The end clap.

At the end of the seventh 49.3 employed by the government of Elisabeth Borne, and the rejection of a new motion of censure tabled by Nupes, the Social Security budget was totally and definitively adopted in the National Assembly.

Deficit, prevention, tobacco prices and workforce in nursing homes, 20 Minutes goes around the essential points of the text for you.

Deficit and search for savings

Since the abysmal record of 2020 (nearly 39 billion), the losses have been reduced, to less than 25 billion in 2021. For this year, they were programmed at 17.8 billion.

But Assembly and Senate voted on the government's proposal for extensions for the hospital, in particular to deal with the epidemics of bronchiolitis and Covid, which brings the forecast deficit for 2022 to 18.9 billion.

For 2023, it should be 7.1 billion, if the government's optimistic assumptions are confirmed.

A hell of a hole to fill, with savings to be found everywhere.

If the budget does not provide for a planing stroke on the hospital, the pharmaceutical sector will be hard put to contribution, with 1 billion euros in savings planned.

Other branches will be called upon: 250 million on analysis laboratories, 150 million on imaging, and as much on complementary health.

To fight against fraud, non-pension allowances can no longer be paid from 2024 to non-European bank accounts.


The average package price, currently 10.15 euros, should rise to 11 euros in 2024, depending on inflation.

Taxation on tobacco brings in between 13 and 14 billion per year, but it remains lower than its cost for health insurance, estimated between 20 and 26 billion euros.

Prevention and vaccination

To fight against social inequalities in health, prevention consultations will be offered at key ages in life (20-25, 40-45 and 60-65).

These meetings should also be "the place to identify sexist and sexual violence", added the deputies.

Emergency contraception will be free for all women, without medical prescription.

The text also plans to make it possible to screen for certain sexually transmitted infections without a prescription for everyone, and free of charge for those under 26.

In addition, an experiment will be launched for three years on compulsory screening for sickle cell disease in newborns.

A change introduced by the Covid-19 crisis and now set in stone, pharmacists and nurses will be given the capacity to prescribe vaccines.

And midwives will be able to vaccinate a wider population.

What working conditions for caregivers?

Work stoppages prescribed by teleconsultation by a professional other than the treating doctor or a doctor seen in the last 12 months will no longer be reimbursed.

Due to the lack of on-call doctors throughout the territory on evenings and weekends, it is planned to extend the “permanent care” to nurses, midwives and dentists.

Generally speaking, doctors will see their working conditions change.

The boarding school for general practitioners will be extended by one year, with internships outside the hospital and "as a priority" in medical deserts (deputies from all sides pleaded for an obligation) to better train them in liberal exercise and support their installation.

But the measure is contested in the profession, the obligation of installation coming into contradiction with the principle of liberal exercise.

The possibility for doctors and nurses to work until the age of 72 in hospitals has been extended until the end of 2035. Combining employment and retirement will be possible for health professionals in medical deserts.

There will also be an exemption from old-age insurance contributions for liberal doctors in combined employment and retirement, under an income level fixed by decree.

Young caregivers will no longer be able to work on a temporary basis as soon as they leave school, but must first practice “in another framework”, salaried or liberal, “for a minimum period” which will be fixed by decree.

Interim work is indeed more and more expensive for hospitals.

nursing home

Some 3,000 nurses and nursing assistants will strengthen the workforce of retirement homes, the first stage of a plan of 50,000 additional recruitments by 2027. There will be added 4,000 additional places in home help services.

The Orpéa post-scandal requirements on the transparency and financial regulation of medico-social establishments and services have been completed.

The national "floor rate" per hour of intervention for home help services is raised to 23 euros in 2023.

Help and children's rights

The financial assistance paid to families who have their child looked after by a childminder will be reassessed, so that their remaining dependents are the same as if the child benefited from a place in a crèche.

Single-parent families will now receive financial assistance for childcare until they enter college, and no longer until the start of CP.

And the minimum alimony paid to them by the CAF in the event of default by the other parent will be increased by 50%, from 123 to 185 euros per month.

In addition, the compensation will be improved for children suffering from a pathology due to the occupational exposure of one of their parents and the compensation extended to the beneficiaries.


Social security budget: A final motion of censure rejected, the text adopted


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  • Company

  • National Assembly

  • Social Security

  • Elisabeth Borne

  • Budget

  • nursing home

  • Doctor