Records
38 records where Sylvia Pinel is listed as a sponsor, author, or other actor. Search with topics and years
Question· Question écrite9991open
France · National Assembly
The Public Action 2022 program launched by the Prime Minister on October 13, 2017 aims to accelerate the transformation of public action in order to improve the quality of public services, while controlling public spending by optimizing the means allocated to the implementation of public policies, in particular aid to businesses. To this end, the Public Action 2022 committee engaged in an evaluation of the effectiveness of tax measures that benefit businesses. The Government has, however, decided that, as part of this review, VAT rates, like the reduced rates applicable to the construction and catering sectors, must remain stable in order to ensure legal certainty and growth for operators.
Question· Question écrite8789answered
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of Solidarity and Health to the status of advanced practice nurse created by Law No. 2016-41 of January 26, 2016. Indeed, with the aim of modernizing the French health system and in order to respond to the major challenges facing society, particularly in the face of growing chronic illnesses and medical deserts, the choice was made to supervise a legal exercise in advanced practice. Present since the 1960s in the United States of America and Canada, but also in many other countries of the European Union, these professionals, holding an intermediate level diploma between bac +8 for doctor and bac +3-4 for paramedical professions, can respond to various issues in the field and are recognized with more extensive skills, in particular prescription, renewal and adaptation of treatment or even performance of procedures. These new practices, well regulated by law, providing additional training at master's level, and providing these staff with sufficient autonomy, would allow more efficient and rapid treatment of patients in the region. Also, the implementing decree still not having been published more than two years after the promulgation of law no. 2016-41, she would like to know the reasons and have a timetable for the publication and implementation of the said decree.
Question· Question écrite7713answered
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of National Education to the university qualification of school teachers who were recruited as teachers between 1986 and 1990. Indeed, during this transitional period, primary school teachers were recruited at a bac + 2 qualification level, i.e. DEUG or equivalent diploma. After passing the entrance exam to the Normal School of Teachers, they were then under the status of paid civil servant student for a period of two years of professional training attested by the diploma of higher studies for teachers (DESI). Even today, more than 25 years later, no text grants academic value to this diploma which does not benefit from equivalence with the license. The response given in 1998 by the minister did not provide clear information on this question which has remained unresolved since. In Indeed, school teachers who were former primary school teachers wishing to pursue a second career and take competitive examinations at the bachelor's level cannot do so today; likewise those wishing to request a secondment in secondary education in the body of certified or general education PLPs. Finally, those wishing to return to university studies with a view to developing professional skills are forced to go through the VAE or VAP routes to access a 1st year master's degree, including in the educational sciences sector. Also, given the difficulties encountered by some of the teaching staff, she would like to know the Government's position on this subject which calls into question the principle of mobility within the civil service.
Question· Question écrite5823open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of Agriculture and Food to the future distortion of competition for the livestock sector, and the beef sector in particular, within the framework of the future free trade agreement between the European Union and the Mercosur countries. Indeed, the differences in terms of production standards, environmental standards and prices between France and Mercosur will weigh heavily on the sector, particularly in terms of loss of jobs and income for French farms. While France and the European Union are moving towards an agricultural model that is sustainable for the environment and healthy for health, it is paradoxical to conclude an agreement with countries which frequently use transgenic plants, hormones (steroids) and growth activators. In addition to this opposition in terms of agricultural model, This could ultimately lead to a situation of dependence on the export of meat from Mercosur, which is not desirable for the agricultural country that is France, especially since other future agreements would also extend to pork. Also, without calling into question the principle of free trade, she would like to know how such an agreement can be justified and the conditions that the Government intends to impose. to preserve French agriculture.
Question· Question écrite45558open
France · National Assembly
Ms. Sylvia Pinel questions the Minister Delegate to the Minister of the Economy, Finance and Industrial and Digital Sovereignty, responsible for public accounts, about the possibility of exempting from income tax the modest remuneration of nursing staff for their participation in the vaccination campaign. Many health professionals are rightly calling for this measure to be put in place. In fact, the latter were put to tough ordeal during the covid-19 crisis and have combined several activities to be able to juggle between their job and the vaccination campaign, often for several weeks in a row and to the detriment of their personal and family life. In addition, they were once again on the front line to combat the spread of the virus and guarantee vaccination coverage throughout France. She asks him this consideration if tax exemption measures are planned for healthcare workers who participated in the vaccination campaign.
Question· Question écrite43843open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of the Economy, Finance and Recovery to the concerns relating to the new system for collecting the development tax which should be applied from January 2023. Under article 155 of the finance law for 2021, planning authorizations issued after January 1, 2023 will be due on the date of final completion of the operations within the meaning of article 1406 of the general tax code, that is to say within 90 days from the final completion of the development work. However, it is to be feared that with these new terms, cases of non-recovery of tax in the event of voluntary non-completion of the work or non-declaration of completion of the work will occur. This could result in a reduction in the resources of local authorities, already heavily impacted by local tax reform and the health crisis. Furthermore, the transition from a payment system for this tax based, on December 31, 2022 on the date of delivery of the planning authorization, to a system based on the due date after the completion of the work, on January 1, 2023, will in fact create for a certain period, a significant drop in the collection of revenue for communities and the architecture, town planning and environment councils (CAUE). However, the main resource of the CAUE is the departmental development tax portion dedicated to them. This situation constitutes a threat to the maintenance of their teams and to the continuity of the service provided by the CAUE to the territories. The actors concerned by this new system, in particular the CAUE, are legitimately concerned about the loss of revenue which could occur during this transitional period lasting 1 to 2 years. Also, she wishes to know the measures that the Government intends to take to guarantee the effectiveness of revenue collection under the conditions provided for under the new system. She also questions the anticipatory measures that will be taken to compensate for the financial shortfall for communities and CAUEs during this transitional period.
