31 Amendments of Christel SCHALDEMOSE related to 2008/0142(COD)
Amendment 36 #
Proposal for a directive
Citation 1
Citation 1
Having regard to the Treaty establishing the European Community, and in particular Article 9516 and 152 thereof,
Amendment 48 #
Proposal for a directive
Citation 1
Citation 1
Having regard to the Treaty establishing the European Community, and in particular Article 9516 and 152 thereof,
Amendment 114 #
Proposal for a directive
Article 1
Article 1
This Directive establishes a general framework for the provision of safe, high quality and efficientpatients' rights in connection with cross-border healthcare.
Amendment 123 #
Proposal for a directive
Article 2 a (new)
Article 2 a (new)
2a. In order to accomplish the missions of general interest entrusted to their health care systems Member States shall follow in the application of this Directive the principles of general interest; i.e. universality, accessibility to good quality care, equity, solidarity, and affordability of health services. In order to guarantee a high level of public health as required by Article 152 EC Treaty Member States should give prevalence to these principles in cases where they conflict with the provisions of this Directive.
Amendment 165 #
Proposal for a directive
Article 5 – title
Article 5 – title
Responsibilities of authorities of the Member State of treatments
Amendment 169 #
Proposal for a directive
Article 5 – paragraph 1
Article 5 – paragraph 1
1. The Member States of treatment shall be responsible for the organisation and the delivery of healthcare. In such a context and taking into account principles ofon the basis of principles of general interest, universality, access to good quality care, equity and solidarity and the public-service missions that derive therefrom, as conferred upon health service providers, they shall define clear quality and safety standards for healthcare provided on their territory, and ensure that:
Amendment 189 #
Proposal for a directive
Article 5 – paragraph 1 – point d
Article 5 – paragraph 1 – point d
(d) Patients have a means of making complaints and are guaranteed remedies andto an independent adjudicator or ombudsman in both the Member State of Treatment and the Member State of Affiliation and are guaranteed remedies free of charge and where appropriate compensation when they suffer harm arising from the healthcare they receive;
Amendment 196 #
Proposal for a directive
Article 5 – paragraph 1 – point g a (new)
Article 5 – paragraph 1 – point g a (new)
(ga) Member States define clearly patients’ rights and people’s rights’ in relation to healthcare in accordance with the European Charter of Fundamental Rights.
Amendment 200 #
Proposal for a directive
Article 1
Article 1
This Directive establishes a general framework for the provision of safe, high quality and efficientpatients' rights in connection with cross-border healthcare.
Amendment 207 #
Proposal for a directive
Article 5 – paragraph 3
Article 5 – paragraph 3
3. In so far as it is necessary to facilitate the provision of cross-border healthcare and taking as a basis a high level of protection of health, the Commission, in cooperation with the Member States, shall develop guidelines to facilitate the implementation of paragraph 1, points (c)- (g).
Amendment 217 #
Proposal for a directive
Article 2 - subparagraph 1 a (new)
Article 2 - subparagraph 1 a (new)
In order to accomplish the missions of general interest entrusted to their healthcare systems Member States shall follow in the application of this Directive the principles of general interest; namely universality, accessibility to good quality care, equity, solidarity, and affordability of health services. In order to guarantee a high level of public health as required by Article 152 of the Treaty Member States should give precedence to those principles in cases where they conflict with the provisions of this Directive.
Amendment 230 #
Proposal for a directive – amending act
Article 6 – paragraph 2
Article 6 – paragraph 2
2. The costs of healthcare provided in another Member State shall be reimbursed byor paid for by the social security system of 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 provided in the Member State of affiliation, without exceeding the actual costs of healthcare received. Member States should also cover travel costs.
Amendment 255 #
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 andis highly specialised and/or requires use of cost-intensive medical infrastructure or medical equipment; or -, (b) healthcare involving treatments presenting a particular risk for the patient or the population, or (c) other types of treatment which, in view of the nature of the illness, are best administered in hospital.
Amendment 275 #
Proposal for a directive
Article 8 – paragraph 3 - introductory part
Article 8 – paragraph 3 - introductory part
3. The Member State of affiliation may provide for a general system of prior authorisation for reimbursement by its social security system of the cost of hospital care provided in another Member State where the following conditions are met:
Amendment 276 #
Proposal for a directive
Article 8 – paragraph 3 - point b
Article 8 – paragraph 3 - point b
(b) the purpose of the system is to address the consequent outflow of patients due to the implementation of the present Article and to prevent it from seriously undermining, or being likely to seriously undermine:
Amendment 282 #
Proposal for a directive
Article 8 – paragraph 4
Article 8 – paragraph 4
4. The prior authorisation system shall be limited to what is necessary and proportionate to avoid such impact, and shall not constitute a means of arbitrary discrimination.
