The vote was acquired by 199 votes for and 14 once morest.
Deputies and senators will now try to agree on a common text in a joint committee.
In the long-term fight once morest medical deserts, the bill by Renaissance MP Stéphanie Rist aims in particular to broaden the missions of nurses in advanced practice (IPA) who would now be authorized to make certain prescriptions for care and medication.
Patients might go to these caregivers without going through a doctor, but still within the framework of a “coordinated exercise” with the latter. The bill also allows a “direct access” physiotherapists and speech therapists working in health establishments.
“The objective is in no way to set aside the general practitioner”assured the Minister Delegate Agnès Firmin Le Bodo, while the liberal doctors demonstrated once morest this text and to demand better prices.
This is for the government “to free up medical time and facilitate access to healthcare”.
“Let’s not fool ourselves, this text opposes fragmented responses to a structural problem and will not make it possible to resolve the serious difficulties that some of our fellow citizens are facing”warned for her part the rapporteur Corinne Imbert (LR).
The senators gave the green light to these provisions, but by framing them, so as to “guarantee the safety of care” et “maintain the central role of the doctor in the coordination and follow-up of patients”.
In addition, they introduced a new article paving the way for compensation for missed appointments with healthcare professionals, and financial penalties for dishonest patients.
This initiative has been debated, in particular on the responsibility of dating platforms. Health Minister François Braun judged her “premature”, while the left considered that it risked making the most fragile patients more precarious. For Mrs Imbert, “it’s not regarding stigmatizing”more “at least to put on the table” the problem.
With the consent of the Minister, the Senate removed the possibility for the physiotherapist to prescribe an adapted physical activity (APA).
The left abstained on the entire bill, Bernard Jomier (PS) accusing the government of “crystallize opposition between health professions where more cooperation is needed”.
