Question 3638 — maternity health insurance

Summary

Mr. Patrice Martin draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the risks linked to Vitale card fraud and its repercussions on public finances. During a statement to Parliament in February 2020, the director of social security estimated the number of surplus Vitale cards at 2.6 million. The Court accounts estimated in 2023 that overall fraud in social benefits could represent between 2.5 and 3.2 billion euros per year, or around 3.1% of the benefits paid by the CAF. This fraud notably includes the abusive use of excess Vitale cards, facilitated by the absence of biometric identification and gaps in updating policyholder data. This phenomenon occurs in a context where security social security faces a forecast deficit of 16.6 billion euros for 2024, according to the report of the Social Security Accounts Commission. A situation which calls for a strengthening of controls and the modernization of systems, in particular through the generalization of the biometric Vitale card, regularly discussed in Parliament in recent years but abandoned in 2023 by the then Minister of Public Accounts, Mr. Gabriel Attal, after in to have been the promoter. Faced with these findings, he wishes to know what measures the Government intends to take to reverse the implementation of the biometric Vitale card or another device moving in the direction of the implementation of a biometric Vitale card, to strengthen controls against fraud and to guarantee that the savings made contribute directly to the sustainability of the social protection system.

Machine translation from French. The official text remains authoritative.

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