Records
30 records where Alix Fruchon is listed as a sponsor, author, or other actor. Search with topics and years
Question· Question écrite16750open
France · National Assembly · 7 July 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the persistent shortage of dental assistants and medical electroradiology technicians in the department of Indre, in a context of structural fragility of the care offer. At the national level, these professions face structural difficulties. France has around 31,000 manipulators in medical electroradiology, but their actual number in activity is estimated between 27,000 and 28,000, reflecting a statistical overestimation and lasting pressure on the workforce. Furthermore, more than 2,000 positions are currently unfilled nationally, in a context of continued growth in medical imaging needs and the aging of the profession. These difficulties are particularly acute in the territories rural areas and particularly in the department of Indre which indeed presents a worrying situation in terms of the demographics of health professionals. It only has around 75 dental surgeons, with a level of access to care estimated at 33.9%, reflecting a particularly insufficient supply. In the field of medical imaging, the density is also very low, with around 5 radiologists per 100,000 inhabitants, or less than half the national average. In this context, the difficulties in recruiting paramedical personnel greatly aggravate the situation. Regarding medical electroradiology manipulators, whose role is essential for carrying out imaging examinations (radiology, scanner, MRI, nuclear medicine), are today in tension at the national level, with a deficit estimated at around 15% of the workforce, in a context of aging of the profession. Field feedback shows a real shortage, particularly in Châteauroux. This shortage would not result from a lack of vacancies, but rather from a lack of candidates. Professionals identify two main causes. On the one hand, the transformation of the radiology sector, marked by increasing financialization with the development of structures owned by large private groups. This development would be accompanied by an increased logic of profitability and greater productivity requirements, likely to lead to a deterioration of working conditions without a significant increase in remuneration, thus contributing to a loss of attractiveness of the profession. On the other hand, the question of training appears decisive. The recent opening of a DTS type course in medical imaging and therapeutic radiology in Châteauroux illustrates a marked interest in this sector, with 276 applications submitted for only 24 places available. This significant gap between demand and reception capacities highlights an under-sizing of the training offer in relation to needs. This discrepancy highlights a structural problem: even though the needs for professionals are proven and growing, the training capacities remain insufficient to respond to them, particularly in rural areas such as Indre. This situation limits the renewal of the workforce and compromises, in the medium term, access to care. At the same time, dental assistants, essential to the smooth running of practices, also face significant recruitment difficulties. Professionals in the dental sector indicate that when a position becomes available, Applications are often few in number and recruitment times can be particularly long. This situation has direct consequences on the organization of firms. The absence of a dental assistant reduces treatment capacity, complicates the provision of care and limits the development of activity, particularly in a region already facing a shortage of dental surgeons. Beyond the one question of the number of practitioners, these elements highlight a broader issue: that of the effective capacity of healthcare structures to operate. Indeed, a dental surgeon cannot practice in optimal conditions without a dental assistant, these professionals being essential for chairside assistance, management of the sterilization chain, preparation of rooms, organization of the practice and support. patients. Thus, the difficulties in recruiting these personnel have a direct impact on the ability of dental practices to meet the needs of the population and contribute to deteriorating access to care in the department. In this context, she asks what concrete measures the Government intends to implement in order to: improve the attractiveness of the professions of medical electroradiology manipulator and assistant dental, in particular by acting on the conditions of exercise; to increase training capacities, in line with the territorial needs observed; and to provide, in the short term, operational responses to the recruitment difficulties encountered in the Indre department.
Question· Question écrite16570answered
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Transport to the DRAISY project, an electric light train operating 100% on batteries, developed by a consortium bringing together the SNCF, the industrial company Lohr, the Stations-e company and the Railenium technological research institute. This innovative project aims to offer a low-carbon mobility solution adapted to the region's fine service lines, particularly in rural areas where the need for opening up remains significant. DRAISY, with a capacity of 80 passengers including 30 seats, was designed to restore the attractiveness of “small” railway lines, thanks to more flexible operation and reduced costs. Its experimentation is currently planned from 2027 on a pilot line located in the Grand Est region, before a launch on the market announced for 2028. The Centre-Val de region Loire and more particularly the Indre department also have fine service lines whose maintenance and development constitute a major challenge for daily mobility, access to public services, economic attractiveness and the ecological transition of rural areas. Also, she would like to know if the Government plans to open the experimental phase of the DRAISY system to other regions before its placed on the market and whether the Centre-Val de Loire region, particularly the Indre department, could be selected to host additional trials or experiments. Finally, she asks what steps the local authorities concerned could take in order to apply for such an experimental system and, if it is effective, to anticipate the regeneration of lines making it possible to use the future trains from the DRAISY system.
