2024-06-122023/24:SoU13 · p.3SoUHealth & social services
The Principal Investigation
State responsibility for personal assistance
What's at stake: The decision concerns who holds primary responsibility for personal assistance - the state or the current principals - which can affect equal treatment and legal certainty for people with disabilities across different parts of the country, as well as the ability to counter incorrect payments and welfare-related crime.
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 now implement the state-responsibility inquiry's proposal for the state to take over primary responsibility for personal assistance, or whether the matter should continue to be processed within the Government Offices before a position is taken.
Yes Yes — the committee proposal
The committee welcomes the inquiry's report on state responsibility, but considers that parliament need not take any initiative since the matter is being processed within the Government Offices and the coalition agreement states that measures will be considered based on the inquiry's proposals; the motions should therefore be rejected.
No No — the reservations
Reservation 5 (S, C, MP)
The reservation (S, C, MP) argues that state responsibility for personal assistance would create conditions for greater equal treatment and legal certainty across the country and strengthen work against incorrect payments and welfare-related crime, and that the state is better placed to handle situations where the need for, or cost of, assistance rises sharply or unexpectedly; they consider that the government should now implement the state-responsibility inquiry's proposals.
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 5 by S, C, MP.
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: LLiberalerna, SDSverigedemokraterna
Ja 151–145Nej 76–220
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 | No 1/18/0/5 | match | confidence: medium | not addressed |
| S | No | No 1/90/0/15 | match | confidence: medium | not addressed |
| MP | No | No 0/15/0/3 | match | confidence: high | explicit |
| C | No | No 0/21/0/3 | match | confidence: medium | not addressed |
| L | No | Yes 12/0/0/4 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 16/0/0/3 | differs | confidence: medium | not addressed |
| M | No | Yes 58/0/0/10 | differs | confidence: medium | not addressed |
| SD | No | Yes 63/0/0/9 | differsagainst own programme | confidence: high | explicit |
Broke with the party line
| VLotta Johnsson Fornarve (V, Södermanlands län) | Yes — party line: No |
| STomas Eneroth (S, Kronobergs län) | Yes — party line: No |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
The Riksdag rejects the motions 2023/24:1882 by Ulrika Westerlund et al. (MP) demand 4 and 2023/24:2617 by Fredrik Lundh Sammeli et al. (S) demand 119.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:1882 av Ulrika Westerlund m.fl. (MP) yrkande 4 och 2023/24:2617 av Fredrik Lundh Sammeli m.fl. (S) yrkande 119.
Riksdag decision: The Riksdag directs two formal requests (tillkännagivanden) to the Government. One concerns escort services for persons with visual impairment and the other concerns the standard amount for assistance allowance. The Riksdag considers that the Government should review the conditions for free escort services for persons with visual impairment. The Government should also review the conditions for regulating escort service provision in a special law. The Riksdag also wants to see changes regarding the standard amount for assistance allowance, including that the Government should annually report how the amount has been calculated. The Riksdag also considers that the Government should as soon as possible appoint an investigation with the aim of developing a long-term sustainable financing model for assistance allowance that better takes into account different service providers' actual costs. The Riksdag's proposals for these formal requests came in connection with approximately 90 proposals in motions about support for persons with disabilities from the ordinary motion period 2023 being addressed. The Riksdag proposes that the Riksdag says no to the other proposals in motions with reference to ongoing work. The proposals concern, among other things, rights and living conditions for persons with disabilities, interpreter services and car allowance.
Counter-proposals
- The counter-proposal wants the government to continue developing systematic work on disability policy. (S, C, MP) — Reservation 5
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 gives the state the overarching responsibility for welfare and requires that income and costs are distributed solidarily across the country, whilst personal assistance shall be developed so that it truly meets needs.
Plan documents: party programme
Reasoning and quotes
The plan gives the state the overarching responsibility for welfare and requires that income and costs are distributed solidarily across the country, whilst personal assistance shall be developed so that it truly meets needs. The counter-proposal's requirement for state principal responsibility for assistance, for increased equivalence and legal certainty, follows that line. The plan's explicit exception against nationalisation applies to healthcare governance, not assistance.
