Question 2612 — family benefits

Summary

Mr. Jean-Didier Berger questions the Minister of Solidarity, Autonomy and Equality between Women and Men on the figures highlighted by the Court of Auditors in its certification report published in May 2024. The latter refused to approve the 2023 accounts of the family branch and the National Family Allowance Fund (CNAF). This decision is largely based on the significant number of uncorrected errors despite internal control systems. The Court notably highlighted a high residual risk, based on the data declared at 24 months, which reached 7.4% of the benefits paid. This represents an estimated amount of 5.5 billion euros in erroneous payments (undue or reminders) which will never be identified. Among these errors, residual overpayments - corresponding to non-fraudulent and undetected overpayments which will remain irrecoverable - therefore amount to 6.3% of benefits, or approximately 4.6 billion euros. As for residual reminders - the amounts due but not paid to beneficiaries - they reach 1.1%, which represents almost 0.9 billion euros. These figures are alarming and cast doubt on the ability of CAFs to detect these anomalies. Undue payments are slightly increasing compared to 2022, when they were between 5.5 and 6.8%. services. Furthermore, these figures add to the fraudulent maneuvers which represent a significant burden for the solidarity system. The family branch carried out a fraud assessment in 2023, as it does every two years. According to the Court of Auditors, potential fraud “represents 4.9% of the legal services paid” by the CNAF, or 3.9 billion euros, an increase of 39% compared to the previous evaluation in 2021. If we combine the fraudulent maneuvers and errors, we reach the amount of 8.5 billion euros that the CNAF should not have paid. And if we add the errors and fraud identified on health costs in the health sector, the French social system pays 13.5 billion euros (1.9 billion euros of fraud and 3.1 billion euros in undue amounts on health costs for 2023 according to the Court of Auditors). This calculation does not include other benefits affected by errors and fraud (IJ of the sickness branch, disability pensions, IJ AT-MPh, etc.) It asks for the concrete measures that the Government intends to put in place, in particular at the level of the CNAF algorithms and in terms of controls with the CAF, to reduce these non-fraudulent overpayments.

Machine translation from French. The official text remains authoritative.

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