2024-06-122023/24:SoU13 · p.4SoUHealth & social services
The right to personal assistance
Follow-up on the right to personal assistance after the 2023 legislative changes
What's at stake: The decision affects people with extensive disabilities who depend on personal assistance to live their lives, including refugees and people in need of protection whose access to assistance can differ from others'. How quickly any shortcomings are addressed affects their daily lives and legal certainty in the meantime.
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 parliament should now call on the government to swiftly address deteriorations in the right to personal assistance and strengthen protection against discrimination for refugees and people in need of protection, or whether the matter should await the ongoing authority review of the 2023 legislative changes.
Yes Yes — the committee proposal
The committee does not think parliament needs to take any initiative, since the Swedish Social Insurance Inspectorate (ISF) already has a mandate to analyze how the 2023 legislative changes have affected the right to personal assistance - including legal certainty, equal treatment, quality of case processing and work against incorrect payments - and ISF's reporting and recommendations are being processed within the Government Offices.
No No — the reservations
Reservation 7 (MP)
The reservation (MP) argues that the government should swiftly address the recent deteriorations in access to personal assistance, that refugees and people in need of protection should not be discriminated against regarding access to personal assistance, and wants the government to review the relevant rules.
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 7 by MP.
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: LLiberalerna, SSocialdemokraterna, SDSverigedemokraterna, VVänsterpartiet
Ja 261–15Nej 76–200
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 | Yes 19/0/0/5 | differsagainst own programme | confidence: high | explicit |
| S | No | Yes 91/0/0/15 | differsagainst own programme | confidence: high | explicit |
| MP | No | No 0/15/0/3 | match | confidence: high | explicit |
| C | No | Abstain 1/0/20/3 | differs | confidence: medium | not addressed |
| L | No | Yes 12/0/0/4 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 16/0/0/3 | differs | confidence: medium | not addressed |
| M | No | Yes 58/0/0/10 | differs | confidence: low | not addressed |
| SD | No | Yes 63/0/0/9 | differsagainst own programme | confidence: high | explicit |
Broke with the party line
| CAlireza Akhondi (C, Stockholms län) | Yes — party line: Abstain |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
The Riksdag rejects the motions 2023/24:1032 by Åsa Karlsson and Helén Pettersson (both S), 2023/24:1882 by Ulrika Westerlund et al. (MP) point 7.2, 2023/24:2452 by Annika Hirvonen et al. (MP) point 16 and 2023/24:2481 by Martina Johansson et al. (C) point 48.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:1032 av Åsa Karlsson och Helén Pettersson (båda S), 2023/24:1882 av Ulrika Westerlund m.fl. (MP) yrkande 7.2, 2023/24:2452 av Annika Hirvonen m.fl. (MP) yrkande 16 och 2023/24:2481 av Martina Johansson m.fl. (C) yrkande 48.
Riksdag decision: The Riksdag directs two requests, so-called formal requests (tillkännagivanden), to the government. One concerns escort services for persons with visual impairment and the other concerns the fixed allowance for assistance compensation. The Riksdag believes that the government should review the conditions for free escort services for persons with visual impairment. The government should also review the conditions for regulating escort services in a special law. The Riksdag also wants to see changes concerning the fixed allowance for assistance compensation, including that the government should annually report how the amount has been calculated. The Riksdag also believes that the government should establish an investigation as soon as possible with the aim of developing a long-term sustainable financing model for assistance compensation that better takes into account the actual costs of different service providers. The Riksdag's proposal on formal requests came in connection with approximately 90 proposals in motions on support for persons with disabilities from the general motion period in 2023 being considered. The Riksdag proposes that the riksdag says no to other proposals in motions with reference to ongoing work. The proposals concern, among other things, rights and living conditions for persons with disabilities, interpreter services and car support.
Counter-proposals
- The counter-proposal wants the government to develop a national plan and long-term strategy to combat discrimination based on disability. (MP) — Reservation 7
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 party programme establishes that LSS services and personal assistance need to be developed so they genuinely cover needs, and the election manifesto that anyone living with a disability shall be able to rely on getting support without their right to participate being constantly made difficult.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that LSS services and personal assistance need to be developed so they genuinely cover needs, and the election manifesto that anyone living with a disability shall be able to rely on getting support without their right to participate being constantly made difficult. The counter-proposal requires urgent action against deteriorations in access to assistance, non-discrimination of people with protection needs and a review of the regulations. It aligns directly with the plan's commitment.
