2024-05-222023/24:SfU13 · p.13SfUMigration & social insurance

The rehabilitation chain and work capacity assessment

What's at stake: The decision affects how and when the work capacity of people on sick leave is assessed, which determines how long they can keep receiving sickness benefit before being expected to seek other jobs or entirely different kinds of work.

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 today's rehabilitation chain, with fixed time limits for assessing work capacity, should be abolished in favor of an individual step-by-step assessment, or whether the current model should be kept.

Yes Yes — the committee proposal

The committee notes that the government already intends to strengthen the rehabilitation chain with clearer check-in points and that an inquiry report is being processed within the Government Offices, and therefore rejects the proposal to abolish the rehabilitation chain in favor of a step-by-step model.

No No — the reservations

Reservation 25 (V)

The reservation wants to abolish the rehabilitation chain in favor of returning to the earlier step-by-step model, have work capacity assessed based on the insured person's actual condition using more assessment criteria such as age, gender and work experience, and require the Social Insurance Agency to clarify rehabilitation needs within 60 days.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
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 25 by V.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
Vown reservationNoNo 0/19/0/5follows the planconfidence: highnot addressed
SNoYes 93/0/0/13departs from the planconfidence: mediumnot addressed
MPNoAbstain 0/0/16/2departs from the planconfidence: mediumnot addressed
CYesAbstain 0/0/19/5departs from the planconfidence: lownot addressed
LYesYes 11/0/0/5follows the planconfidence: mediumderived
KDYesYes 17/0/0/2follows the planconfidence: mediumnot addressed
MYesYes 60/0/0/8follows the planconfidence: mediumnot addressed
SDNoAbstain 0/0/62/10departs from the planconfidence: mediumderived

Committee proposal

The Riksdag rejects the motions 2023/24:392 by Clara Aranda et al. (SD) items 28 and 30, 2023/24:1203 by Johanna Haraldsson et al. (S), 2023/24:2339 by Nooshi Dadgostar et al. (V) items 14 and 15, 2023/24:2467 by Martina Johansson et al. (C) items 8, 9, 15 and 16 as well as 2023/24:2677 by Annika Hirvonen et al. (MP) items 7-9.

Original (Swedish)

Riksdagen avslår motionerna 2023/24:392 av Clara Aranda m.fl. (SD) yrkandena 28 och 30, 2023/24:1203 av Johanna Haraldsson m.fl. (S), 2023/24:2339 av Nooshi Dadgostar m.fl. (V) yrkandena 14 och 15, 2023/24:2467 av Martina Johansson m.fl. (C) yrkandena 8, 9, 15 och 16 samt 2023/24:2677 av Annika Hirvonen m.fl. (MP) yrkandena 7-9.

Riksdag decision: The Riksdag rejected approximately 180 proposals in motions on social insurance matters from the general motion period 2023. The proposals concern, for example, security systems for business owners and students, sickness insurance and rehabilitation, activity and sickness benefits as well as work injury compensation. The Riksdag refers, among other things, to the fact that work is already underway in areas covered by the motions.

Counter-proposals

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.

VVänsterpartietNoNofollows the plannot addressed

The election manifesto demands humane sickness insurance and an end to the exclusion of sick people, and the party programme wants insurance to be designed so that everyone can live securely, also those who have not been able to work for wages.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto demands humane sickness insurance and an end to the exclusion of sick people, and the party programme wants insurance to be designed so that everyone can live securely, also those who have not been able to work for wages. The fixed time limits in the rehabilitation chain are precisely the mechanism that excludes people. The counter-proposal's requirement for a step-by-step model and assessment based on the insured person's current condition therefore follows from the plan.

Original (Swedish)

Valplattformen kräver en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka, och partiprogrammet vill att försäkringarna utformas så att alla kan leva tryggt, också den som inte kunnat lönearbeta. Rehabiliteringskedjans fasta tidsgränser är just den mekanik som utförsäkrar människor. Motförslagets krav på en steg-för-steg-modell och bedömning utifrån den försäkrades befintliga skick följer därför av planen.