Original (Swedish)
Planen ger staten det övergripande ansvaret för välfärden och kräver att inkomster och kostnader fördelas solidariskt över landet, samtidigt som personlig assistans ska utvecklas så att den på riktigt täcker behoven. Motförslagets krav på ett statligt huvudmannaskap för assistansen, för ökad likvärdighet och rättssäkerhet, följer den linjen. Planens uttryckliga undantag mot förstatligande gäller hälso- och sjukvårdens styrning, inte assistansen.
- the state's overarching welfare responsibilitydecisive»övergripande ansvaret för välfärden.« (party programme ↗)“overarching responsibility for welfare.”
- solidary distribution across the country»Inkomster och kostnader behöver fördelas solidariskt över landet.« (party programme ↗)“Income and costs need to be distributed solidarily across the country.”
- assistance that meets needs»lig assistans behöver utvecklas så att de på riktigt täcker behoven.« (party programme ↗)“al assistance needs to be developed so that they truly meet needs.”
- healthcare not nationalised (qualifying)»Vi vill att ansvaret och styrningen över hälso- och sjukvården ska« (party programme ↗)“We want the responsibility and governance of healthcare to be”
The election manifesto commits to securing the right to personal assistance and to preventing profit-seeking and criminal exploitation within personal assistance, and to stop welfare crime.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to securing the right to personal assistance and to preventing profit-seeking and criminal exploitation within personal assistance, and to stop welfare crime. State management that provides increased equality, legal certainty and better protection against incorrect payments is a means for this precisely. The party programme also requires equal access to care and services throughout the country. The plan therefore speaks in favour of the counter-proposal's requirements.
Original (Swedish)
Valmanifestet åtar sig att säkra rätten till personlig assistans och att motverka vinstjakt och kriminellt utnyttjande inom assistansen, och att stoppa välfärdsbrottslighet. Ett statligt huvudmannaskap som ger ökad likvärdighet, rättssäkerhet och bättre skydd mot felaktiga utbetalningar är ett medel för just detta. Partiprogrammet kräver dessutom likvärdig tillgång till vård och omsorg i hela landet. Planen talar därför för motförslagets krav.
- secure the right to assistancedecisive»Vi ska säkra rätten till personlig assistans och arbeta vidare med förslagen om att förbättra sjukersättningen.« (2022 manifesto ↗)“We must secure the right to personal assistance and work further on proposals to improve sickness benefits.”
- equal welfare throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country must have equal access to school, healthcare and services.”
- counter profit-seeking in personal assistance»Vinstjakten inom assistansen ska motverkas, liksom att brukare eller personliga assistenter utnyttjas i kriminella syften.« (2022 manifesto ↗)“Profit-seeking within personal assistance must be countered, as must the exploitation of users or personal assistants for criminal purposes.”
- stop welfare crime»Skattefusk, välfärdsbrottslighet och penningtvätt ska stoppas.« (2022 manifesto ↗)“Tax fraud, welfare crime and money laundering must be stopped.”
The election manifesto explicitly requires that the state be introduced as principal in personal assistance, together with a clarification of LSS, so that people receive the support they are entitled to.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly requires that the state be introduced as principal in personal assistance, together with a clarification of LSS, so that people receive the support they are entitled to. This is exactly what the counter-proposal wants to implement now. The party programme's requirement for long-term secure funding and an assessment that does not violate the individual strengthens the same conclusion.
Original (Swedish)
Valmanifestet kräver uttryckligen att statligt huvudmannaskap införs i den personliga assistansen, tillsammans med ett förtydligande av LSS, så att människor får det stöd de har rätt till. Det är exakt vad motförslaget vill genomföra nu. Partiprogrammets krav på en långsiktigt trygg finansiering och en prövning som inte kränker den enskilde stärker samma slutsats.
