Question 44427 — people with disabilities

Summary

Ms. Sophie Métadier draws the attention of the Secretary of State to the Prime Minister, responsible for disabled people, to the ongoing reform of the care of vehicles for people with disabilities (VPH) and in particular wheelchairs. This reform, which is part of the broader reform of technical aids decided in 2020, aims to allow faster and less expensive access to these wheelchairs. It requires significant work to revise the technical tariff nomenclature. HPV reimbursement rates have not been updated for over 20 years. However, recently and without waiting for the essential opinion of the High Authority of Health (HAS) which examines the draft nomenclature and on which the manufacturers have drawn up some 285 points of comments, a price proposal was submitted to the various stakeholders. HPV manufacturers are warning of the deleterious consequences of implementing such a pricing proposal. Indeed, this proposal would drastically reduce the provision of care by excluding 75% of HPV currently treated. He notes the reduction in overall funding (between 110 and 170 million euros) currently dedicated to the acquisition of chairs. The project eliminates financing from third party financiers (MDPH and mutual insurance companies), without increasing the social security budget. This will result in a major reduction in the supply and variety of models offered to French users, inevitably depriving them of access to technological innovations. At the same time, there is a fear of the cessation of activity or disengagement of home health providers due to the economic unsustainability reinforced by this new model. unsuitable rental. These manufacturers highlight that setting prices would reduce the remuneration allocated to service providers by up to four times. This would force sales or rentals at a loss on many fields, while at the same time requirements and costs increase considerably. For the disabled person this situation also raises questions. Finally, people in wheelchairs risk losing their freedom of choice in the acquisition of their equipment. She welcomes the ambition of the reform which is not particularly aimed at savings but encourages innovation and aims for better care for people with disabilities. However, given the concerns of manufacturers and disabled people, it asks for the responses it can provide to the strong concerns expressed about the unsustainability of the measures envisaged. as part of the financing of this reform.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.