Rapport d'activité 2009 de la Caisse nationale de solidarité pour l'autonomie - Autonomie, santé et territoires : accompagner les personnes

Caisse Nationale De Solidarite Pour L'Autonomie

Description

La Caisse nationale de solidarité pour l'autonomie (CNSA) présente son quatrième rapport d'activité depuis son installation en mai 2005. Il rend compte de la façon dont la Caisse gère les crédits qui lui sont confiés, issus de ses ressources propres (journée de solidarité et CSG) et de l'assurance maladie, au bénéfice des personnes âgées et des personnes en situation de handicap. Il présente le bilan d'activité de la Caisse et de ses services au cours de l'année 2009 dans ses fonctions financières, d'animation de réseau, de centre d'expertise technique, de recherche, et d'agence chargée de garantir l'égalité de traitement sur l'ensemble du territoire. L'activité 2009 retracée dans cette nouvelle édition est également marquée par deux événements extérieurs, d'une part la crise économique et financière et ses conséquences sur les ressources de la CNSA et, d'autre part, les profonds changements institutionnels induits par la loi dite Hôpital, patients santé et territoires (HPST) et la création des agences régionales de santé (ARS).

Sujets

• Personne âgée
• Handicap
• Allocation personnalisée d'autonomie
• Allocation aux adultes handicapés
• Financement
• Aide sociale
• Société
• Protection sociale
• Retraite

Informations

• Publié par: rapports-societe
• Publié le: 01 juin 2010
• Nombre de lectures: 18
• Licence : En savoir +
  Paternité, pas d'utilisation commerciale, partage des conditions initiales à l'identique
• Langue: Français
• Poids de l'ouvrage: 3 Mo

