Proposal for a DIRECTIVE OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL amending and correcting Directive 2005/36/EC as regards the recognition of professional qualifications of nurses responsible for general care trained in Romania
Date: 2023-09-01
Institutions: Directorate-General for Internal Market, Industry, Entrepreneurship and SMEs, European Commission
Subjects: Romania, administrative cooperation, freedom to provide services, nursing staff, recognition of diplomas, recognition of vocational training qualifications, right of establishment, vocational training

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   EUROPEAN COMMISSION  Brussels, 1.9.2023  COM(2023) 502 final 2023/0307 (COD)  Proposal for a DIRECTIVE OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL amending and correcting Directive 2005/36/EC as regards the recognition of professional qualifications of nurses responsible for general care trained in Romania (Text with EEA relevance)  
 
EXPLANATORY MEMORANDUM 

1. 

• 

CONTEXT OF THE PROPOSAL 

Reasons for and objectives of the proposal 

Fast and efficient recognition of professional qualifications for access to regulated professions 
is  key to  making the fundamental  internal  market freedoms work for  EU  citizens.  Directive 
2005/36/EC of the European Parliament and of the Council1 (‘the Professional Qualifications 
Directive’)  sets  out  the  rules  on  cross-border  recognition  of  qualifications  for  access  to 
regulated  professions,  as  well  as  minimum  training  requirements  for  several  professions, 
including nurses responsible for general care. 

Under the Professional Qualifications Directive, Member States are obliged, upon application 
by  the  holder  and  without  additional  conditions,  to  recognise  the  qualifications  of  nurses 
responsible for general care held by EU citizens that meet the minimum requirements under 
the  Directive  if  the  evidence  of  those  qualifications  is  listed  under  the  relevant  annex.  This 
evidence relates to training that started after the reference date, which usually corresponds to 
the  EU  accession  date  of  the  country  in  which  the  qualification  was  obtained.  Furthermore, 
Member  States  are  bound  to  recognise  certain  qualifications  that  do  not  meet  the  minimum 
requirements if the applicant can prove a specific number of years of professional experience, 
as  set  out  under  the  acquired  rights  provisions.  Lastly,  for  those  who  cannot  benefit  from 
either  of  these  two  possibilities,  the  general  system  of  recognition  will,  in  principle,  apply. 
Under this system,  if there are  substantial  differences between the  applicant’s qualifications 
and those required in the host Member State that cannot be covered by knowledge and skills 
and competences  acquired by the applicant  in  the course of  their  professional experience or 
through lifelong  learning, the host  Member State  can require compensatory measures in  the 
form of an aptitude test or an adaptation period from the applicant before granting access to 
the regulated profession. If the EU citizen cannot benefit from any recognition regime under 
Directive 2005/36/EC, the application must in principle be assessed by the host Member State 
under the rules of the Treaty on the Functioning of the European Union (TFEU) and relevant 
case law of the Court of Justice of the EU (CJEU). 

Organising the recognition of qualifications of nurses responsible for general care during EU 
accession is a complex process.  It involves adapting existing training programmes to ensure 
that,  as  of  the  accession  date,  students  can  only  enrol  in  compliant  training  courses. 
Additionally,  individuals  who  started  non-compliant  training  before  the  reference  date  will 
need to meet additional requirements before they can benefit from cross-border recognition. 

To  facilitate  the  recognition  of  qualifications  of  nurses  responsible  for  general  care  whose 
qualifications did not meet the minimum training requirements upon accession, Romania has 
set  up  an  upgrading  programme  following  a  recommendation  introduced  in  recital  36  of 
Directive 2013/55/EU that amended Directive 2005/36/EC. 