  • end to exclusion from insurancedecisive»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see humane sickness insurance and an end to the exclusion of sick people.”
  • security also without wage work»utformade så att alla människor ska kunna leva tryggt, också den« (party programme ↗)“designed so that all people can live securely, also those”
  • secure compensation for illness»När du blir sjuk eller föder barn ska du kunna lita på att få ersättning från Försäkringskassan utan att behöva stånga dig blodig.« (2022 manifesto ↗)“When you become ill or give birth you should be able to rely on receiving compensation from the Social Insurance Agency without having to fight for it.”
  • the income-loss principle»grundade i en inkomstbortfallsprincip är viktigt« (party programme ↗)“based on an income-loss principle is important”
SSocialdemokraternaNoYesdeparts from the plannot addressed

The election manifesto stands guard over the principle that those too sick to work can rely on sick leave insurance and wants to improve sick leave benefits.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto stands guard over the principle that those too sick to work can rely on sick leave insurance and wants to improve sick leave benefits. An assessment of working capacity based on the insured's current condition, with more assessment criteria and clarified rehabilitation need within 60 days, is an application of the same security principle. The plan, however, does not take a position on the structure of the rehabilitation chain.

Original (Swedish)

Valmanifestet slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen och vill förbättra sjukersättningen. En arbetsförmågebedömning utifrån den försäkrades befintliga skick, med fler bedömningsgrunder och klarlagt rehabiliteringsbehov inom 60 dagar, är en tillämpning av samma trygghetsprincip. Planen tar dock inte ställning till rehabiliteringskedjans konstruktion.

  • trust in sick leave insurancedecisive»Våra förbättringar av trygghetssystemen står på spel i höstens val – och vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen.« (2022 manifesto ↗)“Our improvements to the security systems are at stake in the autumn election - and we stand guard over the principle that those too sick to work can rely on sick leave insurance.”
  • improved sick leave benefits»Vi ska säkra rätten till personlig assistans och arbeta vidare med förslagen om att förbättra sjukersättningen.« (2022 manifesto ↗)“We shall secure the right to personal assistance and work further with proposals to improve sick leave benefits.”
  • protect the security pension»Vi står upp för trygghetspensionen, som utmanas av krafter från höger« (2022 manifesto ↗)“We stand up for the security pension, which is challenged by forces from the right”
  • protection when income is lost»Ett gott ekonomiskt skydd när den egna förvärvsinkomsten faller bort är grundläggande« (party programme ↗)“Good economic protection when earned income is lost is fundamental”

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.

MPMiljöpartietNoAbstaindeparts from the plannot addressed

The election manifesto wants to change the sickness insurance so that it provides better security when on sick leave and that people are not passed between agencies, and the party programme places responsibility on society to actively support the individual through rehabilitation.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto wants to change the sickness insurance so that it provides better security when on sick leave and that people are not passed between agencies, and the party programme places responsibility on society to actively support the individual through rehabilitation. An assessment of work capacity based on the insured person's current condition and a swift clarification of rehabilitation needs is in line with this.

Original (Swedish)

Valmanifestet vill förändra sjukförsäkringen så att den ger bättre trygghet vid sjukskrivning och att människor inte bollas mellan myndigheter, och partiprogrammet lägger ansvaret på samhället att aktivt stödja individen genom rehabilitering. En bedömning av arbetsförmågan utifrån den försäkrades befintliga skick och ett skyndsamt klarlagt rehabiliteringsbehov ligger i linje med detta.

  • safer sickness insurancedecisive»förändra sjukförsäkringen så den ger bättre trygghet vid sjukskrivning och se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd« (2022 manifesto ↗)“change the sickness insurance so it provides better security when on sick leave and ensure that people are not passed between agencies when they need society's support”
  • society's rehabilitation responsibility»genom åtgärder för rehabilitering och utbildning.« (party programme ↗)“through measures for rehabilitation and education.”
  • one door into the security systems»myndighet enligt principen ”En dörr in”.« (party programme ↗)“authority according to the principle "One door in".”
  • raised benefit levels»höja den lägsta nivån i sjuk- och aktivitetsersättningarna« (2022 manifesto ↗)“raise the lowest level in sickness and activity allowances”

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.

