2025-12-032025/26:SoU10 · p.5SoUHealth & social services

Follow-up and evaluation of the reform

What's at stake: The outcome determines how soon and how broadly the effects of the reform - including for groups not covered by the new reimbursement - are examined and can serve as a basis for adjustments.

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

What the vote decides

The question is whether parliament should direct the government to soon carry out a combined follow-up and evaluation of the dental-care reform - covering both those included in the new reimbursement and other groups - or whether no such dedicated step is needed beyond the work already under way.

Yes Yes — the committee proposal

The committee does not consider that parliament needs to issue a specific directive on follow-up and evaluation to the government at this time, and therefore rejects the motions on this point.

No No — the reservations

Reservation 5 (S, V, C, MP)

The reservation holds that the government should soon carry out a follow-up and evaluation of the reform, pointing to warnings from several consultation bodies about various consequences, and wants the follow-up to cover not only those receiving the enhanced dental subsidy but also other groups.

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 5 by S, V, C, MP.

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
Vown reservationNoNo 0/19/0/3follows the planconfidence: lownot addressed
Sown reservationNoNo 0/92/0/14follows the planconfidence: mediumnot addressed
MPown reservationNoNo 0/15/0/3follows the planconfidence: mediumnot addressed
Cown reservationNoNo 0/21/0/3follows the planconfidence: lownot addressed
LNoYes 14/0/0/2departs from the planconfidence: lownot addressed
KDNoYes 16/0/0/3departs from the planconfidence: mediumderived
MNoYes 59/0/0/9departs from the planconfidence: lownot addressed
SDNoYes 63/0/0/9departs from the planconfidence: lownot addressed

Committee proposal

The Riksdag rejects the motions 2025/26:3821 by Fredrik Lundh Sammeli et al. (S) point of order 2, 2025/26:3824 by Nils Seye Larsen et al. (MP) point of order 2 and 2025/26:3825 by Christofer Bergenblock et al. (C) point of order 1.

Original (Swedish)

Riksdagen avslår motionerna 2025/26:3821 av Fredrik Lundh Sammeli m.fl. (S) yrkande 2, 2025/26:3824 av Nils Seye Larsen m.fl. (MP) yrkande 2 och 2025/26:3825 av Christofer Bergenblock m.fl. (C) yrkande 1.

Riksdag decision: The Riksdag approved a strengthened high-cost protection for dental care. The decision means that the current high-cost protection should be supplemented with new support. The support is called special dental care allowance and is initially targeted at the elderly. The government or the authority designated by the government may issue regulations on which patients may be entitled to special dental care allowance and on which dental care may entitle special dental care allowance. The legislative changes come into force on 1 January 2026.

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.

VVänsterpartietNoNofollows the plannot addressed

The plan does not address this reform, but it requires that political proposals build on stable research and show themselves to be effective and just when implemented, and that society is always there for those who need it.

Plan documents: party programme

Reasoning and quotes

The plan does not address this reform, but it requires that political proposals build on stable research and show themselves to be effective and just when implemented, and that society is always there for those who need it. A prompt follow-up that also includes groups outside those receiving the enhanced support is one way to test whether the commitment is fulfilled. The conclusion is inferred from general principles and therefore uncertain.

Original (Swedish)

Planen behandlar inte den här reformen, men den kräver att politiska förslag bygger på stabil forskning och visar sig effektiva och rättvisa när de genomförs, och att samhället alltid finns där för den som behöver det. En snar uppföljning som också omfattar grupper utanför dem som får det förstärkta stödet är ett sätt att pröva om åtagandet infrias. Slutsatsen är härledd ur allmänna principer och därför osäker.

  • proposals that prove effectivedecisive»En framgångsrik rörelse för ett bättre samhälle behöver bygga på stabil forskning och förslag som visar sig effektiva och rättvisa den dag de genomförs.« (party programme ↗)“A successful movement for a better society needs to build on stable research and proposals that show themselves to be effective and just when they are implemented.”
  • welfare for those who need it»Vi vill bygga ett samhälle som alltid finns där för den som behöver det.« (party programme ↗)“We want to build a society that is always there for those who need it.”
  • reflection and follow-up»Att utveckla kloka politiska lösningar kräver alltid tid och eftertanke.« (party programme ↗)“Developing wise political solutions always requires time and reflection.”
SSocialdemokraternaNoNofollows the plannot addressed

The plan demands equal dental care integrated into other health care and equal rights for all to good care through public provision.

Plan documents: party programme

Reasoning and quotes

The plan demands equal dental care integrated into other health care and equal rights for all to good care through public provision. A prompt review that also includes other groups than those receiving the enhanced support is a way to ensure that the reform truly provides care according to need and not according to wallet. The counter-proposal is supported.

