Question 37289 — health professions

Summary

Mr. Hervé Pellois draws the attention of the Minister of Solidarity and Health to Decree No. 2019-835 which specifies “the coverage by compulsory health insurance of the renewal of plantar orthoses by chiropodists-podiatrists on the basis of an initial prescription”. This decree would leave aside orthopedists-orthotists, thus creating a disparity in treatment and not respecting the principle of equality between health professions of the same skill, thus encouraging a monopoly. It also risks generating inequalities in care for the patient, by complicating access to care for people wishing to use an orthopedist-orthotist and would also hinder the patient's free choice. However, this free choice is a fundamental principle of legislation for all health professionals. This difference of treatment does not seem to be able to rely solely on the argument of training. If chiropodists-podiatrists follow three years of teaching, they do not complete three years of learning on plantar orthotics alone and in this case, it would be necessary to compare the teaching of the equipment common to other professions concerned, including orthopedists-orthotists. These professions also have the same level V of qualification (decree of June 11, 2020). The teaching of diagnosis and care, provided to orthopedists-orthotists and included in the skills framework consolidated by the Ministry of Health, demonstrates their expertise which is just as advanced as their colleagues. As required by regulations, orthopedists-orthotists establish the same diagnosis as chiropodists-podiatrists: they analyze and evaluate morphostatic and dynamic disorders of the foot. Finally, orthopedists-orthotists, like chiropodists-podiatrists, are health professionals, registered in the public health code (book III). Medical assistants, they can practice in advanced practice as provided for in article L. 4301-1 of the public health code and are also subject to the same obligations and constraints in terms of delivery, for the reimbursement of plantar orthoses by social security. In view of the above, he would like to know to what extent he plans to put an end to these disparities resulting from the decree so that these fitting professionals are granted the same rights to the renewal of plantar orthoses.

Machine translation from French. The official text remains authoritative.

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