And that the bulk of the gains would not necessarily obtained in 2007

During his visit to the Ministry of health, Philippe Douste-Blazy had to fight abuse and fraud one of his favorite insurance reform battle. This leitmotif has persisted since. Last autumn, the Government has strengthened control of income received from abroad by the beneficiaries of social benefits under condition of resource, including coverage universal health (CMU) complementary. He also created a duty of prosecution for social security organizations hiring when they detect fraud. And end of the year, the map Vitale 2 enriched photo ID will begin to be available.

The Government is seeking to speed. The object of the current thinking is on the control of the condition of residence on the French territory which gives access to Medicare payments, but to social benefits (family benefits, minimum age, RMI, etc.).

"A little too angelic"

It was stated, in the creation of the CMU in 1999, that a person resident in France of uninterrupted for more than three months has access to the general health insurance scheme. This test must be established by the person concerned (rent, electricity...) at the opening of the rights and he then returned to unions control the fact that the person is still a resident, who, in fact, is very complicated for social security. However, if foreign nationals must also justify that they are in a regular situation, the residency requirement is sufficient to nationals of the European Union and the European economic area. "The State has been a little too angelic in the creation of the CMU and, today, many people receive benefits to which they should not be entitled, in particular in health insurance," said a senior official.

Stand of improper rights

The Government therefore preparing a decree amending this conditionality. The idea would be stalling on the definition of the tax domicile: a person who stayed in France more than six months per year or who exercise a professional activity is liable to pay tax on income (art. 4 (b) of the General Tax Code). This would allow, via exchanges of data between social security and the Directorate General of taxes (ITB), verify that the insured resides in France.

The persons concerned are not only false foreign residents but equally, if not more, the French expatriate. Those who are not seconded by their business for a limited period have more rights, but some do not report their departure to social security and thus continue to benefit from support of their care in France (operations scheduled, for example). These improper rights excluding would be more easily tracked from the moment where these people declare most their revenue in France.

The savings expected could reach 300 to 500 million euros, even if the Ministry of health recognizes that the quantifications are very difficult for abuse and fraud. And that the bulk of the gains would not necessarily obtained in 2007.

Especially, failover on the tax domicile is acquired, the Ministry of finance is fiercely opposed to this reform. Bercy said that the definition of the tax residence is intended to take into account the greater number, while the objective of social security is precisely to reduce the basis of the beneficiaries. The Department also puts forward the fact that fiscal controls are more large income, which, there still does not match the target. Matignon must make its arbitration at school, at the presentation of the Bill of financing of social security for 2007.