2026-04-222025/26:SoU16 · p.8SoUHealth & social services
LOV and establishment rights
Free establishment rights versus regional control in primary care
What's at stake: Free establishment gives providers wide freedom to open clinics wherever they choose, while regional control could direct more health centers to sparsely populated areas and places with high care needs, but at the cost of freedom of choice for both patients and providers.
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 requirement for a free-choice system and free establishment under the Act on System of Choice in primary care should be abolished and replaced with a model where regions control where health centers may set up, or whether the current arrangement with free establishment should remain.
Yes Yes — the committee proposal
The committee stands by the requirement for a free-choice system and free establishment rights under the Act on System of Choice in primary care, which has already been adjusted through rules on sub-areas and listing, and therefore rejects the motions calling for abolishing the arrangement.
No No — the reservations
Reservation 12 (S, V, MP)
The reservation considers that free establishment by private providers creates an unsustainable imbalance that favors healthy, well-off patients over those with worse health or finances, and wants the government to abolish the requirement for a free-choice system in primary care and replace it with a goal-directed establishment right including a local veto for municipalities, so that regions can steer new clinics to where care needs are greatest.
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 12 by S, V, 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 0/16/0/6
Sown reservation
–
No 0/90/0/16
MPown reservation
–
No 0/13/0/5
C
–
Yes 19/0/0/5
L
–
Yes 11/0/0/5
KD
–
Yes 14/0/0/5
M
–
Yes 55/0/0/11
SD
–
Yes 60/0/0/10
Committee proposal
The Riksdag rejects the motions
2025/26:1634 by Markus Kallifatides et al. (S),
2025/26:2777 by Nooshi Dadgostar et al. (V) claim 34,
2025/26:3542 by Nils Seye Larsen et al. (MP) claim 17 and
2025/26:3645 by Fredrik Lundh Sammeli et al. (S) claim 43.
Original (Swedish)
Riksdagen avslår motionerna
2025/26:1634 av Markus Kallifatides m.fl. (S),
2025/26:2777 av Nooshi Dadgostar m.fl. (V) yrkande 34,
2025/26:3542 av Nils Seye Larsen m.fl. (MP) yrkande 17 och
2025/26:3645 av Fredrik Lundh Sammeli m.fl. (S) yrkande 43.
Riksdag decision: The Riksdag rejected 176 proposals in motions on healthcare organization from the general motion period of 2025. The proposals dealt with, among other things, the organization and financing of healthcare, privatization and the freedom-of-choice system law, accessible and equitable care, mental health in adults, children and youth, and comorbidity.
The Riksdag refers primarily to ongoing work.
Counter-proposals
The counter-proposal wants to replace the efficiency delegation with an equality delegation to develop healthcare in a more equal direction. (S, V, MP) — Reservation 12
Motion 2025/26:1325 — Åtgärder för att förhindra att den offentligt drivna primärvården avvecklas genom bolagisering och utförsäljning av Sanna Backeskog m.fl. (S)
Motion 2025/26:1340 — Nationellt psykiatrilyft - hela vårdkedjan, hela landet av Sanna Backeskog m.fl. (S)
Motion 2025/26:1634 — Lagen om valfrihetssystem av Markus Kallifatides m.fl. (S)
Motion 2025/26:171 — Politik för äldres rättigheter och välmående av Nadja Awad m.fl. (V)
Motion 2025/26:1781 — Skärpta möjligheter till tvångsvård för farliga personer av Jan Ericson (M)
Motion 2025/26:2035 — Synen och sjukvårdssystemet av Ann-Sofie Lifvenhage (M)
Motion 2025/26:205 — Husläkare och artificiell intelligens av Josef Fransson (SD)
Motion 2025/26:2077 — Samverkan kring psykiatrisk vård av Ann-Sofie Lifvenhage (M)
Motion 2025/26:2157 — Ambulansflyg och ambulanshelikoptrar av Ann-Sofie Lifvenhage (M)
Motion 2025/26:2205 — Upplåtelseavtal med fokus på kvinnohälsa av Ann-Sofie Lifvenhage (M)
Motion 2025/26:2211 — Kvalitetssäkring av ambulanssjukvården av Ann-Sofie Lifvenhage (M)
Motion 2025/26:230 — Uppsökande verksamhet och hembesök som förstahandsalternativ inom barn- och ungdomspsykiatrin av Johnny Svedin (SD)
Motion 2025/26:238 — Omvårdnad och terapeutisk behandling som första åtgärd inom bup av Johnny Svedin (SD)
Motion 2025/26:2427 — Kvinnors valfrihet och rätt till vård av Merit Frost Lindberg m.fl. (M)
Motion 2025/26:2433 — Diskriminering av kvinnors företagande av Merit Frost Lindberg m.fl. (M)
Motion 2025/26:2448 — Sammanhållen vård för multisjuka av Ann-Sofie Lifvenhage (M)