Activities of Christofer FJELLNER related to 2008/0142(COD)
Plenary speeches (2)
Patients' rights in cross-border healthcare (debate)
Patients’ rights in cross-border healthcare (debate)
Amendments (18)
Amendment 168 #
Council position
Article 7 – paragraph 1
Article 7 – paragraph 1
1. Subject to the provisions of Articles 8 and 9, the Member State of affiliation shall ensure the costs incurred by an insured person who receives cross-border healthcare are reimbursed, if the healthcare in question is among the benefits to which the insured person is entitled in the Member State of affiliation or is equally effective to healthcare that is among those benefits. Member States may choose to only reimburse such methods of treatment that are sufficiently tried and tested by international medical science.
Amendment 181 #
Council position
Article 8 – paragraph 5 – introductory part
Article 8 – paragraph 5 – introductory part
5. TWithout prejudice to paragraph 3, the Member State of affiliation may refuse to grant prior authorisation for reasons including, but not limited to,only for the following reasons:
Amendment 184 #
Council position
Article 8 – paragraph 5 – point b
Article 8 – paragraph 5 – point b
Amendment 187 #
Council position
Article 8 – paragraph 5 – point e
Article 8 – paragraph 5 – point e
Amendment 222 #
Council position
Article 14 – paragraph 2 – point b a (new)
Article 14 – paragraph 2 – point b a (new)
(ba) avoid duplications of the decisions and assessments made by the European regulatory bodies, particularly in so far as these bodies take decisions with regards to safety, efficacy, quality and eligible patient populations;
Amendment 223 #
Council position
Article 14 – paragraph 2 – point b b (new)
Article 14 – paragraph 2 – point b b (new)
(bb) produce non-binding recommendations on the basis of dialogue and close coordination with all stakeholders
Amendment 389 #
Proposal for a directive
Article 6 – paragraph 1
Article 6 – paragraph 1
1. Subject to the provisions of this Directive, in particular Articles 7, 8 and 9, the Member State of affiliation shall ensure that insured persons travelling to another Member State with the purpose of receiving healthcare there or seeking to receive healthcare provided in another Member State, will not be prevented from receiving healthcare provided in another Member State where the treatment in question is among the benefits provided for by the legislation of the Member State of affiliation to which the insured person is entitled. The Member State of affiliation shall reimburse the costs to the insured person, which would have been paid for by its statutory social securitypublic system had the same or similar healthcare been provided in its territory. In any event, it is for the Member State of affiliation to determine the healthcare that is paid for regardless of where it is provided. Patients shall be entitled to reimbursement for methods of treatment, even where those methods are not reimbursed in their own Member State, provided that this is the case in the host Member State and that the method is recognised by international medical science;
Amendment 403 #
Proposal for a directive
Article 6 – paragraph 2
Article 6 – paragraph 2
2. The costs of healthcare provided in another Member State shall be reimbursed by the Member State of affiliation in accordance with the provisions of this Directive up to the level of costs that would have been assumed had the same or similar healthcare been providedin respect of the same medical condition in the Member State of affiliation, without exceeding the actual costs of healthcare received.
Amendment 407 #
Proposal for a directive
Article 6 – paragraph 2 a (new)
Article 6 – paragraph 2 a (new)
2a. The cost which would have been reimbursed for the same or similar healthcare in the Member State of affiliation shall be calculated in a transparent and non-standardised way, and the calculation shall include all costs for the healthcare which would have been provided in the Member State of affiliation and shall not be restricted simply to variable costs. The cost shall also be calculated at the relevant administrative level in cases where the Member State of affiliation has a decentralised healthcare system.
Amendment 415 #
Proposal for a directive
Article 6 – paragraph 3
Article 6 – paragraph 3
3. The Member State of affiliation may impose on a patient seeking healthcare provided in another Member State, the same conditions, criteria of eligibility and regulatory and administrative formalities for receiving healthcare and reimbursement of healthcare costs as it would impose if the same or similar healthcare was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of persons, goods or services.
Amendment 421 #
Proposal for a directive
Article 6 – paragraph 4
Article 6 – paragraph 4
4. Member States shall have a mechanism for calculation of costs that are to be reimbursed to the insured person by the statutory social securitypublic system for healthcare provided in another Member State. This mechanism shall be based on objective, non-discriminatory criteria known in advance and the costs reimbursed according to this mechanism shall be not less than what would have been assumed had the same or similar healthcare been provided in the territory of the Member State of affiliation.
Amendment 446 #
Proposal for a directive
Article 8 – paragraph 1
Article 8 – paragraph 1
1. For the purposes of reimbursement of healthcare provided in another Member State in accordance with this Directive, hospital care shall mean: a)- healthcare which requires overnight accommodation of the patient in question for at least one night. b) healthcare, included in a specific list, that does not require overnight accommodation of the patient for at least one night. This list shall be limited to: - healthcare that requires use of highly specialised andthat is highly specialised and/or requires use of cost-intensive medical infrastructure or medical equipment; or - healthcare involving treatments presenting a particular risk for the patient or the population.
Amendment 494 #
Proposal for a directive
Article 8 – paragraph 4 a (new)
Article 8 – paragraph 4 a (new)
4a. Prior authorisation systems, and any restrictions of patients' rights to cross- border healthcare, may not be general but must, in each individual case, apply to specified methods of treatment.
Amendment 522 #
Proposal for a directive
Article 9 – paragraph 3 a (new)
Article 9 – paragraph 3 a (new)
3a. In any event, the prior authorisation shall be accorded where the person concerned cannot be given the treatment in question in the Member State of affiliation within a time-limit which is medically justifiable, taking into account his current state of health and the probable course of his illness.
Amendment 578 #
Proposal for a directive
Article 12 – paragraph 2 – point a a (new)
Article 12 – paragraph 2 – point a a (new)
aa) assist patients on matters relating to reimbursement and ensure that patients' expenditure is promptly refunded;
Amendment 585 #
Proposal for a directive
Article 12 – paragraph 2 – point b a (new)
Article 12 – paragraph 2 – point b a (new)
(ba) help patients to assert the procedural guarantees in accordance with Article 9 of this Directive, if appropriate by contacting competent national authorities;
Amendment 675 #
Proposal for a directive
Article 16
Article 16
Article 16 deleted
Amendment 683 #
Proposal for a directive
Article 17
Article 17
Article 17 deleted