2025-05-222024/25:SoU27 · p.2SoUHealth & social services
Consequences of the proposal
Impact assessment of the updated medicine cost-cap
What's at stake: Critics, including the Dental and Pharmaceutical Benefits Agency, the Swedish Association of Local Authorities and Regions, and the Swedish Medical Association, have pointed out that the government has not presented any impact assessment of the bill, even though it could have far-reaching consequences for the groups most in need of the cost-cap, and despite possible indirect effects on municipalities' financial assistance budgets.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The reservation wanted Parliament to require a retrospective analysis of how the increased patient fee affects different patient groups' finances and health, as well as healthcare costs, while the committee held that the government already monitors developments and maintains dialogue with municipalities, regions and civil society, without a specific initiative from Parliament being necessary.
Yes Yes — the committee proposal
The committee agrees with the government's assessment of the consequences and welcomes the government's intention to closely monitor developments and maintain close dialogue with municipalities, regions and civil society about the risk of increased costs within social services and financial assistance. The committee therefore sees no grounds for Parliament to take a specific initiative and rejects the motion calling for an impact assessment.
No No — the reservations
Reservation 2 (S, V, MP)
The reservation (S, V, MP) considers it unacceptable that the government has not presented any impact assessment of a bill that could have far-reaching consequences for the groups most in need of the cost-cap, and wants Parliament to subsequently require an analysis of how the increased patient fee affects different patient groups' finances and health, as well as healthcare costs.
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 2 by S, V, MP.
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.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/18/0/6 | follows the plan | confidence: high | not addressed |
| S | No | No 0/89/0/17 | follows the plan | confidence: medium | derived |
| MP | No | No 0/14/0/4 | follows the plan | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | departs from the plan | confidence: medium | not addressed |
| L | No | Yes 11/0/0/5 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | derived |
| M | No | Yes 58/0/0/10 | departs from the plan | confidence: low | derived |
| SD | No | Yes 63/0/0/9 | departs from the plan | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects motion 2024/25:3380 by Nils Seye Larsen et al. (MP) point 2.
Original (Swedish)
Riksdagen avslår motion 2024/25:3380 av Nils Seye Larsen m.fl. (MP) yrkande 2.
Riksdag decision: The Riksdag approved the government's proposal to raise the cost-sharing within high-cost protection. The proposal means that the cost ceiling for cost-sharing is raised from 2,900 kronor to 3,800 kronor, that is to say that patients themselves should bear a larger part of the cost before high-cost protection applies. At most, the patient's costs increase by 900 kronor. The cost ladder within high-cost protection is also raised and means that: Patients shall pay the entire medicine cost up to 2,000 kronor, compared with today's 1,450 kronor. The first step is changed so that the patient bears 75% of the cost instead of today's 50%. The law comes into force on 1 July 2025.
Counter-proposals
- The counter-proposal wants to reject the increase in patient costs under the pharmaceutical high-cost protection scheme. (S, V, MP) — Reservation 2
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 states that costs for care and medicines should be affordable for everyone and that needs should guide, while also warning that inequality in access to care has grown.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states that costs for care and medicines should be affordable for everyone and that needs should guide, while also warning that inequality in access to care has grown. An analysis of how an increased patient cost-sharing affects the economy and health of different patient groups is necessary for that commitment to be tested, in line with the plan's demand for decisions based on solid evidence.
Original (Swedish)
Planen slår fast att kostnaderna för vård och läkemedel ska vara överkomliga för alla och att behoven ska styra, samtidigt som den varnar för att ojämlikheten i tillgången till vård har vuxit. En analys av hur en höjd egenavgift påverkar olika patientgruppers ekonomi och hälsa är nödvändig för att det åtagandet ska kunna prövas, i linje med planens krav på beslut byggda på gediget underlag.
- affordable care costsdecisive»Kostnaderna för vård och läkemedel ska vara överkomliga för« (party programme ↗)“Costs for care and medicine should be affordable for”
- needs should guide care»Behoven ska styra, du ska inte behöva lösa en privat försäkring för att få en bra sjukvård och tandvård eller en trygg förlossning.« (2022 manifesto ↗)“Needs should guide, you should not need to solve a private insurance to get good healthcare and dental care or a secure childbirth.”
