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7114

Question 7114 — health

answeredFrance· National Assembly· FR

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27 May 2025

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répondue

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1 September 2026

Summary

Mr. Arthur Delaporte draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the prospects for financing health and sexual health mediation centers (CSMSS). By integrating the CSMSS into article L. 6323-1-14-1 of the public health code, the social security financing law for 2025 provided for the perpetuation of the four centers tested in France by three associations (AIDES, Groupe SOS, Virages santé) as well as the possibility of creating new centers. However, the decree of April 29, 2025 setting the financing terms for the CSMSS proposes financing that differs from that on which the CSMSS were tested. This new model has, moreover, not been the subject of a collective evaluation of the impact of the modifications. The amounts planned packages, grants and seed credits do not ensure a balance of resources and expenses. For example, the provisions of non-cumulation of certain packages on the same day for the same person will necessarily lead to expenditure from the own funds of the structures carrying out projects whose mission will be to ensure the continuity of care for their users. According to calculations made from activity and accounting data for year N-2 of the AIDES association (carrier of two centers), it estimates an annual deficit of 600,000 euros for these two centers. These modalities call into question the Government's commitment to perpetuate the experimentation of CMSS, which must have sufficient funds to carry out their mission. Also, he questions him about the urgency of reviewing the financing methods of the CMSS.

Machine translation from French. The official text remains authoritative.

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