2025-02-132024/25:SoU12 · p.5SoUHealth & social services
HPV
Expanded HPV vaccination for unvaccinated groups
What's at stake: HPV can cause several forms of cancer, and unvaccinated groups - including men who have sex with men, transgender people and people living with HIV - have, according to the Public Health Agency, a particular need for vaccination. The decision affects whether and when these groups receive state-funded protection.
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 state should fund targeted HPV catch-up vaccination for groups that are currently unvaccinated - boys and men in general, and in particular men who have sex with men, transgender people and people living with HIV - and improve catch-up vaccination for young women, or whether this should not be prioritised as a separate parliamentary initiative right now.
Yes Yes — the committee proposal
The committee recommends rejecting the motions. It notes that questions about vaccination programmes and vaccination coverage are being handled through ongoing agency and government work, including on a unified vaccination register, and does not currently see grounds for parliament to move ahead with a separate initiative or funding for HPV catch-up vaccination.
No No — the reservations
Reservation 7 (C, MP)
The reservation (C, MP) refers to a report from the Public Health Agency showing a need for HPV vaccination, both as a catch-up effort for unvaccinated boys and men and as targeted efforts for unvaccinated men who have sex with men, transgender people and people living with HIV. The reservation argues that there are strong grounds for the state to help cover this cost, including the cost of information campaigns to reach the target group, and also wants catch-up vaccination for young women to reach more people than it does today.
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 7 by 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.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | Yes 19/0/0/5 | departs from the plan | confidence: medium | not addressed |
| S | No | Yes 87/0/0/19 | departs from the plan | confidence: medium | not addressed |
| MP | No | No 0/14/0/4 | follows the plan | confidence: medium | not addressed |
| C | No | No 0/20/0/4 | follows the plan | confidence: medium | not addressed |
| L | No | Yes 12/0/0/4 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | derived |
| M | Yes | Yes 54/0/0/14 | follows the plan | confidence: low | not addressed |
| SD | No | Yes 62/0/0/10 | departs from the plan | confidence: low | not addressed |
Committee proposal
Parliament rejects the motions 2024/25:1360 by Carina Ståhl Herrstedt et al. (SD) demands 6 and 7, and 2024/25:3055 by Ulrika Westerlund et al. (MP) demand 92.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:1360 av Carina Ståhl Herrstedt m.fl. (SD) yrkandena 6 och 7 samt 2024/25:3055 av Ulrika Westerlund m.fl. (MP) yrkande 92.
Riksdag decision: Parliament said no to approximately 120 proposals on public health in motions from the general motion period of 2024. Parliament refers primarily to the fact that work is already underway in the areas that the proposals address. The motions address, among other things, healthy living habits, vaccinations, and mental health.
Counter-proposals
- The counter-proposal wants to ensure that sufficient and relevant health data is collected to reduce health inequalities. (C, MP) — Reservation 7
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 election manifesto requires equal, equitable and accessible healthcare regardless of who you are, and the party programme sees it as decisive to strengthen LGBTQIA+ people's rights and emphasizes sexual and reproductive rights.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires equal, equitable and accessible healthcare regardless of who you are, and the party programme sees it as decisive to strengthen LGBTQIA+ people's rights and emphasizes sexual and reproductive rights. That the state contributes to catch-up vaccination against HPV for unvaccinated and targeted efforts for particularly vulnerable groups aligns with that, as does the demand for increased resources for healthcare.
Original (Swedish)
Valmanifestet kräver en jämlik, jämställd och tillgänglig sjukvård oavsett vem du är, och partiprogrammet ser det som avgörande att stärka hbtqia+-personers rättigheter och betonar sexuella och reproduktiva rättigheter. Att staten bidrar till catch-up-vaccination mot HPV för ovaccinerade och till riktade insatser för särskilt utsatta grupper ligger i linje med det, liksom med kravet på ökade resurser till hälso- och sjukvården.
