natgillin/translations-raw huggingface dataset:
Det følger heraf, at medmindre efterspørgslen efter hospitalssenge stiger, er det kun tilladt at oprette sengepladser (eller hospitaler), hvis der nedlægges sengepladser andre steder.
The order shall be made by the accountant responsible for recovery.
Se artikel 68-76e i lov af 7. august 1987.
It shall be made enforceable by the administrative authority empowered to enforce the list of direct provisions of the relevant legal person under public law.’
Se artikel 130-142 i lov af 7. august 1987.
Hence that Law enables the municipalities to ensure that the subsidies are granted in accordance with the necessary conditions and also to check on the use and recovery of sums not required.
Se http://www.iris-hopitaux.be/fr (webstedet besøgt den 19. august 2015).
Thus payment of the deficit compensation by the municipalities is subject to very strict rules.
Se fodnote 246 vedrørende medianindkomsten.
Through their acceptance by the hospitals concerned, these entail a right to inspection by an independent authority, which may ensure that the subsidy has actually been allocated to the use for which it was granted.
Denne forpligtelse bygger bl.a. på lov af 18. juli 1966, på artikel 42, stk. 5, i CPAS-loven, på lov af 24. juni 1988, på bekendtgørelse fra regeringen (»Exécutif«) i hovedstadsregionen Bruxelles af 25. juli 1991 og på bekendtgørelse fra regeringen i hovedstadsregionen Bruxelles af 6. maj 1999.
Otherwise the hospital is required to repay it immediately which guarantees the recovery of any overcompensation to the IRIS-H.
Alle skøn over de i denne og næste betragtning nævnte omkostninger vedrører 2010 og afspejler den resterende omkostning, som IRIS-hospitalerne skal afholde efter fradrag af eventuel offentlig finansiering fra hovedstadsregionen Bruxelles eller den føderale regering.
This is corroborated by the Loi CPAS of which Article 60(6) provides:
Omfattet af tavshedspligt.
‘A decision may only be taken to set up or develop establishments or services eligible for investment or operating subsidies on the basis of documentation showing that the conditions laid down by the organic laws or regulations for the grant of such subsidies will be fulfilled.’
Denne forpligtelse bygger bl.a. på artikel 156 og artikel 161, stk. 1 og 2, i lov af 24. juni 1988, på artikel 42, stk. 5, i CPAS-loven og på stk. 3.4 i overenskomst (protocole syndical) 95/3 af 27. oktober 1995.
Hence if a CPAS sets up a public hospital, evidence must be provided that the rules for the award of the financing will be observed.
Denne forpligtelse bygger bl.a. på lov af 14. februar 1961, på artikel 42, stk. 5, i CPAS-loven, på lov af 24. juni 1988 og på bekendtgørelse fra regeringen i hovedstadsregionen Bruxelles af 6. maj 1999.
Similarly, Article 135 octies Loi CPAS sets out arrangements for the monitoring of the Chapter XII local associations (in this case the IRIS-H) by their umbrella association (in this case IRIS) on a quarterly basis.
Disse skalaforhøjelser er defineret i aftale 2003/1, 2004/10, 2007/1 og 2009/1.
In particular, this means that IRIS checks whether the decisions taken by the IRIS-H are in compliance with:
Hovedstadsregionen Bruxelles har i overensstemmelse med kapitel XIIa i CPAS-loven indført en struktur med en paraplyorganisation, der skal være ansvarlig for koordinering og tilsyn med hospitalsaktiviteterne i IRIS-hospitalerne.
the general and specific strategic plan for hospital activity and the decisions taken pursuant to that plan; 2 o
Det skal dog bemærkes, at dette princip for visse af IRIS-hospitalerne oprindelig var angivet i artikel 44 eller 47.
the specific plan and the financial plan adopted by the local association on the basis of the guidelines set by the umbrella association and any amendments and updates to those plans; 3 o
Uanset hvor, var dette princip i alle tilfælde nævnt i hver oprindelig vedtægt.
the annual budget adopted by the local association on the basis of the guidelines set by the umbrella association.
