What it is
Bill to strengthen equity and cohesion in Spain's public health system
Amendments step 3 of 7It is a government bill. Introduced by the Government. It was introduced on 21 June 2024. Introduced by: Gobierno.
Official title: Government bill amending various regulations to consolidate equity and cohesion of the National Health System.
Source: Congreso de los Diputados, file 121/000029· updated 11 Nov
Automatic summary, not yet reviewed
- The bill would require government rules to include a health impact assessment in their regulatory impact reports, for rules affecting areas such as housing, education, the environment, transportation or food.
- It would reform social participation in the National Health System: the Foro Abierto de Salud would become a permanent body with patients, people with disabilities, citizen organizations, professional associations and scientific societies, alongside the Advisory Committee and the Virtual Forum.
- It would add the Health Care Guarantee Fund to the cohesion law, an off-budget fund that compensates the Autonomous Communities for care given to people temporarily traveling, and removes the provision that blocked its regulatory development.
- It would automatically match the groups exempt from paying toward orthopedic products with those exempt from outpatient pharmaceutical copayment, such as minimum vital income recipients or minors with a disability of 33% or more.
- It would authorize the creation of the Consortium of the Spanish Network of Health Technology Assessment Agencies (RedETS), with its own legal personality, attached to the Ministry of Health.
- It would set general conditions for access to and processing of health data for planning, health care, public health surveillance and health research, with safeguards for anonymization and confidentiality.
Who it affects
- Patients, people with disabilities and citizen organizations: They would have permanent seats on the Foro Abierto de Salud to advise and make proposals.
- Users of orthopedic products: Groups exempt from pharmaceutical copayment would also be exempt from orthopedic contributions.
- Autonomous Communities and INGESA: Their costs for care given to temporarily traveling people would be compensated through the Health Care Guarantee Fund.
- Researchers and health entities: They would gain access to anonymized or pseudonymized health data under set conditions and safeguards.
Words worth knowing
- Memoria del Análisis de Impacto Normativo (MAIN)
- Report that must accompany government bills and rules to assess their effects.
- Fondo de Garantía Asistencial (FOGA)
- Fund that compensates the Autonomous Communities for treating people entitled to public health care who temporarily travel to another region.
- Prestación ortoprotésica
- Products such as prostheses, orthoses or wheelchairs funded by the public health system.
- Anonimización y seudonimización
- Techniques so data cannot identify a person, or can only do so with separately held additional information.
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 Amendments.
- Introduced21 June 2024Someone registers the text in the Congreso.
- Admitted25 June 2024The Bureau of the Congreso accepts it and, for a members’ bill, the plenary decides whether to consider it.
- Amendments28 June 2024Groups propose changes.
- Committeenot reachedA committee goes through the text in detail.
- Plenarynot reachedAll 350 deputies vote.
- Senatenot reachedThe Senate can pass it, amend it or veto it.
- BOEnot reachedIt is published in the Official State Gazette (BOE) and comes into force.
See the 5 official steps on a timeline
Was there a plenary vote?
We have no plenary vote linked to this law in the Congreso’s data.
What happens next
What happens now?
A committee of deputies will go through the amendments and prepare the text for the plenary.
Sources
Where does all this come from?
- Congreso de los Diputados, file 121/000029
Official title, type, author, dates and stage.
Retrieved 11 November 2026
- Congreso de los Diputados, procedure
The date of each step, with its official wording.
Retrieved 12 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 never say “passed” because of a vote: the files do not say which majority was needed.