2026-02-172025/26:SoU14 · p.3SoUHealth & social services

Questions about state responsibility for medication

A new medicines inquiry into the state's cost responsibility

What's at stake: The question concerns whether Sweden needs an entirely new review of how medicines are financed and priced so that everyone, including in sparsely populated areas, has access to medicines at a reasonable cost, or whether it is enough to let already ongoing agency work and earlier proposals continue to be processed.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

The motions demanded a new, broad medicines inquiry into the state's cost responsibility and price negotiations to secure equitable access to medicines, while the committee held that ongoing agency mandates and earlier inquiry proposals already cover the issues.

Yes Yes — the committee proposal

The committee rejects the motions, pointing out that an agency already monitors developments in the pharmacy sector, that a state subsidy exists to secure medicine supply in sparsely populated areas, that funds have been allocated for a pilot pharmacist-service program, that an ongoing mandate is to prevent and manage medicine shortages, and that proposals on a pharmacist assortment and on restrictions for pharmacy licenses are already being processed within the Government Offices.

No No — the reservations

Reservation 7 (S)

The reserving party (S) wants a new medicines inquiry to be set up that broadly reviews how medicines are provided to patients, care providers and pharmacies, what cost responsibility the state should have, and how price negotiations can be made more efficient, with the aim of achieving a cost-effective model with equitable access to medicines throughout the country.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

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 S.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 19/0/0/3departs from the planconfidence: mediumnot addressed
Sown reservationNoNo 0/92/0/14follows the planconfidence: highexplicit
MPNoYes 16/0/0/2departs from the planconfidence: mediumnot addressed
CNoAbstain 0/0/21/3departs from the planconfidence: lownot addressed
LNoYes 14/0/0/2departs from the planconfidence: mediumnot addressed
KDNoYes 17/0/0/2departs from the planconfidence: mediumnot addressed
MNoYes 59/0/0/9departs from the planconfidence: lownot addressed
SDNoYes 62/0/0/9departs from the planconfidence: mediumderived

Committee proposal

The Riksdag rejects the motions 2025/26:3154 by Isak From and Björn Wiechel (both S), 2025/26:3179 by Christofer Bergenblock et al. (C) motion 40 and 2025/26:3645 by Fredrik Lundh Sammeli et al. (S) motion 83.

Original (Swedish)

Riksdagen avslår motionerna 2025/26:3154 av Isak From och Björn Wiechel (båda S), 2025/26:3179 av Christofer Bergenblock m.fl. (C) yrkande 40 och 2025/26:3645 av Fredrik Lundh Sammeli m.fl. (S) yrkande 83.

Riksdag decision: The Riksdag rejected 93 proposals in motions on medication and dental care. The proposals were submitted during the general motion period of 2025 and concern, among other things, prescriptions, review of the pharmacy market, and dental care. The Riksdag refers, among other things, to the fact that work is ongoing on the matters addressed by the proposals.

Counter-proposals

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.

VVänsterpartietNoYesdeparts from the plannot addressed

The plan wants the state to own pharmacies and build up its own capacity for pharmaceutical production and that the costs for healthcare and medicines should be affordable for all.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan wants the state to own pharmacies and build up its own capacity for pharmaceutical production and that the costs for healthcare and medicines should be affordable for all. It particularly points out that medicines are difficult to obtain in large parts of the country while pharmacies concentrate in wealthy urban areas. A broad investigation of provision, the state's cost responsibility and price negotiations with a view to equal access therefore aligns with the plan.

Original (Swedish)

Planen vill att staten äger apoteken och bygger upp egen kapacitet för läkemedelsproduktion och att kostnaderna för vård och läkemedel ska vara överkomliga för alla. Den pekar särskilt ut att medicin är svår att få tag på i stora delar av landet medan apoteken samlas i rika stadsdelar. En bred utredning av tillhandahållande, statens kostnadsansvar och prisförhandlingar med sikte på jämlik tillgång ligger därför i linje med planen.

