2026-02-252025/26:SoU23 · p.2SoUHealth & social services
Mental health care needs
Mental health needs in primary care's core mandate
What's at stake: The decision affects how clearly the law assigns responsibility for mental ill-health in care, and whether regions and municipalities get a deeper analysis of the costs involved before the change is implemented. It concerns everyone who seeks care for mental health problems, especially in primary care, and the local and regional bodies that must fund the effort.
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 clarification in the Health and Medical Services Act that primary care must meet both physical and mental everyday care needs should be limited to primary care, or whether a corresponding clarification and a deeper economic-impact analysis should cover the whole healthcare system.
Yes Yes — the committee proposal
The committee endorses the government's clarification that primary care must specifically meet both physical and mental everyday care needs, but sees no reason to extend the clarification to the whole healthcare system. The committee shares the assessment that the proposal creates no new mandatory duties or higher ambition level for regions and municipalities, so it is up to the local and regional bodies themselves to analyse and decide how to allocate their own economic resources. The motion is rejected.
No No — the reservations
Reservation 1 (V)
The reservation (V) wants to extend the clarification of physical and mental care needs to the whole healthcare system, not just primary care, since the same reasoning applies to the rest of the care system. It also wants the government to return with a deeper analysis of the economic consequences for already strained municipalities and regions, and, if needed, a funding proposal.
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 held
Explicit commitments that contradicted the vote: LLiberalerna
Ja 266–19Ja 253–32
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 | No 0/18/0/4 | match | confidence: high | derived |
| S | No | Yes 91/0/2/13 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/16/2 | differs | confidence: high | explicit |
| C | No | Yes 21/0/0/3 | differs | confidence: medium | derived |
| L | No | Yes 13/0/0/3 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 17/0/0/2 | differs | confidence: medium | derived |
| M | No | Yes 60/0/0/8 | differs | confidence: low | derived |
| SD | No | Yes 62/0/0/9 | differs | confidence: medium | derived |
Broke with the party line
| SMats Wiking (S, Västra Götalands läns norra) | Abstain — party line: Yes |
| SMikael Dahlqvist (S, Värmlands län) | Abstain — party line: Yes |
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 motion 2025/26:3815 by Karin Rågsjö et al. (V) demands 1-3.
Original (Swedish)
Riksdagen avslår motion 2025/26:3815 av Karin Rågsjö m.fl. (V) yrkandena 1-3.
Riksdag decision: The Government proposes that primary care's mandate and responsibilities become clearer and that it is clarified that a medical assessment by a doctor and nurse when needed should be available at any time, 24 hours a day, in municipal healthcare. The Riksdag said yes to the Government's proposal. Primary care refers to, for example, health centers and other healthcare activities that handle common healthcare needs that do not require special medical or technical resources or any other special expertise. The legislative changes include the following: It becomes clearer that regions and municipalities should collaborate in the planning and development of healthcare. It also becomes clearer that primary care should meet both physical and mental healthcare needs. A requirement is introduced that there must be a medically responsible person for rehabilitation in the municipality. The term home healthcare (hemsjukvård) is replaced with healthcare in the home. The requirement for information to patients is strengthened. A patient should receive information about who is their fixed care contact and fixed doctor contact. It should also be clear how the patient contacts them and their care units. The legislative changes come into force on July 1, 2026.
Counter-proposals
- The counter-proposal wants the clarification of mental health needs expanded to entire health and medical care and the government to analyze the economic consequences. (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 requires that you have the right to help quickly regardless of whether you have broken your leg or burned out, which means that physical and mental healthcare needs must be clarified throughout healthcare, not just in primary care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that you have the right to help quickly regardless of whether you have broken your leg or burned out, which means that physical and mental healthcare needs must be clarified throughout healthcare, not just in primary care. The requirement for in-depth economic impact analysis and financing responds to the plan's commitment that redistribution from state to region and municipality must increase in view of those who cannot make their economy work.
Original (Swedish)
Planen kräver att man ska ha rätt till hjälp snabbt oavsett om man brutit benet eller blivit utbränd, vilket talar för att fysiska och psykiska vårdbehov tydliggörs i hela hälso- och sjukvården och inte bara i primärvården. Kravet på fördjupad ekonomisk konsekvensanalys och finansiering svarar mot planens åtagande att omfördelningen från stat till region och kommun måste öka med hänsyn till dem som inte får ihop sin ekonomi.
