2025-11-192025/26:SoU8 · p.2SoUHealth & social services
Penalty fee for reportable activities
Sanction fee for notification-obligated care and social-service activity run by municipalities and the state
What's at stake: The decision determines whether the same financial sanction tool for shortcomings in supervised care activity should apply equally regardless of whether the activity is run privately or by a municipality or the state, for example at special youth homes run by the Swedish National Board of Institutional Care (Sis). It affects how evenly requirements on quality and background checks can be enforced across different providers.
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 new sanction fee for notification-obligated care and social-service activity should also be able to cover activity run by municipalities and the state, or whether it should continue to apply only to activity requiring a permit, in practice private providers.
Yes Yes — the committee proposal
The committee rejects the motion calling for an inquiry into extending the sanction fee to notification-obligated activity run by municipalities and the state. The reason is that the activity run by municipalities and Sis is not subject to a permit requirement, that the government's sanction-fee proposal concerns precisely permit-obligated activity, and that there is no preparatory basis for extending the sanction fee in the way the motion calls for.
No No — the reservations
Reservation 1 (C)
The reservation (C) calls for the government to investigate the possibility of also imposing the sanction fee on notification-obligated activity run by municipalities and the state. The reasoning is that care and social services should be of high quality regardless of whether they are run publicly or privately, and that it is an unreasonable arrangement for compliance requirements to differ depending on the provider.
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 C.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: LLiberalerna
Ja 279–19Ja 266–32
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 18/0/0/4 | differs | confidence: low | not addressed |
| S | No | Yes 93/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | Yes 15/0/0/3 | differs | confidence: medium | not addressed |
| C | No | No 0/19/0/5 | match | confidence: medium | not addressed |
| L | No | Yes 13/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| KD | No | Yes 16/0/0/3 | differs | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 61/0/0/11 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects motion 2025/26:1964 by Christofer Bergenblock et al. (C) proposition 3.
Original (Swedish)
Riksdagen avslår motion 2025/26:1964 av Christofer Bergenblock m.fl. (C) yrkande 3.
Riksdag decision: The Riksdag approved the government's proposal to give the Inspectorate for Health and Social Care (IVO) more tools to intervene against unscrupulous and criminal actors in health and social care. This concerns private companies and other legal entities that operate group homes, home care services or work in personal assistance. The government's proposal means among other things that licenses for activities that have not been used for six months may be revoked activities conducted unlawfully may be prohibited persons who conduct activities despite a prohibition may be fined it is clarified that the legal entity applying for a license must undergo a suitability assessment municipalities may report such activities that require a license to IVO if there are suspicions of serious deficiencies. The purpose of the government's proposal is to strengthen supervision and secure the right to good health and social care. The legislative changes shall enter into force on 1 January 2026.
Counter-proposals
- The counter-proposal wants sanction fees to also be imposed for notifiable activities within municipalities and state. (C) — 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 states that welfare is society's responsibility and that policy's task is to ensure that it functions and reaches everyone, and it wants to invest in higher quality in care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that welfare is society's responsibility and that policy's task is to ensure that it functions and reaches everyone, and it wants to invest in higher quality in care. That requirements for compliance would be weaker when the municipality or state is the provider sits ill with this, and the plan generally wants greater public oversight where needed to address shortcomings. The position is however derived from general commitments and therefore uncertain.
Original (Swedish)
Planen slår fast att välfärden är samhällets ansvar och att politikens uppgift är att se till att den fungerar och kommer alla till del, och den vill investera i högre kvalitet i omsorgen. Att kraven på efterlevnad skulle vara svagare när kommunen eller staten är utförare rimmar illa med det, och planen vill generellt ha större samhällelig insyn där det behövs för att komma åt brister. Ställningstagandet är dock härlett ur allmänna åtaganden och därför osäkert.
- welfare is society's responsibilitydecisive»Välfärden är samhällets ansvar och borde styras demokratiskt. Det är politikens uppgift att se till att den fungerar, kommer alla till del och att de anställda ges inflytande.« (2022 manifesto ↗)“Welfare is society's responsibility and should be run democratically. It is policy's task to ensure that it functions, reaches everyone and that employees are given influence.”
