The municipalityThe last allocation
The regionThe scales of care
Central governmentThe redistributor · centre of gravity
Who decides?
The municipal council (kommunfullmäktige) and the committees.
The regional council (regionfullmäktige) and the health and care committee.
The Riksdag decides the equalisation system, the taxes and the state grants.
What do they decide?
Allocates the budget between schools, care homes and districts, often weighted by socioeconomic needs.
Allocates the money for care between hospitals, health centres and psychiatry, and reimburses care providers per registered patient.
Income equalisation lifts municipalities with a weak tax base, cost equalisation compensates for geography and demographics.
Where are decisions made?
In the budget and in resource allocation models, official documents.
In the region's budget and reimbursement models.
In the Riksdag, after inquiries and rounds of referral (remiss). Statskontoret monitors the system.
Who pays?
Municipal tax, equalisation and state grants.
Regional tax and state grants.
Mainly the state, plus a smaller redistribution between the municipalities.
Fastest way in?
Municipal election The municipal election governs whether resources are weighted by need or allocated equally.
Regional election The regional election decides the balance between town and countryside, emergency care and care close to home.
General election The general election governs the size of the redistribution. Inquiries go out for open referral (remiss).
EUThe EU redistributes through the Regional and Social Funds, which co-finance projects in Swedish regions. Shaped in the European Parliament election.