What it is
Euthanasia becomes legal in Spain, with safeguards
It is a members’ bill. Introduced by parliamentary groups, the Senate, regional governments or citizens. It was introduced on 24 January 2020. Introduced by: Grupo Parlamentario Socialista.
Official title: Private member's bill for an Organic Law regulating euthanasia.
Source: Congreso de los Diputados, file 122/000020· updated 11 Nov
Automatic summary, not yet reviewed
- The law recognizes the right of every person who meets the requirements to request and receive the necessary help to die, and it regulates the procedure and safeguards for doing so.
- People of legal age who are capable, who have Spanish nationality or legal residence in Spain (or have been registered as residents for more than twelve months), and who suffer a serious and incurable illness or a serious, chronic and disabling condition may request it in writing twice, at least fifteen calendar days apart.
- The responsible physician must inform the patient, consult a second physician who verifies the case, and report the procedure to the Guarantee and Evaluation Commission, which checks it beforehand and monitors it afterward. The patient may withdraw the request at any time.
- The service is included in the common portfolio of services of the National Health System, with public funding, and can be provided in public, private or contracted centers, or at home. Health professionals may refuse on grounds of conscientious objection, declared in writing.
- Each Autonomous Community and the Cities of Ceuta and Melilla must create a Guarantee and Evaluation Commission, with at least seven members including physicians, nurses and jurists, which handles complaints, verifies cases and publishes an annual report.
- The Penal Code is amended so that anyone who causes or actively cooperates in the death of another person while complying with this law bears no criminal liability. In addition, death from this service is legally considered a natural death.
Who it affects
- People with a serious and incurable illness or a serious, chronic and disabling condition: They can request and receive help to die if they meet the requirements.
- Health professionals: They have defined duties and may refuse on grounds of conscientious objection, declared in writing.
- Public health services and private or contracted centers: They must guarantee the service, including at home, and protect patients' privacy and data.
- Autonomous Communities and the Cities of Ceuta and Melilla: They must create Guarantee and Evaluation Commissions to oversee the application of the law.
Words worth knowing
- Cartera común de servicios
- The list of health services the National Health System offers to everyone.
- Objeción de conciencia
- The right of a professional not to perform an action that goes against their personal beliefs.
- Instrucciones previas
- A document in which a person states in advance what care they do or do not want if they later cannot decide for themselves.
- Cuidados paliativos
- Treatments meant to relieve suffering and improve quality of life, without curing the illness.
- Jurisdicción contencioso-administrativa
- The courts that review decisions made by public administrations.
It summarizes the law as published in the BOE. 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 7 of 7 steps. It reached BOE, and today it is passed.
- Introduced24 January 2020Someone registers the text in the Congreso.
- Admitted28 January 2020The Bureau of the Congreso accepts it and, for a members’ bill, the plenary decides whether to consider it.
- Amendments21 February 2020Groups propose changes.
- Committee3 September 2020A committee goes through the text in detail.
- Plenary10 December 2020All 350 deputies vote.
- Senate17 December 2020The Senate can pass it, amend it or veto it.
- BOE18 March 2021It is published in the Official State Gazette (BOE) and comes into force.
See the 16 official steps on a timeline
18 March 2021
How did the plenary vote?
Voted on: Overall vote on the Private member's bill for an Organic Law regulating euthanasia, given its organic nature.
This law had 18 votes; this is the latest with every deputy’s vote. See them all
Source: Congreso de los Diputados, vote 12 of sitting 85· updated 11 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
- A Coruña More votes in favour 5 yes · 3 no
- Albacete Tie 2 yes · 2 no
- Alicante/Alacant More votes in favour 6 yes · 5 no
- Almería More votes against 2 yes · 4 no
- Araba/Álava More votes in favour 3 yes · 0 no
- Asturias More votes in favour 4 yes · 3 no
- Ávila More votes against 1 yes · 2 no
- Badajoz Tie 3 yes · 3 no
- Barcelona More votes in favour 25 yes · 4 no · 1 abst.
