Lors de l\u2019examen du projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2026, la question du niveau de remboursement des cures thermales par l\u2019assurance maladie a \u00e9t\u00e9 de nouveau mise en d\u00e9bat. Le gouvernement a inscrit ce sujet dans une logique g\u00e9n\u00e9rale de \u00ab\u00a0recentrage\u00a0\u00bb des prises en charge sur les soins jug\u00e9s les plus efficients. Dans ce cadre, plusieurs d\u00e9put\u00e9es, dont Nicole Dubr\u00e9-Chirat (EPR, Maine-et-Loire), ont d\u00e9pos\u00e9 un amendement visant \u00e0 supprimer le remboursement des cures thermales, sauf lorsqu\u2019elles sont prescrites en compl\u00e9ment d\u2019un traitement pour les patients en affection de longue dur\u00e9e, atteints de pathologies graves ou invalidantes, ou pr\u00e9sentant des troubles du d\u00e9veloppement de l\u2019enfant. Les auteurs de l\u2019amendement soulignaient que la France est l\u2019un des derniers pays de l\u2019OCDE \u00e0 rembourser largement les cures thermales pour une liste de douze affections \u00e9ligibles, et estimaient que la mesure permettrait une \u00e9conomie de plusieurs dizaines de millions d\u2019euros par an.<\/p>\n
Cet amendement a \u00e9t\u00e9 rejet\u00e9 \u00e0 l\u2019issue d\u2019une mobilisation importante de parlementaires, d\u2019\u00e9lus locaux et d\u2019acteurs du thermalisme. Le d\u00e9put\u00e9 Denis F\u00e9gn\u00e9 (socialiste, Hautes-Pyr\u00e9n\u00e9es), pr\u00e9sident du groupe d\u2019\u00e9tudes \u00ab\u00a0thermalisme\u00a0\u00bb de l\u2019Assembl\u00e9e nationale, a notamment lanc\u00e9 une p\u00e9tition ayant recueilli plus de 120.000 signatures. Parall\u00e8lement, dans un courrier du 5 novembre 2025, onze pr\u00e9sidents de r\u00e9gion, au travers de R\u00e9gions de France, ont alert\u00e9 le Premier ministre sur les risques d\u2019un d\u00e9remboursement des cures thermales pour les patients et pour les territoires. Les r\u00e9gions ont rappel\u00e9 que les d\u00e9penses de l\u2019assurance maladie li\u00e9es aux cures thermales sont estim\u00e9es entre 250 et 350 millions d\u2019euros par an, soit moins de 0,2 % des d\u00e9penses totales, et ont mis en avant le risque de \u00ab\u00a0co\u00fbts diff\u00e9r\u00e9s\u00a0\u00bb plus \u00e9lev\u00e9s en cas de d\u00e9remboursement, en raison du report vers des alternatives jug\u00e9es moins efficaces et plus co\u00fbteuses (traitements m\u00e9dicamenteux chroniques, kin\u00e9sith\u00e9rapies r\u00e9p\u00e9t\u00e9es, hospitalisations).<\/p>\n
Sur le plan territorial et socio-\u00e9conomique, les acteurs mobilis\u00e9s ont insist\u00e9 sur la d\u00e9pendance de nombreuses communes de moins de 10.000 habitants \u00e0 l\u2019activit\u00e9 thermale. En 2024, 471.000 personnes ont suivi une cure sur prescription m\u00e9dicale, g\u00e9n\u00e9rant des retomb\u00e9es \u00e9conomiques qualifi\u00e9es de \u00ab\u00a0centaines de millions d\u2019euros\u00a0\u00bb et \u00ab\u00a0des dizaines de milliers d\u2019emplois\u00a0\u00bb pour ces territoires. Ces enjeux sanitaires, \u00e9conomiques et d\u2019am\u00e9nagement du territoire ont \u00e9t\u00e9 de nouveau discut\u00e9s \u00e0 l\u2019Assembl\u00e9e nationale le 27 mai 2026 lors d\u2019une troisi\u00e8me journ\u00e9e parlementaire consacr\u00e9e au thermalisme. L\u2019ensemble du d\u00e9bat met en \u00e9vidence une tension entre l\u2019objectif de ma\u00eetrise des d\u00e9penses d\u2019assurance maladie, l\u2019\u00e9valuation de l\u2019efficience des cures thermales, leur place singuli\u00e8re dans le paysage international (comparaison avec les autres pays de l\u2019OCDE) et la pr\u00e9servation d\u2019activit\u00e9s \u00e9conomiques et d\u2019emplois localis\u00e9s dans des territoires souvent fragiles.\u00a0(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Lors de l\u2019examen du projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2026, la question du niveau de remboursement des cures thermales par l\u2019assurance maladie a \u00e9t\u00e9 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