Romania introduced the programme via Joint Order of the Minister of National Education and 
of  the  Minister  of  Health  No 4317/943/20142.  It  was  endorsed  by  the  Romanian  Order  of 

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Directive  2005/36/EC  of  the  European  Parliament  and  of  the  Council  of  7 September  2005  on  the 
recognition of professional qualifications (OJ L 255, 30.9.2005, p. 22). 
Joint Order of the Minister of National Education and of the Minister of Health  No 4317/943/2014 of 
11 August  2014  on  the  approval  of  the  special  upgrading  programme  for  the  initial  training  of  nurse 
responsible for general care acquired prior to 1 January 2007 for graduates of post-secondary education 
and higher education (Official Journal of Romania No 624 of 26 August 2014). 

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Nurses, Midwives and Medical Assistants and by Order of the Minister of National Education 
No 5114/20143. 

Before  its  launch,  the  content  of  the  programme  was  discussed  with  the  Commission  and 
Member  State  experts.  The  experts  analysed  the  training  that  Romania  had  delivered  in  the 
past at post-secondary and higher education levels to determine the extent to which they met 
the  minimum  requirements  under  the  Professional  Qualifications  Directive.  The  upgrading 
courses  were  subsequently  designed  to  bridge  the  identified  gaps.  To  implement  the 
upgrading  programme  at  post-secondary level,  eight  ‘train the trainer’ sessions  with  experts 
from  several  Member  States  were  organised  between  2013  and  2014  by  the  Romanian 
Ministry  of  National  Education,  the  Ministry  of  Health,  the  Romanian  Order  of  Nurses, 
Midwives and Medical Assistants, and the National Commission of Hospitals Accreditation. 

The  upgrading  programme  started  in  the  2014/2015  academic  year.  According  to  the 
Romanian Ministry of Education and Research, by the end of the 2018/2019 academic year, it 
had  been  completed  by  23  higher  education  graduates  and  more  than  3 000  post-secondary 
graduates. 

Romania presented the implementation of the upgrading programme to Member States in the 
Group of Coordinators for the Recognition of Professional Qualifications in March and May 
2018. 

The  Professional  Qualifications  Directive,  as  currently  applicable,  does  not  oblige  host 
Member States to automatically recognise the qualifications of nurses who have successfully 
completed the upgrading programme. The current rules merely oblige the host Member State 
to consider the upgrading programme as evidence of additional skills and knowledge acquired 
on  a  case-by-case  basis  as  part  of  the  process  of  recognition  under  the  general  system. 
However, the Commission envisages a revision of the Directive’s acquired rights provisions 
for  Romanian  nurses  following  the  assessment  of  the  upgrading  programme’s  results.  This 
assessment was published in a Commission report on 11 May 20204. 

The Commission is therefore proposing a targeted amendment of the rules of special acquired 
rights laid down in Article 33(a) of Directive 2005/36/EC to facilitate the recognition process 
for  nurses  responsible  for  general  care  who  have  completed  the  Romanian  upgrading 
programme.  Namely,  the  Commission  proposes  that  these  nurses  should  benefit  from 
recognition under special acquired rights without the need to prove professional experience. 

• 

Consistency with existing policy provisions in the policy area 

Special  acquired  rights,  including  the  possibility  to  follow  an  upgrading  programme,  were 
introduced for Polish nurses and midwives that started or completed their training before the 
accession of Poland to the EU. The current proposal is consistent with the approach taken in 
the past. 

2. 

• 

LEGAL BASIS, SUBSIDIARITY AND PROPORTIONALITY 

Legal basis 

This proposal is based on Articles 46, 53(1) and 62 of the TFEU. 

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4 

Order  of  the  Minister  of  National  Education  No 5114/2014  on  the  approval  of  the  methodology  for 
organising, conducting and completing the special upgrading programme for the initial training of nurse 
responsible for general care acquired prior to 1 January 2007 for graduates of post-secondary education 
(Official Journal of Romania No 5 of 6 January 2015). 
COM/2020/191 final and SWD/2020/79 final. 

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• 

Subsidiarity (for non-exclusive competence) 

The  subsidiarity  principle  applies  insofar  as  the  proposal  does  not  fall  under  the  exclusive 
competence of the EU. 