Question· Question écrite4232open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Secretary of State to the Prime Minister, responsible for disabled people, to discrimination in the hiring of women with a disability. In fact, for several months, many people in his constituency have told him of their difficulties in successfully integrating into the workplace. Measures have already been implemented. Thus, any employer employing at least 20 employees is required to recruit full or part-time disabled workers who must represent 6% of all employees in the company, and employers can benefit from aid from Agefiph. However, the number of job seekers with disabilities is still high, as a recent Fnath study points out, and disability is still synonymous with exclusion and precariousness. While a major plan to renovate employment systems must be announced in the first half of 2018, she would like to know the precise measures which will be taken to promote the professional integration of disabled workers, and more specifically women, the sanctions envisaged, the possibility of resorting to a typology of sanctions according to the size of the companies, but also the new way of considering the incentive to hiring people with disabilities.
Question· Question écrite39142open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of Solidarity and Health to the lack of support for patients suffering from “long covid”, despite the commitments made by the Government, on February 17, 2021, during the unanimous adoption of the resolution aimed at recognizing and taking care of the long-term complications of covid-19 in the National Assembly. Indeed, no “long covid” long-term illness (ALD) has not been put in place. This oversight has serious consequences because many patients, not having the means to cover the remaining costs, are forced to interrupt or abandon their treatment course. Regarding recognition as an occupational disease, caregivers who are not hospitalized or placed on oxygen therapy report a cumbersome and tedious procedure, hardly compatible with their pathological state. For non-caregivers, the evaluation is done on a case-by-case basis. Furthermore, the decree of September 14, 2020 does not respond to the symptoms specific to “long covid” and only concerns post-covid patients. This confusion is regrettable because people suffering from “long covid” present a greater variety of symptoms, coupled with a strong fluctuation depending on the return of inflammatory peaks. Therefore, the priority must be to revise the conditions for the recognition as occupational illness of pathologies linked to contamination by SARS-CoV2. At the same time and as the WHO often reminds us, it is fundamental to strengthen scientific knowledge of this prolonged version of the disease. Also, she would like to know the measures that the Government intends to take to facilitate the recognition and support of “long covid” on an administrative and medical.
Question· Question écrite38034answered
France · National Assembly
Ms. Sylvia Pinel questions the Minister of Ecological Transition on the legitimate concerns of the fresh vegetables, fruits and condiments sector regarding the ban on packaging made entirely or partly of plastic for the sale of batches of less than 1.5 kg not processed in retail stores. These provisions, resulting from the law relating to the fight against waste and the circular economy, generate real difficulties for certain professionals in the sector. In fact, the latter find themselves without any alternative solution, particularly for filleting or placing in trays requiring vision of the products. Their entry into force on January 1, 2022 does not leave enough time for the national sector to structure itself (in particular to renew all the machines used for packaging). As an example, for the garlic sector, the transition on January 1, 2022 from an offer consisting of 70% prepackaged to a 100% bulk offer is not economically feasible. For lack of alternatives, French players risk being marginalized, this sector being very competitive at European and international level. One of the solutions would consist of granting the sector the possibility of packaging fruit and vegetables in materials certified to comply with the French standard currently in force (NF T 51-800). This would make it possible to protect these foodstuffs, while respecting the objectives set by the Government in the fight against food waste and the circular economy. Also, she would like to know the measures that the Government intends to take to adapt, in consultation with the stakeholders concerned, the rules relating to packaging to the realities on the ground and thus guarantee the sustainability of the fresh fruit, vegetable and condiment sector.
Question· Question écrite35378open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister Delegate to the Minister of the Economy, Finance and Recovery, responsible for public accounts, to the reorganization of the public finance network in Tarn-et-Garonne, called "new local network", which arouses frank opposition on the ground. Local elected officials and unions have denounced this restructuring from the start, which will have a significant impact on the lives of residents. businesses, local communities and citizens. She also questions the future of the agents who denounce - rightly - the elimination of positions and the use of contractual staff. Also, she asks him if he plans to withdraw this project or at least re-examine it.
Question· Question écrite35360open
France · National Assembly
Mrs Sylvia Pinel draws the attention of the Minister for Europe and Foreign Affairs to child adoption trafficking in Sri Lanka in the 1970s, 1980s and 1990s. Some 12,000 babies adopted in Europe, including 1,500 in France, were thus stolen or sold by various intermediaries. This tragedy that these families had to endure calls for a response in order to understand how such illicit trafficking could prosper without the knowledge of the authorities. French women in charge of adoption. It is also urgent to grant the request of the Sri Lanka Adoptive Parents Collective regarding the creation of an investigation by the Government or, at the very least, the preparation of a report submitted to Parliament on this subject. Several governments abroad have undertaken research and investigation into this matter, such as the Netherlands, Australia and Switzerland. The Council On December 11, 2020, the federal government even recognized the responsibility of the Swiss authorities for the illegality of adoption procedures for Sri Lankan children and committed to taking measures to further support adoptees in the search for their origins. On this point, French families are still awaiting the work of the international adoption mission (MIA) for France in consultation with its Sri Lankan counterpart, announced in 2018 to set up a procedure aimed at helping child victims of this trafficking find their biological parents. Also, she wishes to know the responses that the Government wishes to provide to these legitimate requests from victim families aimed at fighting against impunity for crimes committed and allowing these young adults to know their stolen identity.