På tidspunktet for oprettelsen af IRIS-hospitalerne blev dette princip indskrevet i artikel 44 i vedtægterne med følgende ordlyd: »Årets resultat fordeles, ved beslutning truffet af generalforsamlingen, mellem de medlemmer, som har mindst en femtedel af stemmerne på generalforsamlingen, i forhold til deres repræsentation på generalforsamlingen.«
In the event of non-compliance, the umbrella association shall take any measures it considers appropriate to end the non-compliance and shall notify them to the local association concerned for implementation within a period which it shall determine.
I september 2013 udgav Mutualité chrétienne, et af de største belgiske gensidige forsikringsselskaber (mutuelles — gensidige forsikringsselskaber — er private, almennyttige organisationer, der har ansvaret for at refundere de sundhedsudgifter, som socialsikringen betaler), en artikel, ifølge hvilken de belgiske hospitalers indtægter i 2011 i gennemsnit fordelte sig på følgende tre finansieringskilder: 1) BMF: 49 %, 2) INAMI: 42 %, og 3) patienter (eller deres private sygeforsikringsselskaber): 9 %.
If the local association concerned fails to implement the measures within the stipulated period, the umbrella association may immediately instruct the auditor referred to in Article 135 novies to replace the local association body in default.’
Se artikel 87 ff. i lov af 7. august 1987.
It is apparent from the above provisions that both the Loi CPAS and the Law of 14 November 1983 enable the Brussels municipalities to ensure that subsidies paid to the IRIS-H are used correctly and do not lead to overcompensation.
Se artikel 24-87 i kongelig anordning af 25. april 2002, Moniteur belge af 5. juli 2002, s. 30290.
The joint application of those provisions facilitates controlling for overcompensation and provides for the recovery of overcompensation.
Se lov af 9. august 1963 som ændret, Moniteur belge af 1. november 1963, s. 10555.
Furthermore, in the event of non-compliance, a power of substitution is conferred on a third party, in order to ensure fulfilment of these obligations, particularly in regard to the budget, imposed on the IRIS-H.
Se artikel 133-135 i lov af 7. august 1987.
In addition, where the operating accounts of the public hospital show a deficit, the municipal executive(s) may under Articles 111(2) and 126 Loi CPAS suspend implementation of ‘any decision of the CPAS that is detrimental to the municipal interests and in particular the financial interests of the municipality.’
Se artikel 140 i lov af 7. august 1987.
Finally, it is worth emphasizing that the granting authorities (i.e. the municipalities and the CPAS) of the aid measure at hand directly control the beneficiaries.
Se artikel 46 ff. i lov af 7. august 1987.
In particular, these authorities have the majority of votes in the Administrative Councils of the IRIS-H which, among others, appoints the director general of their respective hospitals.
Se artikel 47 i lov af 7. august 1987.
In the unlikely situation where an IRIS-H would hypothetically refuse to repay overcompensation, the public authorities could easily replace the director general to rectify this situation.
For at lette henvisningerne henvises der i nærværende afgørelse blot til artikel 109 i LCH, idet det forstås, at denne henvisning gælder artikel 125 i LCH efter ikrafttrædelsen af loven af 10. juli 2008.
Furthermore, as required by the bylaws of each IRIS-H, the Administrative Council meets at least eight times per year which allows the granting authorities to closely monitor the financial situation of the IRIS-H (among others via the quarterly reports which cover this subject as required by the bylaws).
Moniteur belge af 1. januar 1964, s. 2.
On the basis of the above, the Commission concludes that there are sufficient arrangements to avoid, detect and recover overcompensation while the risk of actual overcompensation seems very limited given the nature of the aid measure at hand.
Ifølge denne lov skulle 10 % af underskuddet dækkes af den kommune, hvori hospitalet var beliggende, og de resterende 90 % af de belgiske kommuner, hvor patienterne havde bopæl.
Duration of entrustments
Moniteur belge af 29. december 1973, s. 15027.
