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Events

2024/04/24
   EP - Decision by Parliament, 1st reading
Details

The European Parliament adopted by 445 votes to 142, with 39 abstentions, a legislative resolution on the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space.

The European Parliament’s position adopted at first reading under the ordinary legislative procedure amends the proposal as follows:

The aim of this Regulation is to establish the European Health Data Space (‘EHDS’) in order to improve access to and control by natural persons over their personal electronic health data in the context of healthcare (primary use of electronic health data), as well as to better achieve other purposes in the healthcare and care sector that would benefit society, such as research, innovation, policy-making, health threats preparedness and response including to prevent and address future pandemics, patient safety, personalised medicine, official statistics or regulatory activities (secondary use of electronic health data).

Primary use of electronic health data

Natural persons should have the right to give access to or request a healthcare provider to transmit all or part of their electronic health data to another healthcare provider of their choice immediately, free of charge and without hindrance from the health care provider or from the manufacturers of the systems used by that healthcare provider. The Regulation should allow healthcare professionals to consult their patients' files with their consent, even from other EU countries.

The priority categories of personal electronic health data should be the following: patient summaries; electronic prescriptions; electronic dispensations; medical imaging studies and related imaging reports; medical test results, including laboratory and other diagnostic results and related reports; discharge reports.

Where electronic health data is processed for the provision of healthcare, healthcare providers should register the relevant personal health data falling fully or partially under at least the priority categories in the electronic format in an EHR system.

Member States should ensure that one or more proxy services are established as a functionality of health data access services enabling natural persons to authorise other natural persons of their choice to access their personal electronic health data.

Natural persons should have the right to: (i) insert information in their own HER; (ii) rectify their personal data; (iii) give access to or request a healthcare provider to transmit all or part of their electronic health data to another healthcare provider of their choice immediately, free of charge; (iv) restrict access of health professionals and healthcare providers to all or parts of their personal electronic health data; (v) obtain information, including through automatic notifications, on any access to their personal electronic health data; (vi) refuse to allow their health data to be consulted by practitioners (unless this is necessary to protect the vital interests of the person concerned or of another person).

Health professional access services

For the provision of healthcare, Member States should ensure that access to the priority categories of electronic health data is made available to health professionals, including for cross-border care, through health professional access services. These services should be accessible only to health professionals who are in possession of recognised electronic identification means. The electronic health data in the electronic health records should be presented in a user-friendly manner to allow for easy use by health professionals.

MyHealth@EU

The Commission should establish a central interoperability platform for digital health, MyHealth@EU, to provide services to support and facilitate the exchange of personal electronic health data between national contact points for digital health of the Member States.

Conformity assessment of EHR systems

This Regulation establishes a mandatory scheme of self-conformity assessment for EHR systems processing one or more priority categories of electronic health data should be established to overcome market fragmentation while ensuring a proportionate approach. Through this self-assessment, EHR systems will prove compliance with the requirements on interoperability, security and logging for communication of personal electronic health data established by the two mandatory EHR components harmonised by this Regulation, namely the ‘European EHR systems exchange interoperability component’ and the ‘European logging component for EHR systems’.

The CE marking should be affixed before placing the EHR system on the market.

Secondary use of electronic health data

Data including health records, clinical trials, pathogens, health claims and reimbursements, genetic data, public health registry information, wellness data and information on healthcare resources, expenditure and financing, could be processed for public interest purposes, including research, statistics and policy-making (so-called secondary use).

Secondary use should not be allowed for commercial purposes including advertising, assessing insurance requests or making job market decisions or offering less favourable terms in the provision of goods or services, including to exclude them from the benefit of an insurance or credit contract or to modify their contributions and insurance premiums or conditions of loans. Access decisions should be made by national data access bodies.

Natural persons should have the right to opt-out at any time and without stating reasons from the processing of personal electronic health data relating to them for secondary use under this Regulation. Member States should provide for an accessible and easily understandable opt-out mechanism to exercise this right, whereby natural persons should be offered the possibility to explicitly express their will not to have their personal electronic health data processed for secondary use.

Documents
2024/04/09
   EP - Approval in committee of the text agreed at 1st reading interinstitutional negotiations
Documents
2024/03/22
   CSL - Coreper letter confirming interinstitutional agreement
2024/03/22
   EP - Text agreed during interinstitutional negotiations
Documents
2023/12/13
   EP - Results of vote in Parliament
2023/12/13
   EP - Decision by Parliament, 1st reading
Details

The European Parliament adopted by 516 votes to 95, with 20 abstentions, amendments to the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space.

The matter was referred back to the committee responsible for interinstitutional negotiations.

