2026-06-152025/26:SoU34 · p.6SoUHealth & social services
Financing of the reform
Financing of the co-occurring-conditions care reform
What's at stake: The decision determines how confidently municipalities and regions can rely on being compensated for the costs the reform brings, which affects how equal the care becomes for people with harmful substance use or dependency 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 reform should be fully financed through a combination of reallocation between municipalities and regions and targeted state financing of the principals' extra costs, or whether temporary state grants and a general reallocation within the existing framework are sufficient.
Yes Yes — the committee proposal
The committee shares the government's assessment that the proposals do not justify expanded, permanent state financing, since the reform does not add new tasks for the principals. However, the committee welcomes that the government, in the 2026 budget bill, announced 400 million kronor per year for 2027–2031 to municipalities and regions to stimulate implementation, and shares the assessment that a general reallocation of resources should be made from municipalities to regions within the municipal-economic equalisation system once the provisions take effect. The government intends to return on how the funds will be distributed and on the calculations for the reallocation. The motions are rejected.
No No — the reservations
Reservation 5 (S, V, C, MP)
The reservation (S, V, C, MP) argues that the government should ensure a clear economic structure for the reallocation of resources that the reform entails, and that, to secure equal-quality care across the country and enable the changed division of responsibility, the government should return to parliament with a proposal for the reform to be fully financed through reallocation of funds between municipalities and regions and through state financing of the extra costs incurred by the principals.
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 5 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
Parliament rejects the motions
2025/26:4155 by Fredrik Lundh Sammeli et al. (S) request 1,
2025/26:4158 by Christofer Bergenblock et al. (C) request 1,
2025/26:4177 by Nils Seye Larsen et al. (MP) request 4 and
2025/26:4181 by Karin Rågsjö et al. (V) request 2.
Original (Swedish)
Riksdagen avslår motionerna
2025/26:4155 av Fredrik Lundh Sammeli m.fl. (S) yrkande 1,
2025/26:4158 av Christofer Bergenblock m.fl. (C) yrkande 1,
2025/26:4177 av Nils Seye Larsen m.fl. (MP) yrkande 4 och
2025/26:4181 av Karin Rågsjö m.fl. (V) yrkande 2.
Riksdag decision: Parliament approved, among other things, the government's proposal for coordinated care and support services.
The proposal aims to achieve more uniform and coordinated care for persons with harmful use or addiction and other psychiatric conditions. The care shall be directed toward persons who have special needs for health and medical care services and social services for a longer period due to a mental functional impairment.
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 addiction so that it can be provided in a coordinated manner with other psychiatric care.
Another change is that the term "substance abuse" is removed and replaced with use or alternatively harmful use and addiction in several statutes relating to health and medical care and social services.
The legislative changes shall come 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 5
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