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Law (1993:1652) For Reimbursement For Physiotherapy

Original Language Title: Lag (1993:1652) om ersättning för fysioterapi

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Introductory provisions



section 1 of this Act provides for certain benefits to physiotherapists in private activities in the open health care and on patient fees relating thereto (fysioterapiersättning).



What the Act says about the county councils also applies to municipalities that are not part of a County. Team (2013:1145).



section 2 of the provisions of this law shall apply in the case of physiotherapy treatment of the resident in Sweden, unless otherwise specifically prescribed.



The provisions of this law also applies to physiotherapy treatment of those who, without being a resident in Sweden, have the right to benefits in kind for sickness and maternity in Sweden according to the provisions of European Parliament and Council Regulation (EC) No 883/2004 of 29 april 2004 on the coordination of social security systems. The same is true for the referred to in Chapter 5. paragraph 7 of the first paragraph, the social security code and who are covered by that regulation. Team (2013:1145).



section 3 of this Act with physiotherapy referred to physiotherapy treatment that is prompted by the injury or illness. If it requires a referral from a doctor or a dentist of physiotherapy in the County, the requirement for fysioterapiersättning under this Act. Team (2013:1145).



section 4 unless otherwise provided under this law with the County Council of the county councils in whose area the physiotherapist carries on or intends to carry on its business.

Team (2013:1145).



Collaboration and care agreement



§ 5 Fysioterapiersättning under this Act is payable only to the physiotherapist who has collaborative agreements with the County Council concerning its activities.



The provision of the partnership agreement does not apply for a substitute referred to in section 10.



A physiotherapist in private activities that provide physiotherapy under contract with the County, may receive compensation from the County Council under the conditions and in accordance with the grounds of the County Council and physiotherapist agreed.

The health care agreement in lieu of the provisions of this law.



At the conclusion of the partnership agreement and health care agreement to the County Council to apply the law (2007:1091) concerning the public procurement Act (2008:962) on the free market system, subject to 5 a-5 g sections. For the purposes of the application of the public procurement Act, the conclusion of partnership agreements be equated with public contracts for services listed in annex 3 to the Act (B). Team (2013:1145).



Establishment of compensation



5 a of A physiotherapist who works with the right to compensation under this Act and who intends to transfer his activities shall notify the county if he or she is in relation to the transfer to



1. terminate their right to compensation, and



2. allow any other physiotherapist to get enter into cooperative agreements with the County Council with the corresponding conditions (remuneration of establishment). Team (2013:1145).



5 b of the following notification in accordance with paragraph 5 shall, without delay, (a) the County Council

publish an applications that get included

the partnership agreement. The publication shall be done by advertising in a

electronic database, which is publicly available, or by

ad in any other form that allows for effective competition.



By invitation, or else trying available supporting documentation,

should include



1. What is the business to be transferred,



2. What are the conditions that apply to the partnership agreement,



3. in paragraph 5 (e) specified requirements for the conclusion of the

the partnership agreement,



4. how an application may be made, and



5. What is the last date the application shall be submitted.



Applicants shall be given a reasonable time to submit applications.

Law (2009:80).



section 5 (c) the County Council will treat applicants equally and

non-discriminatory way and comply with the principles of transparency,

mutual recognition and proportionality. Law (2009:80).



5 d § County Council may exclude an applicant from participating in

the application procedure as provided for in 7

Cape. 1 and 2 of the Act (2008:962) on the free market system. What

It is said there about the contracting authority should instead refer to

County Councils. Law (2009:80).



5 e § County Council shall take a decision on the conclusion of the partnership agreement with the applicant who has offered the highest price for the business and as



1. in the case of the takeover of the business may comply with the requirements set out in paragraphs 7 to 9,



2. not excluded according to paragraph 5 (d), and



3. don't already have, or may have, a right to government compensation for their health services within the framework of such a free market system referred to in the Act (2008:962) on the free market system.