  • state-owned pharmaciesdecisive»Vi vill att staten äger apoteken och bygger upp en egen kapacitet« (party programme ↗)“We want the state to own the pharmacies and build up its own capacity”
  • unequal medicine access»I stora delar av Sverige är det svårt att få tag på medicin, fast i storstädernas rikare områden finns det flera olika apotek i varje gathörn.« (2022 manifesto ↗)“In large parts of Sweden it is difficult to obtain medicines, while in wealthier areas of big cities there are several different pharmacies on every street corner.”
  • affordable medicine costs»Kostnaderna för vård och läkemedel ska vara överkomliga för« (party programme ↗)“The costs for healthcare and medicines should be affordable for”
  • consequences of privatisation»Privatiseringar har lett till dyrare elpris, att apoteken flyttar från landsbygd till städer och från fattiga till rika områden« (2022 manifesto ↗)“Privatisation has led to higher electricity prices, pharmacies moving from rural areas to cities and from poor to wealthy areas”

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.

SSocialdemokraternaNoNofollows the planexplicit

The party programme establishes access to medicines and other pharmaceuticals throughout the country and demands increased state responsibility and control of healthcare for national equality.

Plan documents: party programme

Reasoning and quotes

The party programme establishes access to medicines and other pharmaceuticals throughout the country and demands increased state responsibility and control of healthcare for national equality. The counter-proposal's investigation into how medicines are provided, what financial responsibility the state should assume and how prices are negotiated is precisely that question. The plan's requirement for equal service regardless of location and prevention of unreasonable pricing strengthens this conclusion.

Original (Swedish)

Partiprogrammet slår fast tillgång till medicin och andra läkemedel i hela landet och kräver ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet. Motförslagets utredning om hur läkemedel tillhandahålls, vilket kostnadsansvar staten bör ta och hur priser förhandlas är just den frågan. Planens krav på likvärdig service oavsett var man bor och på att oskälig prissättning förhindras stärker slutsatsen.

  • medicines in the entire countrydecisive»Tillgång till medicin, vaccin och andra läkemedel i hela landet.« (party programme ↗)“Access to medicine, vaccines and other pharmaceuticals throughout the country.”
  • increased state responsibility»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equality.”
  • equal service in the entire country»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare to citizens regardless of where in the country they live.”
  • prevent unreasonable pricing»Förhindrande av priskarteller och oskälig prissättning.« (party programme ↗)“Prevention of price cartels and unfair pricing.”
MPMiljöpartietNoYesdeparts from the plannot addressed

The plan requires care according to need and not according to wallet or place of residence, and that life-essential medicines reach those who need them.

Plan documents: party programme

Reasoning and quotes

The plan requires care according to need and not according to wallet or place of residence, and that life-essential medicines reach those who need them. A broad review of how medicines are provided, the state's cost responsibility and price negotiations aim at precisely equitable access across the country. The plan also wants to make medicines supply more resilient, which speaks for a comprehensive review.

Original (Swedish)

Planen kräver vård efter behov och inte efter plånbok eller bostadsort, och att livsnödvändiga läkemedel ska nå dem som behöver dem. En bred översyn av hur läkemedel tillhandahålls, statens kostnadsansvar och prisförhandlingar syftar till just jämlik tillgång i hela landet. Planen vill dessutom göra läkemedelsförsörjningen mer motståndskraftig, vilket talar för en samlad genomlysning.

  • medicines must reach those who need themdecisive»Livsnödvändiga läkemedel som finns tillgängliga måste« (party programme ↗)“Life-essential medicines that are available must”
  • care according to need not wallet»förebyggande hälsosatsningar och tillgång till vård efter behov« (party programme ↗)“preventive health initiatives and access to care according to need”
  • robust medicines supply»Vården måste bli mer motståndskraftig.« (party programme ↗)“Care must become more resilient.”

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.

CCenterpartietNoAbstaindeparts from the plannot addressed

The plan's central commitment is that welfare shall be equal and reliable regardless of where one lives, which is precisely the goal that the counter-proposal's investigation shall reach for medicine supply.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan's central commitment is that welfare shall be equal and reliable regardless of where one lives, which is precisely the goal that the counter-proposal's investigation shall reach for medicine supply. The requirement for a cost-effective model also aligns with the promise to steward taxpayers' money. At the same time, the investigation's question about the state's cost responsibility conflicts with the manifesto's statement that care responsibility shall not be moved from regions to the state, which lowers certainty.