Question· Question écrite33382open
France · National Assembly
Ms. Sylvia Pinel questions the Minister of Agriculture and Food about the negotiation of the 2021-2025 objectives and management agreement (COG) between the central fund of the agricultural social mutuality (CCMSA) and the State. The health crisis, coupled with the economic and social crisis, has reaffirmed the urgent need to strengthen the accessibility of public services. Anxious to meet the expectations of the territories, the MSA has chooses proximity. It now has 1,475 access points and wishes to amplify this movement by helping to cover 100% of rural areas with access to social protection and public services. However, to achieve this, it needs increased support from the State to enable MSA teams to maintain their capacity for action both as an agricultural social security operator and as a regarding access to public services in rural areas. As part of the discussions around the future COG 2021-2025, she wishes to draw the Government's attention to the need to consolidate the territorial anchoring of the MSA, guarantor of the quality as well as the effectiveness of its action and wishes to know whether adequate means will be deployed to achieve this objective.
Question· Question écrite32600open
France · National Assembly
Ms. Sylvia Pinel questions the Minister of Solidarity and Health about the shortage of drugs against cancer. This highly detrimental situation is observed throughout the country. Out of stock includes intravesical BCG (bacillus Calmette and Guérin), used in the treatment of bladder cancer. Indeed, in 2019, 1,499 medicines were reported in shortage or out of supply to the National Medicines Safety Agency (ANSM), of which 22% concerned oncology. The League Against Cancer continues to warn of the accentuation of this phenomenon which is gaining momentum: 34 times more shortages reported in 2019 than in 2008. While the Government announced in July 2019 a strategy to prevent and combat drug shortages, the situation is hardly improving. Some patients, helpless in the face of the worsening of their condition and the lengthening of the waiting list to benefit from their treatment, are forced to undergo surgery which, in the absence of a shortage, could have been avoided. In addition, health professionals, specifically in cities, highlight a worrying lack of information on the origin, duration and history of these shortages. Also, she wishes to know what measures the Government intends taken to remedy this serious public health issue which endangers the quality and continuity of care.
Question· Question écrite32213open
France · National Assembly
Ms. Sylvia Pinel questions the Minister Delegate to the Minister of the Economy, Finance and Recovery, responsible for public accounts, on the VAT rate applicable to the sale of macro-organisms (insects, mites or nematodes). Feedback from the field reveals a different interpretation depending on the tax administrations regarding the application of the VAT rate to companies marketing macro-organisms. This difference in treatment is explained by a difficulty in interpreting article 278 bis of the general tax code (CGI). The latter, however, provides for the application of an intermediate rate of 10% to products of agricultural origin, having not undergone any processing and normally intended for use in agricultural production (art. 278 bis 3° of the CGI), a provision which companies in the sector could take advantage of. While the Government has put in place a national strategy for the deployment of biocontrol solutions and a glyphosate exit plan, the application of a VAT rate of 20% on the sale of macro-organisms seems contradictory. Furthermore, this decision would jeopardize the numerous companies in the sector, but would also have repercussions on farmers who use macro-organisms such as mentioned in Article L. 253-6 of the rural and maritime fishing code, as agents and products using natural mechanisms to combat pests in a targeted manner and promote pollination. These substitute products for plant protection products, which are also of interest to the non-agricultural sector (amateur gardeners and local authorities), are valuable levers for preserving biodiversity and responding to the challenges of the transition. ecological. Also, she asks him to clarify the interpretation of the article in question in order to allow companies marketing macro-organisms to better understand the future of their activity and to guarantee tax fairness across the entire territory.
Question· Question écrite28608open
France · National Assembly
Ms. Sylvia Pinel questions the Minister of National Education and Youth about the resumption of face-to-face teaching in schools from May 11, 2020. Many parents are legitimately concerned about their children's return to class given the health risks, which unfortunately have not been completely ruled out. They wonder about the organization of school time and the coordination of this measure with the deconfinement exit plan provided by the State. Will all regions be affected and according to what timetable? The establishment of a class rotation system of small groups of students seems necessary. Indeed, new contaminations are to be feared in the event of gatherings in dozens and for hours in classrooms not adapted to the circumstances. Especially since children are often carriers asymptomatic of the virus. Furthermore, wearing a mask and gloves for the youngest students seems difficult to implement. Likewise, continued compliance with barrier gestures by students may pose difficulties, particularly when traveling to the school by school bus, public transport, or by private car if several people are on board. In any event, the supply of equipment Sufficient protection for students and all educational staff is an essential prerequisite. Thus, she would like to know the modalities planned by the Government to organize the return to face-to-face teaching in satisfactory health conditions and questions the articulation of this measure with the exit plan from deconfinement.
Question· Question écrite28270open
France · National Assembly
Ms. Sylvia Pinel questions the Minister to the Minister of Territorial Cohesion and Relations with Local Authorities, responsible for cities and housing, on the suspension of deadlines for processing planning authorizations by Ordinance No. 2020-306 of March 25, 2020 relating to the extension of deadlines expired during the period of health emergency and the adaptation of procedures during this same period. SO that the construction sector is already greatly weakened, this decision threatens the resumption of activity of companies, especially the smallest of them. Indeed, if nothing is done, no building permit will be issued throughout the territory before June 25, 2020 and permits issued, including before the establishment of the state of health emergency, will not be purged of appeal until October 25, 2020. The priority is on the contrary to support the companies concerned so that they can fulfill their orders as quickly as possible and get their teams back to work. Also, she would like to know if he intends to authorize the continuation of the instructions for building permit applications and would be ready to facilitate their issuance by dematerializing the submission of files.
