«Mon fils nécessite des séances d’orthophonie», l’anxiété des parents face à la menace de déremboursement. Inquiétude des parents face au risque de déremboursement des séances d’orthophonie
La loi de financement de la Sécurité sociale pourrait supprimer le remboursement des séances d’orthophonie libérale pour les enfants suivis en CMP, les centres médico-psychologiques. Parents et professionnels se mobilisent pour éviter que les enfants ne soient pas victimes de cette logique financière.
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«Mon fils de 3 ans et demi est porteur d’un trouble du spectre de l’autisme, un TSA. Il est suivi en orthophonie en libéral deux fois par semaine. Il est également accueilli la semaine au sein d’un centre médico-psychologique à Saint-Maur des Fossés depuis avril 2024 pour des consultations d’ordre psychologique et médical». Les semaines de Laura sont bien rythmées. Cette maman de deux garçons accompagne son fils Louis à ses rendez-vous médicaux chaque semaine.
Un double suivi qui permet à son fils de progresser. «Lorsqu’on a su qu’il avait un TSA, ce fut un coup de tonnerre pour nous, mais les séances d’orthophonistes lui ont permis de rentrer progressivement dans le langage pendant qu’au CMP il apprend à sociabiliser et à travailler ses fonctions motrices«, analyse celle qui travaille dans les ressources humaines. However, this double monitoring could end as early as next January.
A measure in the 2025 Social Security Financing Law plans to eliminate reimbursement for sessions with private speech therapists for children followed in CMPs. The National Federation of Speech Therapists explains that reimbursements for private sessions are still possible in medico-social institutions governed by the Social Action and Families Code. However, CMPs are not included as they fall under the Public Health Code. Families whose children are followed in CMPs will no longer be reimbursed.
Initially, this elimination was set to take effect in October 2025 but has been postponed to December 31st of this year.
«Thanks to national mobilization, this provision has been postponed until December 31, 2025,» wrote the National Federation of Speech Therapists last week. «This is only a temporary reprieve. It is essential that it does not reappear in the 2026 version of the law,» explains Louis’s mother.
In practical terms, to continue monitoring children also supported by CMPs, private speech therapists must sign an agreement with the medico-psychological centers. If speech therapy is part of the services provided by the CMP, the center must finance it. If not, the Health Insurance can reimburse, but only if an agreement has been signed with the CMP.
On this issue, the National Federation of Speech Therapists states on its website: «An agreement is now essential. However, we know how reluctant CMPs are to establish these agreements.»
According to Laura, who is also part of the parent group «La Voix de Nos Enfants,» this non-reimbursement could mean «an immediate disruption in speech therapy for thousands of children, as in most CMPs, there are no speech therapists at all.» She continues by explaining that «like many other families, we know that CMP and private speech therapy are complementary and not interchangeable. One does not go without the other. With the speech therapist, Louis works on communication and language. He barely knew 20 words before starting sessions. Now, he can say complete sentences. Thanks to the CMP, he receives psychological support and works on everything related to socialization and psychomotricity through a program called Partial Therapeutic Daycare Center (CATTP).»
She goes on to say that «Louis has a hard time adapting to changes: disrupting these balances or upsetting his references would be very difficult and could cause him to regress.» References are also what Laure’s two children, a Parisian mother, need. Her two boys, aged 7 and 12, have dysphasia. «One of them does not understand his native language while the other neither understands nor speaks it,» she explains. She sees these different follow-ups as «an important support for parents. Both of them greatly need a speech therapist, and the private and CMP sessions reassure them. They need them, and as parents, these follow-ups make us feel supported,» she notes.
With this new situation, Laura fears having to choose between the two. «We don’t want to stop the private sessions because they are very beneficial for him,» she tells us. «It could abruptly halt his progress,» says Audrey Pavard, the speech therapist who follows Louis.
In an online petition on the Change.org website signed more than 12,000 times in a month, parents and speech therapists call for «a recognition of the fundamental role of speech therapists in the care pathway.»
Finally, the National Federation of Speech Therapists indicates that «constructive discussions» are ongoing. My son needs the support of parents in the face of the risk of data-region data-type data-article-share-alt-button-social data-article-share-alt-button-share=»whatsapp»>
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The Social Security financing law could eliminate reimbursement for private speech therapy sessions for children followed in CMP, medico-psycho-educational centers. Parents and professionals are mobilizing to prevent children from falling victim to this financial logic.
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«My 3 and a half year old son has autism spectrum disorder, ASD. He receives speech therapy twice a week in private practice. He is also welcomed during the week at a medico-psycho-educational center in Saint-Maur des Fossés since April 2024 for psychological and medical consultations». Laura’s weeks are well structured. This mother of two boys accompanies her son Louis to his medical appointments every week.
