Health
French Senate Rejects Assisted Dying Bill, Sends It Back to Lower House
The French Senate on Wednesday rejected a law aimed at regulating assisted dying, sending the bill back to the National Assembly, where it could now be approved without further Senate consent. The proposed legislation would have allowed adults with incurable illnesses to take lethal medication, with assistance from a doctor or nurse only if their physical condition prevented them from doing so themselves.
To qualify, patients must be over 18 and either French citizens or residents of the country. A team of medical professionals would need to confirm that the individual has a grave, incurable illness at an advanced or terminal stage, is experiencing intolerable and untreatable pain, and is seeking lethal medication voluntarily. Patients with severe psychiatric conditions or neurodegenerative disorders, such as Alzheimer’s disease, would not be eligible.
The law would have included a conscience clause for healthcare professionals who object to participating, requiring them to provide patients with names of other practitioners willing to assist.
First proposed in 2024, the bill was approved by the National Assembly in May 2025 before moving to the Senate. However, it was blocked in the upper chamber with 181 votes against and 122 in favour. Critics ranged from right-wing politicians who oppose assisted dying on principle to earlier supporters who considered the final text diluted and insufficient.
On January 21, the Senate rejected Article 4 of the bill, which defined the conditions for medical assistance in dying. The Socialist group in the chamber said the rejection rendered the entire bill “meaningless.” Bruno Retailleau, president of the liberal-conservative Republicans party, argued that instead of new legislation, France should focus on expanding palliative care. “End-of-life care is accompaniment, not abandonment,” Retailleau said on X.
In the same session, the Senate approved a separate law to strengthen access to palliative care across the country. The legislation passed almost unanimously, with 307 votes in favour and 17 against, reflecting broad support for improving end-of-life services.
Yaël Braun-Pivet, president of the National Assembly, expressed regret at the Senate’s rejection but said the process will continue. “As assisted dying responds to a deep-seated desire among the French people, I regret the Senate’s rejection of this bill today,” she said, noting that a second reading in the Assembly is scheduled for the week of February 16. Braun-Pivet predicted the legislation could be definitively adopted by summer 2026, with the Assembly retaining the final say even if the Senate attempts further amendments.
President Emmanuel Macron pledged in 2022 to introduce an assisted dying law following his reelection. France would join Belgium, Luxembourg, the Netherlands, and Spain, where euthanasia is permitted under medical supervision. Austria, Germany, and Italy allow physician-assisted suicide for terminally ill patients, while several other European countries, including Ireland, Cyprus, Malta, Portugal, and Slovenia, are exploring similar legislation.
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