Question· Question écrite27517answered
France · National Assembly
Ms. Sylvia Pinel questions the Minister of Higher Education, Research and Innovation on the transparency and functioning of the higher education admission system: Parcoursup. After warnings from all the higher education unions and the Defender of Rights, the Court of Auditors is also sounding the alarm. In a recent report, the Court denounces the opacity of admission algorithms, increasingly automated local examination procedures (without reading cover letters), taking into account the criterion of the high school of origin (20% of the non-selective sectors most in tension used it in 2019) as well as the recurring problem of students without assignment (58,724 in July 2019 at the end of the main phase). While some 700,000 final year high school students must submit their wishes on March 12, 2020 definitive on the platform, it is urgent to provide answers to the legitimate concerns of students and their families. Without knowing the selection method, students multiply their choices to the detriment of the fluidity and effectiveness of the platform. Also, she wishes to know if the Government intends to adopt a real approach to transparency by making public the local algorithms used by all higher education establishments and how it intends to ensure that the criteria used are objective in order to guarantee fair access to higher education for all.
Question· Question écrite26636open
France · National Assembly
Ms. Sylvia Pinel questions the Minister of Territorial Cohesion and Relations with Local Authorities on the future of the Center for Studies and Expertise on Risks, Environment, Mobility and Development (Cerema). Cerema is today facing unprecedented budget cuts, which arouses legitimate concern among the teams concerned as well as the local authorities who rely on their expertise. While the Government announced a desire to better support local authorities in their land development projects, it clearly appears that this establishment is suffering from the decline in human and financial resources. Last week, several Cerema sites, notably in Toulouse, were on strike to denounce future job cuts and the reorganization of services resulting from the plan. “Cerem’Avenir”. The objective for 2022 is to reduce the workforce to 2,400 agents compared to just over 3,000 present in 2016 (loss of 20% of the workforce in 5 years). Furthermore, the creation of the national agency for territorial cohesion (ANCT) on January 1, 2020 competes with certain Cerema activities, without visibility on their partnership. She also wants to know the answers that the Government can provide.
Question· Question écrite21828open
France · National Assembly
Ms Sylvia Pinel draws the attention of the Minister for Europe and Foreign Affairs to the situation of children adopted in Sri Lanka more than thirty years ago. Indeed, many parents, in the 1980s, resorted to adoption in this country, thinking of saving young children from the misery destined for them. Unfortunately, as adults, those of them who wished to shed light on their origins and their adoption would have discovered international trafficking. Today, families feel victims and are seeking help from the French and Sri Lankan governments, so that answers can be provided so that these young adults can finally build their identity. Also, after the recent echoes in the press, she would like to know what new response the Government intends to provide to these people looking for support in the search for their origins.
Question· Question écrite19755open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of Solidarity and Health to the issue of caring for people with autistic disorders. In France, around 650,000 people are affected and despite the various measures put in place, many things remain to be done. To promote social and educational inclusion, places in schools with the presence of school assistants and medico-social institutions of the SESSAD type, with a coherent geographical distribution, are lacking on French territory. Families, although at the heart of identifying needs, are in difficulty and express their distress. However, they provide daily support to the detriment of their professional life, which leads to loss of salary which, despite aid from the MDPH, leaves a high out-of-pocket cost. Also, she wants to know if human and material needs will be sufficiently taken into account with regard to the latest autism plan 2018-2022.
Question· Question écrite19164open
France · National Assembly
Mrs. Sylvia Pinel draws the attention of the Minister of Solidarity and Health to the social and societal emergency faced with the aging of the population and its care. Indeed, the number of elderly people losing their autonomy is expected to increase from 1,265,000 in 2015 to 2,235,000 in 2050, an increase of nearly 20,000 people per year, with an acceleration from 2030. In addition, almost a third of those over 85 live in EHPADs, which which raises the question of referrals to an establishment which, for many, could be avoided in favor of staying at home. Reception and care conditions are sometimes difficult and understaffed nursing staff are suffering. Age-related professions are unfortunately not attractive and valued, which many structures experiencing recruitment difficulties have been relaying for many years. years. The remaining costs are also a real obstacle for many families, who also need to be heard and supported. Solidarity and national financing of dependency is therefore a central question that must be asked. Also, she would like to know what concrete measures the Government intends to implement to ensure better care for seniors and their families and to know the timetable for their implementation.
Question· Question écrite15355open
France · National Assembly
Ms. Sylvia Pinel draws the attention of the Minister of Solidarity and Health to the issue of keeping the elderly at home and to the situation of staff in the home help branch who work brilliantly with the elderly. Employees and employers in the sector face numerous difficulties and have, on numerous occasions, expressed their concerns about maintaining quality home support, however priority of the law of December 29, 2015 relating to the adaptation of society to aging. Home-based professions are unfortunately not attractive due to salary scales, for the first years of practice, which are lower than the minimum wage. The exercise of this profession, already complex and trying, offers no compensation, the reimbursement of mileage costs is derisory and the purchasing power of these agents is in sharp decline. Also, she would like to know the actions that the Government intends to implement to support the home help sector and its staff.
Question· Question écrite13823answered
France · National Assembly
Mrs Sylvia Pinel draws the attention of the Minister of the Interior to the situation of volunteer firefighters (SPV) with regard to European Directive 2003/88/EC (DETT). On February 21, 2018, the Court of Justice of the European Union, ruling on a dispute between a Belgian SPV and the municipality of Nivelles regarding the remuneration of its on-call service, assimilated the SPVs to “workers” within the meaning of the European directive on working time (DETT). However, the application of this measure to French SPVs would have the consequence of considering them as part-time workers, being able to work only a few hours per week in addition to their main job, with the repercussion of a significant increase in the financial means necessary for recruiting new staff and their salaries. However, the Government has, several occasions, recalled his attachment to the French model of civil security based mainly on volunteering. Also, she wishes to know what actions he intends to take to exclude the directive from the field of civil security in order to preserve the security of the French on a daily basis.
