2024-04-032023/24:SoU9 · p.6SoUHealth & social services
Public health effects
Follow-up of public health effects from new rules on heated tobacco products
What's at stake: A dedicated follow-up would give better knowledge of how the ban on flavored heated tobacco products affects public health and smokers' alternatives, but would also add a new mandate beyond what the directive already requires.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The question is whether the government should be specifically tasked with following up and mapping the public health effects of the new rules on heated tobacco products, or whether this is not required beyond the work already under way in implementing the EU directive.
Yes Yes — the committee proposal
The committee agrees with the assessment that heated tobacco products with characteristic flavor must be banned to implement the binding EU directive, which leaves no room for member states to opt out of flavor restrictions, and rejects the motion calling for a dedicated follow-up of the public health effects.
No No — the reservations
Reservation 5 (SD)
The reservation holds that the government should follow up and map the public health effects of the proposal and take action if needed, since the EU directive's new requirements for heated tobacco products risk negative effects on public health by affecting many smokers' alternatives to cigarettes, and objects to cigarette smoke being effectively equated with less harmful alternatives.
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 5 by SD.
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 | Yes | Yes 21/0/0/3 | follows the plan | confidence: low | not addressed |
| S | Yes | Yes 92/0/0/14 | follows the plan | confidence: low | not addressed |
| MP | Yes | Yes 14/0/0/4 | follows the plan | confidence: low | not addressed |
| C | No | Yes 21/0/0/3 | departs from the plan | confidence: low | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: low | not addressed |
| KD | No | Yes 14/0/0/5 | departs from the plan | confidence: low | not addressed |
| M | No | Yes 60/0/0/8 | departs from the plan | confidence: low | derived |
| SD | No | No 0/63/0/9 | follows the plan | confidence: medium | derived |
Committee proposal
The Riksdag rejects motion 2023/24:2809 by Carina Ståhl Herrstedt et al. (SD) amendment 1.
Original (Swedish)
Riksdagen avslår motion 2023/24:2809 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 1.
Riksdag decision: Heated tobacco products with characteristic flavour will be prohibited. The Riksdag approved the government's proposal. Heated tobacco products are something that is heated to produce a release that contains nicotine and other chemicals which is then inhaled by users. Depending on its properties, it can be a smokeless tobacco product or one that is smoked. Furthermore, the government or the authority determined by the government shall be entitled to issue regulations concerning which heated tobacco products shall be considered to have a characteristic flavour. The legislative amendment is based on an EU directive and is proposed to come into force on 1 May 2024.
Counter-proposals
- The counter-proposal wants to ensure that illegal trade does not increase as a result of the new legislation. (SD) — Reservation 5
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 does not address tobacco regulation.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan does not address tobacco regulation. The closest principle is that production driven by profit maximisation should not take precedence over social health consequences and that public health is a shared responsibility. The counter-proposal's purpose is to question the taste restriction and highlight heated tobacco as a less harmful alternative, which goes in the opposite direction to the plan's health prioritisation.
Original (Swedish)
Planen behandlar inte tobaksreglering. Närmast liggande princip är att produktion som styrs av vinstmaximering inte får gå före sociala hälsokonsekvenser och att folkhälsan är ett gemensamt ansvar. Motförslagets syfte är att ifrågasätta smakbegränsningen och lyfta fram upphettad tobak som ett mindre skadligt alternativ, vilket ligger i motsatt riktning mot planens hälsoprioritering.
- profit maximisation before healthdecisive»orienterad gentemot vinstmaximering oavsett dess sociala och ekologiska konsekvenser« (party programme ↗)“oriented towards profit maximisation regardless of its social and ecological consequences”
- limit market power»Marknadsföring och andra marknadsaktiviteter tar former som gör« (party programme ↗)“Marketing and other market activities take forms that”
- public health before the market»Många år av privatiseringar och ständig jakt på effektiviseringar i arbetslivet, skolan, vården och omsorgen har påverkat både hälsa, vårdbehov och tillgången till vård negativt.« (2022 manifesto ↗)“Many years of privatisation and constant pursuit of efficiencies in working life, schools, healthcare and care have negatively affected both health, care needs and access to care.”
The plan says nothing about heated tobacco products or flavor bans.
Plan documents: party programme
Reasoning and quotes
The plan says nothing about heated tobacco products or flavor bans. The closest principle is children's and young people's right to upbringing free from drugs, and that commitments within the EU can be based on common legislation. The counter-proposal is based on the idea that flavor restrictions risk public health by affecting smokers' alternatives, an argument for which the plan provides no support.
Original (Swedish)
Planen säger ingenting om upphettade tobaksvaror eller smakförbud. Närmast liggande princip är barns och ungas rätt till en uppväxt fri från droger, och att åtaganden inom EU kan bygga på gemensam lagstiftning. Motförslaget bygger på att smakbegränsningen riskerar folkhälsan genom att träffa rökares alternativ, ett resonemang som planen inte ger stöd för.
