A amendment n° 75/2026 to the collective agreement of the home care sector (IDCC 2941), extended by decree on July 15, 2026, increases all conventional coefficients in the intervention and support sectors by 11 points. With a point value of €5.77, the theoretical increase reaches €63.47 gross monthly per full-time employee. This revaluation, now mandatory for all associative structures in the sector, is the main driver of pressure on ADMR rates in 2026.
Avenant 75 and salary coefficients: the mechanism that drives ADMR rates up
The extension of amendment 75 makes the revaluation applicable to all employers linked to the BAD branch, including ADMR federations not affiliated with the signing organizations. In practical terms, each local association must absorb or pass on this salary cost to its hourly rates.
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The mechanism is straightforward: the provider rate of an ADMR federation includes the gross remuneration of the caregiver, employer contributions, structural costs, and mileage allowances. When the base coefficient increases by 11 points, the payroll mechanically rises, without any change in productivity or the volume of billable hours.
Departmental federations that have already published their 2026 rates, such as that of Oise, show a full rate of €29.52 per hour during the day and €53.94 for the time slot 6 a.m.-7 a.m. / 8 p.m.-midnight. The APA rate (departmental council) is set at €28.94, which includes a base rate of €25 and a surcharge of €3.94 under Article L. 347-1 of the Social Action and Families Code.
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To deepen the analysis of departmental disparities, the ADMR hourly rate 2026 on Le Journal du Senior details several scenarios.
The PCH rate is slightly lower, at €28.75 (base of €25 + surcharge of €3.75). The departmental social aid remains the lowest rate, at €21.75, while pension funds (CARSAT, MSA) finance on a basis of €27.10 during the week and €30.40 on weekends and public holidays.
Regulatory framework for price increases for SAAD
A capping mechanism regulates the evolution of rates applicable to home autonomy services for 2026. This mechanism targets authorized structures that bill beneficiaries directly for the portion not covered by the APA or PCH.
The mechanism creates structural tension: on one side, amendment 75 imposes an increase in remuneration, while on the other, regulatory capping controls the price impact. ADMR associations find themselves caught between the contractual obligation to revalue salaries and the regulatory cap on billed prices.
Four home care federations have publicly alerted to the insufficiency of funding in the face of this dual constraint. The identified risk is a deterioration in employment conditions (non-replacement, reduction of supervision hours) if the departmental base rates do not keep pace.
Actual out-of-pocket expenses in 2026: what the beneficiary pays according to their GIR level
The displayed rate never corresponds to the cost borne by the beneficiary. Several mechanisms reduce the out-of-pocket expenses, but their stacking makes the calculation less clear.
- The APA covers part of the aid plan according to the GIR level (1 to 4) and the beneficiary’s resources. The departmental base rate (25 € in Oise, for example) serves as the basis for calculating the coverage.
- The 50% tax credit applies to the amounts actually paid, after deducting the APA. The immediate advance, managed through the CESU+ system, allows payment of only the net out-of-pocket expenses without waiting for the tax declaration.
- Pension funds (CARSAT, MSA) offer complementary aid plans for individuals classified in GIR 5 or 6, who are not eligible for the APA, with a reference rate of €27.10.
- The PCH intervenes for people with disabilities with a rate slightly lower than the APA rate (€28.75 compared to €28.94 in Oise).
The increase in the gross rate does not proportionally translate into an increase in out-of-pocket expenses, provided that the departments adjust their base rate. If this base rate stagnates, the gap between the billed rate and the amount covered by the APA widens, and the beneficiary absorbs the difference.
Impact of CARSAT revaluation on GIR 5-6
The retirement insurance has revalued the hourly rate of its contribution to home human assistance in 2026. This revaluation concerns beneficiaries outside the APA, often individuals who are still relatively autonomous but need support for household maintenance or shopping.
The fact that CARSAT raises its reference rate is a positive signal: it reduces the differential with the ADMR provider rate and limits the increase in out-of-pocket expenses for this population. However, the volume of hours allocated in CARSAT aid plans often remains modest.
ADMR rate projections 2026-2027: variables to watch
Three factors will determine the actual extent of increases in the coming months.
The first is the ability of departments to raise their base rate above €25. A fixed base rate while labor costs increase compresses the margins of associations and pushes either to increase the surcharge billed to the beneficiary or to reduce services.
The second factor concerns mileage allowances. At €0.38 per kilometer in Oise, this item weighs heavily in rural areas where caregiver routes cover significant distances. Any increase in fuel prices impacts the overall cost of home assistance hours.
The third factor is regulatory. Several institutional actors have advocated for simplification of the sector, which could change the pricing rules for authorized SAAD. A convergence of APA and PCH rates, for example, would simplify billing but would require adjustments for associations positioned on both systems.
The hypothesis of stabilizing ADMR rates in 2027 seems unlikely. Amendment 75 is just the latest in a series of salary revaluations in the BAD branch, and the pressure on recruiting home helpers maintains an upward dynamic on remuneration. Beneficiaries should check each year the amount of their APA or CARSAT aid plan and request a review if their out-of-pocket expenses increase without a change in situation.