After the operations have been transferred to the applicant referred to in the first subparagraph, the county enter into collaborative agreements with him. The partnership agreement should include equivalent terms applied to the physiotherapists are entitled to compensation. The County Council may, however, change the terms if the physiotherapist accepted the new terms and those specified in the applications or otherwise for applicants available surface.



If the assignor physiotherapist withdraws their notification in accordance with paragraph 5, or if it otherwise is missing opportunities to pursue the matter, this has expired. Team (2013:1145).



5 f § County Council shall, without delay, notify the applicants and the physiotherapist for a decision to conclude the cooperation agreement referred to in paragraph 5 (e).

The same applies if the case lapsed in accordance with paragraph 5 (e). Team (2013:1145).



5 g § provisions on justice and reparation in Chapter 16.

1, 2 and 4-6 of the Act (2007:1091) on public procurement in

amended by SFS 2007:1091 and 16 Cape. section 3 of the Act on

public procurement as amended by SFS 2009:853 applies

in the case of establishment of compensation under this Act. What is being said

where if the supplier, contracting authority, contracts, and

procurement should instead refer to applicant, counties,

cartel arrangements and procedure for replacement.



The reference in Chapter 16. the third subparagraph of paragraph 1 of the law on public

procurement to notification under Chapter 9. section 9 should instead

refer to the information referred to in paragraph 5 (f) of this Act.



The references in Chapter 16. paragraph 2 of the first subparagraph, and paragraph 5 of the law on

Government procurement to other provisions of the Act, in

rather than refer to 5 b-5 (f) of this Act. Law (2011:1035).



The County Council's responsibilities, etc.



section 6 of the County Council will be responsible for the fysioterapiersättning not covered by patient fees. If physiotherapy has meant a patient who does not reside within the County Council's area, the counties in which the patient resides the fysioterapiersättningen paid, unless the County Council agree otherwise. If the patient does not reside within any County District, the county councils in whose area the patient or family member is a professional or trade activity, or, in the case of a person who is unemployed, the Governments in whose territory the person is registered as a job seeker, responding to the fysioterapiersättningen.



The insurance fund may, upon agreement with the County to have care of the payment of fysioterapiersättning.

Team (2013:1145).



Special requirements for fysioterapiverksamheten



7 § Fysioterapiersättning shall be submitted to physiotherapy by a physiotherapist. Team (2013:1145).



section 8 Fysioterapiersättning are left only to a physiotherapist who last a year after operations began conducting private fysioterapiverksamhet on a full-time basis, subject to the second subparagraph or paragraph 10. A physiotherapist is considered as full-time working if he or she works at least 35 hours per week on average, or has worked for at least this time any period of twelve months during the last two years.



Fysioterapiersättning also to a physiotherapist who do not operate on a full-time basis due to illness, leave for the care of children, impending retirement, training, or research within the profession, political or trade union or other similar reasons.

Team (2013:1145).



9 § Fysioterapiersättning is not being made to a physiotherapist who is employed in any county health care or in a company or other legal person in health care that the County Council has a legal control of remuneration can be left if the physiotherapist is on leave and standing in for another physiotherapist.



Fysioterapiersättning is not being made to a physiotherapist for activities in the field of occupational health. Team (2013:1145).



Temporary position



section 10 If a physiotherapist is wholly or partly unable to operate due to illness, vacation, leave for the care of children, impending retirement, training, or research within the profession, political or trade-union office or other similar reasons, another physiotherapist substitute during absences.

Team (2013:1145).



repealed by section 11 of the Act (1994:1962).



section 12 is repealed by Act (1994:1962).



13 repealed by Act (1994:1962).



Interoperability with other



section 14 A physiotherapist who get fysioterapiersättning to interact with others in the health care and rehabilitation area.

Team (2013:1145).



Physical therapy reimbursement



Common provisions



15 § Fysioterapiersättning for specific action should be left with an amount representing the fair remuneration of physiotherapists work and costs. Compensation, except for the part relating to the physiotherapists travel expenses in connection with treatment visit paid as normal fee, easy fee or fees. Through patient fee paying


the patient the whole or part of the fee, subject to section 22 or 23. Team (2013:1145).



section 16 of the Normal fee is a single fee for the main part of the courses in the business.

