2026-06-152025/26:SoU34 · p.9SoUHealth & social services
Implementation reporting
A comprehensive implementation report for the co-occurring-conditions care reform
What's at stake: It concerns how transparent and predictable the implementation of the whole reform becomes for municipalities, regions and the people affected, when only part of the reform is presented at a time.
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 return to parliament with a comprehensive, time-tabled plan for the whole co-occurring-conditions care reform, including the parts not yet presented, or whether it is enough for the division of responsibility to be clarified step by step through the legislation now proposed.
Yes Yes — the committee proposal
The committee notes that regions' healthcare responsibility for people with harmful substance use or dependency is now clarified in law, which the committee regards as an important clarification to ensure that the needs of the group concerned are met, and it assumes that municipalities and regions will coordinate and make care and support available appropriately. Against that background, the committee sees no reason for parliament to take its own initiative on a comprehensive, time-tabled implementation report, and the motion is rejected.
No No — the reservations
Reservation 8 (MP)
The reservation (MP) argues that it is not enough for the government to now present a bill covering only part of the reform, and that the government should instead return to parliament with a comprehensive, time-tabled plan for the whole co-occurring-conditions care reform, including the parts that remain.
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 8 by 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
V
–
Yes 20/1/0/0
S
–
Yes 104/1/0/1
MPown reservation
–
No 0/18/0/0
C
–
Yes 24/0/0/0
L
–
Yes 16/0/0/0
KD
–
Yes 19/0/0/0
M
–
Yes 66/0/0/0
SD
–
Yes 70/0/0/0
Broke with the party line
VGudrun Nordborg(V, Västerbottens län)
No — party line: Yes
SPeter Hultqvist(S, Dalarnas län)
No — party line: Yes
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
Parliament rejects motion
2025/26:4177 by Nils Seye Larsen et al. (MP) request 3.
Original (Swedish)
Riksdagen avslår motion
2025/26:4177 av Nils Seye Larsen m.fl. (MP) yrkande 3.
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. (MP) — Reservation 8
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