{"id":62497,"date":"2023-01-03T08:30:15","date_gmt":"2023-01-03T07:30:15","guid":{"rendered":"https:\/\/valoxy.org\/blog\/?p=62497"},"modified":"2025-02-10T12:24:33","modified_gmt":"2025-02-10T11:24:33","slug":"plfss-2023","status":"publish","type":"post","link":"https:\/\/valoxy.org\/blog\/plfss-2023\/","title":{"rendered":"Le PLFSS 2023"},"content":{"rendered":"<p>Le projet de loi de financement de la S\u00e9curit\u00e9 sociale pour 2023 (PLFSS 2023) a \u00e9t\u00e9 pr\u00e9sent\u00e9 le 26 Septembre 2022 en Conseil des Ministres. Apr\u00e8s une courte p\u00e9riode de discussions au Parlement, sa premi\u00e8re partie a \u00e9t\u00e9 impos\u00e9e le 20 octobre sur le fondement de l\u2019article 49.3 de la Constitution.<\/p>\n<p>Compos\u00e9 de 54 articles r\u00e9partis en 5 volets, ce projet de loi de financement est un \u201ctexte d&rsquo;investissement et d\u2019engagement\u201d, a d\u00e9clar\u00e9 le Ministre de la Sant\u00e9 en le pr\u00e9sentant. Ainsi, ses objectifs sont d&rsquo;am\u00e9liorer la pr\u00e9vention, de renforcer l\u2019acc\u00e8s aux soins face aux d\u00e9serts m\u00e9dicaux, de soutenir les familles, de mieux accompagner la perte d\u2019autonomie et de lutter contre la fraude sociale.<\/p>\n<p>Valoxy, cabinet d\u2019expertise comptable dans les Hauts de France, d\u00e9taille dans cet article les principales mesures du PLFSS 2023.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>La pr\u00e9vention<\/strong><\/h2>\n<p>En mati\u00e8re de pr\u00e9vention, le PLFSS 2023 pr\u00e9voit (Article 17) trois rendez-vous aux \u00e2ges cl\u00e9s de la vie. Ceux-ci :<\/p>\n<ul>\n<li>permettront notamment la pr\u00e9vention du cancer,<\/li>\n<li>porteront sur la sant\u00e9 des femmes,<\/li>\n<li>alerteront sur la perte d\u2019autonomie,<\/li>\n<li>seront enfin un lieu de rep\u00e9rage \u00ab\u00a0des violences sexistes et sexuelles\u00a0\u00bb.<\/li>\n<\/ul>\n<p>Le projet de loi pr\u00e9voit aussi le remboursement :<\/p>\n<ul>\n<li>du <strong>d\u00e9pistage des infections sexuellement transmissibles (IST) <\/strong>en laboratoire de biologie m\u00e9dicale (LBM) sans ordonnance, comme c\u2019est le cas pour le VIH (article 18), avec remboursement int\u00e9gral pour les moins de 26 ans,<\/li>\n<li>de la contraception d\u2019urgence (pilule du lendemain) en pharmacie sans ordonnance (article 19),<\/li>\n<\/ul>\n<p>Le texte instaure, \u00e0 titre exp\u00e9rimental pendant 3 ans, le d\u00e9pistage syst\u00e9matique et obligatoire de la dr\u00e9panocytose chez les nouveau-n\u00e9s.<\/p>\n<p>Sur les vaccins, le PLFSS 2023 pr\u00e9voit :<\/p>\n<ul>\n<li>la prescription et l\u2019administration de certains vaccins\u00a0par les pharmaciens (article 20),<\/li>\n<li>d\u2019\u00e9largir la vaccination aux sages-femmes et aux infirmiers,<\/li>\n<li>la possibilit\u00e9 pour les \u00e9tudiants de troisi\u00e8me cycle en m\u00e9decine ou pharmacie d&rsquo;administrer des vaccins sous la supervision d&rsquo;un ma\u00eetre de stage.<\/li>\n<\/ul>\n<p>Enfin, le gouvernement indexe les prix du tabac sur l&rsquo;inflation. Le prix moyen du paquet de cigarettes augmentera de 50 centimes en 2023 et de 35 centimes en 2024, ce qui le fera passer \u00e0 11 euros.