opinion parliamentary committee, 24 June 2026
On the proposal for a regulation of the European Parliament and of the Council establishing the European Fund for economic, social and territorial cohesion, agriculture and rural, fisheries and maritime, prosperity and security for the period 2028-2034 and amending Regulation (EU) 2023/955 and Regulation (EU, Euratom) 2024/2509
Document SANT-AD-786871 · (COM(2025)0565 – C100179/2025 – 2025/0240(COD))
Committee on Public Health · Rapporteur: Victor Negrescu
AI:In short
The Committee on Public Health gives its opinion on the proposed regulation setting up the European Fund for economic, social and territorial cohesion, agriculture and rural, fisheries and maritime, prosperity and security for 2028-2034. It proposes amendments to make health a programmable priority in the National and Regional Partnership Plans, with a dedicated chapter on health, measurable milestones and targets, and dedicated financial allocations. It asks for at least EUR 20 000 000 000 for health priorities and for health measures to cover workforce shortages, access to care, mental health, prevention, infrastructure and territorial disparities. It also adds health to the Fund's objectives, to emergency preparedness, to rural and coastal development, and to the role of civil society and non-profit organisations.
Position. The Committee on Public Health proposes amendments to the proposed regulation to make health a programmable priority with a dedicated chapter, measurable targets and at least EUR 20 000 000 000, and to add health objectives across the Fund.
Key points
- Health systems face demographic ageing, rising demand, workforce shortages and health service deserts, with life expectancy gaps of up to ten years between Member States.
- Less than 4 percent of allocations in national plans go to health, which the opinion says underprioritises the sector.
- The Commission proposal does not sufficiently translate health needs into a structured and programmable framework, risking fragmented interventions.
- Health should be a programmable priority, with a dedicated chapter on health in the Plans covering resilience, workforce and access, supported by measurable milestones, targets and financial allocations.
- Financing for health should be dedicated, visible and additional to existing social funding, and eligible measures should cover workforce, access, mental health, disability and palliative care, prevention, health literacy and infrastructure.
- Investments should reduce territorial gaps, and the contribution of civil society and non-profit organisations to public health should be recognised and supported.
- The approach respects subsidiarity and does not aim to harmonise national healthcare systems, but supports Member States in addressing common challenges.
- The amendments add health to the Fund's objectives, including a high level of human health protection under Article 168(1) TFEU and support for health, education and trans-European networks.
- They add specific objectives on health excellence and rare diseases and cancer research, resilience of healthcare systems and long-term care, and preparedness for health emergencies.
- They add objectives on healthcare infrastructure and access, equitable care in underserved and insular regions, digitalisation and interoperability of health systems, and responsible use of artificial intelligence.
- They add health measures in rural areas, quality of care and patient safety strategies, water and sanitation in healthcare facilities, and the One Health approach linking health and environmental data.
- They require a dedicated chapter on health in each Plan, at least EUR 20 000 000 000 for health priorities, and traceable health investments linked to Country-Specific Recommendations.
Who is affected
- Member States and their regions, which must include a dedicated health chapter and measurable targets in their Plans.
- Healthcare workers and patients in underserved, insular, peripheral, outermost and mountainous regions, who should gain better access to care.
- Civil society, public health organisations and non-profit entities, which should be supported and involved in the Plans.
- Rural and coastal communities, which should benefit from rural medicine, rural pharmacies and community-based healthcare services.
Figures and deadlines
- Life expectancy gaps of up to ten years between Member States.
- Less than 4 percent of allocations in national plans are directed towards health.
- At least EUR 20 000 000 000 for health priorities.
- A per capita GNI of less than 90 % of the Union average for Member States that must demonstrate adequate contribution to certain objectives.
Legal basis. Articles 9, 19 and 153 TFEU; Article 168 TFEU; Article 177(2) TFEU; Article 5 TEU.
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Short justification 211 paragraphs
Health systems across the European Union are under growing and multifaceted pressure. Demographic ageing, rising demand for services, persistent workforce shortages, the emergence of health service deserts and territorial disparities increasingly limit their capacity to deliver timely and high-quality care. As a result, health outcomes vary significantly across the Union, with life expectancy gaps of up to ten years between Member States. These inequalities generate substantial economic costs through reduced productivity and increased public expenditure, while also affecting social cohesion and citizens’ trust in public institutions.
At the same time, available evidence, including the implementation of the Recovery and Resilience Facility and cohesion policy, shows that less than 4 percent of allocations in national plans are directed towards health, highlighting a structural underprioritisation of this sector. This situation does not align with the Union’s broader objectives, given that a healthy population is a prerequisite for economic resilience, labour market participation and sustainable development. Investing in health systems is therefore both a social necessity and a strategic economic priority.
In the context of the European Commission proposal for the 2028-2034 framework, integrating cohesion policy into National and Regional Partnership Plans, there is a clear need for a more coherent and operational approach to health. While the proposal acknowledges social challenges, it does not sufficiently translate health needs into a structured and programmable framework, particularly in the annexes governing programming and implementation. This creates the risk of fragmented interventions, limited visibility of health investments and insufficient prioritisation at national level.
Our report highlights that a more structured approach is therefore required to ensure that health objectives are effectively integrated into the Plans and translated into concrete measures. Health should be, in our opinion, recognised as a programmable priority, supported by a clear framework that allows for strategic planning, implementation and monitoring. Where appropriate, based on the European Semester Country-Specific Recommendations or European Commission and Member States assessments, this should include a dedicated chapter on health within the Plans, addressing healthcare system resilience, workforce challenges and access to services, including territorial disparities, and supported by measurable milestones, targets and financial allocations.
Such an approach should be complemented by a predictable financing framework ensuring dedicated and visible allocations for health, which are additional to existing social funding. This would enable programme-based interventions and strengthen the impact of Union support. Eligible measures should cover key areas such as addressing workforce shortages, improving access to care, strengthening mental health, disability and palliative care services, enhancing prevention and health literacy, including for children and young people, and supporting investments in infrastructure, particularly in underserved areas.
Particular attention should be paid to territorial disparities, ensuring that investments contribute to reducing gaps between regions and strengthening the link between health and regional development. In addition, the contribution of civil society and non-profit organisations to public health outcomes should be recognised and supported, reinforcing the connection between health, fundamental rights and democratic participation.
Greater coherence between objectives and implementation is essential to ensure that identified priorities are effectively translated into funded measures with measurable outcomes. This includes better alignment with the European Semester, which can strengthen monitoring, improve effectiveness and ensure consistency with broader economic and social objectives.
This approach fully respects the principle of subsidiarity and does not aim to harmonise national healthcare systems. Instead, it seeks to support Member States in addressing common challenges and to maximise the impact of Union funding.
Overall, our opinion calls for health to be fully integrated into the Union’s investment strategy for the 2028-2034 period through a dedicated and structured approach in the National and Regional Partnership Plans. This should focus on strengthening system resilience, addressing workforce challenges and ensuring equitable access to services, including across territories, and should be supported by measurable targets, ringfenced and additional financial allocations, and programme-based implementation mechanisms.
