Question 7153 — maternity health insurance

Summary

Mr. Laurent Alexandre questions the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the responses to be given to taxi drivers mobilized in reaction to the 2025-2029 framework agreement. The profession is mobilizing because it considers itself threatened by this new agreement ordered by the National Health Insurance Fund. Taxis and patients from the territories rural areas would be particularly affected by the implementation of shared journeys. These new provisions are not adapted to territories increasingly distant from major health centers. Indeed, the organization of the concentration of medical supply in health centers and the intensification of medical desertification mechanically lead to an increase in medical transport and the costs incurred. In territories where the habitat is often fragmented, where the distances to be covered are counted in tens of kilometers and where the car is necessary to get to a health establishment, individual transport is necessary and already long. Imposing “shared” journeys on approved taxis means further extending the travel time for patients whose state of health is fragile and who need rest. This directly impacts the quality of health service and also amounts to a questioning of the privacy of the patients in care. It is also a crucial role of the profession because drivers often become attentive ears, a support to those who are struck by the disease. This new agreement also provides for a reduction in pricing covered by health insurance which threatens the economic viability of many taxi companies. approved. These will suffer a scissors effect with on one side the increase in intermediary costs (fuel, insurance, etc.) and on the other the reduction in agreed rates even though 85% of taxis provide approved transportation of sick people. Nearly half of companies are at risk of economic layoffs. For some, this reform amounts to a 40 to 50% drop in their turnover. THE The professionals hardest hit will be those working in the countryside since the approved transport of sick people represents between 75 and 80% of their activity. In addition, the threat of a possible introduction of VTCs into approved transport looms over the taxi model, by establishing a private competitive logic within a system hitherto based on solidarity. This would amount to calling into question one of the pillars of the French health system, united by essence, whose safeguards must imperatively be preserved. Thus, on the one hand, he seeks to know whether the Minister plans to act to preserve the relationship between approved taxis and the CNAM and to formally prohibit the introduction of VTCs into this agreement. On the other hand, he asks him if he intends to respond positively to the professionals mobilized by withdrawing this new agreement and by opening new negotiations in order to guarantee quality and economically viable approved transport.

Machine translation from French. The official text remains authoritative.

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