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ART. 5
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ASSEMBL\u201\'3fE NATIONALE
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20 F\u233\'3fvrier 2026
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___________________________________________________________________
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PROJET DE LOI RELATIF \u192\'3f LA LUTTE CONTRE LES FRAUDES SOCIALES ET FISCALES - (N\u176\'3f 2250)
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Tomb\u233\'3f
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AMENDEMENT N\u176\'3f1043
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pr\u233\'3fsent\u233\'3f par
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M.\u160\'3fBernhardt, M.\u160\'3fAllisio, M.\u160\'3fAmblard, Mme\u160\'3fAuzanot, M.\u160\'3fBallard, Mme\u160\'3fBamana, M.\u160\'3fBarth\u232\'3fs, M.\u160\'3fBaubry, M.\u160\'3fBeaurain, M.\u160\'3fBentz, M.\u160\'3fBigot, M.\u160\'3fBilde, M.\u160\'3fBlairy, Mme\u160\'3fBlanc, M.\u160\'3fBoccaletti, Mme\u160\'3fBordes, M.\u160\'3fBoulogne, Mme\u160\'3fBouquin, M.\u160\'3fBovet, M.\u160\'3fBuisson, M.\u160\'3fCasterman, M.\u160\'3fChenu, M.\u160\'3fChudeau, M.\u160\'3fClavet, Mme\u160\'3fColombier, Mme\u160\'3fDa\u160\'3fConceicao\u160\'3fCarvalho, M.\u160\'3fde\u160\'3fFleurian, M.\u160\'3fde\u160\'3fL\u233\'3fpinau, M.\u160\'3fDessigny, Mme\u160\'3fDiaz, Mme\u160\'3fDogor-Such, M.\u160\'3fDragon, M.\u160\'3fDufosset, M.\u160\'3fDussausaye, M.\u160\'3fDutremble, M.\u160\'3fEvrard, M.\u160\'3fFalcon, M.\u160\'3fFlorquin, M.\u160\'3fFouquart, M.\u160\'3fFrapp\u233\'3f, M.\u160\'3fGabarron, Mme\u160\'3fGalzy, M.\u160\'3fGery, M.\u160\'3fGiletti, M.\u160\'3fGillet, M.\u160\'3fChristian\u160\'3fGirard, M.\u160\'3fGolliot, M.\u160\'3fGonzalez, Mme\u160\'3fFlorence\u160\'3fGoulet, Mme\u160\'3fGrangier, Mme\u160\'3fGriseti, M.\u160\'3fGuibert, M.\u160\'3fGuiniot, M.\u160\'3fGuitton, Mme\u160\'3fHamelet, M.\u160\'3fHoussin, M.\u160\'3fHumbert, M.\u160\'3fJacobelli, M.\u160\'3fJenft, M.\u160\'3fJolly, Mme\u160\'3fJoncour, Mme\u160\'3fJosserand, Mme\u160\'3fJoubert, Mme\u160\'3fLaporte, Mme\u160\'3fLavalette, M.\u160\'3fLe\u160\'3fBourgeois, Mme\u160\'3fLechanteux, Mme\u160\'3fLechon, Mme\u160\'3fLelouis, Mme\u160\'3fLevavasseur, M.\u160\'3fLimongi, M.\u160\'3fLioret, Mme\u160\'3fLoir, M.\u160\'3fLopez-Liguori, Mme\u160\'3fLorho, M.\u160\'3fLottiaux, M.\u160\'3fLoubet, M.\u160\'3fDavid\u160\'3fMagnier, Mme\u160\'3fMarais-Beuil, M.\u160\'3fMarchio, M.\u160\'3fMarkowsky, M.\u160\'3fPatrice\u160\'3fMartin, Mme\u160\'3fMartinez, Mme\u160\'3fAlexandra\u160\'3fMasson, M.\u160\'3fBryan\u160\'3fMasson, M.\u160\'3fMauvieux, M.\u160\'3fMeizonnet, M.\u160\'3fMeurin, M.\u160\'3fMonnier, M.\u160\'3fMuller, Mme\u160\'3fM\u233\'3flin, Mme\u160\'3fM\u233\'3fnach\u233\'3f, M.\u160\'3fM\u233\'3fnag\u233\'3f, M.\u160\'3fOdoul, Mme\u160\'3fParmentier, M.\u160\'3fPerez, M.\u160\'3fPfeffer, Mme\u160\'3fPollet, M.\u160\'3fRambaud, Mme\u160\'3fRanc, M.\u160\'3fRancoule, M.\u160\'3fRenault, Mme\u160\'3fRimbert, M.\u160\'3fRivi\u232\'3fre, Mme\u160\'3fRobert-Dehault, Mme\u160\'3fRoullaud, Mme\u160\'3fRoy, Mme\u160\'3fSabatini, M.\u160\'3fSabatou, M.\u160\'3fSalmon, M.\u160\'3fSchreck, Mme\u160\'3fSicard, M.\u160\'3fEmmanuel\u160\'3fTach\u233\'3f, M.\u160\'3fJean-Philippe\u160\'3fTanguy, M.\u160\'3fTaverne, M.\u160\'3fTesson, M.\u160\'3fTivoli, M.\u160\'3fTonussi, M.\u160\'3fVilledieu, M.\u160\'3fVos et M.\u160\'3fWeber
