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What it is

Rights and guarantees for a dignified death at the end of life

Senate step 6 of 7 · Unfinished

It is a members’ bill. Introduced by parliamentary groups, the Senate, regional governments or citizens. It was introduced on 2 December 2016. Introduced by: Grupo Parlamentario Ciudadanos.

Official title: Private member's bill on the rights and guarantees of the dignity of the person in the final process of their life.

Source: Congreso de los Diputados, file 122/000051· updated 11 Nov

Automatic summary, not yet reviewed

  1. The bill would recognize rights for people in the final process of life, understood as a terminal or agony situation caused by illness or accident, and would set duties for health professionals and guarantees for institutions.
  2. It would guarantee the right to clear information about one's health and to decide on treatments, including the right to refuse them even if this endangers life, without any reduction in care.
  3. It would allow any adult to leave prior instructions (living will) about the care they wish to receive, appoint a representative, and change or revoke them at any time.
  4. It would recognize the right to quality palliative care, including palliative sedation even if it shortens life, the right to receive it at home if desired, the company of relatives, and spiritual assistance.
  5. Professionals would have to respect the patient's wishes and adjust therapeutic effort to avoid therapeutic obstinacy. Hospitals would have to guarantee single rooms, with one year to provide them.
  6. The law would be basic legislation for the whole country, with penalties referred to regional rules or, failing that, the General Health Act, and the Government would be empowered to issue its implementing regulations.

Who it affects

  • People in a terminal or agony situation: They would gain new rights to decide, receive palliative care, and be accompanied.
  • Families and caregivers: They could accompany the patient and receive support and bereavement care.
  • Health professionals: They would have a duty to respect the patient's wishes and adjust therapeutic effort.
  • Public and private health and social centers: They would have to guarantee these rights, including single rooms.
  • Minors: They would have the right to age-appropriate information and to be accompanied by their parents.

Words worth knowing

Instrucciones previas (living will)
A document in which an adult states in advance their wishes about care and treatments for when they can no longer express them.
Cuidados paliativos (palliative care)
Care aimed at controlling pain and other symptoms when the illness no longer responds to curative treatment.
Sedación paliativa (palliative sedation)
Giving drugs to reduce the patient's consciousness to relieve symptoms that do not respond to treatment.
Obstinación terapéutica (therapeutic obstinacy)
Keeping useless treatments that only prolong biological life with no chance of improvement.
Adecuación del esfuerzo terapéutico (adjustment of therapeutic effort)
Withdrawing, adjusting, or not starting treatments when a limited life prognosis makes it advisable.

It summarizes the text passed by the committee. It is written by artificial intelligence and may contain mistakes: the official text is what counts. Read the official text · How we make summaries

Where it stands

How far did it get?

It took 6 of 7 steps. It reached Senate, and today it is unfinished.

  1. Introduced2 December 2016Someone registers the text in the Congreso.
  2. Admitted13 December 2016The Bureau of the Congreso accepts it and, for a members’ bill, the plenary decides whether to consider it.
  3. Amendments10 April 2017Groups propose changes.
  4. Committee22 June 2017A committee goes through the text in detail.
  5. Plenary11 December 2018All 350 deputies vote.
  6. Senate20 December 2018The Senate can pass it, amend it or veto it.
  7. BOEnot reachedIt is published in the Official State Gazette (BOE) and comes into force.
See the 16 official steps on a timeline
Dec 2016Mar 2017Jun 2017Sept 2017Dec 2017Mar 2018Jun 2018Sept 2018Dec 201811. 2 December 2016: Presentación22. 13 December 2016: Boletín Oficial de las Cortes Generales Publicación desde 13/12/2016 hasta 16/12/201633. 13 December 2016: Calificación44. 16 December 2016: Gobierno Contestación desde 16/12/2016 hasta 24/02/201755. 24 February 2017: Pleno Toma en consideración desde 24/02/2017 hasta 28/03/201766. 28 March 2017: Mesa del Congreso Acuerdo subsiguiente a la toma en consideración desde 28/03/2017 hasta 04/04/201777. 4 April 2017: Comisión de Sanidad y Servicios Sociales Publicación desde 04/04/2017 hasta 10/04/201788. 10 April 2017: Comisión de Sanidad y Servicios Sociales Enmiendas desde 10/04/2017 hasta 13/09/201799. 21 June 2017: Comisión de Sanidad y Servicios Sociales Mesa - Calificación desde 21/06/2017 hasta 22/06/20171010. 22 June 2017: Comisión de Sanidad y Servicios Sociales Debate de totalidad desde 22/06/2017 hasta 29/06/20171111. 13 September 2017: Comisión de Sanidad y Servicios Sociales Informe desde 13/09/2017 hasta 26/06/20181212. 26 June 2018: Comisión de Sanidad, Consumo y Bienestar Social Informe desde 26/06/2018 hasta 13/11/20181313. 13 November 2018: Comisión de Sanidad, Consumo y Bienestar Social Dictamen desde 13/11/2018 hasta 11/12/20181414. 11 December 2018: Pleno Aprobación desde 11/12/2018 hasta 20/12/20181515. 20 December 2018: Senado desde 20/12/2018 hasta 05/03/20191616. 5 March 2019: Concluido - (Caducado) desde 05/03/2019 hasta 27/03/2019

20 December 2018

How did the plenary vote?

More votes in favour 316 yes · 23 no

Voted on: Vote on the report.

This law had 12 votes; this is the latest with every deputy’s vote. See them all

Source: Congreso de los Diputados, vote 53 of sitting 167· updated 10 Nov

Each dot is a seat. Tap one, or use the arrow keys, to see who it is.

Your province

How did the deputies from your province vote?

And your senators: the Senate does not link its votes to this law in its open data, so we cannot put them side by side here.

Or see how most of each province voted
More details: how each group and each province voted

The groups

Who voted in favour and who against?

In favour, most of Socialista, Ciudadanos, Gcup-ec-em and Popular en el Congreso. Against, most of Vasco (EAJ-PNV), Mixto and GER. 8 deputies voted differently from their group.

By province: in 50 most voted in favour; in 1, against.

Coloured by how most of each province’s deputies voted.

  • In favour: 50
  • Against: 1
  • Tie: 1
Result by parliamentary group
GroupSeatsHow it voted
Socialista84
83 in favour · 1 did not vote
Vasco (EAJ-PNV)5
5 against
Mixto19
8 in favour · 9 against · 2 did not vote
Ciudadanos32
31 in favour · 1 did not vote
Gcup-ec-em67
64 in favour · 3 did not vote
GER9
9 against
Popular en el Congreso134
130 in favour · 4 did not vote

What happens next

What happens now?

The legislature ended before it finished. To go on, someone would have to introduce it again in the new Cortes.

It was presented again:

The same initiative in the other chamber:

Sources

Where does all this come from?

  • The data comes from the open files of the Congreso, the Senate and the BOE, unaltered.
  • Each deputy’s province is the one of their seat on the day of the vote.
  • We only say “passed” or “rejected” when the majority needed is certain; otherwise we say which side had more votes.