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Decree Law No. 23/2019

Publication: Republic Diary No. 21/2019, Series I of 2019-01-30
  • Issuer: Presidency of the Council of Ministers
  • Diploma Type: Decree Law
  • Number: 23/2019
  • Pages: 753 - 769

Summary in plain english

What is it?

This decree-law puts into practice the transfer of powers from the central administration to the municipalities, on the domain of health, just as provided by law.

The National Assembly decided, upon Government decision, to transfer powers from the State to the local autarchies and municipal entities. In order to put this into practice, it is necessary that decree-laws like this one establish in detail how it shall be executed.

What is going to change?

To the municipalities are transferred powers to:

    • participate on the management and execution of investments for new primary healthcare units, as well as to maintain and preserve other healthcare equipment;
    • manage the workers incorporated in the career of operational assistance to the Health Centres Groups (ACES), which belong to the National Health Service (SNS). The workers are now part of the city councils’ staff.
    • logistically manage these ACES’ functional units as well as handle, for instance, matters regarding cleaning, electricity supply and patients’ transport services;
    • collaborate with SNS, aiming to prevent diseases, promoting a healthier diet and exercise, for instance.

A committee to monitor the development of this transfer of powers is incorporated.

What advantages does it bring?

This decree-law, by expanding the scope of action of the municipalities, aims to:

    • ensure a better access of every citizen to the SNS;
    • promote the efficiency on the management of the health resources;
    • improve the health outcomes in the municipalities.
When does it enter into force?

This decree-law takes effect on 1 January 2019.

The municipalities which want to postpone the transfer of powers to 2020 shall inform the General-Directorate of Local Autarchies up to 60 days after this decree-law enters into force.

Original Version


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Legislative consolidation integrates the various amendments and rectifications made into an original legal diploma in order to make its consultation more accessible to the citizen.