Aid reductionIn effectSocial security and healthcareNational

Third reimbursement rate created for medicines with low medical benefit

Decree No. 2010-6 of 5 January 2010 classifies reimbursable medicines into three categories according to whether their medical benefit is major or significant, moderate, or low. For medicines whose medical benefit is rated low in all indications, it creates a patient co-payment of between 80% and 90% (Article R. 322-1, 14° of the Social Security Code), i.e. reimbursement of 10% to 20%, the exact rate being set by the national union of health insurance funds (UNCAM). UNCAM decisions taken on this basis cannot take effect less than three months after the decree’s publication.

Measure originators

InitiatorGVT
Roselyne Bachelot-Narquin
Gouvernement
Impact on public finances

No official estimate found for this measure.

Effective date
7 January 2010

Measure impact

Patients pay 80% to 90% of the price of medicines with low medical benefit, instead of 65% previously. Vie-publique.fr, presenting the 2010 social security budget, states that reimbursement was cut from 35% to 15% for around a hundred medicines; the 15% rate results from an UNCAM decision not consulted here. No official estimate was found.

Official references

Law number: Décret n° 2010-6 du 5 janvier 2010
Official Journal: JORF du 6 janvier 2010

Procedure timeline

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

100%
3 / 3 steps
Completed
6 April 2010

Entry into force

Application

Immédiate ou à la date prévue

Fin du délai de trois mois avant lequel aucune décision de l'UNCAM modifiant le taux de participation ne peut entrer en vigueur (art. 5, III).
Completed
7 January 2010

Entry into force

Application

Immédiate ou à la date prévue

Entrée en vigueur du décret le lendemain de sa publication.
Completed
6 January 2010

Publication in Official Journal

Publication
Publication au Journal officiel du décret n° 2010-6 du 5 janvier 2010.