The aim of the proposed regulation is to establish the European Health Data Space (EHDS) in order to improve access to and control by natural persons over their personal electronic health data in the context of healthcare ( primary use of electronic health data), as well as to better achieve as well as for other purposes that would benefit the society such as research, innovation, policy-making, patient safety, personalised medicine, official statistics or regulatory activities (secondary use of electronic health data).

Access to and transmission of personal electronic health data for primary use

Natural persons should have the right to access, immediately, free of charge and in an easily readable, consolidated and accessible format, their personal electronic health data processed in the context of the primary use of electronic health data. They should have the right to request a health data holder in the health or social security sector, or in the reimbursement services, to transmit some or all of their electronic health data to a health data recipient of their choice in the health or social security sector, or in the reimbursement services, immediately and free of charge.

Access to EHR for primary use should be strictly limited to healthcare providers . Where they process data in an electronic format, health professionals should have access, based on the data minimisation and purpose limitation principles, to the electronic health data of natural persons under their treatment and exclusively for the purpose of that treatment, including relevant administration, irrespective of the Member State of affiliation and the Member State of treatment.

Where access to electronic health data has been restricted by the natural person, the healthcare provider or health professionals should not be informed of the restricted content of the electronic health data without prior explicit consent the natural person.

Priority categories of personal electronic health data for primary use

The right of access should cover: patient records; electronic prescriptions; laboratory results; medical test results and other complementary and diagnostic results; discharge reports; patient discharge reports; medical directives of the natural persons and information about consent for substances of human origin and organ donations.

Personal electronic health data of priority data categories should be delivered across the continuum of care. Member States may provide that individuals have a right to object to the recording of their personal health data in an EMR system.

Right to an effective judicial remedy against a health data access body

Natural and legal persons should have the right to lodge a complaint, individually or, where relevant, collectively, with the health data access body, where their rights are affected. Each natural or legal person should have the right to an effective judicial remedy against a legally binding decision of a health data access body concerning them. Proceedings against a health data access body should be brought before the courts of the Member States where the health data access body is established.

Conformity assessment of EHR systems

In order to certify the conformity of an EHR system with this Regulation, prior to placing an EHR system on the market, the manufacturer, its authorised representative, or any economic operator should apply for a conformity assessment procedure . Only after an EU wide approval has been issued, may the CE marking be affixed, together with an identification number.

Minimum categories of electronic data for secondary use

Natural persons should have the right to opt-out of the processing of their electronic health data for secondary use. Member States should provide for an accessible and easily understandable opt-out mechanism , whereby natural persons should be offered the possibility to explicitly express their wish not to have all or part of their personal electronic health data processed for some or all secondary use purposes. The amended regulation requires explicit consent to be obtained from a patient for the secondary use of certain sensitive data (e.g. genetic and genomic information).

Intellectual property rights and trade secrets for secondary use

Electronic health data entailing protected intellectual property and trade secrets from health data holders should be made available for secondary use. In this case, a specific procedure should apply.

In this case, health data access bodies should take measures necessary to preserve the confidentiality of such data and to ensure such rights are not infringed.

Prohibited secondary use of electronic health data

Members call for rules to prohibit the processing of such data for the following purposes:

- taking decisions which are detrimental to an individual or a group of individuals and which are likely to have legal, economic or social effects;

- taking decisions in relation to a natural person or groups of natural persons in relation to job offers or offering less favourable terms in the provision of goods or services, including to exclude them from the benefit of an insurance or credit contract or to modify their contributions and insurance premiums or conditions of loans;

- advertising or marketing activities;

- automated individual decision-making, including profiling.

Health data access body

Member States should designate one or more health data access bodies responsible for granting access to electronic health data for secondary use. They should also ensure that designated separate structures are set up within health data access bodies for the authorisation of the data permit.

Each health data access body should act with full independence in performing its tasks and exercising its powers in accordance with this Regulation. These bodies should decide on data access applications, including deciding on whether the data should be made accessible in anonymised or pseudonymised form , based on its own thorough assessment of any reasons provided by the health data applicant.

The data access body should only issue an authorisation for data processing if all the conditions set out in this Regulation are met.

Natural and legal persons should have the right to: (i) lodge a complaint, individually or, where relevant, collectively, with the health data access body; (ii) have the data processed by the health data access body reviewed.

Right to receive compensation

Any person who has suffered material or non-material damage as a result of an infringement of this Regulation should have the right to receive compensation. Where a natural person considers that their rights under this Regulation have been infringed, they should have the right to mandate a not-for-profit body, organisation or association to lodge a complaint on their behalf.

