2025-12-032025/26:SoU10 · p.2SoUHealth & social services
Future Dental Care Reform and High-Cost Protection
The future of dental-care reform: broader cost protection or the current reimbursement model
What's at stake: The outcome affects how broadly and how quickly more people gain protection against high dental costs, and whether dental care is eventually put on equal footing with other health care in terms of cost protection.
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 come back with a more comprehensive dental-care reform that folds dental care into the general high-cost protection for health care, or whether the newly proposed, gradually introduced reimbursement scheme is a sufficient solution for now.
Yes Yes — the committee proposal
The committee shares the government's assessment that the state dental-care subsidy should continue to be a reimbursement scheme that is expanded in stages, and therefore rejects the motions calling for a more comprehensive reform that would instead fold dental care into the high-cost protection for health care.
No No — the reservations
Reservation 1 (V)
The reservation holds that the government should present a more comprehensive dental-care reform, since an additional, limited reimbursement scheme reaching only a small share of the population and covering certain procedures does not solve dental health as a societal problem, and calls for dental care to instead be included in the high-cost protection for health care.
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 V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: KDKristdemokraterna, SSocialdemokraterna, SDSverigedemokraterna
Ja 266–21Nej 95–192
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/19/0/3 | match | confidence: high | explicit |
| S | No | Yes 92/0/0/14 | differsagainst own programme | confidence: high | explicit |
| MP | No | Abstain 0/0/15/3 | differs | confidence: high | explicit |
| C | Yes | Yes 21/0/0/3 | match | confidence: low | not addressed |
| L | Yes | Yes 14/0/0/2 | match | confidence: medium | explicit |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| M | Yes | Yes 59/0/0/9 | match | confidence: medium | not addressed |
| SD | No | Yes 63/0/0/9 | differsagainst own programme | confidence: high | explicit |
Committee proposal
The Riksdag rejects the motions 2025/26:3817 by Karin Rågsjö et al. (V) demands 1 and 2, and 2025/26:3824 by Nils Seye Larsen et al. (MP) demands 1 and 3.
Original (Swedish)
Riksdagen avslår motionerna 2025/26:3817 av Karin Rågsjö m.fl. (V) yrkandena 1 och 2 samt 2025/26:3824 av Nils Seye Larsen m.fl. (MP) yrkandena 1 och 3.
Riksdag decision: The Riksdag approved a strengthened high-cost protection for dental care. The decision means that the current high-cost protection shall be complemented with new support. The support is called special dental care allowance and is targeted in a first step to the elderly. The government or the authority determined by the government may issue regulations on which patients may be eligible for special dental care allowance and which dental care may entitle to special dental care allowance. The legal changes enter into force on 1 January 2026.
Counter-proposals
- The counter-proposal wants a more comprehensive dental care reform proposal. (V) — 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 explicitly demands a dental insurance with a high-cost protection of the same kind as in other health and medical care, and that dental care be included in health and medical care with the same fees.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly demands a dental insurance with a high-cost protection of the same kind as in other health and medical care, and that dental care be included in health and medical care with the same fees. The counter-proposal's demand to bring dental care into the high-cost protection is therefore precisely what the plan wants, while a gradually expanded reimbursement system does not solve the socioeconomic dental health gaps the plan points out.
Original (Swedish)
Planen kräver uttryckligen en tandvårdsförsäkring med ett högkostnadsskydd av samma slag som i övrig hälso- och sjukvård, och att tandvården inkluderas i hälso- och sjukvården med samma taxor. Motförslagets krav på att föra in tandvården i högkostnadsskyddet är därmed precis det planen vill ha, medan ett stegvis utbyggt ersättningssystem inte löser de socioekonomiska tandhälsoklyftor planen pekar ut.
- dental insurance with high-cost protectiondecisive»Vänsterpartiet vill därför införa en tandvårdsförsäkring liknande den som finns inom övrig hälso- och sjukvård med ett högkostnadsskydd som gör att vuxna människor med behov inte ska behöva tacka nej till god tandvård.« (2022 manifesto ↗)“The Left Party therefore wants to introduce a dental insurance similar to that which exists in other health and medical care with a high-cost protection so that adult people with need do not have to decline good dental care.”
- dental care with health care fees»Vi vill att tandvården inkluderas i hälso- och sjukvården, med samma taxor.« (party programme ↗)“We want dental care to be included in health and medical care, with the same fees.”
