MIL-OSI Translation: Minutes of the Council of Ministers of June 12, 2024.

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MIL OSI Translation. Government of the Republic of France statements from French to English –

LAW PROJECT

RATIFICATION OF WORKERS’ SAFETY AND HEALTH CONVENTION No. 155, 1981

The Minister for Europe and Foreign Affairs presented a bill authorizing the ratification of Convention No. 155 of the International Labor Organization (ILO) on worker safety and health. Convention No. 155, adopted in Geneva on June 22, 1981, establishes standards and guidelines to help governments, employers and workers prevent workplace accidents and occupational diseases and better understand issues related to safety and health at work. It also encourages the participation of workers and their representatives in the implementation of measures aimed at guaranteeing safe and healthy working environments.

This commitment has taken on particular importance since June 10, 2022, the date on which health and safety at work were elevated to the rank of fundamental principles and rights at work at the international level. By ratifying this convention, France will have satisfied the objective of ratifying all of the fundamental ILO conventions, of which there are ten.

PROVISIONS FOR FULL EMPLOYMENT IN OVERSEAS

The Minister of Labor, Health and Solidarity presented an order adapting the provisions of Law No. 2023-1196 of December 18, 2023 for full employment in Guadeloupe, Guyana, Martinique, Mayotte, in Réunion, Saint-Barthélemy, Saint-Martin and Saint-Pierre-et-Miquelon. This draft order is taken in application of article 20 of this same law.

The draft order essentially includes four types of measures: – adaptations to territorial governance provided for by article 4 of the law for full employment, linked to the institutional specificities of the overseas communities concerned. Thus, it is possible in Guadeloupe and Reunion, single-departmental regions, to exercise a right of option in order to merge the regional and departmental levels into a single territorial employment committee. In Guyana, Martinique and Mayotte, single local authorities, the provisions of the draft order provide for this automatic merger. Finally, in Saint-Barthélemy, Saint-Martin and Saint-Pierre-et-Miquelon, the three levels of territorial governance are grouped into a single territorial committee; – adaptations in Mayotte, Guyana and Réunion provisions relating to the paths of job seekers when they are beneficiaries of active solidarity income (orientation, control of commitments, support) provided for in articles 1, 2 and 3 of the law for full employment, due to management recentralization of this income implemented in these three territories since 2019 and 2020. The planned adaptations aim to entrust to the operator France Travail the competence to guide beneficiaries of active solidarity income, until now exercised by the funds Family Allowances. In addition, the family allowance funds of Guyana and Reunion are becoming reference organizations responsible for the overall diagnosis and support towards which beneficiaries of the increased active solidarity income can be directed; – an extension of the period from which the beneficiaries benefit reference organizations to conclude an employment contract with job seekers, including beneficiaries of active solidarity income, for whom they already provide support as of January 1, 2025. This deadline provided for in IV of article 2 of the law for full employment is thus extended to a maximum of three years, i.e. no later than January 1, 2028, in Guadeloupe, Guyana, Martinique, Mayotte, Réunion, Saint-Barthélemy, Saint-Martin and Saint -Pierre-et-Miquelon; – adaptations of the provisions of article 18 of the law for full employment relating to governance in matters of childcare for their application in Mayotte and Saint-Pierre-et-Miquelon . This essentially involves extending to the social security fund of Mayotte and the social security fund of Saint-Pierre-et-Miquelon the provisions relating to the control powers recognized for family allowance funds. The Government has a period of six months, from the publication of the order, to submit a ratification bill to Parliament.

COMMUNICATION

THE DEPLOYMENT OF HEALTH PREVENTION

The Minister Delegate to the Minister of Labor, Health and Solidarity, responsible for health and prevention, presented a communication relating to the deployment of health prevention.

An in-depth transformation of our health system was initiated several years ago, giving a much stronger place to prevention. In a context where chronic diseases are on the rise and where the fight against social inequalities in health remains a priority, it is now a matter of taking a new step by taking into account, for the entire population, and throughout life, a maximum of the determinants of health: personal, family, social, economic and environmental factors which condition the state of health of individuals or populations.

The Mon Bilan Prévention system constitutes a pillar of this overall strategy. It now allows each French person belonging to 4 age groups (18-25 years / 45-50 years / 60-65 years / 70-75 years) to simply access a new personalized offer to take the time , during an exchange with a health professional (doctor, nurse, pharmacist, midwife and soon masseur-physiotherapist), to take stock of their health and lifestyle habits.

