2025-03-192024/25:SoU15 · p.7SoUHealth & social services
Right to personal assistance during hospital care
Right to personal assistance during hospital stays
What's at stake: Assistance compensation is generally not paid out during a hospital stay today, which can force assistance providers to lay off assistants for lack of hourly compensation. The person affected then risks being left without personal assistants after the hospital stay, which according to the motions leads some to avoid necessary hospital care for fear of losing their assistance.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The motions called for the government to review the rules so that people entitled to personal assistance do not lose it during a hospital stay, while the committee held that parliament did not need to take its own initiative on the matter.
Yes Yes — the committee proposal
The committee welcomes the fact that the question of state principal responsibility for personal assistance is being processed within the Government Offices and that the government intends to take measures to ensure that people entitled to assistance have their needs met, and on that basis does not consider that parliament needs to take any initiative regarding the motions on the right to personal assistance during hospital stays.
No No — the reservations
Reservation 9 (SD)
The reserving party (SD) stresses that a hospital stay can have devastating consequences if no assistance compensation is paid, since the employer may be forced to lay off assistants for lack of hourly compensation, leaving the person without personal assistants afterwards. Many people who need assistance become very worried about this and may avoid necessary hospital care for fear of temporarily losing their assistance. The party wants the government to review the rules on assistance during hospital stays.
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 9 by SD.
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: VVänsterpartiet
Ja 206–63Ja 185–84
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 21/0/0/3 | differsagainst own programme | confidence: high | explicit |
| S | No | Yes 92/0/0/14 | differs | confidence: medium | not addressed |
| MP | No | Abstain 0/0/16/2 | differs | confidence: high | derived |
| C | No | Abstain 0/0/20/4 | differs | confidence: medium | derived |
| L | No | Yes 15/0/0/1 | differs | confidence: high | derived |
| KD | No | Yes 17/0/0/2 | differs | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | differs | confidence: low | not addressed |
| SD | No | No 0/62/0/10 | match | confidence: medium | derived |
Committee proposal
The Riksdag rejects the motions 2024/25:2951 by Martina Johansson et al. (C) clause 51 in this respect, 2024/25:3029 by Carina Ståhl Herrstedt et al. (SD) clause 1 and 2024/25:3054 by Ulrika Westerlund et al. (MP) clause 7 in this respect.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:2951 av Martina Johansson m.fl. (C) yrkande 51 i denna del, 2024/25:3029 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 1 och 2024/25:3054 av Ulrika Westerlund m.fl. (MP) yrkande 7 i denna del.
Riksdag decision: The Riksdag rejected approximately 130 proposals on support for persons with disabilities in motions from the general motion period 2024. The proposals concern, among other things, rights and living conditions for persons with disabilities, rehabilitation, assistive devices, and car assistance. The Riksdag refers, among other things, to ongoing work in the area.
Counter-proposals
- The counter-proposal wants the government to ensure improved opportunities for education and support in the use of braille. (SD) — Reservation 9
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 establishes that those living with disability shall be able to trust that they receive the support they need and that LSS (support and service for people with certain functional impairments) and personal assistance shall be developed so that they genuinely cover the needs.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that those living with disability shall be able to trust that they receive the support they need and that LSS (support and service for people with certain functional impairments) and personal assistance shall be developed so that they genuinely cover the needs. A rule that causes assistance to lapse during hospital stays is precisely such a gap. A review of the regulation therefore directly follows from the plan's commitment.
Original (Swedish)
Planen slår fast att den som lever med funktionsnedsättning ska kunna lita på att få det stöd som behövs och att LSS och personlig assistans ska utvecklas så att de på riktigt täcker behoven. En regel som gör att assistansen faller bort vid sjukhusvistelse är just en sådan lucka. En översyn av regelverket följer därför direkt av planens åtagande.
- reliable support for disabilitydecisive»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 ↗)“Similarly, you who live with disability shall be able to trust that you get the support you need, and that your right to participate in society in the way you want is not constantly questioned and made difficult.”
- assistance that covers needs»behöver utvecklas så att de på riktigt täcker behoven.« (party programme ↗)“need to be developed so that they genuinely cover the needs.”
- 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 is connected to how our security systems function – unemployment insurance, sickness insurance, LSS and pensions.”
- support when need exists»Alla ska känna sig trygga i att det finns stöd att få när vi behöver det.« (party programme ↗)“Everyone shall feel secure that there is support to get when we need it.”
