Question 38355 — health professions

Summary

Mr. Florian Bachelier draws the attention of the Minister of Solidarity and Health to the dissatisfaction of a certain number of orthopedists-orthotists relating to Decree No. 2019-835 relating to “the coverage by compulsory health insurance of the renewal of plantar orthoses”. Indeed this decree, in that it would seem to encourage a monopoly, would be likely to create a disparity in treatment contrary to respect for the principle of equality between health professions with the same skills. Inequalities in care for the patient would emerge since access to care for people wishing to use an orthopedist-orthotist is difficult. It would also hinder the patient's free choice, which constitutes a fundamental principle of legislation for all health professionals. Regarding the training of chiropodists-podiatrists, which lasts three years, it consists mainly of teaching, without any year of learning on plantar orthoses. This then results in a difference in treatment with other professions. It would be preferable to compare the teachings they follow to those of orthopedists-orthotists. Furthermore, under the decree of June 11, 2020, these professions have the same level V qualification. THE Orthopedists-orthotists follow courses relating to diagnosis and care, included in the skills base developed by the Ministry of Health. They are able to make the same diagnosis as chiropodists. Finally, according to Book III of the Public Health Code, orthopedists-orthotists, just like chiropodists-podiatrists, are health professionals. They are subject to the same obligations and constraints than their colleagues in terms of issuing and reimbursement of plantar orthoses by social security. In this context, he would like to know if the Government plans to modify this decree so that these fitting professionals are granted the same rights to renew their plantar orthoses.

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