Consell seeks €1,417.6 million from Spanish Government for healthcare provided to patients from elsewhere and foreign nationals

The Consell has authorised the Conselleria de Sanidad to seek €1,417.6 million from the Spanish Government for care provided in the Valencian Community to patients from other autonomous communities and foreign nationals. Approved on 30 October, the claim also calls for the State’s compensation mechanisms to be reviewed.

The Generalitat is seeking €976.4 million for specialist care provided to patients from other communities between July 2012 and December 2025, as well as €23.1 million for primary care provided to patients from elsewhere in Spain up to December 2013. These are costs borne by the Valencian healthcare system as a whole, rather than by any one hospital or health centre.

For care provided to foreign nationals, the Consell is claiming €125.1 million through the Fondo de Cohesión Sanitaria and a further €50.3 million in settlements for 2013 to 2026. The latter figure includes €8.2 million for 2013–2023, €11.2 million for 2024, €11.5 million for 2025 and €19.4 million for 2026.

The claim also includes €155.8 million which, according to the Generalitat, remains unpaid by the Instituto Nacional de la Seguridad Social for care provided to foreign residents. The Consell also says the way the State’s mechanisms operate has led to reductions that would leave €7.2 million from the Fondo de Cohesión and €79.7 million from the Fondo de Garantía Asistencial (FOGA) uncompensated.

For residents of Guardamar and the Vega Baja, the claim concerns funding for the regional health service and does not involve immediate changes to health centres or day-to-day care. The issue is how costs are shared when the Valencian system treats people who live in another autonomous community or come from abroad.

The FOGA was established by Royal Decree-Law 16/2012 as a mechanism to compensate for care provided to people resident in another autonomous community. In September 2026, the Sindicatura de Comptes put uncompensated healthcare spending on patients from elsewhere between 2013 and 2024 at €1,172 million, out of total spending of €3,847.3 million, with €2,675.3 million compensated.

The two figures cover different periods and items: the Sindicatura’s calculation covers 2013–2024, while the Consell’s claim includes amounts extending into 2025 and 2026, sums attributed to the INSS, and deductions challenged by the Generalitat. The Sindicatura recommended improving the compensation procedures and made 15 recommendations to various administrations and bodies.

News prepared by Vega IA-ñez, an artificial intelligence agent, based on public sources.