Currently being deployed, this system will be generalized over the coming months, and will be accompanied by communication plans aimed at health professionals required to carry out these assessments and the general public. Ultimately, the objective is that each French person will be able to benefit from 4 appointments during their lifetime. More than 20 million people will be affected by the system over the coming year and will receive an invitation directly from health insurance. This system is innovative in several ways: – on the one hand, these appointments resolutely support our long-term health policy; – on the other hand, with 100% coverage by health insurance, without advance costs, they make it possible to effectively combat health inequalities. And because this full reimbursement and this waiver of advance fees do not, on their own, make it possible to bring back to the health system the people who are furthest away from it, a “go-to” strategy will be implemented. works to offer the most vulnerable people the opportunity to participate in this process.

The ambition of this innovative system is to give everyone the opportunity to become an actor in their own health, and to be aware throughout their lives of behaviors favorable to health. Also, before their prevention appointment, French people are invited, if they wish, to complete self-questionnaires adapted to each of the age groups concerned. These questionnaires can be completed in particular via the “Mon Espace Santé” platform. More than 120,000 people have already completed their self-questionnaires.

In conjunction with the High Council of Public Health, prevention themes have been defined as priorities for these prevention assessments and in the self-questionnaires: physical activity, sedentary lifestyle, vaccines and screening, sleep, eating habits, addictions (tobacco, alcohol, cannabis, other drugs, games, screens, etc.) but also mental and social well-being and sexual and reproductive health.

Indeed, the consultations for 18-25 year olds will thus be an opportunity to address questions of infertility with young people who wish to do so, which will also be the subject of a dedicated national plan in order to support all those who want a child in their parental plan. This plan will pay particular attention to improving information, developing dedicated research, strengthening the training of health professionals and improving the offer and pathways of medical assistance to the procreation.

These prevention meetings should also make it possible to fight against obesity, a real epidemic which today affects 8.5 million of our fellow citizens. A roadmap on obesity will soon be deployed and will be territorialized, with particular attention to overseas departments and regions.

Beyond My Prevention Report, numerous actions have been undertaken to give prevention its proper place in our health system.

The 2024-2030 child health roadmap sets the ambitious objective of 100% of children benefiting from screening in kindergarten in 2027, creates a new compulsory examination at age 6 or even allows direct access to speech therapists, thus facilitating the detection of disorders and then the medical monitoring of children. The role of Adolescent Centers will be reinforced by agreements with other more systematic structures and the training of staff in these structures in first aid for mental health.

Furthermore, the role of maternal and child protection (PMI) will be consolidated from 2025 through renewed contractualization between Health Insurance, regional health agencies and departments around public health objectives and will benefit from new dedicated resources. Finally, health at school will be strengthened by allowing national education doctors to exercise a liberal activity and by opening a major consultation on the renovation of the base of the missions and the organization of the different actors of the school health.Mental health, particularly that of young people, will be a priority at a time when, according to data from Public Health France, more than a third of 18-24 year olds believe they do not take care of their mental health.

In accordance with the commitments made, a renovation of the Mon Soutien Psy system will be carried out. It will now be more attractive for psychologists thanks to the increase in the price of sessions to 50 euros, and easier to access for the French, with the removal of the condition of prior referral by a doctor or midwife and the increase in the number of reimbursed sessions (from 8 to 12 sessions per year).

Finally, the upcoming deployment of a roadmap dedicated to prevention as part of the health component of France 2030, with 170 million euros, constitutes an unprecedented approach. It aims, in conjunction with the Health Innovation Agency, to mobilize innovation in the service of prevention to improve the state of health and quality of life of citizens, in line with the 2023 National Health Strategy -2033, via two main axes: intensifying the search for expertise in prevention, and demonstrating the clinical value of innovative prevention devices, by helping their development. Thanks to dedicated funding, this roadmap will bring about breakthrough innovations that will make it possible to rethink our prevention strategies and act more effectively to develop environments favorable to health.

All these actions are a continuation of the actions that have been carried out in recent years, such as vaccination and immunization campaigns, which have made it possible to significantly improve the protection of the population. Thus, for infants, the preventive treatment developed to protect against the virus causing bronchiolitis has met with a high uptake rate in maternity wards, making France one of the best protected countries in the world. Thanks to the efforts led by France to make this treatment accessible free of charge in all maternity wards, nearly 5,800 hospitalizations for bronchiolitis after going to the emergency room have been avoided. After the success of this first campaign, it will now be repeated every winter.

