Question 8428 — health professions

Summary

Mr. Julien Gokel draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the consequences of the suspension of conventional price increases, following the opinion of the Alert Committee on the evolution of health insurance expenditure dated June 18, 2025. This opinion results in the freezing and automatic postponement of all price increases initially planned, including those resulting from agreements already signed between health professionals and health insurance. This is a decision which impacts many self-employed health professionals, in particular physiotherapists, who had nevertheless signed an amendment providing for a modest and progressive revaluation, spread over four years, in order to take into account the current financial situation. public. This suspension seems to respond to a strictly accounting logic, without taking into account the specificities of each profession, their responsibility for exceeding the national health insurance expenditure objective (ONDAM) or even the revaluation schedule. Furthermore, it establishes unequal treatment between health professionals: unlike physiotherapists, other private practitioners have recently benefited from significant price increases, without being affected by this measure. This situation causes a deep feeling of betrayal, exhaustion and demobilization among self-employed physiotherapists, particularly in Dunkirk, who warn of medium-term risks: loss of attractiveness of careers, decline in prevention, worsening of tensions in under-resourced areas, strengthening of inequalities of access care etc. Physiotherapy plays a fundamental role in the management of aging, chronic illnesses and loss of autonomy. It would be particularly harmful to weaken this essential link in the local health system, at the very time when it needs stability and recognition. Also, he asks him if he intends to exclude from the freeze the revaluations resulting from conventional agreements already signed, reform the ONDAM alert mechanism by introducing criteria differentiated by profession and revise upwards the objectives of the ONDAM in order to guarantee sustainable operation of community medicine, without sacrificing physiotherapists.

Machine translation from French. The official text remains authoritative.

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