The signing of Amendment 6 between the FNP (National Federation of Podiatrists) and the CNAM (National Health Insurance Fund) marks a major milestone for podiatry professionals. Starting in January 2025, this advancement will reduce podiatrists' social security contributions thanks to the integration of foot orthoses into the SNIR (National Interprofessional Distribution System). This is excellent news for the profession, which will benefit from more advantageous conditions.
A flagship measure for the profession of chiropodists and podiatrists
The main new feature of this amendment is the integration of the reimbursement base for plantar orthoses, set at €28.86 , into the calculation of the SNIR.
As a reminder, the SNIR (National Health Insurance Scheme) covers the agreed fees of healthcare professionals and plays a key role in reducing social security contributions. Thanks to this change, podiatrists covered by the PAM scheme will see their health insurance contributions drop from 9.75% to just 0.1% of their SNIR income.
These changes will also have a positive impact on the ASV (Supplementary Old Age Allowance) share of professionals, which will be increased. This reduction in contributions will be taken into account in 2026 , on income for the year 2025.
Simplification of conditions for POD procedures: what changes for podiatrists
In parallel with this social progress, Amendment 6 modifies the conditions for performing POD procedures. Until now, podiatrists who qualified before 2010 had to provide a certificate to be able to perform these procedures, in accordance with Article 3.2 of the agreement.
This requirement will be eliminated as of January 2025. For over 10 years, POD training has been integrated into the initial curriculum for podiatrists, making this requirement obsolete. This is a welcome simplification that enhances the skills of practitioners and their initial training.
The FNP: a constant commitment to professionals
After having made significant progress in the area of podiatry with amendment 5 , the FNP is continuing its commitment to the profession by signing this amendment 6. The latter promotes podiatry, a field which until now has been outside the conventional field.
These results demonstrate positive momentum for all podiatrists. By reducing social security contributions while recognizing podiatric practice as a whole, the FNP confirms its essential role in representing and defending the interests of professionals.
And after?
While Amendment 6 represents an important step forward, the FNP asserts that there is still work to be done. The Federation is already working on new demands to ensure that the national agreement offers more concrete benefits to podiatrists.
The goal is clear: to fully recognize the crucial role of podiatrists in the healthcare system and further reduce their social security contributions. The FNP remains mobilized and ready to continue negotiations with the French Health Insurance Fund.
FAQ: Your questions about amendment 6
What is the SNIR for podiatrists?
The SNIR (National Interprofessional Distribution System) is a system that groups together the agreed fees of healthcare professionals. Its calculation has a direct impact on the amount of social security contributions and retirement contributions.
What are the benefits of this amendment for foot orthoses?
With amendment 6, the reimbursement basis for plantar orthoses (€28.86) is taken into account in the SNIR, which significantly reduces the social security contributions of podiatrists.
When will these changes take effect?
The changes will come into effect in January 2025. The contribution reductions will be applied in 2026, on income for the year 2025.
