New taxEndedSocial security and healthcareNational

Contribution of supplementary health insurers to the funding of GP flat-rate payments (2013-2015)

The 2014 Social Security Financing Act created a contribution payable by mutual insurers, insurance companies and provident institutions to fund new payment methods for general practitioners acting as "médecin traitant". It equals an annual flat amount multiplied by the number of insured persons and dependants covered who had at least one reimbursed GP consultation (excluding CMU-C beneficiaries). The flat amount is €2.5 for 2013; for later years it is €150 million divided by the number of eligible insured persons, capped at €5. The contribution is due for 2013, 2014 and 2015.

Measure originators

InitiatorGVT
Bernard Cazeneuve
Gouvernement
InitiatorGVT
Marisol Touraine
Gouvernement
Amount
2.5 €
Impact on public finances
Brings in 150 m €/yrtotal cost of the scheme · 2014 estimate · Social security
Source of the estimate: Loi n° 2013-1203 (LFSS 2014), art. 4 (texte adopté AN n° 250) (Indirect official figure)

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

Effective date
25 December 2013

Measure impact

The revenue, allocated to the national health insurance fund, implements the commitment of supplementary insurers to fund GP flat-rate payments up to €150 million per year under amendment No. 8 to the national medical agreement. It was followed by other contributions (patient-list flat fee from 2017).

Official references

Law number: Loi n° 2013-1203 du 23 décembre 2013 (LFSS 2014), art. 4
Official Journal: JORF n° 0298 du 24 décembre 2013, texte n° 3

Procedure timeline

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

100%
5 / 5 steps
Completed
25 December 2013

Administrative implementation

Application

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

Entrée en vigueur de l'article 4 ; la participation est due au titre des années 2013, 2014 et 2015, recouvrée avec la taxe de solidarité additionnelle.
Completed
23 December 2013

President of the Republic signature

Promulgation

Publication au Journal officiel

Promulgation de la loi n° 2013-1203, publiée au Journal officiel du 24 décembre 2013.
Completed
19 December 2013

Possible referral to Constitutional Council

Constitutional review

Décision de conformité / censure partielle

Décision n° 2013-682 DC du Conseil constitutionnel sur la loi de financement de la sécurité sociale pour 2014.
Completed
29 October 2013

Debate and vote

Parliamentary process

Débat et vote en séance publique à l'Assemblée nationale, ou engagement de la responsabilité du Gouvernement (article 49.3)

Vote result
Adopted
Adoption du projet en première lecture par l'Assemblée nationale (scrutin public n° 678 sur l'ensemble).
Completed
9 October 2013

Transmission to National Assembly

Parliamentary process
Actors
Marisol Touraine, Bernard Cazeneuve
Dépôt à l'Assemblée nationale du projet de loi de financement de la sécurité sociale pour 2014 (n° 1412).