Stable hospital tariffs for 2026 worry French hospitals

The French government has decided to keep hospital tariffs at 2025 levels for 2026, with no increase despite inflation and strains on human resources. Hospital federations, both public and private, denounce this as a disguised massive savings plan and call for at least a 1% rise. This comes after Parliament adopted a hospital budget boosted by 850 million euros.

France's hospital budget for 2026 was adopted by Parliament on December 16, following the addition of 850 million euros to the social security financing bill (PLFSS), which was initially seen as harsh. Hospital facilities had welcomed this as a much-needed boost. Yet, the announcement of hospital tariffs – the amounts reimbursed by the national health insurance for each type of stay under the activity-based payment system – quickly drew criticism.

These tariffs will remain unchanged from 2025 levels, with no increase. In a joint statement on December 23, the four main hospital federations – the French Hospital Federation, the Private Hospital Federation, Unicancer, and the Federation of Private Non-Profit Hospital and Care Facilities – voiced their concerns. "Setting tariffs at 0%, in a context of historic underfunding from inflation, activity recovery, and major human resource tensions, amounts to imposing a massive savings plan without admitting it," they stated.

The federations argue that this tariff stability effectively imposes implicit budget cuts, worsening challenges for public and private hospitals amid rising costs. They urge a review for at least a 1% increase to safeguard care quality and ease pressures on staff.

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French Prime Minister Sébastien Lecornu presents the 2026 budget with tax hikes and spending cuts in a press conference at the National Assembly.
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French government unveils 2026 budget with tax hikes and spending cuts

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On October 14, 2025, Prime Minister Sébastien Lecornu presented the 2026 finance bill, aiming to cut the public deficit to 4.7% of GDP through €14 billion in extra tax revenues and €17 billion in spending savings. The budget targets high earners, businesses, and social expenditures, while drawing criticism over its feasibility.

Starting January 1, 2026, France implements a range of measures impacting personal finances, housing, transport, and the environment, amid the lack of an adopted state budget. Key adjustments include a 0.9% increase in basic pensions, the suspension of the MaPrimeRénov’ scheme, and price rises for gas and postal packages.

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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.

Two days before the crucial vote at the National Assembly on the 2026 social security budget, the government is preparing a possible amendment to increase health spending by 3% to win over the Ecologists. The bill includes the suspension of the retirement reform but faces strong opposition from the right and far right. Ministers warn of a political, economic, and social crisis if it is rejected.

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On January 13, 2026, the French National Assembly resumed examination of the 2026 finance bill, following the failure to reach agreement in the joint parliamentary committee in December. Economy Minister Roland Lescure assured deputies that the text is "within reach," urging a final effort for compromise. Yet few lawmakers believe it can pass without invoking article 49.3 or using ordinances.

In the wake of Parliament's unanimous adoption of a special finance law to avert a 2026 budget blockade, several planned tax measures unfavorable to taxpayers cannot take effect next year. This spares affected individuals while costing the government potential revenues. Minister Amélie de Montchalin confirmed the details during her December 22 National Assembly hearing.

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France's 2026 finance law concludes with a fragile compromise, criticized as a list of renunciations amid demographic, climate challenges and an unsustainable debt. Prime Minister Sébastien Lecornu announced on January 16 a lackluster deal, where each party claims small victories amid widespread frustration.

 

 

 

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