The normal fee is based on the expected reception costs and annual visitor volume in physiotherapy business. Simple fee is a lower fee for basic investigations and treatments. Measures are particularly time-or cost-intensive replacement with a higher, particularly fees.

Team (2013:1145).



section 17 if a physiotherapist and substitute in his activities during a calendar year have been made fysioterapiersättning by an amount equal to the allowance for a full annual working time, provided then compensation with the reduced amount. Reduced compensation is paid up to an amount equal to one half the annual working time (replacement). If the physiotherapist does not operate on a full-time basis is reduced annual remuneration and the remuneration ceiling reasonable.



The provisions of the first subparagraph shall not prevent the physiotherapist to provide physiotherapy against patient fee. Team (2013:1145).



18 § A physiotherapist who carries out activities for remuneration under this Act shall not provide physiotherapy against higher fees than that provided for by this law or by regulations that have been issued in connection with the Act. Team (2013:1145).



section 19 of The county councils are not obliged to pay fysioterapiersättning before the partnership agreement has been concluded.



If a physiotherapist have been compensated with too high amounts, the County reclaim the amount wrongly paid. The County Council may, in such a case rather than settle the amount from other claims from the physiotherapist at fysioterapiersättning.



If a physiotherapist in spite of repeated reminders or otherwise materially request fysioterapiersättning of overstated or otherwise incorrectly, the County put down the total fysioterapiersättning requested for certain time to reasonable amount. Team (2013:1145).



Special provisions for certain areas



section 20 to a physiotherapist who establish themselves in a place within a designated area of assistance shall be provided in accordance with section 15 of the fees by 20 percent increase.



Fee increase referred to in the first subparagraph shall be paid by the County. After two years from the establishment to increase reduced by five percentage points every year down to five percent.



To a physiotherapist who has his business within a particular area of assistance to the County Council provide special compensation for telephone consultations and therapeutically justified home visits.



The Government may provide for the areas to be considered as special support areas under this section.

Team (2013:1145).



section 21 was repealed by law (1995:838).



Patient fee



section 22 of physiotherapy by a physiotherapist who receives compensation in accordance with this Act, the patient requested from a patient fee, unless otherwise specifically prescribed.

Patient fee may be charged with a maximum of the amount a patient pays for the equivalent of physiotherapy in the County.



If the physiotherapist will take a lower client fee than is permitted under the first subparagraph shall not affect the part of fysioterapiersättningen paid by the County.



If the patient fee would exceed the fees provided for health care, the difference shall be paid to the County.

Team (2013:1145).



section 23 of a patient who for some time have achieved

fee waiver under 26 a of the health care Act

(1982:763) is at the same time, exempt from paying

patient fees under this Act. Law (2012:929).



24 § Incurred cost due to a lack of patients from the agreed fysioterapeutbesök, the patient fee still charged by the patient. The provisions of section 23 does not free the patient from the fee under this provision.

Team (2013:1145).



24 a of the fee charged by the patient's guardian, if the patient

are under 18 years of age when



1. health care is provided, or



2. he or she fails to materialize from an agreed appointment.



If there are multiple guardians, they answer jointly and severally liable for

the fee.



If there are special reasons, the fee charged by the

minor. Law (2010:249).



Activity monitoring, etc.



section 25 of A physiotherapist who requests the fysioterapiersättning under this Act must contribute its own operations can be followed up and evaluated. Physiotherapist shall annually submit a report to the County Council with details of the reception staff and medical equipment as well as on the number of treatments performed and patient visits.



Physiotherapist shall, at the request of the County provide information and present medical records and other material related to the treatment of a patient and that are needed for the control of the requested fysioterapiersättning. Team (2013:1145).



Enforcement regulations



section 26 of the Government Announces enforcement rules of this law.



Transitional provisions



1993:1652



1. this law shall enter into force on 1 January 1994.



2. Older rules still apply in respect of remuneration of

private practice physical therapists that refers to the time before

the entry into force.



