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Aid increaseIn effectSocial security and healthcareNational

"100% Health": zero out-of-pocket baskets for glasses, dental prostheses and hearing aids

The 2019 Social Security Financing Act provided the legal basis for the "100% Health" reform. Optical products and hearing aids can be divided into classes, at least one of which receives enhanced coverage with no out-of-pocket cost; opticians and hearing-aid providers must offer at least one item from this class in their quotes. Responsible supplementary insurance contracts must cover these baskets. Price caps and reimbursements are set by orders and agreements, phased in from 2019 to 2021.

Measure originators

InitiatorGVT
Agnès Buzyn
Gouvernement
InitiatorGVT
Gérald Darmanin
Gouvernement
Impact on public finances

No official estimate found for this measure.

Effective date
1 January 2019

Measure impact

Policyholders with a responsible supplementary contract can obtain glasses, dental prostheses and hearing aids from a defined range with no out-of-pocket cost, with full roll-out planned on 1 January 2021. Obligations apply to contracts taken out or renewed from 1 January 2020. Funding comes from compulsory health insurance and supplementary insurers.

Official references

Law number: Loi n° 2018-1203 du 22 décembre 2018 (LFSS 2019), art. 51
View on Légifrance

Sources

LFSS pour 2019, article 51Official
22 December 2018
Sénat, rapport n° 111 (2018-2019), tome II, commentaire de l'article 33 du PLFSSParliamentary
7 November 2018

Procedure timeline

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

100%
4 / 4 steps
Completed
1 January 2020

Administrative implementation

Application

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

Application aux contrats complémentaires responsables souscrits ou renouvelés à compter du 1er janvier 2020 (B du III de l'article 51).
Source
Completed
1 January 2019

Administrative implementation

Application

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

Entrée en vigueur des I et II de l'article 51 ; obligations des contrats responsables applicables aux contrats souscrits ou renouvelés à compter du 1er janvier 2020.
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