Question· Question écrite13414open
France · National Assembly
Mrs Sylvia Pinel draws the attention of the Secretary of State, to the Minister for Europe and Foreign Affairs, to the question of the Fund for European Aid to the Most Deprived (FEAD). Indeed, since 2016, the FEAD has been a fundamental support for the food aid policy in France: it represents almost 30% of the foodstuffs distributed by partner organizations and other associations, and remains the primary source in this regard. supply of the latter. Endowed with 3.5 billion euros for the period 2014-2020, the States of the European Union have however suggested the creation of an ESF+ with another distribution of the 900 million euros reserved for food aid by redirecting them towards professional training or the integration of young people. The European Union should allocate additional resources to measures to combat precariousness. Food aid is an essential pivot in the fight against poverty and social inequalities remain a major concern. Also, she would like to know the Government's negotiating intentions for the next multiannual financial framework 2021-2027.
Question· Question écrite45146open
France · National Assembly · 3 May 2022
Mme Sylvia Pinel appelle l'attention de M. le ministre de l'éducation nationale, de la jeunesse et des sports, sur la situation des accompagnants des élèves en situation de handicap (AESH) qui demandent depuis de nombreuses années et à juste titre, une amélioration de leur statut et des actions renforcées en matière d'inclusion des enfants en situation de handicap. Les AESH déplorent de nombreux dysfonctionnements : certains enfants sont accompagnés sans prise en compte des notifications MDPH. Leurs conditions de travail ne permettent pas une organisation adaptée aux élèves qui ont besoin de continuité (intervenants multiples dans une même journée, caractère aléatoire des heures d'intervention qui leur sont accordées). Par ailleurs, 62 % des AESH sont employés à temps partiel et perçoivent une rémunération n'excédant pas les 750 euros nets par mois pour un contrat de 24 heures. Ils sont nombreux à devoir cumuler plusieurs emplois dans l'éducation nationale et le périscolaire pour pouvoir vivre. Aussi, compte tenu du rôle déterminant que jouent ces professionnels dans l'accompagnement des personnes en situation de handicap, il est urgent de s'assurer que les élèves bénéficient de l'accompagnement qui convient à leur situation et que les AESH puissent obtenir une revalorisation significative ainsi qu'une réelle reconnaissance. Dans cette perspective, il serait opportun d'accorder aux AESH des contrats à temps plein selon le nombre d'heures d'ouverture des établissements (24h ou 32 h selon que l'on se trouve en primaire ou en secondaire) ainsi qu'un CDI après une période raisonnable et non après six ans comme à l'heure actuelle. Elle souhaiterait donc connaître les mesures que le Gouvernement entend prendre pour revaloriser le métier d'AESH et améliorer la prise en charge des enfants en situation de handicap à l'école ?
Question· Question écrite42468open
France · National Assembly · 10 September 2021
Mme Sylvia Pinel interroge M. le ministre des solidarités et de la santé sur la nécessité d'une meilleure reconnaissance et revalorisation de l'ensemble des professionnels médico-sociaux. De nombreux organismes employeurs alertent quant aux conséquences des mesures du Ségur de la santé sur l'attractivité du secteur médico-social en raison des disparités de traitement. En effet, les personnels travaillant dans le secteur privé non lucratif sont pour certains toujours exclus des mesures de revalorisation salariale malgré leur engagement quotidien auprès des plus vulnérables. Cette différence de traitement fait que certains professionnels qui exercent le même métier, parfois dans un même établissement, se voient traités de manière différente. Il est par ailleurs important de rappeler qu'en dix ans, le pouvoir d'achat des salariés des structures associatives a baissé de 25 %. En outre, ces organismes insistent sur l'épuisement et le sentiment de relégation des professionnels de l'accompagnement (métiers éducatifs et sociaux, médicaux et administratifs) qui sont de plus en plus nombreux à quitter le secteur du handicap. Ces derniers se sentent isolés et souffrent du manque de reconnaissance de leurs compétences et de leurs engagements. La crise sanitaire a accentué leur découragement et les associations du réseau subissent de plein fouet ces pénuries. En effet, la carence de personnel est très importante et de nombreuses structures sont contraintes de fermer certains services notamment pour les actes les plus quotidiens et essentiels à la vie : toilettes ou aide aux repas. Alors que les besoins, accrus par le vieillissement de la population, sont toujours plus forts, il est urgent de mettre un terme aux iniquités créées par le Ségur de la santé et d'acter une réelle reconnaissance de l'ensemble des professionnels médico-sociaux. Aussi, elle souhaite savoir quelles mesures le Gouvernement entend prendre pour remédier à cette pénurie croissante de personnel qui met gravement en péril l'égalité d'accès aux soins et à l'accompagnement médico-social dans les territoires.
