La proposition de loi n\u00b0 3232, d\u00e9pos\u00e9e par le d\u00e9put\u00e9 Hadrien Clouet, vise \u00e0 abolir les frais commerciaux factur\u00e9s par les plateformes priv\u00e9es de t\u00e9l\u00e9consultation m\u00e9dicale. Elle s\u2019inscrit dans le champ de la politique de sant\u00e9 et de l\u2019organisation de l\u2019offre de soins \u00e0 distance, en lien avec l\u2019Assurance maladie et les r\u00e8gles de prise en charge des actes m\u00e9dicaux.<\/p>\n
Le texte constate le d\u00e9veloppement rapide des plateformes de t\u00e9l\u00e9consultation et rel\u00e8ve que certaines d\u2019entre elles facturent aux patients ou aux professionnels de sant\u00e9 des frais additionnels \u00e0 l\u2019acte m\u00e9dical (frais de dossier, de mise en relation, d\u2019abonnement, de commission, etc.). Selon l\u2019expos\u00e9 des motifs, ces frais ont un caract\u00e8re commercial, augmentent le reste \u00e0 charge des patients et captent une partie des d\u00e9penses de l\u2019Assurance maladie au profit d\u2019interm\u00e9diaires num\u00e9riques. La proposition de loi estime que cette situation cr\u00e9e un risque de d\u00e9rive marchande dans l\u2019acc\u00e8s aux soins, pouvant affecter l\u2019\u00e9galit\u00e9 territoriale et sociale, et conduire \u00e0 une forme de s\u00e9lection des patients.<\/p>\n
Le dispositif propos\u00e9 entend encadrer strictement la r\u00e9mun\u00e9ration des plateformes en interdisant toute facturation de frais commerciaux li\u00e9s aux t\u00e9l\u00e9consultations rembours\u00e9es par l\u2019Assurance maladie. Il distingue la r\u00e9mun\u00e9ration des actes m\u00e9dicaux, r\u00e9serv\u00e9e aux professionnels de sant\u00e9, des prestations techniques ou logicielles, qui ne doivent pas donner lieu \u00e0 une surfacturation pour les patients. Le texte pr\u00e9voit ainsi que les plateformes ne puissent pr\u00e9lever ni commissions ni surco\u00fbts sur les honoraires m\u00e9dicaux ou sur les remboursements, et que les usagers ne supportent pas de frais additionnels pour acc\u00e9der \u00e0 une t\u00e9l\u00e9consultation prise en charge par la solidarit\u00e9 nationale.<\/p>\n
La proposition de loi implique principalement l\u2019Assurance maladie, en tant que financeur des actes, ainsi que les plateformes priv\u00e9es de e-sant\u00e9 et les professionnels de sant\u00e9 ayant recours \u00e0 ces services. Elle soul\u00e8ve des enjeux de r\u00e9gulation \u00e9conomique du num\u00e9rique en sant\u00e9, de protection du pouvoir d\u2019achat des patients et de pr\u00e9servation de l\u2019\u00e9thique m\u00e9dicale face \u00e0 des logiques commerciales. Elle s\u2019articule avec les r\u00e8gles existantes de remboursement des t\u00e9l\u00e9consultations et de tarification des actes, sans d\u00e9tailler toutefois dans le texte les modalit\u00e9s op\u00e9rationnelles de contr\u00f4le ou de sanction, ni l\u2019ampleur quantitative actuelle des frais commerciaux concern\u00e9s. Le texte ne comporte pas d\u2019\u00e9l\u00e9ments comparatifs internationaux et se concentre sur le cadre juridique fran\u00e7ais.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" La proposition de loi n\u00b0 3232, d\u00e9pos\u00e9e par le d\u00e9put\u00e9 Hadrien Clouet, vise \u00e0 abolir les frais commerciaux factur\u00e9s par les plateformes priv\u00e9es de t\u00e9l\u00e9consultation m\u00e9dicale. Elle s\u2019inscrit dans le […]<\/p>\n","protected":false},"author":1,"featured_media":3805,"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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[124],"tags":[122,227],"class_list":["post-20071","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assemblee-nationale","tag-assemblee-nationale","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/20071","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20071"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/20071\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/3805"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20071"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20071"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20071"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}