6 Amendments of Hiltrud BREYER related to 2008/0142(COD)
Amendment 11 #
Proposal for a directive
Recital 8
Recital 8
(8) This directive aims to establish a general framework for provision of safe, high quality and efficient cross-border healthcare in the Community and to ensure patients mobility and freedom to provide healthcare and high level of protection of health, whilsprovide rules for the reimbursement of the costs of healthcare received in another Member State for patients who choose to go to another Member State for the purpose of receiving healthcare there and to enable cooperation between Member States in relation to health technology assessment, centres of reference and e-health, whilst fully respecting national competence in organising and delivering healthcare, in accordance with the principles of universal access, solidarity, affordability, equal territorial accessibility and democratic control. It fully respectings the responsibilities of the Member States forin the field of healthcare according to the Treaty including the definition of social security benefits related to health and the organisation and delivery of healthcare and medical care and social security benefits in particular for sickness.
Amendment 12 #
Proposal for a directive
Recital 10
Recital 10
(10) For the purpose of this Directive, the concept of ‘cross-border healthcare’ covers the following modes of supply of healthcare: – Use of healthcare abroad (i.e.: a patient moving to a healthcare provider in another Member State for treatment); this is what is referred to as ‘patient mobility’; – Cross-border provision of healthcare (i.e.: delivery of service from the territory of one Member State into the territory of another); such as telemedicine services, remote diagnosis and prescription, laboratory services; – Permanent presence of a healthcare provider (i.e.: establishment of a healthcare provider in another Member State); and, – Temporary presence of persons (i.e.: mobility of health professionals, for example moving temporarily to the Member State of the patient to provide services)use of healthcare in a Member State other than the Member State of residence by patients who choose to travel to another Member State for the purpose of receiving healthcare there.
Amendment 18 #
Proposal for a directive
Article 1
Article 1
This Directive establishes a general framework for the provision of safeprovides rules for reimbursement of the costs of healthcare received in another Member State for patients who choose to go to another Member State for the purpose of receiving healthcare there and enables cooperation between Member States in relation to health technology assessment, centres of reference and e-health, whigh quality and efficient cross-border healthcarelst fully respecting national competence in organising and delivering healthcare, in accordance with the principles of universal access, solidarity, affordability, equal territorial accessibility and democratic control.
Amendment 33 #
Proposal for a directive
Article 8 – paragraph 4 a (new)
Article 8 – paragraph 4 a (new)
4a. Prior authorisation shall in any case be granted when the patient is in need of medical treatment normally provided for by the social security system of the Member State of affiliation and the treatment cannot be provided in the Member State of residence, within a time limit which is medically justifiable, as established by Regulation No 1408/71 and Regulation No 883/2004.
Amendment 34 #
Proposal for a directive
Article 8 – paragraph 5 a (new)
Article 8 – paragraph 5 a (new)
5a. The Member State of treatment may take appropriate measures to address the inflow of patients and to prevent it from undermining, or being likely to undermine, the planning and rationalisation carried out in the hospital sector to avoid hospital overcapacity, imbalance in the supply of hospital care and logistical and financial wastage, the maintenance of a balanced medical and hospital service open to all, or the maintenance of treatment capacity or medical competence on the territory of the Member State concerned. The Member State of treatment shall refrain from discriminating with regard to nationality and shall ensure that the measures restricting free movement shall be limited to what is necessary and proportionate. The Member State of treatment shall notify these measures to the Commission.
Amendment 36 #
Proposal for a directive
Article 10 − paragraph 1
Article 10 − paragraph 1
1. The Member States of affiliation shall ensure that there are mechanisms in place to provide patients on request with information on receiving healthcare in another Member State, and the terms and conditions that would apply, inter alia, whenever harm is caused as a. In information about cross-border care, a clear distinction shall be made between the rights which patients have by virtue of this Directive and rights arising from resgult of healthcare received in another Member Stateations on the coordination of social security schemes as referred to in Article 3(1)(f).