. To anticipate what could change in your practices in 2027 if Parliament adopts these measures. Five areas are concerned. For organised screening, participation would become mandatory for certain professionals (p. 365). Vaccination would become possible in new locations: occupational health, laboratories, health facilities and care homes (p. 340). The participatory health centres and houses in priority neighbourhoods would be recognised in common law (p. 303-304). The care of protected children and children who are victims of violence would be strengthened (p. 322, 328). Finally, the ARS would outline prevention priorities in the territories (p. 132). The document also helps to understand the financial context of local actions: regional credits (FIR) would remain stable and new measures would be financed by reallocating existing resources (p. 662). To get to the point, each sheet in appendix 9 presents in a few pages the identified problem, the planned measure, its timeline and its expected effects, particularly for young people and people with disabilities.
🎙️🎥 "
1️⃣ SUMMARY
This file brings together the file "Budget 2027" of the Government and the nine annexes of the draft social security financing bill (PLFSS) for 2027. The context set is that of a recovery of the accounts: the deficit of the mandatory basic schemes would decrease from €21.8 billion in 2026 to €12.7 billion in 2027, through measures focusing " very largely on expenditure" (p. 127). The ONDAM would be €278.7 billion, an increase of 2.0% at constant scope, for an estimated trend evolution of +3.4% according to a method of calculation modified this year (+4.7% with the old method) (p. 632, 660, 664). Institutional prevention expenditure will reach €9.2 billion in 2025 (p. 666). The health section presents prevention as "one of the main levers" (p. 131): organised screenings, vaccination, extension of the "soda tax", antibiotics. Annex 9 details the measures article by article, their cost and their impacts; Annex 5 describes the expenditure and the prevention funds. The file also addresses pensions, family, autonomy and revenues.
2️⃣ WHAT TO REMEMBER
1️⃣ Prevention stated as a priority, in a budget of savings.. Planned: ONDAM at +2.0%, for a trend evolution of +3.4% calculated according to a new method (+4.7% with the old) (p. 660, 664). FIR expenditure stable at €5.2 billion in 2027: "the new measures will be financed by the reallocation of resources by the agencies" (p. 662).
2️⃣ Organised screening: a proposed obligation to participate. Article 29 would require professionals and organisations to participate in organised screenings when access for the population is insufficient, with graduated sanctions after formal notice (p. 365). Cited observation: 47.5% participation in breast cancer screening in 2025 (p. 367).
3️⃣ Vaccination: more locations, fewer financial barriers (proposed). Vaccination: more locations, fewer financial barriers (proposed). Preventive and occupational health services, medical biology laboratories, and the medical services of the OFII could stock vaccines, prioritising seasonal flu. Health establishments and EHPADs with PUI could have certain vaccines covered additionally. Initially, this would involve vaccines against flu, Covid-19, and pneumococcus, as well as immunisation treatments against RSV (p. 340). The entry into force of this last aspect is estimated for 1st October 2027 (p. 344).
3️⃣ TO ACT
1️⃣ Prepare for the regional prevention priorities 2027. Prepare for the regional prevention priorities 2027. (Preparation for an announced action.) In 2027, the ARS will outline three orientations (p. 132): mental health (first aid in mental health, particularly for students, and local mental health advice); health determinants (sport-health, nutrition); detect earlier and reach out to hard-to-reach populations (pilot cancer screening programmes, health mediation, addictions, psychosocial skills for young people). Suggestion Health Practices: ask your ARS for the prevention credits 2027 and the actions continued or redirected.
2️⃣ Direct towards existing prevention measures. (Existing tools cited.) « My Prevention Assessment », scheduled at four key ages (18-25, 45-50, 60-65 and 70-75 years), and the health prevention examination in a health examination centre, aimed « primarily at people distanced from the healthcare system and in a situation of vulnerability » (p. 672).