Amendment 304 #
Proposal for a directive
Article 5 – title
Article 5 – title
Responsibilities of authorities of the Member State of treatments
Amendment 311 #
Proposal for a directive – amending act
Article 9 – paragraph 3 a (new)
Article 9 – paragraph 3 a (new)
3a. Member States of affiliation shall ensure that patients who have received prior authorisation for the use of healthcare abroad will only be required to make upfront or top-up payments to the healthcare systems and/or providers in the Member State of treatment to the extent that this would be required in the Member State of affiliation itself.
Amendment 313 #
Proposal for a directive
Article 5 – paragraph 1 – introduction
Article 5 – paragraph 1 – introduction
1. The Member States of treatment shall be responsible for the organisation and the delivery of healthcare. In such a context and taking into account principles ofon the basis of principles of general interest, universality, access to good quality care, equity and solidarity and the public-service missions that derive therefrom, as conferred upon health service providers, they shall define clear quality and safety standards for healthcare provided on their territory, and ensure that:
Amendment 314 #
Proposal for a directive – amending act
Article 9 – paragraph 4
Article 9 – paragraph 4
4. Member States shall, when setting out the time limits within which requests for the use of healthcare in another Member State must be dealt with, take into account and set out criteria by which they measure:
Amendment 344 #
Proposal for a directive
Article 5 – paragraph 1 – point d
Article 5 – paragraph 1 – point d
(d) patients have a means of making complaints and are guaranteed remedies andto an independent adjudicator or ombudsman in both the Member State of treatment and the Member State of affiliation and are guaranteed remedies free of charge and where appropriate compensation when they suffer harm arising from the healthcare they receive;
Amendment 362 #
Proposal for a directive
Article 5 – paragraph 1 – point g a (new)
Article 5 – paragraph 1 – point g a (new)
(ga) Member States define clearly patients’ rights and people’s rights in relation to healthcare in accordance with the Charter of Fundamental Rights of the European Union.
Amendment 375 #
Proposal for a directive
Article 5 – paragraph 3
Article 5 – paragraph 3
3. In so far as it is necessary to facilitate the provision of cross-border healthcare and taking as a basis a high level of protection of health, the Commission, in cooperation with the Member States, shall develop guidelines to facilitate the implementation of paragraph 1, points c-g.
Amendment 388 #
Proposal for a directive
Article 17 – paragraph 1
Article 17 – paragraph 1
1. Member States shall facilitate development and functioning of a network connecting the national authorities or bodies responsible for health technology assessment. Member States shall set up a system based on the principles of good governance including transparency, objectiveness, fair procedures, and full stakeholder participation of all relevant groups, including social partners, health professionals, patients, scientists and industry, for the operation of the network.
Amendment 399 #
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 byor paid for by the social security system of 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 provided in the Member State of affiliation, without exceeding the actual costs of healthcare received. Member States shall also cover travel costs.
Amendment 449 #
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 andis highly specialised and/or requires use of cost-intensive medical infrastructure or medical equipment; or -, b) healthcare involving treatments presenting a particular risk for the patient or the population, or c) other types of treatment which, in view of the nature of the illness, are best administered in hospital.
Amendment 478 #
Proposal for a directive
Article 8 – paragraph 3
Article 8 – paragraph 3
3. The Member State of affiliation may provide for a general system of prior authorisation for reimbursement by its social security system of the cost of hospital care provided in another Member State where the following conditions are met: a) had the healthcare been provided in its territory, it would have been assumed by the Member State's social security system; and b) the purpose of the system is to address the consequent outflow of patients due to the implementation of the present Article and to prevent it from seriously undermining, or being likely to seriously undermine: i) the financial balance of the Member State's social security system; and/or ii) the planning and rationalisation carried out in the hospital sector to avoid hospital overcapacity, imbalance in the supply of hospital care and logistical and financial wastage, the maintenance of a balanced medical and hospital service open to all, or the maintenance of treatment capacity or medical competence on the territory of the concerned Member State.
Amendment 484 #
Proposal for a directive
Article 8 – paragraph 4
Article 8 – paragraph 4
4. The prior authorisation system shall be limited to what is necessary and proportionate to avoid such impact, and shall not constitute a means of arbitrary discrimination.
Amendment 525 #
Proposal for a directive
Article 9 – paragraph 3 a (new)
Article 9 – paragraph 3 a (new)
3a. Member States of affiliation shall ensure that patients who have received prior authorisation for the use of healthcare abroad will only be required to make upfront or top-up payments to the healthcare systems and/or providers in the Member State of treatment, to the extent that this would be required in the Member State of affiliation itself.
Amendment 532 #
Proposal for a directive
Article 9 – paragraph 4 – introductory part
Article 9 – paragraph 4 – introductory part
4. Member States shall, when setting out the time limits within which requests for the use of healthcare in another Member State must be dealt with, take into account and set out criteria by which they measure:
Amendment 689 #
Proposal for a directive
Article 17 – paragraph 1
Article 17 – paragraph 1
1. Member States shall facilitate development and functioning of a network connecting the national authorities or bodies responsible for health technology assessment. Member States shall set up a system based on the principles of good governance including transparency, objectiveness, fair procedures, and full stakeholder participation of all relevant groups, including social partners, health professionals, patients, scientists and industry, for the operation of the network.