2023-02-222022/23:SoU6 · p.1SoUHealth & social services
Improved control and data sharing
Information sharing between supervisory authorities in the pharmacy sector
What's at stake: The issue concerns the ability of supervisory authorities to detect and stop irregularities among pharmacies and pharmaceutical wholesalers, which can affect patient safety and competition in the medicines market.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The vote concerns whether the government should immediately give supervisory authorities in the pharmacy sector an expanded obligation to share information with each other, or whether the matter should be further investigated before any proposals are put forward.
Yes Yes — the committee proposal
The committee rejects the motions and considers that the issue of information exchange between supervisory authorities needs to be investigated further before the government acts, since several relevant inquiries are already being processed within the Government Offices.
No No — the reservations
Reservation 1 (S, V, MP)
S, V and MP argue that supervision of the pharmacy market should be strengthened immediately, that supervisory authorities should get an expanded ability to share information with each other, and that EHM should get an expanded obligation to report suspected irregularities to the Medical Products Agency, the Health and Social Care Inspectorate, and the Dental and Pharmaceutical Benefits Agency.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 1 by S, V, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
What each plan points to — and how the party voted
For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/21/0/3 | follows the plan | confidence: medium | not addressed |
| S | No | No 0/92/0/15 | follows the plan | confidence: high | not addressed |
| MP | No | No 0/14/0/4 | follows the plan | confidence: medium | not addressed |
| C | No | Abstain 0/0/20/4 | departs from the plan | confidence: low | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | not addressed |
| M | No | Yes 58/0/0/10 | departs from the plan | confidence: low | not addressed |
| SD | No | Yes 62/0/1/10 | departs from the plan | confidence: medium | not addressed |
Broke with the party line
| SDLinda Lindberg (SD, Skåne läns västra) | Abstain — party line: Yes |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
Parliament rejects the motions 2022/23:2287 by Karin Rågsjö et al. (V) and 2022/23:2292 by Anders W Jonsson et al. (C) amendment points 1 and 2.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:2287 av Karin Rågsjö m.fl. (V) och 2022/23:2292 av Anders W Jonsson m.fl. (C) yrkandena 1 och 2.
Riksdag decision: Parliament has considered a letter from the government concerning the National Audit Office's examination of the Medical Products Agency's supervision of outpatient pharmacies and wholesale trade in medicines. The report covers supervision by the Medical Products Agency, the Inspectorate for Healthcare and Care Services (Ivo) and the Dental and Pharmaceutical Benefits Agency (TLV). The National Audit Office's conclusion is that the supervision that the state conducts over the pharmacy sector and trade in medicines is not effective. This can lead to both pharmacies and those who buy and sell medicines risking operating businesses that do not meet legal requirements. The consequence can then be that patient safety suffers and costs to the state and regions become unnecessarily large. In the letter, the government welcomes the examination and is positive to several of the proposals for measures that the National Audit Office provides. Among other things, the government believes there is reason to consider whether regulations should be introduced that prevent pharmacies from charging excessive prices on medicines that are not included in the pharmaceutical benefits but are subsidized by the state or regions and on special food for children. Parliament largely agrees with the government's assessments and believes that it is central that supervision can be conducted effectively. With this, parliament placed the letter on file—that is, concluded the matter.
Counter-proposals
- The counter-proposal wants to strengthen oversight of the pharmacy market by giving agencies expanded ability to share data with each other. (S, V, MP) — Reservation 1
Plan vs actual vote
Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.
The plan sees the pharmacy privatization as a failure that has made medicine availability unequal and states that privatizations of welfare open up for criminals to profit from tax revenues.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan sees the pharmacy privatization as a failure that has made medicine availability unequal and states that privatizations of welfare open up for criminals to profit from tax revenues. Enhanced oversight and expanded information exchange between supervisory authorities follow from this, although the plan believes the fundamental solution is a profit ban rather than more control.
Original (Swedish)
Planen ser apoteksprivatiseringen som ett misslyckande som gjort läkemedelstillgången ojämlik och slår fast att privatiseringarna av välfärden öppnar för kriminella att sko sig på skattemedel. Skärpt tillsyn och utökat informationsutbyte mellan tillsynsmyndigheterna följer av det, även om planen menar att den grundläggande lösningen är vinstförbud snarare än mer kontroll.
- stop welfare crimedecisive»Privatiseringarna av välfärden öppnar upp för kriminella att sko sig på skattemedel.« (2022 manifesto ↗)“Privatizations of welfare open up for criminals to profit from tax revenues.”