- higher quality in care»Vi vill investera i högre kvalitet i omsorgen för äldre och personer med funktionsnedsättning för att få en bättre rollfördelning mellan professionell omsorg och anhöriga.« (party programme ↗)“We want to invest in higher quality in care for the elderly and people with disabilities to get a better division of roles between professional care and relatives.”
- oversight and compliance»Vi vill gå mot en större samhällelig insyn i företag där det behövs för att stävja fusk med till exempel skatter och anställningar.« (party programme ↗)“We want to move towards greater public oversight in companies where it is needed to prevent fraud with for example taxes and employment.”
flags: 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 states equal right for all to good healthcare through public provision and that welfare shall be directed by citizens' needs, not market logic.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states equal right for all to good healthcare through public provision and that welfare shall be directed by citizens' needs, not market logic. Requirements for compliance should then not be weaker for public providers than for private ones. The election manifesto also wants to increase oversight to guarantee quality. Investigating penalty fees also for municipal and state reporting activities is therefore supported.
Original (Swedish)
Planen slår fast lika rätt för alla till god vård genom samhällets försorg och att välfärden ska styras utifrån medborgarnas behov, inte marknadslogik. Kraven på efterlevnad bör då inte vara svagare för offentliga utförare än för privata. Valmanifestet vill dessutom växla upp tillsynen för att garantera kvaliteten. Att utreda sanktionsavgift även för anmälningspliktig kommunal och statlig verksamhet stöds därför.
- equal right to good healthcaredecisive»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good healthcare through public provision.”
- increased oversight»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Oversight of healthcare shall be increased to guarantee quality.”
- needs-directed welfare»Styrning och fördelning av välfärden utifrån medborgarnas behov, inte marknadens« (party programme ↗)“Direction and distribution of welfare according to citizens' needs, not the market's”
- democratic control over welfare»Demokratisk kontroll över välfärden och samhällsviktiga funktioner.« (party programme ↗)“Democratic control over welfare and societally important functions.”
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 children placed in care do not always receive the care they need and that welfare shall be built on solidarity with people's needs at the centre.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that children placed in care do not always receive the care they need and that welfare shall be built on solidarity with people's needs at the centre. That requirements for compliance shall be the same regardless of whether activities are run by municipality, state or private follows from the fact that quality, not the provider, is what should govern. The counter-proposal's demand that penalty fees for notification-required activities be investigated is therefore in line with the plan.
Original (Swedish)
Planen slår fast att barn som placeras i samhällets vård inte alltid får den omsorg de behöver och att välfärden ska byggas på solidaritet med människors behov i centrum. Att kraven på efterlevnad ska vara desamma oavsett om verksamheten drivs av kommun, stat eller privat följer av att kvaliteten, inte utföraren, är det som ska styra. Motförslagets krav på att sanktionsavgift för anmälningspliktig verksamhet utreds ligger därför i linje med planen.
- secure care for childrendecisive»Barn som placeras i samhällets vård får inte alltid den omsorg« (party programme ↗)“Children placed in care do not always receive the care”
- solidarity-based welfare»Välfärden ska byggas utifrån solidaritet, inte marknadslogik.« (party programme ↗)“Welfare shall be built on solidarity, not market logic.”
- needs-driven care»Människor med störst behov ska prioriteras.« (party programme ↗)“People with the greatest needs shall be prioritized.”
- intensified oversight against untrustworthy actors»stoppa finansieringen av de kriminella gängen genom att stärka myndighetssamverkan« (2022 manifesto ↗)“stop the financing of criminal gangs by strengthening inter-agency cooperation”
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 publicly funded welfare must maintain the same good quality for all regardless of whether it is delivered by municipalities, businesses or associations, and that the regulations shall be competition-neutral.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states that publicly funded welfare must maintain the same good quality for all regardless of whether it is delivered by municipalities, businesses or associations, and that the regulations shall be competition-neutral. That penalty fees can be levied on private providers but not on municipal and state providers violates this equal treatment. Investigating an expansion is therefore in line with the plan.
Original (Swedish)
Planen slår fast att den offentligt finansierade välfärden ska hålla samma goda kvalitet för alla oavsett om den utförs av kommuner, företag eller föreningar, och att regelverken ska vara konkurrensneutrala. Att sanktionsavgift kan tas ut av privata men inte av kommunala och statliga utförare bryter mot den likabehandlingen. Att utreda en utvidgning ligger därför i linje med planen.