Original (Swedish)
Partiprogrammet slår fast att LSS-insatser och personlig assistans behöver utvecklas så att de på riktigt täcker behoven, och valmanifestet att den som lever med funktionsnedsättning ska kunna lita på att få stöd utan att rätten att delta ständigt försvåras. Motförslaget kräver skyndsamma åtgärder mot försämringar i tillgången till assistans, icke-diskriminering av personer med skyddsbehov och en översyn av regelverket. Det ligger direkt i linje med planens åtagande.
- assistance covering needsdecisive»lig assistans behöver utvecklas så att de på riktigt täcker behoven.« (party programme ↗)“al assistance need to be developed so they genuinely cover needs.”
- right to support and participation»På samma sätt ska du som lever med funktionsnedsättning kunna lita på att du får det stöd du behöver, och på att din rätt att delta i samhället på det sätt du vill inte ständigt ifrågasätts och försvåras.« (2022 manifesto ↗)“In the same way, you who live with a disability shall be able to rely on receiving the support you need, and that your right to participate in society in the way you wish is not constantly questioned and made difficult.”
- LSS as part of security»Tryggheten i ett samhälle hänger ihop med hur våra trygghetssystem fungerar – a-kassan, sjukförsäkringen, LSS och pensionerna.« (2022 manifesto ↗)“Security in a society hangs together with how our security systems work – unemployment insurance, sick leave insurance, LSS and pensions.”
- participation on equal terms»hället på samma villkor som alla andra och leva ett gott, självständigt« (party programme ↗)“ety on the same terms as everyone else and live a good, independent”
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 commits to securing the right to personal assistance and that people with disabilities should be able to live their lives like others.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly commits to securing the right to personal assistance and that people with disabilities should be able to live their lives like others. The counter-proposal's demands for urgent action against reduced access to assistance, against discrimination and for a review of the regulations are precisely that commitment translated into substance. The plan also wants to counter profit-seeking and criminal exploitation within the assistance system, which speaks for a stricter and more legally secure regulatory framework. The plan thus supports the counter-proposal.
Original (Swedish)
Valmanifestet åtar sig uttryckligen att säkra rätten till personlig assistans och att personer med funktionsnedsättning ska kunna leva sitt liv som andra. Motförslagets krav på skyndsamma åtgärder mot försämrad tillgång till assistans, mot diskriminering och på en översyn av regelverket är precis det åtagandet omsatt i sak. Planen vill dessutom motverka vinstjakt och kriminellt utnyttjande inom assistansen, vilket talar för ett skärpt och rättssäkert regelverk. Planen stöder därmed motförslaget.
- secure the right to assistancedecisive»Vi ska säkra rätten till personlig assistans och arbeta vidare med förslagen om att förbättra sjukersättningen.« (2022 manifesto ↗)“We shall secure the right to personal assistance and continue working on proposals to improve sickness benefits.”
- live like others»Personer med funktionsnedsättning ska kunna leva sitt liv som andra.« (2022 manifesto ↗)“People with disabilities should be able to live their lives like others.”
- counter profit-seeking in the assistance system»Vinstjakten inom assistansen ska motverkas, liksom att brukare eller personliga assistenter utnyttjas i kriminella syften.« (2022 manifesto ↗)“Profit-seeking within the assistance system should be countered, as should the exploitation of service users or personal assistants for criminal purposes.”
- equal participation for all»Vi socialdemokrater vill att alla ska ha lika förutsättningar och lika möjlighet till delaktighet« (party programme ↗)“We social democrats want everyone to have equal conditions and equal opportunity for participation”
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 demands that the Act on Support and Service for Persons with Certain Disabilities (LSS) is clarified and that state leadership is introduced in personal assistance so that people receive the support they are entitled to, and the party programme explicitly values the assistance reform and demands that assessment does not violate the individual.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands that the Act on Support and Service for Persons with Certain Disabilities (LSS) is clarified and that state leadership is introduced in personal assistance so that people receive the support they are entitled to, and the party programme explicitly values the assistance reform and demands that assessment does not violate the individual. The counter-proposal's demands for swift action against reduced access, non-discrimination and review of the rules lie directly in line with this.