- mental care equal to physicaldecisive»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You have the right to help quickly regardless of whether you have broken your leg or burned out.”
- increased state funding»Omfördelningen från stat till region och kommun måste öka och särskild hänsyn ska tas till de många kommuner och regioner som idag inte får ihop sin ekonomi samtidigt som de redan har bland landets högsta skatter totalt sett.« (2022 manifesto ↗)“Redistribution from state to region and municipality must increase and special attention shall be paid to the many municipalities and regions that today cannot make their economy work while at the same time already having among the highest total taxes in the country.”
- mental ill-health increasing»Stressrelaterade sjukdomar blir allt vanligare och psykisk ohälsa ökar särskilt bland kvinnor och hos unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö.« (2022 manifesto ↗)“Stress-related illnesses are becoming more common and mental ill-health is increasing especially among women and young people without leading to expanded care or changed working conditions.”
- care according to need»evidens och prioriteras utifrån behov.« (party programme ↗)“evidence and prioritised based on need.”
The party programme demands ambitious efforts against mental illness and equal rights for all to good healthcare through state provision.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme demands ambitious efforts against mental illness and equal rights for all to good healthcare through state provision. That clarifying mental health care needs is limited to primary care sits poorly with that commitment, and the requirement for analysis and financing responds to the election manifesto's promise of increased state grants to municipalities and regions. The plan therefore supports the counter-proposal.
Original (Swedish)
Partiprogrammet kräver ambitiösa insatser mot psykisk ohälsa och lika rätt för alla till god hälso- och sjukvård genom samhällets försorg. Att tydliggörandet av psykiska vårdbehov begränsas till primärvården rimmar illa med det åtagandet, och kravet på analys och finansiering svarar mot valmanifestets löfte om ökade statsbidrag till kommuner och regioner. Planen stöder därför motförslaget.
- efforts against mental illnessdecisive»Ambitiösa insatser mot psykisk ohälsa, särskilt bland barn och unga.« (party programme ↗)“Ambitious efforts against mental illness, especially among children and young people.”
- equal right to care»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal rights for all to good healthcare through state provision.”
- increased state grants»Vi vill fortsätta öka statens bidrag till kommuner och regioner.« (2022 manifesto ↗)“We want to continue increasing the state's grants to municipalities and regions.”
- state responsibility for equivalence»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equivalence.”
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 mental health shall be equally prioritized as physical health throughout society, not just in part of health care.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that mental health shall be equally prioritized as physical health throughout society, not just in part of health care. That the clarification of physical and mental care needs encompasses the entire health care system is exactly the equality the plan requires. To also analyze the economic consequences for pressured municipalities and regions aligns with the plan's requirement that care is given sufficient resources.
Original (Swedish)
Planen slår fast att psykisk hälsa ska vara lika prioriterad som fysisk hälsa i hela samhället, inte bara i en del av vården. Att tydliggörandet av fysiska och psykiska vårdbehov omfattar hela hälso- och sjukvården är just den likställighet planen kräver. Att också analysera de ekonomiska konsekvenserna för pressade kommuner och regioner stämmer med planens krav på att vården ges tillräckliga resurser.
- mental health equally prioritizeddecisive»Miljöpartiet vill skapa ett samhälle där psykisk hälsa är lika prioriterad som fysisk hälsa.« (party programme ↗)“The Green Party wants to create a society where mental health is as prioritized as physical health.”
- growing mental health problems»Den psykiska ohälsan ökar, särskilt bland barn och unga.« (party programme ↗)“Mental health problems are increasing, particularly among children and young people.”
- increased access to psychiatric care»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental 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 states that psychiatry must be improved for both young and older people and that support for mental ill-health must be strengthened, without limiting this to primary care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that psychiatry must be improved for both young and older people and that support for mental ill-health must be strengthened, without limiting this to primary care. That the clarification of physical and mental care needs encompasses the entire health and medical service follows from that commitment. The requirement for analysis of the economic consequences responds to the plan's promise of better state support to the regions adapted to their conditions.
Original (Swedish)
Valmanifestet slår fast att psykiatrin måste förbättras för såväl unga som äldre och att stödet vid psykisk ohälsa måste stärkas, utan att begränsa detta till primärvården. Att tydliggörandet av fysiska och psykiska vårdbehov omfattar hela hälso- och sjukvården följer av det åtagandet. Kravet på analys av de ekonomiska konsekvenserna svarar mot planens löfte om bättre statligt stöd till regionerna anpassat efter deras förutsättningar.