AMENDMENT
The Committee on Public Health submits the following to the Committee on Budgets, as the committee responsible:
Amendment 1
Read the rest (199 paragraphs)
Proposal for a regulation
Recital 6
| Text proposed by the Commission | Amendment |
|---|---|
| (6) Articles 9, 19 and 153 TFEU provide for a comprehensive framework on social inclusion, including combatting poverty and discrimination, as core objective of the Union. This aims at ensuring that all citizens have the opportunities and resources to fully participate in economic, social, and cultural life. This includes access to the labour market, equal access to facilities, services, and benefits, promoting a standard of living and well-being in line with the EU values. | (6) Articles 9, 19 and 153 TFEU provide for a comprehensive framework on social inclusion, including combatting poverty and discrimination, as core objective of the Union. This aims at ensuring that all citizens have the opportunities and resources to fully participate in economic, social, and cultural life. This includes access to the labour market, equal access to facilities, services, and benefits, promoting a standard of living, public health and well-being in line with the EU values. |
Amendment 2
Proposal for a regulation
Recital 7
| Text proposed by the Commission | Amendment |
|---|---|
| (7) The Union needs to achieve its objectives within a challenging economic, social and demographic context including persisting regional and territorial disparities, the impacts of climate change and challenges related to food security and nature protection, insufficient and uneven progress on the Union’s digital transformation, undermining efforts to strengthen the Union’s digital sovereignty as well as significant economic and social consequences. That is coupled with a challenging geopolitical and geoeconomic context that has an impact on the Union’s defence, security (including economic security) and migration policies. Effectively addressing these challenges requires a more focused, simple and impactful Union budget, to ensure the Union added value and clear alignment between Union financial support and Union policy priorities across all policy areas and management modes and to [continue efforts to] simplify rules on Union financial support. | (7) The Union needs to achieve its objectives within a challenging economic, social and demographic context including persisting regional and territorial disparities, the impacts of climate change and challenges related to food security and nature protection, insufficient and uneven progress on the Union’s digital transformation, undermining efforts to strengthen the Union’s digital sovereignty as well as significant economic and social consequences. That is coupled with a challenging geopolitical and geoeconomic context that has an impact on the Union’s defence, security (including economic security) and migration policies. Effectively addressing these challenges requires a more focused, simple and impactful Union budget, to ensure the Union added value and clear alignment between Union financial support and Union policy priorities across all policy areas and management modes and to [continue efforts to] simplify rules on Union financial support. In this context, results-oriented territorial incentive mechanisms should help to combat healthcare workforce shortages in underserved areas, including insular, peripheral and less connected regions, ensuring patient access to healthcare and strengthening primary care, long-term care and preventive services. |
Amendment 3
Proposal for a regulation
Recital 14
| Text proposed by the Commission | Amendment |
|---|---|
| (14) The support to Member States, regions and local communities in delivering on Union policy priorities and maximising efficiency maximisation of Union funding should be achieved, through the support for measures of high Union relevance linked to the most pressing challenges affecting Europe. Those challenges should be addressed by pursuing five high level objectives: Europe’s sustainable prosperity across all regions; Europe’s defence capabilities and security; supporting people, strengthening Europe’s societies and Europe’s social model; sustaining Europe’s quality of life; protecting and strengthening democracy, rule of law and upholding Union values. | (14) The support to Member States, regions and local communities in delivering on Union policy priorities and maximising efficiency maximisation of Union funding should be achieved, through the support for measures of high Union relevance linked to the most pressing challenges affecting Europe. Those challenges should be addressed by pursuing five high level objectives: Europe’s sustainable prosperity across all regions; Europe’s defence capabilities and security; supporting people, strengthening Europe’s societies and Europe’s social model; sustaining Europe’s quality of life, including improving and promoting health, well-being and healthcare, access to medicinal products, medical devices and crisis-relevant products, strengthening health systems and reducing territorial disparities in access to care; protecting and strengthening democracy, rule of law and upholding Union values. |
Amendment 4
Proposal for a regulation
Recital 14 a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (14a) A healthy population is a fundamental precondition for economic development, social cohesion, resilience and the proper functioning of democratic societies, and should therefore be supported through adequate investment across relevant Union policies. |
Amendment 5
Proposal for a regulation
Recital 14 b (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (14b) Prioritising a healthy Union is the foundation of a strong, resilient and competitive Union. The measures should focus on prevention, preparedness, early diagnostic and cross-border cooperation to protect citizens, strengthen public health, reinforce the added value of Union’s joint actions and sustain its competitiveness. Therefore, dedicated operational health programmes are essential. They must have a specific structure and envelope, secure adequate financing for health goals, measurable objectives and robust accountability. |
Amendment 6
Proposal for a regulation
Recital 14 c (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (14c) Health non-profit organisations play a key role in the provision of essential services and should be adequately supported, including through operational funding, to ensure continuity and accessibility. Increased funding is indeed needed to ensure stable and predictable support for civil society actors representing patients, healthcare workforce, and affected communities, in order to preserve their capacity to contribute effectively to the development and implementation of Union health policy objectives. |
Amendment 7
Proposal for a regulation
Recital 15
| Text proposed by the Commission | Amendment |
|---|---|
| (15) The Union’s sustainable prosperity should be supported by strengthening its industrial base and fostering the attractiveness of territories to support the right to stay, including via strategies for the integrated development of urban, rural and coastal areas and fostering European territorial cooperation. The measures should focus on the completion of the trans-European transport and energy networks, which are key for a genuine Energy Union, and decarbonisation projects, including promoting renewable energy generation, energy efficiency, storage and developing smart energy systems, domestic transmission and distribution grids, while enabling regions, sectors and people to address the impacts of the transition towards the Union’s climate target. The trans-European transport networks have to be completed by 2030 for the core network and by 2040 for the extended core network to support the green and digital transition of transport and mobility. They should also aim to promote innovative economic transformation, help achieve the 3% of GDP Research and Development target and the development and use of advanced technologies , the uptake of advanced digital solutions, including AI, secure and trusted ICT connectivity, while bridging the innovation and digital divides. The measures should help implement the recommendations issues under Article 6 of the Digital Decade Policy Programme 2030 and support digital transformation. They should also contribute to strengthening the resilience of the healthcare systems and long-term care services, support affordable housing. Measures should also support a competitive and sustainable tourism sector in the EU, aiming at balanced tourism, managing tourist flows and fostering Europe as the first tourist destination in the world. | (15) The Union’s sustainable prosperity should be supported by strengthening its industrial base and fostering the attractiveness of territories to support the right to stay, including via strategies for the integrated development of urban, rural and coastal areas and fostering European territorial cooperation. The measures should focus on the completion of the trans-European transport and energy networks, which are key for a genuine Energy Union, and decarbonisation projects, including promoting renewable energy generation, energy efficiency, storage and developing smart energy systems, domestic transmission and distribution grids, while enabling regions, sectors and people to address the impacts of the transition towards the Union’s climate target. The trans-European transport networks have to be completed by 2030 for the core network and by 2040 for the extended