3. For the period up to 1 July 1994 applies notwithstanding the

the provisions of 15-17, 20 and 21 sections to a tariff that essentially

corresponds to the provisions on remuneration of the Regulation (1976:1018)

with the tariff for the provision of medical care should be applied in

determination of physical therapy reimbursement under this law.



4. has been repealed by law (1995:838).



5. repealed by law (1995:838).



6. repealed by law (1995:838).



7. upon notification under section 11 in the meantime until 1 april 1994,

business with a physical therapy reimbursement notwithstanding that paragraph

and paragraph 19 started three months after notification.



1994:1755



1. this law shall enter into force on 1 January 1995.



2. The new provisions of section 6 apply also for care during the year

1994 by persons covered by the Act (1992:1776) on

coordination of social security schemes to persons moving

in the European economic area (EEA).



1994:1962



1. this law shall enter into force on 1 January 1995.



2. A physical therapist that upon entry into force is effective against

reimbursement under this Act is entitled to further remuneration

even without the partnership agreements under the new regulations.



3. A physical therapist who is not covered by paragraph 2 but before the

14 november 1994 made the notification under section 11 in its previous version

and who meets the requirements to receive physical therapy reimbursement

start business six months after notification, even without

the partnership agreement. If the activity is not started on 14 May 1995

However, the partnership agreement is required.



1995:838



1. This law shall enter into force, with respect to paragraph 17, first subparagraph, first

and the second sentence on 1 January 1997, and on 1 January

1996.



2. Older rules still apply in respect of remuneration of

private practice physical therapists that refers to the time before the entry into force.



3. A physical therapist that upon entry into force is effective against

physical therapy reimbursement under this law without having partnership agreements

with the County Council and without meeting the experience requirements in accordance with article 7 of

or the requirement for a full-time activities under section 8 can also without

the partnership agreement receiving compensation under this Act unless otherwise provided

of paragraph 4. If the activities of a physiotherapist within the scope of this

paragraph be amended materially, however, the question of the right to

physical therapy reimbursement be reviewed under this Act.



4. If a physiotherapist who at the time of entry into force is effective against

compensation under this Act, does not meet the age requirement in § 9 left

physical therapy reimbursement at the end of 1996, if not

the physiotherapist and the County Council agree otherwise.



1996:1160



1. this law shall enter into force on 1 January 1997.



2. Older provisions shall continue to apply to such

cost relief incurred before the end of 1996.



1997:436



1. This law shall enter into force, with respect to section 9 on 1 July 1997,

and in General on 1 January 1998.



2. Older rules still apply in the case of health care that

refers to the time before the entry into force.



1999:843



1. this law shall enter into force on 1 January 2000.



2. Older provisions, however, until the end of the year 2003

care provided by a physiotherapist that upon entry into force is

involved in occupational health care and then has the right to

physical therapy reimbursement under this law.



2009:80



1. this law shall enter into force on 1 april 2009.



2. Older rules still apply in respect of remuneration

for the care given before the entry into force.



3. the Older wording of section 20 is still valid for physical therapist

as at the date of entry into force operating in such a

area specified in the older wording.



2010:249



1. this law shall enter into force on 1 June 2010.



2. The new provisions do not apply to charges for which

payment obligations incurred prior to the entry into force.



2010:1319



1. this law shall enter into force on 1 January 2011.



2. Older provisions still apply to the

covered by Council Regulation (EEC) No 1408/71 of 14

June 1971 on the application of social security schemes

When employed persons, to self-employed persons and to members of their families

moving within the community.



2011:1035



This law shall enter into force on 1 January 2011, but applied for

time from 15 July 2010.



2013:1145



1. This law shall enter into force on January 1, 2014.



2. For the purposes of this Act and the regulations that have


a court in connection with the law should be treated as a physiotherapist physiotherapists and physiotherapy equated with physiotherapy.



3. A physical therapist who, according to the older transitional provisions to this Act is entitled to compensation under the Act shall continue to be eligible for compensation even if he or she gets the identification as physiotherapist.