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La présente proposition de loi s’inspire de l’initiative portée au Sénat par le sénateur Jean-Yves Roux et plusieurs de ses collègues et vise à adapter le droit français aux conséquences du Brexit en ce qui concerne la reconnaissance des diplômes de médecine obtenus au Royaume-Uni, pour les jeunes médecins français dont les études ont été entreprises avant le 31 décembre 2020 sur le territoire britannique. Elle s’inscrit par ailleurs dans la continuité des travaux de M. Alexandre Holroyd, député de la 3e circonscription des Français établis hors de France de 2017 à 2024, qui avait déjà, durant son mandat, interpelé le gouvernement sur le sujet. Avant le retrait du Royaume-Uni de l’Union européenne, les médecins formés dans ce pays bénéficiaient, en France, d’une reconnaissance automatique de leur diplôme. Depuis le 1 er janvier 2021, ils sont désormais considérés comme titulaires d’un diplôme obtenu hors de l’Union européenne (PADHUE). À ce titre, ils doivent suivre la procédure prévue à l’article L. 4111-2 du code de la santé publique : réussir des épreuves anonymes de vérification des connaissances, puis accomplir un parcours de consolidation des compétences dans un poste correspondant à leur spécialité. En effet, selon le code de la santé publique (article L. 4131-1), seuls peuvent exercer la méd","articles":[{"num":"1er","extrait":"Le code de la santé publique est ainsi modifié : 1° Au 2° de l’article L. 4111-1, après le mot : « européen, », sont insérés les mots : « du Royaume-Uni, » ; 2° L’article L. 4131-1 est complété par un 3° ainsi rédigé : « 3° Soit, si l’intéressé est ressortissant du Royaume-Uni ou d’un État membre de l’Union européenne ou partie à l’accord sur l’Espace économique européen, un diplôme, certificat ou autre titre permettant l’exercice de la profession de médecin au Royaume-Uni à condition que l’intéressé ait commencé sa formation de médecin avant le 31 décembre 2020 et que celle-ci satisfasse aux obligations communautaires. »"},{"num":"2","extrait":"I. – 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. II. – La pertes de recettes 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 Ier du livre III du code des impositions sur les biens et services.","resume":"Compense la charge des organismes de sécurité sociale par une majoration de l'accise sur les tabacs."}],"pdfUrl":"https://www.assemblee-nationale.fr/dyn/17/textes/l17b2112_proposition-loi.pdf","pdfPages":null},"dispositionsVersion":6},"stade":{"cle":"intermediaire","etiquette":"Lecture intermédiaire","phrase":"Ce dossier est devenu la loi, promulguée le 15 mai 2026, 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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de médecine au Royaume-Uni avant le 31 décembre 2020, que le Brexit avait fait basculer, depuis le 1er janvier 2021, dans le régime des praticiens à diplôme hors Union européenne (Padhue). Le texte inscrit le Royaume-Uni à l'article L. 4111-1 du code de la santé publique et ajoute un 3° à l'article L. 4131-1 reconnaissant ces diplômes britanniques, sous réserve d'une liste fixée par arrêté ministériel. Il ouvre le dispositif aux ressortissants français, andorrans, de l'Union européenne, de l'Espace économique européen et britanniques, et étend la procédure dite Dreessen (article L. 4131-1-1). La version issue du Sénat, adoptée conforme, exclut explicitement les Bachelor of Medicine et Bachelor of Surgery, réintègre les médecins de nationalité britannique dans le dispositif et supprime l'article 1er bis (demande de rapport sur les Padhue) ainsi que l'article 2 (gage tabac). Le vote final a réuni 72 votants, 72 voix pour, aucune contre, aucune abstention.","dynamique":"Adopté le 4 mai 2026 : 72 voix pour, aucune contre. Onze groupes ont voté pour.","arguments":{"pour":[{"qui":"Vincent Caure, rapporteur (Ensemble pour la République)","texte":"Rapporteur, il présente en deuxième lecture l'aboutissement d'un texte qui vise « centaines de médecins formés au Royaume-Uni avant le Brexit », aujourd'hui « privés de leurs droits d’exercer la médecine en France » parce que la reconnaissance automatique de leur diplôme a disparu avec le Brexit. Il rappelle qu'ils sont dans cette situation depuis six ans.","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073250"},{"qui":"Jean-François