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What it is

Proposal to guarantee palliative care and repeal the euthanasia law

Admitted step 2 of 7 · Rejected

It is a members’ bill. Introduced by parliamentary groups, the Senate, regional governments or citizens. It was introduced on 4 October 2022. Introduced by: Grupo Parlamentario VOX.

Official title: Private member's bill for an Organic Law on palliative care in the final process of life.

Source: Congreso de los Diputados, file 122/000258· updated 11 Nov

Automatic summary, not yet reviewed

  1. The bill would guarantee that everyone in the end-of-life process can receive advanced, quality palliative care from qualified health staff, in both public and private centers.
  2. It would create the medical specialty of Palliative Medicine: the Government would have to set its official title within six months, and doctors with at least four years of practice and advanced training could qualify immediately. It also provides for adequately staffed palliative care units across the health system.
  3. It would recognize rights for patients at the end of life: comprehensive care, clear information, decision making about treatments, family and spiritual support, a single room, and receiving care at home when possible. It also protects the right to leave written advance instructions.
  4. It would give paid leave to relatives caring for a patient at the end of life, and add palliative care to the catalog of services under long-term care benefits, shortening the deadlines to decide those applications.
  5. It would require a Palliative Care Strategy for the National Health System, updated every four years, with an annual public report on requests and services actually provided.
  6. It would repeal organic law A law on fundamental rights, the electoral system or other matters the Constitution reserves. It needs an absolute majority in the Congreso: 176 votes. 3/2021 regulating euthanasia and would terminate all pending requests for assisted dying, whatever their stage of processing.

Who it affects

  • People at the end of life and their families: They would have the right to palliative care, information, support and a single room, and relatives would get paid leave.
  • Doctors and health professionals: They would need training in palliative care and would have duties to inform patients and adjust treatment effort.
  • Public and private health centers: They would need adequately staffed palliative care units and would have to guarantee patients' rights.
  • Workers and public employees: They would get leave and reduced working hours to care for a relative receiving palliative care.
  • People who have requested assisted dying: Their requests would become void if the bill is passed.

Words worth knowing

Cuidados paliativos (palliative care)
Comprehensive care for patients whose illness no longer responds to curative treatment: pain and symptom control plus psychological, social and spiritual support.
Ley orgánica (organic law)
A type of Spanish law reserved for major matters, such as fundamental rights, which requires a special majority in the Congress of Deputies.
Instrucciones previas (advance instructions)
A document in which a person states in writing what care and treatment they want if they later cannot decide for themselves.
Sedación paliativa (palliative sedation)
Deliberately lowering a patient's consciousness, with their consent, to relieve unbearable suffering that cannot be controlled.
Consejo Interterritorial del Sistema Nacional de Salud
Body where the central Government and the autonomous regions coordinate the public health system.
organic law
A law on fundamental rights, the electoral system or other matters the Constitution reserves. It needs an absolute majority in the Congreso: 176 votes.

It summarizes the text as it was introduced. 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 2 of 7 steps. It reached Admitted, and today it is rejected.

  1. Introduced4 October 2022Someone registers the text in the Congreso.
  2. Admitted18 October 2022The Bureau of the Congreso accepts it and, for a members’ bill, the plenary decides whether to consider it.
  3. Amendmentsnot reachedGroups propose changes.
  4. Committeenot reachedA committee goes through the text in detail.
  5. Plenarynot reachedAll 350 deputies vote.
  6. Senatenot reachedThe 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 6 official steps on a timeline
Dec 2022Mar 202311. 4 October 2022: Presentación22. 18 October 2022: Boletín Oficial de las Cortes Generales Publicación desde 18/10/2022 hasta 21/10/202233. 18 October 2022: Calificación44. 21 October 2022: Gobierno Contestación desde 21/10/2022 hasta 29/11/202255. 29 November 2022: Pleno Toma en consideración desde 29/11/2022 hasta 18/04/202366. 18 April 2023: Concluido - (Rechazado) desde 18/04/2023 hasta 24/04/2023

18 April 2023

How did the plenary vote?

More votes against 142 yes · 202 no

Voted on: Organic Private Member's Bill of the VOX Parliamentary Group on palliative care in the final stage of life.

Source: Congreso de los Diputados, vote 1 of sitting 251· updated 10 Nov

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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 Popular en el Congreso and VOX. Against, most of Euskal Herria Bildu, Republicano, Socialista, Vasco (EAJ-PNV), Mixto, Ciudadanos, Gcup-ec-gc and GPlu. 3 deputies voted differently from their group.

By province: in 14 most voted in favour; in 26, against.

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

  • In favour: 14
  • Against: 26
  • Tie: 12
Result by parliamentary group
GroupSeatsHow it voted
Euskal Herria Bildu5
5 against
Republicano13
13 against
Socialista120
119 against · 1 did not vote
Vasco (EAJ-PNV)6
6 against
Mixto11
3 in favour · 7 against · 1 did not vote
Ciudadanos9
9 against
Gcup-ec-gc33
31 against · 2 did not vote
GPlu12
12 against
Popular en el Congreso88
87 in favour · 1 did not vote
VOX52
52 in favour

What happens next

What happens now?

It goes no further. A similar one could be introduced later.

It was presented again:

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.