Documents
2023/12/13
   EP - Matter referred back to the committee responsible
2023/12/12
   EP - Debate in Parliament
2023/12/05
   EP - Committee report tabled for plenary, 1st reading
Details

The Committee on the Environment, Public Health and Food Safety and the Committee on Civil Liberties, Justice and Home Affairs jointly adopted the report by Tomislav SOKOL (EPP, HR) and Annalisa TARDINO (ID, IT) on the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space.

The aim of the proposed regulation is to establish the European Health Data Space (EHDS) in order to:

- improve access to and control by natural persons over their personal electronic health data in the context of healthcare ( primary use of electronic health data);

- better achieve as well as for other purposes that would benefit the society such as research, innovation, policy-making, patient safety, personalised medicine, official statistics or regulatory activities ( secondary use of electronic health data).

The committee responsible recommended that the European Parliament's position adopted at first reading under the ordinary legislative procedure should amend the proposal as follows:

Rights of natural persons in relation to the primary use of their personal electronic health data

Access to EHR for primary use should be strictly limited to healthcare providers . Where they process data in an electronic format, health professionals should have access, based on the data minimisation and purpose limitation principles, to the electronic health data of natural persons under their treatment and exclusively for the purpose of that treatment, including relevant administration, irrespective of the Member State of affiliation and the Member State of treatment.

Where access to electronic health data has been restricted by the natural person, the healthcare provider or health professionals should not be informed of the restricted content of the electronic health data without prior explicit consent the natural person.

Priority categories of personal electronic health data for primary use

The right of access should cover: patient records; electronic prescriptions; laboratory results; medical test results and other complementary and diagnostic results; discharge reports; patient discharge reports; medical directives of the natural persons and information about consent for substances of human origin and organ donations.

The patient summary should be harmonised across Member States and include a minimum data set that can be expanded to include disease-specific data. Prescription, dispensation and administration of current and past medications across the continuum of care, including, hospital and ambulatory/day hospitals.

The Commission should, by means of implementing acts, lay down the technical specifications for the priority categories of personal electronic health data. The Commission should ensure that those implementing acts contain the latest versions of healthcare coding systems and nomenclatures and that they are updated regularly in order to keep up with the revisions of the healthcare coding systems and nomenclatures.

Registration of personal electronic health data

When health data are registered or updated, electronic health records should identify the health professional, time and health care provider that carried out the registration or the update. Member States may provide for other aspects of data registration to be recorded.

Right to an effective judicial remedy against a health data access body

Without prejudice to any other administrative or non-judicial remedy, each natural or legal person should have the right to an effective judicial remedy against a legally binding decision of a health data access body concerning them. Proceedings against a health data access body should be brought before the courts of the Member States where the health data access body is established.

Conformity assessment of EHR systems

In order to certify the conformity of an EHR system with this Regulation, prior to placing an EHR system on the market, the manufacturer, its authorised representative, or any economic operator should apply for a conformity assessment procedure . Only after an Union wide approval has been issued, may the CE marking be affixed, together with an identification number.

Minimum categories of electronic data for secondary use

Natural persons should have the right to opt-out of the processing of their electronic health data for secondary use. Member States should provide for an accessible and easily understandable opt-out mechanism , whereby natural persons should be offered the possibility to explicitly express their wish not to have all or part of their personal electronic health data processed for some or all secondary use purposes.

Intellectual property rights and trade secrets for secondary use

Electronic health data entailing protected intellectual property and trade secrets from health data holders should be made available for secondary use. In this case, a specific procedure should apply.

Prohibited secondary use of electronic health data

Members call for rules to prohibit the processing of such data for the following purposes:

- taking decisions which are detrimental to an individual or a group of individuals and which are likely to have legal, economic or social effects;

- taking decisions in relation to a natural person or groups of natural persons in relation to job offers or offering less favourable terms in the provision of goods or services, including to exclude them from the benefit of an insurance or credit contract or to modify their contributions and insurance premiums or conditions of loans;

- advertising or marketing activities;

- automated individual decision-making, including profiling.

Health data access body

Member States should need to designate one or more health data access bodies responsible for granting access to electronic health data for secondary use.

Member States should ensure that designated separate structures are set up within health data access bodies for the authorisation of the data permit, on the one hand, and for the reception and preparation of the data set, including anonymisation, pseudonymisation of the electronic health data.

Each health data access body should act with full independence in performing its tasks and exercising its powers in accordance with this Regulation. These bodies should decide on data access applications, including deciding on whether the data should be made accessible in anonymised or pseudonymised form , based on its own thorough assessment of any reasons provided by the health data applicant.

The data access body should only issue an authorisation for data processing if all the conditions set out in this Regulation are met.