Extrait

GVeeiZ
VX XdbeV\cZg aZh ZghdccZh
6jidcdb^Z! hVci? Zi iZgg^id^g h /
'%%. edgV# lll
g[dj?Zh?cgX8#BXgZngVEXa?gahhZVg8?VadgE80^XdhdEaZ8gg8&k^YdY\8BahkAdZ8h@d0gdgdEgad?ag88dg0kX?aVX8aaZndgGhahdk/n0
HI>E6 >begZ h^dc /
Vg da^cZ ^g dc edjg aV 8CH6 HZWVhi^Zc Zi! Da^k^Zg ?dWVgY H^eV Zhh! B^X ]Z a dchV n Zi E]didh /
dcXZei^dc Ve]^fjZ /
wb^a^Z 9Z ae^i! ;adg ZcX Z dcYg Zg ! 6cc^Z H^Y^Zg gY^cVi^dc /
ZcX dcig Zh hX^Zci^?fjZh hjg Vjidcdb^Z YZ aV 8CH6# ZgX^ Zc?c Vjm eVgi^X^eVcih Zi ^ciZgk ZcVcih YZhgZ
ZiiZ cdjk aaZ ?Y^i^dc Yj Veedgi#
a ^i eg?hZci ? Zc ^bV\Zh ? YVch aZh bZbWg Zh Yj dchZ^a YZ aV 8CH6 Y? ^g eZgb^h fjZ aZ dchZ^ AV 8CH6 ZbZgX^Z ?\VaZbZci aZ eg?h^YZci! aZh k^X Z"eg?h^YZcih Zi
YZ 6E; 7ad ^h#
d"h dX^Va edjg VYjaiZh ]VcY^XVe?h XX dbeV\cZbZci | aV k^Z dX^VaZ ? hZgk^X Z Y? VXX dbeV\cZbZci b?Y^X Vjidcdb^Z YZh Y??X^Zcih k^hjZ ah YZ BVghZ^aaZ 0 Yj hZgk^X Z Y?
g?VYVeiVi^dc Zi g?^chZgi^dc edjg bZci b?Y^X d"h dX^Va edjg VYjaiZh ]VcY^XVe?h YZ 6hh dX^Vi^dc YZ ]VcY^XVe?Zh Yj BV^cZ"Zi "A 7ad ^h Yj hZgk^X Z Y? VXX dbeV\cZ
giZbZciVaZYZheZgh dccZh Zh}\?ZhY?eZcYVciZhI djgcdcHV^ci "BVgi^c YZaVbV^h dcY?eV Vch 0YZCdig Z"9VbZYZ dc?VcX Z!?iVWa^hhZbZciedjgeZgh dcc
b?Y^X d"?YjXVi^[HV^ciAVjg ZciZc Z!^chi^i jib?Y^X d"?YjXVi^[A dd h 0YZAVE k^YZcX Z!^chi^i ji 7aVcX 0YZAVE?e^c^?g edjgeZgh dccZh}\?ZhY?eZcYVciZh7djg\
^h E k^ch 0 YZ o] =?da! ?iVWa^hhZbZci K^aaZ_j^[ 0 YZ ??iVWa^hhZbZci ejWa^X b?Y^X d"h dX^Va Yj k^cd ??X daZ HZ^\cdWd h K VaZcX Z 0 YZ ??iVWa^hhZbZci VhV 9Z aiV ,
"V Zj\aZh Zi djgYh"bVa Vcih Zcig Z YZ Zhh djgX Z me?g^bZciVa edjg Zc[ Vcih Zi VYjaiZh djgYh ? g?hZVj JC6 A Zi 0 YZ Vhh dX^Vi^dc 6hV?h 7dgYZVjm Yj
Y? V^YZ | Ydb^X^aZ Yj XVcidc YZ j^hZVjm V <VWg^Z aaZ ? Bji jVa^i? ejWa^fjZ 8# <Vjg Z 0 YZ Vhh dX^Vi^dc g?h^YZcih! jhV\Zgh! eZgh dccZ ah Zi ZhedchVWaZh / Yj Zcig Z YZ
db^X^aZdjZc?iVWa^hhZbZci# XX Zei?YZ ZcYg Z dbeiZ!Zce]did h!YZaZjgk^Zfjdi^Y^ZccZ| AV8CH6 ZbZgX^ZidjieVgi^X ja^?g ZbZci aaZhZi Zjmfj^dcih!VbWjaVid^g h aZ ?iVWa^h ZbZcih he^iVa^Zgh]d Zi h aZ ?iVWa^h Zcih Zi Zgk^X b?Y^Xd
'ne&h'a\Z?ZgZZZZe/VgkgeZaeVZZeVVV"#Z]ZZ88Ama#XXhgkh"hh?d8!ha?Y^\hZZZV?hh\ZZhgbiZeZai?Zahe'meZZhZigZ\Yk"?nZZVhk"Zh*IZ/h?g8?WZXhZh[eZhhD8i6\E\ZZhZgZhXaZheghVheeedAZhhkZ?[X?YVhaZggZ?eeZ%"&eVV%ZZXhY'eVZiXdZViea0?Zhh'XZhgZA|Zahg
