MIL-OSI Europe: Written question – Implementation of the Bolkestein Directive and the new Italian healthcare accreditation system’s compliance issues – E-000542/2025

Source: European Parliament

Question for written answer  E-000542/2025
to the Commission
Rule 144
Ruggero Razza (ECR), Mario Mantovani (ECR)

Article 15 of Law No 118/2022 makes changes to the system governing accreditation and contractual arrangements for private healthcare facilities. However, this law – whose entry into force was deferred by Article 36 of Law No 193/2024 – seems to be at odds with EU legislation and CJEU case-law, both of which guarantee the autonomy of Member States as regards the organisation of health and social care services. Furthermore, Article 2(f) of Directive 2006/123/EC (the Bolkestein Directive) expressly states that healthcare is outside of its scope.

Instead of encouraging invitations to tender under public procurement procedures as is currently the case for outsourcing and new accreditations, Law No 18/2022 risks opening up the Italian healthcare system to inadequately regulated competition from EU and even non-EU actors.

Can the Commission clarify whether it intends to adopt measures to ensure compliance with EU law with a view to preventing non-EU actors from taking over the Italian healthcare system?

Submitted: 5.2.2025

Last updated: 13 February 2025

MIL OSI Europe News