- equal and accessible caredecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, equitable and accessible, regardless of where in the country you live and regardless of who you are.”
- sexual and reproductive health»sexuella och reproduktiva rättigheter är avgörande för människors« (party programme ↗)“sexual and reproductive rights are decisive for people's”
- strengthened LGBTQIA+ rights»Vi ser det som avgörande att stärka hbtqia+-personers rättigheter i en« (party programme ↗)“We see it as decisive to strengthen LGBTQIA+ people's rights in a”
- increased resources for care»Resurserna till hälso- och sjukvården måste öka för att täcka behoven« (party programme ↗)“Resources for healthcare must increase to meet needs”
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 requires that all inhabitants throughout the country have equivalent access to care and wants a society without homophobia and transphobia, and the election manifesto states that no one should have to worry about getting treatment in time.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires that all inhabitants throughout the country have equivalent access to care and wants a society without homophobia and transphobia, and the election manifesto states that no one should have to worry about getting treatment in time. State contribution to catch-up vaccination against HPV and targeted measures for unvaccinated groups is such equivalent and preventive protection. The plan does not mention vaccination programmes, so the assessment is derived.
Original (Swedish)
Partiprogrammet kräver att alla invånare i hela landet har likvärdig tillgång till vård och vill ett samhälle utan homo- och transfobi, och valmanifestet slår fast att ingen ska behöva känna oro över att få vård i tid. Statligt bidrag till catch-up-vaccination mot HPV och riktade insatser till ovaccinerade grupper är ett sådant likvärdigt och förebyggande skydd. Planen nämner inte vaccinationsprogram, varför bedömningen är härledd.
- equivalent care throughout the countrydecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country shall have equivalent access to school, health and care services.”
- society without homophobia and transphobia»klasskillnader, patriarkat, rasism eller homo- och transfobi, ett samhälle utan fördomar och« (party programme ↗)“class divisions, patriarchy, racism or homophobia and transphobia, a society without prejudices and”
- care in time»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one should have to worry about getting treatment in time.”
- welfare as investment»Satsningar på välfärden ska därför ses som investeringar i mänskliga resurser, lika« (party programme ↗)“Investments in welfare shall therefore be seen as investments in human resources, equally”
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 wants sexual and reproductive health to be secured through accessible initiatives and wants contraception to be free for young people, which supports the principle that the state should cover preventive measures for sexual health.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants sexual and reproductive health to be secured through accessible initiatives and wants contraception to be free for young people, which supports the principle that the state should cover preventive measures for sexual health. The counter-proposal's requirement for state-funded catch-up vaccination against HPV and targeted information initiatives to hard-to-reach groups follows from the same commitment and from the plan's requirement for outreach activities and a national public health programme. HPV vaccination is not explicitly mentioned, so the conclusion is derived.
Original (Swedish)
Planen vill att sexuell och reproduktiv hälsa säkras genom tillgängliga insatser och att preventivmedel är avgiftsfritt för unga, vilket bär principen att staten ska bekosta förebyggande insatser för sexuell hälsa. Motförslagets krav på statligt finansierad catch-up-vaccination mot HPV och riktade informationsinsatser till svårnådda grupper följer av samma åtagande och av planens krav på uppsökande verksamhet och ett nationellt folkhälsoprogram. Vaccination mot HPV berörs inte uttryckligen, varför slutsatsen härleds.
- free sexual health for young peopledecisive»att preventivmedel ska vara avgiftsfritt upp till 26 år« (2022 manifesto ↗)“that contraception shall be free up to age 26”
- secured reproductive health»God sexualundervisning i skolan, tillgängliga ungdomsmottagningar och tillgång till preventivmedel« (party programme ↗)“Good sex education in school, accessible youth clinics and access to contraception”
- outreach care to vulnerable groups»genom högre grad av uppsökande verksamhet« (party programme ↗)“through a higher degree of outreach activities”
- disease-preventing public health work»se ett nationellt folkhälsoprogram« (party programme ↗)“see a national public health programme”
The party programme makes a preventive approach a prerequisite for sustainable welfare, which is precisely what state-funded catch-up vaccination against HPV is.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme makes a preventive approach a prerequisite for sustainable welfare, which is precisely what state-funded catch-up vaccination against HPV is. The plan also requires that women and men receive equally good care and that publicly funded services are equivalent for all, which argues that unvaccinated boys, men and other high-risk groups should also be reached. The requirement that care be based on science and proven experience supports following the authority report's conclusions. Vaccination programmes are not explicitly mentioned, hence the derivation.