Original (Swedish)

Planen kräver en jämlik tandvård som integreras i övrig hälso- och sjukvård och lika rätt för alla till god vård genom samhällets försorg. En snar uppföljning som omfattar även andra grupper än dem som får det förstärkta stödet är ett medel att säkra att reformen verkligen ger vård efter behov och inte efter plånbok. Motförslaget stöds.

  • equal dental caredecisive»Jämlik tandvård som integreras i övrig hälso- och sjukvård.« (party programme ↗)“Equal dental care integrated into other health care.”
  • equal rights to good care»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal rights for all to good health care through public provision.”
  • care according to need»vård utifrån behov, och inte utifrån möjligheten att betala« (party programme ↗)“care according to need, and not according to ability to pay”
  • equal public health»Jämlik och jämställd folkhälsa.« (party programme ↗)“Equal and equitable public health.”
MPMiljöpartietNoNofollows the plannot addressed

The plan establishes that care and support shall be provided according to need and that people with the greatest need shall be prioritized, and that welfare shall be built on the basis of solidarity.

Plan documents: party programme

Reasoning and quotes

The plan establishes that care and support shall be provided according to need and that people with the greatest need shall be prioritized, and that welfare shall be built on the basis of solidarity. Swift follow-up that also covers groups other than those receiving the strengthened support is a way to ensure that the reform does not pull the rug from under those with the greatest need. The plan does not address follow-up forms, so the assessment is inferred.

Original (Swedish)

Planen slår fast att vård och omsorg ska ges efter behov och att människor med störst behov ska prioriteras, och att välfärden ska byggas utifrån solidaritet. En snar uppföljning som omfattar även andra grupper än dem som får det förstärkta stödet är ett sätt att säkerställa att reformen inte slår undan benen för dem med störst behov. Planen behandlar inte uppföljningsformerna, varför bedömningen är härledd.

  • needs-based prioritizationdecisive»Människor med störst behov ska prioriteras.« (party programme ↗)“People with the greatest need shall be prioritized.”
  • care according to need»tillgång till vård efter behov« (party programme ↗)“access to care according to need”
  • solidarity-based welfare»Välfärden ska byggas utifrån solidaritet, inte marknadslogik.« (party programme ↗)“Welfare shall be built on the basis of solidarity, not market logic.”
CCenterpartietNoNofollows the plannot addressed

The plan establishes that publicly financed services shall be equivalent for all and of the same good quality, and it values results over political posturing.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan establishes that publicly financed services shall be equivalent for all and of the same good quality, and it values results over political posturing. Prompt follow-up that captures even groups other than those receiving the enhanced support tests precisely whether the reform holds that promise. The plan does not speak to follow-up forms, so the support is inferred and uncertain.

Original (Swedish)

Planen slår fast att det offentligt finansierade ska vara likvärdigt för alla och med samma goda kvalitet, och den värderar resultat framför politiskt spel. En snar uppföljning som fångar även andra grupper än de som får det förstärkta stödet prövar just om reformen håller det löftet. Planen uttalar sig inte om uppföljningsformer, varför stödet är härlett och osäkert.

  • equivalent quality in welfaredecisive»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 of the same good quality for all.”
  • results over political posturing»Vi värderar samarbete, ansvarstagande och resultat framför politiskt spel.« (2022 manifesto ↗)“We value cooperation, responsibility-taking and results over political posturing.”
  • openness and follow-up»Öppenhet och transparens är grundförutsättningar för frihet, demokrati och för att förhindra korruption och övergrepp.« (party programme ↗)“Openness and transparency are fundamental prerequisites for freedom, democracy and for preventing corruption and abuse.”
LLiberalernaNoYesdeparts from the plannot addressed

The plan says nothing about the follow-up of precisely this reform.

Plan documents: party programme

Reasoning and quotes

The plan says nothing about the follow-up of precisely this reform. The closest-lying principle is that welfare efforts shall rest on scientific grounds and be followed up against nationally established quality standards, and that groups with greatest need should be prioritised. Based on that principle, a quick follow-up that also captures other groups is in line with the plan, but the conclusion is weakly supported.

Original (Swedish)

Planen säger ingenting om uppföljningen av just den här reformen. Den närmast liggande principen är att välfärdens insatser ska vila på vetenskaplig grund och följas upp mot nationellt fastställda kvalitetsnormer, och att de grupper som har störst behov ska prioriteras. Utifrån den principen är en snar uppföljning som också fångar andra grupper i linje med planen, men slutsatsen är svagt underbyggd.

