2026-06-152025/26:SoU34 · p.11SoUHealth & social services
Follow-up and evaluation of the reform
Follow-up and evaluation of the co-occurring-conditions care reform
What's at stake: The decision affects how well it will be possible in practice to detect whether the reform delivers its intended effect for people with harmful substance use or dependency and other psychiatric conditions, or whether it instead crowds out other care or burdens municipalities and regions more than planned.
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 call on the government to carry out a special, thorough follow-up and evaluation of the reform's effects, accessibility, crowding-out effects and financing, or whether existing agency assignments and reports are sufficient to capture this.
Yes Yes — the committee proposal
The committee shares the government's assessment that the reform does not yet require additional, permanent financing, and takes the view that the assignments and reporting requirements already directed at the National Board of Health and Welfare — including producing knowledge support and reporting by 31 August 2026 — provide sufficient insight into how the reform functions in practice. A separate parliamentary statement on follow-up and evaluation is therefore not considered necessary, and the motions are rejected.
No No — the reservations
Reservation 10 (S, V, C, MP)
The reservation (S, V, C, MP) argues that the government should follow up the reform very closely, given concerns about securing resources, the absence of a national support structure and tight timeframes. The follow-up should examine whether the intended effects are achieved, whether services become more coordinated and accessible, whether the reform causes crowding-out effects within psychiatry or social services, whether the division of responsibility works in practice, and whether financing matches the principals' actual costs, with a clear gender-equality and anti-discrimination perspective.
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 10 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 3,
2025/26:4158 by Christofer Bergenblock et al. (C) request 3,
2025/26:4177 by Nils Seye Larsen et al. (MP) request 6 and
2025/26:4181 by Karin Rågsjö et al. (V) request 3.
Original (Swedish)
Riksdagen avslår motionerna
2025/26:4155 av Fredrik Lundh Sammeli m.fl. (S) yrkande 3,
2025/26:4158 av Christofer Bergenblock m.fl. (C) yrkande 3,
2025/26:4177 av Nils Seye Larsen m.fl. (MP) yrkande 6 och
2025/26:4181 av Karin Rågsjö m.fl. (V) yrkande 3.
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 treating harmful substance use and addiction. (S, V, C, MP) — Reservation 10
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