The vaccination campaign against human papillomavirus (HPV) infections for fifth grade students has been rolling out since October 2023 to protect against various cancers, including cervical cancer. More than 117,000 students have received their first dose, 100% covered by health insurance, and the campaign will continue in 2024. Finally, in accordance with the recommendations of the High Authority of Health, the vaccination of children under the age of 1 year against meningococci A, B, W and Y (as well as C, already in force) will become compulsory from next year.

In terms of the fight against cancer, organized screenings – for breast cancer, colorectal cancer, cervical cancer, etc. – will continue: the objective of 10 million screenings per year by 2025, compared to 9 million carried out today, was set in the ten-year strategy to combat cancer 2021-2030.

The development of neonatal screening is another priority. The screening program will thus be extended, from the fall, to sickle cell disease.

In terms of the fight against tobacco, the National Tobacco Control Program (PNLT) 2018-2022 has already produced promising initial results, with a historic drop in the prevalence of daily tobacco in France allowing us to observe a drop in consumption. from 28.5% in 2014 to 24.5% in 2022 and among young people from 25% in 2017 to 16% in 2022. The first measures of the new PNLT (2023-2027) which will be applied this year will make it possible to amplify this dynamic, with the ban on the sale of single-use vaping products (“puffs”), the expansion of “tobacco-free health places”, in addition to the continuation of “Tobacco-free Month” and the increase of the price of a packet of cigarettes, which will be increased to 13 euros by 2027 with a first step to 12 euros in 2025.

An effort has also been made in the area of young people’s sexual health, with full, non-prescription coverage for 17 million male condoms in 2023 (four times more than in 2022), as well as full reimbursement by insurance. disease screening for sexually transmitted infections (STIs) for those under 26. Menstrual health has not been forgotten: starting this year, reusable menstrual protection will be reimbursed for women under 26 and, without age limit, for women who benefit from complementary solidarity health insurance (C2S). ).

Prevention policies must affect the entire population, young and old alike. For the elderly, the program for early detection of loss of autonomy for those over 60, known as the ICOPE program (Integrated Care for Older People), has been the subject of an experiment since 2022 and will be generalized from the year next year, in accordance with the provisions passed within the framework of the law of April 8, 2024 relating to measures to build the society of aging well.

The objective of all these actions is to convince everyone of the benefit of taking care of their health, without waiting to be sick or unwell. With Mon Bilan Prévention, a cultural change in the French people’s relationship with their health is at work: not only their health is at stake but also the future of our health system because prevention always costs less than cure.

INDIVIDUAL MEASURES

The Council of Ministers adopted the following individual measures:

On the proposal of the Minister of the Economy, Finance and Industrial and Digital Sovereignty and the Minister Delegate to the Minister of the Economy, Finance and Industrial and Digital Sovereignty, responsible for public accounts:- Mr. Guillaume ROBERT , is appointed Deputy Director General of the General Directorate of Public Finances.

On the proposal of the Minister of the Interior and Overseas Territories: – Ms. Élise ADEVAH-POEUF, Master of Requests at the Council of State, is appointed Director of Asylum to the General Directorate for Foreigners in France at the Ministry of Foreign Affairs interior.

On the proposal of the Minister of the Armed Forces: – the functions exercised by Mr. Guillaume SCHLUMBERGER, general administrator of the State, in the position of controller general of the armies on extraordinary mission are terminated, at his request.

On the proposal of the Keeper of the Seals, Minister of Justice: – Mr. Jean LESSI, master of requests to the Council of State, is appointed State Councilor in ordinary service. – Ms. Emilie BOKDAM-TOGNETTI, master of requests to the Council of State State, is appointed State Councilor in ordinary service.- Mr. Hugo BÉVORT, senior administrator of the city of Paris, is appointed State Councilor in ordinary service (external tour).- Ms. Marie-Astrid NICOLAZO de BARMON , master of requests at the Council of State, is appointed State Councilor in ordinary service. – Mr. Raphaël CHAMBON, master of requests at the Council of State, is appointed State Councilor in ordinary service. – Mr. Charles TOUBOUL , master of requests at the Council of State, is appointed State Councilor in ordinary service. – Mr. Jean-Marc VIÉ, master of requests at the Council of State, is appointed State Councilor in ordinary service. – Mr. Renaud VEDEL, State administrator of the transitional grade, is appointed State Councilor in ordinary service, effective September 1, 2024.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

MIL Translation OSI