2026-04-012025/26:SoU26 · p.2SoUHealth & social services
Financing of the Reform
Financing municipalities' new tasks arising from the language requirement in elderly care
What's at stake: How the financing is designed affects municipalities' financial ability to implement the language requirement and, in turn, staff's opportunities to receive support, which matters for the quality of care for older people.
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 proposed state grant covers municipalities' costs for the new language requirement, or whether the government instead needs to guarantee permanent financing and allow funds to also be used to recruit new professional groups in elderly care.
Yes Yes — the committee proposal
The committee rejects the motions. The bill entails new and expanded tasks for municipalities that trigger the municipal financing principle, with an estimated cost of SEK 150 million per year; the government intends to increase the general state grant correspondingly, and the committee agrees that the proposal also involves some one-off costs for developing routines and processes.
No No — the reservations
Reservation 1 (V)
Developing routines and processes as a result of the legislative change will be recurring work for municipalities, not a one-off cost, and should therefore be part of the permanent financing. The government should also come back with proposals allowing state financing to be used to recruit new professional groups that can support elderly care, since otherwise it will be difficult to spare staff and recruit substitutes in operations with a high need for language support.
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 1 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: KDKristdemokraterna
Ja 254–17Ja 238–33
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 0/17/0/5 | match | confidence: medium | derived |
| S | No | Yes 89/0/1/16 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/15/3 | differs | confidence: medium | not addressed |
| C | No | Yes 19/0/0/5 | differs | confidence: medium | derived |
| L | No | Yes 12/0/0/4 | differs | confidence: low | derived |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| M | Yes | Yes 55/0/0/11 | match | confidence: low | not addressed |
| SD | No | Yes 59/0/0/11 | differs | confidence: medium | derived |
Broke with the party line
| SAnna Vikström (S, Stockholms län) | Abstain — 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
The Riksdag rejects the motions 2025/26:3899 by Nils Seye Larsen et al. (MP) request 1 and 2025/26:3900 by Nadja Awad et al. (V) requests 1 and 2.
Original (Swedish)
Riksdagen avslår motionerna 2025/26:3899 av Nils Seye Larsen m.fl. (MP) yrkande 1 och 2025/26:3900 av Nadja Awad m.fl. (V) yrkandena 1 och 2.
Riksdag decision: The Riksdag said yes to the government's proposal which means that anyone conducting elderly care is obligated to work to ensure that the staff has the knowledge in Swedish that is relevant. The purpose is to contribute to higher quality in elderly care. The proposal means that it is the government that shall issue regulations on the level of knowledge in Swedish that is relevant to carrying out interventions in elderly care. The legislative changes come into force on 1 July 2026.
Counter-proposals
- The counter-proposal wants to ensure permanent financing of recurring costs and enable recruitment of new professions for elderly care. (V) — Reservation 1
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 requires that redistribution from the state to municipalities and regions increases and that the state takes greater financial responsibility for equal conditions, which supports the counter-proposal's demand that recurring costs should be included in permanent financing.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that redistribution from the state to municipalities and regions increases and that the state takes greater financial responsibility for equal conditions, which supports the counter-proposal's demand that recurring costs should be included in permanent financing. The plan also wants to invest more resources in elderly care and personnel to eliminate the staff shortage, which indicates that state funds should be able to be used to recruit more occupational groups. According to the plan, underfunded tasks lead to cuts in operations.
Original (Swedish)
Planen kräver att omfördelningen från stat till kommun och region ökar och att staten tar ett större ekonomiskt ansvar för jämlika förutsättningar, vilket bär motförslagets krav på att återkommande kostnader ska ingå i den permanenta finansieringen. Planen vill också satsa mer resurser på äldreomsorgen och på personalen för att få bort personalbristen, vilket talar för att statliga medel ska kunna användas till att rekrytera fler yrkesgrupper. Underfinansierade uppgifter leder enligt planen till nedskärningar i verksamheten.
- increased redistribution to municipalitiesdecisive»Omfördelningen från stat till region och kommun måste öka« (2022 manifesto ↗)“Redistribution from the state to regions and municipalities must increase”
- more resources and staff in care»Därför vill Vänsterpartiet satsa mer resurser på hälso- och sjukvården och äldreomsorgen, samt satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö.« (2022 manifesto ↗)“That is why the Left Party wants to invest more resources in health and medical care and elderly care, and invest in personnel so that we simultaneously eliminate the staff shortage and strengthen personnel conditions and working environment.”
