The medical autonomy of pre-teens is becoming more fluid, as new regulations have been introduced to streamline the process of obtaining a personal Vitale card for children aged 12 to 15 years. Previously, parents often had to manage their own Vitale cards alongside those of their children, ensuring the correct document was available for each healthcare appointment. Now, teenagers can receive their own Vitale card starting at age 12, allowing them to present it directly to healthcare professionals. This change aims to ease the daily challenges faced by parents while also encouraging teenagers to take initial steps toward managing their own medical follow-ups. The process of obtaining the card is designed to be simple and efficient. The online procedure can be completed in a few minutes through the ameli account, either via the website or a mobile application. Once logged in, users must navigate to the procedures section, select the option to order a Vitale card, choose the relevant child from their dependents, verify the information, and submit two digitized documents: a recent identity photo and an identity document. The new card is then sent directly to the home by post. For those less comfortable with digital tools, the option to send a paper form to the health insurance office remains available. Possessing a Vitale card does not immediately make a child an autonomous insured person. Between the ages of 12 and 15, teenagers remain fully attached to their parents' health insurance and retain the same rights as before. The card serves as a practical tool to facilitate the transmission of health data during consultations. Financially, no changes occur in the reimbursement of care, which continues to be directed to the family's bank account. The child will not have an individual ameli account until they reach the age of majority, ensuring that parents retain full administrative control and visibility over their health expenses. From the age of 16, the process takes an additional step towards adulthood. The health insurance generally sends a letter to the young person outlining the steps to follow, with the card being sent within three weeks. Teenagers aged 16 and over now have the option to activate their Vitale card in digital form directly on their smartphone via a dedicated application. If the mobile option is not preferred, parents can request the blocking of this digital version, retaining their authority. This regulatory change also supports more complex situations, particularly for children placed under the care of the Child Welfare Agency, who now benefit from a personal affiliation, guaranteeing them direct and simplified access to their own Vitale card.