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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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.

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Thousands of demonstrators marched in Paris on Sunday to oppose the legalization of euthanasia and assisted suicide, as the Senate begins a decisive week on the bill. Participants hope to influence legislative debates through street mobilization. Emmanuel Macron reaffirmed his commitment to completing legislation on end-of-life in dignity.

After several days of intense debates in the National Assembly, the 2026 finance bill increasingly resembles a 'Frankenstein' budget, a patchwork of contradictory amendments complicating its final adoption. The executive, avoiding Article 49.3, faces strong opposition on measures like the surtax on multinationals and limits on sick leave. Lawmakers from all sides have adopted or suppressed key provisions, raising the risk of overall rejection.

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The French National Assembly adopted the 2026 social security funding bill (PLFSS) on December 9 by a narrow margin of 13 votes, thanks to a compromise with the Socialist Party. This success for Prime Minister Sébastien Lecornu includes the suspension of the pension reform, a key Socialist demand. The bill introduces several health measures but draws criticism from the right and far right.

The French Senate adopted a revised version of the 2026 finance bill on Monday, December 15, by 187 votes to 109. This copy, favoring spending cuts over tax increases, will serve as the basis for discussions in the joint committee on Friday. Negotiations look challenging amid divergences between the two chambers.

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The French National Assembly adopted on Tuesday evening, by 247 votes to 234, the 2026 social security financing bill after tense debates and compromises with socialists. This vote marks a victory for Prime Minister Sébastien Lecornu, who avoided using article 49.3 by securing cross-party support. The text includes the suspension of the 2023 pension reform and reduces the deficit to 19.6 billion euros.

 

 

 

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