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>L&rsquo;acc\u00e8s aux soins<\/strong><\/h2>\n<p>Afin de combattre les d\u00e9serts m\u00e9dicaux, et de faciliter l\u2019acc\u00e8s g\u00e9n\u00e9ral aux soins :<\/p>\n<ul>\n<li>les Conseils de l&rsquo;ordre pourront imposer des consultations de g\u00e9n\u00e9ralistes ou de sp\u00e9cialistes dans des zones o\u00f9 l&rsquo;acc\u00e8s aux soins est<\/li>\n<li>le gouvernement cr\u00e9e une quatri\u00e8me ann\u00e9e d\u2019internat pour les \u00e9tudiants (m\u00e9decine g\u00e9n\u00e9rale) \u00e0 r\u00e9aliser \u00ab\u00a0en priorit\u00e9\u00a0\u00bb dans une zone sous-dot\u00e9e en m\u00e9decins (d\u00e9sert m\u00e9dical).<\/li>\n<li>l\u2019encadrement de l&rsquo;int\u00e9rim des jeunes soignants dans les \u00e9tablissements de sant\u00e9, les laboratoires m\u00e9dicaux, et les \u00e9tablissements m\u00e9dico-sociaux sera plus strict,<\/li>\n<li>les zones sous-denses verront la mise en place ou le renforcement des \u201cconsultations avanc\u00e9es\u201d. Il s\u2019agit, dans ces zones o\u00f9 manquent les m\u00e9decins sp\u00e9cialistes, de rapprocher les consultations sp\u00e9cialis\u00e9es (p\u00e9diatrie, ophtalmologie, gyn\u00e9cologie, cardiologie, diab\u00e8te, etc.) des lieux de sant\u00e9 les plus accessibles (maisons de sant\u00e9, h\u00f4pitaux de proximit\u00e9\u2026),<\/li>\n<li>le gouvernement rend p\u00e9rennes les mesures d&rsquo;urgence prises durant l\u2019\u00e9t\u00e9 2022 pour faciliter le recrutement de m\u00e9decins lib\u00e9raux r\u00e9gulateurs au sein des SAMU et des services d&rsquo;acc\u00e8s aux soins,<\/li>\n<li>Prolongation (jusqu\u2019\u00e0 fin\u00a02035) de la possibilit\u00e9 pour les m\u00e9decins et infirmiers de travailler jusqu&rsquo;\u00e0 72 ans dans les h\u00f4pitaux,<\/li>\n<li>Possibilit\u00e9 du cumul emploi-retraite pour les professionnels de sant\u00e9 :\n<ul>\n<li>dans les d\u00e9serts m\u00e9dicaux<\/li>\n<li>sans d\u00e9lai de carence de six mois en cas de reprise d&rsquo;activit\u00e9 aupr\u00e8s du dernier employeur.<\/li>\n<li>Exon\u00e9ration de cotisations vieillesse pour les m\u00e9decins lib\u00e9raux retrait\u00e9s au titre de 2023<\/li>\n<\/ul>\n<\/li>\n<li>Extension de la \u00ab\u00a0permanence des soins\u00bb aux infirmiers, sages-femmes et dentistes pour pallier au manque de m\u00e9decins de garde les soirs et week-ends, \u00ab sur tout le territoire \u00bb.<\/li>\n<li>Possibilit\u00e9, pour les infirmiers disposant d&rsquo;une formation avanc\u00e9e, de prendre en charge directement des patients :\n<ul>\n<li>\u00e0 titre exp\u00e9rimental,<\/li>\n<li>pendant trois ans,<\/li>\n<li>sur certains territoires.<\/li>\n<\/ul>\n<\/li>\n<li>Possibilit\u00e9 pour les infirmi\u00e8res et les infirmiers de signer des certificats de d\u00e9c\u00e8s, afin d\u2019acc\u00e9l\u00e9rer un processus parfois tr\u00e8s long :\n<ul>\n<li>dans six r\u00e9gions \u201ctest\u201d \u00e0 d\u00e9finir,<\/li>\n<li>pendant un an.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>Soutien aux familles<\/strong><\/h2>\n<ul>\n<li>Revalorisation, \u00e0 23\u00a0euros en\u00a02023, du \u00ab\u00a0tarif plancher\u00a0\u00bb national par heure d&rsquo;intervention des services d&rsquo;aide \u00e0 domicile, qui sera r\u00e9vis\u00e9 chaque ann\u00e9e en fonction de l\u2019inflation,<\/li>\n<li>Modification progressive du mode de calcul du <strong>compl\u00e9ment de libre choix du mode de garde (CMG).<\/strong> Et ce, afin de rendre l\u2019accueil des enfants de moins de 6 ans par une assistante maternelle aussi accessible que la cr\u00e8che, en harmonisant les restes \u00e0 charge entre ces deux modes d\u2019accueil,<\/li>\n<li>Revalorisation de 50%, \u00e0 partir du 1er Novembre 2022, de l\u2019allocation de soutien familial, destin\u00e9e aux parents isol\u00e9s. Son montant passera de 123,54 \u20ac par enfant et par mois, \u00e0 185,33 \u20ac.