{"id":19730,"date":"2026-10-02T12:30:29","date_gmt":"2026-10-02T12:30:29","guid":{"rendered":"https:\/\/veilles-affaires-sociales.fr\/?p=19730"},"modified":"2026-10-02T12:30:29","modified_gmt":"2026-10-02T12:30:29","slug":"plfss-2027-ce-que-prevoit-le-gouvernement-en-matiere-dacces-aux-soins-et-dautonomie-2","status":"publish","type":"post","link":"https:\/\/veilles-affaires-sociales.fr\/?p=19730","title":{"rendered":"PLFSS 2027 : ce que pr\u00e9voit le gouvernement en mati\u00e8re d&rsquo;acc\u00e8s aux soins et d&rsquo;autonomie"},"content":{"rendered":"<p>Le contenu porte sur l\u2019\u00e9volution r\u00e9cente et la trajectoire pr\u00e9vue du d\u00e9ficit de la s\u00e9curit\u00e9 sociale en France dans le cadre du projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS), en lien avec la ma\u00eetrise des d\u00e9penses sociales et de sant\u00e9.<\/p>\n<p>En octobre 2025, lors de la pr\u00e9sentation du PLFSS pour 2026, le gouvernement avait annonc\u00e9 un objectif de d\u00e9ficit de la s\u00e9curit\u00e9 sociale de 17,5 milliards d\u2019euros pour 2026, soit 5,5 milliards de moins qu\u2019en 2025, et assum\u00e9 une trajectoire visant un d\u00e9ficit de 18,3 milliards d\u2019euros \u00e0 l\u2019horizon 2029. La loi de financement pour 2026, publi\u00e9e le 31 d\u00e9cembre 2025, a finalement retenu un d\u00e9ficit pr\u00e9visionnel de 19,4 milliards d\u2019euros pour 2026, qui aurait atteint pr\u00e8s de 24 milliards sans un transfert de 4,5 milliards d\u2019euros des caisses de l\u2019\u00c9tat vers la s\u00e9curit\u00e9 sociale. Un an plus tard, le d\u00e9ficit effectif pour 2026 est estim\u00e9 \u00e0 21,8 milliards d\u2019euros, proche du d\u00e9ficit 2025 r\u00e9\u00e9valu\u00e9 \u00e0 21,6 milliards d\u2019euros.<\/p>\n<p>Dans un contexte de hausse marqu\u00e9e des taux d\u2019int\u00e9r\u00eat de la dette fran\u00e7aise, le gouvernement pr\u00e9sente, dans un nouveau PLFSS, une trajectoire qualifi\u00e9e d\u2019ambitieuse : r\u00e9duction quasi de moiti\u00e9 du d\u00e9ficit pour atteindre 12,7 milliards d\u2019euros en 2027, puis stabilisation autour de 17 milliards d\u2019euros \u00e0 l\u2019horizon 2030. Le ministre du Travail et des Solidarit\u00e9s, Jean-Pierre Farandou, rappelle que la s\u00e9curit\u00e9 sociale est normalement \u00e0 l\u2019\u00e9quilibre et qualifie de \u00ab pas supportable \u00bb un d\u00e9ficit structurel d\u2019environ 20 milliards d\u2019euros install\u00e9 depuis l\u2019apr\u00e8s-Covid. La ministre de la Sant\u00e9, des Familles, de l\u2019Autonomie et des Personnes handicap\u00e9es, St\u00e9phanie Rist, insiste sur la n\u00e9cessit\u00e9 de \u00ab prot\u00e9ger \u00bb la s\u00e9curit\u00e9 sociale.<\/p>\n<p>Selon l\u2019expos\u00e9 des motifs du tableau d\u2019\u00e9quilibre 2027 (article 16 du PLFSS), l\u2019am\u00e9lioration nette du solde, \u00e9valu\u00e9e \u00e0 9,1 milliards d\u2019euros en 2027, repose sur deux leviers principaux. D\u2019une part, une hausse limit\u00e9e des d\u00e9penses de 2 %, articul\u00e9e autour : d\u2019une progression de l\u2019Ondam de 2,0 % ; d\u2019une revalorisation diff\u00e9renci\u00e9e des pensions ; et de mesures d\u2019\u00e9conomies sur les prestations familiales, incluant la stabilisation de leurs montants (gain estim\u00e9 \u00e0 1,5 milliard d\u2019euros) et l\u2019instauration, \u00e0 l\u2019article 37, d\u2019une condition d\u2019un an de r\u00e9sidence r\u00e9guli\u00e8re en France pour en b\u00e9n\u00e9ficier. D\u2019autre part, une augmentation des recettes de 3,4 %, tir\u00e9e notamment par une progression de 2,4 % de la masse salariale du secteur priv\u00e9 et par des mesures nouvelles, dont la prolongation d\u2019un an de la participation exceptionnelle des organismes compl\u00e9mentaires au financement de l\u2019assurance maladie, pour un montant suppl\u00e9mentaire de 1,1 milliard d\u2019euros.<\/p>\n<p>Pour la branche maladie, la trajectoire implique une augmentation des d\u00e9penses d\u2019environ 6 milliards d\u2019euros, combin\u00e9e \u00e0 un freinage de 4 milliards d\u2019euros par rapport \u00e0 la dynamique ant\u00e9rieure, dont 3 milliards sur les m\u00e9dicaments et 1 milliard sur les arr\u00eats maladie. L\u2019ensemble de ces \u00e9l\u00e9ments traduit un recentrage de la politique de financement de la s\u00e9curit\u00e9 sociale sur la r\u00e9sorption progressive d\u2019un d\u00e9ficit devenu structurel, via un contr\u00f4le renforc\u00e9 de certaines d\u00e9penses sociales et de sant\u00e9 et une mobilisation accrue de certaines recettes, en particulier dans le champ de l\u2019assurance maladie.\u00a0(contenu r\u00e9sum\u00e9 par l&rsquo;IA)<a href=\"https:\/\/www.banquedesterritoires.fr\/plfss-2027-ce-que-prevoit-le-gouvernement-en-matiere-dacces-aux-soins-et-dautonomie?pk_campaign=Flux%20RSS&amp;pk_kwd=sante&amp;pk_source=Actualit%C3%A9s%20Localtis&amp;pk_medium=RSS%20Thematique\" target=\"_blank\" class=\"feedzy-rss-link-icon\">Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Le contenu porte sur l\u2019\u00e9volution r\u00e9cente et la trajectoire pr\u00e9vue du d\u00e9ficit de la s\u00e9curit\u00e9 sociale en France dans le cadre du projet de loi de financement de la s\u00e9curit\u00e9 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9221,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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