- upbringing free from drugsdecisive»trygg uppväxt fri från droger och våld« (party programme ↗)“safe upbringing free from drugs and violence”
- the Convention on the Rights of the Child governs decisions»Alla barn ska ha rätt till en trygg uppväxt i enlighet med FN:s barnkonvention.« (party programme ↗)“All children shall have the right to a safe upbringing in accordance with the UN Convention on the Rights of the Child.”
- common EU legislation»Åtaganden för EU:s medlemsländer kan bygga på gemensam lagstiftning« (party programme ↗)“Commitments for EU member states can be based on common legislation”
The plan does not address tobacco policy, but its core principle is that what is too harmful shall be prohibited and that the precautionary principle shall apply when negative health effects may be delayed.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan does not address tobacco policy, but its core principle is that what is too harmful shall be prohibited and that the precautionary principle shall apply when negative health effects may be delayed. The counter-proposal's premise is the opposite: that taste limitation risks public health by affecting smokers' alternatives. The plan provides no support for treating heated tobacco as a protectable alternative, which is why it speaks against the requirement.
Original (Swedish)
Planen behandlar inte tobakspolitik, men dess bärande princip är att det som är alltför skadligt ska förbjudas och att försiktighetsprincipen ska gälla när negativa hälsoeffekter kan dröja. Motförslagets premiss är den motsatta: att smakbegränsningen riskerar folkhälsan genom att beröra rökares alternativ. Planen ger inget stöd för att behandla upphettad tobak som ett skyddsvärt alternativ, varför den talar emot kravet.
- harmful products shall be prohibiteddecisive»det som är alltför skadligt ska förbjudas.« (party programme ↗)“what is too harmful shall be prohibited.”
- precautionary principle for health risks»det kan ta tid innan negativa effekter blir tydliga.« (party programme ↗)“it can take time before negative effects become clear.”
- phase out toxic substances»fasa ut giftiga ämnen omgående, speciellt från produkter för barn.« (2022 manifesto ↗)“phase out toxic substances immediately, especially from products for children.”
- long-term public health investment»Vi menar att en långsiktig satsning på folkhälsa« (party programme ↗)“We mean that a long-term investment in public health”
The plan requires that healthcare and health policy rest on science and proven experience and that good public health is a cornerstone of welfare.
Plan documents: party programme
Reasoning and quotes
The plan requires that healthcare and health policy rest on science and proven experience and that good public health is a cornerstone of welfare. Monitoring and mapping the public health effects of the taste restriction is such knowledge gathering and does not bind the party to any particular conclusion. Moreover, the plan's freedom perspective argues against regulations whose effects have not been tested.
Original (Swedish)
Planen kräver att vård och hälsopolitik vilar på vetenskap och beprövad erfarenhet och att god folkhälsa är en grundsten i välfärden. Att följa upp och kartlägga folkhälsoeffekterna av smakbegränsningen är en sådan kunskapsinhämtning och binder inte partiet vid någon viss slutsats. Planens frihetssyn talar dessutom emot regleringar vars effekter inte prövats.
- knowledge-based policydecisive»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet, är viktigt för den enskilda« (party programme ↗)“Good healthcare and care throughout the country, based on science and proven experience, is important for the individual”
- public health as a goal»God folkhälsa är en grundsten i en hållbar välfärd.« (party programme ↗)“Good public health is a cornerstone of sustainable welfare.”
- freedom from paternalism»frihet från tvång, våld och förmynderi« (party programme ↗)“freedom from coercion, violence and paternalism”
- personal responsibility for lifestyle»individer ska kunna ta ansvar för sitt välbefinnande, sin hälsa och livsstil« (party programme ↗)“individuals shall be able to take responsibility for their wellbeing, their health and lifestyle”
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 establishes that public health work shall rest on knowledge, which speaks for the effects of new tobacco rules being followed up and mapped.
Plan documents: party programme
Reasoning and quotes
The plan establishes that public health work shall rest on knowledge, which speaks for the effects of new tobacco rules being followed up and mapped. At the same time, tobacco-prevention work is driven purposefully, so the follow-up must not become an argument for easing prevention. That policy shall proceed from a harm-reduction principle also supports that differences between different products' harmfulness are weighed in. The conclusion is derived; the plan does not address heated tobacco products.
Original (Swedish)
Planen slår fast att folkhälsoarbetet ska vila på kunskap, vilket talar för att effekterna av nya tobaksregler följs upp och kartläggs. Samtidigt drivs det tobakspreventiva arbetet målmedvetet, så uppföljningen får inte bli ett argument för att släppa på preventionen. Att politiken ska utgå från en skadelindringsprincip stödjer också att skillnader mellan olika produkters skadlighet vägs in. Slutsatsen är härledd; planen behandlar inte upphettade tobaksvaror.
- knowledge-based public healthdecisive»Folkhälsoarbetet och de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“Public health work and preventive health measures shall rest on knowledge”
- harm-reduction principle»Politiken ska utgå från en skadelindringsprincip.« (party programme ↗)“Policy shall proceed from a harm-reduction principle.”
- purposeful tobacco prevention»Det tobakspreventiva arbetet ska bedrivas målmedvetet« (party programme ↗)“Tobacco-prevention work shall be conducted purposefully”
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 says nothing about heated tobacco products, but it requires that health-promoting work be stimulated and that health policy be based on knowledge and proven experience.
