Introductory provisions
section 1 of this Act provides for certain employee benefits
doctor in private activities in primary care and the open healthcare
health care in General and on patient fees in connection therewith
(läkarvårds replacement).
What the Act says about the county councils also applies to municipalities that do not
is part of a County. Law (1995:837).
section 2 of the provisions of this law apply in the care of the
lives in Sweden, unless something else is particularly
before written.
The provisions of this Act also apply in the care of the
which, 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 shall apply for the
referred to in Chapter 5. paragraph 7 of the first paragraph, the social security code
and covered by the said regulation. Law (2010:1318).
section 3 of this Act with the care provided for medically justifiable treatment,
treatment or examination given by a doctor or under
physician's supervision and advice provided by a physician in
birth control purpose or, in the case of abortion, or
sterilization.
A Regional Council may, as a condition for leaving
läkarvårds compensation under this Act, require referral for care
in a private working physicians with expertise in
prerequisite to the referral requirements for equivalent care of
a specialist in the County. Referral, however, may not be required
medical expenses in medical activities relating to children,
gynaecology or psychiatry. Law (2009:79).
section 4 unless otherwise provided under this law with the County Council it
County Councils in whose area the doctor carries on or intends to carry on
their activities. Law (1995:837).
Collaboration and care agreement
5 § Läkarvårds allowance under this Act is payable only to the
physician liaison agreements with the County Council regarding their
activity.
The provision of the partnership agreement does not apply for a substitute teacher that
referred to in section 10.
A doctor in a private business that provides care in accordance with agreements with the
the County Council, will receive compensation from the County Council on the
conditions and in accordance with the grounds of the County Council and the doctor
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 County Council
application of Act (2007:1091) on public procurement or
Act (2008:962) on the free market system, subject to the
5 a-5 g sections. For the purposes of the Act on public
procurement, conclusion of collaboration agreements be equated with
public contracts for services listed in annex 3 to the
the Act (B). Law (2009:79).
Establishment of compensation
5 a of a doctor who works with the right to compensation in accordance with
This law and who intends to transfer his activities shall notify
to the county if he or she in this context would
– terminate their right to compensation, and
– allow for other doctors to get enter into collaborative agreements with
the County with the corresponding conditions (remuneration of establishment).
Law (2009:79).
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 (2009:79).
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 (2009:79).
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 (2009:79).
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 your 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 have already, or can receive, the right to public
compensation for their health care services within the framework of the
such a free market system referred to in the Act (2008:962) if
free market system.
After the operations have been transferred to the applicant that
referred to in the first subparagraph, the county enter into partnership agreement
with the latter. The partnership agreement should include equivalent terms
as for the transferring physician's right to compensation.
The County Council may, however, change the terms if the surrendering
the doctor accepted the new terms and conditions and those set out in the
for the applications or otherwise available for the applicants
surface.
If the transferring physician Recalling their notification in accordance with paragraph 5 (a)
or if it is otherwise missing opportunities to pursue
This matter has expired. Law (2009:79).
5 f § County Council shall, without delay, notify the
the applicants and the transferring physician if a decision to enter into the
the partnership agreement in accordance with paragraph 5 (e). The same applies to
If the case expired under section 5 (e) the last paragraph.
Law (2009:79).
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
regarding the establishment of compensation under this Act. What
as is said there about the supplier, contracting authority, contracts
and procurement should instead refer to applicant, counties,
cartel arrangements and procedure for
establishment of compensation.
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, the
instead refer to 5 b-5 (f) of this Act. Law (2011:1034).
The County Council's responsibilities, etc.
section 6 of the County Council is responsible for the läkarvårds compensation
not covered by patient fees. If the treatment has meant a patient
not residing within the County Council's area, the
County Councils in whose territory they are resident, responsible for the
läkarvårds compensation paid, unless the county councils will
agree otherwise. If the patient does not reside within any
the County, the county councils in whose territory
the patient or family member is a professional or trade activity or, when
in the case of a person who is unemployed, the county councils in whose
area the person is registered as a job seeker, the
läkarvårds paid the compensation.
The insurance fund may, upon agreement with the County Council have
care of payment of läkarvårds compensation. Act (2004:830).
Special requirements for medical activities
section 7 of the compensation to be granted to läkarvårds requires that the doctor
have specialist expertise and conducts activities receiving
within their specialty in open care for individual patients.
Läkarvårds compensation is not provided to the physician
specialist competence only in laboratory medicine
specialties, social medicine, clinical neurophysiology,
rehabilitation medicine, clinical genetics or picture and
functional medical specialities except Clinical Physiology.