- socioeconomic dental health gaps»Trots att tandhälsan i befolkningen som helhet har förbättrats kvarstår betydande socioekonomiska skillnader.« (2022 manifesto ↗)“Although dental health in the population as a whole has improved, significant socioeconomic gaps remain.”
The plan explicitly establishes equal dental care integrated into general healthcare.
Plan documents: party programme
Reasoning and quotes
The plan explicitly establishes equal dental care integrated into general healthcare. This is precisely what the counter-proposal demands when it wants to bring dental care into the high-cost protection system rather than a gradually expanded separate reimbursement system. The plan builds further on healthcare being provided according to need and not according to ability to pay, and on equal right to good healthcare through public provision.
Original (Swedish)
Planen slår uttryckligen fast jämlik tandvård som integreras i övrig hälso- och sjukvård. Det är precis vad motförslaget kräver när det vill föra in tandvården i högkostnadsskyddet i stället för ett stegvis utbyggt separat ersättningssystem. Planen bygger vidare på att vård ska ges utifrån behov och inte utifrån möjligheten att betala, och på lika rätt till god vård genom samhällets försorg.
- tandvård in i sjukvårdendecisive»Jämlik tandvård som integreras i övrig hälso- och sjukvård.« (party programme ↗)“Equal dental care integrated into general healthcare.”
- vård efter behov»vård utifrån behov, och inte utifrån möjligheten att betala« (party programme ↗)“healthcare according to need, and not according to ability to pay”
- lika rätt till god vård»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good healthcare through public provision.”
- jämlik folkhälsa»Jämlik och jämställd folkhälsa.« (party programme ↗)“Equal and equitable public health.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The election manifesto explicitly demands that dental care be made equal to other health and medical care and included in the same high-cost protection.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly demands that dental care be made equal to other health and medical care and included in the same high-cost protection. The party programme states that dental care shall be financed the same way as other medical care to prevent good dental health from becoming a class issue. The counter-proposal's demand for a more comprehensive dental care reform with dental care in the high-cost protection is thus exactly what the plan promises.
Original (Swedish)
Valmanifestet kräver uttryckligen att tandvården jämställs med övrig hälso- och sjukvård och ingår i samma högkostnadsskydd. Partiprogrammet slår fast att tandvården ska finansieras på samma sätt som övrig sjukvård för att motverka att god tandhälsa blir en klassfråga. Motförslagets krav på en mer omfattande tandvårdsreform med tandvården i högkostnadsskyddet är därmed exakt vad planen utlovar.
- dental care in high-cost protectiondecisive»att tandvården ska jämställas med övrig hälso- och sjukvård, och ingå i samma högkostnadsskydd.« (2022 manifesto ↗)“that dental care shall be made equal to other health and medical care, and included in the same high-cost protection”
- dental care financed as medical care»Tandvården ska finansieras på samma sätt som övrig sjukvård för att« (party programme ↗)“Dental care shall be financed the same way as other medical care in order to”
- dental health not a class issue»motverka att det är en klassfråga att ha god tandhälsa.« (party programme ↗)“prevent that it is a class issue to have good dental health.”
- expanded high-cost protection»att hjälpmedel ska ingå i högkostnadsskyddet« (2022 manifesto ↗)“that aids shall be included in high-cost protection”
flags: citat_migrerat
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan does not address dental care. The closest principle is that policy should be economical with taxpayers' money and that the total tax burden…
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan does not address dental care. The closest principle is that policy should be economical with taxpayers' money and that the total tax burden should be reduced, which speaks against including dental care in the healthcare system's high-cost protection — one of the largest new public commitments that can be made in this field. Care should be given according to need and not according to ability to pay pulls in the other direction, so certainty is low.
Original (Swedish)
Planen behandlar inte tandvården. Närmast liggande princip är att politiken ska hushålla med skattebetalarnas pengar och att det totala skattetrycket ska ner, vilket talar emot att föra in tandvården i hälso- och sjukvårdens högkostnadsskydd — en av de största nya offentliga åtagandena som kan göras på området. Att vård ska ges efter behov och inte efter betalningsförmåga drar åt andra hållet, varför säkerheten är låg.
- economical with taxpayer fundsdecisive»Politiken ska hushålla med skattebetalarnas pengar. Mer pengar ska läggas på välfärdens kärna, mindre på bidrag.« (2022 manifesto ↗)“Policy should be economical with taxpayers' money. More money should be spent on the core of welfare, less on benefits.”