Original (Swedish)
Partiprogrammet gör ett förebyggande förhållningssätt till en förutsättning för en hållbar välfärd, vilket är precis vad en statligt finansierad catch-up-vaccination mot HPV är. Planen kräver dessutom att kvinnor och män ska få lika bra vård och att det offentligt finansierade ska vara likvärdigt för alla, vilket talar för att även ovaccinerade pojkar, män och andra grupper med hög risk ska nås. Att vården ska bygga på vetenskap och beprövad erfarenhet ger stöd för att följa myndighetsrapportens slutsatser. Vaccinationsprogram nämns inte uttryckligen, därav härledning.
- preventive health workdecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
- equal care»Kvinnor och män ska få lika bra vård.« (2022 manifesto ↗)“Women and men shall receive equally good care.”
- equivalent public financing»Det som det offentliga finansierar ska vara likvärdigt för alla och med samma goda kvalitet till alla.« (party programme ↗)“What the public finances shall be equivalent for all and with the same good quality for everyone.”
- care based on science»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet« (party programme ↗)“Good care and services across the country, based on science and proven experience”
The plan requires that public health work and preventive health measures are based on knowledge and that care is equitable regardless of sex, age and finances, and that LGBTQ+ competence in healthcare is strengthened.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that public health work and preventive health measures are based on knowledge and that care is equitable regardless of sex, age and finances, and that LGBTQ+ competence in healthcare is strengthened. The counter-proposal is based on an official report and wants the state to contribute to the cost of catch-up vaccination and targeted interventions for particularly vulnerable groups. It aligns with the plan's commitments to knowledge-based, tax-financed and equitable care, even though vaccination programmes are not mentioned.
Original (Swedish)
Planen kräver att folkhälsoarbetet och de förebyggande hälsoinsatserna vilar på kunskap och att vården är jämlik oavsett kön, ålder och ekonomi, samt att hbtqi-kompetensen i vården stärks. Motförslaget utgår från en myndighetsrapport och vill att staten bidrar till kostnaden för catch-up-vaccination och riktade insatser mot särskilt utsatta grupper. Det ligger i linje med planens åtaganden om kunskapsbaserad, skattefinansierad och jämlik vård, även om vaccinationsprogram inte nämns.
- knowledge-based preventive healthcaredecisive»Folkhälsoarbetet och de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“Public health work and preventive health measures shall be based on knowledge”
- equitable care for all»Vården ska vara jämlik.« (party programme ↗)“Care shall be equitable.”
- strengthened LGBTQ+ competence in healthcare»Hbtqi-kompetensen i vård, skola och omsorg ska stärkas och ett lagskydd mot omvändelseterapi ska införas.« (2022 manifesto ↗)“LGBTQ+ competence in healthcare, schools and elderly care shall be strengthened and legal protection against conversion therapy shall be introduced.”
- tax-financed care»Vård och omsorg ska i huvudsak betalas över skattsedeln« (party programme ↗)“Healthcare and elderly care shall mainly be financed through the tax system”
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 solidarity-financed healthcare is the core of welfare and shall be needs-based, and the election manifesto wishes for equitable healthcare on equal terms for the entire population with the state as responsible.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that solidarity-financed healthcare is the core of welfare and shall be needs-based, and the election manifesto wishes for equitable healthcare on equal terms for the entire population with the state as responsible. Public health work shall moreover be joint responsibility that is not limited to healthcare. State co-financing of catch-up vaccination and information measures for unvaccinated groups follows from these commitments.