- state as principal in assistancedecisive»att lagen om stöd och service till vissa funktionshindrade (LSS) förtydligas och statligt huvudmannaskap införs i den personliga assistansen så att människor får det stöd de behöver och har rätt till.« (2022 manifesto ↗)“that the Law on Support and Service to Persons with Certain Disabilities (LSS) is clarified and the state is introduced as principal in personal assistance so that people receive the support they need and are entitled to.”
- value the assistance reform»Vi värnar assistansreformen som möjliggör ett tillgängligt liv för den som har en funktionsnedsättning.« (party programme ↗)“We value the assistance reform that enables an accessible life for someone with a disability.”
- equivalent support across the country»förbättra stödet för personer med funktionsnedsättning och sällsynta diagnoser oavsett var du bor i landet.« (2022 manifesto ↗)“improve support for persons with disabilities and rare diagnoses regardless of where you live in the country.”
- secure funding of assistance»Prövning av om någon är assistansberättigad får inte kränka den enskilde, och systemet behöver en långsiktigt trygg finansiering.« (party programme ↗)“Assessment of whether someone is entitled to assistance must not violate the individual, and the system needs long-term secure funding.”
The manifesto explicitly says the state shall take greater responsibility for LSS to function and that those with a disability shall receive the support they need, which is precisely what state headship for assistance aims at.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The manifesto explicitly says the state shall take greater responsibility for LSS to function and that those with a disability shall receive the support they need, which is precisely what state headship for assistance aims at. The plan further emphasises equitable welfare throughout the country. The party's decentralisation principle and opposition to moving care responsibility to the state pull in the other direction, but that concerns the regions' health and medical care, not LSS.
Original (Swedish)
Manifestet säger uttryckligen att staten ska ta ett större ansvar för att LSS fungerar och att den som har en funktionsnedsättning ska få det stöd hen behöver, vilket är just vad ett statligt huvudmannaskap för assistansen syftar till. Planen betonar också likvärdig välfärd i hela landet. Partiets decentraliseringsprincip och motståndet mot att flytta vårdansvaret till staten drar åt andra hållet, men gäller regionernas hälso- och sjukvård, inte LSS.
- state responsibility for LSSdecisive»Du som har en funktionsnedsättning ska få det stöd du behöver, och staten ska ta ett större ansvar för att LSS fungerar.« (2022 manifesto ↗)“Anyone with a disability shall receive the support you need, and the state shall take greater responsibility for LSS to function.”
- equitable welfare throughout the country»Alla invånare ska ha tillgång till en likvärdig och pålitlig välfärd oavsett var de bor, och den offentliga servicen ska finnas där när man behöver den.« (2022 manifesto ↗)“All residents shall have access to equitable and reliable welfare regardless of where they live, and public services shall be there when you need them.”
- regional care responsibility»Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“Responsibility for care shall not be moved from the regions to the state.”
- decentralisation as principle»Centerpartiet kommer konsekvent,« (party programme ↗)“The Centre Party will consistently,”
The plan explicitly states that the state shall have overall responsibility for personal assistance and that equivalence in assessments shall be improved.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan explicitly states that the state shall have overall responsibility for personal assistance and that equivalence in assessments shall be improved. The counter-proposal's requirement to implement a state-run main role is therefore precisely what the plan requires. The plan also wants to transfer financing responsibility for LSS to the state and deal with unprofessional providers within assistance.
Original (Swedish)
Planen slår uttryckligen fast att staten ska ha det samlade huvudmannaskapet för den personliga assistansen och att likvärdigheten i bedömningarna ska förbättras. Motförslagets krav på att genomföra ett statligt huvudmannaskap är därmed exakt det planen kräver. Planen vill dessutom flytta finansieringsansvaret för LSS till staten och komma åt oseriösa aktörer inom assistansen.
- state main responsibility for assistancedecisive»ha det samlade huvudmannaskapet för den personliga assistansen.« (party programme ↗)“have overall responsibility for personal assistance.”