- equal treatment of providersdecisive»Oavsett om den offentligt finansierade välfärden utförs av kommuner, landsting, företag, kooperativ eller föreningar måste berörda människors behov och valfrihet stå i centrum.« (party programme ↗)“Regardless of whether publicly funded welfare is delivered by municipalities, county councils, businesses, cooperatives or associations, affected people's needs and freedom of choice must be central.”
- same quality standards for all»Det som det offentliga finansierar ska vara likvärdigt för alla och med samma goda kvalitet till alla.« (party programme ↗)“What the public finances must be equivalent for all and with the same good quality for all.”
- competition-neutral regulations»Viktigt är också att näringslivet får konkurrensneutrala regelverk« (party programme ↗)“It is also important that business gets competition-neutral regulations”
- high quality requirements and tightened oversight»Vi vill bland annat se höga kvalitetskrav för fortsatt verksamhet och vinstutdelning, och vi vill skärpa tillsynen av skolor och deras ägare.« (2022 manifesto ↗)“We among other things want to see high quality requirements for continued operation and profit distribution, and we want to tighten oversight of schools and their owners.”
The plan establishes that private and public providers shall operate on equal terms and be subject to the same reimbursement rules and quality requirements, and that anyone who falls seriously short shall not be permitted to conduct activity in the welfare sector.
Plan documents: party programme
Reasoning and quotes
The plan establishes that private and public providers shall operate on equal terms and be subject to the same reimbursement rules and quality requirements, and that anyone who falls seriously short shall not be permitted to conduct activity in the welfare sector. The counter-proposal's demand to investigate sanction fees even for municipal and state mandated reporting activities is exactly an application of that equal treatment principle. The plan also wants oversight to be conducted in state management based on nationally established quality standards.
Original (Swedish)
Planen slår fast att privata och offentliga utförare ska verka på lika villkor och omfattas av samma ersättningsregler och kvalitetskrav, och att den som brister allvarligt inte ska få bedriva verksamhet i välfärdssektorn. Motförslagets krav på att sanktionsavgift utreds även för kommunal och statlig anmälningspliktig verksamhet är just en tillämpning av den likabehandlingsprincipen. Planen vill dessutom att tillsynen sker i statlig regi utifrån nationellt fastställda kvalitetsnormer.
- equal terms for providersdecisive»Privata och offentliga utförare ska verka på lika villkor och ska omfattas av samma« (party programme ↗)“Private and public providers shall operate on equal terms and shall be subject to the same”
- sanctions for serious shortfalls»skyldig till allvarliga brister ska inte ha tillstånd att bedriva verksamhet inom välfärdssektorn.« (party programme ↗)“liable for serious shortfalls shall not be permitted to conduct activity in the welfare sector.”
- state oversight based on national standards»Tillsynen ska ske i statlig regi utifrån nationellt fastställda kvalitetsnormer.« (party programme ↗)“Oversight shall be conducted in state management based on nationally established quality standards.”
- same requirements regardless of provider type»som fristående, som inte klarar kvalitetskraven ska stängas.« (party programme ↗)“as independent, which do not meet quality requirements shall be closed.”
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 establishes that welfare services in private provision must be given the same conditions as activities in public provision, which presupposes that compliance requirements are the same regardless of provider.
Plan documents: party programme
Reasoning and quotes
The party programme establishes that welfare services in private provision must be given the same conditions as activities in public provision, which presupposes that compliance requirements are the same regardless of provider. The counter-proposal's requirement to investigate penalty charges also for municipal and state-operated reportable activities is an application of that principle. The plan also emphasizes that quality control and monitoring are a central political task and that public, non-profit and private activities must complement each other.
Original (Swedish)
Partiprogrammet slår fast att välfärdstjänster i enskild regi ska ges lika förutsättningar som verksamhet i offentlig regi, vilket förutsätter att kraven på efterlevnad är desamma oavsett huvudman. Motförslagets krav på att utreda sanktionsavgift även för kommunal och statlig anmälningspliktig verksamhet är en tillämpning av den principen. Planen betonar dessutom att kvalitetskontroll och uppföljning är en central politisk uppgift och att offentlig, ideell och privat verksamhet ska komplettera varandra.