Natural and legal persons should have the right to: (i) lodge a complaint , individually or, where relevant, collectively, with the health data access body; (ii) have the data processed by the health data access body reviewed.

Right to receive compensation

Any person who has suffered material or non-material damage as a result of an infringement of this Regulation should have the right to receive compensation. Where a natural person considers that their rights under this Regulation have been infringed, they should have the right to mandate a not-for-profit body, organisation or association to lodge a complaint on their behalf.

Documents
2023/11/28
   EP - Vote in committee, 1st reading
2023/07/17
   FR_SENATE - Contribution
Documents
2023/05/25
   EP - Committee opinion
Documents
2023/05/23
   EP - Committee opinion
Documents
2023/04/05
   EP - Amendments tabled in committee
Documents
2023/04/05
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/03/29
   EP - Amendments tabled in committee
Documents
2023/02/16
   EP - Referral to associated committees announced in Parliament
2023/02/16
   EP - Referral to joint committee announced in Parliament
2023/02/10
   EP - Committee draft report
Documents
2023/02/08
   CofR - Committee of the Regions: opinion
Documents
2023/01/31
   EP - SOKOL Tomislav (EPP) appointed as rapporteur in ['ENVI', 'LIBE']
2023/01/31
   EP - TARDINO Annalisa (ID) appointed as rapporteur in ['ENVI', 'LIBE']
2022/12/21
   PT_PARLIAMENT - Contribution
Documents
2022/10/19
   CZ_SENATE - Contribution
Documents
2022/07/08
   EP - KOVATCHEV Andrey (EPP) appointed as rapporteur in IMCO
2022/06/27
   CZ_CHAMBER - Contribution
Documents
2022/06/09
   EP - BUŞOI Cristian-Silviu (EPP) appointed as rapporteur in ITRE
2022/06/06
   EP - Committee referral announced in Parliament, 1st reading
2022/05/04
   EC - Document attached to the procedure
2022/05/04
   EC - Document attached to the procedure
2022/05/04
   EC - Document attached to the procedure
Documents
2022/05/04
   EC - Document attached to the procedure
2022/05/03
   EC - Legislative proposal published
Details

PURPOSE: to establish a European Health Data Space for people and science.

PROPOSED ACT: Regulation of the European Parliament and of the Council.

ROLE OF THE EUROPEAN PARLIAMENT: the European Parliament decides in accordance with the ordinary legislative procedure and on an equal footing with the Council.

BACKGROUND: the COVID-19 pandemic has clearly shown the importance of electronic health data for policy-making in response to health emergencies. It has also highlighted the imperative of ensuring timely access to personal electronic health data for health threats preparedness and response, as well as for treatment, but also for research, innovation, patient safety, regulatory purposes, statistical purposes or personalised medicine.

However, the complexity of rules, structures and processes across Member States makes it difficult to access and share health data , especially cross-border. At present, individuals have difficulties in exercising their rights with regard to their electronic health data, in particular with regard to accessing and sharing their data nationally and across borders, despite the provisions of the General Data Protection Regulation (GDPR).

The European Health Data Space (EHDS) is the first proposal for a common domain-specific European data space . It will address health-specific challenges to electronic health data access and sharing and will be an integral part of building a European Health Union. EHDS will create a common space where natural persons can easily control their electronic health data. It will also make it possible for researchers, innovators and policy makers to use this electronic health data in a trusted and secure way that preserves privacy.

CONTENT: the proposed regulation has the following objectives:

- to establish the European Health Data Space (EHDS) in order to improve access to and control by natural persons over their personal electronic health data in the context of healthcare (primary use of electronic health data), as well as for other purposes that would benefit the society such as research, innovation, policy-making, patient safety, personalised medicine, official statistics or regulatory activities (secondary use of electronic health data);

- to improve the functioning of the internal market by establishing a uniform legal framework , in particular for the development, marketing and use of electronic health record systems (EHR systems) in line with EU values.

Primary use of electronic health data

Under the proposal, natural persons should have the right to access their personal electronic health data processed in the context of primary use of electronic health data, immediately, free of charge and in an easily readable, consolidated and accessible form . They should easily share such data with other health professionals within and between Member States in order to improve the delivery of health care.

Member States should ensure that patient records, electronic prescriptions, medical imaging images and reports, laboratory results and hospital discharge reports are issued and accepted in a common European electronic health record exchange format. Categories of electronic health data could be added by means of delegated acts.

When processing data in electronic format, health professionals would have access to the electronic health data of their natural person patients, regardless of the Member State of affiliation and the Member State of treatment.

To safeguard citizens' rights, all Member States should designate digital health authorities . The Commission would set up a central platform for digital health ( MyHealth@EU ) to provide services to support and facilitate the exchange of electronic health data between Member States' national contact points for digital health.