Original (Swedish)
Planen slår fast att den solidariskt finansierade vården är välfärdens kärna och ska vara behovsstyrd, och valmanifestet vill ha en jämlik vård på lika villkor för hela befolkningen med staten som ansvarig. Folkhälsoarbetet ska dessutom vara ett gemensamt ansvarstagande som inte begränsas till sjukvården. Statlig medfinansiering av catch-up-vaccination och informationsinsatser för ovaccinerade grupper följer av dessa åtaganden.
- solidarity-financed needs-based healthcaredecisive»Den solidariskt finansierade hälso- och sjukvården är välfärdens kärna och ska vara behovsstyrd.« (party programme ↗)“Solidarity-financed health and healthcare is the core of welfare and shall be needs-based.”
- equitable healthcare for the entire population»Det ger en högkvalitativ, effektiv och jämlik vård på lika villkor till hela befolkningen.« (2022 manifesto ↗)“This gives high-quality, efficient and equitable healthcare on equal terms to the entire population.”
- broad public health responsibility»Folkhälsoarbetet får därför inte inskränkas till hälso- och sjukvården utan kräver ett gemensamt ansvarstagande och samverkan mellan olika samhällsaktörer.« (party programme ↗)“Public health work therefore must not be confined to health and healthcare but requires joint responsibility and cooperation between different societal actors.”
- national standards for healthcare information»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation.« (2022 manifesto ↗)“Ensure patient safety with national standards and technical specifications for all digital healthcare information.”
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 specifies which care efforts are prioritised – shorter waiting times for care, cancer care and child and youth psychiatry – and explicitly states that large needs place great demands on prioritisations and that the party knows what can wait.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan specifies which care efforts are prioritised – shorter waiting times for care, cancer care and child and youth psychiatry – and explicitly states that large needs place great demands on prioritisations and that the party knows what can wait. A new state-financed catch-up programme for HPV vaccination of adult men and targeted groups is not among these commitments. The party programme's principle that policy must prioritise and make choices about what not to do speaks against adding a new commitment outside the prioritised. The plan therefore does not support the counter-proposal's requirement.
Original (Swedish)
Planen anger vilka vårdsatsningar som prioriteras – kortare vårdköer, cancervård och barn- och ungdomspsykiatri – och säger uttryckligen att de stora behoven ställer stora krav på prioriteringar och att partiet vet vad som får vänta. Ett nytt statligt finansierat catch-up-program för HPV-vaccination av vuxna män och riktade grupper finns inte bland dessa åtaganden. Partiprogrammets princip att politiken måste prioritera och välja bort talar mot att lägga till ett nytt åtagande utanför det prioriterade. Planen ger därför inte stöd för motförslagets krav.
- prioritised care effortsdecisive»Moderaterna vill korta tiden som du behöver vänta på att få vård men särskilt prioritera cancervård och barn- och ungdomspsykiatrin.« (2022 manifesto ↗)“The Moderate Party wants to shorten the time you need to wait to receive care but particularly prioritise cancer care and child and youth psychiatry.”
- hard prioritisations required»De stora behoven inom rättsväsendet, försvaret och välfärden ställer stora krav på prioriteringar under åren som kommer.« (2022 manifesto ↗)“Large needs within the justice system, defence and welfare place great demands on prioritisations in the years to come.”
- some reforms can wait»Vi vet vad som måste göras – och vad som får vänta.« (2022 manifesto ↗)“We know what needs to be done – and what can wait.”
