Le projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2027 suscite des r\u00e9actions critiques de plusieurs f\u00e9d\u00e9rations et organismes des secteurs de la sant\u00e9, de l\u2019autonomie et de la petite enfance, ainsi que de l\u2019Union nationale des centres communaux d\u2019action sociale (Unccas) et de D\u00e9partements de France.<\/p>\n
Dans le champ sanitaire, les f\u00e9d\u00e9rations repr\u00e9sentatives des \u00e9tablissements de sant\u00e9 (F\u00e9d\u00e9ration hospitali\u00e8re de France \u2013 FHF, Fehap, FHP, Horizons des h\u00f4pitaux \u2013 HD, Unicancer) estiment qu\u2019il manque 1,3 milliard d\u2019euros pour couvrir les besoins, dont 1 milliard d\u2019euros pour l\u2019Ondam \u00c9tablissements de sant\u00e9 et 300 millions d\u2019euros pour le fonds d\u2019intervention r\u00e9gional (FIR). Elles rappellent que l\u2019\u00e9volution annonc\u00e9e de l\u2019Ondam \u00c9tablissements de sant\u00e9 est de +3,2 % hors hausse des cotisations CNRACL et hors mesures nouvelles cibl\u00e9es, soit +3,9 % au total. Elles demandent en outre la r\u00e9int\u00e9gration dans l\u2019Ondam 2026 de cr\u00e9dits gel\u00e9s jug\u00e9s \u00ab\u00a0d\u00e9finitifs\u00a0\u00bb : 180 millions d\u2019euros sur les dotations de l\u2019Ondam \u00c9tablissements de sant\u00e9 et 150 millions d\u2019euros sur le FIR, soulignant que ces gels r\u00e9duisent durablement la base de reconduction de l\u2019Ondam. Les f\u00e9d\u00e9rations insistent pour que le FIR ne soit pas utilis\u00e9 comme variable d\u2019ajustement budg\u00e9taire, au risque de fragiliser la permanence des soins et l\u2019accueil des patients en situation de pr\u00e9carit\u00e9. Elles appellent \u00e0 l\u2019adoption d\u2019un PLFSS dans les d\u00e9lais afin d\u2019\u00e9viter une ins\u00e9curit\u00e9 juridique et budg\u00e9taire pour les \u00e9tablissements de sant\u00e9.<\/p>\n
Dans le secteur de l\u2019autonomie et des Ehpad, la FHF, la Fehap et le Synerpa jugent insuffisante la progression de 900 millions d\u2019euros de cr\u00e9dits, qu\u2019elles pr\u00e9sentent comme la plus faible augmentation en valeur de l\u2019objectif global de d\u00e9penses (OGD) m\u00e9dicosocial depuis 2019. Selon elles, cette hausse ne permet pas de couvrir simultan\u00e9ment la revalorisation des budgets de fonctionnement (en particulier au regard de l\u2019inflation et du glissement vieillesse technicit\u00e9 \u2013 GVT) et le financement des cr\u00e9ations de places et de nouvelles solutions m\u00e9dicosociales annonc\u00e9es par le gouvernement. Concernant l\u2019exp\u00e9rimentation de fusion des sections soins et d\u00e9pendance des Ehpad, prolong\u00e9e d\u2019un an, les f\u00e9d\u00e9rations d\u00e9plorent l\u2019absence d\u2019extension \u00e0 de nouveaux territoires et l\u2019absence de calendrier de g\u00e9n\u00e9ralisation, alors qu\u2019elles consid\u00e8rent que les \u00e9l\u00e9ments d\u2019\u00e9valuation annex\u00e9s au PLFSS justifiaient une acc\u00e9l\u00e9ration. L\u2019Uniopss partage cette analyse, regrettant le report de cette r\u00e9forme jug\u00e9e attendue et exprimant plus largement une insatisfaction vis-\u00e0-vis du rythme des \u00e9volutions en mati\u00e8re d\u2019autonomie.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2027 suscite des r\u00e9actions critiques de plusieurs f\u00e9d\u00e9rations et organismes des secteurs de la sant\u00e9, de l\u2019autonomie et […]<\/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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