core network to support the green and digital transition of transport and mobility. They should also aim to promote innovative economic transformation, help achieve the 3% of GDP Research and Development target and the development and use of advanced technologies, the uptake of advanced digital solutions, including AI, secure and trusted ICT connectivity, while bridging the innovation and digital divides. The measures should help implement the recommendations issues under Article 6 of the Digital Decade Policy Programme 2030 and support digital transformation. They should also contribute to strengthening the resilience and accessibility of the healthcare systems and long-term care services through investment in essential services and resilient and sustainable infrastructure, support for digitalisation and interoperable health databases and registries. The support for strengthening health systems and infrastructure, as well as investment in health, should pay particular attention to underserved, remote and isolated areas facing difficulties in accessing these services. The measures should focus among other issues on mental health, neurological health, autism, cardiovascular diseases, cancer and other non-communicable diseases, in accordance with the one-health and exposome approaches. Furthermore, the measures should support Member States in their efforts to step up preventive healthcare and affordable housing. Measures should also support a competitive and sustainable tourism sector in the EU, aiming at balanced tourism, managing tourist flows and fostering Europe as the first tourist destination in the world. |
Amendment 8
Proposal for a regulation
Recital 15 a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (15a) The resilience of health systems and universal access to care require a significant strengthening of local healthcare infrastructure, including small community hospitals, outpatient clinics and primary care facilities. The Fund should provide for targeted investments for the modernisation and expansion of these structures, ensuring that no community is deprived of essential healthcare services because of its geographical location or population density. |
Amendment 9
Proposal for a regulation
Recital 16
| Text proposed by the Commission | Amendment |
|---|---|
| (16) In the area of the Union’s defence capabilities and security, measures should reinforce the Union’s defence industrial base and military mobility and strengthen the Unions’ preparedness, threat detection, critical energy and transport infrastructure protection and resilience and crisis response, including by strengthening cybersecurity. This should include measures to develop the dual use TEN-T infrastructure in order to allow for largescale movements of troops and heavy equipment and material at short notice. Measures should also aim to ensure high level of security in the Union, including integration measures that are consistent with the objectives set out in Regulation (EU) [...] concerning Union support for asylum including subsidiary protection, temporary protection, migration and integration, Regulation (EU) […] concerning Union support for European [integrated] border management, including functioning of the Schengen area and for European visa policy, and Regulation (EU) […] Union support for internal security. | (16) In the area of the Union’s defence capabilities and security, measures should reinforce the Union’s defence industrial base and military mobility and strengthen the Unions’ preparedness, threat detection, critical energy and transport infrastructure protection and resilience and crisis response, including by strengthening cybersecurity. This should include measures to develop the dual use TEN-T infrastructure in order to allow for largescale movements of troops and heavy equipment and material at short notice. It should also include measures to support health emergency preparedness and response. Measures should also aim to ensure high level of security in the Union, including integration measures that are consistent with the objectives set out in Regulation (EU) [...] concerning Union support for asylum including subsidiary protection, temporary protection, migration and integration, Regulation (EU) […] concerning Union support for European [integrated] border management, including functioning of the Schengen area and for European visa policy, and Regulation (EU) […] Union support for internal security. |
Amendment 10
Proposal for a regulation
Recital 17
| Text proposed by the Commission | Amendment |
|---|---|
| (17) Measures supporting people and strengthening Union’s societies and the Union’s social model should contribute to the implementation of the European Pillar of Social Rights and achieving its headline targets, in accordance with the guidelines for employment referred to in Article 148(4) TFEU, by supporting projects in the policy areas of employment and labour mobility, skills development, education, social inclusion and poverty reduction, and therefore strengthening the Union’s resilience and competitiveness. They should aim to ensure equal opportunities, equal access to the labour market, fair and quality working condition, social protection and inclusion, in particular focusing on enhancing labour supply, ensuring quality and inclusive education and training, lifelong learning and material support for the most deprived, closing existing gaps, including gender gaps. The measures should support investments in children and young people, marginalised and disadvantaged communities, third country nationals and should ensure equal access to services. They should also contribute to strengthening the resilience of the healthcare systems and long-term care services, support social and affordable housing and focus on achieving a socially fair transition towards climate neutrality, addressing the social impacts of the inclusion of greenhouse gas emissions from buildings and road transport within the scope of Directive 2003/87/EC of the European Parliament and of the Council. | (17) Measures supporting people and strengthening Union’s societies and the Union’s social model should contribute to the implementation of the European Pillar of Social Rights and achieving its headline targets, in accordance with the guidelines for employment referred to in Article 148(4) TFEU while ensuring a high level of human health protection and access to high-quality care in accordance with Article 168 TFEU, by supporting projects in the policy areas of employment and labour mobility, skills development, education, health, social inclusion and poverty reduction, and therefore strengthening the Union’s resilience and competitiveness. They should aim to ensure equal opportunities, equal access to the labour market, fair and quality working condition, social protection and inclusion, in particular focusing on enhancing labour supply, ensuring quality and inclusive education and training, lifelong learning and material support for the most deprived, closing existing gaps, including gender gaps. The measures should support investments in children and young people, marginalised and disadvantaged communities, third country nationals and should ensure equal access to services. They should also contribute to strengthening the resilience and modernisation of the healthcare systems and long-term care services, including through addressing chronic and non-communicable diseases such as cancer and cardiovascular diseases. The measures should further contribute to reducing inequalities in access to healthcare services, contribute to strengthening health emergency preparedness and response, to addressing shortages of healthcare workforce through incentives to remain in disadvantaged areas and to strengthening community-based healthcare and telemedicine. The measures should support Member States in their efforts to step up health prevention, support social and affordable housing and focus on achieving a socially fair transition towards climate neutrality, addressing the social impacts of the inclusion of greenhouse gas emissions from buildings and road transport within the scope of Directive 2003/87/EC of the European Parliament and of the Council. |
Amendment 11
Proposal for a regulation
Recital 17 a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (17a) Health should be considered a priority and a strategic investment, given its role in supporting economic resilience, labour market participation and social cohesion. Indeed, a healthy population is a fundamental prerequisite for economic development and social cohesion. Investments in the healthcare sector should be programmable, with a dedicated and visible financial allocation within national plans, ensuring that resources are effectively directed towards strengthening hospitals and other critical infrastructure, such as emergency and urgent care networks, radiotherapy and mental health services. |
Amendment 12
Proposal for a regulation
Recital 17 b (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (17b) In order to ensure the full functioning of and equitable access to healthcare services, measures should address health workforce shortages, including by supporting training and digital skills, introducing incentives and funding housing for medical staff to ensure retention in underserved areas. Measures should also support health infrastructure and specialised services, modernising ambulance fleets and establishing efficient transport systems for patients, ensuring safe and rapid access to specialised medical centres. The measures should also support radiotherapy and specialised care networks, mental health and psychology services, dedicated investments in paediatric hospitals, neonatal units and specialised child-care centres, nation-wide prevention and health literacy campaigns targeting children and schools, elderly care facilities and centres for persons with disabilities. |
