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What it is

Proposal to make the health card work nationwide in Spain

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 29 May 2024. Introduced by: Grupo Parlamentario VOX.

Official title: Private member's bill for the guarantee, at the state level, of the effective functioning of the individual health card and the full interoperability of clinical records.

Source: Congreso de los Diputados, file 122/000108· updated 11 Nov

Automatic summary, not yet reviewed

  1. The bill would make the individual health card valid and usable throughout Spain, not just in the region that issued it. To do this, it amends the Law on cohesion and quality of the National Health System.
  2. The Ministry of Health would have to guarantee a national database with the basic information of people covered by the National Health System. It would generate a single personal identification code and help clean up cardholder records.
  3. The bill would allow medical records to be consulted from any center of the National Health System and also to be understood. To do this, it amends the basic Law on patient autonomy.
  4. Patients would have the right to have their medical record written in Spanish, even if it is also written in another co-official language. Health professionals would have the right to have their patients' medical records in Spanish.
  5. The Ministry of Health would have to adopt technical and regulatory measures as soon as possible to set up a system guaranteeing the full validity of the health card, in physical and virtual form, and the effective interoperability of medical records.
  6. The law would take effect on the first day of the fiscal year after its publication in the Official State Gazette (Boletín Oficial del Estado).

Who it affects

  • Patients who travel or receive care outside their autonomous community: They could use their health card and access their medical record at any center in Spain.
  • Health professionals: They could consult and understand their patients' medical records in Spanish from any center of the National Health System.
  • People living in communities with a co-official language: Their medical record would always be written in Spanish as well.
  • Ministry of Health and autonomous communities: They would have to set up the technical systems and databases needed to make everything work nationwide.

Words worth knowing

Tarjeta sanitaria individual (TSI)
Card that shows a person's basic details to access public healthcare in Spain.
Interoperabilidad (interoperability)
The ability of different systems to work together: here, that a patient's medical record can be consulted from any health center.
Historia clínica (medical record)
Set of documents with a patient's data and medical history.
Lenguas cooficiales (co-official languages)
Languages that are official along with Spanish in some regions, such as Catalan, Basque, Valencian or Galician.
Proposición de ley (bill)
A text proposed by members of Congress to become a law. It is not approved yet.

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. Introduced29 May 2024Someone registers the text in the Congreso.
  2. Admitted5 June 2024The 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
Jun 2024Sept 202411. 29 May 2024: Presentación22. 5 June 2024: Boletín Oficial de las Cortes Generales Publicación desde 05/06/2024 hasta 07/06/202433. 5 June 2024: Calificación44. 7 June 2024: Gobierno Contestación desde 07/06/2024 hasta 14/09/202455. 14 September 2024: Pleno Toma en consideración desde 14/09/2024 hasta 26/11/202466. 26 November 2024: Concluido - (Rechazado) desde 26/11/2024 hasta 02/12/2024

26 November 2024

How did the plenary vote?

More votes against 32 yes · 174 no · 134 abst.

Voted on: Private member's bill of the VOX Parliamentary Group, for the guarantee, at the state level, of the effective functioning of the individual health card and the full interoperability of clinical records.

Source: Congreso de los Diputados, vote 3 of sitting 80· 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 VOX. Against, most of Euskal Herria Bildu, Plurinacional SUMAR, Republicano, Socialista, Vasco (EAJ-PNV), Junts per Catalunya and Mixto. 1 deputy voted differently from their group.

By province: in 0 most voted in favour; in 16, against.

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

  • In favour: 0
  • Against: 16
  • Abstained: 15
  • Tie: 21
Result by parliamentary group
GroupSeatsHow it voted
Euskal Herria Bildu6
6 against
Plurinacional SUMAR27
25 against · 2 did not vote
Republicano7
7 against
Socialista120
118 against · 2 did not vote
Vasco (EAJ-PNV)5
5 against
Junts per Catalunya7
7 against
Mixto8
6 against · 1 abst. · 1 did not vote
Popular en el Congreso137
133 abst. · 4 did not vote
VOX33
32 in favour · 1 did not vote

What happens next

What happens now?

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

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.