Senate rewrites end-of-life aid law for terminally ill patients

The Senate's social affairs commission amended the bill on the 'right to assisted dying' on Wednesday, January 7, renaming it 'medical assistance in dying' to limit access to patients at the very end of life. Senators toned down the deputies' initial text, which used a broader criterion of 'vital prognosis engaged.' This initiative, pledged by Emmanuel Macron, will be debated in session from January 20 to 28.

The Senate's social affairs commission passed a revised version of the bill creating a right to assisted dying on Wednesday, January 7, 2026. Originally adopted by the National Assembly on May 27, 2025, the law allowed access based on a 'vital prognosis engaged,' without specifying remaining life expectancy. Senators opted to restrict this 'medical assistance in dying' to patients at the very end of life, renaming the measure to narrow its scope.

At the same time, the commission made minor amendments to the bill on 'equal access to palliative care,' also passed on May 27 in the Assembly. These two revised texts will be discussed in plenary session at the Palais du Luxembourg from January 20 to 28.

President Emmanuel Macron reaffirmed his commitment in his New Year's address on December 31, 2025, stating: 'We will go to the end of the legislative work,' citing the 'question of the end of life with dignity' among the 'major projects' for 2026. The legislative process includes a second reading in each chamber, potentially followed by a joint committee if disagreements arise, and a final vote in the National Assembly.

This debate occurs amid growing reflection in France on end-of-life issues, emphasizing dignity and access to care.

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Deputies on the social affairs commission approved, on February 4, the creation of a right to assisted dying, nearly identical to the version adopted in May 2025. Rejected by the Senate last week, this bill returns for second reading at the National Assembly, sparking intense debates on end-of-life issues.

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The French Senate rejected a central article of an end-of-life bill on Wednesday, January 21, which outlined conditions for a right to aid in dying. The vote passed 144 against 123, stripping the text of its core, amid reluctance from various political groups. Debates will continue, but the process may revert primarily to the National Assembly.

The National Assembly adopted a government amendment on November 12 suspending the 2023 pension reform until 2027, with 255 votes in favor and 146 against. This measure, demanded by socialists to avoid censure, divided the left, as Insoumis voted against in favor of full repeal. Debates on the Social Security budget ended at midnight on November 13 without a vote, sending the text to the Senate.

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After the National Assembly's narrow second reading approval of the 2026 social security bill on December 9 and final adoption on December 16, France's Parliament grapples with a tight constitutional deadline for the state finance bill amid Senate disagreements.

French deputies resumed debates on the 2026 social security financing bill on December 2 in a tense atmosphere marked by divisions within the government coalition. The text, amended by the Senate which removed the suspension of pension reform, risks rejection without compromise with the left. A solemn vote is scheduled for December 9, with crucial stakes for the deficit and government stability.

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After a weekend suspension of debates, National Assembly deputies resumed discussions on November 17 on the revenues section of the 2026 finance bill, with over 1,500 amendments to review by November 23. In the evening, they tackle the end-of-management bill adjusting 2025 finances, featuring debates on the VAT revenue shortfall. Meanwhile, the Senate reviews the social security budget and removes the pension reform suspension.

 

 

 

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