Question· Question écrite36818open
France · National Assembly · 2 February 2021
Mme Sylvia Pinel interroge Mme la ministre de l'enseignement supérieur, de la recherche et de l'innovation sur les conséquences de la réforme de la première année commune aux études de santé. Alors que cette réforme prévue par la loi n° 2019-774 du 24 juillet 2019 relative à l'organisation et à la transformation du système de santé avait notamment pour objectif l'égalité et la réduction du taux d'échec des étudiants, les chiffres récemment publiés laissent à penser qu'il n'en sera rien. En effet, cette année, les étudiants PASS et LAS devront partager la capacité d'accueil en seconde année d'études de santé avec les derniers redoublants PACES sans que le nombre de places ait significativement augmenté. Pourtant l'exposé des motifs de la loi du 24 juillet 2019 prévoyait une augmentation pour cette année de transition afin de ne pas créer d'inégalités au détriment des étudiants primants. Des budgets spécifiques destinés à l'augmentation de cette capacité d'accueil ont par ailleurs été intégrés dans l'étude d'impact de ladite loi. En réponse au courrier de Mme la députée du 3 février 2021, Mme la ministre indiquait avoir confié aux universités et aux ARS la responsabilité de fixer les effectifs, en lien avec les besoins de leurs territoires, et que son action se limite à fixer le cadre général et l'accompagnement. Si ce dernier axe est en effet important, il est toutefois de son ressort de garantir la bonne mise en œuvre de cette réforme et de veiller à l'égalité des étudiants sur l'ensemble du territoire. C'est pourquoi le collectif national PASS LAS demande légitimement l'augmentation de 33 % de la capacité d'accueil en seconde année des formations en santé, sur le modèle des universités ayant déjà testé la réforme dès 2019. Par ailleurs, au vu des conditions de préparation particulièrement éprouvantes liées à la crise sanitaire, notamment la préparation à distance, une révision du dispositif en cas d'échec au concours semble judicieuse. Aussi, elle souhaiterait connaître les réponses que le Gouvernement peut apporter aux vives préoccupations des étudiants concernés et de leur famille.
Question· Question écrite28190open
France · National Assembly · 3 July 2020
Mme Sylvia Pinel interroge M. le ministre des solidarités et de la santé sur le manque de matériels de protection sanitaire pour l'ensemble des personnes devant se rendre sur leur lieu de travail, assurant les fonctions indispensables à la vie de la Nation. Il faut de toute urgence mettre à leur disposition des équipements en quantité et qualité requises. En effet, si le personnel soignant en première ligne face au virus doit recevoir en priorité ce matériel, les professionnels au contact de personnes dépendantes, ou en unité de soins (EHPAD, SSR, USLD), les biologistes médicaux ou encore les personnes travaillant dans les crèches ou dans les établissements médico-sociaux, notamment auprès de personnes handicapées, doivent tous être protégés. Mme la députée pense également aux pompiers, forces de l'ordre, ambulanciers, commerçants ainsi que toutes les entreprises qui travaillent pour permettre aux Français de vivre. Sur le terrain, ils ont besoin de masques, de blouses, sur-blouses, de sur-chaussures, de gants, de lunettes ou encore de charlottes. Aussi, elle souhaiterait savoir quelles mesures il entend mettre en place afin de fournir des équipements de protection à tous ces professionnels mobilisés. Elle l'interroge également sur les dispositions prises par le Gouvernement pour faciliter une production de ce matériel au niveau national, ainsi que pour sécuriser le transport de ces marchandises stratégiques depuis l'étranger.
Question· Question écrite28118open
France · National Assembly · 3 July 2020
Mme Sylvia Pinel interroge M. le ministre de l'économie et des finances sur le besoin de clarifier l'ordonnance n° 2020-319 du 25 mars 2020 portant diverses mesures d'adaptation des règles de procédure et d'exécution des contrats publics pendant la crise sanitaire née de l'épidémie de covid-19. Si l'autorité concédante ne peut suspendre l'exécution d'un contrat de concession afin notamment d'assurer la continuité du service public mais modifie significativement les modalités d'exécution prévues au contrat, l'article 6.6 de cette ordonnance ouvre droit à une indemnisation pour le concessionnaire afin de compenser les surcoûts non prévus. L'ordonnance fait ici application du principe d'imprévision et vise à couvrir les frais liés aux mesures de protection sanitaire à mettre en œuvre sur chantier ou sur site dans le cadre de la crise actuelle. Toutefois, l'ordonnance ne fait pas état de ce droit pour les marchés publics. Pourtant, la mise en place de mesures de protection sanitaire s'impose également au titulaire du marché public tenu de poursuivre l'exécution, même partielle, du service ou des travaux. Sur site ou sur chantier, ces mesures sont coûteuses et s'ajoutent aux difficultés financières que traversent les entreprises, compromettant la bonne poursuite des opérations. Aussi, elle souhaite savoir quelles mesures le Gouvernement entend prendre pour assurer l'indemnisation des dépenses liées aux mesures de protection sanitaire dans le cadre des marchés publics, cette disposition n'étant actuellement pas prévue dans le cadre de l'ordonnance n° 2020-319 du 25 mars 2020.
Question· Question écrite29217open
France · National Assembly · 4 May 2020
Mme Sylvia Pinel interroge M. le ministre des solidarités et de la santé sur les demandes formulées par les chirurgiens-dentistes du fait des conditions d'exercice extrêmement difficiles dans lesquelles ils se trouvent en cette période de crise sanitaire. Depuis le début de la crise, le conseil de l'ordre de la profession, en accord avec le ministère de la santé, a notamment demandé aux cabinets dentaires de fermer afin d'éviter que les praticiens, leurs personnels et leurs patients ne soient au contact du virus. Pourtant, et malgré cette exposition prononcée du fait de la proximité du travail avec la zone buccale, ces professionnels ont pris leurs responsabilités et ont organisé des soins d'urgences, avec des volontaires, afin de permettre une continuité de soins aux Français. Toutefois, ils ne disposent pas d'un approvisionnement suffisant d'équipements de protection sanitaire et manquent notamment de masques FFP2 et de blouses pour pouvoir rouvrir leurs cabinets et assurer ainsi la permanence des soins et la prise en charge satisfaisante des patients du point de vue sanitaire. Aussi, elle souhaite savoir dans quel délai ces professionnels de santé disposeront du matériel de protection en quantité suffisante pour pouvoir exercer dans des conditions optimales et ainsi rouvrir leurs cabinets.