The aim of the Directive could not be sufficiently achieved through action by Member States 
as this would inevitably result in divergent requirements creating obstacles to the cross-border 
mobility of the professionals in question and unequal treatment. Changes to the current legal 
regime means amending an existing Directive, which can only be achieved by  EU law. The 
proposal therefore complies with the subsidiarity principle. 

• 

Proportionality 

The principle of proportionality  requires that any  action  is  targeted and does not  go beyond 
what  is  necessary  to  achieve  the  objectives.  The  proposed  amendments  comply  with  this 
principle  because  they  are  limited  to  what  is  necessary  to  facilitate  the  recognition  of 
qualifications  of  nurses  responsible  for  general  care  who  have  successfully  completed  the 
Romanian upgrading programme. 

3. 

RESULTS OF STAKEHOLDER CONSULTATIONS 

Member States were consulted in 2018 through the  Commission expert group, the Group of 
Coordinators  for  the  Recognition  of  Professional  Qualifications5.  Member  State  experts 
analysed  the  information  and  documents  provided  by  Romania  on  implementation  of  the 
programme  and  sent  feedback  on  the  programme’s  results  to  the  Commission.  Romania 
satisfactorily  replied  to  all  the  questions  and  comments  from  Member  States.  No  Member 
State  objected  to  the  proposal  that  the  graduates  should  benefit  from  a  more  favourable 
recognition regime than is currently provided for in the acquired right provision, i.e., without 
the need to meet the requirement of specific professional experience. 

4. 

BUDGETARY IMPLICATIONS 

This  initiative  has  no  major  budgetary  implications.  In  terms  of  administrative  resources 
required in Member States for processing recognition requests, this initiative will help reduce 
the  current  administrative  burden.  Instead  of  the  more  time-consuming  general  system  of 
recognition,  the  amended  provisions  on  acquired  rights  will  apply  to  the  graduates  of  the 
upgrading programme, enabling an automatic recognition process. 

5. 

DETAILED  EXPLANATION  OF  THE  SPECIFIC  PROVISIONS  OF  THE 
PROPOSAL 

5.1.  Provisions  of  the  Professional  Qualifications  Directive  that  currently  apply  to  the 
Romanian evidence of qualifications as nurse responsible for general care 

Under  Article 21(1)  of  the  Professional  Qualifications  Directive,  EU  citizens  benefit  from 
automatic  recognition  if:  (i)  they  have  Romanian  evidence  of  qualifications  as  nurse 
responsible for general care as listed under point 5.2.2 of Annex V to the Directive; and (ii) 
their  training  started  after  the  accession  date  of  1 January  2007  and  meets  the  minimum 
requirements under the Directive.  

EU citizens with evidence of Romanian qualifications as a nurse responsible for general care 
whose training does not meet the minimum requirements are eligible for recognition under the 

5 

OJ L 79, 20.3.2007, p. 38-39. 

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acquired  rights  provisions  laid  down  in  Article  33(a)  of  the  Directive  if  they  meet  the 
requirements under this article. Namely, their evidence of qualifications is one of those listed 
in this Article: (a) Certificat de competențe profesionale de asistent medical generalist with 
post-secondary  education  obtained  from  a  școală  postliceală,  attesting  to  training  started 
before 1 January 2007; or (b) Diplomă de absolvire de asistent medical generalist with short-
time  higher  education  studies,  attesting  to  training  started  before  1  October  2003;  
or  (c)  Diplomă  de  licență  de  asistent  medical  generalist  with  long-time  higher  education 
studies,  attesting  to  training  started  before  1  October  2003.  Additionally,  they  must 
demonstrate  professional  experience  as  specified  in  the  same  article,  i.e.,  by  providing  a 
certificate stating  that they have effectively  and lawfully been engaged in the activities of a 
nurse  responsible  for  general  care  in  Romania,  including  taking  full  responsibility  for  the 
planning, organization, and carrying out of the nursing care of patients, for a period of at least 
three consecutive years during the five years prior to the date of issue of the certificate. 

