Agenda Profile: Madis Timpson

First Reading of the Draft Act on Amendments to the Medicinal Products Act and the Health Services Organization Act (458 SE)

2024-09-17

15th Riigikogu, 4th session, plenary session

Political Position
The political position is one of strong support for the reorganization of healthcare reserve management, driven by the necessity of resolving legal bottlenecks and improving the cost-effective management of these reserves. The approach is clearly policy-driven, emphasizing legislative compliance with the observations made by the State Audit Office (Riigikontroll) and the enhancement of operational capacity. The goal is to transfer the storage of reserves from the Health Board (Terviseamet) to regional hospitals in order to reduce costs associated with expiration.

1 Speeches Analyzed
Topic Expertise
The speaker demonstrates thorough expertise in managing healthcare supplies, navigating legal framework constraints, and understanding regulations governing hospital operations. They utilize technical terminology and reference specific statutory provisions (TTKKS § 22 subsection 3), detailing the reasons why the contract cannot be extended. The expertise also encompasses the practical aspects of inventory rotation and cost-effective procurement.

1 Speeches Analyzed
Rhetorical Style
The rhetorical style is formal, explanatory, and substantive, making it suitable for the presentation of the bill’s first reading. The focus is placed on the logical justification of the bill’s background, the procedural process, and the proposed amendments, citing legal necessity and economic efficiency. Emotional or personal appeals are absent; the tone is neutral and fact-based.

1 Speeches Analyzed
Activity Patterns
The speaker has actively participated in drafting the bill, citing three specific meetings of the Social Affairs Committee (May 27, June 4, September 10). He/She is serving as the rapporteur in his/her capacity as Chairman of the Social Affairs Committee, which underscores his/her leading position in the legislative process.

1 Speeches Analyzed
Opposition Stance
The critique targets the existing legal framework and the Health Board’s restricted mandate regarding the procurement and disposal of pharmaceuticals, which impedes the cost-effective management of reserves. The speech contains no direct political confrontation or criticism of political opponents, focusing instead on systemic bottlenecks.

1 Speeches Analyzed
Collaboration Style
The style of cooperation is consensual and pragmatic, emphasizing the successful agreement reached with the Ministry of Social Affairs regarding the initiation of the draft bill, calling it reasonable cooperation and a normal part of compromise. Hospitals have also been consulted and agree with the planned changes, which indicates widespread support.

1 Speeches Analyzed
Regional Focus
The regional focus is tied to the dispersal of the national healthcare reserve between two regional hospitals: Tartu University Hospital and North Estonian Regional Hospital. Although this is a national stockpile, emphasis is placed on decentralizing and streamlining the location of these reserves specifically within these large hospitals that bear a heavy treatment burden.

1 Speeches Analyzed
Economic Views
Economic perspectives emphasize cost-effectiveness and fiscal discipline in the management of healthcare supplies. The goal of the changes is to reduce or prevent costs arising from the expiration of medicines and equipment, and to ensure the cost-effective procurement and management of inventory.

1 Speeches Analyzed
Social Issues
Not enough data

1 Speeches Analyzed
Legislative Focus
The legislative focus is the amendment of the Medicinal Products Act and the Health Services Organization Act (Draft Act 458 SE), initiated by the Social Affairs Committee. The priority is the elimination of a bottleneck in the legal framework and the transfer of the task of managing healthcare reserves to more competent regional hospitals. The speaker is the rapporteur for the draft act and a strong proponent.

1 Speeches Analyzed