Question· Question écrite16541open
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the worsening of territorial inequalities in terms of mental health in rural areas and in particular in the department of Indre. While the territorial mental health project (PTSM) is supposed to structure a response adapted to the needs of the population, the findings drawn up locally reveal a particularly alarming situation: persistent shortage of psychiatrists, excessive delays in accessing care, insufficiently organized supply and lack of coordination between stakeholders. This situation finds a concrete illustration within the Châteauroux-Le Blanc hospital center, which is struggling to recruit mental health professionals. The establishment currently has only six psychiatrists and one child psychiatrist, including retirement is announced in the short term, further aggravating the fragility of healthcare provision in the region. This critical staff deficit, estimated at at least seventeen missing practitioners, has already led to decisions with serious consequences: closure of hospital beds from 2025, transformation of a pavilion into a day hospital in the summer of 2025. These choices, suffered more than decided, reflect a worrying decline in supply mental health hospital in an already highly desertified territory. In rural areas, these developments have particularly serious consequences: increased distance from healthcare structures, saturation of remaining systems, renunciation of healthcare and worsening of pathologies. In this context, the management of crisis situations appears largely deficient, with late, fragmented or non-existent responses, leaving patients and their families without a suitable solution. Even more worrying, it is now local professionals and in particular self-employed nurses who find themselves on the front line to intervene alone in patients' homes, including in acute crisis situations. In the absence of sufficient support mechanisms, clear protocols and effective coordination with services specialized and security forces, these professionals are exposed to increasing risks. Such a situation illustrates a progressive disengagement of the State in rural areas, which results in a concrete deterioration of access to care and a transfer of responsibility to local actors. It poses risks not only to the safety of health professionals, but also to social cohesion and public safety in these territories. This is why she asks how the Government justifies the closure of beds and the transformation of hospital units in territories already in a shortage situation; what exceptional and specific means it intends to mobilize to respond to the critical lack of mental health practitioners, particularly in the department of Indre; what urgent measures will be implemented to guarantee the safety of liberal nurses faced with crisis situations at home and within what precise timeframes these commitments will be translated into concrete improvements for the inhabitants of these territories. Finally, she would like to know if the Government intends to recognize the specificity of rural areas in its mental health policies and put in place a differentiated strategy, meeting the challenges, in order to to no longer leave these populations permanently on the margins of access to care.
Question· Question écrite16522open
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to measures aimed at freeing up medical time, in particular through the deployment of medical assistants. In a context of persistent tension over the provision of care and difficulties in accessing a doctor, particularly in its department of Indre, these measures are presented as major levers optimization of medical time and improvement of patient care. As such, the Government had set a recruitment objective of 10,000 medical assistants by December 31, 2024. However, as of November 1, 2025, only 8,971 medical assistants were actually in post, reflecting a significant gap compared to the initial target. This discrepancy questions the structural obstacles to the deployment of these professions, whether it is their attractiveness, training methods, financing or even their integration within care teams. Consequently, she asks him to please specify the measures envisaged by the Government to achieve the objectives set in terms of recruitment of medical assistants.
Question· Question écrite16479open
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Higher Education, Research and Space to the project to create a branch for the first year of medical studies in Châteauroux, planned for the start of the 2027 school year, at the initiative of the Centre-Val de Loire region. This project takes place in a particularly worrying context for access to care in the country and even more so in rural and intermediate areas. There The Centre-Val de Loire region is today the metropolitan region least well equipped with general practitioners, with around 100 doctors per 100,000 inhabitants compared to more than 120 at the national level. In this context, the department of Indre and its prefecture town, Châteauroux, appear to be particularly fragile territories. The medical demographics there are in sharp decline, marked by an aging of practitioners and a continued decline in the number of doctors, in a predominantly rural and sparsely populated area. This situation fuels a growing feeling of abandonment and calls into question the principle of equal access to care among French people. Faced with this emergency, local elected officials and departments of the Centre-Val de Loire region have initiated proactive policies to strengthen the medical attractiveness of the territory. However, these efforts will be able to fully produce their effects without a determined commitment from the State to bring training places closer to the territories that need them the most. Indeed, numerous studies show that medical students tend to settle where they were trained. Therefore, the opening of a first year branch of medical studies in Châteauroux constitutes a structuring lever to fight sustainably against medical desertification, by allowing young people from the region to access these studies without mobility constraints and by ultimately promoting their local settlement. Beyond the sole question of training, this project raises more broadly that of territorial equality and the capacity of the Republic to guarantee equitable access to training. It meets a strong requirement of the inhabitants of Indre and, more broadly, of rural territories: that of not being forgotten by public health policies. Under these conditions, she asks him to please clarify the Government's position regarding the support provided to this project for a first year branch of medical studies in Châteauroux at the start of the 2027 school year and to indicate the concrete means, particularly financial and educational, that the State intends to mobilize to guarantee its rapid implementation, as well as its lasting inclusion in a national strategy to combat territorial inequalities in access to care.