- stärkt stöd vid psykisk ohälsadecisive»Stödet för personer med psykisk ohälsa måste förbättras, inte minst för unga. Den som söker hjälp ska ha en enkel och samlad väg in till vården.« (2022 manifesto ↗)“Support for people with mental ill-health must be improved, especially for young people. Those who seek help must have a simple and integrated pathway into care.”
- psykiatrin i hela vårdkedjan»Psykiatrin måste förbättras för såväl unga som äldre. Den som söker stöd ska mötas av en samlad och enkel väg in till vården och erbjudas bättre egenvård i väntan på behandling.« (2022 manifesto ↗)“Psychiatry must be improved for both young and older people. Those who seek support must be met with an integrated and simple pathway into care and be offered better self-care while waiting for treatment.”
- statligt stöd efter regionernas behov»Vi vill korta köerna och skapa fler vårdplatser där det behövs genom satsningar på fler sjuksköterskor och bättre statligt stöd till regionerna som är anpassade efter deras förutsättningar och behov.« (2022 manifesto ↗)“We want to shorten waiting lists and create more care places where needed through investments in more nurses and better state support to regions adapted to their conditions and needs.”
- god vård i hela landet»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet, är viktigt för den enskilda« (party programme ↗)“Good care and health services across the country, based on science and proven experience, is important for the individual”
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 the right to care and treatment is equally self-evident for both physical and mental illnesses, without limiting it to primary care.
Plan documents: party programme
Reasoning and quotes
The party programme establishes that the right to care and treatment is equally self-evident for both physical and mental illnesses, without limiting it to primary care. This supports the counter-proposal's demand that clarification shall encompass all healthcare. The plan also requires that all treatment of mental ill-health be covered by the patient safety act and that mental health is an explicitly stated public health goal.
Original (Swedish)
Partiprogrammet slår fast att rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar, utan att begränsa det till primärvården. Det bär motförslagets krav på att tydliggörandet ska omfatta hela hälso- och sjukvården. Planen kräver också att all behandling av psykisk ohälsa omfattas av patientsäkerhetslagen och att psykisk hälsa är ett uttalat folkhälsomål.
- mental and physical care equateddecisive»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is equally self-evident for both physical and mental illnesses.”
- psychiatry in the patient safety act»Även all behandling av psykisk ohälsa ska omfattas av patientsäkerhetslagen.« (party programme ↗)“All treatment of mental ill-health shall also be covered by the patient safety act.”
- mental health as goal»Psykisk hälsa ska vara ett uttalat folkhälsomål.« (party programme ↗)“Mental health shall be an explicitly stated public health goal.”
- strengthened primary care»Primärvårdens roll i sjukvårdssystemet ska stärkas.« (party programme ↗)“Primary care's role in the healthcare system shall be strengthened.”
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 core commitment is that care shall be based on a holistic view of the human that encompasses both physical and psychological needs, which applies to care as a whole and not just primary care.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's core commitment is that care shall be based on a holistic view of the human that encompasses both physical and psychological needs, which applies to care as a whole and not just primary care. Mental ill-health is described as widespread and psychiatric care shall be accessible based on the patient's needs. The requirement for a deepened analysis of the costs for municipalities and regions has support in the plan's demand that the financing principle be respected. The plan therefore supports the counter-proposal.
Original (Swedish)
Planens bärande åtagande är att vården ska utgå från en helhetssyn på människan som omfattar såväl kroppsliga som själsliga behov, vilket gäller vården som helhet och inte bara primärvården. Psykisk ohälsa beskrivs som utbredd och psykiatrisk vård ska vara tillgänglig utifrån patientens behov. Kravet på en fördjupad analys av kostnaderna för kommuner och regioner har stöd i planens krav att finansieringsprincipen ska respekteras. Planen stöder därför motförslaget.
- holistic view throughout caredecisive»att man inom vården ska ha en helhetssyn på människan som tar hänsyn till kroppsliga« (party programme ↗)“that care shall have a holistic view of the human that takes into account physical”
- mental ill-health is widespread»Många drabbas någon gång under livet av psykisk ohälsa.« (party programme ↗)“Many are affected at some point during their lives by mental ill-health.”