Article 2(2) of the 2012 SGEI Decision foresees that the Decision only applies to entrustments the duration of which does not exceed 10 years, unless a longer period can be justified by reference to the entrusted undertaking's need to amortise significant investments over a longer period in accordance with generally accepted accounting principles.
Det skete første gang i kongelig anordning af 8. december 1986, Moniteur belge af 12. december 1986, s. 17023, ændret ved kongelig anordning af 10. november 1989 og siden erstattet af kongelig anordning af 8. marts 2006, Moniteur belge af 12. april 2006, s. 20232.
The duration of the bylaws of the IRIS-H, which at the municipal level are the basic entrustment acts relevant in the case at hand, is set at 30 years.
De øvrige elementer, der ikke indgår i det underskud, der dækkes i henhold til artikel 109 i LCH, er bl.a. skønnet over korrigerende betalinger i forbindelse med BMF, visse hensættelser og visse typer afskrivninger.
The Commission considers that such long duration is justified by the need for significant investments to be made by the IRIS-H as the entrusted SGEI providers.
Det underskud, der er omfattet af artikel 109 i LCH, er da også beregnet ud fra det regnskabsmæssige underskud og under udelukkelse herfra af visse elementer.
More specifically, the most important assets of the IRIS-H are their buildings (accounting for more than 60 % of the value of their assets) which are amortised over a period of 30 years in accordance with generally accepted accounting principles [291].
Moniteur belge af 4. september 1975, s. 10847.
Furthermore, the IRIS strategic plans which further specify the additional obligations that the IRIS-H are entrusted with are also limited in time and even have a shorter duration.
Se artikel 77 og 78 i lov af 7. august 1987.
The first strategic plan covered the six-year period 1996-2001.
Se artikel 80-85 i lov af 7. august 1987.
The second strategic plan initially covered the period 2002-2006 but was subsequently amended and prolonged until the end of 2014.
Se artikel 86-86b i lov af 7. august 1987.
A new strategic plan for the period 2015-2018 was adopted in January 2015.
Se artikel 115 i lov af 7. august 1987.
Furthermore, the Law of 10 April 2014 [292] limited the duration of the Federal entrustment act for the basic hospital mission [293] by modifying Article 105 of the current version of the LCH [294].
Se fodnote 29.
In particular, Article 105 now requires that the period for which the BMF is awarded cannot exceed 10 years except for those elements of the BMF which cover the cost of significant hospital investments that need to be amortised over a longer period in accordance with generally accepted accounting principles.
Disse særlige tilskud blev bevilget på grundlag af bekendtgørelse af 13. februar 2003, Moniteur belge af 5. maj 2003, s. 24098.
Finally, the individual authorisation which the hospitals need to have in order to be eligible for BMF financing also has a limited duration (depending on the region, but typically around five years and in any event not more than 10 years).
Kommissionens beslutning i sag SA.19864 (ex NN 54/2009) (EUT C 74 af 24.3.2010, s. 1).
The Commission therefore considers that the requirement under Article 2(2) of the 2012 SGEI Decision to limit the duration of the entrustment act and to justify this duration is fulfilled.
Ibid. [ikke oversat til dansk], betragtning 140-145.
Transparency
Ibid., betragtning 146-150.
Finally, the 2012 SGEI Decision requires Member States to publish certain information.
Ibid.
More specifically, for compensation above EUR 15 million granted to an undertaking which also has activities outside the scope of the service of general economic interest, Article 7 of the 2012 SGEI Decision requires Member States to publish on the internet or by other appropriate means the entrustment act (or a summary which includes the elements listed in Article 4 of the 2012 SGEI Decision) and the amounts of aid granted to the entrusted undertaking on a yearly basis.
Ibid., betragtning 156.
As can be observed in Tables 9-13, the amount of municipal deficit compensation granted per individual IRIS-H does not exceed the EUR 15 million threshold in any year.
Ibid., betragtning 175-181.