EU citizens with evidence of professional qualifications as nurse responsible for general care 
who  were  trained  in  Romania  but  do  not  meet  the  requirements  for  recognition  under 
Article 21(1)  or  Article 33(a)  of  the  Directive  have  their  qualifications  assessed  by  host 
Member States under the general system of recognition. This assessment is conducted in line 
with  Articles  10  to  14  of  the  Directive.  Under  the  general  system,  if  there  are  substantial 
differences  in  training  between  the  applicant’s  qualifications  and  those  required  in  the  host 
Member State, and such gaps cannot be filled by professional experience or lifelong learning, 
the host Member State can impose compensatory measures in the form of an aptitude test or 
an adaptation period. 

If  the  EU  citizen  that  holds  Romanian  qualifications  cannot  benefit  from  any  recognition 
regime under the Directive, the application must be assessed by the host Member State under 
the rules of the TFEU and the relevant CJEU case law. 

5.2. Specific provisions of the proposal 

5.2.1.  Facilitated  recognition  under  acquired  rights  specific  to  graduates  of  the 
Romanian upgrading programme 

The  Commission  proposes  to  revise  the  acquired  rights  provisions  applicable  to  Romanian 
qualifications  as  nurse  responsible  for  general  care  (Article 33(a)  of  the  Professional 
Qualifications  Directive).  The  revision  takes  account  of  the  results  of  the  upgrading 
programmes  provided  at  post-secondary  and  higher  education  levels  and  ensures  that 
graduates can benefit from acquired rights without the need to prove professional experience. 
To this end, it is proposed to add a new paragraph to Article 33(a) of the Directive. 

The proposed new paragraph (paragraph 3) refers in point (a) to the evidence of qualifications 
based  on  which  nurses  were  allowed  to  attend  the  upgrading  programmes,  namely  the 
evidence listed in Article 33(a) of the Directive, as well as evidence of post-secondary level 
referred to in Article 4 of Romanian Order No 5114 of 15 December 2014: ((a) Diplomă de 
absolvire  a  Şcolii  Tehnice  Sanitare  (1978);  b)  Diplomă/Certificat  de  absolvire  a  Şcolii 
Postliceale/Certificat  de  competenţe  profesionale  (liceu  sanitar  plus  curs  de  echivalare 
şcoală postliceală cu durata de 1 an); c) Diplomă de absolvire a Şcolii Postliceale Sanitare 
(1991  -  1994);  d)  Certificat  de  absolvire  a  Şcolii  Postliceale  Sanitare  (1992  -  1995);  e) 
Certificat de competenţe profesionale (2006 - 2009)). 

For graduates of post-secondary education, the programme was offered by accredited public 
and private vocational post-secondary schools. Regarding the actual training, Annex I to Joint 
Order No 4317/943/2014 contains five distinct tailor-made upgrading curricula for holders of 

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each  post-secondary  qualification  listed  as  evidence  in  Article 4  of  Order  No 5114  of 
15 December 2014. 

For graduates of higher education, the programme was offered by accredited higher education 
institutions. Annex II to  Joint Order No 4317/943/2014 contains one tailor-made curriculum 
for these graduates. 

The proposed new paragraph 3 of Article 33(a) refers in point (b) to two types of evidence of 
qualifications  issued  to  graduates  of  the  upgrading  programme,  depending  on  which  of  the 
above categories they belong to: a certificate for upgrading professional skills (certificatul de 
revalorizare  a  competenţelor  profesionale)  for  graduates  of  post-secondary  education  and  a 
Bachelor’s degree (diplomă de licenţă) for graduates of higher education. 