- the financing principle»Finansieringsprincipen måste respekteras när staten ålägger« (party programme ↗)“The financing principle must be respected when the state imposes”
- comprehensive mental health care»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Greatly strengthened school health with a comprehensive child and youth health service and parental support programmes offered to all parents.”
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 highlights mental health as one of the most important priorities and wants to strengthen psychiatry so that those who are unwell receive help quickly, with the requirement that care be equitable.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan highlights mental health as one of the most important priorities and wants to strengthen psychiatry so that those who are unwell receive help quickly, with the requirement that care be equitable. Clarifying that mental health care needs should be met throughout health and medical care, not just in primary care, is in line with this. The counter-proposal's demand for an in-depth economic impact analysis and if necessary financing also aligns with the plan's requirement that reforms be financed.
Original (Swedish)
Planen lyfter psykisk ohälsa som en av de viktigaste prioriteringarna och vill stärka psykiatrin så att den som mår dåligt får hjälp snabbt, med kravet att vården ska vara likvärdig. Att tydliggöra att psykiska vårdbehov ska tillgodoses i hela hälso- och sjukvården, inte bara i primärvården, ligger i linje med det. Motförslagets krav på en fördjupad ekonomisk konsekvensanalys och vid behov finansiering stämmer dessutom med planens krav på att reformer ska vara finansierade.
- prioritize mental healthdecisive»Få saker är viktigare att prioritera än barns psykiska mående.« (2022 manifesto ↗)“Few things are more important to prioritize than children's mental wellbeing.”
- strengthened psychiatry»Stärka barn- och ungdomspsykiatrin så att barn och unga som mår dåligt får hjälp snabbt« (2022 manifesto ↗)“Strengthen child and youth psychiatry so that children and young people who are unwell receive help quickly”
- equitable care»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equitable care - which can be provided at the right time and maintains high quality.”
- reforms must be financed»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.”
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 establishes that mental ill health is our era's greatest public health challenge, that treatment resources should not be limited only to child and adolescent psychiatry and that the entire health and care system needs to be reviewed to catch affected patients earlier.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that mental ill health is our era's greatest public health challenge, that treatment resources should not be limited only to child and adolescent psychiatry and that the entire health and care system needs to be reviewed to catch affected patients earlier. Clarifying responsibility for mental healthcare needs across the whole service, not just primary care, follows directly from this. The plan also wants to strengthen psychiatric resources, which speaks for the requirement for an economic impact analysis.
Original (Swedish)
Planen slår fast att den psykiska ohälsan är vår tids största folkhälsoutmaning, att behandlingsresurser inte enbart ska begränsas till barn- och ungdomspsykiatrin och att hela hälso- och sjukvården behöver ses över för att tidigare fånga upp drabbade patienter. Att tydliggöra ansvaret för psykiska vårdbehov i hela vården, inte bara primärvården, följer direkt av detta. Planen vill dessutom stärka psykiatrins resurser, vilket talar för kravet på en ekonomisk konsekvensanalys.
- mental healthcare outside BUPdecisive»Sverigedemokraternas uppfattning är att behandlingsresurser inte enbart ska begränsas till barn- och ungdomspsykiatrin (BUP).« (2022 manifesto ↗)“Sweden Democrats' assessment is that treatment resources should not be limited only to child and adolescent psychiatry (BUP).”
- restructured mental healthcare»Därför behövs en översyn om hur hälso- och sjukvården kan omstruktureras för att tidigare fånga upp patienter som drabbas.« (2022 manifesto ↗)“Therefore a review is needed of how the health and care system can be restructured to catch affected patients earlier.”
- mental ill health as main challenge»Den psykiska ohälsan har ökat så kraftigt att den nu är vår tids största folkhälsoutmaning i Sverige.« (2022 manifesto ↗)“Mental ill health has increased so dramatically that it is now our era's greatest public health challenge in Sweden.”
- resources for psychiatry»Stärka resurserna till psykiatrin« (2022 manifesto ↗)“Strengthen resources for psychiatry”
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:SoU23)
- Committee report full text (HD01SoU23)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:3815 — med anledning av prop. 2025/26:19 Nästa steg för en god och nära vård av Karin Rågsjö m.fl. (V)
- Proposition 2025/26:19 — Nästa steg för en god och nära vård
Source: The Swedish Parliament