Question 37371 — maternity health insurance

Summary

Ms. Annie Vidal alerts the Minister of Solidarity and Health to the dissatisfaction of orthopedists-orthotists regarding 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 creates a disparity in treatment, does not respect the principle of equality between health professions of the same competence and encourages a monopoly. It leads to irregularities both on the medical and economic levels, as well as on the rivalry of interests. It also creates inequalities in care for the patient, by complicating access to care for people wishing to use an orthopedist-orthotist - and furthermore hinders the patient's free choice, which is a fundamental principle of the legislation for all healthcare professionals. health. These professions have the same qualification level V (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 that of their colleagues. As required by regulations, orthopedists-orthotists establish the same diagnosis as chiropodists-podiatrists; that is to say, they analyze and evaluate morphostatic and dynamic disorders of the foot. Finally, orthopedists-orthotists, just 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 foot orthoses by social security. In view of the above, she would like to know what measures he is considering to ensure 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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