A sub-amendment excludes refugees and nationals of countries with bilateral agreements, allowing exemptions under those treaties.

The French National Assembly approved a 2026 social security budget amendment that will impose a mandatory contribution on non-European residents benefiting from Universal Health Protection (PUMa) after three months of residency, effectively charging former free-access retirees in France.

The new rule shifts from a free protection model to requiring non-European residents on long-stay visas to contribute to the health system, with the amount to be set by decree.

The measure was voted into law on November 8, 2025, narrowing eligibility from all non-Europeans to those from G20 countries after government clarification.

The contribution framework will be defined by decree, and the sub-amendment preserves exemptions for refugees and bilateral treaty nationals.

The amendment passed with 176 votes in favor and 79 against, receiving support from far-right, right, and center, while facing opposition from the left.

The vote on November 8, 2025, marks a policy change aimed at reducing the perceived burden on the system from non-European residents.

Officials cite France’s roughly €23 billion social security shortfall as the backdrop for seeking fairness and solidarity in financing healthcare for non-EU residents.

The measure specifically applies to foreigners on long-stay visitor visas who currently access universal health protection after three months without contributions.

Economy Minister Amélie de Montchalin signaled the government will reassess bilateral agreements and not take a firm position until those negotiations are completed.

Discussions focused on diplomatic and fiscal implications, with the government outlining plans to revise conventions to ensure participation while avoiding a hard stance.

Initial scope targeted US nationals but was later limited to citizens from G20 countries after government clarification.