This legislative text aims to entrust the management of the basic AMO scheme for the public sector to a single body, namely the National Social Security Fund (CNSS), underlined Mr. Tahraoui during the presentation of the provisions of the draft law before the Committee on Education and Cultural and Social Affairs in the House of Advisors.
The bill, he continued, also aims to repeal the provisions of Law No. 116.12 relating to the basic AMO regime for students, while setting the eligibility criteria for persons unable to pay membership fees.
The minister indicated that this legislative text draws its reference framework from the High Royal Guidelines, as well as from the framework law relating to social protection, in particular articles 15 and 18, which provide for the establishment of a unified management body. of these regimes and the revision of the legislative and regulatory texts relating thereto.
Regarding the establishment of a unified management body, Mr. Tahraoui specified that all questions relating to this regime for the private and public sectors, as well as for people unable to pay membership fees , will be entrusted to the Board of Directors of the CNSS.
The bill also provides that the CNSS replaces the National Fund of Social Insurance Organizations (CNOPS) for the agreements concluded by the latter with mutual societies, while maintaining these agreements in force for a period to be fixed by decree, he continued.
It also provides that CNOPS affiliates and their beneficiaries continue to benefit, within the framework of third-party payment, from the services provided by mutual societies under the AMO, added the minister.
According to the minister, this involves, in addition, the transfer and systematic integration of permanent employees, trainees and contract workers from the CNOPS to the CNSS on the date of entry into force of this law, while retaining their affiliation with the AMO and basic and supplementary retirement plans to which they belong.
Regarding the basic AMO for students, the government official noted that the bill allows most of them to benefit from medical coverage in their capacity as beneficiaries, within the framework of the generalization of AMO.
Mr. Tahraoui underlined that the text stipulates the extension of the age of coverage for single students pursuing their studies in a higher education or professional training establishment, in the public or private sectors, up to 30 years at least. place of 26 years, with the exception of students enrolled in the original educational establishments and the institutes and establishments under the Al-Quaraouiyine University.
Furthermore, the minister noted that under the terms of this bill, students whose annual contribution was provided by the State will be able to benefit from the scheme intended for people unable to pay membership fees, subject to submit requests within deadlines to be set by a regulatory text.
Mr. Tahraoui also announced that foreign students enrolled in higher education or professional training establishments will benefit from the AMO under an agreement which will be concluded between the CNSS and the government authorities, institutions and organizations concerned. .
Concerning the eligibility criteria for the AMO scheme intended for people unable to pay membership fees, the minister mentioned the addition of a condition, namely non-affiliation to any insurance scheme. compulsory illness, neither as the main insured nor as a beneficiary, in addition to the two conditions relating to registration in the Unified Social Register and proof of inability to pay the fees.
On the other hand, it reviewed a number of amendments relating to the revision of the late payment increases for contribution fees relating to the AMO, in order to align them with the late payment increases applied for contribution fees. to the social security system.
And to point out that all the necessary data will be made available to the CNSS to monitor the financial situation of compulsory health insurance schemes.
Likewise, noted Mr. Tahraoui, the project provides for the possibility for the CNSS to contribute, within the framework of public health policy, to the financing of preventive services linked to medical examinations, monitoring and awareness, according to modalities established by a regulatory text.
The minister stressed that article 81 which defines the legal framework which governs mutual societies, with a view to ensuring continuity in their coordination with mutual societies, will be maintained, specifying the repeal of Decree-Law No. 2-18 -781 establishing the Moroccan Health Insurance Fund.
