France increases hospital funding in 2025

On March 25, 2025, the Ministry of Labor, Health, Solidarity, and Families published the main guidelines for the 2025 healthcare establishment pricing campaign.

The National Health Insurance Expenditure Targets (ONDAM) for hospitals, approved by Parliament at the start of the year, is set at €109.6 billion. This funding allocated to hospitals and clinics represents a 3.8% increase, equivalent to an additional €3.9 billion.

Hospital rates will increase by an average of 0.5% in 2025, with the same rate for all facilities, whether in the public or private sector. This increase applies to medical, surgical, and obstetric (MCO) care and medical rehabilitation (SMR) care. 

Special support will target activities such as pediatrics, transplants, palliative care, and certain major surgical and medical procedures. The government wanted to support these hospital activities, as they have not yet returned to their pre-health crisis levels.

A special effort is being made to support critical care, particularly provided in intensive care units, with a 2.5% increase in applicable tariff supplements and to support home hospitalization (HAD) with a 1.5% increase.

The government is committed to financing the salary agreement known as "amendment 33" for private establishments to €80 million.

Support for teaching, research, and innovation missions (MERRI) is also reaffirmed, with more than €80 million allocated in addition.

The hospital revenue security system (SMA), introduced during the health crisis, will end in 2025. Instead, a targeted support fund of €235 million will be allocated to healthcare institutions facing the most critical financial difficulties, promoting a responsible approach to restoring financial stability.

See the details in French here 

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