- unequal care access»Ojämlikheten i tillgång till hälso- och sjukvård har« (party programme ↗)“Inequality in access to healthcare has”
- decisions on solid evidence»rörelse för ett bättre samhälle behöver bygga på stabil forskning och« (party programme ↗)“movement for a better society needs to be built on solid research and”
Worldstate weighed in: Unemployment is at 8.0 percent and the GDP indicator is falling — strained household finances make the consequences of an increased patient cost-sharing more serious
The election manifesto promises targeted support for those hit hardest by price increases and that no one shall need to fear anxiety about getting care in time.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises targeted support for those hit hardest by price increases and that no one shall need to fear anxiety about getting care in time. The party programme requires equivalent access to health services throughout the country and that tax-financed activities can be scrutinised. An analysis of how a raised patient fee affects different patient groups' finances and health follows from both commitments. The plan therefore supports the counter-proposal's demand.
Original (Swedish)
Valmanifestet lovar riktat stöd till dem som drabbas hårdast av prisökningarna och att ingen ska behöva känna oro över att få vård i tid. Partiprogrammet kräver likvärdig tillgång till vård i hela landet och att skattefinansierad verksamhet ska kunna granskas. En analys av hur en höjd egenavgift slår mot olika patientgruppers ekonomi och hälsa följer av båda åtagandena. Planen stöder därför motförslagets krav.
- protect the most vulnerabledecisive»Stöd till de som drabbas hårdast av prisökningarna.« (2022 manifesto ↗)“Support for those hit hardest by price increases.”
- equivalent access to health services»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equivalent access to school, health services and care.”
- scrutiny and accountability»Oavsett i vilken form skattefinansierad verksamhet drivs ska medborgarna ha möjlighet att« (party programme ↗)“Regardless of what form tax-financed activities take, citizens shall have the opportunity to”
- secure access to health services»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall need to fear anxiety about getting care in time.”
The plan demands that care is distributed according to need and is financed in solidarity, and that those with fewest resources receive more support.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan demands that care is distributed according to need and is financed in solidarity, and that those with fewest resources receive more support. Healthcare compensation shall be designed so that the chronically ill are not crowded out. An analysis of how a raised patient fee affects different patient groups' finances and health follows from these commitments.
Original (Swedish)
Planen kräver att vården fördelas efter behov och är solidariskt finansierad, och att de med minst resurser får mer stöd. Vårdens ersättningar ska utformas så att kroniskt sjuka inte trängs undan. En analys av hur en höjd egenavgift slår mot olika patientgruppers ekonomi och hälsa följer av dessa åtaganden.
- care according to needdecisive»Vården ska hålla god kvalitet, vara tillgänglig, fördelas efter behov och vara solidariskt finansierad.« (party programme ↗)“Healthcare shall be of good quality, be accessible, be distributed according to need, and be financed in solidarity.”
- protect those with fewest resources»De med minst resurser ska få mer samhällsservice, lägre skatt och mer stöd i omställningen.« (2022 manifesto ↗)“Those with fewest resources shall receive more social services, lower tax, and more support in the transition.”
- the chronically ill are prioritized»Vårdgarantier bör därför utgå från medicinska behov och ersättningarna i sjukvården baseras på patienternas vårdtyngd, så att inte friska människor prioriteras framför kroniskt sjuka.« (party programme ↗)“Healthcare guarantees should therefore be based on medical need and healthcare compensation should be based on patients' care intensity, so that healthy people are not prioritized over the chronically ill.”
- broader high-cost protection»att hjälpmedel ska ingå i högkostnadsskyddet.« (2022 manifesto ↗)“that aids shall be included in the high-cost protection.”
Worldstate weighed in: Unemployment 8.0 percent and falling GDP indicator — Economically stressed households make the plan's demands for need-driven and solidarily financed care more acute.
The party programme states that care should be provided according to need and not according to ability to pay, and the election manifesto wants to mitigate the worst effects of cost pressures for those with slim margins.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme states that care should be provided according to need and not according to ability to pay, and the election manifesto wants to mitigate the worst effects of cost pressures for those with slim margins. When a raised patient fee can strike those most dependent on cost protection, it follows from the plan's results-oriented approach that the effects on patients' finances and health are actually analysed. The plan says nothing about impact analyses as such.
