Bill to make all health care public and directly managed

Automatic summary, not yet reviewed

1. The bill would make health services, centers and facilities in the National Health System publicly owned and directly managed by public authorities. It would ban providing, through indirect management, contracts or agreements, any services or centers that are created or already directly managed.
2. Autonomous Communities would have to reverse indirect management of health services through deprivatization, when contracts expire or earlier if allowed. They would also have to publish clear information on the management models they use, including active contracts and agreements.
3. The bill would repeal Law 15/1997, which allowed new forms of management in the National Health System, and Royal Decree-Law 10/1996, plus several articles of the General Health Law.
4. It would amend the public sector contracts law to ban using works or service concessions, or similar mixed contracts, to build or fully run public health centers, and to stop public contracting from being used to dodge direct public management.
5. Health care for new members of MUFACE, ISFAS and MUGEJU would be provided directly by the Public Health Services of the National Health System, without contracts with private entities. Current members would keep the existing rules.
6. The bill would have basic state scope and would take effect the day after publication in the Official State Gazette, except the part on the mutual funds, which would take effect one year later.

Who it affects

• Autonomous Communities: They would have to switch to direct public management and deprivatize indirectly managed health services.
• New members of MUFACE, ISFAS and MUGEJU: Their health care would be provided directly by the Public Health Services, without private contracts.
• Private health care companies: They could no longer fully run public health centers or use concessions or mixed contracts to do so.
• Private hospitals linked to the health system: They would keep operating under their current protocols, which could not be renewed when they end.

Words worth knowing

Gestión indirecta (indirect management)

When a private entity provides a public service, for example through a contract or concession, instead of the government itself.

Concierto (agreement contract)

An agreement under which a government pays a private entity to provide a public service.

Desprivatización (deprivatization)

Moving a service or center run by a private company back into public hands.

Consejo Interterritorial (Interterritorial Council)

The body where the State and the Autonomous Communities coordinate health policy.

Derogar (repeal)

To cancel a previous law or rule so it is no longer valid.

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