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Parliamentary questions
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19 February 2021
Priority question for written answer  P-001023/2021
to the Commission
Rule 138
Tiziana Beghin (NI)
 Subject: Compliance with EU legislation by the HPAs and the Lombardy Region

Under the Lombardy regional health system, Health Protection Agencies (HPAs), as regional public bodies, draw up contracts between the Region and public and private health service providers. Although the contracts relate to the provision of a public service to meet the needs of citizens in the health sector, they are not subject to the rules of the Public Procurement Code (Legislative Decree 50 of 2016), nor are they drawn up in compliance with the EU Procurement Directive (2014/24/EU) and the Directive on the award of concession contracts for services (2014/23/EU). This is despite the fact that the Lombardy Region, through the HPAs, makes a financial contribution to the health service providers, calculated on the basis of the services actually provided and in accordance with ‘Diagnosis Related Groups’. In view of the large sums of money paid by the Lombardy Region to private health companies, whose reference market is worth around EUR 5.5 billion and involves around 700 private operators, are such contracts and the payment of public financial contributions at odds with EU law, and could they be said to infringe the aforementioned Directives and state-aid rules, and constitute a failure by Italy to transpose said Directives?

Original language of question: IT
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