CCenterpartietYesAbstaindeparts from the plannot addressed

The plan's answer to the sick insurance problem is better rehabilitation, more flexible sick leave and greater employer responsibility, not abolishing the rehabilitation chain and assessing work capacity in the current state.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan's answer to the sick insurance problem is better rehabilitation, more flexible sick leave and greater employer responsibility, not abolishing the rehabilitation chain and assessing work capacity in the current state. The work line shall be valued and security combined with transition, which argues against a model that weakens the direction towards return to work. The counter-proposal's demand thus does not receive support, even though the plan shares its goal of faster clarified rehabilitation needs.

Original (Swedish)

Planens svar på sjukförsäkringens problem är bättre rehabilitering, flexiblare sjukskrivning och ett större arbetsgivaransvar, inte att avskaffa rehabiliteringskedjan och bedöma arbetsförmågan i befintligt skick. Arbetslinjen ska värnas och tryggheten kombineras med omställning, vilket talar emot en modell som försvagar inriktningen mot återgång i arbete. Motförslagets krav får därför inte stöd, även om planen delar dess mål om snabbare klarlagt rehabiliteringsbehov.

  • value the work linedecisive»Arbetslinjen måste värnas, och den som kan jobba ska inte leva på skattebetalarnas pengar.« (2022 manifesto ↗)“The work line must be valued, and whoever can work should not live on taxpayers' money.”
  • flexibility and transition»Svensk arbetsmarknad behöver både mer flexibilitet och mer trygghet. Stödet vid omställning och vidareutbildning måste bli bättre.« (2022 manifesto ↗)“The Swedish labour market needs both more flexibility and more security. Support during transition and further education must become better.”
  • better rehabilitation»Vi vill förbättra rehabiliteringen och göra sjukskrivningen mer flexibel.« (2022 manifesto ↗)“We want to improve rehabilitation and make sick leave more flexible.”
  • employer's responsibility»Arbetsgivare bör ta ett större ansvar för förebyggande insatser och rehabilitering.« (2022 manifesto ↗)“Employers should take greater responsibility for preventive measures and rehabilitation.”

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.

LLiberalernaYesYesfollows the planderived

The plan wants strong security systems that contribute to getting the individual back to work as soon as possible, with sickness insurance linked to support and rehabilitation.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan wants strong security systems that contribute to getting the individual back to work as soon as possible, with sickness insurance linked to support and rehabilitation. Abolishing the rehabilitation chain and assessing work capacity in current condition taking age and sex into account weakens precisely that return-to-work direction. The counter-proposal's demands are therefore rejected.

Original (Swedish)

Planen vill ha starka trygghetssystem som bidrar till att den enskilde kommer tillbaka i arbete så snart som möjligt, med sjukförsäkringen kopplad till stöd och rehabilitering. Att avskaffa rehabiliteringskedjan och bedöma arbetsförmågan i befintligt skick med hänsyn till ålder och kön försvagar just den återgångsinriktningen. Motförslagets krav avvisas därför.

  • quick return to workdecisive»trygghetssystem som bidrar till att den enskilde kommer tillbaka i arbete så snart som möjligt.« (party programme ↗)“security systems that contribute to getting the individual back to work as soon as possible.”
  • rehabilitation towards work»kopplad till stöd och rehabilitering för att underlätta återgång till arbete.« (party programme ↗)“linked to support and rehabilitation to facilitate return to work.”
  • the work ethic»Det ska alltid löna sig att arbeta.« (2022 manifesto ↗)“It shall always be worthwhile to work.”
  • more in work»Fler måste bidra – färre måste gå på bidrag.« (2022 manifesto ↗)“More must contribute – fewer must receive benefits.”
KDKristdemokraternaYesYesfollows the plannot addressed

The party programme requires that compensation levels are designed so that the individual is stimulated to participate in measures that lead to good health and return to working life, and that dependence on benefits is counteracted.

Plan documents: party programme

Reasoning and quotes

The party programme requires that compensation levels are designed so that the individual is stimulated to participate in measures that lead to good health and return to working life, and that dependence on benefits is counteracted. Abolishing the rehabilitation chain and assessing work capacity against current condition weakens that incentive. The plan at the same time wants to provide reasonable security in case of illness, which qualifies.

Original (Swedish)

Principprogrammet kräver att ersättningsnivåerna utformas så att den enskilde stimuleras att delta i åtgärder som leder till god hälsa och återgång till arbetslivet, och att bidragsberoende motverkas. Att avskaffa rehabiliteringskedjan och bedöma arbetsförmågan mot befintligt skick försvagar den drivkraften. Planen vill samtidigt ge en rimlig trygghet vid sjukdom, vilket kvalificerar.