Question· Question écrite16476open
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to Parkinson's disease. This neurodegenerative pathology, which affects several hundred thousand people in France, still too often remains unknown in its daily manifestations and in the extent of its consequences for patients and their caregivers. It actually generates significant motor, psychological and social difficulties, significantly altering the quality of life of those affected. Despite advances in research and the commitment of associations such as France Parkinson, many patients still demonstrate insufficient recognition of their daily reality and needs that are still poorly covered in terms of support, care and awareness among the general public. In this context, an awareness video produced by the France Parkinson association, with the assistance of its ambassador Ms. Leïla Slimani, accurately and sensitively illustrates the reality experienced by the people concerned. She asks him what measures the Government intends to implement in order to increase awareness of Parkinson's disease, improve overall patient care and provide greater support for actions of associations engaged with patients and their caregivers.
Question· Question écrite16409open
France · National Assembly · 30 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the situation of students preparing for the higher technician diploma in medical imaging and therapeutic radiology (DTS IMRT). Since the start of the 2025-2026 school year, these students have benefited from internship allowances aligned with those paid to students in the state diploma of medical electroradiology manipulator (DE). MERM). However, unlike the latter, they cannot still claim reimbursement of their transport costs linked to the internships. This difference in treatment is particularly penalizing for students doing their internships far from their place of training, particularly in rural areas. She therefore asks him if the Government plans to extend coverage of tuition fees to DTS IMRT students. transport in order to guarantee equal treatment between the two training courses and to strengthen the attractiveness of this sector which is essential to the health system.
Question· Question écrite16251open
France · National Assembly · 23 June 2026
Ms. Alix Fruchon alerts the Minister of Health, Families, Autonomy and People with Disabilities to the need to preserve and strengthen the resources devoted to medical innovation, particularly in the fight against cancer. In 2024, nearly 3 billion euros have been dedicated to innovation and applied health research, mobilizing thousands of researchers and numerous ongoing projects. These investments are essential to the development of new therapies. Thus, maintaining these investments is essential because cancer remains one of the main causes of mortality in France. According to data from the National Cancer Institute, 433,136 new cases were diagnosed in 2023 and 164,095 deaths were recorded in 2022. In addition, 3.8 million people are now living in France after cancer, a significant proportion of whom suffer from lasting after-effects. Thus, she asks what concrete measures the Government intends to take to guarantee the maintenance and strengthening of funding dedicated to cancer research and medical innovation and whether it intends to ensure the sustainability of the resources allocated to health establishments as well as to the funding of research missions and programs.
Question· Question écrite16068answered
France · National Assembly · 16 June 2026
Ms. Alix Fruchon draws the attention of the Minister Delegate to the Minister of Regional Planning and Decentralization, responsible for rural areas, to the difficulties encountered by rural communities regarding the opening and reopening of drinking establishments throughout the territory. In many rural areas, and particularly in departments such as Indre, the gradual disappearance of retail businesses proximity and places to live has contributed to the devitalization of town centers. In certain towns, the café or bar remains one of the last convivial spaces, playing an essential role in maintaining social ties and enlivening local life. This phenomenon is part of a broader dynamic of erosion of services in rural areas, which weakens the attractiveness of municipalities and accentuates the risks of isolation of populations, particularly older ones who do not all have the means to travel. Drinking establishments in rural areas thus constitute structuring places for social cohesion and the vitality of territories. They can also contribute, in certain cases, to local economic and tourist development. However, the rules governing the opening and management of drinking establishment licenses remain complex and can constitute a significant obstacle to the installation or resumption of such establishments in municipalities which do not have them. In this context, the simplification of procedures for opening drinking establishments in rural areas constitutes an identified lever for revitalizing territories and supporting local elected officials in their policies for revitalizing and developing rural communities. She therefore asks him what measures it plans to implement in order to facilitate the opening of drinking establishments in rural areas and to support legislative initiatives aimed at strengthening the attractiveness and vitality of rural areas. She also asks him if he intends to include on the agenda, as quickly as possible, bill no. 904 aimed at simplifying the opening of drinking establishments in rural areas, tabled by Mr. Guillaume Kasbarian on Tuesday 4 February 2025.
Question· Question écrite15923open
France · National Assembly · 16 June 2026
Ms. Alix Fruchon draws the attention of the Minister of Small and Medium Enterprises, Commerce, Crafts, Tourism and Purchasing Power to the implementation of a tax of 2 euros on small imported packages. It wishes to draw attention to the consequences of such a measure applied only at national level, particularly in terms of unbalanced competition and circumvention of logistical flows within the market. European. Indeed, the lack of harmonization at the European Union level strongly limits the effectiveness of this tax, by encouraging the players concerned to redirect their shipments via other Member States. This situation weakens the logistics platforms located on the national territory, with many warehouses in France being abandoned in favor of other European logistics hubs. In this context, she would like to know what initiatives the Government intends to take at European level in order to promote harmonization of this contribution on small imported packages, with the aim of fair competition, protection of local commerce and the fight against circumvention effects. She also asks him whether discussions have been initiated with the European Commission and the Member States in order to extend such a system to all borders of the Union, as indicated during the discussions on the draft finance law for 2026, which implemented this tax at national level.
