I have been led to believe that there are two strands within French state health care which are relevant now to the debate. 1. CMU: universal care for those resident in France, and providing 100% reimbursement. 2. Regime obligatoire: ( may or may not be under auspices of CMU!) providing 65% reimbursement and requiring a mutuelle. The regulations issued by the Social Security Department recently refer only to the CMU. The term "actif" is defined not merely in terms of employment, but receipt of income. Thus the provision of all incomes to those not working in France and declared for the purposes of cotisation for state Health Insurance, is valid. The term "inactif" is defined therefore as those not in receipt of declared income. To decide if the new regulations affect you, ask the following: Am I receiving healthcare via CMU FREE, have no declared income, therefore inactif. If so private healthcare is for you in the future. Am I under the 'regime obligatoire', have an income (therefore actif), and pay cotisations. Therefore no change.