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------------
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ARTICLE 5
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I.\u160\'3f\u8211\'3f\u160\'3f\u192\'3f l\u8217\'3falin\u233\'3fa\u160\'3f15,supprimer les mots\u160\'3f:\u160\'3f
\par 
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}
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\u171\'3f\u160\'3f\u224\'3f l\u8217\'3fexclusion des donn\u233\'3fesrelatives au diagnostic, aux traitements, aux ant\u233\'3fc\u233\'3fdents m\u233\'3fdicauxou \u224\'3f toute information clinique \u233\'3ftrang\u232\'3fre \u224\'3f la seule identificationd\u8217\'3fun acte ou d\u8217\'3fune prestation\u160\'3f\u187\'3f.
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
II.\u160\'3f\u8211\'3f\u160\'3fEn cons\u233\'3fquence,l\u8217\'3falin\u233\'3fa\u160\'3f19, apr\u232\'3fs le mot\u160\'3f:\u160\'3f
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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\u171\'3f\u160\'3ftrait\u233\'3fes\u160\'3f\u187\'3f,\u160\'3f
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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ins\u233\'3frer les mots\u160\'3f:\u160\'3f
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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\u171\'3f\u160\'3fen listant explicitement lestypes de donn\u233\'3fes strictement n\u233\'3fcessaires,\u160\'3f\u187\'3f.
\par 
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}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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III.\u160\'3f\u8211\'3f\u160\'3fEn cons\u233\'3fquence, \u224\'3fl\u8217\'3falin\u233\'3fa\u160\'3f39, supprimer les mots\u160\'3f:\u160\'3f
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
\u171\'3f\u160\'3f\u224\'3f l\u8217\'3fexclusion des donn\u233\'3fesrelatives au diagnostic, aux traitements, aux ant\u233\'3fc\u233\'3fdents m\u233\'3fdicauxou \u224\'3f toute information clinique \u233\'3ftrang\u232\'3fre \u224\'3f la seule identificationd\u8217\'3fun acte ou d\u8217\'3fune prestation\u160\'3f\u187\'3f.
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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IV.\u160\'3f\u8211\'3f\u160\'3fEn cons\u233\'3fquence, \u224\'3fl\u8217\'3falin\u233\'3fa\u160\'3f43, apr\u232\'3fs le mot\u160\'3f:\u160\'3f
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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\u171\'3f\u160\'3ftrait\u233\'3fes\u160\'3f\u187\'3f,\u160\'3f
\par 
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
ins\u233\'3frer les mots\u160\'3f:\u160\'3f
\par 
}
}
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 
}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
\u171\'3f\u160\'3fen listant explicitement lestypes de donn\u233\'3fes strictement n\u233\'3fcessaires,\u160\'3f\u187\'3f.
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
V.\u160\'3f\u8211\'3f\u160\'3fEn cons\u233\'3fquence, \u224\'3fl\u8217\'3falin\u233\'3fa\u160\'3f70, supprimer les mots\u160\'3f:\u160\'3f
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
\u171\'3f\u160\'3f\u224\'3f l\u8217\'3fexclusion des donn\u233\'3fesrelatives au diagnostic, aux traitements, aux ant\u233\'3fc\u233\'3fdents m\u233\'3fdicauxou \u224\'3f toute information clinique \u233\'3ftrang\u232\'3fre \u224\'3f la seule identificationd\u8217\'3fun acte ou d\u8217\'3fune prestation\u160\'3f\u187\'3f.