- state financial responsibility»staten ta ett större ekonomiskt ansvar för att ge dem goda och jämlika« (party programme ↗)“the state take greater financial responsibility to give them good and equal”
- responsibility for welfare working conditions»Vi vill att samhället tar ett större ansvar för att arbetsplatserna i« (party programme ↗)“We want society to take greater responsibility for workplaces in”
The plan wants to introduce language requirements in elderly care itself with the opportunity for language training, and at the same time commits to continuing to increase the state's contributions to municipalities and regions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to introduce language requirements in elderly care itself with the opportunity for language training, and at the same time commits to continuing to increase the state's contributions to municipalities and regions. That the recurring cost of the reform shall be included in permanent financing and can be used to staff the activities follows from the principle that the state shall bear the cost of the requirements it sets. The plan does not specify the application of the financing principle in detail.
Original (Swedish)
Planen vill själv införa språkkrav i äldreomsorgen med möjlighet till språkutbildning, och åtar sig samtidigt att fortsätta öka statens bidrag till kommuner och regioner. Att den återkommande kostnaden för reformen ska ingå i den permanenta finansieringen och kunna användas till att bemanna verksamheten följer av att staten ska bära kostnaden för de krav den ställer. Planen anger inte finansieringsprincipens tillämpning i detalj.
- language requirements with language trainingdecisive»Vi vill införa språkkrav för anställda inom förskola och äldreomsorg, med möjlighet till språkutbildning för den som inte har tillräckliga kunskaper.« (2022 manifesto ↗)“We want to introduce language requirements for employees in preschools and elderly care, with the opportunity for language training for those who do not have sufficient knowledge.”
- increased state contributions»Vi vill fortsätta öka statens bidrag till kommuner och regioner.« (2022 manifesto ↗)“We want to continue to increase the state's contributions to municipalities and regions.”
- more staff in elderly care»Fler ska utbildas och anställas inom äldreomsorgen och tillsynen av personalens arbetsmiljö ska förbättras.« (2022 manifesto ↗)“More shall be trained and employed in elderly care and supervision of employees' working environment shall be improved.”
- competence supply in care»God kompetensförsörjning inom skola, vård och omsorg.« (party programme ↗)“Good competence supply in school, healthcare 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 plan states that elderly care shall be needs-based and publicly financed with sufficient staff density, and that future elderly care requires investment in working conditions and training for staff.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states that elderly care shall be needs-based and publicly financed with sufficient staff density, and that future elderly care requires investment in working conditions and training for staff. An underfinanced reform that forces municipalities to spare staff counteracts this. The counter-proposal's demands for permanent funding of ongoing work and state resources to recruit supporting professions are thereby in line with the plan.
Original (Swedish)
Planen slår fast att äldreomsorgen ska vara behovsstyrd och offentligt finansierad med tillräcklig personaltäthet, och att framtidens äldreomsorg kräver satsningar på arbetsmiljö och utbildning för personalen. En underfinansierad reform som tvingar kommunerna att avvara personal motverkar detta. Motförslagets krav på permanent finansiering av det löpande arbetet och statliga medel för att rekrytera stödjande yrkesgrupper ligger därför i linje med planen.
- publicly financed elderly caredecisive»Äldreomsorgen ska vara behovsstyrd och offentligt finansierad. Personaltätheten ska vara« (party programme ↗)“Elderly care shall be needs-based and publicly financed. Staff density shall be”
- investment in care staff»krävs också satsningar på bättre arbetsmiljö, utbildning« (party programme ↗)“investment in better working conditions, training”
- strengthened resources for elderly care»förbättra vård och omsorg för äldre och stärka resurserna till hemsjukvården.« (2022 manifesto ↗)“improve care and services for the elderly and strengthen resources for home healthcare.”
- better conditions in care and health»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise salaries and ensure good working conditions in 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 plan states that reforms within welfare should be implemented without the costs burdening municipalities, and it wants to give care workers the right to professional development.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan states that reforms within welfare should be implemented without the costs burdening municipalities, and it wants to give care workers the right to professional development. The counter-proposal's requirement that ongoing costs for routines are included in permanent financing and that state funds can also be used to relieve staff follow from that commitment. The plan does not, however, comment on this particular legislative amendment.
