
The discussions that opened today in the Senate on the Bill of financing of social security for 2007 to announce fed. Not that the Government intends to amend the financial balance of the text, which provides for a deficit of the general scheme reduced to 8 billion euros next year, but several amendments will impact sensitive for the insured, health professionals and industry.
Renewal of glasses
without a prescription

The Ministry of Health wants to authorize the renewal of glasses without a prescription, up to three years after writing it, to avoid delays which elongate among ophthalmologists and limit spending for consultation. This opportunity would be given unrestricted opticians from number of renewal, but limited to the more than 16 years and conditioned to that vision defects have not greatly evolved. Opticians might, on the other hand, prohibit the use of certain equipment (slit-lamp, ophthalmoscope) that allow them to particular to adapting to lenses, arouses the ire of the professionals concerned.
Refusal of generics:
the third paying deleted
to piecemeal
The Social Affairs Committee voted an amendment which excludes third party paying the insured refusing the issuance of generic drugs. The device is tested successfully in Nice and Paris, where the generic rate rose from 52 to 67 in three weeks. The increase of 1 point of penetration at the national level represents a savings of EUR 15 million for health insurance. But the industry as a part of the unions of pharmacists are opposed to the generalization of the device. The Government should therefore subamending it to return the ball to pharmacists and the CNAM, which will be able to determine from what rate of generic Interestingly, locally, remove the third paying.
Research: tax assistance
study in the laboratories
The Ministry of Health wants to establish a deduction to base sales tax paid by the pharmaceutical laboratories, according to the development of their research and development on the French territory. The tax valuation would be observed in 2008. Laboratories claim their side the transposition of article 9 of the European directive on intellectual property, which would allow them to more quickly enter the justice in the case of suspicion of circumvention of one of their patents.
New device
on insurance premiums
doctors
The Government and the Senators of the majority want to enact a provision halting the increase in medical liability insurance premiums. They will propose a "écrètement" of the benefits paid by insurers to victims of medical accidents: beyond a certain level, the benefits would be supported by the national Board of medical compensation (Oniam), but on condition that the insurers are committed to a moderation of their tariffs. The threshold of the Oniam shall be fixed by order once the negotiation with insurers.
Amendment in view
on the "optional" sector
Medicare, liberal doctors and complementary health began a difficult negotiation on the creation of a new sector of exercise for liberal surgeons, said "optional". To encourage them to lead, the Act would stipulate that if these talks failed (after 3 months, for example), the rate of reimbursement for surgeons exercising in sector 2 (free fee) but practicing not overflow of fees would be identified at the level of the sector 1 (against tariff), the difference being currently 11.5 on technical acts and 2 to 5 euros on the consultations.