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's decisive commitment is to secure the right to personal assistance and that persons with disabilities should be able to live their lives like others.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's decisive commitment is to secure the right to personal assistance and that persons with disabilities should be able to live their lives like others. A rule that in practice makes the individual risk being without their assistants after a hospital visit undermines precisely that right, which is why a review of the regulations aligns with the plan. Hospital visits are not explicitly addressed, so the conclusion is inferred.
Original (Swedish)
Planens avgörande åtagande är att säkra rätten till personlig assistans och att personer med funktionsnedsättning ska kunna leva sitt liv som andra. En regel som i praktiken gör att den enskilde riskerar att stå utan sina assistenter efter en sjukhusvistelse urholkar just den rätten, varför en översyn av regelverket ligger i linje med planen. Sjukhusvistelse behandlas inte uttryckligen, så slutsatsen är härledd.
- secured 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 work with proposals to improve sickness benefits.”
- equal living conditions»Personer med funktionsnedsättning ska kunna leva sitt liv som andra.« (2022 manifesto ↗)“Persons with disabilities shall be able to live their lives like others.”
- full mobility regardless of function»funktionsförmåga, har rätt till arbete, eget boende, full rörelsefrihet och ett aktivt liv.« (party programme ↗)“functional capacity, has the right to work, own housing, full mobility and an active life.”
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 election manifesto demands that the Act concerning Support and Service for Persons with Certain Functional Impairments (LSS) be clarified and that government ownership be introduced in personal assistance so that people get the support they are entitled to.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands that the Act concerning Support and Service for Persons with Certain Functional Impairments (LSS) be clarified and that government ownership be introduced in personal assistance so that people get the support they are entitled to. The party programme values the assistance reform and demands long-term secure funding. A gap that forces the employer to terminate assistants during hospital stays contradicts this, which is why a review of the regulations is supported.
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. Partiprogrammet värnar assistansreformen och kräver en långsiktigt trygg finansiering. Ett glapp som tvingar arbetsgivaren att säga upp assistenter vid sjukhusvistelse strider mot detta, varför en översyn av regelverket stöds.
- clarified LSS and government ownershipdecisive»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 concerning Support and Service for Persons with Certain Functional Impairments (LSS) be clarified and that government ownership be introduced in personal assistance so that people get the support they need and are entitled to.”
- valued 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 someone with a functional impairment.”
- secure funding of assistance»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 funding.”
- improved support for functional impairments»förbättra stödet för personer med funktionsnedsättning och sällsynta diagnoser oavsett var du bor i landet.« (2022 manifesto ↗)“improve support for people with functional impairments and rare diagnoses regardless of where you live in the country.”
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 election manifesto states that anyone with a disability should receive the support they need and that the state should take greater responsibility for LSS to function.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that anyone with a disability should receive the support they need and that the state should take greater responsibility for LSS to function. A review that ensures that assistance does not disappear during hospital stays follows directly from that commitment. The party programme moreover emphasises support based on need and enforceable rights, whereas assistance during hospital stays is not specifically mentioned.
Original (Swedish)
Valmanifestet slår fast att den som har en funktionsnedsättning ska få det stöd som behövs och att staten ska ta ett större ansvar för att LSS fungerar. En översyn som säkrar att assistansen inte faller bort vid sjukhusvistelse följer direkt av det åtagandet. Partiprogrammet betonar dessutom stöd efter behov och utkrävbara rättigheter, medan assistans vid sjukhusvistelse inte nämns särskilt.
- 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 should get the support you need, and the state should take greater responsibility for LSS to function.”
- support based on need»måste ha inflytande över sitt liv och få det stöd som behövs.« (party programme ↗)“must have influence over their lives and receive the support they need.”
- enforceable rights»Vi vill se en rättighetslagstiftning, ett tydligt samhällskontrakt med utkrävbara rättigheter.« (party programme ↗)“We want to see a rights-based legislation, a clear social contract with enforceable rights.”
- full accessibility»Tillgängligheten är avgörande för människor med olika funktionsnedsättningar.« (party programme ↗)“Accessibility is crucial for people with different disabilities.”