Original (Swedish)
Partiprogrammet slår fast att vård ska ges efter behov och inte efter betalningsförmåga, och valmanifestet vill mildra kostnadstryckets värsta effekter för dem med små marginaler. När en höjd egenavgift kan slå mot dem som är mest beroende av kostnadsskyddet följer det av planens resultatinriktade hållning att effekterna för patienternas ekonomi och hälsa faktiskt analyseras. Planen säger dock inget om konsekvensanalyser som sådana.
- care according to needdecisive»att snabbt få vård i den offentligt finansierade sjukvården ska ges efter behov och inte efter betalningsförmåga.« (party programme ↗)“that quick access to care in publicly financed healthcare shall be provided according to need and not according to ability to pay.”
- protect those with slim margins»För att möta detta krävs insatser som mildrar inflationens värsta effekter för dem med små marginaler.« (2022 manifesto ↗)“To address this, measures are needed that mitigate inflation's worst effects for those with slim margins.”
- results-oriented policy»Ett resultatinriktat ledarskap som säger nej till kortsiktiga populistiska satsningar och istället söker långsiktiga och konstruktiva överenskommelser förankrade i mitten.« (2022 manifesto ↗)“A results-oriented leadership that says no to short-term populist initiatives and instead seeks long-term and constructive agreements anchored in the centre.”
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 affirms that healthcare should be equitable regardless of income and principally financed through taxation, and that no one should be forced to forgo healthcare due to low income.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan affirms that healthcare should be equitable regardless of income and principally financed through taxation, and that no one should be forced to forgo healthcare due to low income. A raised patient fee risks precisely that. Analyzing retrospectively how the increase affects different patient groups' finances and health therefore aligns with the plan's commitments.
Original (Swedish)
Planen slår fast att vården ska vara jämlik oavsett ekonomi och i huvudsak betalas över skattsedeln, och att ingen ska tvingas avstå vård på grund av låg inkomst. En höjd egenavgift riskerar just det. Att i efterhand analysera hur höjningen påverkar olika patientgruppers ekonomi och hälsa ligger därför i linje med planens åtaganden.
- equitable healthcare regardless of incomedecisive»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder,« (party programme ↗)“Healthcare should be equitable. Everyone has the right to good healthcare and care regardless of background, gender, age,”
- healthcare financed through taxation»Vård och omsorg ska i huvudsak betalas över skattsedeln och ska alltid« (party programme ↗)“Healthcare and care should principally be financed through taxation and must always”
- no one should forgo care due to financial reasons»Ingen ska tvingas avstå från tandvård på grund av låg inkomst.« (party programme ↗)“No one should be forced to forgo dental care due to low income.”
- the patient should pay less»Tandvårdens finansiering ska steg för steg likna annan sjukvård där du som patient betalar mindre och samhället mer.« (2022 manifesto ↗)“Dental care financing shall gradually resemble other healthcare where you as a patient pay less and society more.”
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 it must never be an economic question whether one can receive the care one needs and that fees shall be designed with this as the starting point.
Plan documents: party programme
Reasoning and quotes
The plan establishes that it must never be an economic question whether one can receive the care one needs and that fees shall be designed with this as the starting point. A raised patient charge affects precisely the patient groups most dependent on cost protection, and the plan makes evaluation and cost monitoring an important political task. The requirement for an analysis of the effects is therefore supported.
Original (Swedish)
Planen slår fast att det aldrig får bli en ekonomisk fråga om man ska kunna få den vård man behöver och att avgifter ska utformas med detta som utgångspunkt. En höjd egenavgift träffar just de patientgrupper som är mest beroende av kostnadsskyddet, och planen gör utvärdering och kostnadsuppföljning till en viktig politisk uppgift. Kravet på en analys av effekterna stöds därför.
- care independent of meansdecisive»Det får aldrig bli en ekonomisk fråga om man ska kunna få tillgång till den service, vård och omsorg man behöver. Avgifter ska utformas med detta som utgångspunkt.« (party programme ↗)“It must never be an economic question whether one can receive access to the services, care and support one needs. Fees shall be designed with this as the starting point.”
