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France Moves to Tighten State Medical Aid for Undocumented Migrants With New Draft Decrees

The texts have been sent to the national health insurance fund for advisory review ahead of potential ministerial adoption.

Overview

  • Draft decrees submitted to Cnam would narrow the AME benefit package and further condition access for adult beneficiaries.
  • The proposals would exclude balneotherapy rehabilitation and expand waiting requirements or prior authorization for non‑urgent programmed care such as certain physiotherapy acts, eyeglasses, hearing aids, dental prosthetic care and medical transport in town.
  • Application rules would be tightened by updating required documents and by assessing eligibility using household income rather than only individual resources.
  • Unions have urged a full board review after an initial commission opinion expected next week, while the health ministry told AFP the measures are adjustments consistent with the Evin‑Stéfanini report.
  • The move comes days before a confidence vote requested by Prime Minister François Bayrou, as AME spending totaled about €1.2 billion in 2024, roughly 0.5% of planned health outlays.