Question 42114 — health establishments

Summary

Mr. Yves Hemedinger draws the attention of the Minister of Solidarity and Health to the reduction in “Fillon” reductions induced by the salary increases of Ségur de la santé. The Ségur de la santé has finally made it possible to increase the salaries of many medical and medico-social professions and thus to strengthen the recognition of these essential professions. If these revaluations must be welcomed, the lack of preparation which surrounding their application is problematic and places great pressure on health establishments. Since 2005, a “Fillon” reduction, also called a general reduction in employer contributions, has made it possible to reduce the amount of employer contributions on low wages. However, the salary increases introduced by the Ségur de la santé agreements, by increasing staff salaries, lead to a drastic reduction “Fillon” reductions from which health establishments benefited. This increase in employer contributions paid by health establishments does not appear to have been anticipated by the Government since they are not taken into account in the calculation of compensation for Ségur de la santé premiums paid to health establishments. This situation places an additional financial burden on health establishments already in tension. An establishment in the MP's constituency thus indicates that the reduction in "Fillon" reductions leads to an increase in its expenses of 140,000 euros for its 2021 financial year. It therefore wishes to know whether these reductions in "Fillon" reductions resulting from the salary increases of Ségur de la santé will be compensated by the State.

Machine translation from French. The official text remains authoritative.

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