- Bizkaia More votes in favour 7 yes · 1 no
- Burgos Tie 2 yes · 2 no
- Cáceres Tie 2 yes · 2 no
- Cádiz More votes in favour 5 yes · 4 no
- Cantabria More votes against 2 yes · 3 no
- Castellón/Castelló More votes in favour 3 yes · 2 no
- Ceuta More votes against 0 yes · 1 no
- Ciudad Real More votes against 2 yes · 3 no
- Córdoba Tie 3 yes · 3 no
- Cuenca More votes in favour 2 yes · 1 no
- Gipuzkoa More votes in favour 6 yes · 0 no
- Girona More votes in favour 6 yes · 0 no
- Granada More votes in favour 4 yes · 3 no
- Guadalajara More votes against 1 yes · 2 no
- Huelva More votes in favour 3 yes · 2 no
- Huesca More votes in favour 2 yes · 1 no
- Illes Balears Tie 4 yes · 4 no
- Jaén More votes in favour 3 yes · 2 no
- La Rioja Tie 2 yes · 2 no
- Las Palmas More votes in favour 4 yes · 3 no
- León Tie 2 yes · 2 no
- Lleida More votes in favour 4 yes · 0 no
- Lugo Tie 2 yes · 2 no
- Madrid More votes in favour 20 yes · 17 no
- Málaga More votes in favour 6 yes · 5 no
- Melilla More votes against 0 yes · 1 no
- Murcia More votes against 4 yes · 6 no
- Navarra More votes in favour 3 yes · 2 no
- Ourense Tie 2 yes · 2 no
- Palencia More votes against 1 yes · 2 no
- Pontevedra More votes in favour 4 yes · 3 no
- Salamanca More votes against 1 yes · 3 no
- Santa Cruz de Tenerife More votes in favour 4 yes · 3 no
- Segovia More votes against 1 yes · 2 no
- Sevilla More votes in favour 8 yes · 4 no
- Soria Tie 1 yes · 1 no
- Tarragona More votes in favour 5 yes · 0 no · 1 abst.
- Teruel More votes in favour 2 yes · 1 no
- Toledo More votes against 2 yes · 4 no
- Valencia/València More votes in favour 8 yes · 7 no
- Valladolid More votes against 2 yes · 3 no
- Zamora More votes in favour 2 yes · 1 no
- Zaragoza More votes in favour 4 yes · 3 no
More details: how each group and each province voted
The groups
Who voted in favour and who against?
In favour, most of Euskal Herria Bildu, Republicano, Socialista, Vasco (EAJ-PNV), Ciudadanos, Gcup-ec-gc and GPlu. Against, most of Popular en el Congreso and VOX. 3 deputies voted differently from their group.
By province: in 28 most voted in favour; in 13, against.
Coloured by how most of each province’s deputies voted.
- In favour: 28
- Against: 13
- Tie: 11
| Group | Seats | How it voted |
|---|---|---|
| Euskal Herria Bildu | 5 | 5 in favour |
| Republicano | 13 | 12 in favour · 1 abst. |
| Socialista | 120 | 120 in favour |
| Vasco (EAJ-PNV) | 6 | 6 in favour |
| Mixto | 9 | 3 in favour · 3 against · 3 did not vote |
| Ciudadanos | 10 | 10 in favour |
| Gcup-ec-gc | 35 | 34 in favour · 1 did not vote |
| GPlu | 12 | 11 in favour · 1 abst. |
| Popular en el Congreso | 88 | 87 against · 1 did not vote |
| VOX | 52 | 1 in favour · 51 against |
What happens next
What happens now?
It is law, or will be once published in the BOE. It comes into force on the date its own text sets.
Presented before in:
- XII Legislature, Congreso de los Diputados· Unfinished Proposed law to regulate euthanasia in Spain
- XIII Legislature, Congreso de los Diputados· Unfinished Proposed law to regulate euthanasia in Spain
Published in the BOE: Organic Law 3/2021, of March 24, regulating euthanasia.
Sources
Where does all this come from?
- Congreso de los Diputados, file 122/000020
Official title, type, author, dates and stage.
Retrieved 11 November 2026
- Congreso de los Diputados, vote 12 of sitting 85
The count and every seat’s vote.
Retrieved 11 November 2026
- BOE, BOE-A-2021-4628
The law as published.
Retrieved 11 November 2026
- 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.