9^g ZXi ZjgYZaV8CH6 AVjgZciK VX ]Z
E g?h^YZciYj8 dch Z^aYZaV8CH6 ;g VcX^h>Yg VX!
g?Z Vb^cZgaZ hh daji^dchZiaZjgXVaZcYg^Zg
beYZZ g^hfjZ VchXdcijc Y?[YZ ^X^ih ejWa^X g?h|hdgWZg fj^ ^cVcX ZbZci?Yj
jcZ g?[ dgbZ YZ aV Xdjk Zgi jg Z Zi Yj A?]dg^odc YZ aV V^h dj_ djgh aj^ YZ aV ZgheZXi^k Z
aZ heZgh dccZ h?#
Z! hVci? Zi Zg g^id^g h / VXXdbeV cZg aV V^h cVi^dcVaZ YZ a^YVg^i? djg Vjidcdb^Z / ? 6jidcdb^
^[ | Zck^g dccZbZci Zi | VXi^k^i? YZ i^Z aaZ fjZ Zji dja^ cZg aZ i^ig Z Zcj djg dgi aVi
Z! X? hi Zii Z Y^bZch^dc Zc cdb^Z djg chig j^g Z jcZ g?edchZ VY i?Z Zi YdcX ^cY^k^YjVa^h?
\^a^h?Z eVg jcZ Zgi Z Y? Vjid Vjm WZ d^ch YZ h Zgh dccZ h# Vgi^g YZ h WZ d^ch YZ aV Zgh dccZ
hVc^iV^g Zi b?Y^Xd dX^VaZ Y? Vjidcdb^Z Zi eg?Xdc^h Zg jcZ bZ^aaZjg Z Vgi^X jaVi^dc YZ h g?edch
VcY^XV e?Z hdj}\?Z hZceZgi g?V[[ ^gbZgaZ hhe?X^[ ^X^i?hYZa VXXdbeV cZbZciYZ heZgh dccZ h]
dchVXg?|h hg XdbbVcYVi^dch aZX e^ig ZYZX g dgiX 8 dch Z^aYZaV8CH6Vk djaj !YVch
dX^Vjm
kg^a aV eg?k Zci^dc! aZ h d^ch cVaZ h YZ hVci? Ydci aV hedchVW^a^i? Xdjkg^g V | Xdbei Zg Yj
Zg
d^g Zi aV Xg?Vi^dc YZ h ZcX g?\^d YZ ?]?e^iVa Zi aVi^k Z Vjm eVi^Zcih! | aV hVci? Zi Vjm g^i
j'&_j^aaZi %%.dgiVcig?[ dgbZ aZ hg?[ dgbZ hYZ ?wiVi!Zchj^i Z!idjieVgi^X? ja^?g ZbZciaVad^
V^YZ|a ?^ck hi^h ZbZciYVchaZXVYg ZYjeaVcYZg aVcX Z
bZci! aZ h bd Zch XdchVXg?h dci XdcYj^i Vjh h^ aV 8CH6 | Zc[ dgX Zg ! | aV YZbVcYZ Yj <djk ZgcZ
dbeZchVi^dc Yj ]VcY^XV e 0 aaZ VaadXVi^dc Zgh dccVa^h?Z Y? Vjidcdb^Z Zi YZ aV eg hiVi^dc YZ
VjmY?eVgi ZbZcih Vji^ig YZZ djgX deg YZaV8CH6eVgiVciZi! aZ! XdcXdjghh Zgh?h
c^[ ^XVi^k ZbZci ^beVXi? aZ dgYaZ Xdch?fjZcXh Xg^haVYZ?Xdcdb^fjZZ aaZ dcih^h
h?hjgh dcVXi^dcVjXdjghYZX Zii ZVcc?Z/
dci Vjh h^eVgi^X ja^?g ZbZci eVg aV8CH6 VjXdjgh YZ Vcc?Z%%. # ?k?cZbZcihh mi?g^Zjgh
?i?djk Zgih!dj eeg d[ dcY^h aZbdcig Z dgiY? VXi^k^i?!YZcdbWg Zjm ]Vci^ZghdciZcXd
adgh YZ hV Xg?Vi^dc# dbbZ b^?g Vcc?Z h Y? m^hi ZcX Z YZ aV 8CH6 ZX aZ h VbW^i^dch V[[ ^X ]?
eVg ZgaZ hg?Va^hVi^dchYZ heg Z" eeg djk?eVgaZ dch Z^aYj&,cd ZbWg Z!V?i? dXXVh^dcYZXdb
?iVWa^?i?Vfj^ZX?wiViZi XdckaVW^aVcYZZci^dcY? dW_ZXi^[ YZhi^dcZi%%+" h %%. !
68 BE <C:G A:H E:GHDCC:H
6J DCD B>:! H6C Iw :I I:GG>I D>G:H 8CH6G6E I'%%.
<djkZgcZbZci Zc ^chXg^kVci hjeea?bZciV^g j