- equivalent assistance assessments»rättigheten till assistans ska värnas i lag och likvärdigheten i bedömningarna förbättras.« (party programme ↗)“the right to assistance shall be protected in law and equivalence in assessments shall be improved.”
- state financing responsibility for LSS»Vi vill skapa mer likvärdiga villkor och skatter genom att flytta finansieringsansvaret för bland annat skolan och LSS till staten.« (2022 manifesto ↗)“We want to create more equivalent conditions and taxes by transferring financing responsibility for, among other things, schools and LSS to the state.”
- LSS inspection against errors»Vi vill även under nästa mandatperiod inrätta en LSS-inspektion som bevakar den enskildes rättigheter gentemot staten« (2022 manifesto ↗)“We also want to establish an LSS inspection during the next term that monitors individuals' rights against the state”
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's clearest commitment on principal responsibility is that the state shall take over responsibility from the regions to provide equal conditions across the country, and the subsidiarity principle is according to the plan both a near and far principle depending on the task.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto's clearest commitment on principal responsibility is that the state shall take over responsibility from the regions to provide equal conditions across the country, and the subsidiarity principle is according to the plan both a near and far principle depending on the task. A state principal responsibility for assistance with increased equivalence and legal security follows that logic. Therefore, the requirement is supported.
Original (Swedish)
Valmanifestets tydligaste huvudmannaskapsåtagande är att staten ska ta över ansvaret från regionerna för att ge lika villkor i hela landet, och subsidiaritetsprincipen är enligt planen både en när- och fjärrprincip beroende på uppgiften. Ett statligt huvudmannaskap för assistansen med ökad likvärdighet och rättssäkerhet följer den logiken. Därför stöds kravet.
- state principal responsibilitydecisive»Avskaffa regionernas ansvar för sjukvården.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare.”
- equal conditions across the country»Det ger en högkvalitativ, effektiv och jämlik vård på lika villkor till hela befolkningen.« (2022 manifesto ↗)“It provides high-quality, efficient and equitable care on equal terms to the entire population.”
- subsidiarity as a far principle»Subsidiaritetsprincipen är således ingen renodlad decentraliseringsprincip, utan både en när- och fjärrprincip.« (party programme ↗)“The subsidiarity principle is thus not a pure decentralization principle, but both a near and far principle.”
- self-determination in case of functional limitation»SJÄLVBESTÄMMANDE VID FUNKTIONSNEDSÄTTNING« (2022 manifesto ↗)“SELF-DETERMINATION IN CASE OF FUNCTIONAL LIMITATION”
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 requires that welfare functions equally regardless of where in the country you live and is prepared to use clearer state control to increase equality.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires that welfare functions equally regardless of where in the country you live and is prepared to use clearer state control to increase equality. It also places great emphasis on stopping incorrect payments, including through a benefit fraud unit at the Swedish Social Insurance Agency. State principal responsibility for assistance meets both of these commitments.
Original (Swedish)
Planen kräver att välfärden fungerar likvärdigt oavsett var i landet man bor och är beredd att använda tydligare statlig styrning för att öka likvärdigheten. Den lägger dessutom stor vikt vid att stoppa felaktiga utbetalningar, bland annat genom en bidragsbrottsenhet på Försäkringskassan. Ett statligt huvudmannaskap för assistansen svarar mot båda dessa åtaganden.
- equivalent welfare across the countrydecisive»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor. Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“You should be able to feel secure that welfare works regardless of where in the country you live. Everyone has the right to equivalent care - which can be provided at the right time and maintains high quality.”
- stop incorrect payments»Inrätta en bidragsbrottsenhet på Försäkringskassan« (2022 manifesto ↗)“Establish a benefit fraud unit at the Swedish Social Insurance Agency”
- public funds shall reach welfare(2022 manifesto)
- state control for equality»Öka likvärdigheten genom att införa ett gemensamt kommunalt kösystem och en tydligare statlig styrning av skolpengen« (2022 manifesto ↗)“Increase equality by introducing a unified municipal queue system and clearer state control of school funding”
flags: citat_migrerat, citat_ej_verifierat
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 explicitly requires state overall responsibility for personal assistance and points out that the divided principal role between municipality and state has made assessments legally insecure.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly requires state overall responsibility for personal assistance and points out that the divided principal role between municipality and state has made assessments legally insecure. The counter-proposal's demand that a state principal role is implemented now, for equivalence, legal security and work against improper payments, therefore coincides with the plan's commitment.
