Question 18159 — people with disabilities

Summary

Mr. Nicolas Pacquot questions the Minister Delegate to the Minister of Labor, Health and Solidarity, responsible for the elderly and disabled people, on the disparities in covering transport costs for adults with disabilities. Indeed, support varies depending on the circumstances. Thus, people attending medical structures such as specialized reception centers (MAS) or Medical foster homes (FAM) benefit from free transport costs between their home and their reception establishment. From July 2024, adults with disabilities attending a work assistance establishment and service (ESAT) will also be able to claim reimbursement for their home-workplace transport costs from their employer. However, when the disabled adult is welcomed in a residential or living home, transport costs are not always taken into account in the budget of the establishment, nor by social security and therefore remain their responsibility. For example, in Doubs, young adults hosted in a residential home until now benefited from free transport. However, the management of the foundation managing this structure, considering itself no longer able to financially assume this service, recently decided to transfer this cost to families, resulting in a monthly out-of-pocket cost estimated between 200 and 400 euros, after deduction of the 200 euros granted by the department, as a disability compensation benefit (PCH). This situation creates significant social and territorial inequalities, which increase the financial pressure on these people and their families. This is all the more unacceptable as it There seems to be no standardization in the application of these rates, each establishment being free to apply the rates it wishes. In July 2023, this issue had already been submitted to the Minister's predecessor, who had raised the possibility of opening discussions aimed at studying more broadly the question of covering transport costs for people with disabilities (adults and children), in order to clarify existing rules and re-examine them if necessary. Also, in this context, he asks for the measures envisaged by the Government to correct this inequity which imposes on these adults with disabilities, residing in nursing homes or accommodation, a burden that is difficult to bear given their resources.

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