Question· Question écrite15627open
France · National Assembly · 2 June 2026
Mrs Alix Fruchon questions the Minister of Cities and Housing on funding intended for associative structures managing accommodation for the elderly. The obligations of the “climate and resilience” law have a significant impact on these structures, in particular retirement villages which must undertake the energy renovation of sometimes old housing stock. Volunteers and eager to participate in the issues environmental issues arising from the law, they do not however have sufficient economic capacities even though they operate with total financial autonomy. Despite numerous existing mechanisms with ANAH, ADEME or even the Bank of Territories, no solution is suitable for the model defended by these associations except to move to a social housing model, which does not constitute their model based on social diversity. and freedom of reception. The MP therefore warns about the future of these structures which risk closing while they carry out missions of general interest, particularly in rural departments. She asks him if an adaptation of existing systems will be studied to allow these associations to benefit from aid for energy renovation.
Question· Question écrite15261answered
France · National Assembly · 19 May 2026
Mrs Alix Fruchon questions the Minister for Europe and Foreign Affairs on the situation of sports journalist Christophe Gleizes detained in Algeria. Arrested in Tizi Ouzou on May 28, 2024, he was sentenced to seven years of imprisonment for “apology of terrorism” and “possession of publications for the purpose of propaganda harming the national interest”. This sentence was upheld on appeal. Since and in a context of strained relations in diplomatic relations with Algeria, no sign gives hope of an agreement and a rapid release. On Monday May 11, 2026, Christophe Gleizes received a visit from Bruno Clerc, French consul in Algiers, decided during the meeting between the Algerian President, Abdelmadjid Tebboune and the Minister Delegate for the Armed Forces, Alice Rufo. Also, it becomes necessary to have strong action with the Algerian regime to obtain the release by Christophe Gleizes. She therefore wishes to question him about the follow-up to the meeting on Monday May 11, 2026, and the actions that diplomacy is taking to allow Christophe Gleizes to be released as quickly as possible.
Question· Question écrite14623answered
France · National Assembly · 28 April 2026
Ms. Alix Fruchon alerts the Minister of Ecological Transition, Biodiversity and International Negotiations on Climate and Nature to the problem of the massive establishment of the Asian hornet. In a written question sent on February 3, 2026, she discussed this critical situation for affected farmers and the need to identify the most effective and rapid means of control to deploy. Since and while discussions were planned with representatives of beekeepers and technical institutes under decree no. 2025-1377 published in the Official Journal on December 30, 2025, no meeting was organized in the Indre department by state services. No concrete application resulting from the decree has yet been put in place. Also, she would like to know if the Government intends, within a very short period of time, to take the implementing measures of the aforementioned decree. She also proposes that the department of Indre be a pilot territory for the implementation of the elimination of Asian hornets. She wants to know his position on this subject.
Question· Question écrite14362open
France · National Assembly · 14 April 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the worrying situation of the Asalée association, currently in receivership since March 27, 2026, following the loss of its main funding from health insurance. In many departments, including Indre, this situation has immediate and concrete consequences: several professionals health sector, in particular nurses working within the framework of the Asalée system, find themselves today without remuneration. In addition to these significant social difficulties, it is also the continuity of monitoring of many patients, particularly those suffering from chronic pathologies, which is weakened, including in rural areas already facing difficulties in accessing care. The Asalée system, based on cooperation between doctors and paramedics, has nevertheless demonstrated its effectiveness in terms of prevention, patient monitoring and control of health expenditure. Its cost also remains modest compared to overall health insurance expenses, while several studies highlight the savings it can generate. In this context of strong tensions on the health system and major challenges for access to care, the rehabilitation This model causes great concern among professionals and patients alike. She would like to know the measures that the Government intends to take to guarantee the sustainability of the Asalée system, secure the situation of the professionals concerned and ensure continuity of care for the patients who benefit from it.
Question· Question écrite14065answered
France · National Assembly · 7 April 2026
Ms. Alix Fruchon alerts the Minister of the Economy, Finance and Industrial, Energy and Digital Sovereignty to the continued rise in fuel prices. This situation particularly weighs on the poorest workers, those known as the “working poor”, who often have no other choice than to use their vehicle to get to their jobs, due to a lack of transport alternatives. It must be remembered that according to INSEE in 2023, the poverty threshold corresponds to a disposable income of 1,288 euros per month for a person living alone and 2,705 euros for a couple with two children aged under 14. In many areas, particularly rural and peri-urban areas, the car is not a comfort but a necessity. The increase in fuel prices acts as an additional, unjust and profoundly unequal “tax”, striking first those who already have the least financial margin. This increase forces too many French people to choose between traveling to work, heating themselves or eating properly. It thus accentuates the precariousness and the feeling of abandonment of part of the population. Many companies have been warning for days about the financial impossibility for some employees to eat during the middle break. Faced with this situation, several voices are calling for a lasting reduction in taxation on fuels, in order to restore purchasing power to French people and to support economic activity. Thus, she asks what concrete measures the Government intends to take to sustainably lower the price of gasoline and protect the poorest workers from its social consequences. She wants to know if he intends to act directly on prices and put in place targeted measures to support certain populations and certain professions, which are extremely impacted.