Läkarvårds replacement for the receive activity in the outpatients
for individual patients should be given even to doctors who are not
specialists in general medicine but who satisfies the requirements of
Article 28 and in annex V, point 5.1.4 in the European Parliament and
Council Directive 2005/36/EC of 7 september 2005 on the
recognition of professional qualifications. The provisions of this law
If a doctor with specialist competence applies in other on
analogy for these doctors. Law (2012:312).
section 8 Läkarvårds compensation is payable only to a doctor who
at the latest one year after the operation began conducting
activities under section 7 on a full-time basis, subject to the other
paragraph or section 10. A doctor considered to be full-time active if
the doctor working at least 35 hours per week on average, or
have worked for at least this time any 12-month period under the
last two years.
Läkarvårds compensation is also paid to a doctor as a result
by illness, leave for the care of children, forthcoming
retirement, further training or research in
the profession, political or trade union or other
similar reasons do not operate on a full-time basis.
Law (2009:79).
9 § Läkarvårds compensation is not payable to a doctor who is
employee of any county health care or in a
company or other legal person in health care
that the County Council has a legal non-controlling interest in.
However, compensation may be provided if the doctor is on leave and
standing in for another doctor.
Läkarvårds compensation is not payable to a doctor
activities in the field of occupational health or student health
relates to medical interventions according to Chapter 2. section 25
Education Act (2010:800). Law (2010:864).
Temporary position
section 10 if a doctor due to illness, vacation, time off for
child care, impending retirement, retraining
or research within the profession, political or trade union
Office or other similar reasons, totally or partially
Unable to operate, get another doctor who
have the same specialty or another specialty within the same
Group of specialities substitute during absences.
Law (2009:79).
repealed by section 11 of the Act (1994:1961).
section 12 is repealed by Act (1994:1961).
13 repealed by Act (1994:1961).
Interoperability with other
paragraph 14 of a doctor who gets läkarvårds compensation shall cooperate with
others in the health care and rehabilitation area.
Läkarvårds compensation
Common provisions
15 § Läkarvårds allowance for certain action to be provided with a
amounts represent reasonable compensation for the doctor's work and
costs. Consideration with the exception of the portion thereof that relates to
the physician's travel expenses in connection with sick visit paid
the normal fee, easy fee or fees. By
patient fee paying patient all or part of the fee,
subject to section 22 or 24.
section 16 of the Normal fee is a single fee for the main
part of the medical operations that occur in the physician's
specialty. The normal fee is based on the expected reception costs
and annual visitor volume in the specialty. Simple fee is a lower
fees for simple tests and treatments performed by
the physician or under his supervision or outside the
usual activities of the physician's specialty. Measures that are
particular time or cost is replaced with a higher, particularly
fee. Law (1995:837).
section 17 If it a doctor and substitute in his business for a
calendar year läkarvårds compensation in an amount
corresponds to compensation for a full annual working time in the specialty,
be provided then compensation with the reduced amount. Reduced
compensation is paid up to an amount equivalent to one half
annual working time (replacement). If the doctor does not operate
full time reduced the annual compensation and the compensation ceiling in fair
scope.
The provisions of the first subparagraph shall not prevent the physician providing care to
patient fee set out in section 23.
Compensation for advice on birth-control purposes, or
regarding abortion or sterilization is not included in the basis for the in
the first paragraph stated limits of compensation. Law (1995:837).
18 § a doctor who carries out activities for remuneration under this
law may not provide care for higher remuneration than that resulting from the Act or the
an enforcement provision.
section 19 of A County is not liable to pay
läkarvårds remuneration before the partnership agreement has been concluded.
If a doctor has a läkarvårds replacement with too high
amount, the County Council to recover the amounts wrongly
paid. The County Council may in that case rather than settle
the amount of the claim from the doctor on
läkarvårds compensation.
If a doctor despite repeated reminders or
otherwise materially requests läkarvårds replacement with
for high amounts or otherwise incorrectly, the County Council
reduce the overall läkarvårds compensation requested for certain
time for a reasonable amount. Law (2009:79).
Special provisions for certain areas
section 20 to a doctor who establish themselves in a place within a
Special assistance area shall fees in accordance with section 15 is left with twenty
percent increase.
Fee increase referred to in the first subparagraph shall be paid by the
the County Council. After two years from the establishment to increase
reduced by five percentage points every year down to five percent.
A doctor who operates in a particular
support area, County Council provide special compensation for
phone consultations and home visits medically justified.
The Government may provide for the areas to be
be considered as specific support areas under this section.