Original (Swedish)
Planen slår fast att reformer inom välfärden ska genomföras utan att kostnaderna drabbar kommunerna, och den vill ge omsorgens medarbetare rätt till kompetensutveckling. Motförslagets krav på att löpande kostnader för rutiner ingår i den permanenta finansieringen och att statliga medel också kan användas för att avlasta personalen följer av det åtagandet. Planen uttalar sig dock inte om just denna lagändring.
- staten bär reformkostnadendecisive»Vi vill göra förskola och fritidsverksamhet tillgänglig för alla, utan att dessa kostnader drabbar kommunerna« (2022 manifesto ↗)“We want to make preschool and after-school activities available to all, without these costs burdening municipalities”
- rätt till kompetensutveckling»Den som jobbar i vård och omsorg ska kunna växa och vidareutvecklas i sitt yrke. Vi vill ge alla undersköterskor och sjuksköterskor rätt till kompetensutveckling.« (2022 manifesto ↗)“Those who work in care and nursing shall be able to grow and develop in their profession. We want to give all nursing assistants and nurses the right to professional development.”
- språkstöd i arbetslivet»Fler utrikes födda kvinnor måste få en chans att jobba, lära sig svenska och till fullo komma in i det svenska samhället.« (2022 manifesto ↗)“More foreign-born women must be given a chance to work, learn Swedish and fully enter Swedish society.”
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 all personnel in elderly care have adequate knowledge of Swedish and that national control of the quality of elderly care is strengthened, which requires that the reform is fully financed over time.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that all personnel in elderly care have adequate knowledge of Swedish and that national control of the quality of elderly care is strengthened, which requires that the reform is fully financed over time. The plan also wants to shift financing responsibility from municipalities to the state to create equitable conditions. That ongoing costs for procedures and staffing are included in the permanent financing follows from that line, even though the plan does not express itself on this specific legislative proposal.
Original (Swedish)
Planen kräver att all personal i äldreomsorgen har tillräckliga kunskaper i svenska och att den nationella styrningen av äldreomsorgens kvalitet stärks, vilket förutsätter att reformen är fullt finansierad över tid. Planen vill också flytta finansieringsansvar från kommunerna till staten för att skapa likvärdiga villkor. Att löpande kostnader för rutiner och personalförsörjning ingår i den permanenta finansieringen följer av den linjen, även om planen inte uttalar sig om just detta lagförslag.
- language requirements in elderly caredecisive»All personal ska ha tillräckliga kunskaper i det svenska språket.« (2022 manifesto ↗)“All personnel shall have adequate knowledge of the Swedish language.”
- strengthened national control of elderly care»styrningen av äldreomsorgens kvalitet behöver stärkas.« (party programme ↗)“control of the quality of elderly care needs to be strengthened.”
- state financing responsibility»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 equitable conditions and taxes by shifting financing responsibility for, among other things, schools and LSS to the state.”
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 establishes that the financing principle must be respected when the state imposes new tasks on municipalities, which carries the counter-proposal's demand that recurring routine work be included in permanent financing.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that the financing principle must be respected when the state imposes new tasks on municipalities, which carries the counter-proposal's demand that recurring routine work be included in permanent financing. That state funds also may be used to recruit staff that relieves elderly care is in line with the plan's demands for improved conditions and continuous skills development for care staff. Taken together, the plan supports the counter-proposal's demands.
Original (Swedish)
Planen slår fast att finansieringsprincipen måste respekteras när staten ålägger kommunerna nya uppgifter, vilket bär motförslagets krav på att återkommande rutinarbete ingår i den permanenta finansieringen. Att statliga medel också ska kunna användas för att rekrytera personal som avlastar äldreomsorgen ligger i linje med planens krav på förbättrade villkor och kontinuerlig kompetensutveckling för omsorgspersonalen. Sammantaget stöder planen motförslagets krav.
- full funding of new tasksdecisive»Finansieringsprincipen måste respekteras när staten ålägger« (party programme ↗)“The financing principle must be respected when the state imposes”
- better conditions in elderly care»Förbättrade villkor för personalen i äldreomsorgen - bort med delade turer.« (2022 manifesto ↗)“Improved conditions for staff in elderly care - end to split shifts.”
