Internationaal perspectief

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Third Autumn Workshop of the European Society
for Quality in Healthcare The Value of European
Collaboration Brussels 30 November 2001 Benno
van Beek Project manager ESQH
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Institutions of the European Union and healthcare
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Article 4 of the Treaty EU The tasks entrusted
to the Community shall be carried out by the
following institutionsa EUROPEAN Parliamenta
COUNCILa COMMISSIONa COURT OF JUSTICEa COURT
OF AUDITORS
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Each institution shall act within the limits of
the powers conferred upon it by this Treaty
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The European Parliament (EP)Represents the
peoples of the States brought together in the
European Community. Election by direct
universal suffrage MEPs elected for a period of
5 years.Seat Strasbourg and Brussels
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Groups in EP1. European Peoples Party
(christian-democratsEuropean democrats)2.
Party of European socialists3. European
Liberal, Democrat and Reform Party4.
Greens/European Free Alliance5. Confederal
Group of European United Left/Nordic Green Left
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EP Groups (cont.)6.Union for Europe of the
Nations Group7.Europe of Democracies and
Diversities8.Non-attachedTotal number of
MEPs 626
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EP (cont.)Legislative powers-Co decision
Adam, incl. amendments-Consultation certain
areas-Cooperation Mtricht-Assent
StructureCohesion funds-Right of Initiative
ask for proposal
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EP (cont.)-Budget right-Investiture of the
Commission-Motion of censure
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EP (cont.)17 parliamentary Committees such
as-Committee Environment, Public health and
consumer policy-Committee Employment and Social
Affairs5 temporary committees-human genetics
-appointment of a rapporteur
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The EP has steadily acquired greater influence
and power through a series of treaties. The
treaties, particularly the 1992 Maastricht Treaty
and the 1997 Amsterdam Treaty, have transformed
the European Parliament from a purely
consultative assembly into a legislative
parliament.
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European Council Composition- Heads of State
or Government of the Member States - President
of the Commission assisted by the Foreign
Ministers and a Member of the Commission.
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European Council (cont.)Tasks-Defining
approaches to further the construction of Europe
-Issuing guidelines for Community action and
political cooperation -Initiating cooperation
in new areas -Expressing the common position in
questions of external relations.
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European Council (cont.)-Source of a general
political impetus rather than a decision-making
body in the legal sense. -Intergovernmental
body, takes decisions with complete independence
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Different types of Councils-Agriculture
Council-Internal Market Council -Health
Counciletc.-Ministers authorized to commit
government of MS-All councils meet twice every
six months (at least!)
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European Commission20 members, at least 1 and
no more than 2 from each MSPr. Romano Prodi
(It)Comm. David Byrne (Irl) Health and Consumer
protectionSeat Brussels, some parts in
Luxemburg, a.o. Health
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Powers European Commission-Initiative
(exclusively!)-Monitor implementation of
Community law-Implementation (budget)-Consulta
tion (new MS)
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EU Health policy Art. 152 TEUSection 1. A high
level of human health protection shall be ensured
in the definition and implementation of all
Community policies and activities
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Art. 152 (cont.)Section 5. Community action in
the field of public health shall fully respect
the responsibilities of the Member States for the
organisation and delivery of health services and
medical care.
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Subsidiarity principleMember States remain
responsible for areas which they are capable of
managing more effectively themselves, while the
Community is given those powers which the Member
States cannot discharge satisfactorily.
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European Court of Justice (ECJ)Disputes
between-Member States-EU and MS-the
Institutions-Individuals and the EU-Opinions on
international agreements-Preliminary rulings
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ECJ (cont.)Important preliminary
rulingsKohl-DeckerFree movement of goods and
services, spectacles and teethSmits-Peerbooms
Free movement of goods, treatment costs incurred
in another MS, prior authorisation