2024-01-02 16:57:32
On December 27, the law aimed at improving access to care through the territorial commitment of professionals was promulgated. A parliamentary process begun last April made it possible to enrich the initial proposal with contributions from different groups in the National Assembly and the Senate.
The law was promulgated on December 27, 2023. It was published in the Official Journal on December 28, 2023.
This new law aims to accelerate the decompartmentalization of our health system, with concrete solutions to improve access to care for our fellow citizens, and strengthen our means of combating health inequalities, particularly territorial ones. This text sets up a coherent set of measures of immediate applicationaiming forever better coordinate the territorial organization of care and to better distribute the skills and responsibilities of each actoras needed.
Strengthening access to care through cooperation and territorial commitment
The text makes the health territory, defined in the public health code, the reference level for the local organization of health policy. In each of these territories :
The Territorial Health Council (CTS)an organ of health democracy at the territorial level, is clarified in its definition, expanded in its composition, reinforced in its missions and responsibilities.
The responsibility for organizing permanent care in health establishments (PDSES) is extended. This includes rebalancing contributions between the public and private sectors, to guarantee each of our fellow citizens that where they need it, when they need it, that there will always be a response provided.
Territorial hospital groups (GHT) are reinforced and simplified thanks to the possibility of acquiring the legal personality. The GHT with legal personality may in particular hold healthcare authorizations.
Financial control over private clinicstheir satellites and the societies around them, is strengthened.
Strengthening access to care through cooperation between health stakeholders
In order to stabilize and strengthen hospital work groups, but also to better support caregivers in the transition from student status to that of health professional, this text acts the ban on temporary work at the start of a healthcare career.
The law provides for several provisions improving patients’ access to health professionals over time, including the creation of the role of referent nurse for patients with long-term illnesses (ALD) and the strengthening the role of the coordinating doctor in EHPAD. The benefit of financial aid and tax exemptions for installation is limited to one allocation every 10 years, and doctors, midwives and dentists wishing to permanently cease their activity will now be required to give six months’ notice, so that an alternative solution can be anticipated. in parallel the increase in the co-payment applied to patients losing their treating doctor due to retirement or moving is eliminated the first year.
The text also facilitates the exercise of qualified practitioners outside the European Union (PADHUE), with new provisional exercise authorizations. Finally, to encourage more and more young people to start their careers where the needs are greatest, the benefit of the public service engagement contract (CESP) is extended to students in medicine, odontology, midwifery and pharmacy from the end of the second year of study. This contract consists of a monthly allowance of 1,200 euros gross in return for a commitment to work for a minimum of two years in a territory. The possibility is also granted to local authorities to pay accommodation and travel allowances for postgraduate dental students.
“The outcome of this text is proof of our ability to find solutions useful to the French, with the cornerstone of a better territorial organization of care and the confidence given to those in the field. This new law, which will produce very concrete effects on the ground, is part of the broader project of resolute action carried out by the Ministry of Health and Prevention in the service of our fellow citizens and health professionals. The work continues, and I hope that we continue to move forward in this positive dynamic. »
• Promulgation of the law of December 27, 2023 aimed at improving access to care through the territorial commitment of professionals – Press release of December 29, 2023, Ministry of Health and Prevention.
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