La commission des affaires sociales de l\u2019Assembl\u00e9e nationale a rejet\u00e9 le 15 octobre 2026, lors de l\u2019examen du projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2027, un amendement visant \u00e0 r\u00e9duire fortement la prise en charge par l\u2019Assurance maladie des soins li\u00e9s aux cures thermales. Le dispositif actuel pr\u00e9voit un remboursement \u00e0 65 %. La question d\u2019un d\u00e9remboursement partiel ou total des cures thermales, pr\u00e9sent\u00e9e de mani\u00e8re r\u00e9currente comme une piste d\u2019\u00e9conomies, avait \u00e9t\u00e9 relanc\u00e9e le 8 octobre 2026 par la ministre de la Sant\u00e9, St\u00e9phanie Rist, qui proposait un transfert de la prise en charge vers les organismes compl\u00e9mentaires, avec un objectif d\u2019\u00e9conomies d\u2019environ 200 millions d\u2019euros.<\/p>\n
Cette perspective a suscit\u00e9 une opposition politique et territoriale. Denis F\u00e9gn\u00e9, pr\u00e9sident du groupe d\u2019\u00e9tudes \u00ab thermalisme \u00bb \u00e0 l\u2019Assembl\u00e9e nationale, a contest\u00e9 la pertinence budg\u00e9taire de cette mesure, en rappelant que les cures thermales repr\u00e9sentent environ 0,1 % des d\u00e9penses de l\u2019Assurance maladie. Il a \u00e9galement mis en avant des travaux scientifiques et m\u00e9dico-\u00e9conomiques indiquant, selon lui, des effets positifs sur la qualit\u00e9 de vie des patients atteints de pathologies chroniques (notamment en rhumatologie), une r\u00e9duction de la consommation de m\u00e9dicaments et une limitation du recours \u00e0 des soins plus co\u00fbteux.<\/p>\n
L\u2019association R\u00e9gions de France a critiqu\u00e9 le 12 octobre 2026 la m\u00e9thode et le contenu de l\u2019annonce gouvernementale, en estimant qu\u2019elle pourrait menacer la sant\u00e9 des patients et l\u2019\u00e9quilibre des territoires concern\u00e9s par le thermalisme. L\u2019association souligne que les cures thermales sont pr\u00e9sent\u00e9es comme un outil de pr\u00e9vention et alerte sur l\u2019absence d\u2019obligation pour les compl\u00e9mentaires sant\u00e9 de prendre en charge ces soins en cas de d\u00e9remboursement par l\u2019Assurance maladie, cr\u00e9ant un risque de transfert de charge non garanti.<\/p>\n
Malgr\u00e9 ce contexte, la d\u00e9put\u00e9e de Maine-et-Loire Nicole Dubr\u00e9-Chirat a de nouveau d\u00e9pos\u00e9 un amendement au PLFSS visant \u00e0 supprimer, \u00e0 compter du 1er janvier 2027, le remboursement des soins et prestations des \u00e9tablissements thermaux, sauf pour les cures prescrites en compl\u00e9ment d\u2019un traitement m\u00e9dical pour les patients en affection de longue dur\u00e9e (ALD), pour les pathologies graves ou invalidantes et pour les troubles du d\u00e9veloppement de l\u2019enfant. Elle justifie cette proposition par le co\u00fbt du dispositif, \u00e9valu\u00e9 \u00e0 250 millions d\u2019euros en 2023, qu\u2019elle juge incompatible avec la situation d\u00e9ficitaire de la s\u00e9curit\u00e9 sociale, tout en indiquant l\u2019absence, selon elle, d\u2019\u00e9valuation ind\u00e9pendante probante autre que celles produites par les centres thermaux eux-m\u00eames.<\/p>\n
\u00c0 ce stade, la prise en charge des cures thermales par l\u2019Assurance maladie est maintenue, mais fait l\u2019objet d\u2019un d\u00e9bat budg\u00e9taire et sanitaire r\u00e9current, opposant imp\u00e9ratifs de ma\u00eetrise des d\u00e9penses de sant\u00e9, enjeux d\u2019acc\u00e8s aux soins et de pr\u00e9vention, ainsi que pr\u00e9occupations relatives \u00e0 la couverture effective par les organismes compl\u00e9mentaires en cas de d\u00e9sengagement de l\u2019assurance obligatoire.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" La commission des affaires sociales de l\u2019Assembl\u00e9e nationale a rejet\u00e9 le 15 octobre 2026, lors de l\u2019examen du projet de loi de financement de la s\u00e9curit\u00e9 sociale (PLFSS) pour 2027, […]<\/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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