Question 8655 — health professions

Summary

Signed in 2023, Amendment No. 7 to the national convention organizing relations between self-employed masseurs-physiotherapists and Health Insurance, signed on April 3, 2007, allowed a significant enhancement of the profession of masseurs-physiotherapists by providing for an upgrade of the key letter and certain acts and the creation of new acts in favor of the elderly and people with disabilities. The effects of these measures are staggered between 2024 and 2030. Among the most important measures of this amendment, there are two structuring upgrades for the profession. The general revaluation of key letters with a value of 3%. And that of rehabilitation acts for orthopedic and rheumatological conditions and certain acts relating to neurological and muscular pathologies spread over 2025, 2026 and 2027. As a reminder, the activity of masseurs-physiotherapists focuses 70% on the treatment of orthopedic and rheumatological conditions. In June 2025, the alert committee on the evolution of Health Insurance expenditure effectively estimated that there was a serious risk that Health Insurance expenditure would exceed the alert threshold in 2025. It therefore decided to trigger the procedure allowing the revaluations of the masseurs-physiotherapists planned for July 2025 by amendment no. 7. The postponement of the entry into force of conventional negotiations constitutes the only existing infra-annual regulation system for municipal care. Conversely, prudential reserve mechanisms mainly weigh on health and medico-social establishments and not at all on the city. That said, in order to reassure the representatives of the profession, the national health insurance fund signed amendment No. 8 on November 28, 2025 with the trade union organizations representing the profession with the aim of bringing forward the date of entry into force of certain measures provided for by amendment No. 7 in 2026 to avoid a further postponement of the next revaluations. Finally, the Ministry of Health is continuing in-depth work, with representatives of masseurs-physiotherapists, to develop the profession in its skills, its access modalities and its organization with other health professionals.

Machine translation from French. The official text remains authoritative.

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