What to expect from the increase in the legal ceilings of the personalized autonomy allowance: lessons learned from a SAAD billing base.

Summary The law on adapting society to aging (ASV law), passed on December 28, 2015, includes a reform of the personalized autonomy allowance (APA) for dependent people living at home. Through several measures, this reform aims to reduce, for the most dependent beneficiaries, their financial participation in home assistance expenses. One of these measures provides for an increase in the amount of the legal ceilings, i.e. the maximum amount of expenses that can be financed by the APA. The impact of this measure on the amount of home help subsidized by the APA is difficult to anticipate. It depends on the answer to two questions. To what extent did the assistance plans run up against the legal ceilings? How much of the home help was consumed beyond the assistance plans? Using data on the clients of a home care service (SAAD), this note puts into perspective the mechanism of action of the legal ceilings by analyzing the differences between the quantity of aid consumed by the clients of the service, the level of the aid plans prescribed to them and that of the ceilings set by the legislator.