The Spanish Government has approved a Royal Decree-Law on universal access to the National Health System
On 27 July 2018 Spanish ministers approved a Royal Decree-Law (RDL) that guarantees universal healthcare and the right to consistent health protection to all people who live in Spain including foreigners residing in Spain. This entitlement to care in the National Health System is not based on the insurance status of the individual and is available to all residents. The RDL also guarantees the right to healthcare for groups excluded by RDL 16/2012. Groups such as Spanish pensioners who do not reside in Spain, displaced workers or cross-border workers will have access to healthcare. Groups that are not registered or authorised as residents of Spain will also have the right to health protection under the same conditions as people with Spanish nationality.
In order not to compromise the financial sustainability of the National Health System and avoid inappropriate use of the right to healthcare, healthcare will only be charged to public funds provided the following requirements are met:
- There is no obligation to provide health care by another means, by virtue of the provisions of EU Law, bilateral agreements or other applicable regulations
- The right to health care cannot be exported to the individuals’ country of origin or provenance
- There are no third parties obliged to pay
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