Original (Swedish)

Planens bärande åtagande är att välfärden ska vara likvärdig och pålitlig oavsett var man bor, vilket är just det mål motförslagets utredning ska nå för läkemedelstillgången. Kravet på en kostnadseffektiv modell ligger också i linje med löftet att hushålla med skattebetalarnas pengar. Samtidigt spänner utredningens fråga om statens kostnadsansvar mot manifestets besked att vårdansvaret inte ska flyttas från regionerna till staten, vilket sänker säkerheten.

  • equal welfare throughout the countrydecisive»Alla invånare ska ha tillgång till en likvärdig och pålitlig välfärd oavsett var de bor, och den offentliga servicen ska finnas där när man behöver den.« (2022 manifesto ↗)“All residents shall have access to equal and reliable welfare regardless of where they live, and public services shall be available when needed.”
  • close services throughout the country»Offentlig service ska vara nära och pålitlig i hela landet. Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Public services shall be close and reliable throughout the country. Everyone shall have secure police presence, equal schools, and secure and close care and welfare — regardless of where they live.”
  • stewardship of tax funds»Politiken ska hushålla med skattebetalarnas pengar.« (2022 manifesto ↗)“Policy shall steward taxpayers' money.”
  • care responsibility remains with regions»Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“Care responsibility shall not be moved from regions to the state.”

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.

LLiberalernaNoYesdeparts from the plannot addressed

The election manifesto requires a comprehensive review of healthcare organization and financing, and the party programme wants to see expanded national coordination and control to strengthen equality.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto requires a comprehensive review of healthcare organization and financing, and the party programme wants to see expanded national coordination and control to strengthen equality. A comprehensive investigation of how medicines are provided, the state's cost responsibility and price negotiations is an application of exactly this. The requirement for equal access across the country corresponds to the plan's requirement for healthcare regardless of place of residence.

Original (Swedish)

Valmanifestet kräver en bred översyn av vårdens organisering och finansiering, och partiprogrammet vill se utökad nationell samordning och styrning för att stärka likvärdigheten. En bred utredning av hur läkemedel tillhandahålls, statens kostnadsansvar och prisförhandlingar är en tillämpning av just detta. Kravet på jämlik tillgång i hela landet svarar mot planens krav på vård oavsett bostadsort.

  • comprehensive review of healthcare financingdecisive»Det behövs en bred översyn av vårdens organisering och finansiering.« (2022 manifesto ↗)“A comprehensive review of healthcare organization and financing is needed.”
  • expanded national control»Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“Expanded national coordination and control is needed.”
  • equal healthcare regardless of place of residence»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi eller bostadsort.« (party programme ↗)“Healthcare shall be equal. Everyone has the right to good healthcare and care regardless of background, gender, age, economy or place of residence.”
  • access to modern medicines»Barn och unga med kroniska sjukdomar ska ha tillgång till medicin och medicinsk-tekniska behandlingar som är moderna och utgår från patientens behov och Socialstyrelsens riktlinjer.« (party programme ↗)“Children and young people with chronic diseases shall have access to medicines and medical-technical treatments that are modern and based on the patient's needs and the National Board of Health and Welfare's guidelines.”

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.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The election manifesto wants to move responsibility for healthcare from the regions to the state precisely so that where in the country you live should not determine what healthcare you receive, and the party programme requires that medicines be covered by a solidaristically financed system.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto wants to move responsibility for healthcare from the regions to the state precisely so that where in the country you live should not determine what healthcare you receive, and the party programme requires that medicines be covered by a solidaristically financed system. A broad investigation of how medicines are provided, what cost responsibility the state should take and how price negotiations can be streamlined is the way to the equal and cost-efficient arrangement the plan seeks. The requirement is supported.

Original (Swedish)

Valmanifestet vill flytta huvudmannaskapet för vården från regionerna till staten just för att var i landet man bor inte ska avgöra vilken vård man får, och partiprogrammet kräver att läkemedel omfattas av ett solidariskt finansierat system. En bred utredning av hur läkemedel tillhandahålls, vilket kostnadsansvar staten bör ta och hur prisförhandlingar kan effektiviseras är vägen till den jämlika och kostnadseffektiva ordning planen efterfrågar. Kravet stöds.

