The Assembly passed in the night from Monday 15 to Tuesday 16 June 2020 the principle of the creation of a fifth branch of social Security dedicated to the autonomy, "first stone" of the future reform of the dependency according to the majority, but "empty shell" in the eyes of the opposition.

in the Face of criticism from opposition groups, the minister of Health Olivier Veran has assured that "at least one billion euros in "extra" would be arrow to finance the "loss of autonomy" of the elderly and people with disabilities as early as this fall, in the budget of the "Safely" for 2021.

The deputies have voted on this text at first reading at the same time as a higher a result of 136 billion euros of the "hole" of social Security, after the coronavirus. The bill must now be reviewed by the Senate. If it was introduced, this, the fifth branch would cover the risks of life related to loss of autonomy and disability. It would be in addition to the four existing ones (sickness, old age, family, work accidents).

"the First stone of the reformation,"

"We lay the first stone of the long-awaited reform, and many times announced the loss of autonomy," noted the secretary of State Adrien Cleat. "In 2040, nearly 15 % of the French, 10.6 million, will be 75 years old or more. It is two times more than today ", he stressed. For the time being, the terms and the specific funding of this branch are referred to a report in mid-September.

The opposition has repeatedly criticised an "empty shell" and an "announcement effect" without track funding. There is no " one euro expected before 2024, first blasted the LR Xavier Breton, while 2.3 billion euros per year are planned from 2024 to fund the autonomy. "No one has ever said" that the $ 2.3 billion provided (from 2024) "were for balance of any account," replied Olivier Véran, before raising the sum of "at least a billion" as early as this fall in the draft law of financing social Security 2021.

Already promised and then abandoned by Nicolas Sarkozy, again mentioned by Emmanuel Macron in June 2018, this reform is hampered by its cost. Of 30 billion euros per year (6 billion for the "rest load" for households), the expenditures related to the great age could grow to over 9 billion by 2030 because of the " papy-boom ", according to the report Libault delivered in 2019.