Therefore, the Commission considers that the transparency requirement under Article 7 of the 2012 SGEI Decision is not applicable in this case.
Ibid., betragtning 182-193.
Summary conclusions on the compatibility with the internal market
Ibid., betragtning 204-205.
On the basis of the above, the Commission concludes that the compensation of the deficits of the Brussels public IRIS hospitals by the Brussels municipalities since 1996, which forms the subject matter of this decision, complies with the requirements of the 2012 SGEI Decision and is therefore compatible with the internal market pursuant to Article 106(2) TFEU.
Ibid., betragtning 206.
It follows from the foregoing conclusion and the explanations given above under recitals 148-152 that the Commission does not need to assess whether the compensation of the deficits of the Brussels public IRIS hospitals by the Brussels municipalities is also compatible with the internal market pursuant to the 2005 SGEI Decision (for aid that was granted between 19 December 2005 and 31 January 2012) or the 2012 SGEI Framework.
Ibid., betragtning 198.
Final remarks
Ibid., betragtning 199.
As explained above (see recital 159), in its annulment judgment of 7 November 2012, the GC made reference to the principle of equal treatment.
Ibid., betragtning 201.
In this context, the Commission recalls that the principle of non-discrimination/equal treatment is not mentioned as a compatibility criterion in the 2012 SGEI Decision.
Se fodnote 14.
Nevertheless, for the case at hand, the Commission concludes that in any event this principle is complied with since the public IRIS-H and the private Brussels hospitals are in a legally and factually different situation due to the fact that the SGEI mission of the public IRIS-H is wider in scope than that of the private hospitals and hence is more costly to perform (as explained above, see Section 7.3.4.1).
Ibid., præmis 70.
For the sake of completeness, the Commission notes that the IRIS-H are subject to a number of constraints and also additional costs (see recitals 42-43) in the performance of the SGEI entrusted to them.
Ibid., præmis 97-188.
Since the IRIS-H and private hospitals in Brussels are in different/not comparable situations, the compensation of the deficits of the IRIS-H cannot be regarded as a breach of the principle of equal treatment.
Ibid., præmis 119-120.
CONCLUSION
Ibid., præmis 104.
On the basis of the foregoing assessment, the Commission has decided that the State aid at issue in this case is compatible with the internal market based on Article 106(2) of the TFEU,
Ibid., præmis 123-151.
HAS ADOPTED THIS DECISION:
Ibid., præmis 152-159.
Article 1
Ibid., præmis 174-188.
The State aid in the form of compensation of the deficits of the Brussels public IRIS hospitals by the Brussels municipalities since 1996 is compatible with the internal market on the basis of Article 106(2) of the Treaty on the Functioning of the European Union.
Ibid., præmis 189-244.
This Decision is addressed to the Kingdom of Belgium.
Ibid., præmis 194 og 195-202.
Done at Brussels, 5 July 2016.
Ibid., præmis 196.
For the Commission
Ibid., præmis 194.
Member of the Commission
Ibid., præmis 203-207.
From 1 December 2009 onwards, Articles 87 and 88 of the EC Treaty have become respectively Articles 107 and 108 of the Treaty on the Functioning of the European Union (‘TFEU’).
Ibid., præmis 208-211.
The two sets of provisions are, in substance, identical.
Ibid., præmis 215.
For the purposes of this Decision, references to Articles 107 and 108 of the TFEU should be understood as references to Articles 87 and 88, respectively, of the EC Treaty where appropriate.
Ibid., præmis 216-218.
The TFEU also introduced certain changes in terminology, such as the replacement of ‘Community’ by ‘Union’, ‘common market’ by ‘internal market’ and ‘Court of First Instance’ by ‘General Court’.
Ibid., præmis 231-244.
The terminology of the TFEU will be used throughout this Decision.
Ibid., præmis 238.
OJ C 437, 5.12.2014, p. 10.
Ibid., præmis 239-244.