Original (Swedish)
Valmanifestet kräver att LSS förtydligas och att statligt huvudmannaskap införs i den personliga assistansen så att människor får det stöd de har rätt till, och partiprogrammet värnar uttryckligen assistansreformen och kräver att prövningen inte kränker den enskilde. Motförslagets krav på skyndsamma åtgärder mot försämrad tillgång, ickediskriminering och översyn av regelverket ligger direkt i linje med detta.
- strengthened right to personal assistancedecisive»att lagen om stöd och service till vissa funktionshindrade (LSS) förtydligas och statligt huvudmannaskap införs i den personliga assistansen så att människor får det stöd de behöver och har rätt till.« (2022 manifesto ↗)“that the Act on Support and Service for Persons with Certain Disabilities (LSS) is clarified and state leadership is introduced in personal assistance so that people receive the support they need and are entitled to.”
- value the assistance reform»Vi värnar assistansreformen som möjliggör ett tillgängligt liv för den som har en funktionsnedsättning.« (party programme ↗)“We value the assistance reform which enables an accessible life for the person who has a disability.”
- lawful assistance assessment»Prövning av om någon är assistansberättigad får inte kränka den enskilde, och systemet behöver en långsiktigt trygg finansiering.« (party programme ↗)“Assessment of whether someone is entitled to assistance must not violate the individual, and the system needs long-term secure financing.”
- equivalent support across the country»förbättra stödet för personer med funktionsnedsättning och sällsynta diagnoser oavsett var du bor i landet.« (2022 manifesto ↗)“improve support for persons with disabilities and rare diagnoses regardless of where you live in the country.”
The manifesto promises that those with disabilities shall receive the support they need and that the state shall take greater responsibility for LSS to function, which is the core of the question of personal assistance.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The manifesto promises that those with disabilities shall receive the support they need and that the state shall take greater responsibility for LSS to function, which is the core of the question of personal assistance. The party programme states that accessibility is crucial and that no one shall be discriminated against. The requirement for swift measures against reduced access and a review of the legal framework follows from these commitments.
Original (Swedish)
Manifestet lovar att den som har en funktionsnedsättning ska få det stöd hen behöver och att staten ska ta ett större ansvar för att LSS fungerar, vilket är kärnan i frågan om personlig assistans. Partiprogrammet slår fast att tillgängligheten är avgörande och att ingen ska diskrimineras. Kravet på skyndsamma åtgärder mot försämrad tillgång och på en översyn av regelverket följer av dessa åtaganden.
- state responsibility for LSSdecisive»Du som har en funktionsnedsättning ska få det stöd du behöver, och staten ska ta ett större ansvar för att LSS fungerar.« (2022 manifesto ↗)“You who have a disability shall receive the support you need, and the state shall take greater responsibility for LSS to function.”
- full accessibility»Tillgängligheten är avgörande för människor med olika funktionsnedsättningar.« (party programme ↗)“Accessibility is crucial for people with various disabilities.”
- non-discrimination»Vi bekämpar alla strukturer, formella och informella, som förtrycker eller diskriminerar människor.« (party programme ↗)“We combat all structures, formal and informal, that oppress or discriminate against people.”
- shorter processing times»Ledtiderna för handläggning och myndighetsutövning i domstolar och myndigheter måste kortas och tillgången till ombud förbättras.« (2022 manifesto ↗)“Processing times for administration and official action in courts and authorities must be shortened and access to legal representation improved.”
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 the deficiencies in today's personal assistance allowance are so serious that a crisis commission is needed, and that fewer and fewer people have been granted personal assistance since 2014.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that the deficiencies in today's personal assistance allowance are so serious that a crisis commission is needed, and that fewer and fewer people have been granted personal assistance since 2014. The party programme requires that the personal right to assistance is protected in law and that consistency in assessments is improved. The counter-proposal's demands for prompt action against the deterioration and a review of the regulations lie directly in line with this.
Original (Swedish)
Planen slår fast att bristerna i dagens assistansersättning är så allvarliga att det krävs en kriskommission, och att allt färre beviljas personlig assistans sedan 2014. Partiprogrammet kräver att den personliga rättigheten till assistans värnas i lag och att likvärdigheten i bedömningarna förbättras. Motförslagets krav på skyndsamma åtgärder mot försämringarna och en översyn av regelverket ligger direkt i linje med detta.
