2026-02-172025/26:SoU14 · p.11SoUHealth & social services
High-Cost Protection in Dental Care
Cost-cap protection in dental care
What's at stake: The decision affects how much people have to pay for dental care out of pocket and how quickly a broader cost reform can be put in place, which matters especially for older people and residents of sparsely populated municipalities.
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 recently proposed dental cost-cap protection, to be phased in starting with older people, is sufficient, or whether the Riksdag should instead push for a broader, gradually developed cost-cap protection - similar to that in healthcare - combined with a special subsidy for municipalities.
Yes Yes — the committee proposal
The committee shares the government's assessment that the new special dental-care allowance should be introduced in stages, starting with a relatively high age threshold, and welcomes the government's intention to return with criteria for a future expansion. The question of a municipal-type supplement is already being prepared within the Government Offices and should not be pre-empted, so the committee rejects the motions.
No No — the reservations
Reservation 18 (S)
The reservation (S) calls for lowering the financial thresholds to dental care through a gradually developed cost-cap protection similar to that in healthcare, starting with older people, combined with a municipal-type supplement for patients outside major-city municipalities, referring to the proposals of an earlier dental-care inquiry.
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 18 by S.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: KDKristdemokraterna, LLiberalerna, MPMiljöpartiet, SDSverigedemokraterna
Ja 190–93Nej 81–202
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | Abstain 0/0/19/3 | differs | confidence: high | explicit |
| S | No | No 0/92/0/14 | match | confidence: high | explicit |
| MP | No | Yes 16/0/0/2 | differsagainst own programme | confidence: high | explicit |
| C | No | Yes 21/0/0/3 | differs | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: high | explicit |
| M | Yes | Yes 59/0/0/9 | match | confidence: low | not addressed |
| SD | No | Yes 62/0/0/9 | differsagainst own programme | confidence: high | explicit |
Committee proposal
The Riksdag rejects the motions 2025/26:526 by Ewa Pihl Krabbe et al. (S), 2025/26:896 by Magnus Manhammar (S), 2025/26:1067 by Carina Ödebrink et al. (S) demand 3, 2025/26:1137 by Martina Johansson (C) demand 1, 2025/26:1266 by Louise Thunström et al. (S), 2025/26:1424 by Åsa Karlsson and Isak From (both S), 2025/26:1581 by Anders Ekegren (L), 2025/26:1837 by Johanna Haraldsson et al. (S), 2025/26:1981 by Sten Bergheden (M), 2025/26:2222 by Ann-Sofie Lifvenhage (M), 2025/26:2777 by Nooshi Dadgostar et al. (V) demand 25 and 2025/26:3645 by Fredrik Lundh Sammeli et al. (S) demands 136 and 138.
Original (Swedish)
Riksdagen avslår motionerna 2025/26:526 av Ewa Pihl Krabbe m.fl. (S), 2025/26:896 av Magnus Manhammar (S), 2025/26:1067 av Carina Ödebrink m.fl. (S) yrkande 3, 2025/26:1137 av Martina Johansson (C) yrkande 1, 2025/26:1266 av Louise Thunström m.fl. (S), 2025/26:1424 av Åsa Karlsson och Isak From (båda S), 2025/26:1581 av Anders Ekegren (L), 2025/26:1837 av Johanna Haraldsson m.fl. (S), 2025/26:1981 av Sten Bergheden (M), 2025/26:2222 av Ann-Sofie Lifvenhage (M), 2025/26:2777 av Nooshi Dadgostar m.fl. (V) yrkande 25 och 2025/26:3645 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 136 och 138.
Riksdag decision: The Riksdag rejected 93 proposals in motions on medicines and dental care. The proposals were submitted during the general motion submission period 2025 and address among other things prescription practices, review of the pharmacy market, and dental care. The Riksdag refers among other things to the fact that work is underway in the matters that the proposals concern.
Counter-proposals
- The counter-proposal wants to expand prescribing rights to more health professions and restrict doctors' ability to self-prescribe narcotic medication. (S) — Reservation 18
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 plan explicitly requires a dental insurance similar to the rest of healthcare with a cost ceiling, with the reasoning that adults today lack meaningful protection and therefore forego dental care for financial reasons.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly requires a dental insurance similar to the rest of healthcare with a cost ceiling, with the reasoning that adults today lack meaningful protection and therefore forego dental care for financial reasons. The counter-proposal's gradually expanded cost ceiling starting with elderly people and targeted municipal support is the same requirement in substance. The plan moreover wants dental care to be included in healthcare with the same fees.