Rousset, député (Ensemble pour la République)","texte":"Présente le texte comme la correction d’un oubli lié au Brexit : des jeunes, pour la plupart français, partis étudier la médecine au Royaume-Uni avant l’entrée en vigueur des nouvelles règles y ont reçu une formation identique à celle dispensée dans les autres pays européens, mais ne peuvent pas revenir exercer en France. Il ajoute que son groupe soutient pleinement le texte.","source":"Compte rendu de la 1re séance du 16 février 2026 (Assemblée nationale), première lecture","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N150#4018174"},{"qui":"Agnès Pannier-Runacher, députée (Ensemble pour la République)","texte":"Au nom du gouvernement, elle décrit un texte qui remédie à « la situation ubuesque des étudiants, notamment français, qui avaient fait le choix de faire leurs études médicales au Royaume-Uni avant 2020 » et que le Brexit a mis devant le fait accompli. Elle précise qu'il n'ouvre pas de brèche et n'abaisse pas les exigences de qualification.","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073277"},{"qui":"Patrick Hetzel, député (Droite Républicaine)","texte":"Il tient le texte pour la correction d'« une véritable absurdité juridique » et l'appuie sur une constatation de fait : « La qualité de la formation médicale britannique n’a pas changé » entre le 30 décembre 2020 et le 1er janvier 2021, alors que depuis le Brexit ces praticiens sont assimilés à des Padhue. Il cite des parcours suspendus à une date administrative, dont celui d'un médecin franco-britannique contraint de repartir travailler au Royaume-Uni.","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073307"},{"qui":"Jean-Paul Lecoq, député (Gauche démocrate et républicaine)","texte":"Il constate que la reconnaissance du diplôme, « autrefois garantie, ne l’est plus aujourd’hui, du seul fait du Brexit », sans rapport avec les compétences des praticiens. Il en conclut que « Cette proposition de loi vient réparer cette incongruité et, en ce sens, elle est nécessaire », utile aussi pour les patients.","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073259"}],"contre":[],"reserves":[{"qui":"Hadrien Clouet, député (LFI-NFP)","texte":"Il déplace le débat vers les praticiens à diplôme hors Union européenne, que le texte ne traite pas, en brandissant un billet de cinq euros : « c’est ce que la France de Macron offre à des milliers de médecins qui ont obtenu un diplôme en dehors de l’Union européenne, les Padhue ». Il cite un infectiologue de 33 ans d'expérience payé à ce tarif et avance que « la rémunération des Padhue a baissé de 40 % en trois ans ».","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073286"},{"qui":"Joëlle Mélin, députée (Rassemblement national)","texte":"Elle annonce que son groupe ne fera pas obstacle au texte, « Bien évidemment, nous ne nous opposerons pas à cette proposition de loi », tout en émettant une réserve sur « la décision prise par le Sénat d’ouvrir la procédure Dreessen aux médecins diplômés au Royaume-Uni ». Elle rappelle que le texte exige une formation commencée avant le 31 décembre 2020.","source":"Compte rendu de la 1re séance du 4 mai 2026 (Assemblée nationale)","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance/CRSANR5L17S2026O1N218#4073272"}]},"sources":[{"label":"Loi n° 2026-373 du 15 mai 2026 (Légifrance, JORF du 16 mai 2026)","url":"https://www.legifrance.gouv.fr/eli/loi/2026/5/15/2026-373/jo/texte"},{"label":"Assemblée nationale, dossier législatif de la proposition de loi","url":"https://www.assemblee-nationale.fr/dyn/17/dossiers/DLR5L17N53192"},{"label":"Assemblée nationale, rapport n° 2733 (deuxième lecture)","url":"https://www.assemblee-nationale.fr/dyn/17/textes/l17b2733_texte-adopte-commission"},{"label":"Assemblée nationale, compte rendu de la séance du 4 mai 2026","url":"https://www.assemblee-nationale.fr/dyn/17/comptes-rendus/seance"}],"v":2,"source":"cure-verifie"},"explain":{"scrutinId":"VTANR5L17V6286","version":2,"titre":"l'ensemble de la proposition de loi facilitant l'exercice en France des médecins diplômés au Royaume-Uni ayant débuté leurs études avant le Brexit (deuxième lecture).","synthese":"**Proposition de loi** visant à faciliter l’exercice en France des médecins diplômés au Royaume-Uni ayant commencé leurs