Question· Question écrite13348answered
France · National Assembly · 3 March 2026
Ms. Alix Fruchon draws the attention of the Minister of the Interior to the fight against the illegal occupation of housing and other premises, commonly referred to as “squats”. Law No. 2023-668 of July 27, 2023, known as the “anti-squat law”, was definitively adopted and promulgated in order to strengthen the protection of owners against the illegal occupation of their property. In particular, it toughened the criminal sanctions applicable to the offense of trespassing (up to three years' imprisonment and a fine of 45,000 euros) and extended these sanctions to the occupation of premises other than a main home, while creating new offenses linked to the fraudulent occupation of uninhabited property, including commercial or professional premises. It also simplified certain forced evacuation procedures by strengthening the role of administrative authorities and judicial, as well as by penalizing the promotion or incitement of squatting. If these measures constitute progress for the protection of property rights, many owners' associations nevertheless believe that the legal framework remains subject to improvement and that the procedures remain long when an occupation is not noted blatantly. In addition, some voices warn of the need to better articulate these responses with the social issues and the prevention of situations of extreme precariousness. In this context, she would like to know whether the Government intends to continue adapting the law in order to make eviction procedures effective and secure legal recourse against illegal occupations and whether additional measures are envisaged to prevent precarious situations which can lead to this type of occupation, by articulating more closely the fight against squats with housing and social support policies.
Question· Question écrite13308open
France · National Assembly · 3 March 2026
Mrs. Alix Fruchon draws the attention of the Minister of Labor and Solidarity to the consequences of the finance law for 2026 on the model of work-study and professional training. The reduction of around 1.1 billion euros on the apprenticeship aspect alone, the refocusing of hiring aid only on companies with fewer than 250 employees and on diplomas from CAP to baccalaureate, as well as the exclusion of levels higher education (BTS, license, master), raise serious concerns, particularly in rural areas where the economic fabric is mainly based on VSE-SMEs requiring qualified skills at levels 5 to 7. The abolition of assistance for driving licenses, the tightening of social exemptions, the introduction of an out-of-pocket liability for companies and the modification of the method of financing CFAs weaken a model which yet displays professional integration rates above 70%, even 85% in higher education. She asks what measures the Government intends to take in order to preserve the attractiveness of apprenticeship, guarantee the financial viability of CFAs and avoid a breakdown in long training courses, which is particularly detrimental to young people and local businesses.
Question· Question écrite13291answered
France · National Assembly · 3 March 2026
Ms. Alix Fruchon draws the attention of the Minister of National Education to the consequences of the prior authorization regime applicable to family education since the law of August 24, 2021. While family education previously fell under a declarative regime accompanied by regular checks, the current system would mobilize nearly 9 million euros per year for a public representing less than 0.3% of children subject to the obligation of education. For families, it results in complex and repeated administrative procedures, refusals that are difficult to understand, a multiplication of appeals and permanent uncertainty regarding the pursuit of their educational choice, despite educational controls that are mostly favorable. Several public reports having highlighted the absence of an established link between family education and the phenomena of separatism, she asks whether the Government has an updated assessment of the cost, effectiveness and administrative impact of this regime and whether it plans, with regard to the principle of proportionality and the good management of public funds, to support a return to a supervised declaratory regime, as provided for in proposed law no. 2273.
Question· Question écrite13273answered
France · National Assembly · 3 March 2026
Mrs. Alix Fruchon draws the attention of the Minister of Territorial Planning and Decentralization to the future of the municipal block in the competence of organizing authority for public electricity distribution. During his closing declaration of the meetings of the departments, on November 13, 2025, the Prime Minister announced the upcoming tabling of a bill relating to decentralization and the exercise of certain policies public at the local level. On this occasion, he spoke of the desire to make the departments leaders in “local networks”, particularly in terms of electricity and gas. However, the competence of organizing authority for electricity distribution has historically constituted, since the law of June 15, 1906, a competence devolved to the municipal bloc. If the faculty was opened in 1930 to the departments to become an organizing authority, only two of them exercised this competence until this possibility was definitively closed in 2004. Today, the unions, formed at the departmental level and largely bringing together the municipalities, effectively carry out this mission. They provide structuring and essential investments for the maintenance and modernization of networks, particularly in rural areas, but also to support the electrification of uses as part of the energy transition. The work of the regional audit chambers has also underlined the solidity and relevance of these organizations, which guarantee pooling, equalization and proximity. In this context, any development which would lead to the transfer of this competence to the department would pose a risk of institutional instability on a proven and operational model, then even though networks require massive and continuous investments. Also, she asks him if the Government has formally consulted the municipalities and their unions on this orientation if it is indeed considering modifying the current organization of the competence of the organizing authority of the public electricity distribution networks.