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>Autonomie, lutte contre l&rsquo;isolement<\/strong><\/h2>\n<p>\u00c0 compter du 1er janvier 2024, et pour lutter contre l&rsquo;isolement, les <strong>b\u00e9n\u00e9ficiaires de l&rsquo;allocation personnalis\u00e9e d&rsquo;autonomie (APA)<\/strong> auront le droit \u00e0 <strong>deux heures <\/strong>suppl\u00e9mentaires par semaine <strong>d\u00e9di\u00e9es \u00e0 l&rsquo;accompagnement et au lien social<\/strong>.<\/p>\n<ul>\n<li>Am\u00e9liorer l\u2019acc\u00e8s de tous aux soins<\/li>\n<li>Remboursement \u00e0 100% (dans le 100% sant\u00e9) des proth\u00e8ses capillaires (perruques) pour le personne trait\u00e9es par chimioth\u00e9rapie<\/li>\n<li>Simplification de l\u2019acc\u00e8s \u00e0 la compl\u00e9mentaire sant\u00e9 solidaire pour les jeunes et personnes \u00e2g\u00e9es, sous conditions<\/li>\n<li>R\u00e9paration am\u00e9lior\u00e9e pour les enfants victimes in utero d&rsquo;une pathologie du fait de l&rsquo;exposition professionnelle aux pesticides<\/li>\n<li>Cr\u00e9ation d&rsquo;un parcours de r\u00e9\u00e9ducation et r\u00e9adaptation, pris en charge par la S\u00e9curit\u00e9 sociale, pour les enfants en situation de poly-handicap ou de paralysie c\u00e9r\u00e9brale<\/li>\n<li>Prolongation d\u2019un an de l&rsquo;exp\u00e9rimentation sur le cannabis th\u00e9rapeutique<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>Lutte contre la fraude<\/strong><\/h2>\n<p>D&rsquo;abord, pour un meilleur contr\u00f4le de la \u201cfraude sociale\u201d, le PLFSS 2023 pr\u00e9voit :<\/p>\n<ul>\n<li>le renforcement de la lutte contre la fraude \u00e0 l\u2019assurance maladie\u00a0(articles 41 et 44).<\/li>\n<li>l\u2019impossibilit\u00e9 de verser des allocations sur des comptes bancaires non-europ\u00e9ens \u00e0 partir de\u00a02024. (sauf pour les retraites),<\/li>\n<li>un encadrement strict de la t\u00e9l\u00e9-consultation afin de lutter contre les \u201carr\u00eats de travail abusifs\u201d. Voir \u00e0 ce sujet notre article <a href=\"https:\/\/valoxy.org\/blog\/comment-etre-sur-de-la-realite-dun-arret-maladie\/\">Comment \u00eatre s\u00fbr de la r\u00e9alit\u00e9 d\u2019un arr\u00eat maladie ?<\/a><\/li>\n<\/ul>\n<p>Ensuite, afin de mieux encadrer les professionnels de sant\u00e9, ce projet de loi pr\u00e9voit :<\/p>\n<ul>\n<li>de coordonner l\u2019\u00e9volution de la convention pharmaceutique, pour la rendre plus coh\u00e9rente (article 22),<\/li>\n<li>la possibilit\u00e9 <strong>de d\u00e9conventionner <\/strong>les professionnels de sant\u00e9 en cas de manquement grave \u00e0 leurs engagements (article 42),<\/li>\n<li>des mesures relatives \u00e0 la transparence financi\u00e8re des \u00e9tablissements et services m\u00e9dicaux-sociaux (article 32). Parmi elles, le renforcement des sanctions contre les Ehpad ne respectant pas les injonctions des autorit\u00e9s de contr\u00f4le.