Interoperability and security

The proposal provides for the implementation of a mandatory self-certification scheme for EMR systems, under which EMR systems must comply with essential interoperability and security requirements. Manufacturers of electronic health record systems will have to certify compliance with these standards. This will ensure that different electronic health record systems are compatible and allow for easy transmission of electronic health data between them.

Improving the use of health data for research, innovation and policymaking

The EHDS creates a strong legal framework for the use of health data for research, innovation, public health, policy-making and regulatory purposes . Under strict conditions, researchers, innovators, public institutions or industry will have access to large amounts of high-quality health data, crucial to develop life-saving treatments, vaccines or medical devices and ensuring better access to healthcare and more resilient health systems.

To access this data, researchers, companies or institutions would have to apply for authorisation from the body responsible for access to health data, which will have to be set up in each Member State. Access would only be allowed if the requested data are used for specific purposes, in closed and secure environments and without revealing the identity of individuals. Any attempt to use the data for any measures detrimental to the natural person, to increase insurance premiums, to advertise products or treatments, or develop harmful products should be prohibited.

Member States should designate one or more health data access points responsible for granting access to electronic health data for secondary use. The Health Data Access Bodies would be connected to the new EU decentralised infrastructure for secondary use of data (HealthData@EU), which will be set up to support cross-border projects.

BUDGETARY IMPLICATIONS: the fulfilment of the obligations by the Commission and associated support actions under this legal proposal will require EUR 220 million between 2023 and 2027 and will be funded directly from the EU4Health programme (EUR 170 million) and supported further from the Digital Europe Programme (EUR 50 million). In both cases, the expenditure linked to this proposal will be covered within the programmed amounts of these programmes.

Documents

Activities

Votes

European Health Data Space – A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – Amendments by the committee responsible – separate votes – Am 16/2 #

2023/12/13 Outcome: +: 567, -: 52, 0: 6
DE IT ES PL FR RO BE CZ PT SE NL BG FI DK EL AT IE SK HR LT SI LV EE LU MT CY HU
Total
86
64
52
41
75
27
19
20
20
17
26
15
13
13
15
19
13
14
12
8
8
7
7
6
5
6
17
icon: PPE PPE
164

Denmark PPE

For (1)

1

Estonia PPE

For (1)

1

Luxembourg PPE

2

Malta PPE

For (1)

1

Cyprus PPE

2

Hungary PPE

Against (1)

1
icon: S&D S&D
123

Belgium S&D

2

Czechia S&D

For (1)

1
3

Greece S&D

1

Slovakia S&D

For (1)

1

Lithuania S&D

1

Slovenia S&D

2

Latvia S&D

For (1)

1

Estonia S&D

2

Luxembourg S&D

For (1)

1

Cyprus S&D

2
icon: Renew Renew
93

Sweden Renew

2

Finland Renew

3

Austria Renew

For (1)

1

Ireland Renew

2

Croatia Renew

For (1)

1

Lithuania Renew

1

Slovenia Renew

2

Latvia Renew

For (1)

1

Estonia Renew

3

Luxembourg Renew

2

Hungary Renew

2
icon: Verts/ALE Verts/ALE
62

Italy Verts/ALE

2

Spain Verts/ALE

3

Romania Verts/ALE

1

Belgium Verts/ALE

3

Czechia Verts/ALE

3

Portugal Verts/ALE

1

Sweden Verts/ALE

2

Netherlands Verts/ALE

1

Finland Verts/ALE

2

Denmark Verts/ALE

2

Austria Verts/ALE

3

Ireland Verts/ALE

2

Lithuania Verts/ALE

For (1)

1

Luxembourg Verts/ALE

For (1)

1
icon: ECR ECR
56

Germany ECR

1

Belgium ECR

2

Netherlands ECR

Against (1)

Abstain (1)

5

Bulgaria ECR

2

Slovakia ECR

For (1)

1

Croatia ECR

1

Lithuania ECR

1

Latvia ECR

For (1)

1
icon: The Left The Left
33

Belgium The Left

For (1)

1

Czechia The Left

1

Portugal The Left

4

Sweden The Left

For (1)

1

Netherlands The Left

Against (1)

1

Finland The Left

For (1)

1

Cyprus The Left

2
icon: NI NI
41

Germany NI

2

Belgium NI

For (1)

1

Netherlands NI

Against (1)

1

Croatia NI

Against (1)

2

Latvia NI

1
icon: ID ID
53

Czechia ID

For (1)

Against (1)

2

Denmark ID

For (1)

1

Austria ID

3

Estonia ID

For (1)