Amendment 13
Proposal for a regulation
Recital 17 c (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (17c) The NRP Plan, building on the objectives of the European Health Union to better protect the health of our citizens and equipping the EU and its Member States to better prevent and address future health emergencies, should continue to support the strengthening of the EU’s and Member States preparedness for and response to health emergencies, including investment in measures strengthening health systems and infrastructure, capacity building and workforce development for health crisis preparedness and response. Measures should also be consistent with the objectives set out in Regulation (EU) 2022/2371 on serious cross-border threats to health, the Medical Countermeasures Strategy and Regulation (EU) 2022/2372 on a framework of measures for ensuring the supply of crisis-relevant medical countermeasures in the event of a public health emergency at Union level. These measures supported under the NRP plans will complement measures supported under other MFF instruments such as the European Competitiveness Fund, Horizon Europe and the Union civil protection mechanism and Union support for health emergency preparedness and response. |
Amendment 14
Proposal for a regulation
Recital 17 d (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (17d) Measures should support the creation and maintenance of national and regional stockpiles of essential medicines, medical equipment and critical supplies to ensure systemic resilience of healthcare systems. Important components for rural medicine and rural pharmacies are strong telemedicine infrastructure and digital tools to provide remote specialised consultations in remote areas, ensuring that remote communities have immediate access to essential treatments. In addition, measures should support the creation and strengthening of cross-border networks of specialists to facilitate access to high-end expertise, particularly for rare diseases and complex clinical cases, ensuring that borders are not a barrier to the best possible care. |
Amendment 15
Proposal for a regulation
Recital 17 e (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (17e) Healthcare professions are rapidly evolving. Support is therefore necessary for the training, specialisation and development of digital skills of healthcare workers, as well as for digitalisation and artificial intelligence solutions aimed at reducing the burden of certain administrative tasks and enhancing the attractiveness of healthcare professions. |
Amendment 16
Proposal for a regulation
Recital 18
| Text proposed by the Commission | Amendment |
|---|---|
| (18) Sustainable Union’s quality of life should be supported by ensuring fairer and sufficient income for farmers and their long-term competitiveness and contributing to long-term food security. The general objectives of the Fund should in respect to the CAP be defined at the Union level and implemented by the Member States through their plans. The measures should also improve the attractiveness and living standards in rural areas and fair working conditions and foster generational renewal; improve farmers’ preparedness and ability to cope with crises and risks, enhance the access to knowledge and innovation and accelerate the green and digital transition for a thriving agri-food sector. The measures should support sustainability, competitiveness and resilience of the Union fisheries and of the Union aquaculture sector, boosting the sustainable and competitive blue economy in coastal, island and inland areas, enhancing the socio-economic opportunities and the resilience of the local communities and ensuring strong ocean governance in all dimensions, with safe, secure, clean and sustainably managed ocean. They should actively enhance climate action by promoting greenhouse gas emissions reduction, supporting mitigation efforts, and facilitating adaptation to climate change impacts. They should enhance climate action, ecosystem services provision, supporting efficient water management and resilience, strengthening sustainable development, environmental protection, enhancing the conservation and restauration of biodiversity and natural resources, including soil, and improving animal welfare. To recognise the positive climate impacts of farmers and to facilitate their access to voluntary market-based incentives, the Commission and the Member States continue to work on developing carbon removals methodology and estimating greenhouse gas emissions reductions achieved by the CAP. | (18) Sustainable Union’s quality of life should be supported by ensuring fairer and sufficient income for farmers and their long-term competitiveness and contributing to long-term food security. The general objectives of the Fund should in respect to the CAP be defined at the Union level and implemented by the Member States through their plans. The measures should also improve the attractiveness and living standards in rural areas, including the development of rural medicine and rural pharmacies, in order to strengthen community-based healthcare services and ensuring immediate access to essential treatments; they should also support fair working conditions and foster generational renewal; improve farmers’ preparedness and ability to cope with crises and risks, enhance the access to knowledge and innovation and accelerate the green and digital transition for a thriving agri-food sector. The measures should support sustainability, competitiveness and resilience of the Union fisheries and of the Union aquaculture sector, boosting the sustainable and competitive blue economy in coastal, island and inland areas, enhancing the socio-economic opportunities and the resilience of the local communities and ensuring strong ocean governance in all dimensions, with safe, secure, clean and sustainably managed ocean. They should actively enhance climate action by promoting greenhouse gas emissions reduction, supporting mitigation efforts, and facilitating adaptation to climate change impacts. They should enhance climate action, ecosystem services provision, supporting efficient water management and resilience, strengthening sustainable development, protecting in particular public health through environmental protection, enhancing the conservation and restauration of biodiversity and natural resources, including soil, and improving animal welfare, and the One Health approach. To recognise the positive climate impacts of farmers and to facilitate their access to voluntary market-based incentives, the Commission and the Member States continue to work on developing carbon removals methodology and estimating greenhouse gas emissions reductions achieved by the CAP. |
Amendment 17
Proposal for a regulation
Recital 22
| Text proposed by the Commission | Amendment |
|---|---|
| (22) Since the objectives of this Regulation cannot be sufficiently achieved by the Member States but can rather – by reason of the extent and specificities of some the aforementioned challenges – be better achieved at Union level, the Union may adopt measures in accordance with the principle of subsidiarity as set out in Article 5 of the Treaty on European Union (TEU). In accordance with the principle of proportionality as set out in that Article, this Regulation does not go beyond what is necessary to achieve those objectives. Regions will remain at the centre of the Fund with the partnership principle and multi-level governance as the underlying elements. To ensure continuity, the Fund will build as much as possible on existing pro structures with regional and local authorities, social partners, and other relevant stakeholders playing a key role in the design, management, implementation and monitoring of the supported measures under the Fund. | (22) Since the objectives of this Regulation cannot be sufficiently achieved by the Member States but can rather – by reason of the extent and specificities of some the aforementioned challenges – be better achieved at Union level, the Union may adopt measures in accordance with the principle of subsidiarity as set out in Article 5 of the Treaty on European Union (TEU). In accordance with the principle of proportionality as set out in that Article, this Regulation does not go beyond what is necessary to achieve those objectives. Regions will remain at the centre of the Fund with the partnership principle and multi-level governance as the underlying elements. To ensure continuity, the Fund will build on existing national, regional and local pro structures in the current programming period, and consultation of regional and local authorities, social partners, and other relevant stakeholders playing a key role in the design, management, implementation and monitoring of the supported measures under the Fund. The Plans will contain regional chapters, in accordance with each country's institutional, legal and financial frameworks, and must always respect the competences of the various regional or local bodies in the Member State concerned. This also applies to the plans dedicated chapters on health, which may be set out in regional chapters, provided that they have such competences in the Member State concerned. |
Amendment 18
Proposal for a regulation
Recital 25