- prioritise and choose»Politiken har en viktig uppgift att prioritera och välja bort« (party programme ↗)“Policy has an important task to prioritise and choose not to do things”
The election manifesto points out that shortcomings lead to patients receiving care at a later and more advanced disease stage, and the party programme establishes that health and medical care should be financed in solidarity and given according to need.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto points out that shortcomings lead to patients receiving care at a later and more advanced disease stage, and the party programme establishes that health and medical care should be financed in solidarity and given according to need. State support for catch-up vaccination against HPV and targeted measures for unvaccinated groups is a preventive measure in line with this. The plan also establishes equal rights regardless of sexuality and that care should be evidence-based, which speaks for needs-driven targeted measures.
Original (Swedish)
Valmanifestet pekar på att brister leder till att patienter får vård i ett senare och förvärrat sjukdomsstadium, och partiprogrammet slår fast att hälso- och sjukvården ska vara solidariskt finansierad och ges efter behov. Statligt bidrag till catch-up-vaccination mot HPV och riktade insatser för ovaccinerade grupper är en förebyggande insats i linje med det. Planen slår också fast lika rättigheter oavsett sexualitet och att vården ska vara evidensbaserad, vilket talar för behovsstyrda riktade insatser.
- early interventions before latedecisive»Bristerna leder till att patienter ofta får vård i ett senare och ofta förvärrat sjukdomsstadium än vad som hade varit möjligt med en mer tillgänglig vård.« (2022 manifesto ↗)“Shortcomings often lead to patients receiving care at a later and often more advanced disease stage than would have been possible with more accessible care.”
- solidarity-financed care»hälso- och sjukvården ska vara solidariskt finansierad via skattsedeln« (party programme ↗)“health and medical care should be financed in solidarity through the tax system”
- evidence-based care»evidensbaserad vård« (party programme ↗)“evidence-based care”
- equal rights regardless of orientation»Att alla ska ha samma möjligheter och rättigheter oavsett sexualitet, läggning eller identitet« (2022 manifesto ↗)“That everyone should have the same opportunities and rights regardless of sexuality, orientation or identity”
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 (2024/25:SoU12)
- Committee report full text (HC01SoU12)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1064 — Musik som resurs mot psykisk ohälsa och suicidprevention av Cecilia Engström (KD)
- Motion 2024/25:1094 — Tydliggörande av orsakerna till psykisk ohälsa hos barn av Marléne Lund Kopparklint m.fl. (M)
- Motion 2024/25:1272 — TBE-vaccination för fler av Åsa Westlund och Mathias Tegnér (båda S)
- Motion 2024/25:1357 — Astma- och allergivården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1360 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1362 — En stärkt psykisk hälsa i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1363 — En tillgänglig sjukvård i världsklass av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1364 — Folkhälsan i fokus av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1403 — En human sjukförsäkring med individen i centrum av Clara Aranda m.fl. (SD)
- Motion 2024/25:1507 — Ökad användning av häst åt fler av Alexandra Anstrell och Anna af Sillén (båda M)
- Motion 2024/25:1681 — Gratis TBE-vaccin för barn och unga under 18 år av Louise Thunström och Sofia Skönnbrink (båda S)
- Motion 2024/25:1754 — Politik för samer av Jan Riise m.fl. (MP)
- Motion 2024/25:1818 — Kunskap om det manliga klimakteriet av Peter Ollén (M)
- Motion 2024/25:1826 — Friluftsliv i vård och omsorg av Emma Ahlström Köster och Kristina Axén Olin (båda M)
- Motion 2024/25:1905 — En starkare folkhälsa av Karin Rågsjö m.fl. (V)
- Motion 2024/25:1923 — En bättre hälso- och sjukvård av Nooshi Dadgostar m.fl. (V)
- Motion 2024/25:1957 — Konsumtion av frukt och grönt av Cecilia Engström (KD)
- Motion 2024/25:1964 — Förbättrad psykisk hälsa för transpersoner av Margareta Cederfelt (M)
- Motion 2024/25:1973 — Lex Rebecka - våga leva av Ann-Sofie Alm (M)
- Motion 2024/25:1974 — Lex Rebecka - en psykiatrivård som räddar liv av Ann-Sofie Alm (M)
Source: The Swedish Parliament