Le Conseil de la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) a rendu un avis sur le projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2025, avec une projection \u00e0 horizon 2027, en alertant sur un sous-financement persistant de la branche Autonomie au regard des besoins identifi\u00e9s. Il estime que la trajectoire financi\u00e8re pr\u00e9sent\u00e9e reste en d\u00e9calage avec les enjeux d\u00e9mographiques et l\u2019augmentation attendue du nombre de personnes \u00e2g\u00e9es en perte d\u2019autonomie et de personnes en situation de handicap.<\/p>\n
Selon le Conseil, les moyens pr\u00e9vus ne permettraient pas de r\u00e9pondre pleinement aux objectifs de renforcement de l\u2019offre m\u00e9dico-sociale, d\u2019am\u00e9lioration de l\u2019accompagnement \u00e0 domicile et en \u00e9tablissement, ni de revalorisation suffisante des m\u00e9tiers du grand \u00e2ge et du handicap. Il met en avant un risque de fragilisation de la branche Autonomie, cr\u00e9\u00e9e au sein de la s\u00e9curit\u00e9 sociale pour s\u00e9curiser et clarifier le financement de la politique de l\u2019autonomie, si la progression des ressources reste inf\u00e9rieure \u00e0 la dynamique des d\u00e9penses n\u00e9cessaires.<\/p>\n
L\u2019avis souligne que les financements programm\u00e9s pour les \u00e9tablissements et services m\u00e9dico-sociaux, notamment en direction des personnes \u00e2g\u00e9es et des personnes handicap\u00e9es, demeurent inf\u00e9rieurs aux \u00e9valuations r\u00e9alis\u00e9es par la CNSA et aux besoins exprim\u00e9s sur le terrain. Le Conseil rel\u00e8ve \u00e9galement une tension persistante sur l\u2019investissement dans les \u00e9tablissements et services, susceptible de retarder les adaptations n\u00e9cessaires des structures et des organisations aux \u00e9volutions des besoins et des normes.<\/p>\n
La CNSA, \u00e9tablissement public charg\u00e9 de piloter et de financer la politique de l\u2019autonomie, insiste sur l\u2019importance d\u2019inscrire l\u2019accompagnement de la perte d\u2019autonomie dans une trajectoire pluriannuelle plus lisible et mieux s\u00e9curis\u00e9e, afin de garantir la soutenabilit\u00e9 des dispositifs et la qualit\u00e9 de l\u2019accompagnement. Elle appelle \u00e0 une meilleure ad\u00e9quation entre les objectifs affich\u00e9s en mati\u00e8re d\u2019autonomie et les moyens budg\u00e9taires effectivement allou\u00e9s dans le cadre du PLFSS. Le Conseil signale enfin que ces constats interviennent dans un contexte de fortes attentes des acteurs de terrain et de besoins croissants, ce qui renforce, selon lui, la n\u00e9cessit\u00e9 d\u2019une vigilance particuli\u00e8re sur la trajectoire financi\u00e8re de la branche Autonomie \u00e0 l\u2019horizon 2027.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Le Conseil de la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) a rendu un avis sur le projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2025, avec […]<\/p>\n","protected":false},"author":1,"featured_media":4032,"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":[18,17],"tags":[113,227],"class_list":["post-21260","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-autonomie-et-age","category-handicap-et-accessibilite","tag-cnsa","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/21260","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=21260"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/21260\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4032"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}