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France: community nurse remuneration

Published

This dossier follows implementation of amendment 11 to the nursing agreement, its tariffs and new consultations. It distinguishes rules in force from their effects on care, which require evaluation.

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A stethoscope on a white background.
Healthcare illustration, February 2014; does not depict a newly announced consultation. Sprinno, CC0 https://creativecommons.org/publicdomain/zero/1.0/ ; unmodified. — Sprinno / Wikimedia Commons — CC0 1.0 https://creativecommons.org/publicdomain/zero/1.0/ — 28 février 2014, sans modification.

Where things stand

On 6 November 2026, Assurance Maladie detailed the first applicable measures: higher AMI/AMX rates, an urgent-care dispatch supplement and an insulin-support consultation.

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Reported information

France introduces new fees and consultations for community nurses

Assurance Maladie detailed the first measures of amendment 11 now applicable to community nurses on 6 November 2026. The AMI and AMX tariff units rise to €3.35 in metropolitan France, from €3.15.

A stethoscope on a white background.
Healthcare illustration, February 2014; does not depict a newly announced consultation. Sprinno, CC0 https://creativecommons.org/publicdomain/zero/1.0/ ; unmodified. — Sprinno / Wikimedia Commons — CC0 1.0 https://creativecommons.org/publicdomain/zero/1.0/ — 28 février 2014, sans modification.

The Fédération nationale des infirmiers confirms the timetable and 20-cent increase in its guidance to professionals. Later stages of the agreement remain separate from this first implementation.

According to Assurance Maladie, a €15 supplement is introduced for certain home visits requested through medical dispatch services. It is limited to 20 billings per week per nurse.

A €20 consultation also supports eligible patients with type 2 diabetes starting insulin, with a maximum of four consultations. These remuneration rules do not yet amount to an assessment of their effects on access to care.

Sources 3