Question 44251 — people with disabilities

Summary

Allow me first of all to recall the major existing difficulties which led us to propose this reform: The financial brake due to sometimes exorbitant and unjustified prices; The sometimes long delay in accessing technical assistance which results directly from financing difficulties for certain very specific needs and which requires the use of several financing methods (complementary health funds, disability compensation, disability compensation benefit, etc.) Improving access to technical aids is a priority of the Government in order to promote access to autonomy. The major focus of the reform concerns the revision of the nomenclature and pricing conditions for wheelchair coverage. The currently supported care basket is outdated and needs to be revised. This project continues several sub-objectives: Change pricing to eliminate the remainder. It is therefore in no way a question of making savings for health insurance but of improving the allocation of existing resources, in order to substantially improve the care of patients, particularly when they are equipped with the most specific chairs for which care remains too insufficient today. It is therefore proposed to reduce people's out-of-pocket costs to zero by controlling prices and improving health insurance reimbursement. Reduce processing time by avoiding the multiplication of financiers. Guarantee that each person using a wheelchair can benefit from the equipment best suited to their situation and needs. This involves strengthening the requirements on the prescription pathway, the development of systematic tests in real life conditions and the introduction of access to use as an alternative to access to property. Concerning the subject of renewals, the project aims to clarify the rights that users can benefit from in order to eliminate inequitable treatment in the territory. Obviously, a patient will always be able to benefit from a manual wheelchair and a wheelchair electrical if the need is identified and objectified by the medical team. Finally, article R.165-24 of the social security code relating to early renewal can always be applied in situations where the wheelchair is no longer in good condition. There are no plans to implement a compulsory return of a chair financed by social security. Our wish is, on the other hand, to create a sector allowing the reuse of armchairs which people no longer use and which they wish to voluntarily part with. Finally, innovation of course retains its place as long as the demonstration of added value with regard to the proposed nomenclature is made by the company and recognized by the High Authority for Health. In this case, reimbursement by health insurance is therefore entirely possible.

Machine translation from French. The official text remains authoritative.

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