- equal terms for all providersdecisive»ges lika förutsättningar som tjänster producerade i offentlig regi« (party programme ↗)“given the same conditions as services produced in public provision”
- quality control in welfare»kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska uppgifter« (party programme ↗)“cost monitoring and quality control are therefore important political tasks”
- diversity of providers»Offentlig, ideell och privat verksamhet ska komplettera varandra.« (party programme ↗)“Public, non-profit and private activities must complement each other.”
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 rests on the principle that the same quality requirements shall apply regardless of who operates the activity; in schools, this is expressed as schools that do not function shall be closed regardless of management form, and the same requirements shall apply to social services.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan rests on the principle that the same quality requirements shall apply regardless of who operates the activity; in schools, this is expressed as schools that do not function shall be closed regardless of management form, and the same requirements shall apply to social services. Investigating sanctions also for municipal and state-regulated activities follows from that equal treatment principle. The plan therefore supports the counter-proposal's requirement.
Original (Swedish)
Planen bygger på att samma kvalitetskrav ska gälla oavsett vem som driver verksamheten; i skolan uttrycks det som att skolor som inte fungerar ska stängas oavsett huvudman, och samma krav ska kunna ställas på omsorgen. Att utreda sanktionsavgift även för kommunal och statlig anmälningspliktig verksamhet följer av den likabehandlingsprincipen. Planen ger därför stöd åt motförslagets krav.
- equal requirements regardless of management formdecisive»fungerar – oavsett huvudman – ska stängas.« (party programme ↗)“function – regardless of management form – shall be closed.”
- same requirements on social services»Samma krav ska naturligtvis kunna ställas på äldreomsorgen, när den behövs på ålderns höst.« (2022 manifesto ↗)“The same requirements can naturally be placed on elderly care, when needed in old age.”
- quality in healthcare»Svensk sjukvård ska präglas av kvalitet, tillgänglighet och« (party programme ↗)“Swedish healthcare shall be characterized by quality, accessibility and”
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 party programme establishes that tax-financed private actors shall be equal to public actors and that no intrinsic value is placed in who operates the activity as long as quality is good.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that tax-financed private actors shall be equal to public actors and that no intrinsic value is placed in who operates the activity as long as quality is good. The counter-proposal's demand that sanction charges are also investigated for municipal and state reportable activities follows from that equal treatment principle. According to the plan, national quality requirements must not be undershooted regardless of operator.
Original (Swedish)
Partiprogrammet slår fast att skattefinansierade privata aktörer ska vara jämställda offentliga aktörer och att inget egenvärde läggs i vem som driver verksamheten så länge kvaliteten är god. Motförslagets krav på att sanktionsavgift utreds även för kommunal och statlig anmälningspliktig verksamhet följer av den likabehandlingsprincipen. Nationella kvalitetskrav får enligt planen inte underskridas oavsett utförare.
- equal conditions for operatorsdecisive»Privata aktörer som är skattefinansierade ska vara jämställda offentliga aktörer.« (party programme ↗)“Private actors that are tax-financed shall be equal to public actors.”
- quality regardless of operating form»Vi lägger inget egenvärde i vem som driver sjukvården, vår ledstjärna är bästa möjliga vård per krona, oavsett om vården drivs i offentlig eller privat regi.« (party programme ↗)“We place no intrinsic value in who runs healthcare, our guiding star is the best possible care per krona, regardless of whether care is run in public or private operation.”
- national quality requirements»Nationella kvalitetskrav inom vård och omsorg måste finnas och får inte underskridas.« (party programme ↗)“National quality requirements in care and elderly care must exist and must not be undershooted.”
- results requirement»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for each public initiative”
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 (2025/26:SoU8)
- Committee report full text (HD01SoU8)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:1038 — med anledning av prop. 2025/26:15 Skarpare verktyg till Inspektionen för vård och omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2025/26:1964 — med anledning av prop. 2025/26:15 Skarpare verktyg till Inspektionen för vård och omsorg av Christofer Bergenblock m.fl. (C)
- Proposition 2025/26:15 — Skarpare verktyg till Inspektionen för vård och omsorg
Source: The Swedish Parliament