1

A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – Amendments by the committee responsible – separate votes – Am 34 #

2023/12/13 Outcome: +: 572, -: 48, 0: 12
DE IT ES PL FR RO PT CZ HU BE BG NL AT IE SK SE FI DK LT EL HR LV SI EE CY LU MT
Total
87
65
53
41
75
28
20
20
17
19
15
26
19
13
14
17
14
13
9
15
12
8
8
7
6
6
5
icon: PPE PPE
165

Hungary PPE

1

Denmark PPE

For (1)

1

Estonia PPE

For (1)

1

Cyprus PPE

2

Luxembourg PPE

2

Malta PPE

For (1)

1
icon: S&D S&D
126

Czechia S&D

For (1)

1

Belgium S&D

2
3

Slovakia S&D

For (1)

1

Lithuania S&D

2

Greece S&D

1

Latvia S&D

2

Slovenia S&D

2

Estonia S&D

2

Cyprus S&D

2

Luxembourg S&D

For (1)

1
icon: Renew Renew
94

Hungary Renew

2

Austria Renew

For (1)

1

Ireland Renew

2

Sweden Renew

2

Finland Renew

3

Lithuania Renew

1

Croatia Renew

For (1)

1

Latvia Renew

For (1)

1

Slovenia Renew

2

Estonia Renew

3

Luxembourg Renew

2
icon: Verts/ALE Verts/ALE
63

Italy Verts/ALE

2

Spain Verts/ALE

3

Romania Verts/ALE

1

Portugal Verts/ALE

1

Czechia Verts/ALE

3

Belgium Verts/ALE

3

Netherlands Verts/ALE

1

Austria Verts/ALE

3

Ireland Verts/ALE

2

Sweden Verts/ALE

2

Finland Verts/ALE

3

Denmark Verts/ALE

2

Lithuania Verts/ALE

For (1)

1

Luxembourg Verts/ALE

For (1)

1
icon: ECR ECR
57

Germany ECR

1

Belgium ECR

2

Bulgaria ECR

2

Netherlands ECR

Against (2)

5

Slovakia ECR

For (1)

1

Sweden ECR

3

Finland ECR

Abstain (1)

2

Lithuania ECR

1

Croatia ECR

1

Latvia ECR

For (1)

1
icon: The Left The Left
33

Czechia The Left

1

Belgium The Left

For (1)

1

Netherlands The Left

Against (1)

1

Sweden The Left

For (1)

1

Finland The Left

For (1)

1

Cyprus The Left

2
icon: NI NI
41

Germany NI

2

Belgium NI

For (1)

1

Netherlands NI

Against (1)

1

Croatia NI

2

Latvia NI

1
icon: ID ID
53

Czechia ID

For (1)

Against (1)

2

Austria ID

3

Denmark ID

Against (1)

1

Estonia ID

For (1)

1

A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – Amendments by the committee responsible – separate votes – Am 122/2 #

2023/12/13 Outcome: +: 565, -: 57, 0: 5
DE IT ES PL FR RO SE CZ PT BG NL EL BE FI AT IE HR SK DK LT LV SI LU MT EE CY HU
Total
86
65
50
43
73
28
17
20
20
15
26
15
19
13
19
13
12
13
13
9
8
8
6
5
7
6
18
icon: PPE PPE
164

Denmark PPE

For (1)

1

Luxembourg PPE

2

Malta PPE

For (1)

1

Estonia PPE

For (1)

1

Cyprus PPE

2

Hungary PPE

Against (1)

1
icon: S&D S&D
122

Czechia S&D

For (1)

1
3

Greece S&D

1

Belgium S&D

2

Finland S&D

1

Slovakia S&D

For (1)

1

Lithuania S&D

2

Latvia S&D

2

Slovenia S&D

2

Luxembourg S&D

For (1)

1

Estonia S&D

2

Cyprus S&D

2
icon: Renew Renew
94

Sweden Renew

2

Finland Renew

3

Austria Renew

For (1)

1

Ireland Renew

2

Croatia Renew

For (1)

1

Lithuania Renew

1

Latvia Renew

For (1)

1

Slovenia Renew

2

Luxembourg Renew

2

Estonia Renew

3

Hungary Renew

2
icon: Verts/ALE Verts/ALE
63

Italy Verts/ALE

2

Spain Verts/ALE

3

Romania Verts/ALE

1

Sweden Verts/ALE

2

Czechia Verts/ALE

3

Portugal Verts/ALE

1

Netherlands Verts/ALE

1

Belgium Verts/ALE

3

Finland Verts/ALE

3

Austria Verts/ALE

3

Ireland Verts/ALE

2

Denmark Verts/ALE

2

Lithuania Verts/ALE

For (1)