études avant le Brexit a été **adoptée** lors d’un scrutin public ordinaire. Le vote a recueilli **72 voix pour**, **0 contre** et **0 abstention**. Les groupes **RN, EPR, LFI-NFP, DEM, HOR** se sont prononcés en faveur du texte. Aucun autre groupe n’a exprimé de position sur ce vote. Le résultat reflète le soutien de plusieurs formations politiques à la mesure proposée.","perFamille":{"DEM":"a voté pour","EPR":"a voté pour","HOR":"a voté pour","LFI-NFP":"a voté pour","RN":"a voté pour"},"source":"ollama/qwen3:14b+regen"},"objMoyens":{"texte":"Médecins diplômés au Royaume-Uni avant le Brexit","titreOfficiel":"proposition de loi facilitant l’exercice en France des médecins diplômés au Royaume-Uni ayant débuté leurs études avant le Brexit","contexte":"Proposition de loi de Vincent Caure, déposée le 18 novembre 2025 et examinée en procédure accélérée. L’Assemblée nationale l’a adoptée en première lecture le 16 février 2026 (52 voix pour, 0 contre) ; le Sénat l’a modifiée le 31 mars 2026, puis l’Assemblée a adopté le texte du Sénat sans modification en deuxième lecture le 4 mai 2026 (72 voix pour, 0 contre). La loi a été promulguée le 15 mai 2026 (loi n° 2026-373).","objectif":"Selon son auteur, des milliers de praticiens ayant débuté leurs études de médecine au Royaume-Uni avant le Brexit sont interdits d’exercer en France. Le texte vise à adapter le droit français aux conséquences du Brexit pour la reconnaissance des diplômes de médecine obtenus au Royaume-Uni par les jeunes médecins français dont les études ont commencé avant le 31 décembre 2020. L’exposé des motifs rappelle que, depuis le 1er janvier 2021, ces médecins sont considérés comme titulaires d’un diplôme obtenu hors de l’Union européenne (Padhue) et doivent réussir des épreuves de vérification des connaissances puis accomplir un parcours de consolidation des compétences.","moyens":[{"label":"Reconnaître les titres de médecin britanniques sous condition","detail":"L’article 1er ajoute au code de la santé publique les titres de formation de médecin délivrés par le Royaume-Uni qui sanctionnent une formation commencée avant le 31 décembre 2020, s’ils sont accompagnés d’une attestation britannique certifiant leur conformité aux obligations européennes. Il insère aussi le Royaume-Uni au 2° de l’article L. 4111-1 du même code.","statut":"modifie","statutNote":"Dans la loi, adoptée définitivement le 4 mai 2026 dans la rédaction du Sénat, l’attestation est remplacée par une liste de titres fixée par arrêté des ministres chargés de l’enseignement supérieur et de la santé, pour une formation de base et de spécialité commencée avant le 31 décembre 2020."},{"label":"Rapport sur les médecins diplômés hors Union européenne","detail":"L’article 1er bis, ajouté en commission, demande au Gouvernement un rapport, dans les six mois suivant la promulgation, sur les difficultés administratives et économiques des praticiens titulaires d’un diplôme délivré hors de l’Union européenne.","statut":"ecarte","statutNote":"Supprimé par le Sénat ; l’Assemblée a ensuite adopté le texte du Sénat sans modification, réduit à un article unique."}]},"recoExperts":null,"eli":{"numeroLoi":"2026-373","eli":"https://www.legifrance.gouv.fr/eli/loi/2026/5/15/SFHX2600869L/jo/texte"},"promulgation":{"date":"2026-05-15","titre":"facilitant l'exercice en France des médecins diplômés au Royaume-Uni ayant débuté leurs études avant le Brexit","numJO":"114","dateJO":"2026-05-16","url":"https://www.legifrance.gouv.fr/WAspad/UnTexteDeJorf?numjo=SFHX2600869L"},"commissionAmdt":{"nTotal":13,"nAdopte":3,"commissions":["Affaires sociales"],"leg":17},"rapportsDossier":[{"u":"RAPPANR5L17B2733","commission":"Commission des affaires sociales","date":"2026-04-29","num":"2733","leg":17,"type":"permanent","rapporteurs":[{"id":"PA842311","label":"Vincent Caure"}]},{"u":"RAPPANR5L17B2347","commission":"Commission des affaires sociales","date":"2026-01-14","num":"2347","leg":17,"type":"permanent","rapporteurs":[{"id":"PA842311","label":"Vincent Caure"}]}],"censures":null,"voteRef":{"id":"VTANR5L17V6286","titre":"l'ensemble de la proposition de loi facilitant l'exercice en France des médecins diplômés au Royaume-Uni ayant débuté leurs études avant le Brexit (deuxième