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 adopted the end-of-life bill on Tuesday by 295 votes to 232. The text legalizing euthanasia and assisted suicide now returns to the Senate before a final vote on July 15.

During a secret meeting at the Élysée on May 6 2026, Emmanuel Macron decided the final vote on the bill legalizing euthanasia and assisted suicide would take place before summer, against the advice of Sébastien Lecornu.

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French deputies will vote on Tuesday, June 30, on the bill for assisted dying. A majority appears to favor the text.

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