Question· Question écrite13268answered
France · National Assembly · 3 March 2026
Ms. Alix Fruchon draws the attention of the Minister of Small and Medium Enterprises, Commerce, Crafts, Tourism and Purchasing Power to compliance with the multi-year trajectory of lowering the ceiling of the tax for fees for chambers of trades and crafts (TFCMA), as negotiated at the end of 2022 between the State and the network of chambers of trades and crafts (CMA). This trajectory predicted an overall decrease of 60 million euros over five years (2023-2027), distributed as follows: - 7 million euros in 2023, then - 13.25 million euros per year from 2024 to 2027. It constituted the basis of the commitments made by the CMA network as part of its transformation and modernization, in particular following its effective regionalization since 2021. However, on the occasion of the examination of the finance bill for 2026, while the Assembly National and the Senate had adopted an amendment limiting the reduction in the TFCMA ceiling to -13.25 million euros for 2026, the Government finally set this reduction at -19 million euros in the text adopted in application of article 49, paragraph 3, of the Constitution. This decision raises serious concern with regard to respecting the State's word and the budgetary visibility necessary for the continuation of reforms. structural initiatives undertaken by the CMA network. Consequently, the MP would like to know the minister's position on compliance with the multi-year trajectory set at the end of 2022. Does the Government intend to catch up, either within the framework of a possible amending finance bill for 2026, or during the examination of the finance bill for 2027, in order to guarantee compliance with the initial trajectory? agreed? More broadly, she asks him if he confirms his commitment to ensuring the stability and predictability of the resources of the CMA network in accordance with the commitments made.
Question· Question écrite13214open
France · National Assembly · 24 February 2026
Mrs. Alix Fruchon alerts the Minister of the Interior to the worrying rate of burglaries in the Centre-Val de Loire region. Indeed, the trend is generally downward, for example in Île-de-France (-12% between 2024 and 2025). However, in the Centre-Val de Loire region, the burglary rate per 1,000 inhabitants reaches 6.8, the highest figure in mainland France. However, the State must guarantee the security of citizens and protect the right to property. He must also stand alongside mayors, these elected representatives of the Republic, who are seeing more and more burglaries in their municipalities, targeting both fellow citizens, but also public and associative buildings. It is urgent to reverse this trend, which leads more and more residents to protect themselves, to invest in means to ensure their own security, or to prevent themselves from live, for fear of being victims of a burglary. Fear must change sides. This is why the MP would like to know if it is not possible to deploy additional resources in the Centre-Val de Loire region and particularly in Indre (like what existed in certain departments: anti-burglary research and investigation group or property crime repression brigade), in order to stem this trend and to reinforce the internal security services already present. In addition, she would like to know if a reform of the penal code is being considered by the Government with the aim of toughening sanctions against those responsible for burglary.
Question· Question écrite13005open
France · National Assembly · 17 February 2026
Ms. Alix Fruchon questions the Minister of Health, Families, Autonomy and Disabled People about access to health studies in areas with a medical deficit. In this case, it has been confirmed the opening of a first year of access to health studies within the municipality of Amilly (Loiret) at the start of the 2027 school year. This initiative is part of the steps taken by the Government to fight against deserts medical and allow a better territorial network of access to health studies. The Indre department is also experiencing a worrying situation in terms of medical demographics and faces a growing need for health professionals. In this context, the opening of a first year of access to health studies in this territory would constitute an essential lever to promote the installation of future doctors and health professionals in the region. This is why she wishes to know if the Government plans to extend this system to other departments, including the department of Indre, and if so, according to what timetable and under what conditions this opening could be considered.
Question· Question écrite12914answered
France · National Assembly · 17 February 2026
Ms. Alix Fruchon questions the Minister of Health, Families, Autonomy and People with Disabilities about the absence of an ambitious law relating to old age and aging well. The aging of the population constitutes a major challenge for the country, with a rapid increase in the number of dependent elderly people in the coming decades. Despite repeated commitments, the programming law announced on old age and autonomy has still not been presented, leaving communities, professionals and families facing increasing difficulties, particularly in terms of financing, attractiveness of professions and access to care and support systems for aging at home. In fact, nearly 90% of French people want to age at home. However, in the event of loss of autonomy, this choice implies adapting their way of life, by putting in place a rigorous, often costly organization, and also requires the availability of medical and para-medical professionals, as well as support from loved ones, who must be accompanied. She therefore wishes to know if the Government plans to present an ambitious law on aging well and old age, accompanied by a multi-year program of resources, and according to what timetable.