5.2.2.  Recognition  under  acquired  rights  specific  to  Romanian  nurses  who  have  not 
followed the upgrading programme 

The  current  applicable  special  acquired  rights,  laid  down  in  Article 33(a)  of  Directive 
2005/36/EC, allow Member State nationals who have evidence of qualifications set out in this 
Article to obtain recognition of their Romanian qualifications in another Member State if they 
provide  a  certificate  of  professional  experience  that  meets  the  specified  criteria.  These 
acquired rights should continue to apply to nurses in the situation described in  Article 33(a) 
who have not followed the upgrading programme. 

5.2.3. Application of the general system (Chapter I of Title III of the Directive) 

In  line  with  Article 10  of  the  Professional  Qualifications  Directive,  the  general  system  of 
recognition  applies  to  all  professions  not  covered  by  Chapters  II  and  III  of  Title  III  of  the 
Directive.  The  system  also  applies  in  cases  listed  in  Article 10  where  the  applicant,  due  to 
specific and exceptional  reasons,  does not  meet  the conditions  laid down in  those Chapters. 
Under  Article 10(b),  such  cases  include,  for  nurses  responsible  for  general  care,  a  situation 
where  the  applicant  does  not  meet  the  requirements  for  effective  and  lawful  professional 
practice  referred  to  in  Article 33.  Article 33  concerns  acquired  rights  specific  to  nurses 
responsible  for  general  care  while  Article 33(a)  concerns  acquired  rights  specific  to  nurses 
responsible  for  general  care  trained  in  Romania.  The  latter  is  not  specifically  mentioned  in 
Article 10(b). To avoid any doubt as to the applicability of the general system to nurses who 
cannot  benefit  from  acquired  rights  under  Article 33(a),  the  Commission  proposes  to  add  a 
reference to Article 33(a) in Article 10(b). 

2023/0307 (COD) 

Proposal for a 

DIRECTIVE OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL 

amending and correcting Directive 2005/36/EC as regards the recognition of 
professional qualifications of nurses responsible for general care trained in Romania 

(Text with EEA relevance) 

THE EUROPEAN PARLIAMENT AND THE COUNCIL OF THE EUROPEAN UNION, 

Having  regard  to  the  Treaty  on  the  Functioning  of  the  European  Union,  and  in  particular 
Articles 46, 53(1) and 62 thereof, 

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Having regard to the proposal from the European Commission, 

After transmission of the draft legislative act to the national parliaments, 
Having regard to the opinion of the European Economic and Social Committee6, 

Acting in accordance with the ordinary legislative procedure, 

Whereas: 

(1) 

(2) 

(3) 

(4) 

(5) 

(6) 

(7) 

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8 

9 

Under  Directive  2005/36/EC  of  the  European  Parliament  and  of  the  Council7,  
specific  acquired  rights  provisions  apply  to  the  recognition  of  certain  professional 
qualifications as nurse responsible for general care issued in Romania.  

Nurses  responsible  for  general  care  whose  training  did  not  meet  the  minimum 
requirements under Directive 2005/36/EC and started before the accession of Romania 
to the EU, can benefit from recognition under Article 33a of Directive 2005/36/EC if 
they  fulfil  the  requirements  specified  therein.  If  these  requirements  are  not  met,  the 
application  for  recognition  is  assessed  by  the  host  Member  State  under  the  general 
system of recognition in line with Articles 10 to 14 of Directive 2005/36/EC.  

There  is  no  specific  reference  to  Article  33a  of  Directive  2005/36/EC  in  its  Article 
10(b) due to an error. To make it clear that Articles 10 to 14 of Directive 2005/36/EC 
apply  in  the  situation  where  the  nurse  does  not  meet  the  requirements  under  Article 
33a, this error should be corrected.  

Romania has set up a special upgrading programme to enable participants to upgrade 
their  professional  qualifications  to  satisfy  all  the  minimum  training  requirements  set 
out for the profession of nurse responsible for general care in Directive 2005/36/EC. 
For  this  purpose,  Romania  liaised  beforehand  with  other  Member  States  and  the 
Commission. 

