for the most vulnerable people. vulnerable. Recent events show that many accommodation establishments for dependent elderly people (EHPAD) still do not have an air conditioning system in residents' rooms. If the regulations provide for the existence of at least one cooled space in each establishment as well as the implementation of a heat wave management plan, it does not require individual equipment in the rooms, even though heatwave episodes are now more frequent, earlier and more intense. At the same time, the solidarity day constitutes funding that has become essential for the Autonomy branch of Social Security. In 2025, revenue from this contribution represented 3.48 billion euros, or nearly 8% of the resources of the Autonomy branch, for the benefit of more than 2.5 million elderly people or those in need. disability situation. The resources of the Autonomy branch today mainly finance medico-social establishments and services, assistance paid to departments for APA and PCH as well as investments in the modernization and adaptation of structures. In this context, he asks it: to communicate, year by year since 2004, the amount of revenue collected under the Solidarity Autonomy Contribution (CSA) and the additional solidarity contribution for autonomy (CASA), as well as their detailed distribution by major categories of expenditure; to specify the amount of investments devoted to energy renovation, cooling and adaptation of medico-social establishments to heat waves; to indicate the number of EHPADs that currently have air conditioning in all rooms, air conditioning partial or only cooled collective spaces; to specify whether the Government plans to change the standards applicable to establishments welcoming elderly people in order to ultimately guarantee accommodation conditions better adapted to the consequences of climate change; to make known the measures it intends to take to improve transparency on the use of proceeds from the solidarity day, so that citizens can have a consolidated balance sheet tracing the sums collected since the origin of the system and the concrete achievements made possible thanks to this national solidarity effort. Finally, while climate projections announce an increase in the frequency of heatwaves, he asks the government to indicate the directions adopted by the Government to guarantee safety, dignity and comfort. elderly people and people with disabilities welcomed in medico-social establishments.

Machine translation from French. The official text remains authoritative.

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