1

Luxembourg Verts/ALE

For (1)

1
icon: ECR ECR
59

Germany ECR

1

Bulgaria ECR

2

Netherlands ECR

Abstain (1)

5

Belgium ECR

2

Croatia ECR

1

Slovakia ECR

For (1)

1

Lithuania ECR

1

Latvia ECR

For (1)

1
icon: The Left The Left
32

Sweden The Left

For (1)

1

Czechia The Left

1

Portugal The Left

4

Netherlands The Left

Against (1)

1

Belgium The Left

For (1)

1

Finland The Left

For (1)

1

Cyprus The Left

2
icon: NI NI
41

Germany NI

2

Netherlands NI

Against (1)

1

Belgium NI

For (1)

1

Croatia NI

Abstain (1)

2

Slovakia NI

Against (1)

3

Latvia NI

1
icon: ID ID
52

Czechia ID

Against (2)

2

Austria ID

3

Denmark ID

Against (1)

1

Estonia ID

Against (1)

1

A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – Article 3, after § 9 – Am 552 #

2023/12/13 Outcome: -: 395, +: 209, 0: 29
FR NL BE AT CY SI EL FI MT IE SK LU SE EE PT DK LV LT DE CZ HR BG HU ES RO IT PL
Total
75
26
19
19
6
8
15
14
5
13
14
6
17
7
19
13
8
9
86
20
12
15
18
54
28
64
43
icon: Verts/ALE Verts/ALE
62

Netherlands Verts/ALE

1

Belgium Verts/ALE

3

Austria Verts/ALE

3

Finland Verts/ALE

3

Ireland Verts/ALE

2

Luxembourg Verts/ALE

For (1)

1

Sweden Verts/ALE

2

Portugal Verts/ALE

1

Denmark Verts/ALE

2

Lithuania Verts/ALE

For (1)

1

Czechia Verts/ALE

3

Spain Verts/ALE

3

Romania Verts/ALE

1

Italy Verts/ALE

2
icon: ID ID
53
3

Estonia ID

For (1)

1

Denmark ID

For (1)

1

Czechia ID

2
icon: The Left The Left
33

Netherlands The Left

For (1)

1

Belgium The Left

For (1)

1

Cyprus The Left

2

Finland The Left

For (1)

1

Ireland The Left

Against (1)

4

Sweden The Left

For (1)

1

Czechia The Left

1
icon: NI NI
42

France NI

Against (1)

4

Netherlands NI

Against (1)

1

Belgium NI

Against (1)

1

Latvia NI

1

Germany NI

Against (1)

2

Croatia NI

Against (1)

2
icon: ECR ECR
59

Belgium ECR

2

Slovakia ECR

Against (1)

1

Latvia ECR

Against (1)

1

Lithuania ECR

Against (1)

1

Germany ECR

Against (1)

1

Croatia ECR

Against (1)

1

Bulgaria ECR

2
icon: S&D S&D
127

Belgium S&D

2

Cyprus S&D

2

Slovenia S&D

2

Greece S&D

Against (1)

1

Finland S&D

2
4

Slovakia S&D

For (1)

1

Luxembourg S&D

Against (1)

1

Estonia S&D

2

Latvia S&D

2

Lithuania S&D

2

Czechia S&D

Against (1)

1

Bulgaria S&D

For (1)

3
icon: Renew Renew
94

Belgium Renew

3

Austria Renew

Against (1)

1

Slovenia Renew

2

Finland Renew

3

Ireland Renew

2

Luxembourg Renew

2

Sweden Renew

2

Estonia Renew

3

Latvia Renew

Against (1)

1

Lithuania Renew

Against (1)

1

Croatia Renew

Against (1)

1

Bulgaria Renew

3

Hungary Renew

2

Italy Renew

3
icon: PPE PPE
163

Cyprus PPE

2

Slovenia PPE

4

Malta PPE

Against (1)

1

Luxembourg PPE

2

Estonia PPE

Against (1)

1

Denmark PPE

Against (1)

1

Latvia PPE

3

Hungary PPE

Against (1)

1

A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – After Article 3 – Am 557 #

2023/12/13 Outcome: -: 470, +: 143, 0: 13
PL CY LV IT EE MT LU HR LT AT IE CZ SK SI FI BE EL BG SE DK NL HU PT FR RO ES DE
Total
43
6
8
65
7
5
6
12
9
19
13
20
14
8
14
17
13
15
17
13
26
18
18
71
28
54
87
icon: ECR ECR
58

Latvia ECR

For (1)

1

Croatia ECR

1

Lithuania ECR

1

Slovakia ECR

Against (1)

