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Structural reformIn effectSocial security and healthcareNational

Solidarity supplementary health cover: merger of CMU-C and the supplementary health aid

The 2019 Social Security Financing Act merged the universal supplementary health cover (CMU-C) and the aid towards supplementary health insurance (ACS) into a single supplementary health protection, known as the solidarity supplementary health cover. It is free below the CMU-C income ceiling and open, subject to a financial contribution set by order, to people whose income lies between that ceiling and the ceiling plus 35%. The contribution is excluded from the additional solidarity tax and rights are renewed automatically for some minimum-income recipients.

Measure originators

InitiatorGVT
Agnès Buzyn
Gouvernement
InitiatorGVT
GĂ©rald Darmanin
Gouvernement
Impact on public finances
Costs 160 m €/yr2020 estimate · Social security
Source of the estimate: Sénat, rapport n° 111 (2018-2019), tome II, article 34 du PLFSS 2019 (Indirect official figure)

A positive amount is revenue or savings for public finances; a negative amount is a cost or lost revenue.

Effective date
1 November 2019

Measure impact

Former ACS recipients get supplementary cover with CMU-C content for a limited contribution, instead of aid towards buying a contract. The Government estimated the additional cost at €75 million in 2020, €160 million including lost solidarity-tax revenue. The main provisions apply from 1 November 2019.

Official references

Law number: Loi n° 2018-1203 du 22 décembre 2018 (LFSS 2019), art. 52
View on LĂ©gifrance

Sources

LFSS pour 2019, article 52 (CSS, art. L. 861-1 et suivants)Official
22 December 2018
Sénat, rapport n° 111 (2018-2019), tome II, commentaire de l'article 34 du PLFSSParliamentary
7 November 2018

Procedure timeline

Follow the progress of this fiscal measure through the different stages of the parliamentary procedure.

100%
3 / 3 steps
Completed
1 November 2019

Administrative implementation

Application

Entrée en vigueur de la mesure et mise en œuvre par l'administration

Application des principales dispositions à compter du 1er novembre 2019 (4° du IX de l'article 52) ; renouvellement automatique pour les bénéficiaires du RSA au 1er avril 2019.
Source
Completed
22 December 2018

President of the Republic signature

Promulgation

Publication au Journal officiel

Promulgation de la loi n° 2018-1203 du 22 décembre 2018 de financement de la sécurité sociale pour 2019.
Source
Completed
21 December 2018

Possible referral to Constitutional Council

Constitutional review

Décision de conformité / censure partielle

Décision du Conseil constitutionnel n° 2018-776 DC du 21 décembre 2018 sur la loi de financement de la sécurité sociale pour 2019.
Source