Original (Swedish)
Planen kräver uttryckligen en tandvårdsförsäkring liknande den övriga hälso- och sjukvårdens med ett högkostnadsskydd, med motiveringen att vuxna i dag saknar ett skydd värt namnet och därför avstår tandvård av ekonomiska skäl. Motförslagets stegvis utbyggda högkostnadsskydd med start för äldre och riktat kommunstöd är samma krav i sak. Planen vill dessutom att tandvården inkluderas i hälso- och sjukvården med samma taxor.
- dental insurance with cost ceilingdecisive»Vänsterpartiet vill därför införa en tandvårdsförsäkring liknande den som finns inom övrig hälso- och sjukvård med ett högkostnadsskydd som gör att vuxna människor med behov inte ska behöva tacka nej till god tandvård.« (2022 manifesto ↗)“The Left Party therefore wants to introduce dental insurance similar to that which exists in other healthcare with a cost ceiling that means adults with needs should not have to decline good dental care.”
- dental care into healthcare»Vi vill att tandvården inkluderas i hälso- och sjukvården, med samma« (party programme ↗)“We want dental care to be included in healthcare, with the same”
- missing cost ceiling»En viktig orsak är att det för vuxna patienter saknas ett högkostnadsskydd värt namnet och dessa får därför stå för en stor del av tandvårdskostnaderna själva.« (2022 manifesto ↗)“An important reason is that there is no meaningful cost ceiling for adult patients and they therefore have to bear a large part of dental care costs themselves.”
- socioeconomic dental health gaps»Trots att tandhälsan i befolkningen som helhet har förbättrats kvarstår betydande socioekonomiska skillnader.« (2022 manifesto ↗)“Although dental health in the population as a whole has improved, significant socioeconomic differences remain.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The party programme establishes the goal of equal dental care that is integrated into other healthcare.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes the goal of equal dental care that is integrated into other healthcare. A gradually expanded high-cost protection after the healthcare model, starting with the elderly, is precisely that integration, and targeted support to municipalities outside metropolitan areas responds to the requirement for equal welfare regardless of where one lives. The election manifesto's promise of a secure old age points in the same direction.
Original (Swedish)
Partiprogrammet slår fast målet om en jämlik tandvård som integreras i övrig hälso- och sjukvård. Ett stegvis utbyggt högkostnadsskydd efter sjukvårdens modell, med start för äldre, är just den integrationen, och riktat stöd till kommuner utanför storstadsområdena svarar mot kravet på likvärdig välfärd oavsett var man bor. Valmanifestets löfte om en trygg ålderdom pekar åt samma håll.
- jämlik tandvårddecisive»Jämlik tandvård som integreras i övrig hälso- och sjukvård.« (party programme ↗)“Equal dental care that is integrated into other healthcare.”
- vård efter behov»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for everyone to good healthcare through society's provision.”
- likvärdig välfärd i hela landet»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare for citizens regardless of where in the country they live.”
- trygg ålderdom»Det ska vara tryggt att åldras i Sverige.« (2022 manifesto ↗)“It shall be secure to grow old in Sweden.”
The plan explicitly requires that dental care be brought into parity with other healthcare and included in the same high-cost protection, financed in the same way so that dental health is not a class issue.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly requires that dental care be brought into parity with other healthcare and included in the same high-cost protection, financed in the same way so that dental health is not a class issue. The counter-proposal's phased high-cost protection starting with the elderly is a step in exactly that direction, and the targeted municipal support addresses the plan's requirement for equitable care regardless of place of residence. The plan goes further than the proposal but speaks clearly in its favour.
Original (Swedish)
Planen kräver uttryckligen att tandvården jämställs med övrig hälso- och sjukvård och ingår i samma högkostnadsskydd, finansierad på samma sätt för att tandhälsa inte ska vara en klassfråga. Motförslagets stegvisa högkostnadsskydd med start för äldre är ett steg i just den riktningen, och det riktade kommunstödet svarar mot planens krav på jämlik vård oavsett bostadsort. Planen går längre än förslaget men talar entydigt för det.