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 describes the shortcomings in today's assistance benefit as so serious that a crisis commission is required and wants to protect the personal right to assistance in law with more equitable assessments.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan describes the shortcomings in today's assistance benefit as so serious that a crisis commission is required and wants to protect the personal right to assistance in law with more equitable assessments. A rule that makes assistants risk being laid off during hospitalization is precisely such a shortcoming, which is why a review of the regulations follows from the plan. The plan also requires that the state assumes overall responsibility for assistance.
Original (Swedish)
Planen beskriver bristerna i dagens assistansersättning som så allvarliga att en kriskommission krävs och vill värna den personliga rättigheten till assistans i lag med mer likvärdiga bedömningar. En regel som gör att assistenterna riskerar att sägas upp vid sjukhusvistelse är precis en sådan brist, varför en översyn av regelverket följer av planen. Planen kräver dessutom att staten tar det samlade huvudmannaskapet för assistansen.
- crisis in assistance benefitdecisive»Bristerna i dagens assistansersättning – vårt viktigaste stöd till många med funktionsnedsättning – är så allvarliga att det krävs en kriskommission.« (2022 manifesto ↗)“The shortcomings in today's assistance benefit — our most important support for many with disabilities — are so serious that a crisis commission is required.”
- assistance right protected in law»rättigheten till assistans ska värnas i lag och likvärdigheten i bedömningarna förbättras.« (party programme ↗)“the right to assistance shall be protected in law and equity in assessments shall be improved.”
- state responsibility»ha det samlade huvudmannaskapet för den personliga assistansen.« (party programme ↗)“have overall responsibility for personal assistance.”
- restore LSS»Grundintentionerna i lagen om stöd och service (LSS) behöver återupprättas och lagen förtydligas« (party programme ↗)“The basic intentions of the Act on Support and Service (LSS) need to be restored and the law clarified”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan requires that support and services for people with disabilities are designed according to the individual's needs and that a rights act should provide good living conditions.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that support and services for people with disabilities are designed according to the individual's needs and that a rights act should provide good living conditions. That assistance ceases during hospital stay is precisely the kind of shortcoming that society according to the plan should compensate for. A review of the regulatory framework thus follows from the plan's commitments, even though hospital stay specifically is not mentioned.
Original (Swedish)
Planen kräver att stöd och service till personer med funktionsnedsättning utformas efter den enskildes behov och att en rättighetslag ska ge goda levnadsvillkor. Att assistansen faller bort vid sjukhusvistelse är precis en sådan brist som samhället enligt planen ska kompensera. En översyn av regelverket följer därför av planens åtaganden, även om just sjukhusvistelse inte nämns.
- individually adapted supportdecisive»service av olika slag ska utformas efter den enskildes« (party programme ↗)“service of various kinds shall be designed according to the individual's”
- rights act for good living conditions»en rättighetslag som skapar förutsättningar för« (party programme ↗)“a rights act that creates the preconditions for”
- compensatory interventions»Här handlar det om att minska människors funktionsnedsättning i samhället.« (party programme ↗)“Here it is about reducing people's disability in society.”
- self-determination with disabilities»SJÄLVBESTÄMMANDE VID FUNKTIONSNEDSÄTTNING« (2022 manifesto ↗)“SELF-DETERMINATION WITH DISABILITIES”
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 does not address personal assistance, but establishes that the state has a responsibility for those who fall through and that citizens should be able to expect access to care when they need it.
Plan documents: party programme
Reasoning and quotes
The plan does not address personal assistance, but establishes that the state has a responsibility for those who fall through and that citizens should be able to expect access to care when they need it. A rule that causes those entitled to assistance to refrain from necessary hospital care contradicts that principle. A review of the regulations therefore follows from the nearest commitment.
Original (Swedish)
Planen behandlar inte personlig assistans, men slår fast att staten har ett ansvar för den som faller igenom och att medborgarna ska kunna förvänta sig tillgång till vård när de behöver den. En regel som gör att assistansberättigade avstår från nödvändig sjukhusvård strider mot den principen. En översyn av regelverket följer därför av närmast liggande åtagande.