Plan documents: party programme
Reasoning and quotes
The plan says nothing about heated tobacco products, but it requires that health-promoting work be stimulated and that health policy be based on knowledge and proven experience. The counter-proposal's requirement is limited to monitoring and mapping public health effects and taking action as needed, which is consistent with the knowledge-based line. The plan's restrictive stance on tobacco, however, speaks against the counter-proposal's harm reduction argument, so certainty is low.
Original (Swedish)
Planen säger inget om upphettade tobaksvaror, men den kräver att hälsofrämjande arbete stimuleras och att hälsopolitiken vilar på kunskap och beprövad erfarenhet. Motförslagets krav är begränsat till att folkhälsoeffekterna följs upp och kartläggs och att åtgärder vidtas vid behov, vilket är förenligt med den kunskapsbaserade linjen. Planens restriktiva hållning till tobak talar däremot emot motförslagets skadereduktionsargument, varför säkerheten är låg.
- hälsofrämjande arbetedecisive»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work should be stimulated.”
- kunskapsbaserad hälsopolitik»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad.« (party programme ↗)“The solidarity-funded health and medical care should be effective and cost-effective, safe for patients and based on knowledge and proven experience, i.e. evidence-based.”
- restriktiv tobakspolitik»inköp av alkohol och tobak.« (party programme ↗)“purchases of alcohol and tobacco.”
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 states that EU directives should as a rule be implemented at minimum level and that overimplementation should be counteracted, which means that the effects of a flavour ban on heated tobacco products should actually be followed up before the regulation is driven further.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that EU directives should as a rule be implemented at minimum level and that overimplementation should be counteracted, which means that the effects of a flavour ban on heated tobacco products should actually be followed up before the regulation is driven further. The plan also states that reforms should be based on research and proven experience and that implemented decisions should be evaluated and reconsidered. The counter-proposal's demand for follow-up and mapping of public health effects follows from that.
Original (Swedish)
Planen slår fast att EU-direktiv som huvudregel ska genomföras på miniminivå och att överimplementering ska motverkas, vilket talar för att effekterna av ett smakförbud på upphettade tobaksvaror faktiskt följs upp innan regleringen drivs längre. Planen slår också fast att reformer ska luta sig mot forskning och beprövad erfarenhet och att genomförda beslut ska utvärderas och omprövas. Motförslagets krav på uppföljning och kartläggning av folkhälsoeffekterna följer av det.
- EU directives at minimum leveldecisive»Minska regelkrånglet och onödig byråkrati, bland annat genom att motverka överimplementering i Sverige av EU-beslut – som huvudregel ska EU-direktiv genomföras på miniminivå« (2022 manifesto ↗)“Reduce red tape and unnecessary bureaucracy, including by counteracting overimplementation in Sweden of EU decisions—as a rule, EU directives should be implemented at minimum level”
- evaluate implemented reforms»beredskap för att utvärdera, ompröva, förändra och förbättra« (party programme ↗)“readiness to evaluate, reconsider, change and improve”
flags: citat_blockerat, citat_migrerat
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 demands clear results and citizen benefit for every public investment and that policy is based on facts and research findings rather than feelings.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan demands clear results and citizen benefit for every public investment and that policy is based on facts and research findings rather than feelings. The counter-proposal's demand that the public health effects of the new regulations be followed up and mapped, with measures if needed, is precisely such an evaluation. The plan furthermore wants to strengthen national self-determination against EU rules that hit wrong in Sweden.
Original (Swedish)
Planen kräver tydliga resultat och medborgarnytta för varje offentlig satsning och att politiken baseras på fakta och forskningsrön snarare än känslor. Motförslagets krav på att folkhälsoeffekterna av det nya regelverket följs upp och kartläggs, med åtgärder vid behov, är just en sådan utvärdering. Planen vill dessutom stärka det nationella självbestämmandet gentemot EU-regler som slår fel i Sverige.
- evaluate public measuresdecisive»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for every public investment”
- facts ahead of feelings»Miljöpolitiken måste alltid stämmas av mot nya rön i forskningen och baseras på fakta framför känslor.« (2022 manifesto ↗)“Environmental policy must always be balanced against new research findings and be based on facts ahead of feelings.”
- citizen benefit shall be shown»begära tydlig medborgarnytta för alla satsningar« (2022 manifesto ↗)“demand clear citizen benefit for all investments”
- national self-determination against EU»Stärka det nationella självbestämmandet« (2022 manifesto ↗)“Strengthen national self-determination”
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Sources and documents
- The committee report on riksdagen.se (2023/24:SoU9)
- Committee report full text (HB01SoU9)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:2808 — med anledning av prop. 2023/24:54 Genomförande av nya krav på upphettade tobaksvaror av Ulrika Westerlund m.fl. (MP)
- Motion 2023/24:2809 — med anledning av prop. 2023/24:54 Genomförande av nya krav på upphettade tobaksvaror av Carina Ståhl Herrstedt m.fl. (SD)
- Proposition 2023/24:54 — Genomförande av nya krav på upphettade tobaksvaror
Source: The Swedish Parliament