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #c1d72e;\">\u2014 <\/span><strong>Autres mesures<\/strong><\/h2>\n<ul>\n<li>Suivi par le gouvernement d\u2019un ratio minimal de soignants dans les Ehpad,<\/li>\n<li>Attention port\u00e9e sur les professionnels qui n\u2019ont pas b\u00e9n\u00e9fici\u00e9 de revalorisations,<\/li>\n<li>Am\u00e9lioration des conditions d\u2019indemnisation des non-salari\u00e9s agricoles pluriactifs en cas d\u2019accident ou de maladie professionnelle dans le cadre de leur activit\u00e9 salari\u00e9e, \u00e0 compter du 1er Janvier 2023,<\/li>\n<li>Am\u00e9lioration des conditions d\u2019acc\u00e8s \u00e0 la rente d\u2019incapacit\u00e9 permanente partielle (d\u00e9ficit fonctionnel permanent) des non salari\u00e9s autres que les chefs d\u2019exploitations agricoles,<\/li>\n<li>Etude d\u2019un meilleur financement des services \u00e0 domicile,<\/li>\n<li>R\u00e9gulation de l\u2019int\u00e9rim des jeunes soignants dans les \u00e9tablissements de sant\u00e9, les laboratoires m\u00e9dicaux et les \u00e9tablissements m\u00e9dico-sociaux,<\/li>\n<li>Instauration d\u2019une <strong>clause de sauvegarde <\/strong>qui permet de limiter le niveau de d\u00e9penses des m\u00e9dicaments (et des dispositifs m\u00e9dicaux),<\/li>\n<li>Mise en place d&rsquo;une nouvelle contribution sur des m\u00e9dicaments \u00e0 forte croissance et chiffre d\u2019affaires \u00e9lev\u00e9 (article 29),<\/li>\n<li>Baisse des tarifs envisag\u00e9e des actes des laboratoires d\u2019analyses m\u00e9dicales (biologie), et de radiologie.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Cet article vous a int\u00e9ress\u00e9 ? Dites-le nous dans les commentaires ci-apr\u00e8s ! Retrouvez \u00e9galement nos autres articles sur le blog de Valoxy :<\/p>\n<ul>\n<li><a href=\"https:\/\/valoxy.org\/blog\/le-deces-dun-salarie\/\">Le d\u00e9c\u00e8s d\u2019un salari\u00e9<\/a><\/li>\n<li><a href=\"https:\/\/valoxy.org\/blog\/le-conge-de-proche-aidant\/\">Le cong\u00e9 de proche aidant<\/a><\/li>\n<li><a href=\"https:\/\/valoxy.org\/blog\/le-statut-de-conjoint-collaborateur\/\">Le statut de conjoint collaborateur<\/a><\/li>\n<li><a href=\"https:\/\/valoxy.org\/blog\/les-ijss-indemnites-journalieres-de-securite-sociale\/\">Les IJSS (Indemnit\u00e9s Journali\u00e8res de S\u00e9curit\u00e9 sociale)<\/a><\/li>\n<li><a href=\"https:\/\/valoxy.org\/blog\/prevention-sante-securite\/\">La pr\u00e9vention en mati\u00e8re de sant\u00e9 et de s\u00e9curit\u00e9 au travail<\/a><\/li>\n<li><a class=\"mkd-pt-link\" href=\"https:\/\/valoxy.org\/blog\/actualites-2023\/\" target=\"_self\" rel=\"noopener\">Actualit\u00e9s sociales et fiscales au 1er Janvier 2023<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Le projet de loi de financement de la S\u00e9curit\u00e9 sociale pour 2023 (PLFSS 2023) a \u00e9t\u00e9 pr\u00e9sent\u00e9 le 26 Septembre 2022 en Conseil des Ministres. Apr\u00e8s une courte p\u00e9riode de discussions au Parlement, sa premi\u00e8re partie a \u00e9t\u00e9 impos\u00e9e le&#8230;<\/p>\n","protected":false},"author":1,"featured_media":62500,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10,4],"tags":[],"class_list":["post-62497","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fiscalite","category-social-rh"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Le PLFSS 2023 | Blog Valoxy - Expertise comptable<\/title>\n<meta name=\"description\" content=\"Le PLFSS 2023 vise \u00e0 am\u00e9liorer la pr\u00e9vention, renforcer l\u2019acc\u00e8s aux soins face aux d\u00e9serts m\u00e9dicaux, soutenir les familles, mieux accompagner la perte d\u2019autonomie et lutter contre la fraude sociale.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/valoxy.org\/blog\/plfss-2023\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le PLFSS 2023 | Blog Valoxy - 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