- access to care when neededdecisive»Medborgarna ska kunna förvänta sig tillgång till« (party programme ↗)“Citizens should be able to expect access to”
- safety net for vulnerable»Det ska alltid finnas en väg tillbaka för den som misslyckats« (party programme ↗)“There should always be a way back for those who have failed”
- barriers in welfare should be removed»Köer till välfärdstjänster är ett misslyckande och uttryck för såväl misshushållning som bristande« (party programme ↗)“Queues for welfare services are a failure and expression of both mismanagement and deficiency”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan's core LSS commitment is that those in need of support shall also receive it and that the rules shall be changed to stop the restrictions that have occurred.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan's core LSS commitment is that those in need of support shall also receive it and that the rules shall be changed to stop the restrictions that have occurred. A review of assistance during hospital stays, so that the individual does not risk losing their assistants, aligns directly with that commitment and with the requirement that all basic needs shall be assistance-eligible. Hospital stays are however not explicitly mentioned in the documents.
Original (Swedish)
Planens bärande LSS-åtagande är att den som är i behov av stöd också ska få det och att regelverket ska ändras för att stoppa de inskränkningar som skett. En översyn av assistansen vid sjukhusvistelse, så att den enskilde inte riskerar att förlora sina assistenter, ligger direkt i linje med det åtagandet och med kravet att samtliga grundläggande behov ska vara assistansgrundande. Sjukhusvistelse nämns dock inte uttryckligen i dokumenten.
- support according to needdecisive»Den som är i behov av stöd ska också få det.« (2022 manifesto ↗)“Those in need of support shall also receive it.”
- stop LSS restrictions»Regelverket för LSS behöver ändras och förtydligas för att stoppa de kraftiga inskränkningar som pågått de senaste åren.« (2022 manifesto ↗)“The rules for LSS need to be changed and clarified to stop the significant restrictions that have been ongoing in recent years.”
- all basic needs»Att samtliga grundläggande behov ska vara assistansgrundande i sin helhet« (2022 manifesto ↗)“That all basic needs shall be assistance-eligible in their entirety”
- state principal authority»Ha statligt helhetsansvar för personlig assistans« (2022 manifesto ↗)“Have state overall responsibility for personal assistance”
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Sources and documents
- The committee report on riksdagen.se (2024/25:SoU15)
- Committee report full text (HC01SoU15)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:102 — Kvalitetssäkring av personlig assistans av Gudrun Brunegård (KD)
- Motion 2024/25:1070 — Förbättrad och likvärdig ledsagning för dövblinda i hela landet av Magnus Berntsson (KD)
- Motion 2024/25:1114 — Kravet på särskilda skäl för assistans i skola och daglig verksamhet av Marléne Lund Kopparklint (M)
- Motion 2024/25:1252 — Nationellt kunskapscenter för dövfrågor av Jessica Rodén och Louise Thunström (båda S)
- Motion 2024/25:1333 — Goda levnadsförhållanden för människor med funktionsnedsättning av Ulrika Westerlund m.fl. (MP)
- Motion 2024/25:1367 — Ökad delaktighet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1482 — Handläggning av bilstöd för anpassning av fordon av Helena Gellerman (L)
- Motion 2024/25:1694 — Habiliteringsersättning av Tomas Eneroth och Monica Haider (båda S)
- Motion 2024/25:1740 — Långsiktigt hållbar LSS av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1796 — Utökat anhörigstöd till föräldrar med barn med funktionsnedsättning av Linnéa Wickman m.fl. (S)
- Motion 2024/25:1922 — En funktionsrättspolitik för trygghet och delaktighet av Nadja Awad m.fl. (V)
- Motion 2024/25:2006 — Långsiktiga förutsättningar för mänskliga rättigheter av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:2122 — Översyn av det viktiga bilstödet för personer med funktionsvariation av Lars Beckman (M)
- Motion 2024/25:2239 — Säkring av rätten till ledsagarinsatser av Ida Karkiainen (S)
- Motion 2024/25:2309 — Gratis glasögon för barn av Annika Strandhäll m.fl. (S)
- Motion 2024/25:2386 — Arbetsmarknad och arbetsliv av Magnus Persson m.fl. (SD)
- Motion 2024/25:2513 — LSS-boenden och ett nationellt kompetenscentrum inom området av Mirja Räihä m.fl. (S)
- Motion 2024/25:2576 — Statligt ansvar för LSS av Ann-Sofie Lifvenhage (M)
- Motion 2024/25:2577 — Språkkrav för arbete inom LSS av Ann-Sofie Lifvenhage (M)
- Motion 2024/25:2631 — En översyn av statsbidraget till funktionsrättsrörelsen av Ulrika Westerlund m.fl. (MP)
Source: The Swedish Parliament