- dental care in high-cost protectiondecisive»att tandvården ska jämställas med övrig hälso- och sjukvård, och ingå i samma högkostnadsskydd.« (2022 manifesto ↗)“that dental care shall be brought into parity with other healthcare and be included in the same high-cost protection.”
- same financing as healthcare»Tandvården ska finansieras på samma sätt som övrig sjukvård« (party programme ↗)“Dental care shall be financed in the same way as other healthcare”
- reduced health disparities»hälsoklyftorna minskar så att livslängd, psykisk hälsa och trygg vård« (party programme ↗)“health disparities decrease so that life expectancy, mental health and safe care”
flags: citat_migrerat
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The party programme states that care in publicly funded care shall be provided on the basis of need and not on the basis of ability to pay, which is precisely what a high-cost protection system in dentistry achieves.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme states that care in publicly funded care shall be provided on the basis of need and not on the basis of ability to pay, which is precisely what a high-cost protection system in dentistry achieves. The election manifesto furthermore promises close and reliable care regardless of where one lives, which supports the counter-proposal's targeted support to municipalities outside metropolitan areas. That older people are singled out as the first step is in line with the promise of good security for pensioners.
Original (Swedish)
Partiprogrammet slår fast att vård i den offentligt finansierade vården ska ges efter behov och inte efter betalningsförmåga, vilket är just vad ett högkostnadsskydd i tandvården åstadkommer. Valmanifestet lovar dessutom nära och pålitlig vård oavsett var man bor, vilket bär motförslagets riktade stöd till kommuner utanför storstadsområdena. Att äldre pekas ut som första steg ligger i linje med löftet om god trygghet för pensionärerna.
- care based on needdecisive»att snabbt få vård i den offentligt finansierade sjukvården ska ges efter behov och inte efter betalningsförmåga.« (party programme ↗)“that care in publicly funded healthcare should quickly be provided on the basis of need and not on the basis of ability to pay.”
- equitable care outside urban areas»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, an equitable school and safe and close healthcare and care — regardless of where they live.”
- security for pensioners»Sveriges pensionärer ska ha god trygghet, nu och många år framöver.« (2022 manifesto ↗)“Sweden's pensioners shall have good security, now and for many years to come.”
- shared responsibility for care»Människor har en rad grundläggande behov: mat, kläder, boende och vård.« (party programme ↗)“People have a range of basic needs: food, clothes, housing and care.”
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 election manifesto states that dental care financing shall gradually resemble other healthcare where the patient pays less and society more, and the party programme specifies a gradually increasing subsidy level where those with the poorest oral health are prioritized.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that dental care financing shall gradually resemble other healthcare where the patient pays less and society more, and the party programme specifies a gradually increasing subsidy level where those with the poorest oral health are prioritized. This is precisely the counter-proposal's gradually developed high-cost protection starting with the elderly. The requirement for targeted municipal support outside metropolitan areas corresponds to the plan's requirement for equivalent care regardless of place of residence.
Original (Swedish)
Valmanifestet slår fast att tandvårdens finansiering steg för steg ska likna annan sjukvård där patienten betalar mindre och samhället mer, och partiprogrammet preciserar en stegvis ökande subventionsgrad där de med sämst munhälsa prioriteras. Det är precis motförslagets stegvis utvecklade högkostnadsskydd med start för äldre. Kravet på riktat kommunstöd utanför storstadsområdena svarar mot planens krav på likvärdig vård oavsett bostadsort.
- dental care as other healthcaredecisive»Tandvårdens finansiering ska steg för steg likna annan sjukvård där du som patient betalar mindre och samhället mer.« (2022 manifesto ↗)“Dental care financing shall gradually resemble other healthcare where you as a patient pay less and society more.”
- gradually increased subsidy»Tandvårdens finansiering ska stegvis göras mer lik den i övrig hälso- och sjukvård genom ökande subventionsgrad. De personer som har sämst munhälsa ska prioriteras.« (party programme ↗)“Dental care financing shall gradually be made more similar to other healthcare through increasing subsidy levels. Those with the poorest oral health shall be prioritized.”