YVch aV egdX?YjgZ Vjidg^hVi^dcY? YZh ?iVWa^h ZbZcih Zi
Zgk^X dX^Vjm Zi b?Y^Xd dX^Vjm# d^h g?\^dch n dci
I>DC9:A68CH66JE6AJ:GEhdhZDCH:>AH<wCwG6JMgI!\';wKG>:GV<C:G?&eh_"gnh76>H%)dZghDA6C8|&ZhDC8?hV?eaehZ"hhdeZgZZZ6>I9:A68G>H:;>ghaDC8dihhah?;hZ>B6GHhIB:"%hE>dZ`h&A6C6AO=:>B:GEG:B>?G:HG:C8I>;>FJ:HIG:HH8>:C96CHA:869G:9JE?wKI>DC9:HB6>6DJG68BED66IgZWI9:A?:MEwG>B:Cg6Va`XB?agkddZheZeeVhZeZhdYhh?WZC6C8>?G::9J;I?ZDJGH6JM8H:9:H8DDC9J>IA:EGD?:IE>AhA68CH68"E:A?EGD?:IH/\[h6EXEGD8w9JG:9?ehZ:B:ChVahZgVh;wKG>:G%\8&CeG>7JKG>A'%%."?6CK>:G'%A6C9:G:A6C86`>,gDGZ#a`
8=6E>IG:&
eVgi^X^e?/7djg\ cZ!E hYZaVA d^g ZZi8 Zcig Z#
eg dX?Yjg Z Y? a | eg _Zih fj^ ZbeaVX Z k^h Yj 8GDHBH
cdjk \?c?gaVaaZeg?eVge^adieg aVVa^hVi^dcYZ _ZiZaZVci
9Vch aZ XVYg Z YZ aV b^hZ Zc ?jkg Z YZ h 6GH! aV 8CH6 XdcYj^i
8=6E>IG:'
eVga ??fj^e Zeg _ZicVi^dcVaZg ZXg ji?ZeVgaV8CH6#
Zc eaVX Z Y?h ?kg^Zg Zi VXXdbeVc?Z ZcYVci YZjm Vch
]Vg\Z YZ h bVaVYZ h 6ao]Z^bZg Vj Z^c YZ h B6>6 hi b^h
i^dc YZ ZchZbWaZ YZ h Zgk^X fj^ XdcXdjg Zci | aV eg^hZ Zc
aVhj^i ZYZa a|eg _Zih#A? me?g^bZciVi^dcYZa ?^ci?\g V"
bVaVYZ h 6ao]Z^bZg dci ?i? h?aZXi^dcc?h eVg aZ h b^c^hig
Y?^ci?\gYZ Y? Vi^dcbV^hZi dchVXX jZ^aYZ9^m eg _Zih Zei
7J9< :I8=6E>IG:'
Zi) *B *%!,B
V^h ZXi^kheaVYZZ! ZbZci | ?igkjhZ Y? dci E8= aV Zi
XdcXdjghXdchaZ \?c?gVjmZ^ahh!djg Vjm 6E )- YZ
]Vji Zjg | 8H<! aV YZ Zida^YVg^i? YZ djgc?ZaV YZ ZcVci
:c V^h dc YZ aV V^h ZX Zii deg YZ aV 8CH6! eg
8=6E>IG:+
8=6E>IG:(
Zeg?hZciVcihY? Vh dX^Vi^dch!X ]ZgX ]ZjghZiY?X^YZjgh#
Z[[ ZXi^k ZbZciZcXdjghY? Vcc?Z# eg d[ eVgi^X^eVcih! h^dccZ Zcih ah! Zei YZ eajh g?jc^ dci
d^m Vci Z"Y^m eg _Zih YVch k^c YZjm g?\^dch! idjh Y?bVg g?h fjZ ah fjZ d^Zci aZjg }\Z dj dg^\^cZ YZ aZjg ]VcY^XV e# :aaZ
dji Zc^g YZ Zgb^h dci >ah ?^ck hi^h# ZbZci | Y? V^YZ eaVc h^i jVi^dc Zi YZ h WZ d^ch YZ h Zgh dccZ h Zc Zgi Z Y? Vjidcdb^Z
:aaZ hdci?i?XdchVXg?Z h|aVfjZ hi^dcYZ ??k VajVi^dcYZaV
Yj ??Xdcdb^ZYZ aVcX ZYZ eaVc Vj eVgi^X^e? V 8CH6 AV
'%%.
6>IH B6GFJ 6C IH8CH6G6E I'%%.
d^ Z gZai^k | da^YVg^i? jg Vjidcd b^Z a? YZh ZghdccZh }\? Zh Zi YZh ZghdccZh ]VcY^XVe?Zh
]?bV! eg?eVg? eVg aV 8CH6! V ?i? eg?h Zci? eVg aV
higjXi jg aaZh YZ aV djh"X dch dbbVi^dc YZh Xg?Y^ih YZ
h Zi Y?[^c^i aZh eg^dg^i?h djg aZ Y?kadee ZbZci YZ
Yj eaVc !6ao]Z^bZg Zc cdZbWgZ! fj^ V djg dW_ZXi^[ aV
