What it is
Proposal to make the health card work nationwide in Spain
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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Introduced29 May 2024Someone registers the text in the Congreso.
- Admitted5 June 2024The Bureau of the Congreso accepts it and, for a members’ bill, the plenary decides whether to consider it.
- Amendmentsnot reachedGroups 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 6 official steps on a timeline
26 November 2024
How did the plenary vote?
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
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 against 0 yes · 4 no · 4 abst.
- Albacete More votes against 0 yes · 2 no · 2 abst.
- Alicante/Alacant More votes against 2 yes · 5 no · 5 abst.
- Almería More votes against 1 yes · 2 no · 3 abst.
- Araba/Álava More votes against 0 yes · 3 no · 1 abst.
- Asturias More votes against 1 yes · 3 no · 3 abst.
- Ávila More votes against 0 yes · 1 no · 2 abst.
- Badajoz More votes against 1 yes · 2 no · 2 abst.
- Barcelona More votes against 2 yes · 24 no · 5 abst.
- Bizkaia More votes against 0 yes · 7 no · 1 abst.
- Burgos More votes against 0 yes · 2 no · 2 abst.
- Cáceres More votes against 0 yes · 2 no · 2 abst.
- Cádiz More votes against 1 yes · 4 no · 4 abst.
- Cantabria More votes against 1 yes · 2 no · 2 abst.
- Castellón/Castelló More votes against 1 yes · 2 no · 2 abst.
- Ceuta Tie 0 yes · 0 no · 1 abst.
- Ciudad Real More votes against 1 yes · 2 no · 1 abst.
- Córdoba More votes against 1 yes · 3 no · 2 abst.
- Cuenca More votes against 0 yes · 1 no · 2 abst.
- Gipuzkoa More votes against 0 yes · 6 no
- Girona More votes against 0 yes · 6 no
- Granada More votes against 1 yes · 3 no · 3 abst.
- Guadalajara Tie 1 yes · 1 no · 1 abst.
- Huelva More votes against 0 yes · 2 no · 2 abst.
- Huesca More votes against 0 yes · 1 no · 2 abst.
- Illes Balears More votes against 1 yes · 4 no · 3 abst.
- Jaén More votes against 1 yes · 2 no · 2 abst.
- La Rioja More votes against 0 yes · 2 no · 2 abst.
- Las Palmas More votes against 1 yes · 4 no · 3 abst.
- León More votes against 0 yes · 2 no · 2 abst.
- Lleida More votes against 0 yes · 4 no
- Lugo More votes against 0 yes · 1 no · 3 abst.
- Madrid More votes against 5 yes · 14 no · 14 abst.
- Málaga More votes against 2 yes · 4 no · 5 abst.
- Melilla Tie 0 yes · 0 no · 1 abst.
- Murcia More votes against 2 yes · 4 no · 4 abst.
- Navarra More votes against 0 yes · 3 no · 2 abst.
- Ourense More votes against 0 yes · 1 no · 3 abst.
- Palencia More votes against 0 yes · 1 no · 2 abst.
- Pontevedra More votes against 0 yes · 4 no · 3 abst.
- Salamanca More votes against 0 yes · 1 no · 3 abst.
- Santa Cruz de Tenerife More votes against 0 yes · 4 no · 2 abst.
- Segovia More votes against 0 yes · 1 no · 2 abst.
- Sevilla More votes against 1 yes · 6 no · 4 abst.
- Soria More votes against 0 yes · 1 no · 1 abst.
- Tarragona More votes against 0 yes · 5 no · 1 abst.
- Teruel More votes against 0 yes · 1 no · 2 abst.
- Toledo More votes against 1 yes · 2 no · 3 abst.
- Valencia/València More votes against 2 yes · 7 no · 6 abst.
- Valladolid More votes against 1 yes · 2 no · 2 abst.
- Zamora More votes against 0 yes · 1 no · 2 abst.
- Zaragoza More votes against 1 yes · 3 no · 3 abst.
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
| Group | Seats | How it voted |
|---|---|---|
| Euskal Herria Bildu | 6 | 6 against |
| Plurinacional SUMAR | 27 | 25 against · 2 did not vote |
| Republicano | 7 | 7 against |
| Socialista | 120 | 118 against · 2 did not vote |
| Vasco (EAJ-PNV) | 5 | 5 against |
| Junts per Catalunya | 7 | 7 against |
| Mixto | 8 | 6 against · 1 abst. · 1 did not vote |
| Popular en el Congreso | 137 | 133 abst. · 4 did not vote |
| VOX | 33 | 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?
- Congreso de los Diputados, file 122/000108
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
- Congreso de los Diputados, vote 3 of sitting 80
The count and every seat’s vote.
Retrieved 10 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.