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Pour les patients, ces professionnels de santé constituent depuis toujours des figures incontournables en matière de dispensation de soins et d’accompagnement lors d’une prise en charge médicale. Si les premiers infirmiers apparaissent au Moyen-âge lors des grandes épidémies, la structuration de la profession est beaucoup plus tardive dans notre pays. En effet, les premières écoles d’infirmières ne voient le jour qu’à l’aube du XXe siècle, sous l’impulsion de Florence Nightingale, infirmière anglaise considérée comme la pionnière des soins infirmiers. Depuis 1965, la journée internationale des infirmières est d’ailleurs célébrée chaque année le 12 mai en référence à son jour de naissance. Alors que le système de santé constitue l’une des premières préoccupations des Français en 2024, les difficultés d’accès aux soins et le manque de personnel soignant sont des sources d’inquiétudes pour de nombreux patients et praticiens, en particulier dans les territoires ruraux où la désertification médicale est forte. Pour répondre à cette problématique, et parce qu’il s’agit de la première profession paramédicale en France, il est donc indispensable de reconnaître les missions des infirmières et infirmiers et l’évolution de leurs compétences. Cette double nécessité est d’ailleurs soutenue par une large majorité de Français, puisq","articles":[{"num":"1er","extrait":"La quatrième partie du code de la santé publique est ainsi modifiée : 1° Le dernier alinéa de l’article L. 4161-1 est ainsi modifié : a) Les mots : « ou aux infirmiers » sont supprimés ; b) Après le mot : « vaccinations », sont insérés les mots : «, ni aux infirmiers qui effectuent des consultations infirmières dans des conditions prévues par décret en Conseil d’État, ou qui prescrivent les produits de santé et examens ou effectuent les actes professionnels et soins figurant sur les listes prévues à l’article L. 4311-1 » ; 2° L’article L. 4311-1 est ainsi rédigé : « Art. L. 4311-1. – L’infirmier exerce son activité, dans le respect du code de déontologie, en application du rôle propre qui lui est dévolu ou sur prescription. « Dans son exercice professionnel, l’infirmier initie, réalise, organise et évalue les soins infirmiers. Il effectue des consultations infirmières et pose un diagnostic infirmier. Il prescrit les produits de santé et examens complémentaires nécessaires à l’exercice de sa profession. La liste de ces produits de santé et des examens complémentaires est fixée par arrêté des ministres chargés de la santé et de la sécurité sociale pris après avis de l’Académie nationale de médecine. « Les missions de l’infirmier sont les suivantes : « 1° Dispenser des soins infirmiers préventifs, curatifs, palliatifs, relationnels ou destinés à la surveillance clinique, ainsi qu’à leur évaluation ; « 2° Contribuer à la coordination et à la mise en œuvre du parcours de santé de la personne ; « 3° Participer à la prévention, aux actions de dépistage et à la promotion de la santé et à l’éducation thérapeutique de la personne et, le cas échéant, de son entourage ; « 4° Concourir à la formation initiale et continue des étudiants, des pairs et des professionnels de santé placés sous leur responsabilité ainsi qu’à la recherche en sciences infirmières. « L’infirmier participe à la mission de service public de permanence des soins, dans les conditions fixées à l’article L. 6314-1. « Un décret en Conseil d’État précise les domaines d’activités et de compétences de l’infirmier. « Un arrêté du ministre chargé de la santé fixe, pour chacun de ces domaines d’activités, la liste des actes et soins réalisés par les infirmières et infirmiers. »"},{"num":"2","extrait":"L’article L. 4301-1 du code de la santé publique est ainsi modifié : 1° Le I est ainsi modifié : a) Après la première occurrence du 2°, sont insérés des 2° bis et 2° ter ainsi rédigés : « 2° bis Au sein d’une équipe pluridisciplinaire d’un service départemental de protection maternelle et infantile coordonnée par un médecin ; « 2° ter Au sein d’une équipe pluridisciplinaire en santé scolaire ; » ; b) Après le 4°, il est inséré un 5° ainsi rédigé : « 5° En assistance d’un médecin référent au sein d’un service départemental de l’aide sociale à l’enfance ou en établissement d’accueil du jeune enfant. » ; c) Au sixième alinéa, les mots : «, pris après avis de l’Académie nationale de médecine, de la Haute Autorité de santé, des ordres des professions de santé et des représentants des professionnels de santé concernés, » sont supprimés ; 2° Le II est ainsi modifié : a) Le premier alinéa est ainsi modifié : – les mots : « d’une durée d’exercice minimale de leur profession et » sont supprimés ; – à la fin, les mots : « habilitée à cette fin dans les conditions mentionnées au III » sont remplacés par les mots : « accréditée à cette fin dans les conditions mentionnées au III ou d’un diplôme figurant sur une liste arrêtée par le ministre en charge de la santé ainsi que d’une durée minimale d’exercice de la profession d’infirmière déterminée par voie réglementaire » ; b) Le dernier alinéa est ainsi rédigé : « Les modalités d’application du présent II sont déterminées par décret, lequel peut, le cas échéant, prévoir des durées minimales d’exercice différentes selon la mention des diplômes concernés ainsi que les modalités d’accès à la formation »."