Law (2009:79).
section 21 was repealed by law (1995:837).
Patient fee
section 22 For care provided by a physician are reimbursed under this
law, the patient requested from a patient fee. Patient fee shall not
for advice on birth control object or subject
abortion or sterilization. Patient fee may not be charged if
This is evidenced by specific provisions.
If the patient fee shall be applied section 6 of the first subparagraph of
the corresponding way.
section 23 of the Patient fee under this Act may be charged with a maximum of the same
amounts applicable for the corresponding care in the County.
If the doctor charges a lower client fee than is permitted
under the first subparagraph shall not affect the part of the
läkarvårds the remuneration paid by the County.
If the patient fee would exceed the fee that is payable for
health care, the difference shall be paid to the County.
Act (1997:435).
section 24 a patient who for some time has achieved a 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 (2012:928).
section 25 of the Incurred cost due to a lack of patients
from the contracted doctor visits, the patient fee provided for in section 23 of the first
the first sentence still put out by the patient. The provisions of the
section 24 does not free the patient from the fee under this provision.
25 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 (2010:248).
Activity monitoring, etc.
paragraph 26 of A doctor who requests the compensation läkarvårds to participate
to its own operations to be monitored and evaluated.
The physician shall annually submit a report to the County Council with
information about the clinic staff and medical technology
equipment and if carried out treatment measures and the number of
patient visits.
The physician shall, at the request of the County provide information and
view up the medical records and other material relating to the
examination, care or treatment of a patient and that
needed for the control of läkarvårds demanded compensation.
Of section 6 of the Act (1998:543) on health data registers, it follows that
the doctor also will provide data to health data registers.
9 last amended 1995:837. Law (2009:79).
Enforcement regulations
section 27 of Government Announces enforcement rules of this law.
Transitional provisions
1993:1651
1. This law shall enter into force, with respect to the third subparagraph of paragraph 7 the day
the Government, and on 1 January 1994.
2. Older rules still apply in respect of remuneration of
private practitioners relating to the period prior to the entry into force.
3. For the period up to 1 July 1994 applies notwithstanding the 15--17,
20 and 21 sections to a tariff that essentially corresponds to the provisions
If the fees of the medical rate (1974:699) applies for the purpose of
determination of läkarvårds compensation.
4. Has been repealed by law (1995:837).
5. Repealed by law (1995:837).
6. Repealed by law (1995:837).
7. the notification under section 11 Has been made before 1 april 1994,
the business of läkarvårds compensation notwithstanding the
paragraph and paragraph 19 begins three months after
notification.
1994:1257
The Government states that the Act (1993:1651) on läkarvårds replacement
shall enter into force on 1 January 1995 as regards paragraph 7 of the third
paragraph.
1994:1754
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).
1994:1961
1. this law shall enter into force on 1 January 1995.
2. A physician who at the time of entry into force is effective against
läkarvårds compensation under this Act has the right to continue such
compensation even without cooperative agreements under the new regulations.
3. A physician who is not covered by paragraph 2 but before 14
November 1994 made the notification under section 11 in its previous wording and
that meets the requirements for läkarvårds payments may begin
the business six months after notification, even without
the partnership agreement. If the activity is not started on 14 May 1995
required collaboration agreements. If the doctor does not have the specialist expertise
required, however, that the County Council has accepted the doctor's establishment in
the County Council's area.
1995:837
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 practitioners relating to the period prior to the entry into force.
3. A physician who at the time of entry into force is effective against
läkarvårds compensation under this Act without a cooperation agreement with
the County Council and without fulfilling the requirement of specialist qualifications
under section 7 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. The same applies to anyone who is active at the time of entry into force
as a private practitioner under the Act (1993:588) if the family doctor.
If the activities of a doctor who falls within the scope of this paragraph is amended in
materially, however, the question of the right to
läkarvårds compensation be examined under this Act.
4. If a physician who at the time of entry into force is effective against
läkarvårds compensation under this Act, does not meet the age requirement in
§ 9 handed läkarvårds compensation at the end of 1996, about
not the doctor and the County Council agree otherwise.
1996:1159
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.
1997:435
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.
1999:842
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 physicians at the time of entry into force is active
in occupational health care and then has the right to
läkarvårds compensation under this Act.
2009:79
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. Older version of section 7 is still valid for physicians
such specialist as indicated in the earlier wording.
4. Older version of section 20 apply to physicians at the
entry into force operating in such areas as
specified in the older wording.
2010:248
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.
2010:1318
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.
2011:1034
This law shall enter into force on 1 January 2011, but applied for
time from 15 July 2010.