- criticism of pharmacy privatization»Privatiseringar har lett till dyrare elpris, att apoteken flyttar från landsbygd till städer och från fattiga till rika områden« (2022 manifesto ↗)“Privatizations have led to higher electricity prices, pharmacies moving from rural areas to cities and from poor to rich areas”
- unequal medicine availability»I stora delar av Sverige är det svårt att få tag på medicin, fast i storstädernas rikare områden finns det flera olika apotek i varje gathörn.« (2022 manifesto ↗)“In large parts of Sweden it is difficult to get medicine, while in wealthy areas of major cities there are several different pharmacies on every street corner.”
- control is not enough, profit ban is needed»Välfärdsbrott bekämpas inte bäst genom ytterligare tandlös kontroll.« (2022 manifesto ↗)“Welfare crime is not best combated through additional toothless control.”
The plan requires that secrecy barriers between authorities are torn down so they can do their job and that oversight is intensified to guarantee quality.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that secrecy barriers between authorities are torn down so they can do their job and that oversight is intensified to guarantee quality. The requirement for expanded information-sharing between supervisory authorities and reporting of suspected wrongdoing follows directly from this and from stopping welfare crime. Citizens must also be able to scrutinize tax-funded activities.
Original (Swedish)
Planen kräver att sekretesshinder mellan myndigheter rivs så att de kan göra sitt jobb och att tillsynen växlas upp för att garantera kvaliteten. Kravet på utökad uppgiftsdelning mellan tillsynsmyndigheterna och rapportering av misstänkta oegentligheter följer direkt av detta och av att välfärdsbrottslighet ska stoppas. Medborgarna ska också kunna granska skattefinansierad verksamhet.
- tear down secrecy barriersdecisive»Sekretesshinder mellan myndigheter ska rivas så att polisen och andra yrkesgrupper kan göra sitt jobb.« (2022 manifesto ↗)“Secrecy barriers between authorities shall be torn down so that police and other professional groups can do their job.”
- stricter oversight»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Oversight of healthcare shall be intensified to guarantee quality.”
- against welfare crime»Skattefusk, välfärdsbrottslighet och penningtvätt ska stoppas.« (2022 manifesto ↗)“Tax fraud, welfare crime and money laundering shall be stopped.”
- transparency in tax-funded activities»Oavsett i vilken form skattefinansierad verksamhet drivs ska medborgarna ha möjlighet att granska den och utkräva politiskt ansvar.« (party programme ↗)“Regardless of the form in which tax-funded activity is conducted, citizens must have the opportunity to scrutinize it and demand political accountability.”
The party programme requires that all publicly funded activities are subject to oversight by an authority that can ultimately stop activities that do not meet the standard, and states that no patient should come to harm and that drug consumption is a problem for patient safety.
Plan documents: party programme
Reasoning and quotes
The party programme requires that all publicly funded activities are subject to oversight by an authority that can ultimately stop activities that do not meet the standard, and states that no patient should come to harm and that drug consumption is a problem for patient safety. Strengthened oversight of the pharmacy market and better information exchange between supervisory authorities follow from this. The plan therefore supports the counter-proposal.
Original (Swedish)
Partiprogrammet kräver att all offentligt finansierad verksamhet är underställd tillsyn av en myndighet som ytterst kan stoppa verksamhet som inte håller måttet, och slår fast att ingen patient ska komma till skada och att läkemedelskonsumtionen är ett problem för patientsäkerheten. Stärkt tillsyn över apoteksmarknaden och bättre informationsutbyte mellan tillsynsmyndigheterna följer av detta. Planen stöder därför motförslaget.
- strong public oversightdecisive»All verksamhet ska vara underställd tillsyn av en offentlig myndighet som ytterst« (party programme ↗)“All activities shall be subject to oversight by a public authority that ultimately”
- patient safety first»En av grundprinciperna i vården är att ingen« (party programme ↗)“One of the fundamental principles in healthcare is that no”
- control of drug handling»läkemedelskonsumtionen i dag är ett problem både« (party programme ↗)“drug consumption today is a problem both”
The plan does not address the pharmacy market, but its line for publicly financed markets is tightened supervision, more information sharing between authorities and tougher rules against irregularities.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan does not address the pharmacy market, but its line for publicly financed markets is tightened supervision, more information sharing between authorities and tougher rules against irregularities. The economy must also have set and predictable rules. Derived from this, the plan supports the demand for strengthened supervision and expanded information sharing, with the proviso that the impact on privacy must always be tested.
