2026-06-152025/26:SoU34 · p.7SoUHealth & social services
A national support and coordination function
A national support and coordination function for the co-occurring-conditions care reform
What's at stake: It concerns how consistently and reliably municipalities and regions are guided as responsibility for the care and treatment of people with harmful substance use or dependency is shifted and clarified, which in turn affects how equal the support becomes across different parts of the country.
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 government should give an agency, such as the National Board of Health and Welfare, an explicit, long-term mandate to build a dedicated national support and coordination function for municipalities and regions during implementation of the reform, or whether the assignments and funds already allocated for implementation support are sufficient.
Yes Yes — the committee proposal
The committee sees no need for a separate, dedicated mandate to create a national support and coordination function. It notes that the government has already allocated 50 million kronor for agency assignments and other measures to support the principals, and that the National Board of Health and Welfare has been given a comprehensive assignment (S2026/00382) to, among other things, produce and disseminate knowledge support that guides municipalities and regions, to be reported by 31 August 2026, with supplementary assignments due by 31 March 2027. The motions are rejected.
No No — the reservations
Reservation 6 (S, V, C, MP)
The reservation (S, V, C, MP) argues that a national support and coordination function is needed for implementing the reform, and that the government should give the National Board of Health and Welfare or another suitable agency a clear, long-term mandate to establish such a function, able to provide guidance, spread good examples and offer concrete support to the principals throughout the implementation process, to ensure the reform is carried out more equally and effectively across the country.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
V–
S–
MP–
C–
L–
KD–
M–
SD–
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 6 by S, V, C, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The plan's stance / Actual vote
AI
Vote
Confidence
Evidence
Vown reservation
–
No 0/21/0/0
Sown reservation
–
No 0/105/0/1
MPown reservation
–
No 0/18/0/0
Cown reservation
–
No 0/24/0/0
L
–
Yes 16/0/0/0
KD
–
Yes 19/0/0/0
M
–
Yes 66/0/0/0
SD
–
Yes 70/0/0/0
Committee proposal
The Riksdag rejects the motions
2025/26:4155 by Fredrik Lundh Sammeli et al. (S) request 2 and
2025/26:4158 by Christofer Bergenblock et al. (C) request 2.
Original (Swedish)
Riksdagen avslår motionerna
2025/26:4155 av Fredrik Lundh Sammeli m.fl. (S) yrkande 2 och
2025/26:4158 av Christofer Bergenblock m.fl. (C) yrkande 2.
Riksdag decision: The Riksdag approved the Government's proposal regarding coordinated care and support operations, among other things.
The proposal aims to achieve more uniform and coordinated care for persons with harmful use or dependency and other psychiatric conditions. The care shall be directed at persons who have special needs for healthcare and social services over a longer period due to a mental disability.
The Government's proposal entails an expanded requirement for cooperation between municipalities and regions. The regions shall, among other things, organize care for persons with harmful use or dependency so that it can be provided in coordination with other psychiatric care.
Another change is that the word "missbruk" (misuse) is removed and replaced with "bruk" (use) or "skadligt bruk och beroende" (harmful use and dependency) in several statutes concerning healthcare and social services.
The legislative changes shall enter into force on 1 January 2028.
Counter-proposals
The counter-proposal wants legislation to clearly establish that regions have primary responsibility for care and treatment of substance abuse or addiction. (S, V, C, MP) — Reservation 6
Motion 2025/26:4155 — med anledning av prop. 2025/26:251 En mer sammanhållen vård för personer med skadligt bruk eller beroende och andra psykiatriska tillstånd av Fredrik Lundh Sammeli m.fl. (S)
Motion 2025/26:4158 — med anledning av prop. 2025/26:251 En mer sammanhållen vård för personer med skadligt bruk eller beroende och andra psykiatriska tillstånd av Christofer Bergenblock m.fl. (C)
Motion 2025/26:4177 — med anledning av prop. 2025/26:251 En mer sammanhållen vård för personer med skadligt bruk eller beroende och andra psykiatriska tillstånd av Nils Seye Larsen m.fl. (MP)
Motion 2025/26:4181 — med anledning av prop. 2025/26:251 En mer sammanhållen vård för personer med skadligt bruk eller beroende och andra psykiatriska tillstånd av Karin Rågsjö m.fl. (V)
Proposition 2025/26:251 — En mer sammanhållen vård för personer med skadligt bruk eller beroende och andra psykiatriska tillstånd