Original (Swedish)
Planen kräver uttryckligen ett statligt helhetsansvar för personlig assistans och pekar på att det delade huvudmannaskapet mellan kommun och stat gjort bedömningarna rättsosäkra. Motförslagets krav på att ett statligt huvudmannaskap genomförs nu, för likvärdighet, rättssäkerhet och arbetet mot felaktiga utbetalningar, sammanfaller därmed med planens åtagande.
- state principal roledecisive»Ha statligt helhetsansvar för personlig assistans« (2022 manifesto ↗)“Have state overall responsibility for personal assistance”
- legally insecure divided principal role»Det delade huvudmannaskapet mellan kommun och stat har lett till att bedömningarna har uppfattats som väldigt rättsosäkra« (2022 manifesto ↗)“The divided principal role between municipality and state has led to assessments being perceived as very legally insecure”
- against improper payments»Bekämpa fusk och bedrägerier inom LSS« (2022 manifesto ↗)“Combat fraud and deception within LSS”
- all basic needs»Att samtliga grundläggande behov ska vara assistansgrundande i sin helhet« (2022 manifesto ↗)“That all basic needs are assistance-grounding in their entirety”
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 (2023/24:SoU13)
- Committee report full text (HB01SoU13)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1032 — Rättvis personkretsbedömning av Åsa Karlsson och Helén Pettersson (båda S)
- Motion 2023/24:1254 — Översyn av hjälpmedel och bostadsanpassning av Martina Johansson (C)
- Motion 2023/24:1311 — Stärkt förutsägbarhet och likvärdighet i den s.k. habiliteringsersättningen av Hanna Westerén (S)
- Motion 2023/24:1659 — Sällsynta diagnoser av Alexandra Völker (S)
- Motion 2023/24:1820 — Hjälpmedel vid funktionsnedsättning av Anne-Li Sjölund (C)
- Motion 2023/24:1830 — Habiliteringsersättningen av Tomas Eneroth och Monica Haider (båda S)
- Motion 2023/24:1860 — Rätten till likvärdig habiliteringsersättning av Isak From och Åsa Karlsson (båda S)
- Motion 2023/24:1882 — Förstärkt personlig assistans av Ulrika Westerlund m.fl. (MP)
- Motion 2023/24:1916 — Högkostnadsskydd för hjälpmedel till personer med funktionsvariation av Magnus Manhammar (S)
- Motion 2023/24:1917 — En nationell hjälpmedelscentral av Magnus Manhammar (S)
- Motion 2023/24:1921 — Funktionsrättskonventionen av Magnus Manhammar (S)
- Motion 2023/24:2015 — Säkrad rätt till ledsagarinsatser av Ida Karkiainen (S)
- Motion 2023/24:2018 — Stärkt anhörigstöd för föräldrar till funktionsnedsatta barn av Sanna Backeskog (S)
- Motion 2023/24:2071 — Inkludering av döva, blinda och dövblinda av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:210 — Ett enhetligt fritidsintyg för barn med funktionsnedsättning av Ulrika Westerlund och Annika Hirvonen (båda MP)
- Motion 2023/24:2204 — Förhindrande av fusk inom assistansersättningar av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2248 — Språkutbildning för arbete inom LSS av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2283 — Statligt ansvar för LSS av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2307 — Ledarhund som trygghet för synskadade av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2365 — Ett nationellt kompetenscentrum för frågor om intellektuell funktionsnedsättning (IF) och autism av Jim Svensk Larm m.fl. (S)
Source: The Swedish Parliament