Original (Swedish)
Planen tar inte upp apoteksmarknaden, men dess linje för offentligt finansierade marknader är skärpt tillsyn, mer informationsdelning mellan myndigheter och hårdare regler mot oegentligheter. Ekonomin ska dessutom ha givna och förutsägbara spelregler. Härlett ur detta stöder planen kravet på stärkt tillsyn och utökad uppgiftsdelning, med förbehållet att integritetspåverkan alltid ska prövas.
- stronger oversight and information sharingdecisive»Vi vill också skärpa tillståndsprövningen för utländska ägare, se till att skolorna delar mer information och skapa ett mer aktivt skolval för alla.« (2022 manifesto ↗)“We also want to tighten licensing approval for foreign owners, ensure that schools share more information and create a more active school choice for all.”
- tightened rules against irregularities»Vi vill inrätta en antikorruptionsmyndighet, skärpa regler mot korruption och införa ett lobbyregister.« (2022 manifesto ↗)“We want to establish an anti-corruption authority, tighten rules against corruption and introduce a lobbying register.”
- predictable rules»Ekonomin ska ha givna och förutsägbara spelregler« (party programme ↗)“The economy must have set and predictable rules”
- privacy testingweak support»All lagstiftning bör prövas mot dess påverkan på människors personliga integritet.« (party programme ↗)“All legislation should be tested against its impact on people's personal integrity.”
flags: citat_svagt
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan requires state supervision based on nationally established quality standards and that providers with serious deficiencies lose their license, which requires that supervisory authorities actually see the deficiencies.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires state supervision based on nationally established quality standards and that providers with serious deficiencies lose their license, which requires that supervisory authorities actually see the deficiencies. The plan also makes information exchange between authorities the main rule in other areas and wants to see strong supervisory authorities. This supports expanded information sharing and tightened reporting requirements in the pharmacy market.
Original (Swedish)
Planen kräver statlig tillsyn utifrån nationellt fastställda kvalitetsnormer och att utförare med allvarliga brister mister sitt tillstånd, vilket förutsätter att tillsynsmyndigheterna faktiskt ser bristerna. Planen gör också informationsutbyte mellan myndigheter till huvudregel på andra områden och vill se starka tillsynsmyndigheter. Det stöder utökad uppgiftsdelning och en skärpt rapporteringsskyldighet på apoteksmarknaden.
- state supervision with standardsdecisive»Tillsynen ska ske i statlig regi utifrån nationellt fastställda kvalitetsnormer.« (party programme ↗)“Supervision shall be conducted under state control based on nationally established quality standards.”
- deficiencies shall result in withdrawn license»Den utförare som håller otillräcklig kvalitet eller gör sig skyldig till allvarliga brister ska inte ha« (party programme ↗)“The provider that maintains insufficient quality or is guilty of serious deficiencies shall not have”
- authorities shall share information»Polis och socialtjänst ska som huvudregel alltid kunna utbyta information sinsemellan och ska oftare dela lokaler.« (2022 manifesto ↗)“Police and social services shall as a main rule always be able to exchange information with each other and should often share premises.”
- strong supervisory authorities»myndigheternas maktutövning mot enskilda behöver utvecklas genom starka tillsynsmyndigheter« (party programme ↗)“government agencies' exercise of power against individuals needs to be developed through strong supervisory authorities”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The counter-proposal wants to strengthen oversight of the pharmacy market immediately, give the supervisory authorities expanded opportunities to share information and expand the duty to report suspected irregularities.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The counter-proposal wants to strengthen oversight of the pharmacy market immediately, give the supervisory authorities expanded opportunities to share information and expand the duty to report suspected irregularities. The party programme requires care that is safe for patients and based on knowledge and proven experience, and makes quality control an important political task. The election manifesto also wants to see a complete review of confidentiality rules so that authorities can share information with each other.
Original (Swedish)
Motförslaget vill stärka tillsynen över apoteksmarknaden omedelbart, ge tillsynsmyndigheterna utökad möjlighet att dela uppgifter och utvidga rapporteringsskyldigheten om misstänkta oegentligheter. Principprogrammet kräver en vård som är säker för patienterna och baserad på kunskap och beprövad erfarenhet, och gör kvalitetskontroll till en viktig politisk uppgift. Valmanifestet vill dessutom se en total översyn av sekretessreglerna så att myndigheter kan dela uppgifter med varandra.