- lower total tax burden»Det totala skattetrycket måste ner nästa mandatperiod.« (2022 manifesto ↗)“The total tax burden must be reduced in the next mandate period.”
- care according to need»att snabbt få vård i den offentligt finansierade sjukvården ska ges efter behov och inte efter betalningsförmåga.« (party programme ↗)“that quick access to care in publicly financed healthcare should be given according to need and not according to ability to pay.”
The plan states that dental care financing should gradually resemble other healthcare and that the next step is a gradually increasing subsidy level for groups with the poorest oral health.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that dental care financing should gradually resemble other healthcare and that the next step is a gradually increasing subsidy level for groups with the poorest oral health. This is a gradual expansion of the reimbursement system, not dental care being introduced into the high-cost protection for healthcare. The counter-proposal's requirement for an immediate and more comprehensive restructuring therefore goes beyond what the plan commits to.
Original (Swedish)
Planen anger att tandvårdens finansiering steg för steg ska likna annan sjukvård och att nästa steg är en gradvis ökande subventionsgrad för de grupper som har sämst munhälsa. Det är en stegvis utbyggnad av ersättningssystemet, inte att tandvården nu förs in i högkostnadsskyddet för hälso- och sjukvården. Motförslagets krav på en omedelbar och mer omfattande omläggning går därför utöver vad planen åtar sig.
- gradual dental care reformdecisive»Tandvårdens finansiering ska steg för steg likna annan sjukvård där du som patient betalar mindre och samhället mer. Nästa steg är gradvis ökande subventionsgrad för de grupper som har sämst munhälsa och nationella tandvårdsprogram för särskilda riskgrupper.« (2022 manifesto ↗)“Dental care financing should gradually resemble other healthcare where you as a patient pay less and society pays more. The next step is a gradually increasing subsidy level for groups with the poorest oral health and national dental care programmes for specific risk groups.”
- prioritization of poorest oral health»Tandvårdens finansiering ska stegvis göras mer lik den i övrig hälso- och sjukvård genom ökande subventionsgrad. De personer som har sämst munhälsa ska prioriteras.« (party programme ↗)“Dental care financing should gradually be made more similar to that in other healthcare through an increasing subsidy level. People with the poorest oral health should be prioritized.”
- dental care regardless of income»Ingen ska tvingas avstå från tandvård på grund av låg inkomst.« (party programme ↗)“No one should be forced to forgo dental care due to low income.”
The party programme requires that conditions for dental care to a greater extent shall resemble those for health and medical care otherwise and that everyone shall have access to good dental care.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires that conditions for dental care to a greater extent shall resemble those for health and medical care otherwise and that everyone shall have access to good dental care. To include dental care in the cost protection for health and medical care is precisely such an approximation. The election manifesto furthermore wants to lower the cost protection for dental care, and the plan establishes that access to necessary care must never become an economic question.
Original (Swedish)
Partiprogrammet kräver att villkoren för tandvård i högre utsträckning ska efterlikna dem för hälso- och sjukvården i övrigt och att alla ska ha tillgång till god tandvård. Att föra in tandvården i högkostnadsskyddet för hälso- och sjukvården är precis en sådan tillnärmning. Valmanifestet vill dessutom sänka högkostnadsskyddet för tandvård, och planen slår fast att tillgång till nödvändig vård aldrig får bli en ekonomisk fråga.
- dental care on healthcare's termsdecisive»efterlikna de för hälso- och sjukvården i övrigt. Alla ska ha tillgång till god tandvård.« (party programme ↗)“resemble those for health and medical care otherwise. Everyone shall have access to good dental care”
- lowered cost protection in dental care»Stärkt tandvård för äldre bland annat genom att sänka högkostnadsskyddet för tandvård.« (2022 manifesto ↗)“Strengthened dental care for the elderly among other things through lowering the cost protection for dental care”
- care according to need not wallet»Det får aldrig bli en ekonomisk fråga om man ska kunna få tillgång till den service,« (party programme ↗)“It must never become an economic question whether one shall be able to get access to the service,”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The party programme warns explicitly against the idea that welfare's safety net shall constantly be expanded and become more comprehensive, because it hollows out the core mission.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme warns explicitly against the idea that welfare's safety net shall constantly be expanded and become more comprehensive, because it hollows out the core mission. The election manifesto moreover requires that all new reforms are financed within the surplus target and that hard priorities are made. Bringing dental care into the high-cost protection is such a major expansion; the plan instead directs care resources toward queues, cancer care and child and adolescent psychiatry.
