Question 6485 — elderly people

Summary

Mr. Frédéric Boccaletti draws the attention of the Minister Delegate to the Minister of Labor, Health, Solidarity and Families, responsible for autonomy and disability, to the exclusion of agents from the Occupational Retirement and Health Insurance Fund (CARSAT) agreement - coordinated service offering to support my retirement (OSCAR). In 2030, France will have 21 million people over 60 years old compared to 18 million today. 90% of French people want to age at home. Supporting them therefore represents a major challenge. Home help services are an essential link to achieve this. Questioned by representative structures present in his district, he questions him about one of the obstacles which exists to the principle of the free choice of the mode of intervention for the person losing autonomy. The OSCAR system, deployed since 2021 by the national old age insurance fund (CNAV), participates in the policy of supporting the autonomy at home of vulnerable people. The OSCAR financial assistance plan is based on an agreement system between CARSAT and home help services. However, the CNAV circular of December 23, 2023 requires in the mandatory criteria that the approved home help service intervenes according to the provider mode, effectively excluding agencies that intervene in agent mode. This difference in treatment in fact constitutes a clear obstacle to the principle of free choice between methods of intervention. He therefore asks her how she intends to remedy this injustice.

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