- dental care regardless of income»Ingen ska tvingas avstå från tandvård på grund av låg inkomst.« (party programme ↗)“No one shall be forced to forego dental care because of low income.”
- equivalent care regardless of location»Oavsett bostadsort har individer rätt att få likvärdig kvalitet på vården, omsorgen, socialtjänsten och andra välfärdstjänster.« (party programme ↗)“Regardless of place of residence, individuals have the right to equivalent quality of care, health services, social services and other welfare services.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The election manifesto explicitly promises strengthened dental care for the elderly including by lowering the cost-protection ceiling for dental care, and the party programme requires that conditions for dental care increasingly resemble those for health and medical care and that all shall have access to good dental care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises strengthened dental care for the elderly including by lowering the cost-protection ceiling for dental care, and the party programme requires that conditions for dental care increasingly resemble those for health and medical care and that all shall have access to good dental care. The counter-proposal's gradually developed cost-protection ceiling starting with the elderly is exactly this. The targeted municipal support for patients outside major cities responds to the plan's ambition that care be available close at hand throughout the country.
Original (Swedish)
Valmanifestet lovar uttryckligen stärkt tandvård för äldre bland annat genom att sänka högkostnadsskyddet för tandvård, och partiprogrammet kräver att villkoren för tandvård i högre utsträckning efterliknar hälso- och sjukvårdens och att alla ska ha tillgång till god tandvård. Motförslagets stegvis utvecklade högkostnadsskydd med start för äldre är precis detta. Det riktade kommunstödet för patienter utanför storstäderna svarar mot planens ambition att vården ska finnas nära till hands i hela landet.
- lowered cost-protection ceiling for elderly's dental caredecisive»Stärkt tandvård för äldre bland annat genom att sänka högkostnadsskyddet för tandvård.« (2022 manifesto ↗)“Strengthened dental care for the elderly including by lowering the cost-protection ceiling for dental care.”
- dental care on health care terms»Villkoren för tandvård ska i högre utsträckning efterlikna de för hälso- och sjukvården i övrigt.« (party programme ↗)“Conditions for dental care shall increasingly resemble those for health and medical care otherwise.”
- good dental care for all»Alla ska ha tillgång till god tandvård.« (party programme ↗)“All shall have access to good dental care.”
- care close at hand throughout the country»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet - så att vården finns nära till hands.« (2022 manifesto ↗)“More care centres in the countryside and easier for individual doctors to start their own practice - so that care is available close at hand.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan does not address dental care's high-cost protection.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan does not address dental care's high-cost protection. Its healthcare commitments are explicitly prioritised to healthcare queues, cancer care and child and youth psychiatry, and new promises must be financed or fit within the surplus goal. The plan's way of improving pensioners' economy goes moreover via lower taxes rather than via new subsidy systems, which is why the nearest lying principle argues against an expanded high-cost protection with targeted municipal support.
Original (Swedish)
Planen behandlar inte tandvårdens högkostnadsskydd. Dess vårdpolitiska åtaganden är uttryckligen prioriterade till vårdköer, cancervård och barn- och ungdomspsykiatri, och nya löften ska finansieras eller rymmas inom överskottsmålet. Planens väg att förbättra pensionärers ekonomi går dessutom via lägre skatt snarare än via nya subventionssystem, varför närmast liggande princip talar emot ett utbyggt högkostnadsskydd med riktat kommunstöd.
- reforms must be financeddecisive»Alla nya löften och reformer – som till exempel våra inkomstskattesänkningar – behöver finansieras eller rymmas inom överskottsmålet.« (2022 manifesto ↗)“All new promises and reforms – such as our income tax cuts – need to be financed or fit within the surplus goal.”
- prioritised healthcare initiatives»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 especially prioritise cancer care and child and youth psychiatry.”
- lower taxes for pensioners»Sänka skatten för alla Sveriges pensionärer« (2022 manifesto ↗)“Lower taxes for all Sweden's pensioners”
- clear prioritisation»Vi vet vad som måste göras – och vad som får vänta.« (2022 manifesto ↗)“We know what must be done – and what can wait.”