- crisis commission for personal assistancedecisive»Bristerna i dagens assistansersättning – vårt viktigaste stöd till många med funktionsnedsättning – är så allvarliga att det krävs en kriskommission.« (2022 manifesto ↗)“The deficiencies in today's personal assistance allowance – our most important support for many people with disabilities – are so serious that a crisis commission is needed.”
- legally protected and consistent assistance»rättigheten till assistans ska värnas i lag och likvärdigheten i bedömningarna förbättras.« (party programme ↗)“the right to assistance shall be protected in law and consistency in assessments shall be improved.”
- reverse the decline in assistance»Sedan 2014 har det varje år blivit färre och färre personer med funktionsnedsättning som beviljas personlig assistans för att kunna leva som alla andra. Nu är det dags att ge friheten tillbaka.« (2022 manifesto ↗)“Since 2014, fewer and fewer people with disabilities have been granted personal assistance each year to be able to live like everyone else. Now it is time to give back freedom.”
- restore LSS basic intentions»Grundintentionerna i lagen om stöd och service (LSS) behöver återupprättas och lagen förtydligas« (party programme ↗)“The basic intentions of the Law on Support and Services (LSS) need to be restored and the law clarified”
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 wants to reduce the significance of disabilities through compensatory measures, establishes that negative differential treatment is discrimination that can never be tolerated and that the individual themselves shall determine who performs the service.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to reduce the significance of disabilities through compensatory measures, establishes that negative differential treatment is discrimination that can never be tolerated and that the individual themselves shall determine who performs the service. The election manifesto runs on self-determination for people with disabilities. Requirements for measures against diminished access to assistance and against discrimination thus align with the plan.
Original (Swedish)
Planen vill minska funktionsnedsättningens betydelse genom kompensatoriska insatser, slår fast att negativ särbehandling är diskriminering som aldrig kan tolereras och att den enskilde själv ska bestämma vem som utför tjänsten. Valmanifestet går till val på självbestämmande vid funktionsnedsättning. Krav på åtgärder mot försämrad tillgång till assistans och mot diskriminering ligger därför i planens linje.
- self-determination for people with disabilitiesdecisive»SJÄLVBESTÄMMANDE VID FUNKTIONSNEDSÄTTNING« (2022 manifesto ↗)“SELF-DETERMINATION FOR PEOPLE WITH DISABILITIES”
- protection against discrimination»Därför behöver det finnas en lagstiftning mot diskriminering.« (party programme ↗)“Therefore there needs to be legislation against discrimination.”
- compensatory measures»Här handlar det om att minska människors funktionsnedsättning i samhället.« (party programme ↗)“Here it is about reducing people's experience of disability in society.”
- choice in implementation»ska den enskilde själv få bestämma« (party programme ↗)“shall the individual themselves be able to determine”
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 personal assistance or LSS (Act on Support and Service for People with Certain Functional Impairments).
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan says nothing about personal assistance or LSS (Act on Support and Service for People with Certain Functional Impairments). The nearest principles are that the state has a responsibility for the person who for physical or mental reasons cannot work, that no one shall be left to their fate, and that public authority exercise shall be guided by equal treatment and predictability. These principles speak in favour of the counter-proposal's demands for measures against deteriorated access and against differential treatment.
Original (Swedish)
Planen säger ingenting om personlig assistans eller LSS. Närmast liggande principer är att staten har ett ansvar för den som av fysiska eller psykiska skäl inte kan arbeta, att ingen ska lämnas åt sitt öde, och att offentlig maktutövning ska vägledas av likabehandling och förutsebarhet. Dessa principer talar för motförslagets krav på åtgärder mot försämrad tillgång och mot särbehandling.
- state responsibility for those unable to workdecisive»skäl inte kan arbeta har staten ett ansvar.« (party programme ↗)“reasons cannot work, the state has a responsibility.”
- no one left to their fate»hon är också garanterad att inte lämnas åt sitt öde.« (party programme ↗)“he is also guaranteed not to be left to his fate.”
- equal treatment and predictability»principer om likabehandling och förutsebarhet.« (party programme ↗)“principles of equal treatment and predictability.”
