Draft law amending the Medicinal Products Act and the Act on the Organisation of Health Care Services (458 SE) – Second Reading
Session: 15th Riigikogu, 4th sitting, plenary session
Date: 2024-10-24 01:19
Participating Politicians:
Total Speeches: 9
Membership: 15
Agenda Duration: 6m
AI Summaries: 9/9 Speeches (100.0%)
Analysis: Structured Analysis
Politicians Speaking Time
Politicians
Analysis
Summary
Within the framework of agenda item six, the second reading of the draft law amending the Medicines Act and the Law on the Organisation of Health Care Services, number 458, initiated by the Social Affairs Committee, was discussed. The presenter was the chairman of the Social Affairs Committee, Madis Timpson, and representatives from the relevant field were invited from the Riigikogu, the Ministry of Social Affairs, and the Health Board. The discussion covered, among other things, the involvement of wholesale medicine distributors in the procedure, stock management, and the safety of state reserves’ accessibility to consumers. The Estonian Wholesale Medicine Distributors Association submitted written objections and emphasized that they had not been sufficiently involved – responses confirmed their involvement and consultation with various parties. In addition, the legal notes of the National Audit Office and the complexities of ownership and management of reserves were discussed, which, according to the National Audit Office's previous findings, have led to the need to change the current arrangements. As the final status of the draft law, the decisions related to the procedure were given, and further steps are planned at plenary sittings. The second reading concluded, and preparations for the final vote and the procedure for the third reading continue.
Decisions Made 4
Proposal to include the draft on the plenary session agenda for October 23, 2024.
Second reading to be finished.
Once the second reading is completed, place the draft on the agenda of the plenary session and conduct a final vote on November 6th.
Authorize the commission chair to sign the procedural documents for the third reading.
Most Active Speaker
The most active speaker was Riina Solman (pid YnKIrQfzj2E), a member of the Riigikogu; her position is indicated as other (the specific order depending on right-/left-leaning affiliation is not confirmed). Riina Solman posed and confirmed questions and represented public attention, and emphasized transparency and the publicity of discussions in the context of the questions.
Aseesimees Toomas Kivimägi
AI Summary
Within the framework of the sixth item on the agenda, the second reading of Bill No. 458 initiated by the Social Committee will be considered, which concerns amending the Medical Treatment Act and the Health Care Services Organization Act, and the rapporteur is Madis Timpsoni.

Madis Timpson
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
The discussion of the bill’s second reading on 15 October focused on involving pharmaceutical wholesalers, on questions of stock ownership and management, and on the National Audit Office’s remarks, after which the committee decided to place the bill on the plenary agenda for 23 October 2024, to finish the second reading, and for the final vote to take place on 6 November, and to authorize the committee chair to sign the procedural documents for the third-reading.
Aseesimees Toomas Kivimägi
AI Summary
Thank you, colleague Riina Solman will pose a question to you.

Riina Solman
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Riina Solman pointed out that she does not want her question to go unanswered, and she wants the answer to remain in the transcript so that the public understands which list of medicines moves from the Health Board to regional hospitals and why this causes wholesalers to be anxious about a loss of revenue.

Madis Timpson
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Thank you, you were also at that committee's meeting, and the committee did not address which names were on the list.
Aseesimees Toomas Kivimägi
AI Summary
The vice-chairman, Toomas Kivimägi, thanks and asks Riina Solman to present the second question.

Riina Solman
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Riina Solman stresses the need for a public debate and tries to explain why the draft bill was arranged this way and why the medicines kept at the Health Board up to now are being allocated to hospitals.

Madis Timpson
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Madis Timpson said that although it had not been discussed at the committee meeting, the topic was raised at the first reading, and they are currently kept at the Tartu University Hospital Clinic and owned by the Health Board. The State Comptroller found that this is not in accordance with the law, therefore the bill has reached here. He believes that the situation will improve, because two hospitals are better at mitigating risks than one, and that is the legally correct path.
Aseesimees Toomas Kivimägi
AI Summary
Toomas Kivimägi declared the negotiations open, and they were immediately closed, because no amendment proposals were submitted, and the leading committee wishes to end the second reading of Bill 458.