- monitoring as a political task»Utvärdering, kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska uppgifter.« (party programme ↗)“Evaluation, cost monitoring and quality control are therefore important political tasks.”
- care for the most vulnerable»Även människor som har svårt att nyttja sin valfrihet ska ha tillgång till en god, trygg och värdig vård.« (party programme ↗)“Even people who have difficulty exercising their freedom of choice shall have access to good, safe and dignified care.”
- medicines financed in solidarity»Läkemedel ska efter särskilt godkännande omfattas av ett solidariskt finansierat system.« (party programme ↗)“Medicines shall, after special approval, be covered by a system financed in solidarity.”
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 party programme requires constant readiness to evaluate, reconsider and improve what has been implemented, and that reforms lean on research and proven experience.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires constant readiness to evaluate, reconsider and improve what has been implemented, and that reforms lean on research and proven experience. A retrospective analysis of how an increased patient fee affects different patient groups and healthcare costs is exactly such follow-up. It also aligns with the plan's requirement for equal care.
Original (Swedish)
Partiprogrammet kräver ständig beredskap att utvärdera, ompröva och förbättra det som genomförts, och att reformer lutar sig mot forskning och beprövad erfarenhet. En analys i efterhand av hur en höjd egenavgift slår mot olika patientgrupper och mot sjukvårdens kostnader är precis en sådan uppföljning. Den ligger också i linje med planens krav på likvärdig vård.
- evaluate what has been implementeddecisive»beredskap för att utvärdera, ompröva, förändra och förbättra« (party programme ↗)“readiness to evaluate, reconsider, change and improve”
- equal care»Alla har rätt till likvärdig vård« (2022 manifesto ↗)“Everyone has a right to equal care”
- learning politics»Det kräver en pragmatisk reformvilja och en förmåga att se samhällsproblem för vad de är.« (party programme ↗)“It requires pragmatic reform will and the ability to see social problems for what they are.”
flags: citat_blockerat
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 demands clear results and clear citizen benefit for every public investment and wants to increase financial support to the most vulnerable.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan demands clear results and clear citizen benefit for every public investment and wants to increase financial support to the most vulnerable. An analysis of how a raised co-payment affects different patient groups' finances and health meets both these commitments. According to the party programme, healthcare should furthermore be financed on a solidarity basis and provided according to need.
Original (Swedish)
Planen kräver tydliga resultat och tydlig medborgarnytta för varje offentlig satsning och vill öka det ekonomiska stödet till de mest utsatta. En analys av hur en höjd egenavgift påverkar olika patientgruppers ekonomi och hälsa svarar mot båda dessa åtaganden. Enligt principprogrammet ska vården dessutom vara solidariskt finansierad och ges efter behov.
- results requirementdecisive»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for every public investment”
- support for vulnerable»Öka det ekonomiska stödet till de mest utsatta äldre« (2022 manifesto ↗)“Increase financial support to the most vulnerable elderly”
- solidarity-financed healthcare»Vi anser att hälso- och sjukvården ska vara solidariskt finansierad via skattsedeln« (party programme ↗)“We believe that healthcare shall be financed on a solidarity basis through taxation”
- requirement for citizen benefit»Sverigedemokraterna vill koncentrera de offentliga utgifterna till välfärdens hjärta och begära tydlig medborgarnytta för alla satsningar.« (2022 manifesto ↗)“Sweden Democrats want to concentrate public expenditure on welfare's core and demand clear citizen benefit for all investments.”
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 (2024/25:SoU27)
- Committee report full text (HC01SoU27)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:3358 — med anledning av prop. 2024/25:144 Uppdaterat högkostnadsskydd för läkemedel av Karin Rågsjö m.fl. (V)
- Motion 2024/25:3369 — med anledning av prop. 2024/25:144 Uppdaterat högkostnadsskydd för läkemedel av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2024/25:3380 — med anledning av prop. 2024/25:144 Uppdaterat högkostnadsskydd för läkemedel av Nils Seye Larsen m.fl. (MP)
- Proposition 2024/25:144 — Uppdaterat högkostnadsskydd för läkemedel
Source: The Swedish Parliament