France grants medical carriers 1,200 euros per ambulance, 400 per light vehicle

Approved medical transport firms established in France can claim a new exceptional grantLegifrance paying 1,200 euros for each ambulanceLegifrance and 400 euros for each véhicule sanitaire léger they operateLegifrance, in a single payment managed by the Agence de services et de paiement.

The grant goes to firms performing transport sanitaire within the meaning of article L. 6312-1 of the Code de la santé publique and subject to the approval in article L. 6312-2, holding activity code 86.90A under the nomenclature approved by the décret du 26 décembre 2007 or proving with a document that ambulance work accounts for more than 50% of their value added. Four cumulative conditions apply: a current pre-tax profit-to-turnover ratio of 5% or less on the last closed accounts or a later certified financial position closed no later than the application date, certified by an expert-comptableLegifrance; certified flows under avenant no 11 to the national convention between private medical carriers and health insurance, approved by the arrêté du 3 mai 2023, and the expenditure-control agreement for medical transport approved by the arrêté du 29 septembre 2025; and, no later than 31 July 2026, either billed urgent transport performed between 1 January and 30 June 2026 as part of on-call cover (garde ambulancière) under articles R. 6312-18 and following, or at least one top-up to the guaranteed minimum income under the convention for that same half year. Firms must also have no unpaid tax or social-security debts at 31 December 2024, except debts settled or covered by a settlement plan by the application date; tax debts of 1,500 euros or less in total are ignored, as are debts under dispute without a final decision at 1 September 2026.

Only category A, C and D vehicles within the meaning of article R. 6312-8 count: category A covers ambulances de secours et de soins d'urgence (ASSU), category C covers ambulances, and category D covers véhicules sanitaires légers. At the application date each counted vehicle must belong to the applicant or be held under a long-term lease or crédit-bail, must actually be operated for medical transport by the applicant, and must meet the transport sanitaire requirements of articles L. 6312-1 to L. 6312-5 and R. 6312-6 to R. 6312-23-2. The eligible fleet is capped at the number of authorisations de mise en service the firm holds under article L. 6312-4. The total grant is the fleet count per category multiplied by the unit amountLegifrance, paid once, and it can be combined with the grants created by the décrets du 17 avril 2026 and du 3 juillet 2026.

The grant is paid under the de minimis regime for services of general economic interest, Regulation (EU) 2023/2832, falling back to the general de minimis Regulation (EU) 2023/2831 where a firm's other activities cannot be ring-fenced from the aid. The health minister signs a management convention with the Agence de services et de paiement, which collects payment data, assesses and notifies grants by unilateral decision, transmits notified-aid data under the décret du 26 décembre 2025, pays beneficiaries, recovers overpayments and handles complaints. Firms register with the agency between 17 November and 31 December 2026Legifrance and keep or produce on request every document proving their eligibility and their vehicles' eligibility.

Legal basis is the Décret n° 2026-1038 du 10 novembre 2026 on exceptional aid to approved firms operating ambulances and véhicules sanitaires légersLegifrance, read with articles L. 6312-1, L. 6312-2, L. 6312-4 and R. 6312-8 of the Code de la santé publique and Regulations (EU) 2023/2832 and 2023/2831 on de minimis aid.