lecture).","date":"2026-05-04","sortCode":"adopté","pour":72,"contre":0,"abstention":0},"voteAggregat":{"PO845401":{"pour":10,"contre":0,"abstention":0,"nonVotant":0,"absent":112,"positionMajoritaire":"pour","nombreMembres":122},"PO845407":{"pour":17,"contre":0,"abstention":0,"nonVotant":1,"absent":73,"positionMajoritaire":"pour","nombreMembres":91},"PO845413":{"pour":15,"contre":0,"abstention":0,"nonVotant":0,"absent":56,"positionMajoritaire":"pour","nombreMembres":71},"PO845419":{"pour":4,"contre":0,"abstention":0,"nonVotant":0,"absent":64,"positionMajoritaire":"pour","nombreMembres":68},"PO845425":{"pour":3,"contre":0,"abstention":0,"nonVotant":0,"absent":45,"positionMajoritaire":"pour","nombreMembres":48},"PO845439":{"pour":1,"contre":0,"abstention":0,"nonVotant":0,"absent":37,"positionMajoritaire":"pour","nombreMembres":38},"PO845454":{"pour":8,"contre":0,"abstention":0,"nonVotant":0,"absent":29,"positionMajoritaire":"pour","nombreMembres":37},"PO845470":{"pour":6,"contre":0,"abstention":0,"nonVotant":1,"absent":28,"positionMajoritaire":"pour","nombreMembres":35},"PO845485":{"pour":2,"contre":0,"abstention":0,"nonVotant":0,"absent":21,"positionMajoritaire":"pour","nombreMembres":23},"PO845514":{"pour":3,"contre":0,"abstention":0,"nonVotant":0,"absent":14,"positionMajoritaire":"pour","nombreMembres":17},"PO872880":{"pour":2,"contre":0,"abstention":0,"nonVotant":0,"absent":15,"positionMajoritaire":"pour","nombreMembres":17},"PO840056":{"pour":1,"contre":0,"abstention":0,"nonVotant":0,"absent":9,"positionMajoritaire":"pour","nombreMembres":10}},"voteGroupes":[{"id":"PO845413","code":"LFI","libelle":"La France insoumise - Nouveau Front Populaire","libelleAbrev":"LFI-NFP","couleur":"#C00D0D","dateDebut":"2024-07-18","dateFin":null,"family":"fi","nombreMembres":73,"legislature":17},{"id":"PO845514","code":"GDR","libelle":"Gauche Démocrate et Républicaine","libelleAbrev":"GDR","couleur":"#830E21","dateDebut":"2024-07-18","dateFin":null,"family":"com","nombreMembres":18,"legislature":17},{"id":"PO845439","code":"EcoS","libelle":"Écologiste et Social","libelleAbrev":"ECOS","couleur":"#77AA79","dateDebut":"2024-07-18","dateFin":null,"family":"ecolo","nombreMembres":38,"legislature":17},{"id":"PO845419","code":"SOC","libelle":"Socialistes et apparentés","libelleAbrev":"SOC","couleur":"#F5B4CE","dateDebut":"2024-07-18","dateFin":null,"family":"soc","nombreMembres":69,"legislature":17},{"id":"PO845485","code":"LIOT","libelle":"Libertés, Indépendants, Outre-mer et Territoires","libelleAbrev":"LIOT","couleur":"#FFD96F","dateDebut":"2024-07-18","dateFin":null,"family":"liot","nombreMembres":27,"legislature":17},{"id":"PO845454","code":"DEM","libelle":"Les Démocrates","libelleAbrev":"DEM","couleur":"#F07E26","dateDebut":"2024-07-18","dateFin":null,"family":"modem","nombreMembres":41,"legislature":17},{"id":"PO845407","code":"EPR","libelle":"Ensemble pour la République","libelleAbrev":"EPR","couleur":"#7B4591","dateDebut":"2024-07-18","dateFin":null,"family":"renaissance","nombreMembres":116,"legislature":17},{"id":"PO845470","code":"HOR","libelle":"Horizons & Indépendants","libelleAbrev":"HOR","couleur":"#B5E2F9","dateDebut":"2024-07-18","dateFin":null,"family":"horizons","nombreMembres":42,"legislature":17},{"id":"PO845425","code":"DR","libelle":"Droite Républicaine","libelleAbrev":"DR","couleur":"#8CB0DC","dateDebut":"2024-07-18","dateFin":null,"family":"lr","nombreMembres":59,"legislature":17},{"id":"PO845520","code":"AD","libelle":"À Droite","libelleAbrev":"AD","couleur":"#3367A7","dateDebut":"2024-07-18","dateFin":"2024-09-11","family":"uddplr","nombreMembres":7,"legislature":17},{"id":"PO872880","code":"UDDPLR","libelle":"Union des droites pour la République","libelleAbrev":"UDDPLR","couleur":"#3367A7","dateDebut":"2025-09-05","dateFin":null,"family":"uddplr","nombreMembres":7,"legislature":17},{"id":"PO847173","code":"UDR","libelle":"UDR","libelleAbrev":"UDR","couleur":"#3367A7","dateDebut":"2024-09-12","dateFin":"2025-09-04","family":"uddplr","nombreMembres":4,"legislature":17},{"id":"PO845401","code":"RN","libelle":"Rassemblement National","libelleAbrev":"RN","couleur":"#313567","dateDebut":"2024-07-18","dateFin":null,"family":"rn","nombreMembres":133,"legislature":17},{"id":"PO840056","code":"NI","libelle":"Non inscrit","libelleAbrev":"NI","couleur":"#8D949A","dateDebut":"2024-07-01","dateFin":null,"family":"ni","nombreMembres":20,"legislature":17}]}