Romania  introduced  the  programme  via  Joint  Order  of  the  Minister  of  National 
Education  and  of  the  Minister  of  Health  No 4317/943/20148.  It  was  endorsed  by  the 
Romanian  Order  of  Nurses,  Midwives  and  Medical  Assistants  and  by  Order  of  the 
Minister of National Education No 5114/20149. 

That  special  upgrading  programme  was  set  up  for  holders  of  the  evidence  of  formal 
qualifications referred to in Article 33a of Directive 2005/36/EC, as well as for holders 
of evidence of certain post-secondary qualifications listed in Article 4 of the Order of 
the Minister of National Education No 5114/2014. 

Romania  presented  the  results  of  the  special  upgrading  programme  in  2018  to  the 
relevant  expert  group  (Group  of  coordinators  for  the  recognition  of  professional 
qualifications) and, following consultations, no Member State objected to the proposal 
that the graduates should benefit from a more favourable recognition regime. 

OJ C , , p. . 
Directive  2005/36/EC  of  the  European  Parliament  and  of  the  Council  of  7  September  2005  on  the 
recognition of professional qualifications (OJ L 255 30.9.2005, p. 22). 
Joint Order of the Minister of National Education and of the Minister of Health  No 4317/943/2014 of 
11 August  2014  on  the  approval  of  the  special  upgrading  programme  for  the  initial  training  of  nurse 
responsible for general care acquired prior to 1 January 2007 for graduates of post-secondary education 
and higher education (Official Journal of Romania No 624 of 26 August 2014). 
Order  of  the  Minister  of  National  Education  No 5114/2014  on  the  approval  of  the  methodology  for 
organising, conducting and completing the special upgrading programme for the initial training of nurse 
responsible for general care acquired prior to 1 January 2007 for graduates of post-secondary education 
(Official Journal of Romania No 5 of 6 January 2015). 

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(8) 

(9) 

On  11 May  2020,  the  Commission  published,  under  Article 60(2)  of  Directive 
2005/36/EC, a report on the results of the special upgrading programme10. The report 
concludes 
the  upgrading  programme  negotiated 
beforehand  with  the  Member  States  to  enable  its  participants  to  upgrade  their 
qualifications to meet the minimum requirements set out in Directive 2005/36/EC.  

that  Romania 

implemented 

In order to include the special upgrading programme in the criteria for the recognition 
under  acquired  rights  specific  to  nurses  responsible  for  general  care  trained  in 
Romania, it is appropriate to adapt Article 33a of Directive 2005/36/EC so that nurses 
with  relevant  evidence  of  completing  the  programme  can  benefit  from  recognition 
without the need to prove professional experience in Romania, as is currently the case. 

(10)  Directive 2005/36/EC should therefore be amended and corrected accordingly, 

HAVE ADOPTED THIS DIRECTIVE: 

Article 1 

Directive 2005/36/EC is amended and corrected as follows: 

(1) 

in Article 10, point (b) is replaced by the following:  

‘(b) 
for doctors with basic training, specialised doctors, nurses responsible for general care, 
dental  practitioners,  specialised  dental  practitioners,  veterinary  surgeons,  midwives, 
pharmacists and architects, when the migrant does not meet the requirements of effective and 
lawful professional practise referred to in Articles 23, 27, 33, 33a, 37, 39, 43 and 49;’ 

(2) 

Article 33(a) is replaced by the following: 

‘Article 33a 

Acquired rights specific to nurses responsible for general care trained in Romania 

As regards the Romanian qualification as nurse responsible for general care, only the 

1. 
provisions on acquired rights laid down in paragraphs 2 and 3 shall apply. 