Question· Question écrite34551open
France · National Assembly · 11 January 2020
Mme Sylvia Pinel attire l'attention de M. le ministre des solidarités et de la santé sur l'absence de revalorisation salariale des aides à domicile. Alors que les personnels soignants des Ehpad, titulaires et contractuels, ont obtenu une revalorisation salariale dans le cadre des mesures gouvernementales du Ségur de la santé, les professionnels des services de soins infirmiers à domicile (SSIAD) ou des services de soins à domicile (SSAD) n'ont à ce jour bénéficié d'aucune augmentation durable. L'annonce du versement d'une prime covid à leur profit, en cas de poursuite d'activité pendant le confinement, est insuffisante face au manque de reconnaissance dont ils souffrent. En effet, le personnel du secteur de l'aide à domicile a été et demeure en première ligne auprès des personnes vulnérables. À cet égard, la crise rappelle le besoin urgent de repenser les politiques du grand âge et de revaloriser les métiers du soin et de l'accompagnement afin d'améliorer leur attractivité et créer des emplois de proximité dans les territoires. Aussi, elle souhaite connaître les réponses que le Gouvernement souhaite apporter à cette problématique urgente qui inquiète légitimement les aides à domicile.
Question· Question écrite20351open
France · National Assembly · 5 November 2019
Mme Sylvia Pinel attire l'attention de M. le ministre de l'Europe et des affaires étrangères sur la question des prélèvements forcés d'organes en Chine. En effet, depuis plusieurs années déjà de nombreuses personnes, dont la plupart issue de minorités religieuses et ethniques, sont malheureusement victimes de prélèvements forcés. Ces organes, alors revendus à des prix exorbitants par des cliniques du pays, attirent de nombreux patients du monde entier qui se voient proposer une greffe très rapide et programmée. Alors qu'en France, les dons sont régis par des principes de volontariat, d'anonymat et de gratuité avec un consentement libre et éclairé, la Chine, qui pourtant en janvier 2015 a annoncé qu'elle arrêtait d'utiliser les organes de prisonniers mis à mort, semble ne pas tenir compte des préconisations de nombreux autres pays et de l'atrocité de ces faits. Aussi, elle souhaiterait savoir si le Gouvernement entend enfin ratifier la convention dite de Compostelle contre le prélèvement illicite d'organes humains datant de mars 2015 et quelles mesures concrètes il envisage de mettre en œuvre pour lutter efficacement contre ces trafics d'organes.
Question· Question écrite18711open
France · National Assembly · 3 September 2019
Mme Sylvia Pinel attire l'attention de Mme la ministre des solidarités et de la santé sur la réforme de l'assurance chômage prévue, et ses conséquences sur les assistantes maternelles. En effet, il est apparu dans les négociations préalables que leur allocation de retour à l'emploi (ARE) serait diminuée voire supprimée. Le mode de calcul de cette indemnisation, soit le cumul emploi et chômage sans contrainte de temps serait amené à être modifié, ce qui équivaut à une perte de 30 à 300 euros pour les assistantes maternelles. Or, selon l'UNEDIC, les deux tiers des assistantes maternelles sont en situation de cumul salaire-allocation au regard de la nature de leur métier, puisqu'elles sont dépendantes des besoins des parents, pour un revenu mensuel avoisinant les 1 400 euros bruts. Leur situation est extrêmement précaire car soumise aux ruptures de contrat aléatoires. La réforme envisagée risque donc d'aggraver cette situation mais également de provoquer une crise de vocations, alors que le besoin d'assistantes sociales est croissant, notamment dans les territoires ruraux. En effet, les crèches sont vite saturées et la création de places est un coût pour les collectivités qui ne peuvent pas toutes répondre à cette demande. Cette profession ne saurait être une variable d'ajustement budgétaire. C'est pourquoi elle souhaiterait savoir ce que prévoit réellement le Gouvernement sur ce point et insiste sur le fait de ne pas pénaliser la profession des assistantes maternelles.
Question· Question écrite17552open
France · National Assembly · 2 May 2019
Mme Sylvia Pinel attire l'attention de Mme la ministre des solidarités et de la santé sur la question des remboursements des prothèses dentaires et de l'impact économique sur les professionnels du secteur. En effet, les prothésistes dentaires ont dû lourdement investir ces dernières années dans des technologies onéreuses pour produire des full zircones multicouches plus esthétiques dont la biocompatibilité et la solidité sont bien supérieures aux autres alliages tels que le nickel-chrome ou le cobalt-chrome. Le Gouvernement a décidé d'appliquer un plafonnement du remboursement pour la zircone tout céramique à 440 euros au détriment d'un plafonnement de l'imax et de la céramique métal à 500 euros alors que l'Union européenne pose la question de l'interdiction de certains alliages en pratique dentaire pour des raisons sanitaires (comme la baisse de la fécondité ou des effets cancérigènes). Aussi, elle souhaite connaître les intentions du Gouvernement sur les plafonds de remboursement et les différents « reste à charge » des prothèses dentaires dont la zircone.