3️⃣ Anticipate the labelling of participatory structures. (Preparation for an announced action, proposed measure.) The participatory coordinated exercise structures (SECpa) would be labelled by the general director of the ARS for five renewable years, based on a specifications set by decree. The number of SECpa eligible for labelling per region, after a call for expressions of interest, would also be set by decree (p. 304). The measure should allow the entry of the 27 experimental structures into common law on 1 January 2027 (p. 306).
4️⃣ 3 PRACTICAL QUESTIONS
1️⃣ Do these measures already apply? No. These are measures proposed in a draft law. The document provides expected deadlines: 1 January 2027 for the SECpa (p. 306), 1 October 2027 (estimate) for the coverage of vaccines in establishments (p. 344), possible implementation « by 31 December 2027 » for the obligation to participate in screenings (p. 368).
2️⃣ Which products would be targeted by the extension of the « soda tax »? The pre-packaged solid products, sweetened or artificially sweetened, containing at least one additive: pastries, cakes, biscuits and sweets, breakfast cereals and cereal bars, ice creams, desserts, confectionery and chocolate products. The artisanal products packaged for immediate sale are excluded. Scale in three tiers starting from 10 g of sugars per 100 g (p. 198-199).
3️⃣ What is planned for protected children and child victims of violence? Seven care centres dedicated to children followed by child welfare initially, based on the model of the Asterya centre (p. 322-323); inclusion in the law of the child protection hospital units (UAPED) and regional reference teams (p. 328); 164 UAPED announced as operational in 2027 (p. 144).
5️⃣ TO GO FURTHER
Blog Health Practices: « Incidence of cancers: modest individuals develop more often severe forms, diagnosed later » (26 June 2026). Link opened on 10 October 2026. Health Practices suggestion: useful for reading article 29 from the perspective of inequalities in screening.
External resource: Public Health France, « Participation in the national organised breast cancer screening programme in 2024-2025 and evolution since 2010 » (6 July 2026). Verified link. Rates by region and age. External source: the published 2025 rate (47.5%) matches that of annex 9 (p. 367).
Official source: the PLFSS page of the securite-sociale.fr site blocks automated access; unverified link, to be checked before publication.
6️⃣ HASHTAGS
#healthpractices #PLFSS2027 #Prevention #OrganisedScreening #Vaccination #HealthSocialInequalities #MovingTowards #ChildProtection
7️⃣ VIEW ON HEALTH PRACTICES
Analysis Health Practices, not attributed to the authors of the document.
⚠️ Equity: the reduction of inequalities social and territorial is a stated objective (screening, p. 365 and 368; SECpa in priority areas, p. 303). The document acknowledges that the sugar tax may, in the short term, weigh more heavily on the most vulnerable households. However, it cites the HCSP, according to which these pricing policies reduce, in the longer term, the inequalities in nutritional health (p. 202). Article 37 would establish a duration of one year of regular residence for access to certain family benefits for foreigners who are not nationals of the EU, EEA or Switzerland. This period would also apply, without exception, to personal housing assistance (p. 447-448). According to the document, it is "likely to reduce the disposable income of the families concerned" (p. 452).
✅ Network work : meetings of consultation between the attending physician, occupational physician and advisory physician, beyond thirty days of sick leave, in case of risk of disconnection and with the agreement of the person (article 20, p. 283, 289). The UAPED would group together in a single location paediatric, forensic, psychological and judicial reception, in connection with the investigative services (p. 144, 328). The care centres for protected children would be linked with the ASE and, where applicable, the PJJ (p. 322).
Summary : strong point, an explicit place given to access to prevention (screening, vaccination, outreach) with detailed figures ; main shortcoming, a primarily financial and professional-centred approach, where literacy and participation of individuals remain marginal, with a measure that restricts access to benefits (article 37).
To go further, order a research or documentary watch
This article : An editorial production based on
experience enhanced by artificial intelligence - The English version of the site is an automatic translation: the French version is authoritative - Click on the image 