EU competences in the fields of health and health care - Treaty provisions that might affect health and health care

5 important questions on EU competences in the fields of health and health care - Treaty provisions that might affect health and health care

Since the Lisbon treaty there is an intertwinement of legislative and executive functions, what does that mean?

Basic position
  • EC: proposes legislation
  • Council and EP: decide

Co-decision procedure has become ordinary procedure
  • art. 289 and 294 TFEU
  • EP had become co-legislator in many areas
  • shift to qualified majority voting

An array of EU regulatory and executive agencies operate in ... ?

Determination, administration & application of EU law

Which are the competences of the EU in health after Lisbon IN PART 1 of the TFEU?

  • Exclusive competences: NON regarding health
  • Shared competences:  only in common safety concerns in public health matters, limited to the aspects defined in the TFEU (art. 4(2) TFEU)
    • art. 168 (4): EU can take harmonizing measures for a limited list of topics
  • Coordinative competences: competent for coordinating, complementary or supporting action in the protection and improvement of human health
    • art. 6 a TFEU
    • there can be no harmonization in this regard
    • remains the competence of MS
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Which distinction is made and why?

Distinction between
  • public health
  • organization of the health care system: up to MS

What other directive was established based on the internal-market provision?

A directive from 2001 that requires specified warnings on packaging and sets maximum tar, nicotine, ..yields for cigarettes
  • was it possible for the EU to adopt this directive?
  • CJEU: the internal-market provision was the right legal basis
  • if the conditions for recourse to art. 114 are fulfilled, public health may be a decisive factor
  • this directive ensures free movement of goods complying with its provisions

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