2. 
In the case of nationals of Member States who were trained as a nurse responsible for 
general  care  in  Romania  and  whose  training  does  not  satisfy  the  minimum  training 
requirements laid down in Article 31, Member States shall recognise as sufficient proof any of 
the following evidence of formal qualification as nurse responsible for general care, provided 
that that evidence is  accompanied by a certificate stating  that those Member State nationals 
have effectively and lawfully been engaged in the activities of a nurse responsible for general 
care  in  Romania,  including  taking  full  responsibility  for  the  planning,  organisation  and 
carrying  out  of  the  nursing  care  of  patients,  for  a  period  of  at  least  three  consecutive  years 
during the five years prior to the date of issue of the certificate: 

(a) 
Certificat  de  competențe  profesionale  de  asistent  medical  generalist  with  post-
secondary education obtained from a școală postliceală, attesting to training started before 1 
January 2007; 

Diplomă de absolvire de asistent medical generalist with short-time higher education 

(b) 
studies, attesting to training started before 1 October 2003; 

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COM/2020/191 final and SWD/2020/79 final. 

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Diplomă  de  licență  de  asistent  medical  generalist  with  long-time  higher  education 

(c) 
studies, attesting to training started before 1 October 2003. 

Member States shall recognise the following evidence of formal qualification as nurse 

3. 
responsible for general care: 

the evidence of formal qualification referred to in paragraph 2, as well as the evidence 
(a) 
of  formal  qualifications  of  post-secondary  level  listed  under  Article  4  of  the  Order  of  the 
Minister  of  National  Education  No  5114/2014  on  the  approval  of  the  methodology  for 
organising,  conducting  and  completing  the  special  upgrading  programme  for  the  initial 
training of nurse responsible for general care acquired prior to 1 January 2007 for graduates of 
post-secondary  education  (Official  Journal  of  Romania  No  5  of  6  January  2015),  provided 
that such evidence is accompanied by either of the following:  

the  evidence  of  formal  qualifications  obtained  on  the  basis  of  a  special  upgrading 

(b) 
programme: 

(i) 
Diplomă  de  licenţă  referred  to  in  Article  3(2)  of  the  Joint  Order  of  the  Minister  of 
National  Education and  of the Minister of Health  No 4317/943/2014 of  11 August 2014 on 
the approval of the special upgrading programme for the initial training of nurse responsible 
for general care acquired prior to 1 January 2007 for graduates of post-secondary education 
and higher education (Official Journal of Romania No 624 of 26 August 2014), accompanied 
by  a  diploma  supplement  stating  that  the  student  has  completed  the  special  upgrading 
programme, or 

(ii) 
Certificatul  de  revalorizare  a  competenţelor  profesionale  referred  to  in  Article  3(1) 
and in Annex 3 to the Joint Order of the Minister of National Education and of the Minister of 
Health No 4317/943/2014 of 11 August 2014 and in Article 16 of the Order of the Minister of 
National  Education  No  5114/2014  on  the  approval  of  the  methodology  for  organising, 
conducting and completing the special upgrading programme for the initial training of nurse 
responsible for general care acquired prior to 1 January 2007 for graduates of post-secondary 
education (Official Journal of Romania No 5 of 6 January 2015).’. 

Article 2 

1. 

Member  States  shall  bring  into  force  the  laws,  regulations  and  administrative 
provisions necessary to  comply with  this Directive by  [OP, please  insert  date:  one 
year  after  the  entry  into  force  of  this  Directive]  at  the  latest.  They  shall  forthwith 
communicate to the Commission the text of those provisions. 

When  Member  States  adopt  those  provisions,  they  shall  contain  a  reference  to  this 
Directive  or  be  accompanied  by  such  a  reference  on  the  occasion  of  their  official 
publication. Member States shall determine how such reference is to be made. 

2. 

Member States shall communicate to the Commission the text of the main provisions 
of national law which they adopt in the field covered by this Directive. 

This Directive shall enter into force on the twentieth day following that of its publication in 
the Official Journal of the European Union. 

Article 3 

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This Directive is addressed to the Member States. 

Done at Brussels, 

For the European Parliament 
The President 

For the Council 
The President 

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