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European Communities' GATS Commitments - Health Services and Social Services

2008-07-02 From: WTO

Modes of supply:             1)    Cross border supply         2)    Consumption abroad           3)    Commercial presence          4)    Presence of natural persons

Sector or subsector

Limitations on market access

Limitations on national treatment

Additional commitments

8.HEALTH SERVICES AND SOCIAL SERVICES

 

 

 

A.Hospital Services

(CPC 9311)

1)Unbound

 

2)None

1)Unbound

 

2)None

 

 

3)B:  The number of beds and use of heavy medical equipment is limited on the basis of a health plan.  The needs test is in function of the degree of specialization, their capacity and equipment.  The criteria are fixed, arithmetical rules or formulae designed to calculate the needs in function of the population, age scale, death rate and geographical spread.

 

F, I, L:  The number of beds authorized is limited by a health services plan established on the basis of needs.

 

F, I, L, P:  Equipment of heavy material is limited by a health services plan established on the basis of needs.

 

I:  Private health and sanitary services need authorization by local health authorities.  Criteria are based on a ratio in function of population.

3)None

 

 

NL:  Quantitative economic needs test fixed by a health plan allowing for a maximum number of beds related to the population of each health region.

 

E:  Prior authorization is required by the "Comunidades Autónomas" based on an economic needs test taking into account the population and already existing health services in the given health regions.

 

 

 

4)Unbound except as indicated in the horizontal section and subject to the following specific limitations:

 

F:  Access to management functions is subject to prior authorization.  In granting the authorization conditions such as professional experience and skills, availability of local managers and degree of specialization required, are taken into consideration.

 

GR:  Condition of nationality for public hospitals.

4)Unbound except as indicated in the horizontal section

 

C.Social Services

 

Convalescent and

Rest Houses, Old People's Homes

 

 

1)Unbound

 

2)None

 

3)F:  Provision of services is permitted by the competent authorities according to local needs.

 

4)Unbound except as indicated in the horizontal section and subject to the following specific limitations:

 

F:  Access to management function is subject to prior authorization.  In granting the authorization conditions such as professional experience and skills, availability of local managers and degree of specialization required, are taken into consideration.

 

 

1)Unbound

 

2)None

 

3)None

 

 

 

4)Unbound except as indicated in the horizontal section