| Text proposed by the Commission | Amendment |
|---|---|
| (25) The NRP Plans aim to ensure high value for money by making payments from the Commission to Member States conditional upon the achievement of outputs and the fulfilment of conditions agreed, irrespective of the form of reimbursement from Member States to beneficiaries. Linking disbursements with agreed and pre-set milestones, targets and outputs covering the full lifespan of the supported measure will contribute to the regularity of payments to Member States. To facilitate this process, Member States should be able to submit payment applications up to six times a year. To simplify financing and reduce administrative burden for beneficiaries, Member States are encouraged to use the same form of reimbursement applied for payments from the Commission to Member State or standard scales of unit costs, lump sums or flat rates. | (25) Union funding shall primarily support investments which deliver measurable and lasting impacts by making payments from the Commission to Member States conditional upon the achievement of outputs and the fulfilment of conditions agreed, but also taking into account social, territorial, health and environmental results achieved, irrespective of the form of reimbursement from Member States to beneficiaries and taking into account the specific nature of structural investments, the effects of which may only become apparent over a longer period. Linking disbursements with agreed and pre-set milestones, targets and outputs covering the full lifespan of the supported measure will contribute to the regularity of payments to Member States. To facilitate this process, Member States should be able to submit payment applications up to six times a year. To simplify financing and reduce administrative burden for beneficiaries, Member States are encouraged to use the same form of reimbursement applied for payments from the Commission to Member State or standard scales of unit costs, lump sums or flat rates. |
Amendment 19
Proposal for a regulation
Recital 27
| Text proposed by the Commission | Amendment |
|---|---|
| (27) This Regulation should include strong safeguards to ensure that the Fund is implemented in a way that ensures respect with the rights, freedoms and principles set out in the Charter of Fundamental Rights of the European Union and of the principles of the rule of law as set out in Article 2(a) of Regulation (EU, Euratom) 2020/2092 of the European Parliament and of the Council2 . Therefore, as part of the validation process of their NRP Plans, Member States should provide assurance on the fulfilment of these two horizontal conditions, with an identification of potential deficiencies and remedial actions based, in particular, on the country-specific challenges identified in the context of the Rule of Law Report and European Semester, as well as infringement proceedings and judgments of the Court of Justice of the European Union. All Member States should be required to review their NRP Plans halfway through implementation, as part of the mid-term review, to address any new deficiencies identified, in particular, in the context of the latest Rule of Law Report. At any time during the implementation and following exchanges with the Member State concerned, there should be a possibility to block part or all of the payments made to a Member State if one or more of the Rule of Law and Charter horizontal conditions is not fulfilled. With due regard to the principle of proportionality, the determination of the non-fulfilment and identification of the specific measures concerned should take into account the actual or potential impact of the non-fulfilment on the sound financial management of the Union budget or on the financial interests of the Unions as well as the nature, duration, gravity and scope of the breach. | (27) This Regulation should include strong safeguards to ensure that the Fund is implemented in a way that ensures respect for social inclusion, fundamental rights, rights of persons with disabilities, gender equality and non-discrimination. It should respect rights, freedoms and principles set out in the Charter of Fundamental Rights of the European Union and of the principles of the rule of law as set out in Article 2(a) of Regulation (EU, Euratom) 2020/2092 of the European Parliament and of the Council2 and the United Nations Conventions on the Rights of Persons with Disabilities (UNCRPD). Therefore, as part of the validation process of their NRP Plans, Member States should provide assurance on the fulfilment of these two horizontal conditions, with an identification of potential deficiencies and remedial actions based, in particular, on the country-specific challenges identified in the context of the Rule of Law Report and European Semester, as well as infringement proceedings and judgments of the Court of Justice of the European Union. Member States should all ensure that stakeholders can meaningfully contribute and give feedback at all stages of the NRP Plans, in line with the principle of partnership and multi-level governance. All Member States should be required to review their NRP Plans halfway through implementation, as part of the mid-term review, to address any new deficiencies identified, in particular, in the context of the latest Rule of Law Report. At any time during the implementation and following exchanges with the Member State concerned, there should be a possibility to block part or all of the payments made to a Member State if one or more of the Rule of Law and Charter horizontal conditions is not fulfilled. With due regard to the principle of proportionality, the determination of the non-fulfilment and identification of the specific measures concerned should take into account the actual or potential impact of the non- fulfilment on the sound financial management of the Union budget or on the financial interests of the Unions as well as the nature, duration, gravity and scope of the breach. |
| 2 Regulation (EU, Euratom) 2020/2092 of the European Parliament and of the Council of 16 December 2020 on a general regime of conditionality for the protection of the Union budget (OJ L 433I, 22.12.2020, p. 1, ELI: http://data.europa.eu/eli/reg/2020/2092/oj) | 2 Regulation (EU, Euratom) 2020/2092 of the European Parliament and of the Council of 16 December 2020 on a general regime of conditionality for the protection of the Union budget (OJ L 433I, 22.12.2020, p. 1, ELI: http://data.europa.eu/eli/reg/2020/2092/oj) |
Amendment 20
Proposal for a regulation
Recital 31
| Text proposed by the Commission | Amendment |
|---|---|
| (31) The Plan should ensure complementarity and synergies between different measures supporting different policy areas and targeting different groups of beneficiaries. This is particularly important to offer a comprehensive policy response to develop thriving rural and coastal areas and ensure vibrant agricultural and fisheries sectors. Member States are in particular encouraged to promote such synergies in the design of the measures and chapters and in the application of the cofinancing rates. For measures supporting basic services and infrastructure in rural and coastal areas as well as rural and coastal businesses, Member States should developed an integrated planning to ensure that rural and coastal communities have access to finance through appropriate mechanisms, including policy actions to specific; mechanisms and governance structures to coordinate the programming and implementation of EU, national, regional and local policies, the programming of locally and regionally integrated funding approaches, taking into account the specific context and capacities of the target beneficiaries, the creation of capacity building targeting both the administrations and the beneficiaries. The NRP Plan should set out the detailed set of measures and arrangements for its monitoring and implementation, including establishing NRP Plan authorities, monitoring and coordinating committee, the estimated costs of those measures and the national contribution and measures to enhance the quality of governance and reinforce the administrative capacity of public administrations. Close cooperation between the Commission, the Member States and their regions should be sought and achieved throughout the process; policy learning and experimentation should be encouraged. | (31) The Plan should ensure complementarity and synergies between different measures supporting different policy areas and targeting different groups of beneficiaries, in particular those in vulnerable situations or at risk of poverty, while addressing health inequalities and the health impacts of environmental and socio-economic conditions. This is particularly important to offer a comprehensive policy response to develop thriving rural and coastal areas, protect and improve public health, and ensure quality jobs, integration in the labour market, a fair economy and a transition for key sectors, including vibrant agricultural and fisheries sectors. Member States are in particular encouraged to promote such synergies in the design of the measures and chapters and in the application of the cofinancing rates. For measures supporting basic services and infrastructure in rural and coastal areas as well as rural and coastal businesses, Member States should developed an integrated planning to ensure that rural and coastal communities have access to finance through appropriate mechanisms, including policy actions to specific; mechanisms and governance structures to coordinate the programming and implementation of EU, national, regional and local policies, the programming of locally and regionally integrated funding approaches, taking into account the specific context and capacities of the target beneficiaries, the creation of capacity building targeting both the administrations and the beneficiaries. The NRP Plan should set out the detailed set of measures and arrangements for its monitoring and implementation, including establishing NRP Plan authorities, monitoring and coordinating committee, the estimated costs of those measures and the national contribution and measures to enhance the quality of governance and reinforce the administrative capacity of public administrations. Close cooperation between the Commission, the Member States and their regions should be sought and achieved throughout the process; policy learning and experimentation should be encouraged. |