Question· Question écrite18434open
France · National Assembly · 3 February 2019
Mme Sylvia Pinel attire l'attention de Mme la ministre des solidarités et de la santé sur la pérennité des laboratoires de biologie médicale dans les territoires. Ces dernières années, la financiarisation de la biologie médicale libérale s'est accentuée, provoquant la concentration du secteur à 5 - 6 acteurs dominants contrôlés par des investisseurs financiers tiers à la profession et contraints par leur système de financement à maintenir une stratégie de croissance externe à tout prix. Les laboratoires de proximité sont donc progressivement rachetés et centralisés dans des grands centres, qui gèrent à la fois des centaines de médecins et plusieurs établissements de soins. Le temps d'obtention des résultats est rallongé, ce qui est dangereux pour une prise en charge rapide des patients. Cela entraîne donc la disparition à terme dans de nombreux territoires, notamment les territoires ruraux et périurbains, de l'offre d'examen de biologie médicale, ainsi qu'un risque important de chantage fait à l'État sur les tarifs et les règles applicables par les acteurs résiduels restants. Cette accélération a été rendue possible grâce à un contournement des règles par les acteurs financiers de la profession, car les directeurs généraux des agences régionales de santé et les ordres compétents ne disposent pas du pouvoir de s'opposer à des opérations violant les règles impératives fixées par l'article L. 6223-8, et que ces violations ne sont pas constitutives d'infractions soumises à sanction administrative au sens des articles L. 6241-1 et suivants du code de la santé publique. Une solution concrète serait d'obliger les structures administratives à installer des automates pour des examens simples dans des lieux de prélèvement. Aussi, elle souhaite savoir si elle serait favorable à une telle mesure et à affirmer plus concrètement les pouvoirs de contrôle et de sanction des directions générales des ARS sur ce sujet.
Question· Question écrite8906open
France · National Assembly · 5 May 2018
Mme Sylvia Pinel attire l'attention de M. le ministre d'État, ministre de la transition écologique et solidaire, sur le financement des CLI (commissions locales d'information) développées auprès de toutes les installations nucléaires et ce dans un intérêt local de protection des personnes et de l'environnement. En effet, instituées en 1981 à des fins d'information, de dialogue et de suivi, ces commissions ont vu leurs missions et compétences s'élargir et se renforcer avec la loi n° 2006-686 du 13 juin 2006 relative à la transparence et à la sécurité en matière nucléaire (TSN). Élargissant leur champ de compétences et d'actions, nouvelles exigences qui représentent un coût, le législateur a prévu d'octroyer de nouveaux moyens aux CLI en instaurant un prélèvement sur la taxe des installations nucléaires prévue par l'article 43 de la loi de finances pour l'année 2000. Cependant, à ce jour, 12 années après la publication de la loi TSN, la mise en œuvre de ce prélèvement n'est toujours pas réalisée sous prétexte d'une trop grande complexité. Aussi, elle souhaiterait connaître les orientations du Gouvernement en la matière pour assurer le bon fonctionnement des CLI qui jouent un rôle important de sûreté et de transparence.
Question· Question écrite8866answered
France · National Assembly · 5 May 2018
Mme Sylvia Pinel attire l'attention de Mme la ministre des solidarités et de la santé sur la réforme du « reste à charge 0 » en optique. Bien qu'ambitieuse et de justice sociale cette dernière suscite néanmoins, tant sur le fond que sur la forme, quelques questionnements et inquiétudes auprès des opticiens. En effet, sur le plan sanitaire le texte prévoit une prise en charge du renouvellement des équipements pour des baisses d'acuité très significatives, supérieures à 0,5 dioptrie, ce qui laissera durant plusieurs mois certains patients, les moins aisés, en difficulté avec un appareillage inadapté. Le renoncement aux soins, pointé du doigt dans le rapport de la commission des comptes de la santé de 2017, sera malheureusement toujours d'actualité pour cette partie de la population. Sur un plan plus économique, les inquiétudes des opticiens se portent sur les coûts de production des lunettes qui seront bien supérieurs aux tarifs fixés pour l'offre sans reste à charge. Ces exigences de qualité ont un coût et les répercussions pourraient être néfastes pour l'ensemble des acteurs de la filière de santé visuelle. Par ailleurs, sur la forme il est à regretter le choix du Gouvernement qui semble vouloir privilégier la voie réglementaire au détriment du législatif. Aussi, elle souhaiterait connaître les orientations du Gouvernement sur ces questions essentielles pour l'accès aux soins des citoyens.
Question· Question écrite12641open
France · National Assembly · 9 February 2018
Mme Sylvia Pinel attire l'attention de M. le ministre de l'économie et des finances sur le dispositif d'allègement des charges patronales spécifiques pour les salariés saisonniers TO-DE (travailleurs occasionnels-demandeurs d'emploi), qui a prouvé son efficacité sur l'emploi au sein des entreprises agricoles françaises et qui est remis en question dans la prochaine loi des finances pour 2019. En effet, de nombreux agriculteurs ont exprimé leurs vives et légitimes inquiétudes sur le sujet évoquant les nombreuses difficultés auxquelles se heurtent les employeurs du monde agricole notamment une distorsion de concurrence avec les autres pays de l'Union européenne. Les secteurs comme celui de l'arboriculture, le maraîchage, l'horticulture, la viticulture, ou encore des producteurs de semences, qui emploient régulièrement de la main-d'œuvre occasionnelle, seront les plus impactés par cette modification et en particulier en Occitanie où environ 125 671 contrats TO-DE sont conclus. Déjà fragilisés par les nombreux aléas climatiques de ces derniers mois, il est à penser que cette mesure ne viendrait qu'ajouter des difficultés à ces secteurs. Aussi, elle souhaiterait connaître les intentions du Gouvernement en la matière.