  • incentives for rehabilitationdecisive»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder« (party programme ↗)“The levels of compensation shall be designed so that the individual is stimulated to participate in measures”
  • counteract benefit dependence»bidragsberoende motverkas« (party programme ↗)“benefit dependence is counteracted”
  • full employment»full sysselsättning ett viktigt politiskt mål« (party programme ↗)“full employment an important political goal”
  • reasonable security in case of illness»en rimlig trygghet vid sjukdom, arbetslöshet, arbetsskada och pension« (party programme ↗)“reasonable security in case of illness, unemployment, work injury and pension”
MModeraternaYesYesfollows the plannot addressed

The ideology programme establishes that policy shall make use of each individual person's working capacity and that someone with working capacity has a responsibility to support themselves.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The ideology programme establishes that policy shall make use of each individual person's working capacity and that someone with working capacity has a responsibility to support themselves. The counter-proposal wants to assess working capacity in its current state taking into account age and work experience, which loosens precisely that assessment. The plan's line is that taxes and benefit systems shall be based on the work line and that activity shall be required.

Original (Swedish)

Idéprogrammet slår fast att politiken ska ta till vara den arbetsförmåga varje enskild person har och att den som har arbetsförmåga har ett ansvar att försörja sig själv. Motförslaget vill bedöma arbetsförmågan i befintligt skick med hänsyn till ålder och arbetslivserfarenhet, vilket luckrar upp just den prövningen. Planens linje är att skatter och bidragssystem ska utgå från arbetslinjen och att aktivitet ska krävas.

  • make use of working capacitydecisive»på den arbetsförmåga som varje enskild person har och bidra« (party programme ↗)“on the working capacity that each individual person has and contribute”
  • own support responsibility»därför också ett ansvar att försörja sig själv och sin familj« (party programme ↗)“therefore also a responsibility to support themselves and their family”
  • the work line in security systems»Skatter och bidragssystem ska utgå från arbetslinjen.« (party programme ↗)“Taxes and benefit systems shall be based on the work line.”
  • requirement for activity»Kräva aktivitet på heltid av den som lever på försörjningsstöd« (2022 manifesto ↗)“Require full-time activity from those living on subsistence support”
SDSverigedemokraternaNoAbstaindeparts from the planderived

The plan requires that the insurance system regulations become more flexible and adapted to the individual's needs and possibilities, and that decision-making receives increased individualisation.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires that the insurance system regulations become more flexible and adapted to the individual's needs and possibilities, and that decision-making receives increased individualisation. It also wants to see more resources for preventative work and early rehabilitation measures, which corresponds to the requirement that rehabilitation needs be clarified early. However, introducing gender as an assessment criterion aligns poorly with the plan's formal equality stance.

Original (Swedish)

Planen kräver att regelverket i sjukförsäkringen blir mer flexibelt och anpassas efter individens behov och möjligheter, och att beslutsfattandet får ökad individanpassning. Den vill också se mer resurser på förebyggande arbete och tidiga rehabiliteringsinsatser, vilket motsvarar kravet på att rehabiliteringsbehovet klarläggs tidigt. Att lägga in kön som bedömningsgrund harmonierar dock illa med planens formella jämställdhetssyn.

  • flexible and individualised regulationsdecisive»Regelverket måste därför bli mer flexibelt och anpassas efter individens behov och möjligheter både inom sjukpenning samt sjuk och aktivitetsersättningen.« (2022 manifesto ↗)“The regulations must therefore become more flexible and adapted to the individual's needs and possibilities both within sickness benefit and sickness and activity compensation.”
  • individualised decisions»Öka flexibiliteten och individanpassningen i beslutsfattandet« (2022 manifesto ↗)“Increase flexibility and individualisation in decision-making”
  • early rehabilitation»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources for preventative work and rehabilitation”
  • no differential treatment by gender»Vare sig negativ eller positiv särbehandling på basis av kön, ålder, sexuell läggning,« (party programme ↗)“Neither negative nor positive differential treatment on the basis of gender, age, sexual orientation,”

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

Documents under consideration

Source: The Swedish Parliament