Elisabeth Borne commits to reforming state medical aid “at the start of 2024”, in a letter to Gérard Larcher

LR senators voted to replace this care system intended for undocumented immigrants with more restricted assistance. The subject has disappeared from the text discussed in the joint committee, but the Prime Minister promises a dedicated text.

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Prime Minister Elisabeth Borne in front of the Elysée Palace, December 11, 2023. (LUDOVIC MARIN / AFP)

She is committed to responding to a request from the right as part of the ongoing negotiations on the immigration bill. Prime Minister Elisabeth Borne promises to present a reform of state medical aid at the start of 2024, in a letter addressed to President LR of the Senate, Gérard Larcher, consulted by the political service of France Télévisions, Monday December 18.

“I have asked the ministers concerned to prepare the regulatory or legislative developments which will make it possible to initiate a reform of the AME. As you wished, parliamentarians will be fully involved in this work. The necessary developments must be initiated in beginning of 2024”, writes Elisabeth Borne in this letter.

A subject removed from the bill discussed in CMP

This reform of state medical aid, a healthcare system intended for foreigners in an irregular situation, was a hard point in the negotiations around the immigration bill, with many representatives of the majority being opposed to it. While the Senate had adopted amendments replacing the AME with a more restricted system, they were withdrawn during the examination of the text in committee at the National Assembly. They will not be reinstated in the text which will emerge from the CMP meeting on Monday, because the measure would risk being censored by the Constitutional Council, explains Elisabeth Borne in her letter.

According to the Prime Minister, the reform envisaged by the government will be based in particular on the proposals formulated by Claude Evin and Patrick Stefanini, “responsible for evaluating the AME in depth and proposing changes” in a report delivered at the beginning of December.

The report “confirms that the AME is a useful health system, generally controlled and that it does not constitute as such an incentive factor for irregular immigration in our country”. But Elisabeth Borne emphasizes that “the two rapporteurs have formulated proposals which, while ensuring the objective of protecting public health, should make it possible to better control the implementation of the system”.


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