- patient safety and evidencedecisive»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet« (party programme ↗)“Solidarity-funded health and medical care shall be appropriate and cost-effective, safe for patients and based on knowledge and proven experience”
- authorities shall share information»Total översyn av sekretessreglerna, så att myndigheter kan dela uppgifter mellan sig för att förebygga och klara upp brott.« (2022 manifesto ↗)“Complete review of confidentiality rules, so that authorities can share information with each other to prevent and clear up crime.”
- oversight and quality control»Utvärdering, kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska« (party programme ↗)“Evaluation, cost tracking and quality control are therefore important political”
- ensure patient safety»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation.« (2022 manifesto ↗)“Ensure patient safety with national standards and technical specifications for all digital health information.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan's line is that secrecy barriers between agencies shall be removed and that the billions that every year disappear from welfare to fraud and crime shall be stopped, while at the same time health care shall maintain high quality.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan's line is that secrecy barriers between agencies shall be removed and that the billions that every year disappear from welfare to fraud and crime shall be stopped, while at the same time health care shall maintain high quality. Expanded information sharing between supervisory authorities in the pharmaceutical area and reporting of suspected irregularities follows that line. The demand is supported, but the connection is derived.
Original (Swedish)
Planens linje är att sekretesshinder mellan myndigheter ska undanröjas och att de miljarder som varje år försvinner från välfärden till fusk och kriminalitet ska stoppas, samtidigt som vården ska hålla hög kvalitet. Utökad uppgiftsdelning mellan tillsynsmyndigheterna på apoteksområdet och rapportering av misstänkta oegentligheter följer den linjen. Kravet stöds, men kopplingen är härledd.
- information sharing between authoritiesdecisive»Undanröja alla sekretesshinder mellan socialtjänst och polis« (2022 manifesto ↗)“Remove all secrecy barriers between social services and police”
- stop fraud with tax funds(2022 manifesto)
- quality in health care»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care—that can be provided in the right time and maintains high quality.”
flags: citat_migrerat, citat_ej_verifierat
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The counter-proposal wants to immediately strengthen supervision of the pharmacy market, give supervisory authorities expanded opportunity to share information and expand reporting of suspected irregularities.
Plan documents: 2022 manifesto
Reasoning and quotes
The counter-proposal wants to immediately strengthen supervision of the pharmacy market, give supervisory authorities expanded opportunity to share information and expand reporting of suspected irregularities. The plan requires that fraud and systems that invite fraud and corruption be countered and that authorities' cooperation and tools for detecting errors be improved. Stricter supervision and information exchange are therefore in line with the plan.
Original (Swedish)
Motförslaget vill omedelbart stärka tillsynen över apoteksmarknaden, ge tillsynsmyndigheterna utökad möjlighet att dela uppgifter och utvidga rapporteringen av misstänkta oegentligheter. Planen kräver att fusk och system som lockar till fusk och korruption motverkas och att myndigheternas samverkan och verktyg för att upptäcka felaktigheter förbättras. Skärpt tillsyn och informationsutbyte är därför i linje med planen.
- counter fraud and corruptiondecisive»Både fusk och sådana system som tenderar att locka till fusk och korruption ska motverkas.« (2022 manifesto ↗)“Both fraud and systems that tend to invite fraud and corruption should be countered.”
- authority cooperation and information exchange»Rättsväsendets samverkan mellan myndigheter och verktyg för att upptäcka och lagföra kriminella ska förbättras.« (2022 manifesto ↗)“The justice system's cooperation between authorities and tools for detecting and prosecuting criminals should be improved.”
- stop welfare crime»Stoppa välfärdsbrottsligheten inom socialförsäkringen« (2022 manifesto ↗)“Stop welfare crime within social insurance”
- tightened sanctions for fraud»Skärpa straffen för fusk inom välfärdssystemen« (2022 manifesto ↗)“Tighten penalties for fraud within welfare systems”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU6)
- Committee report full text (HA01SoU6)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:2287 — med anledning av skr. 2022/23:12 Riksrevisionens rapport om statens tillsyn över apotek och partihandel med läkemedel av Karin Rågsjö m.fl. (V)
- Motion 2022/23:2292 — med anledning av skr. 2022/23:12 Riksrevisionens rapport om statens tillsyn över apotek och partihandel med läkemedel av Anders W Jonsson m.fl. (C)
- Motion 2022/23:2293 — med anledning av skr. 2022/23:12 Riksrevisionens rapport om statens tillsyn över apotek och partihandel med läkemedel av Ulrika Westerlund (MP)
- Regeringens skrivelse 2022/23:12 — Riksrevisionens rapport om statens tillsyn över apotek och partihandel med läkemedel
Source: The Swedish Parliament