YZ aV D< ZcigZ ?wiVi Zi aV 8CH6 %%.! %%+" eegdjk?
a?ehIHg'ZdZhZZ:H9:A68CH6X'&?J>AheaZnhA>ee%g#9:H8'%%);DGB6_j^cH:E(%#Vh%Zhek9JH8=wB6=6C9D7G:G:CDJK:AYA:B:ChI9J8gDCH:>A9:A68CH6ZAnZe`DBZZih#6B>H8AeZEIDZG'&ZhWe8VgZdZe8XI>DChC6A>H6hadZ"a6Vha>'>Zi>ZV"eaBXBEwI:C8Ae6B>A>6JM/:MI:CH>DCIH;#h[I>DC9:H6>96CA:I?aKG>A"eI:B7G:ZH>DC><6H"><;HJGA:H:M8w9:Cg9:A68CH6]ZZekhghgekVgZ"h\IG:A?wI%He<ZV7>A6C9:A68aCDdZa\e'hd?0hX8X6EHG6G:HZ>[h[86BI>DC:IEJ7i;>X'ZhdVddh#eZ%*h?AV|8eZhk8ZhZI:IA68CH6'%%+"'%%.Z8D8II>DC:C:ZI>DC9?D7?:8I>;H:I9:kDCK:CgK:B7G:V
8=6E>IG:&
dci?i?\adW VaZbZcig ZXi?hYVchaZjgZ heg^i
eg Zb^?g Z8 D<!W^ZcfjZeg dX?Yjg VjmZieVg[ d^he Zjeg?X^h!
%& (#A hdW_ZXi^[ hYZaV ??aVWdg Vi^dcYZaV[ji jg Z8 D<'
djg h aZ h Zg YZ V[ ^ccd ZbWg Z! &, Yj dchZ^a Vj
W^aVc aZ 9<6H aV ZX Xdc_ d^ci ZbZci XdcYj^i V 8CH6 AV
8=6E>IG:*
dgbVi^dcYZfjVig Zb^aaZV^YVcih[ Vb^a^Vjm
aVXdck Zci^dc h^c?Z ZX;g VcX 6ao]Z^bZgZ YVch!aZXVYg
a^Vjm #AVeg Zb^?g ZXdcXg?i^hVi^dcYZ Zii ZY^he h^i^dcV?i?
YZ aV V^h aV dgbVi^dc YZ h V^YVcih Zi VXX jZ^aaVcih Vb^"
| aV hVci? Zi Vjm g^id^g =EH I V ?i ZcYj aV Xdbe?i ZcX
dgiVcig?[ad^ AVdgbZYZ?]?e^iVa Zi aVi^k eVi^Zcih!VjmZ
<DJK:GC6C8 ::IEGDHE:8I>K:
?i?g Zcdjk a?hYVchaZjge ZYZk^X Z" eg?h^YZci
aZ dXidWg Z# BVYVbZ 9j_V 7aVg Zi Zi dch^Zjg 7VgW^Zg dci
aaZ h"X^!eg?h^YZci?ajdch^Zjg?i?aZ>YgeVgdchVZ^aVX
eVgb^%%. Zc Zcdjk a?h ?i? dci fjVa^[ ^?Z hZgh dccZ h
}\?Z hZiedjgaZ heZgh dccZ h]VcY^XV e?Z hV^ch^fjZaZ hig d^h
Zgh dccZ h aZ h djg cVi^dcVa c^k Vj Vj ?jkg Vci X^Vi^dch
h bZbWg Yj dchZ^a YZ h Xdaa?\ Zeg?hZciVci aZ h Vh
8=6E>IG:( 8=6E>IG:(
VjmWZ d^cheVgi^X ja^ZghYZX ZejWa^X# Xdchig jXi^dcYZa ?DC96B' %& %#
dcYg g?e Z b^Zjm djg Zgk^X Zi Y??iVWa^h ZbZcih d[[ aVig Y?X^h^dchY?hYZXdcXdciVYj^iHZ heVgajh^dchh
Y^he h^i^[ e^hi YjVb?a^dg YZ hVi^dc eg de Zg Zi ?D<9
]VcY^XVXdccV^haZ hehVb?a^dghjgaVhVcX |ZgZ k^hZ ^a Vch!
hjg X^cf b^c^hig Z Zc ]Vg\Z YZ aV Hda^YVg^i?# 9di? YZ (* XVjh aZ h VcVa Zg djg ?><; | Zi ?><6H | b^h h^dc jcZ
h b^c^hig Yj V^a! YZ aV HVci? Zi Yj 7jYZi dci Xdc[ ^?
YZbZiig ZZc?jkg ZcdiVbbZciaZ hEG>68#
^ahfj aaZVjg VaV ]Vg\ :aaZbd Y^?ZZiXdbea?i ZaZ hb^h h^dchYZaV8CH6ZiXg?ZaZ hdji & &[?kg^Zg'%%*#
Zia VX^idnZccZi?YZheZghdccZh]VcY^XVe?Zh d^e jga??\Va^i?YZhYg d^ihZiYZhX ]VcXZh!a Ve Vgi^X^e i^dc
ig V^i ZbZcihjga