A dual follow-up that allows her son to progress. «When we found out he had ASD, it was a thunderbolt for us, but the speech therapy sessions allowed him to gradually enter into language while at the CMP he learns to socialize and work on his motor functions,» analyzes the human resources worker. However, this dual follow-up could end as early as next January.
A measure in the Social Security financing law for 2025 plans to eliminate reimbursement for private speech therapy sessions for children followed in CMP.
The National Federation of Speech Therapists explains that reimbursements for sessions in private practice are still possible in medico-social establishments under the Social Action and Families Code. However, CMPs are not concerned as they fall under the Public Health Code. Families whose children are followed in CMPs will no longer be reimbursed.
This removal was initially supposed to take effect as of October 2025. It has been postponed to December 31st.
«Thanks to national mobilization, this provision has been postponed to December 31, 2025,» wrote the National Federation of Speech Therapists at the end of last week. «This is only a temporary relief.» La maman de Louis souligne l’importance de ne pas inclure certaines mesures dans la version 2026 de la loi, notamment en ce qui concerne la nécessité pour les orthophonistes en libéral de signer des conventions avec les centres médico-psychologiques pour continuer à suivre les enfants pris en charge par ces établissements.
Selon la Fédération Nationale des Orthophonistes, une convention est désormais indispensable pour permettre ce suivi, mais les CMP sont souvent réticents à établir ces conventions, ce qui pourrait entraîner une rupture immédiate de suivi orthophonique pour de nombreux enfants.
Laura, membre du collectif «La Voix de Nos Enfants», souligne l’importance de la complémentarité entre l’orthophonie libérale et les suivis en CMP, soulignant que ces deux approches sont nécessaires pour le développement de son fils Louis. Pour Louis, les séances d’orthophonie ont permis une nette amélioration de son langage et de sa communication, tandis que le suivi psychologique au CMP lui a permis de travailler sur la sociabilisation et la psychomotricité.
Les parents comme Laure, dont les enfants sont dysphasiques, voient dans ces suivis un soutien essentiel. Pour ses deux garçons, les séances d’orthophonie, qu’elles soient libérales ou en CMP, sont indispensables et rassurantes, offrant un soutien aux parents et un appui aux enfants dans leur développement.
La menace de non-remboursement des séances d’orthophonie en libéral pourrait contraindre certaines familles à faire un choix difficile entre les deux approches, risquant ainsi de compromettre les progrès réalisés et de perturber l’équilibre des enfants.
Une pétition en ligne signée par des milliers de personnes appelle à la reconnaissance du rôle fondamental des orthophonistes dans le parcours de soins, soulignant l’importance de maintenir ces suivis pour le bien-être des enfants et le soutien des familles.
En attendant des discussions constructives en cours, la crainte de voir ces suivis compromis reste présente parmi les familles concernées, soulignant l’importance de préserver l’accès à l’orthophonie pour tous les enfants qui en ont besoin. My son needs the support of parents in the face of the risk of data-region data-type data-article-share-alt-button-social data-article-share-alt-button-share=»whatsapp»>
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The Social Security Financing Act could eliminate reimbursement for private speech therapy sessions for children followed in CMPs, medico-psychological centers. Parents and professionals are mobilizing to prevent children from falling victim to this financial logic.
Daily Society
From everyday life to major issues, receive daily topics that shape local society, such as justice, education, health, and family.
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«My 3 and a half year old son has autism spectrum disorder, an ASD. He receives speech therapy twice a week in private practice. He is also welcomed during the week at a medico-psychological center in Saint-Maur des Fossés since April 2024 for psychological and medical consultations. Laura’s weeks are well organized. This mother of two boys accompanies her son Louis to his medical appointments every week.
A dual follow-up that allows her son to progress. «When we found out he had ASD, it was a shock for us, but the speech therapy sessions allowed him to gradually enter the language while at the CMP he learns to socialize and work on his motor functions,» analyzes the human resources worker. However, this dual follow-up could end as soon as next January.
A provision of the Social Security Financing Act 2025 plans to eliminate reimbursement for private speech therapy sessions for children followed in CMPs.
The National Federation of Speech Therapists explains that reimbursement for sessions in private practice remains possible in medico-social establishments under the Social Action and Families Code. However, CMPs are not affected as they fall under the Public Health Code. Families whose children are followed in CMPs will no longer be reimbursed.
This removal was initially scheduled to take effect as of October 2025. It has been postponed to December 31st.
«Thanks to national mobilization, this provision has been postponed to December 31, 2025,» wrote the National Federation of Speech Therapists at the end of last week. «This is only a temporary relief.
Je suis Camille Dupont, professionnelle junior en communication digitale. Je crée et gère du contenu pour les réseaux sociaux et les médias en ligne, en combinant copywriting, narration visuelle et montage de base. Formée en communication audiovisuelle et titulaire d’un master en contenus digitaux, je suis motivée par le storytelling et par la connexion avec les jeunes audiences à travers du contenu créatif.
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