- swift government administration»Korta myndigheternas handläggningstider genom en bortre tidsgräns« (2022 manifesto ↗)“Reduce government agencies' processing times through a backstop deadline”
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 the party strongly opposed cuts within LSS (Act Concerning Support and Service for Persons with Certain Functional Impairments) and that the regulatory framework needs to be changed to stop the restrictions that have continued in recent years.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that the party strongly opposed cuts within LSS (Act Concerning Support and Service for Persons with Certain Functional Impairments) and that the regulatory framework needs to be changed to stop the restrictions that have continued in recent years. It also wants all basic needs to be assistance-grounding in their entirety and that the person who needs support receives it. The counter-proposal's demand for urgent action against the deteriorations and a review of the regulatory framework follows from the plan.
Original (Swedish)
Planen slår fast att partiet starkt motsatt sig sparkraven inom LSS och att regelverket behöver ändras för att stoppa de inskränkningar som pågått de senaste åren. Den vill också att samtliga grundläggande behov ska vara assistansgrundande i sin helhet och att den som behöver stöd får det. Motförslagets krav på skyndsamma åtgärder mot försämringarna och en översyn av regelverket följer därmed planen.
- stop LSS restrictionsdecisive»Regelverket för LSS behöver ändras och förtydligas för att stoppa de kraftiga inskränkningar som pågått de senaste åren.« (2022 manifesto ↗)“The regulatory framework for LSS needs to be changed and clarified to stop the severe restrictions that have continued in recent years.”
- opposition to cuts»Sverigedemokraterna har starkt motsatt sig sparkraven inom LSS.« (2022 manifesto ↗)“Sweden Democrats have strongly opposed cuts within LSS.”
- all basic needs»Att samtliga grundläggande behov ska vara assistansgrundande i sin helhet« (2022 manifesto ↗)“That all basic needs shall be assistance-grounding in their entirety”
- national LSS improvement»Se ett nationellt LSS-lyft« (2022 manifesto ↗)“See a national LSS improvement”
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 (2023/24:SoU13)
- Committee report full text (HB01SoU13)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1032 — Rättvis personkretsbedömning av Åsa Karlsson och Helén Pettersson (båda S)
- Motion 2023/24:1254 — Översyn av hjälpmedel och bostadsanpassning av Martina Johansson (C)
- Motion 2023/24:1311 — Stärkt förutsägbarhet och likvärdighet i den s.k. habiliteringsersättningen av Hanna Westerén (S)
- Motion 2023/24:1659 — Sällsynta diagnoser av Alexandra Völker (S)
- Motion 2023/24:1820 — Hjälpmedel vid funktionsnedsättning av Anne-Li Sjölund (C)
- Motion 2023/24:1830 — Habiliteringsersättningen av Tomas Eneroth och Monica Haider (båda S)
- Motion 2023/24:1860 — Rätten till likvärdig habiliteringsersättning av Isak From och Åsa Karlsson (båda S)
- Motion 2023/24:1882 — Förstärkt personlig assistans av Ulrika Westerlund m.fl. (MP)
- Motion 2023/24:1916 — Högkostnadsskydd för hjälpmedel till personer med funktionsvariation av Magnus Manhammar (S)
- Motion 2023/24:1917 — En nationell hjälpmedelscentral av Magnus Manhammar (S)
- Motion 2023/24:1921 — Funktionsrättskonventionen av Magnus Manhammar (S)
- Motion 2023/24:2015 — Säkrad rätt till ledsagarinsatser av Ida Karkiainen (S)
- Motion 2023/24:2018 — Stärkt anhörigstöd för föräldrar till funktionsnedsatta barn av Sanna Backeskog (S)
- Motion 2023/24:2071 — Inkludering av döva, blinda och dövblinda av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:210 — Ett enhetligt fritidsintyg för barn med funktionsnedsättning av Ulrika Westerlund och Annika Hirvonen (båda MP)
- Motion 2023/24:2204 — Förhindrande av fusk inom assistansersättningar av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2248 — Språkutbildning för arbete inom LSS av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2283 — Statligt ansvar för LSS av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2307 — Ledarhund som trygghet för synskadade av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2365 — Ett nationellt kompetenscentrum för frågor om intellektuell funktionsnedsättning (IF) och autism av Jim Svensk Larm m.fl. (S)
Source: The Swedish Parliament