The plan has an explicit commitment that all citizens shall be offered dental care on the same terms as other care and that the public sector shall take the same responsibility for oral and dental health as for other health.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan has an explicit commitment that all citizens shall be offered dental care on the same terms as other care and that the public sector shall take the same responsibility for oral and dental health as for other health. A stepwise expanded high-cost protection starting with the elderly is precisely such a lowering of the barrier to dental care. The plan also emphasizes dignified ageing and good care even outside major cities, which also supports the targeted municipal support.
Original (Swedish)
Planen har ett uttryckligt åtagande att alla medborgare ska erbjudas tandvård på samma villkor som annan vård och att det offentliga ska ta samma ansvar för mun- och tandhälsa som för annan hälsa. Ett stegvis utbyggt högkostnadsskydd med start för äldre är just en sådan sänkning av tröskeln till tandvård. Planen betonar dessutom värdigt åldrande och god vård även utanför storstäderna, vilket också talar för det riktade kommunstödet.
- dental care as other caredecisive»Att alla medborgare ska erbjudas tandvård på samma villkor som annan vård« (2022 manifesto ↗)“That all citizens shall be offered dental care on the same terms as other care”
- public responsibility for dental health»Ambitionen ska vara att det offentliga ska ta samma ansvar för medborgarnas mun- och tandhälsa, som för annan hälsa.« (2022 manifesto ↗)“The ambition should be that the public sector takes the same responsibility for citizens' oral and dental health as for other health.”
- dignified ageing»Samhället har ett ansvar i att alla svenska medborgare ska kunna åldras med värdighet.« (2022 manifesto ↗)“Society has a responsibility that all Swedish citizens can age with dignity.”
- care even 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 are entitled to expect good and accessible healthcare, even outside major cities.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
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Sources and documents
- The committee report on riksdagen.se (2025/26:SoU14)
- Committee report full text (HD01SoU14)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:1067 — Jämlik tandvård och tryggad kompetensförsörjning av Carina Ödebrink m.fl. (S)
- Motion 2025/26:108 — Miljömärkning av läkemedel av Björn Tidland (SD)
- Motion 2025/26:1083 — Ökad samhällskontroll av välfärden av Markus Kauppinen m.fl. (S)
- Motion 2025/26:1137 — Tandvårdskostnader av Martina Johansson (C)
- Motion 2025/26:1154 — En tandvård utifrån behov av Hanna Westerén (S)
- Motion 2025/26:1159 — Säkerställ rätt till läkemedel för personer med sällsynta hälsotillstånd av Adrian Magnusson (S)
- Motion 2025/26:1266 — En svensk tandvårdsreform av Louise Thunström m.fl. (S)
- Motion 2025/26:1308 — Regelverket kring bolagskoncerner vid ägande av appläkartjänster, apotek och vårdcentraler av Johan Löfstrand m.fl. (S)
- Motion 2025/26:1370 — Likvärdiga förutsättningar för tandvårdsaktörer av Peter Hedberg m.fl. (S)
- Motion 2025/26:1414 — Kostnadsfri tandvård t.o.m. 23 års ålder av Åsa Karlsson och Helén Pettersson (båda S)
- Motion 2025/26:1424 — Tandhälsa av Åsa Karlsson och Isak From (båda S)
- Motion 2025/26:1438 — Rättvis och tillgänglig tandvård för hela svenska folket av Patrik Lundqvist m.fl. (S)
- Motion 2025/26:1581 — Integrerad tandvård i sjukvården av Anders Ekegren (L)
- Motion 2025/26:164 — En ersättningsmodell som stimulerar privattandläkare att etablera sig där behoven är som störst av Eric Palmqvist (SD)
- Motion 2025/26:1685 — Förfalskade läkemedel av Margareta Cederfelt (M)
- Motion 2025/26:1694 — Folktandvårdsklinikers redovisning av kostnader för papperslösas och asylsökandes tandvård av Staffan Eklöf (SD)
- Motion 2025/26:1837 — En tandvårdsreform som gör tandvården ekonomiskt tillgänglig för alla av Johanna Haraldsson m.fl. (S)
- Motion 2025/26:1981 — Sjukvård och tandvård för alla av Sten Bergheden (M)
- Motion 2025/26:2138 — Minskat medicinslöseri av Sten Bergheden (M)
- Motion 2025/26:2169 — Tandvårdskostnader för asylsökande och tillfälliga besökare av Sten Bergheden (M)
Source: The Swedish Parliament