Amendment 21
Proposal for a regulation
Recital 47 a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (47a) Outermost and mountainous regions and remote islands are characterised by specific structural features in their healthcare systems, including a lower density of hospital infrastructure, a higher dependence on external supplies of medicinal products, and increased exposure to diseases associated with climatic and environmental conditions. Therefore, targeted support should be ensured, including through specific measures, to guarantee equitable access to healthcare services and treatment, reflecting the specific needs and capacities of those regions. |
Amendment 22
Proposal for a regulation
Recital 57
| Text proposed by the Commission | Amendment |
|---|---|
| (57) In order to significantly simplify procedures and reduce administrative burden for recipients, Member States and the Commission while providing robust safeguards on the regular and effective use of Union funds, the NRP Plans should embed measures to facilitate implementation, both in their design and implementation as and in monitoring provisions. Such elements should comprise, for instance, providing technical assistance and support to Member States, limiting audit duplications through the application of the single audit approach and moving away from invoice checks to focus on actual results. The national audit authorities and the Commission should not be expected, in that respect, to verify the underlying costs of the operations for the purpose of their audit work. With a view to simplification, technical assistance should be provided throughout implementation via a flat-rate applicable to all payments. The Fund should also provide for sufficient flexibility, whether via streamlined procedures for the amendments of the Plans or better responsiveness to unpredicted crises via multiple mechanisms that allow for mobilising resources for such events, such as revision of the Plan, the flexibility amount or access to the Facility. The Fund should also allow Member States to decide themselves which milestones and targets should be submitted in each payment application on the basis of their respective pace of implementation. With a view to ensuring regular disbursements and the timely delivery of Union objectives on the ground, an annual decommitment rule should ensure that Member States submit regular payment applications for sufficiently substantial amounts. | (57) In order to significantly simplify procedures and reduce administrative burden for recipients, Member States and the Commission while providing robust safeguards on the regular and effective use of Union funds, the NRP Plans should embed measures to facilitate implementation, both in their design and implementation as and in monitoring provisions. Such elements should comprise, for instance, providing technical assistance and support to Member States, limiting audit duplications through the application of the single audit approach and moving away from invoice checks to focus on actual results. The national audit authorities and the Commission should not be expected, in that respect, to verify the underlying costs of the operations for the purpose of their audit work. With a view to simplification, technical assistance should be provided throughout implementation via a flat-rate applicable to all payments. The Fund should also provide for sufficient flexibility, whether via streamlined procedures for the amendments of the Plans or better responsiveness to unpredicted crises via multiple mechanisms that allow for mobilising resources for such events, such as revision of the Plan, the flexibility amount or access to the Facility. The Fund should also allow Member States to decide themselves which milestones and targets should be submitted in each payment application on the basis of their respective pace of implementation. With a view to ensuring regular disbursements and the timely delivery of Union objectives on the ground, an annual decommitment rule should ensure that Member States submit regular payment applications for sufficiently substantial amounts. This is particularly important for health-related measures, where implementation should remain proportionate and avoid unnecessary administrative burden so that funding is efficiently directed towards health services and outcomes. |
Amendment 23
Proposal for a regulation
Article 2 – paragraph 1 – point a
| Text proposed by the Commission | Amendment |
|---|---|
| (a) to reduce regional imbalances in the Union and the backwardness of the least favoured regions and promote European territorial cooperation in accordance with Part Three, Title XVIII of the TFEU, including supporting projects in the area of environment and trans-European networks in the area of transport infrastructure in accordance with Article 177(2) TFEU (‘European Regional Development Fund and Cohesion Fund’); | (a) to reduce regional imbalances in the Union and the backwardness of the least favoured regions and promote European territorial cooperation in accordance with Part Three, Title XVIII of the TFEU, including supporting projects in the area of environment, health, education and trans-European networks in the area of transport infrastructure in accordance with Article 177(2) TFEU (‘European Regional Development Fund and Cohesion Fund’); |
Amendment 24
Proposal for a regulation
Article 2 – paragraph 1 – point b a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (ba) to support a high level of human health protection aimed at improving public health and preventing physical and mental illness and diseases, in accordance with Article 168(1) TFEU; |
Amendment 25
Proposal for a regulation
Article 3 – paragraph 1 – point a – point i
| Text proposed by the Commission | Amendment |
|---|---|
| (i) fostering the attractiveness of territories to support the right to stay including by supporting strategies for the integrated development of urban and rural areas, including support for territorial services and infrastructure; | (i) by enhancing the attractiveness of territories in order to support the right to remain, in particular by supporting strategies for the integrated development of urban and rural areas, including support for territorial services and infrastructure, particularly in the fields of health and education; |
Amendment 26
Proposal for a regulation
Article 3 – paragraph 1 – point a – point i a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (ia) supporting excellence, coordination and the sharing of best practices in health, including rare diseases and cancer research, and innovation across and between all Member States and regions; |
Amendment 27
Proposal for a regulation
Article 3 – paragraph 1 – point a – point vii a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (viia) strengthening the resilience of healthcare systems and long-term care services, including by addressing health workforce shortages and supporting training, retention and mobility of healthcare workforce; |
Amendment 28
Proposal for a regulation
Article 3 – paragraph 1 – point b – subparagraph 1 – point iii a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (iiia) reinforcing the Union’s preparedness for health emergencies by strengthening the resilience of healthcare systems and emergency preparedness capacities, including by supporting structural measures; |
Amendment 29
Proposal for a regulation
Article 3 – paragraph 1 – point c – point iv
| Text proposed by the Commission | Amendment |
|---|---|
| (iv) facilitating access to services and associated infrastructure, including modernization, digitalization and strengthening the quality and resilience of healthcare systems, child and long-term care services; | (iv) supporting investments in healthcare infrastructure and facilitating and strengthening access to healthcare services and associated infrastructure, including modernization of emergency and clinical transport, equipment, specialised services, health literacy, digitalization, including through expanding telemedicine infrastructure, and strengthening the quality, innovativeness, efficiency and sustainability of healthcare systems, including primary healthcare and prevention capabilities, cross-border cooperation and resilience of healthcare systems, mental health support, support for people with disabilities, palliative care, childcare, long-term care services and services for older persons, particularly in underserved areas, including through the strengthening of home-care networks and community-based welfare, fostering the reduction of social and geographical inequalities; |
Amendment 30
Proposal for a regulation