Together, these five public hospitals operate about 2425 of the approximately 7260 beds that are provided by general and university hospitals (i.e. excluding psychiatric, geriatric and other specialised hospitals) in the Brussels Capital Region and employ almost 10000 staff.
Ibid., præmis 245-301.
Each year, they provide over 1 million medical consultations.
Ibid., præmis 253-255.
The number of approved hospital beds was provided by the Belgian authorities (who consulted the Common Community Commission and the Federal Public Service for Public Health) and concerns the year 2015.
Ibid., præmis 257-258 og 265.
The other information is available on the website of IRIS (see: http://www.iris-hopitaux.be).
Ibid., præmis 259-264.
See Sections 2.2 and 2.4 for more detail about these public hospitals and their activities.
Ibid., præmis 266-278.
The abbreviation IRIS stands for Interhospitalière Régionale des Infrastructures de Soins.
Ibid., præmis 279-288.
The complainants had requested that their respective identities remain confidential.
Ibid., præmis 286.
However, given the applications for annulment introduced by these parties and the following annulment judgment of 7 November 2012 by the General Court in Case number T-137/10, these identities are now public (see recitals 4 and 6.
Ibid., præmis 288.
It also has to be noted that the ABISP and its members are no longer pursuing the complaint.
Ibid., præmis 290.
This latter argument was first raised by the complainants in their letter of 15 December 2008.
Ibid., præmis 300.
In essence, the Commission services' preliminary assessment was that it appeared that the IRIS-H were duly entrusted with public service missions, that their compensation was clearly defined and that there was no overcompensation.
Ibid., præmis 308.
Therefore, the Commission services considered that there were no problems with respect to State aid rules.
Se i den forbindelse dom i sag T-137/10, præmis 310 og 313.
In addition, they noted that the requirements concerning transparency also seemed to be fulfilled.
Spørgsmålet om, hvorvidt disse aktiviteter nu også udgør tjenesteydelser af almindelig økonomisk interesse efter artikel 106, stk. 2, i TEUF eller ikke, og hvorvidt disse aktiviteter blev overdraget til hospitalerne ved en behørigt etableret overdragelsesakt, vil blive behandlet nedenfor (i afsnit 7.3.4).
As a result, the Commission services concluded that there were insufficient reasons to pursue the investigation unless new elements were brought forward by the complainant.
Se i den forbindelse dom i sag T-137/10, præmis 308.
Case T-128/08, not reported.
Se dom af 25. januar 2013 i sag RG 2010/15534/A, ASBL La Clinique Fond'Roy mod […] og CPAS d'Uccle og d'Anderlecht.
Case T-241/08, not reported.
I kongelig anordning af 12. december 1996 om akut lægehjælp præciseres det, at den akutte karakter skønnes og attesteres af en læge eller en tandlæge.
Council Regulation (EC) No 659/1999 of 22 March 1999 laying down detailed rules for the application of Article 108 of the Treaty on the Functioning of the European Union (OJ L 83, 27.3.1999, p. 1).
Den akutte karakter defineres ikke i loven, men skønnes af den sundhedsfaglige person, der konsulteres.
OJ C 74, 24.3.2010, p. 1.
Akut lægehjælp kan således rumme alle typer lægehjælp af kurativ og præventiv karakter, ydet på et hospital eller ambulant, samt recepter på lægemidler.
Commission Decision 2005/842/EC of 28 November 2005 on the application of Article 86(2) of the EC Treaty to State aid in the form of public service compensation granted to certain undertakings entrusted with the operation of services of general economic interest (OJ L 312, 29.11.2005, p. 67).
Akut lægehjælp adskiller sig således fra livreddende akutbehandling beskrevet i betragtning 97.
Case T-137/10 CBI v Commission, ECLI:EU:T:2012:584.
MC-Informations no 211, februar 2004, s. 8-14.
Ibid., paragraph 313.
Se fodnote 49, hvor denne organisation er beskrevet.
See footnote 2.
