Draft law amending the Social Welfare Act and the Health Services Organisation Act (regarding the provision of independent nursing care as a 24-hour special care service) (496 SE) – second reading
Session: 15th Riigikogu, 4th session, plenary session.
Date: 2024-11-14 03:38
Participating Politicians:
Total Speeches: 6
Membership: 15
Agenda Duration: 5m
AI Summaries: 6/6 Speeches (100.0%)
Analysis: Structured Analysis
Politicians Speaking Time
Politicians
Analysis
Summary
Let's move on to agenda item number ten: the second reading of bill 496, the act amending the Social Welfare Act and the Act on the Organisation of Healthcare Services (regarding the provision of independent nursing care in 24-hour specialized care services). Please introduce the bill, Mr. Madis Timpson, Chairman of the Social Affairs Committee. This bill concerns the framework and payment arrangements for the provision of 24-hour specialized care services and aims to ensure the accessibility and quality of independent nursing care around the clock.
The main topics of discussion focused on how to adjust the distribution of funding and the allocation of tasks: whether and how to remove certain services (such as personalized medication packaging) from the range of specialized care services, what the arrangement will be for the transfer of state responsibility and the obligation to pay for those services (the Health Insurance Fund takeover), and how to ensure a uniform quality and volume of nursing care. Interested parties participated; homes for people with disabilities expressed concerns about the transfer of certain services and its impact, while representatives of the Ministry of Social Affairs emphasized that funding is available and that payment will be in order if contracts are concluded. The nurses' association supported the implementation of uniform principles but suggested that quality standardization be offset by other medical services. Finally, no amendments were proposed, and the Association of Cities and Municipalities did not submit any proposals.
Decisions Made 1
The Steering Committee's proposal was to conclude the second reading of bill 496; no amendments were submitted.
Most Active Speaker
The most active speaker was pid-ga hi8rC5j4PTc (presenter), who represented the role of the social affairs committee chairman. Following the position: a second interpretation shows that he represents the political elite and embodies a central leadership position among committees (speaking activity). He is a “jack-of-all-trades” as both left and right, but according to his confirmation, his role was representative and from the board’s side.
Aseesimees Arvo Aller
AI Summary
Under the tenth item on the agenda, the second reading of Bill 496 concerning the provision of 24-hour specialized nursing care, and changes to the Acts on the organization of social welfare and health care services will be considered, with the presenter being the chair of the Social Committee, Madis Timpson.
Madis Timpson
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Regarding the draft discussed in the Riigikogu's Social Committee, interest groups (the House of People with Disabilities, the Chancellor of Justice, the Nurses' Union) raised concerns and stressed the need to ensure the ongoing 24/7 specialized care service quality and the remuneration arrangements, but the issues of harmonizing health care services and transferring funding remained ultimately awaiting a solution.
Aseesimees Arvo Aller
AI Summary
The vice-chairman invites the audience to pose questions and asks Rain Epler to answer.
Rain Epler
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Rain Epler asks whether the presenter will continue with the same stubborn attitude and will not express his or her personal opinion, or is there any chance of hearing his or her personal stance as well.
Madis Timpson
Profiling Fraktsiooni mittekuuluvad Riigikogu liikmedAI Summary
Madis Timpson stressed that the role of the commission's rapporteur is not to express a personal opinion, but to describe what happened in the commission, and in his view this is normal and reasonable, and the response is understood.
Aseesimees Arvo Aller
AI Summary
Deputy Speaker Arvo Aller declared the negotiations open and closed them, and announced that the second reading of Bill 496 had been completed and that no amendments had been submitted.