Article 3 – paragraph 1 – point c – point iv a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (iva) supporting equitable and accessible health care systems and public services to foster social cohesion by addressing inequalities in access to quality and timely healthcare facilities, including by reducing territorial health inequalities, in particular between urban and rural areas and in underserved areas, including insular, peripheral and less connected regions, through integrated investments in healthcare infrastructure, in particular by enhancing territorial healthcare networks, workforce distribution, digital health services and access to specialised care, and strengthening the resilience of healthcare systems through the availability of essential medicines, medical equipment and emergency preparedness capacities; |
Amendment 31
Proposal for a regulation
Article 3 – paragraph 1 – point c – point iv b (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (ivb) supporting the functional digitalisation and interoperability of health systems, secure data exchange, interoperable electronic health records in line with the European Health Data Space, telemedicine and digital tools aimed at reducing administrative burden on healthcare professionals and improving continuity of care; supporting health research and innovation, including the responsible use of artificial intelligence in healthcare systems, in particular for prevention, early diagnosis, personalised care and more efficient service delivery, while ensuring appropriate safeguards for patient safety, human oversight, data protection, transparency and non-discrimination; |
Amendment 32
Proposal for a regulation
Article 3 – paragraph 1 – point d – point iii
| Text proposed by the Commission | Amendment |
|---|---|
| (iii) improving the attractiveness and living standards, including access to healthcare, in rural areas and fair working conditions and fostering generational renewal; improving farmers’ preparedness and ability to cope with crises and risks; enhancing the access to knowledge and innovation and accelerating the digital and green transition for a thriving agri-food sector; | (iii) supporting prevention in health, improving the attractiveness and living standards, including access to healthcare, community pharmacy services and health promotion, in rural areas and fair working conditions and fostering generational renewal; supporting the integration of multidisciplinary care teams into healthcare systems, through relevant care frameworks and protocols, to improve patient support, continuity of care, treatment and rehabilitation; improving farmers’ preparedness and ability to cope with crises and risks; enhancing the access to knowledge and innovation and accelerating the digital and green transition for a thriving agri-food sector as well as promoting balanced healthy diets and disease prevention; |
Amendment 33
Proposal for a regulation
Article 3 – paragraph 1 – point d – point iii a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (iiia) supporting national and regional strategies for quality of care and patient safety, including measurable indicators on access, quality, safety, continuity of care and health outcomes; |
Amendment 34
Proposal for a regulation
Article 3 – paragraph 1 – point d – point v
| Text proposed by the Commission | Amendment |
|---|---|
| (v) enhancing sustainable agriculture and forestry management practices to promote resilient climate action, provision of multiple ecosystem services, supporting efficient water management, quality and resilience, the implementation of nature-based solutions, strengthening sustainable development, environmental protection, enhancing the conservation and restoration of biodiversity, soil and natural resources, and improving animal welfare. | (v) enhancing sustainable agriculture and forestry management practices to promote resilient climate action, provision of multiple ecosystem services, supporting efficient water management, quality and resilience, including access to safe water, sanitation and hygiene infrastructure in healthcare facilities, educational institutions and vulnerable communities, through water safety plans, digital hygiene monitoring and investments to prevent healthcare-associated infections, the implementation of nature-based solutions, strengthening sustainable development, environmental protection, enhancing the conservation and restoration of biodiversity, soil and natural resources, and improving human health and animal welfare , in accordance with the One Health approach, enabling the systematic, secure, and interoperable linkage of health and environmental datasets. |
Amendment 35
Proposal for a regulation
Article 3 – paragraph 1 – point e – point i
| Text proposed by the Commission | Amendment |
|---|---|
| (i) sustaining and further developing open, rights-based, democratic, equal and inclusive societies, including by building civil society and social partners’ capacities to uphold Union values, citizenship education and youth participation; | (i) sustaining and further developing open, rights-based, democratic, equal and inclusive societies, including by building civil society and social partners’ capacities to uphold Union values, citizenship education and youth participation, and by supporting the role of non-profit organisations in public health and democratic participation; supporting the contribution of non-profit entities and philanthropic initiatives to the construction, development, renovation and equipment of public healthcare infrastructure, including through the mobilisation of private funding for public benefit, where this improves access to quality care; |
Amendment 36
Proposal for a regulation
Article 6 – paragraph 1 – point c
| Text proposed by the Commission | Amendment |
|---|---|
| (c) relevant bodies representing civil society, such as environmental partners, non-governmental organisations, youth organisations, and bodies responsible for promoting social inclusion, fundamental rights, rights of persons with disabilities, gender equality and non-discrimination, national human rights institutions and organisations; | (c) relevant bodies representing civil society, such as environmental partners, non-governmental organisations, consumer and public health organisations and associations, youth organisations, and bodies responsible for promoting social inclusion, fundamental rights, rights of persons with disabilities, gender equality and non-discrimination, national human rights institutions and organisations; |
Amendment 37
Proposal for a regulation
Article 10 – paragraph 2 – point a – point iii a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (iiia) At least EUR 20 000 000 000 for health priorities. |
Amendment 38
Proposal for a regulation
Article 22 – paragraph 2 – subparagraph 1 – point -a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (-a) include a dedicated chapter on health, addressing healthcare system resilience, preventing drug shortages by financing projects that have been selected as strategic under Regulation (EU) 2026/… (2025/0102(COD) - Critical Medicines Act), addressing workforce challenges and access to care, including territorial disparities, with measurable milestones and targets and corresponding financial allocations, defined in close cooperation with regional and local authorities and including, where relevant, screening programmes, disease registries and the use of health data for prevention, early detection, personalised treatment and rehabilitation for cardiovascular diseases (CVD) in line with existing and future National Cardiovascular Health Plans as called upon in the EU Safe Hearts Plan, which shall be implemented through dedicated programmes at national level; |
Amendment 39
Proposal for a regulation
Article 22 – paragraph 2 – subparagraph 1 – point a
| Text proposed by the Commission | Amendment |
|---|---|
| (a) support the general objectives laid down in Article 2 and contribute in a comprehensive and adequate manner to all the specific objectives laid down in Article 3, taking into account the specific challenges of the Member State concerned, and provide an intervention strategy demonstrating how those objectives will be addressed and financed by the Plan, what level of financing is needed to ensure achievement of the general objectives, and how that level of financing is justified. The NRP Plan of Member State with a per capita GNI of less than 90 % of the Union average shall in particular demonstrate that it contributes in an adequate manner to the specific objectives set out in Article 3(a), points (vii) and (ix), and Article 3(d), point (v). | (a) support the general objectives laid down in Article 2 and contribute in a comprehensive and adequate manner to all the specific objectives laid down in Article 3, taking into account the specific challenges of the Member State concerned, and provide an intervention strategy demonstrating how those objectives will be addressed and financed by the Plan, what level of financing is needed to ensure achievement of the general objectives, and how that level of financing is justified. The NRP Plan of Member State with a per capita GNI of less than 90 % of the Union average shall in particular demonstrate that it contributes in an adequate manner to the specific objectives set out in Article 3(a), points (vii) and (ix), and Article 3(d), point (v), as well as addressing regional health disparities. |
Amendment 40
Proposal for a regulation
