End of reimbursement for sector 3 doctors' prescriptions in 2027

From January 1, 2027, prescriptions for care and medications by sector 3 liberal doctors will no longer be reimbursed by Assurance-maladie, under the 2026 social security financing law. The measure affects about 1,000 non-conventioned doctors out of more than 200,000 in practice. The profession is voicing anger over this restriction.

The 2026 social security financing law stipulates that, from January 1, 2027, Assurance-maladie will stop reimbursing medications and procedures prescribed by sector 3 doctors. These practitioners, not conventioned with the Caisse nationale d'assurance-maladie (Cnam), number about 1,000 out of more than 200,000 liberal doctors in regular practice. They set their fees freely without administrative constraints.

Currently, after a consultation with a sector 3 general practitioner, patients are reimbursed only a few cents. Under the new measure, costs for prescribed medications and care will rise sharply for their patients.

Dr. Kamyar Dadsetan, president of the sector 3 doctors' union (MS3), denounced the decision in early March to Le Quotidien du médecin. This small group of liberal doctors is voicing its anger against a restriction that limits their independent practice.

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