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
{\b0 \cf1 \f3 \ul0 \strike0 \i0 \fs24 \sa240 \sb240 
VI.\u160\'3f\u8211\'3f\u160\'3fEn cons\u233\'3fquence, \u224\'3fl\u8217\'3falin\u233\'3fa\u160\'3f74, apr\u232\'3fs le mot\u160\'3f:\u160\'3f
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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\u171\'3f\u160\'3ftrait\u233\'3fes\u160\'3f\u187\'3f,\u160\'3f
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}
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ins\u233\'3frer les mots\u160\'3f:\u160\'3f
\par 
}
}
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}
{\b0 \cf1 \f3 \ri0 \i0 \qj \fs24 \li0 
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\u171\'3f\u160\'3fen listant explicitement lestypes de donn\u233\'3fes strictement n\u233\'3fcessaires,\u160\'3f\u187\'3f.
\par 
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}
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}
}
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EXPOS\u201\'3f SOMMAIRE
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Cet amendement de repli vise \u224\'3f supprimer les restrictions surles donn\u233\'3fes transmissibles dans le cadre du tiers payant, afin depr\u233\'3fserver l\rquote efficacit\u233\'3f globale du dispositif antifraude pr\u233\'3fvu parl\rquote article 5, tout en renfor\u231\'3fant la transparence et laproportionnalit\u233\'3f via une pr\u233\'3fcision du d\u233\'3fcret d\rquote application.
\par 
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}
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}
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Ce texte a pour objectif principal de renforcer la d\u233\'3ftection etla r\u233\'3fpression des fraudes sociales et fiscales. En permettant un\u233\'3fchange encadr\u233\'3f de donn\u233\'3fes strictement n\u233\'3fcessaires entreprofessionnels de sant\u233\'3f et organismes compl\u233\'3fmentaires, sansexclusion cat\u233\'3fgorielle, la version initiale du texte assure un\u233\'3fquilibre entre protection du secret m\u233\'3fdical et capacit\u233\'3f \u224\'3f v\u233\'3frifierles actes rembours\u233\'3fs, \u233\'3fvitant ainsi des surco\u251\'3fts pour lescontribuables honn\u234\'3ftes.
\par 
}
}
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}
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Cette approche s\rquote aligne sur les d\u233\'3flib\u233\'3frations de la CNIL, quiont valid\u233\'3f le cadre en soulignant que les \u233\'3fchanges existants pourles remboursements et la lutte antifraude ne cr\u233\'3fent pas de nouveauxacc\u232\'3fs massifs \u224\'3f des donn\u233\'3fes sensibles, mais les s\u233\'3fcurisent via desprincipes de minimisation et un d\u233\'3fcret en Conseil d\rquote \u201\'3ftat. Maintenirl\rquote exclusion ajout\u233\'3fe en commission risquerait de limiterexcessivement les outils de contr\u244\'3fle, au d\u233\'3ftriment de l\rquote objectifl\u233\'3fgislatif de recouvrer les sommes d\u233\'3ftourn\u233\'3fes et de pr\u233\'3fserverl\rquote int\u233\'3fgrit\u233\'3f du syst\u232\'3fme de protection sociale.
\par 
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}
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Le dispositif reste encadr\u233\'3f par des garanties renforc\u233\'3fes : acc\u232\'3fslimit\u233\'3f aux m\u233\'3fdecins-conseils, secret professionnel p\u233\'3fnalementsanctionn\u233\'3f, stockage en Europe, et un d\u233\'3fcret pr\u233\'3fcisant lescat\u233\'3fgories de donn\u233\'3fes, apr\u232\'3fs avis de la CNIL et des unionsprofessionnelles. Cet amendement restaure ainsi la coh\u233\'3frence dutexte, au service de l\rquote int\u233\'3fr\u234\'3ft public et sans compromettre la viepriv\u233\'3fe des patients. De plus, il vise \u233\'3fgalement \u224\'3f renforcer latransparence en encadrant plus finement les transmissions enexigeant que le d\u233\'3fcret en Conseil d\u8217\'3f\u201\'3ftat liste explicitement lestypes de donn\u233\'3fes strictement n\u233\'3fcessaires.
\par 
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