#2026-226Decree No. 2026-226 of 30 March 2026 amending the conditions for the reimbursement of health expenses for insured persons who no longer have regular residence in France
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This decree modifies Article R. 111-4 of the French Social Security Code by adding the word "withdrawal" (retrait) alongside "expiry" of residence permits and by completely removing paragraph 4. Paragraph 4 previously allowed certain foreigners subject to an expulsion order (mesure d'éloignement) to continue receiving health expense coverage under the French social security system even after losing regular residency status. From 1 April 2026, any person whose residence permit is withdrawn will immediately lose entitlement to health coverage reimbursement. The prior, more lenient rules continue to apply only to individuals who were subject to an expulsion measure before 1 April 2026. The change tightens access to public health benefits for non-citizens whose legal right to remain in France has been revoked.
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Key Changes
- Addition of the term "or withdrawal" (ou de retrait) after "expiry date" in the first paragraph of Article R. 111-4
- Complete abrogation of paragraph 4° of Article R. 111-4 which previously protected health coverage for persons under expulsion orders
- New rule applies to all residence permit withdrawals occurring on or after 1 April 2026
+ 3 more changes with Pro
Obligations
What this law requires
Immediately terminate health expense reimbursement coverage for any person whose residence permit (titre de séjour) is withdrawn, effective from 1 April 2026
Treat 'withdrawal' (retrait) of residence permits identically to 'expiry' (expiration) as a trigger event for loss of health coverage entitlement under Article R. 111-4
Apply transitional exemption allowing continued health coverage only to individuals who were subject to an expulsion measure (mesure d'éloignement) before 1 April 2026, not to those with permits withdrawn on or after that date
Remove the application of former paragraph 4 of Article R. 111-4 of the French Social Security Code for all persons with residence permits withdrawn from 1 April 2026 onwards
Publish this decree in the Journal officiel de la République française