Original (Swedish)
Partiprogrammet varnar uttryckligen för föreställningen att välfärdens skyddsnät ständigt ska byggas ut och bli mer heltäckande, eftersom det urholkar kärnuppdraget. Valmanifestet kräver dessutom att alla nya reformer finansieras inom överskottsmålet och att hårda prioriteringar görs. Att föra in tandvården i högkostnadsskyddet är en sådan stor utvidgning; planen riktar i stället vårdresurser mot köer, cancervård och BUP.
- no constant welfare expansiondecisive»Ett långsiktigt hot mot den svenska välfärden är föreställningen om att den befinner sig i ett ständigt pågående skede« (party programme ↗)“A long-term threat to Swedish welfare is the idea that it finds itself in a constantly ongoing phase”
- financed reforms»Alla nya löften och reformer – som till exempel våra inkomstskattesänkningar – behöver finansieras eller rymmas inom överskottsmålet.« (2022 manifesto ↗)“All new promises and reforms – such as our income tax cuts – need to be financed or fit within the surplus target.”
- hard priorities»De stora behoven inom rättsväsendet, försvaret och välfärden ställer stora krav på prioriteringar under åren som kommer.« (2022 manifesto ↗)“The major needs within the justice system, defence and welfare place great demands on priorities in the years to come.”
- targeted care investments»Utöka kömiljarden genom att rikta särskilda prestationsbaserade resurser till köerna inom cancervården respektive barn- och ungdomspsykiatrin (BUP)« (2022 manifesto ↗)“Expand the queue fund by directing special performance-based resources to queues within cancer care and child and adolescent psychiatry (BUP) respectively”
The election manifesto explicitly establishes that all citizens shall be offered dental care on the same terms as other care and that the state shall take the same responsibility for oral and dental health as for other health.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly establishes that all citizens shall be offered dental care on the same terms as other care and that the state shall take the same responsibility for oral and dental health as for other health. The counter-proposal's demand to bring dental care into the high-cost protection for healthcare is precisely that commitment put into practice. A gradually expanded special compensation system does not fulfil the same-terms principle.
Original (Swedish)
Valmanifestet slår uttryckligen fast att alla medborgare ska erbjudas tandvård på samma villkor som annan vård och att det offentliga ska ta samma ansvar för mun- och tandhälsa som för annan hälsa. Motförslagets krav att föra in tandvården i högkostnadsskyddet för hälso- och sjukvården är just det åtagandet omsatt i praktiken. Ett stegvis utbyggt särskilt ersättningssystem uppfyller inte samma-villkor-principen.
- dental care on the same termsdecisive»Att alla medborgare ska erbjudas tandvård på samma villkor som annan vård« (2022 manifesto ↗)“That all citizens shall be offered dental care on the same terms as other care”
- public responsibility for dental health»Ambitionen ska vara att det offentliga ska ta samma ansvar för medborgarnas mun- och tandhälsa, som för annan hälsa.« (2022 manifesto ↗)“The ambition shall be that the state shall take the same responsibility for citizens' oral and dental health as for other health.”
- solidarity-financed care»hälso- och sjukvården ska vara solidariskt finansierad via skattsedeln, ges« (party programme ↗)“healthcare shall be funded in solidarity via taxation, provided”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
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Sources and documents
- The committee report on riksdagen.se (2025/26:SoU10)
- Committee report full text (HD01SoU10)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:3817 — med anledning av prop. 2025/26:27 Ett förstärkt högkostnadsskydd för tandvård av Karin Rågsjö m.fl. (V)
- Motion 2025/26:3821 — med anledning av prop. 2025/26:27 Ett förstärkt högkostnadsskydd för tandvård av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2025/26:3824 — med anledning av prop. 2025/26:27 Ett förstärkt högkostnadsskydd för tandvård av Nils Seye Larsen m.fl. (MP)
- Motion 2025/26:3825 — med anledning av prop. 2025/26:27 Ett förstärkt högkostnadsskydd för tandvård av Christofer Bergenblock m.fl. (C)
- Proposition 2025/26:27 — Ett förstärkt högkostnadsskydd för tandvård
Source: The Swedish Parliament