Question· Question écrite12716open
France · National Assembly · 10 February 2026
Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the generalization announced by the Government of the experimental protocol established between the profession of opticians and nursing homes, in two regions of France. In this case, access to visual care remains largely insufficient for elderly, dependent or disabled people, particularly those who reside in Ehpad. Hence the implementation, since January 2022, of an experiment authorizing opticians to carry out eye exams directly in nursing homes in two regions of France. The feedback from this experiment has been extremely positive from opticians, residents, nursing home staff and public authorities. It is estimated that nearly 40% of those aged over 78 in nursing homes require active optical correction or monitoring. These interventions not only improve vision, but also residents' self-esteem and quality of life, while avoiding unnecessary medical appointments and travel that are always restrictive for residents. Obviously, the objective is also to redirect residents who need it to the ophthalmologist and the optician obtains an appointment more easily when he can already generally describe the state of health of the patient. This is why, in view of these elements, she would like to know if the Government intends to quickly generalize this experimental protocol established between the profession of opticians and nursing homes.
Question· Question écrite12605answered
France · National Assembly · 3 February 2026
Mme Alix Fruchon alerte M. le ministre du travail et des solidarités sur la mesure visant à restreindre l'accès au compte personnel de formation (CPF) pour le financement du permis de conduire aux seuls demandeurs d'emploi, alors que les salariés y avaient accès jusqu'à présent. Concrètement, cela signifie que les jeunes en emploi, mais également de manière plus générale l'ensemble des salariés qui souhaiteraient passer leur permis et pouvoir bénéficier de leur CPF, ne le pourront plus. Mme la députée tient également à alerter M. le ministre sur la suppression prévue de l'aide aux apprentis permettant de faciliter l'accès au permis. Or, depuis 2017, la formation au permis de catégorie B est éligible au CPF, mesure qui avait permis aux jeunes en début de carrière, apprentis et salariés de pouvoir mobiliser ce dispositif. L'accès au permis de conduire est un formidable accélérateur d'accès à l'emploi, mais aussi une sécurisation de celui-ci et son accès passe par son financement. Le retrait du dispositif porte un frein aux jeunes en début de carrière professionnelle, en créant des inégalités d'accès à l'emploi. En outre, le réserver aux seuls demandeurs d'emploi constitue une rupture d'égalité manifeste, les actifs étant pourtant titulaires des mêmes droits. Ainsi, elle lui demande si le Gouvernement entend revenir sur cette décision.
Question· Question écrite12539answered
France · National Assembly · 3 February 2026
Mme Alix Fruchon alerte Mme la ministre de la transition écologique, de la biodiversité et des négociations internationales sur le climat et la nature sur la problématique de l'implantation massive du frelon asiatique, constituant un enjeu majeur, tant pour la pérennité de la filière apicole que pour la préservation de la biodiversité et la sécurité publique. À la suite de la loi du 15 mars 2025, votée par les parlementaires à l'unanimité et visant à endiguer l'expansion du frelon asiatique, un décret n° 2025-1377 a été publié au Journal officiel le 30 décembre 2025, précisant les modalités d'adoption du plan national et des plans départementaux de lutte contre le frelon asiatique à pattes jaunes. Sont ainsi prévus des échanges avec les représentants des apiculteurs ainsi qu'avec les instituts techniques spécialisés, afin de partager les constats, d'évaluer les dispositifs existants et d'identifier les moyens de lutte les plus efficaces à déployer. Aussi, elle lui demande si le Gouvernement entend réunir l'ensemble des acteurs concernés rapidement, compte tenu de l'urgence à agir.
Question· Question écrite12353answered
France · National Assembly · 20 January 2026
Mme Alix Fruchon alerte M. le ministre des transports sur la suppression des arrêts de train en gare d'Issoudun - gare située sur la ligne POLT (Paris, Orléans, Limoges,Toulouse), permettant d'assurer la liaison entre Issoudun et Paris Austerlitz -, à partir du 1er février 2026. En l'espèce, actuellement, entre le lundi et le vendredi compris, deux trains permettent d'assurer cette liaison au départ d'Issoudun : à 6 h 31 - pour une arrivée en gare de Paris Austerlitz à 8 h 54 - et à 7 h 50 - pour une arrivée en gare de Paris Austerlitz à 10 h 01. Cependant, à partir du 1er février 2026, une modification majeure apparaît. En effet, chaque lundi, deux trains permettront d'assurer cette liaison au départ d'Issoudun : à 6 h 31 - pour une arrivée en gare de Paris Austerlitz à 8 h 54 - et à 8 h 30 - pour une arrivée en gare de Paris Austerlitz à 10 h 34. Les mardis, mercredis, jeudis et vendredis, le train de 6 h 31 est supprimé et deux arrêts sont prévus : à 7 h 33 pour une arrivée en gare de Paris Austerlitz à 9 h 38 - et à 8 h 30 - pour une arrivée en gare de Paris Austerlitz à 10 h 34. Cette modification des grilles, découverte grâce à l'alerte d'une citoyenne de l'Indre, va enclaver tout ce bassin de vie, qui doit pouvoir bénéficier de ce service de transport, permettant aux usagers de se rendre à Paris avant 9 heures. Ce train de 6 h 31 existe depuis des années. Les usagers de la ligne POLT sont déjà assez résilients face aux travaux de la ligne qui empêchent toute desserte de train entre 8 h 30 et 16 heures - concernant l'Indre. Les entreprises, les habitants qui ont des obligations professionnelles ou médicales, à Paris, les étudiants, doivent pouvoir retrouver une certaine confiance en l'avenir vis-à-vis du fait que leur territoire continue d'être desservi par des trains à des heures stratégiques. L'on ne peut pas casser cette confiance. Cela aurait un impact très négatif vis-à-vis de l'attractivité du département de l'Indre. C'est pourquoi elle lui demande s'il entend se battre pour que les horaires des dessertes actuelles à Issoudun soient rétablis à partir du 1er février et ce, sur le long terme.