  • state responsibility for healthcaredecisive»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with a shared organization instead of 21 different ones.”
  • solidaristically financed medicines»Läkemedel ska efter särskilt godkännande omfattas av ett solidariskt finansierat system.« (party programme ↗)“Medicines shall, after special approval, be covered by a solidaristically financed system.”
  • healthcare independent of place of residence»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live should not determine what healthcare you receive.”
  • equal healthcare»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Healthcare shall be equal and accessible to the entire population.”

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.

MModeraternaNoYesdeparts from the plannot addressed

The plan demands that taxpayers get value for their money and that everyone has the right to equivalent care throughout the country, and it wants to build better emergency stockpiles of medicines.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan demands that taxpayers get value for their money and that everyone has the right to equivalent care throughout the country, and it wants to build better emergency stockpiles of medicines. A broad review of how medicines are provided, the state's cost responsibility and pricing negotiations aims precisely at a cost-effective model with equitable access, which aligns with these commitments. The plan does not, however, take a position on pharmaceutical supply's principal administration.

Original (Swedish)

Planen kräver att skattebetalarna får valuta för sina pengar och att alla har rätt till likvärdig vård i hela landet, och den vill bygga bättre beredskapslager av läkemedel. En bred översyn av hur läkemedel tillhandahålls, av statens kostnadsansvar och av prisförhandlingar syftar just till en kostnadseffektiv modell med jämlik tillgång, vilket ligger i linje med dessa åtaganden. Planen tar dock inte ställning till läkemedelsförsörjningens huvudmannaskap.

  • value for tax moneydecisive»Du som betalar in skatt ska också få valuta för dina inbetalade skattepengar.« (2022 manifesto ↗)“You as a taxpayer shall also get value for your paid tax money.”
  • equivalent care throughout country»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care - that can be provided at the right time and maintains high quality.”
  • emergency medicine stockpiles»Bygga bättre beredskapslager« (2022 manifesto ↗)“Build better emergency stockpiles”
  • rationalize government spending»Inrätta ett effektiviseringskansli som ska gå inom alla myndigheters ekonomi för att frigöra resurser till försvaret« (2022 manifesto ↗)“Establish an efficiency office that shall go through all authorities' finances to free up resources for defense”

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.

SDSverigedemokraternaNoYesdeparts from the planderived

The plan wants to review how the state can to a greater extent take over the main responsibility for healthcare and establishes that citizens have the right to good and accessible care even outside major cities.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan wants to review how the state can to a greater extent take over the main responsibility for healthcare and establishes that citizens have the right to good and accessible care even outside major cities. It also requires that self-sufficiency in medical materials increases and can be rapidly scaled up during disruptions. A broad investigation of pharmaceutical supply, the state's cost responsibility and price negotiations for equal access across the country thus responds to these commitments.

Original (Swedish)

Planen vill se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården och slår fast att medborgare har rätt till god och tillgänglig vård även utanför storstäderna. Den kräver också att självförsörjningen av medicinskt material ökar och snabbt kan skalas upp vid störningar. En bred utredning av läkemedelsförsörjning, statens kostnadsansvar och prisförhandlingar för jämlik tillgång i hela landet svarar mot dessa åtaganden.

  • state's main responsibility for healthcaredecisive»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården, med utgångspunkt i framgångsrika exempel i Norge och Danmark.« (2022 manifesto ↗)“Sweden Democrats also want to review how the state can to a greater extent take over the main responsibility for healthcare, based on successful examples in Norway and Denmark.”
  • accessible care outside major cities»Sverigedemokraterna anser att medborgare i ett högskatteland har rätt att förvänta sig en god och tillgänglig sjukvård, även utanför storstäderna.« (2022 manifesto ↗)“Sweden Democrats believe that citizens in a high-tax country have the right to expect good and accessible healthcare, even outside major cities.”
  • medical materials supply»Sveriges självförsörjning av energi, livsmedel och medicinskt material behöver öka och snabbt kunna skalas upp vid långvariga störningar.« (2022 manifesto ↗)“Sweden's self-sufficiency in energy, food and medical materials needs to increase and be rapidly scalable during prolonged disruptions.”
  • review of healthcare organization»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review the organization of healthcare”

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

Documents under consideration

Source: The Swedish Parliament