},{"num":"3","extrait":"La charge pour les organismes de sécurité sociale est compensée à due concurrence par la majoration de l’accise sur les tabacs prévue au chapitre IV du titre I er du livre III du code des impositions sur les biens et services.","resume":"Compense la charge pour les organismes de sécurité sociale par la majoration de l'accise sur les tabacs."}],"pdfUrl":"https://www.assemblee-nationale.fr/dyn/17/textes/l17b0654_proposition-loi.pdf","pdfPages":null},"dispositionsVersion":6},"stade":{"cle":"intermediaire","etiquette":"Lecture intermédiaire","phrase":"Ce dossier est devenu la loi, promulguée le 27 juin 2025, mais ce texte n'en est qu'une étape : la loi peut en différer.","garde":"Ce résumé décrit cette étape du texte. 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Elle inscrit dans la loi une nouvelle définition des missions infirmières (l'infirmier peut entreprendre, réaliser, organiser et évaluer les soins et poser un diagnostic infirmier), reconnaît officiellement la consultation infirmière et ouvre un droit de prescription encadré de certains produits de santé et examens (liste fixée par arrêté). Le texte élargit aussi la pratique avancée à de nouveaux champs comme la santé scolaire, la protection maternelle et infantile et l'aide sociale à l'enfance, et reconnaît le statut d'infirmier coordonnateur, notamment en Ehpad.","dynamique":"Adopté le 10 juin 2025 : 88 voix pour, aucune contre. Dix groupes ont voté pour.","arguments":{"pour":[{"qui":"Nicole Dubré-Chirat (rapporteure, Renaissance)","texte":"Elle défend une reconnaissance attendue des compétences des quelque 650 000 infirmières et infirmiers, en faisant évoluer un cadre d'exercice jugé obsolète depuis le décret d'actes de 2004.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"},{"qui":"Yannick Neuder (ministre chargé de la Santé)","texte":"Il salue un texte présenté comme équilibré et ambitieux, qui sécurise et modernise le champ d'intervention des infirmiers.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"},{"qui":"Sandrine Runel (députée, Socialistes)","texte":"Elle voit dans le texte une avancée en faveur de la reconnaissance de la profession, décrite comme une étape sans être une fin.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"}],"contre":[],"reserves":[{"qui":"Karen Erodi (députée, La France insoumise)","texte":"Elle regrette que le texte n'apporte pas de réponse sur les salaires et sur la crise des vocations dans la profession.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"},{"qui":"Marie-Charlotte Garin (députée, Écologistes)","texte":"Elle craint que l'élargissement des missions, sans moyens supplémentaires, n'aggrave la charge de travail des infirmières.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"},{"qui":"Christine Loir (députée, Rassemblement National)","texte":"Elle juge certaines mesures fragmentaires, tout en votant le texte.","source":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"}]},"sources":[{"label":"Assemblée nationale, dossier législatif profession d'infirmier","url":"https://www.assemblee-nationale.fr/dyn/17/dossiers/profession_infirmier"},{"label":"LCP, la proposition de loi attendue par le secteur en passe d'être adoptée","url":"https://lcp.fr/actualites/profession-d-infirmier-la-proposition-de-loi-attendue-par-le-secteur-en-passe-d-etre"},{"label":"Légifrance, loi n° 2025-581 du 27 juin 2025 sur la profession d'infirmier","url":"https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000051806032"}],"v":2,"source":"cure-verifie"},"explain":{"scrutinId":"VTANR5L17V2278","version":2,"titre":"l’ensemble de la proposition de loi sur la profession d’infirmier (texte de la commission mixte paritaire).","synthese":"**Sujet** : La proposition de loi sur la profession d’infirmier, examinée par une **commission mixte paritaire**.  \n**Résultat** : Le texte a été **adopté** lors d’un scrutin public ordinaire le 10 juin 2025, avec 88 voix pour, 0 contre et 0 abstentions.  \n**Positions des groupes** : **EPR, LFI-NFP, SOC, DR, ECOS, DEM, HOR** se sont prononcés en faveur du texte.  \nAucun groupe n’a voté contre ou s’est abstenu.  \nLe vote a donc été unanime parmi les groupes représentés.","perFamille":{"DEM":"a voté pour","DR":"a voté pour","ECOS":"a voté pour","EPR":"a voté pour","HOR":"a voté pour","LFI-NFP":"a voté pour","SOC":"a voté pour"},"source":"ollama/qwen3:14b"},"objMoyens":{"texte":"Profession d'infirmier","titreOfficiel":"proposition de loi sur la profession d’infirmier","contexte":"Proposition de loi de Nicole Dubré-Chirat, déposée le 3 décembre 2024. L'Assemblée nationale l'a adoptée en première lecture le 10 mars 2025, puis a adopté le texte de la commission mixte paritaire le 10 juin 2025. Les leviers ci-dessous sont lus dans le texte déposé.","objectif":"Selon son autrice, reconnaître les missions des infirmières et infirmiers et l'évolution de leurs compétences. L'exposé des motifs relève qu'environ 600 000 personnes exercent cette profession en France, dont 135 000 en libéral ou en exercice mixte, qu'il s'agit de la première profession paramédicale du pays, et que les difficultés d'accès aux soins et le manque de personnel soignant inquiètent patients et praticiens, en particulier dans les territoires ruraux.","moyens":[{"label":"Sortir la consultation infirmière du champ de l'exercice illégal de la médecine","detail":"Au dernier alinéa de l'article L. 4161-1 du code de la santé publique, les mots « ou aux infirmiers » sont supprimés et une mention est insérée pour les infirmiers qui effectuent des consultations infirmières dans des conditions prévues par décret en Conseil d'État, ou qui prescrivent les produits de santé et examens ou effectuent les actes et soins figurant sur les listes prévues à l'article L. 4311-1."},{"label":"Réécrire la définition légale du métier","detail":"L'article L. 4311-1 du code de la santé publique est réécrit : l'infirmier exerce son activité dans le respect du code de déontologie, en application de son rôle propre."},{"label":"Élargir les terrains d'exercice de la pratique avancée","detail":"À l'article L. 4301-1 du code de la santé publique, des 2° bis et 2° ter sont insérés pour l'équipe pluridisciplinaire d'un service départemental de protection maternelle et infantile coordonnée par un médecin et pour l'équipe pluridisciplinaire en santé scolaire, et un 5° est ajouté pour l'assistance d'un médecin référent au sein d'un service départemental de l'aide sociale à l'enfance ou en établissement d'accueil du jeune enfant."}]},"recoExperts":null,"eli":{"numeroLoi":"2025-581","eli":"https://www.legifrance.gouv.fr/eli/loi/2025/6/27/TSSX2507271L/jo/texte"},"promulgation":{"date":"2025-06-27","titre":"sur la profession d'infirmier","numJO":"149","dateJO":"2025-06-28","url":"https://www.legifrance.gouv.fr/WAspad/UnTexteDeJorf?numjo=TSSX2507271L"},"commissionAmdt":{"nTotal":169,"nAdopte":25,"commissions":["Affaires sociales"],"leg":17},"rapportsDossier":[{"u":"RAPPANR5L17B1489","commission":"Commission mixte paritaire","date":"2025-06-03","num":"1489","leg":17,"type":"permanent","rapporteurs":[{"id":"PA720154","label":"Nicole Dubré-Chirat"}]},{"u":"RAPPANR5L17B1029","commission":"Commission des affaires sociales","date":"2025-03-05","num":"1029","leg":17,"type":"permanent","rapporteurs":[{"id":"PA720154","label":"Nicole Dubré-Chirat"}]}],"censures":null,"voteRef":{"id":"VTANR5L17V2278","titre":"l’ensemble de la proposition de loi sur la profession d’infirmier (texte de la commission mixte paritaire).","date":"2025-06-10","sortCode":"adopté","pour":88,"contre":0,"abstention":0},"voteAggregat":{"PO845401":{"pour":2,"contre":0,"abstention":0,"nonVotant":0,"absent":121,"positionMajoritaire":"pour","nombreMembres":123},"PO845407":{"pour":16,"contre":0,"abstention":0,"nonVotant":1,"absent":77,"positionMajoritaire":"pour","nombreMembres":94},"PO845413":{"pour":14,"contre":0,"abstention":0,"nonVotant":0,"absent":57,"positionMajoritaire":"pour","nombreMembres":71},"PO845419":{"pour":16,"contre":0,"abstention":0,"nonVotant":0,"absent":50,"positionMajoritaire":"pour","nombreMembres":66},"PO845425":{"pour":7,"contre":0,"abstention":0,"nonVotant":1,"absent":41,"positionMajoritaire":"pour","nombreMembres":49},"PO845439":{"pour":5,"contre":0,"abstention":0,"nonVotant":0,"absent":33,"positionMajoritaire":"pour","nombreMembres":38},"PO845454":{"pour":11,"contre":0,"abstention":0,"nonVotant":0,"absent":25,"positionMajoritaire":"pour","nombreMembres":36},"PO845470":{"pour":10,"contre":0,"abstention":0,"nonVotant":0,"absent":23,"positionMajoritaire":"pour","nombreMembres":33},"PO845485":{"pour":4,"contre":0,"abstention":0,"nonVotant":0,"absent":19,"positionMajoritaire":"pour","nombreMembres":23},"PO845514":{"pour":0,"contre":0,"abstention":0,"nonVotant":0,"absent":17,"positionMajoritaire":"pour","nombreMembres":17},"PO847173":{"pour":1,"contre":0,"abstention":0,"nonVotant":0,"absent":15,"positionMajoritaire":"pour","nombreMembres":16},"PO840056":{"pour":2,"contre":0,"abstention":0,"nonVotant":0,"absent":9,"positionMajoritaire":"pour","nombreMembres":11}},"voteGroupes":[{"id":"PO845413","code":"LFI","libelle":"La France insoumise - 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