1

Belgium ECR

Abstain (1)

1

Bulgaria ECR

2

Germany ECR

1
icon: ID ID
53

Estonia ID

For (1)

1
3

Czechia ID

2

Denmark ID

For (1)

1
icon: NI NI
40

Latvia NI

1

Croatia NI

Abstain (1)

2

Belgium NI

Against (1)

1

Greece NI

Against (1)

Abstain (1)

3

Netherlands NI

Against (1)

1

Germany NI

For (1)

Against (1)

2
icon: The Left The Left
30

Cyprus The Left

2

Ireland The Left

Against (1)

4

Czechia The Left

1

Finland The Left

Against (1)

1

Sweden The Left

Against (1)

1

Netherlands The Left

For (1)

1

Portugal The Left

2
icon: Verts/ALE Verts/ALE
63

Italy Verts/ALE

2

Luxembourg Verts/ALE

Against (1)

1

Lithuania Verts/ALE

Against (1)

1

Austria Verts/ALE

3

Ireland Verts/ALE

2

Czechia Verts/ALE

3

Finland Verts/ALE

3

Belgium Verts/ALE

3

Sweden Verts/ALE

2

Denmark Verts/ALE

2

Netherlands Verts/ALE

Against (1)

1

Portugal Verts/ALE

Against (1)

1

Romania Verts/ALE

Against (1)

1

Spain Verts/ALE

For (1)

3
icon: Renew Renew
94

Latvia Renew

Against (1)

1

Italy Renew

3

Estonia Renew

3

Luxembourg Renew

2

Croatia Renew

Against (1)

1

Lithuania Renew

Against (1)

1

Austria Renew

Against (1)

1

Ireland Renew

2

Slovenia Renew

2

Finland Renew

3

Belgium Renew

3

Bulgaria Renew

3

Sweden Renew

2

Hungary Renew

2
icon: S&D S&D
123

Cyprus S&D

2

Latvia S&D

2

Estonia S&D

2

Luxembourg S&D

Against (1)

1

Lithuania S&D

2

Czechia S&D

Against (1)

1

Slovakia S&D

Against (1)

1

Slovenia S&D

2

Finland S&D

2

Belgium S&D

2

Greece S&D

Against (1)

1

Bulgaria S&D

3

France S&D

3
icon: PPE PPE
165

Cyprus PPE

2

Latvia PPE

3

Estonia PPE

Against (1)

1

Malta PPE

Against (1)

1

Luxembourg PPE

2

Slovakia PPE

For (1)

4

Slovenia PPE

4

Denmark PPE

Against (1)

1

Hungary PPE

Against (1)

1

A9-0395/2023 – Tomislav Sokol, Annalisa Tardino – Article 7, after § 1 – Am 555 #

2023/12/13 Outcome: +: 373, -: 254, 0: 8
DE IT PL AT FR ES PT SE FI BE HR NL MT CZ EL CY LV SI LU LT EE IE SK BG DK HU RO
Total
87
65
43
19
75
54
20
17
14
18
12
26
5
20
15
6
8
8
6
9
7
13
14
15
13
18
28
icon: S&D S&D
127

Belgium S&D

2

Czechia S&D

For (1)

1

Greece S&D

1

Cyprus S&D

2

Latvia S&D

2

Slovenia S&D

2

Luxembourg S&D

For (1)

1

Lithuania S&D

2

Estonia S&D

2

Slovakia S&D

For (1)

1
3
icon: Verts/ALE Verts/ALE
63

Italy Verts/ALE

2

Austria Verts/ALE

3

Spain Verts/ALE

3

Portugal Verts/ALE

1

Sweden Verts/ALE

2

Finland Verts/ALE

3

Belgium Verts/ALE

3

Netherlands Verts/ALE

1

Czechia Verts/ALE

3

Luxembourg Verts/ALE

For (1)

1

Lithuania Verts/ALE

For (1)

1

Ireland Verts/ALE

2

Denmark Verts/ALE

2

Romania Verts/ALE

1
icon: ECR ECR
59

Germany ECR

1

Belgium ECR

2

Croatia ECR

1

Latvia ECR

For (1)

1

Lithuania ECR

1

Slovakia ECR

Against (1)

1

Bulgaria ECR

2
icon: ID ID
53
3

Czechia ID

2

Estonia ID

Abstain (1)

1

Denmark ID

For (1)

1
icon: The Left The Left
32

Sweden The Left

For (1)

1

Finland The Left

For (1)

1

Netherlands The Left

For (1)

1

Czechia The Left

1

Cyprus The Left

2

Ireland The Left

Against (1)

4
icon: NI NI
42

Germany NI

2

Spain NI

For (3)