French National Assembly deputies voting on drug price transparency amendment, with ecologists celebrating and government opposing.
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Assembly adopts transparency on real drug prices

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Deputies adopted an amendment on Friday making public the real prices of reimbursable drugs and discounts granted by pharmaceutical companies to the state. This measure, pushed by the ecologist group, aims to strengthen democratic oversight of social security spending. The government opposed it, fearing higher costs.

During debates on the 2026 social security financing bill (PLFSS), the National Assembly approved an amendment on Friday to establish transparency on drug prices. Presented by Hendrik Davi from the ecologist group, the amendment requires pharmaceutical companies to disclose the real prices paid by health insurance, as well as confidential discounts negotiated by the Economic Committee for Health Products (CEPS).

“It is an absolutely indispensable transparency measure: it must finally allow public and democratic control over drug spending funded by national solidarity,” stated Hendrik Davi. Published prices in the Official Journal do not match actual rates, thanks to discounts amounting to 9 billion euros in 2024 for a total market exceeding 36 billion euros in France.

Health Minister Stéphanie Rist opposed the amendment, arguing that “it falls under trade secrets” and that “it allows us to obtain discounts.” She warned of the risk of paying higher prices if discounts are not kept confidential. The amendment was adopted by the entire left and the National Rally (RN), against the government's advice.

This vote occurs amid a social security deficit estimated at 23 billion euros in 2025, which the executive aims to reduce to 17.5 billion in 2026 through savings. PLFSS debates, started on Tuesday, November 4, cover about 1,000 amendments, with the revenues section under discussion.

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Dramatic illustration of French government ministers debating social security budget amendment in National Assembly amid opposition protests and crisis warnings.
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Government considers amendment for social security budget

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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.

Deputies adopted the 'revenues' part of the 2026 social security budget on Saturday, November 8, by 176 votes to 161 with 58 abstentions. This narrow vote allows debates to continue on the 'expenditures' part, which includes suspending the 2023 pension reform. Discussions will run until Wednesday, interrupted by the Armistice on November 11.

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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.

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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The National Assembly adopted the Social Security Financing Bill for 2026 on Tuesday, by 247 votes to 232, marking the first budget validation without using Article 49.3 since 2022. The text includes the suspension of the 2023 pension reform, secured through compromises with the Socialist Party. Prime Minister Sébastien Lecornu's government hails this hard-won victory.

The National Assembly's finance committee rejected the 'expenses' section of the 2026 budget on Saturday, following the dismissal of the 'revenues' part the previous day. Discussions, plagued by absenteeism, failed to reach agreement, widening the public deficit. The government still aims for adoption by month's end to keep the deficit below 5%.

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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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