Question· Question écrite11800open
France · National Assembly · 16 December 2025
Mme Alix Fruchon attire l'attention de Mme la ministre de la santé, des familles, de l'autonomie et des personnes handicapées sur la future convention entre la Caisse nationale d'assurance maladie (Cnam) et les infirmiers libéraux. Les négociations qui portent sur le cycle 2022 ont été entamées le 7 juillet 2025. Les discussions stagnent et aucune avancée ne se dégage sur les revalorisations de l'acte médico-infirmier (AMI) et l'indemnité forfaitaire de déplacement (IFD). L'AMI n'a pas été revalorisé depuis 2009 malgré l'établissement de nouvelles conventions qui vaut, avec l'évolution du coût de la vie, 2,42 euros aujourd'hui. Ce sont cinq années perdues en revalorisation depuis la dernière convention de 2019. L'IFD, lui, n'a pas pris en compte la prise en charge croissante des patients dépendants ou chroniques. En première ligne pour l'accès aux soins, d'autant plus dans des territoires désertifiés médicalement comme l'Indre ou le Cher, les infirmiers libéraux constituent un rouage essentiel du système de santé. Répondre à leurs demandes de revalorisation contribue à une juste reconnaissance des professionnels qui assurent des soins de qualité. Aussi, elle souhaite obtenir des éléments concrets sur l'avancement des négociations avec la Cnam sur les revalorisations qui seront accordées aux infirmiers libéraux et connaître les mesures de la nouvelle convention soutenues par le Gouvernement pour une meilleure prise en compte de la réalité du terrain et du quotidien des infirmiers libéraux.
Question· Question écrite11442open
France · National Assembly · 9 December 2025
Mme Alix Fruchon appelle l'attention de M. le ministre de l'intérieur sur la situation des examens du permis de conduire. Service public essentiel, les objectifs du Président de la République étaient clairs : un permis de conduire moins cher et un délai maximal de présentation de 45 jours. Or elle rappelle la situation alarmante des examens du permis de conduire renforcée par la hausse du nombre d'inscriptions : absence de recrutements adaptés et délais d'attente de plusieurs mois. Les conséquences sont nombreuses notamment en milieu rural où l'obtention du permis de conduire est un prérequis pour l'autonomie des jeunes. Pour défendre l'égalité des chances et le maintien d'un service public de proximité et de qualité, elle lui demande quelles sont les pistes que comptent développer le Gouvernement pour pallier cette situation et augmenter le nombre d'inspecteurs du permis de conduire.
Question· Question écrite11401open
France · National Assembly · 2 December 2025
Mme Alix Fruchon attire l'attention de M. le ministre de l'intérieur sur la nécessité d'une publication du décret d'application de article 24 de la loi n° 2023-270 du 14 avril 2023 de financement rectificative de la sécurité sociale pour 2023, qui prévoit que les sapeurs-pompiers volontaires ayant accompli au moins 10 ans de service puissent bénéficier de d'une bonification des trimestres selon des modalités fixées par décret en Conseil d'État. Or ce décret n'est, à ce jour, pas publié. Au 131e Congrès des pompiers, en octobre 2025, le Gouvernement a confirmé la mise en œuvre de l'attribution des trimestres supplémentaires en 2026. Les sapeurs-pompiers volontaires attendent depuis deux ans le décret d'application. Mme la députée souligne que cette disposition est une reconnaissance donnée à l'engagement des citoyens qui choisissent de s'engager, en première ligne et sur les territoires, dans des missions parfois périlleuses. Leur rôle est essentiel dans l'organisation de la protection civile en France. Le Gouvernement a indiqué que les travaux interministériels étaient en cours pour aboutir à un décret sérieux et dans l'esprit de la loi. En conséquence, elle lui demande un point d'étape des discussions sur ce décret et si une date définitive de publication sera prochainement établie.