the Reduction of deficits, economies, dramatic health, or taxation of tobacco suppliers: here are the main points of the draft social Security budget for 2017, the last of the quinquennium of Francois Hollande, presented Wednesday in the Council of ministers.
MAJOR FIGURES
- SOCIAL SECURITY : In 2017, the deficit of the general scheme (sickness, old age, family, work accident) and the old age solidarity fund (FSV, which pay contributions to pensions of the unemployed and the minimum old-age pension) must be established to 4.2 billion euros (-7,2 in 2016), its lowest level since 2001.
The budget of the social Security represents about 500 billion euros, according to the minister of Health, Marisol Touraine.
- GENERAL SYSTEM : It should be as close to the balance, to 400 million euro (-3,4 billion in 2016)
But the situation differs according to the branch: for health insurance, the deficit will be reduced to reach 2.6 bn (against -4,1 billion in 2016).
More than 4 billion euros of savings for the health insurance, despite a billion euros of revaluations of income payable to the physicians and the hospital civil service.
To meet these commitments, the goal of national insurance expenditure (ondam), which is used to hold their natural increase, was relieved of from 1.75% to 2.1%.
Two other branches will be in surplus (1.6 billion euros for the branch for old-age, 700 million euros for the branch accidents at work/occupational diseases), the family will be at equilibrium.
- the SOLIDARITY FUND old AGE : The deficit continues to-3.8 billion euros.
KEY MEASURES
HEALTH:
– Continuation of the major axes of savings set out in previous budgets, such as the development of ambulatory care, which aims to shorten the duration of hospitalization or generic medicines.
The hospital will achieve 1.5 billion euros of savings, in particular by optimizing its operating expenses (845 million), and the shift to ambulatory care (640 million).
- Revision, in connection with the pharmaceutical industry, the mechanism of fixing the prices of innovative medicines with a temporary Authorization of use (ATU), which allows to deliver the products quickly before they are put on the market.
In addition, creation of a fund for the financing of pharmaceutical innovation.
- the Best refunds for dental care, of which 200 million euros will be spent, with a cap on the price of dentures in exchange for a revaluation conservative care (cavities, scaling, etc.).
OLD:
- the 21.5 billion euros dedicated to the establishments and services that welcome seniors with loss of autonomy or with disabilities, or further € 590 million. About 300 million will be used for the creation of places in institutions for persons with disabilities and for the elderly.
self-employed persons:
degressive Reduction in the contribution rates to sickness and maternity insurance for self-employed workers with incomes below 27,000 euros a year – from 6.5% to 3% maximum . Cost of the measure : 150 M EUR.
ANTI-SMOKING campaigns:
- Increase taxes on roll your own tobacco with a higher anticipated price of 15%.
- Creation of a tax on the turnover of suppliers. Expected return : 130 million.
RENTALS BETWEEN private INDIVIDUALS
The rental of regular apartments or cars between individuals, beyond a threshold of income (23.000 euros of income for housing), becomes assimilated to income from activity subject to social security contributions.
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