LCH's artikel 2 har følgende ordlyd: »I denne koordinerede lov forstås ved hospitaler de sundhedsinstitutioner, hvor der kan udføres specifikke undersøgelser og/eller behandlinger af specialmedicinsk karakter inden for medicin, kirurgi og eventuelt obstetrik på alle tidspunkter i et tværfagligt miljø, på de betingelser for levering af sundhedsydelser og i den medicinske, medicinsk-tekniske, paramedicinske og logistiske ramme, der er påkrævet og egnet til de patienter, som tilses ambulant eller indlægges, fordi deres sundhedstilstand kræver levering af denne samlede sundhedsydelse for at behandle eller lindre sygdommen, genoprette eller forbedre patientens sundhedstilstand eller stabilisere læsioner hurtigst muligt.«
Belgisch Staatsblad/Moniteur Belge of 5 August 1976, p. 9876.
Udtalelse fra lovgivningsafdelingen under Conseil d'État om det foreløbige udkast til bekendtgørelse af 13. februar 2003 om tildeling af særlige tilskud til kommunerne fra hovedstadsregionen Bruxelles.
Out of the nineteen municipalities that together form the Brussels Capital Region, these six municipalities concerned are: Anderlecht, la Ville de Bruxelles, Etterbeek, Ixelles, Schaerbeek and Saint-Gilles.
Se betragtning 19 for at læse denne artikels ordlyd.
More specifically: CHU Brugmann-HUDERF (until 1 January 1997 a single entity), CHU Saint-Pierre, the Institut Bordet, the Centre Hospitalier Baron Lambert, the Centre Hospitalier Bracops, the Centre Hospitalier Molière, the Centre Hospitalier Brien and the Centre Hospitalier Etterbeek-Ixelles.
Den føderale regering vedtager planen om hospitalssenge (»hospitalsplanlægningen«) på grundlag af forskellige indekser (inden for medicin, kirurgi, geriatri, fødsler, pædiatri, revalidering, psykiatri, neonatalfunktion osv.) i lyset af den samlede befolkning i Bruxelles, regionen Flandern og regionen Vallonien og hele kongeriet på forslag fra det nationale hospitalsråd (Conseil national des établissements hospitaliers).
Emphasis added.
Nærmere bestemt bemærker de belgiske myndigheder endvidere, at der i LCH fastsættes bestemmelser om underskudsdækning i tilfælde, hvor et offentligt hospital overføres til en privat ejer, mens CPAS-loven udelukkende angiver generelle principper for oprettelse og drift af hospitaler, som CPAS etablerer.
Ordinary session 1995-1996.
De belgiske myndigheder bemærker, at det franske hospital, trods det at man søgte en køber, pludselig lukkede for modtagelser den 9. maj 2008.
Documents of the Assembly of the Commission Communautaire commune: Draft order: B-10/1.
De forklarer, at dette hospital tidligere havde lukket sin pædiatriske afdeling og fødeafdelingen.
Report: B-10/2.
Ifølge de belgiske myndigheder blev patienterne på disse afdelinger overført til andre hospitaler i hovedstadsregionen Bruxelles i løbet af den pågældende dag.
Verbatim record.
I LCH anses IRIS-hospitalerne for at være drevet af et CPAS.
Discussion and adoption: meeting of 22 December 1995.
Det årlige beløb afhænger af de disponible midler i hovedstadsregionen Bruxelles' budget og de berørte kommuners ansøgninger.
In particular, the preparatory work notes that the cooperation agreement of 19 May 1994 was concluded: ‘in order to ensure the continuity of Brussels public hospitals, inter alia, by encouraging the establishment of mechanisms for coordination and cooperation between the bodies responsible for the public hospitals in the territory of the Brussels Capital Region, namely the municipalities, the [CPAS] and the associations set up in accordance with Chapter XII of the [Loi CPAS].’
I løbet af perioden 2003-2014 nåede det særlige tilskud loftet på 10 mio. EUR hvert år undtagen i 2010 (9 mio. EUR) og 2011 (9,5 mio. EUR).
Article 121 of the Loi CPAS specifies that the Chapter XII associations have legal personality.