Article 22 – paragraph 2 – subparagraph 2 – point f a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (fa) allocate resources to foster access to care and services, address workforce shortages, establish high-quality healthcare systems, particularly in cancer prevention and care, through investment in vaccination and screening programs, medical infrastructure and supplies, as well as health information systems; |
Amendment 41
Proposal for a regulation
Article 22 – paragraph 2– subparagraph 2 – point r a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (ra) ensure that Union health priorities are effectively translated into concrete and financed measures at national and regional level and that health-related investments are clearly identifiable and traceable within the Plans, providing transparency, visibility and accountability of funding, linking them to measurable outcomes, including improved access to care, reduced health inequalities and strengthened resilience of healthcare systems, responsiveness to health crises and ensuring that health-related measures take into account Country-Specific Recommendations under the European Semester. |
Amendment 42
Proposal for a regulation
Article 46 – paragraph 1 – point a
| Text proposed by the Commission | Amendment |
|---|---|
| (a) Providing for their specific needs and challenges, such as food security, housing, sustainable transport, water and waste management, energy, employment and labour mobility, in particular for young people, decarbonisation, circularity, education and skills, social inclusion, migration, climate change resilience and adaptation, environmental protection, blue economy, access to healthcare, energy, sustainable transport and digital connectivity and economic development, including a sustainable and diversified blue economy; | (a) Providing for their specific needs and challenges, such as food security, housing, sustainable transport, water and waste management, energy, employment and labour mobility, in particular for young people, decarbonisation, circularity, education and skills, social inclusion, migration, climate change resilience and adaptation, environmental protection, blue economy, access to comprehensive healthcare and public health infrastructure, energy, sustainable transport and digital connectivity and economic development, including a sustainable and diversified blue economy; |
Amendment 43
Proposal for a regulation
Article 62 – paragraph 2
| Text proposed by the Commission | Amendment |
|---|---|
| 2. Member States shall make use of their control and enforcement systems in the areas of climate and environment, public health, plant health and animal welfare, social and employment legislation, applicable labour standards, fisheries and aquaculture to ensure that beneficiaries of the support comply with the requirements set out in the first paragraph. | 2. Member States shall make use of their control and enforcement systems in the areas of climate and environment, public health, occupational health and safety, plant health and animal welfare, social and employment legislation, applicable labour standards, fisheries and aquaculture to ensure that beneficiaries of the support comply with the requirements set out in the first paragraph. |
Amendment 44
Proposal for a regulation
Article 74 – paragraph 1 – point b
| Text proposed by the Commission | Amendment |
|---|---|
| (b) community-led local development, including LEADER, and other citizens-led initiatives; | (b) community-led local development, including LEADER, and other citizens-driven initiatives, including to support health-related initiatives, such as primary care access, preventive services, telemedicine and healthcare workforce retention in rural and underserved areas; |
Amendment 45
Proposal for a regulation
Annex V – Part 1.5 – point g)
| Text proposed by the Commission | Amendment |
|---|---|
| g) The specific needs and challenges of rural areas, especially those suffering from structural problems such as a lack of attractive employment opportunities, skill shortages, underinvestment in broadband and connectivity, digital and other infrastructures and essential services, as well as youth drain by strengthening the socio-economic fabric in those areas, in particular though job creation, support for young people and generational renewal; | g) The specific needs and challenges of rural areas, especially those suffering from structural problems such as a lack of attractive employment opportunities, skill shortages, underinvestment in broadband and connectivity, digital and other infrastructures and essential services, access to healthcare services, as well as youth drain by strengthening the socio-economic fabric in those areas, in particular though job creation, support for young people and generational renewal; |
Amendment 46
Proposal for a regulation
Annex V – Part 1.7 –point d a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| da) Strengthening health resilience and access to care |
Amendment 47
Proposal for a regulation
Annex VI – paragraph 1 – point d a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (da) to strengthen timely access to affordable, preventive, curative and palliative health care of good quality and protect citizens by investing in prevention, preparedness, early diagnostic and cross-border cooperation, including screening programmes to detect cardiovascular diseases risk factors, disease registries, vaccination against respiratory infections as a preventive measure for CVD, addressing healthcare workforce shortages, supporting training and skills, supporting mental health, disability and palliative care, and strengthening health system resilience; |
Amendment 48
Proposal for a regulation
Annex VI – paragraph 1 – point d b (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (db) to strengthen health promotion and disease prevention by addressing all determinants of health, reducing inequalities in access to care, including oncology, and tackling disparities in rare diseases and cancer outcomes across Member States. |
Amendment 49
Proposal for a regulation
Annex XV – point 1 – point c a (new)
| Text proposed by the Commission | Amendment |
|---|---|
| (ca) support pressing needs in health infrastructure, in particular emergency services, radiotherapy and specialised care networks, mental health and psychology services, dedicated investments in childcare services, prevention and health literacy campaigns targeting children and schools, elderly care facilities and centres for persons with disabilities; |
Amendment 50
Proposal for a regulation
Annex XV – point 1 – point g
| Text proposed by the Commission | Amendment |
|---|---|
| (g) promote a common policy in the areas of health and safety for humans, animals and plants, and animal welfare, including to support measures for the eradication, control and surveillance of animal diseases, zoonoses and plant pests, measures aiming to address antimicrobial resistance, sustainable food production and consumption, and to provide for Union-wide measures to ensure a uniform and reliable implementation of those policies; | (g) promote a common policy in the areas of health and safety for humans, animals and plants, and animal welfare, including to support measures for the prevention, eradication, control and surveillance of non-communicable diseases, animal diseases, zoonoses and plant pests, measures aiming to address antimicrobial resistance, sustainable food production and consumption, and to provide for Union-wide measures to ensure a uniform and reliable implementation of those policies; |
Annex: declaration of input 1 paragraph
The rapporteur for opinion declares under his exclusive responsibility that he did not include in his opinion input from interest representatives falling within the scope of the Interinstitutional Agreement on a mandatory transparency register, or from representatives of public authorities of third countries, including their diplomatic missions and embassies, to be listed in this Annex pursuant to Article 8 of Annex I to the Rules of Procedure.
Procedure pages
How the committees handled the text, and how their members voted on it.
Procedure – committee asked for opinion 1 paragraph
| Title | Establishing the European Fund for economic, social and territorial cohesion, agriculture and rural, fisheries and maritime, prosperity and security for the period 2028-2034 | ||
| References | COM(2025)0565 – C10-0179/2025 – 2025/0240(COD) | ||
| Committee(s) responsible Date announced in plenary | BUDG 23.10.2025 | REGI 23.10.2025 | AGRI 23.10.2025 |
| Opinion by Date announced in plenary | SANT 23.10.2025 | ||
| Rapporteur for opinion Date appointed | Victor Negrescu 23.2.2026 | ||
| Discussed in committee | 23.4.2026 | ||
| Date adopted | 24.6.2026 | ||
| Result of final vote | +: –: 0: | 34 3 4 |
Final vote by roll call by the committee asked for opinion 3 paragraphs
34 · For
- ECR
- Carlo Ciccioli, Michele Picaro, Ruggero Razza, Aurelijus Veryga
- No group
- Monika Beňová, Kateřina Konečná
- EPP
- Hildegard Bentele, Michalis Hadjipantela, Sérgio Humberto, Adam Jarubas, Marie-Sophie Lanig, Letizia Moratti, Elena Nevado del Campo, Jessica Polfjärd, Manuela Ripa, Oliver Schenk, Tomislav Sokol
- Renew
- Stine Bosse, Veronika Cifrová Ostrihoňová, Jérémy Decerle
- S&D
- Vytenis Povilas Andriukaitis, Christophe Clergeau, Nicolás González Casares, Romana Jerković, Victor Negrescu, Nikos Papandreou, Günther Sidl, Tiemo Wölken
- The Left
- Sebastian Everding, Catarina Martins, Dario Tamburrano
- Greens
- Martin Häusling, Ignazio Roberto Marino, Tilly Metz
3 · Against
- ESN
- Christine Anderson
- Patriots
- Valérie Deloge, Gerald Hauser
4 · Abstained
- ECR
- Emmanouil Fragkos
- Patriots
- Laurent Castillo, Viktória Ferenc, Tomáš Kubín