- skills development in care»Säkerställ att personal inom hemtjänst och äldreboenden har möjlighet till kontinuerlig kompetensutveckling.« (2022 manifesto ↗)“Ensure that staff within home care and care homes have the opportunity for continuous skills development.”
- elevated competence in elderly care»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical competence within elderly care.”
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 backs the reform itself — language requirements for staff in healthcare and elderly care — but contains no commitments to expanded permanent state funding to municipalities or state resources to recruit new professional groups.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan backs the reform itself — language requirements for staff in healthcare and elderly care — but contains no commitments to expanded permanent state funding to municipalities or state resources to recruit new professional groups. Conversely, the plan establishes that all new promises must be financed or fit within the budget surplus target and that major needs require prioritization. The counter-proposal's demand for expanded funding therefore lacks support in the plan.
Original (Swedish)
Planen står bakom själva reformen — språkkrav för personal inom vård och äldreomsorg — men innehåller inga åtaganden om utökad permanent statlig finansiering till kommunerna eller om statliga medel för att rekrytera nya yrkesgrupper. Tvärtom slår planen fast att alla nya löften måste finansieras eller rymmas inom överskottsmålet och att de stora behoven kräver prioriteringar. Motförslagets krav på utvidgad finansiering saknar därför stöd i planen.
- financed reformsdecisive»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 budget surplus target.”
- language requirements in elderly care»Införa språkkrav för personal inom vård och äldreomsorg« (2022 manifesto ↗)“Introduce language requirements for staff in healthcare and elderly care”
- hard prioritizations»De stora behoven inom rättsväsendet, försvaret och välfärden ställer stora krav på prioriteringar under åren som kommer.« (2022 manifesto ↗)“The major needs in the justice system, defense and welfare place heavy demands for prioritization in the years to come.”
- order in public finances»I tuffa ekonomiska tider krävs ordning och reda i ekonomin.« (2022 manifesto ↗)“In tough economic times, order and control in the economy is required.”
The plan establishes that the government should never make decisions about new cost-driving commitments for municipalities without fully compensating them for the costs.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that the government should never make decisions about new cost-driving commitments for municipalities without fully compensating them for the costs. The counter-proposal's requirement that recurring costs for routines and processes shall be included in permanent financing is an application of precisely that principle. The plan moreover drives language requirements in elderly care and high staff density, which speaks to financing also being sufficient for staffing increases.
Original (Swedish)
Planen slår fast att staten aldrig bör fatta beslut om nya kostnadsdrivande åtaganden för kommunerna utan att fullt ut kompensera dem för kostnaderna. Motförslagets krav på att återkommande kostnader för rutiner och processer ska ingå i den permanenta finansieringen är en tillämpning av just den principen. Planen driver dessutom själv språkkrav i äldreomsorgen och en hög personaltäthet, vilket talar för att finansieringen också ska räcka till personalförstärkningar.
- municipal financing principledecisive»kostnadsdrivande åtaganden för kommunerna utan att fullt ut kompensera dem för« (party programme ↗)“cost-driving commitments for municipalities without fully compensating them for.”
- language requirements in elderly care»Införa språkkrav för personal inom hemtjänsten och äldreomsorgen.« (2022 manifesto ↗)“Introduce language requirements for staff in home care and elderly care.”
- staff shortage and language shortage»Om flytt till äldreboende blir aktuellt möts man inte helt ofta av stressad och utmattad personal, som i vissa fall inte ens kan språket.« (2022 manifesto ↗)“If moving to a nursing home becomes relevant, one often meets stressed and exhausted staff, who in some cases do not even speak the language.”
- high staff density in care»grundförutsättning för att detta skall vara möjligt är en hög personaltäthet.« (party programme ↗)“fundamental prerequisite for this to be possible is high staff density.”
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.
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Sources and documents
- The committee report on riksdagen.se (2025/26:SoU26)
- Committee report full text (HD01SoU26)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:3899 — med anledning av prop. 2025/26:93 Ett språkkrav inom äldreomsorgen av Nils Seye Larsen m.fl. (MP)
- Motion 2025/26:3900 — med anledning av prop. 2025/26:93 Ett språkkrav inom äldreomsorgen av Nadja Awad m.fl. (V)
- Proposition 2025/26:93 — Ett språkkrav inom äldreomsorgen
Source: The Swedish Parliament