  • scientifically grounded caredecisive»Vård, behandling och rehabilitering av fysiska och psykiska sjukdomar ska ges på vetenskaplig grund.« (party programme ↗)“Care, treatment and rehabilitation of physical and mental illness shall be provided on scientific grounds.”
  • national quality follow-up»Tillsynen ska ske i statlig regi utifrån nationellt fastställda kvalitetsnormer.« (party programme ↗)“Supervision shall take place in state hands based on nationally established quality standards.”
  • prioritisation by need»De personer som har sämst munhälsa ska prioriteras.« (party programme ↗)“People with the poorest dental health shall be prioritised.”

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 planderived

The plan makes evaluation, cost monitoring and quality control important political tasks and requires that all political decisions be made according to the stewardship principle, so that consequences are considered.

Plan documents: party programme

Reasoning and quotes

The plan makes evaluation, cost monitoring and quality control important political tasks and requires that all political decisions be made according to the stewardship principle, so that consequences are considered. The counter-proposal's demand for prompt follow-up that also covers other groups than those receiving the enhanced support follows from this, strengthened by the plan's solidarity with the weak and vulnerable.

Original (Swedish)

Planen gör utvärdering, kostnadsuppföljning och kvalitetskontroll till viktiga politiska uppgifter och kräver att alla politiska beslut fattas enligt förvaltarskapsprincipen, så att konsekvenserna beaktas. Motförslagets krav på en snar uppföljning som också omfattar andra grupper än dem som får det förstärkta stödet följer av detta, förstärkt av planens solidaritet med svaga och utsatta.

  • follow-up as political taskdecisive»kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska uppgifter« (party programme ↗)“cost monitoring and quality control are therefore important political tasks”
  • consequences should be considered»Alla politiska beslut bör fattas i enlighet med förvaltarskapsprincipen, vilket innebär att« (party programme ↗)“All political decisions should be made in accordance with the stewardship principle, which means that”
  • solidarity with the vulnerable»Solidaritet med svaga och utsatta« (party programme ↗)“Solidarity with the weak and vulnerable”

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 does not address this particular reform, but the party programme states constant preparedness to evaluate, reassess, change and improve what has been implemented.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan does not address this particular reform, but the party programme states constant preparedness to evaluate, reassess, change and improve what has been implemented. The election manifesto also requires that taxpayers get value for their money and the party programme that public waste is combated. This supports the demand for prompt follow-up of the reform's consequences, also for groups other than those receiving the reinforced support.

Original (Swedish)

Planen behandlar inte just denna reform, men partiprogrammet slår fast en ständig beredskap att utvärdera, ompröva, förändra och förbättra det som genomförts. Valmanifestet kräver dessutom att skattebetalarna får valuta för sina pengar och partiprogrammet att offentligt slöseri bekämpas. Det stöder kravet på en snar uppföljning av reformens konsekvenser, även för andra grupper än de som får det förstärkta stödet.

  • evaluate completed reformsdecisive»beredskap för att utvärdera, ompröva, förändra och förbättra« (party programme ↗)“preparedness to evaluate, reassess, change and improve”
  • value for tax money»Du som betalar in skatt ska också få valuta för dina inbetalade skattepengar.« (2022 manifesto ↗)“You who pay taxes should also get value for your paid tax money.”
  • combat public waste»Offentligt slöseri i alla former ska bekämpas.« (party programme ↗)“Public waste in all forms must be combated.”

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 plannot addressed

The plan requires clear results and clear citizen benefit for every public investment and wants to strengthen possibilities for accountability.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan requires clear results and clear citizen benefit for every public investment and wants to strengthen possibilities for accountability. Prompt follow-up and evaluation of the reform's consequences, including for groups not covered by the enhanced support, is a direct application of that requirement. The plan does not, however, address this reform itself, so the support is derived.

Original (Swedish)

Planen kräver tydliga resultat och tydlig medborgarnytta för varje offentlig satsning och vill stärka möjligheterna till ansvarsutkrävande. En snar uppföljning och utvärdering av reformens konsekvenser, även för grupper som inte omfattas av det förstärkta stödet, är en direkt tillämpning av det kravet. Planen uttalar sig dock inte om denna reform i sig, varför stödet är härlett.

  • results requirements on public investmentsdecisive»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Require clear results for every public investment”
  • citizen benefit should be demonstrated»Sverigedemokraterna vill koncentrera de offentliga utgifterna till välfärdens hjärta och begära tydlig medborgarnytta för alla satsningar.« (2022 manifesto ↗)“Sweden Democrats want to concentrate public spending on the heart of the welfare state and require clear citizen benefit for all investments.”
  • accountability»Sverigedemokraterna vill stärka möjligheter för ansvarsutkrävande när hanteringen av de offentliga resurserna brister.« (2022 manifesto ↗)“Sweden Democrats want to strengthen possibilities for accountability when the management of public resources is deficient.”

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