natgillin/translations-raw huggingface dataset:
In this respect, the Belgian authorities note that the aim of the IRIS-H is not merely to establish ‘viable’ hospital services, missions and programmes, as Belgian private hospitals could do.
Belgija poleg tega potrjuje, da ukrepi sklada FRBRTC in regije glavnega mesta Bruselj (v višini do 10 milijonov EUR letno [132]) v podporo občinam pomenijo prenose finančnih sredstev med javnimi organi, ki ne spadajo na področje uporabe člena 107(1) PDEU.
Instead, according to the Belgian authorities, the IRIS-H have to guarantee the widest possible range of healthcare, specifically in order to ensure access for everyone, including the poorest members of society, to whatever treatment their pathology requires, even if that goes well beyond the norms of hospital planning and approval applicable to all hospitals, by and under the LCH.
Belgijski organi ponavljajo, da regija ali sklad FRBRTC nobenega od teh zneskov nista dodelila bolnišnicam IRIS.
In this context, the Belgian authorities also make reference to paragraph 162 of the General Court judgment of 7 November 2012 which states: ‘compensation for public hospital deficits may be necessary for health and social reasons in order to ensure the continuity and viability of the hospital system’.
Nasprotno, po njihovih navedbah so to le prenosi med regijo in občinami v pristojnosti regije v okviru splošnega financiranja občin.
The Belgian authorities also point out that the status of a public hospital entails certain costs that are not fully compensated by the federal financing measures.
To splošno financiranje je zasnovano tako, da občinam omogoča izpolnjevanje njihovih nalog v občinskem interesu, kar vključuje naloge CPAS.
They note that these costs include among others: the payment of language bonuses to bilingual staff, higher pension and sickness expenses for statutory employees (civil servants), and pay scale increases imposed (but only partially paid) by the Brussels Capital Region.
Po navedbah belgijskih organov napovedana reforma Ordonnance z dne 13. februarja 2003 nikakor ni priznanje, da bolnišnice IRIS ne opravljajo nobene dodatne storitve splošnega gospodarskega pomena.
Comments from Belgium on third party comments
Občine določijo storitve splošnega gospodarskega pomena in za njihovo opravljanje pooblastijo bolnišnice, ki jih ustanovijo, Ordonnance pa v zvezi s tem ni pomembna, saj se nanaša le na financiranje na ravni države.
The Belgian authorities start by noting that the observations by CBI, ABISP and Zorgnet Vlaanderen to the Commission's opening decision are founded on the common assertion that in their opinion the IRIS-H are not entrusted with SGEI in addition to those incumbent on any hospital (public or private) in Belgium.
Belgijski organi zavračajo tudi domnevno nepravilen opis socialnih nalog, ki ga je združenje CBI predložilo v svojih pripombah.
In their view, this assertion is based on a single premise, namely the fact that the LCH entrusts private and public hospitals with the same public service obligation regardless of any particular regional aspect.
Združenje CBI je zlasti menilo, da je v zakonu LCH opredeljena „osnovna socialna naloga“, ki je skupna vsem javnim in zasebnim bolnišnicam, le bolnišnice IRIS pa jo opravljajo intenzivneje.
However, according to the Belgian authorities, the intervening parties do not explain how the Loi CPAS would not apply to the IRIS-H while according to Belgium this law is the specific legal cause for the existence of the IRIS-H.
S tega vidika „dodatnih“ socialnih nalog bolnišnic IRIS ne bi bilo mogoče ločiti od bolnišničnih storitev, ki se zagotavljajo, in bi bile njihov sestavni del.
The Belgian authorities point out that Article 147 of the LCH explicitly acknowledges that for hospitals managed by a CPAS (such as the IRIS-H [131]), the LCH supplements the Loi CPAS which confirms that the LCH is not the only relevant legal basis when it comes to a hospital managed by a CPAS.
Po mnenju belgijskih organov tega mnenja ni mogoče upoštevati.
The CBI's assertion that the Brussels government's intention to reword the Ordonnance of 13 February 2003 to specify the missions of general interest which justify specific subsidies to municipalities (see recital 70) is an indication that no specific missions (only applying to the IRIS-H) currently exist, is deemed incorrect by the Belgian authorities.
Menijo, da združenje CBI poleg izrecnega priznanja, da dejansko obstaja resnična razlika med javnimi in zasebnimi bolnišnicami (tj. bolnišnice IRIS zagotavljajo večji obseg socialnih storitev), ni opredelilo, kaj natanko misli z „osnovno socialno nalogo“, za katero meni, da je bolnišnična storitev splošnega gospodarskega pomena, ali določilo pravne podlage, na kateri temelji, ali posebnega pooblastila, ki jo dodeljuje.
In particular, they point out that the specific subsidies foreseen by this Ordonnance are only awarded to the municipalities and not to the IRIS-H.
Po njihovem mnenju se lahko javne bolnišnice za opravljanje „osnovnih socialnih nalog“ pooblastijo le na podlagi zakona o CPAS.
Belgium furthermore confirms that the interventions by both the FRBRTC and the Brussels Capital Region itself (of up to EUR 10 million per year [132]) in support of the municipalities constitute financial transfers between public authorities outside the scope of Article 107(1) TFEU.
Kar zadeva same javne bolnišnice, zakon LCH po njihovem mnenju dejansko le dopolnjuje zakon o CPAS (glej člen 147 zakona LCH).
The Belgian authorities repeat that none of these amounts have been granted by the Region or the FRBRTC to the IRIS-H.
Temeljna ali „osnovna“ naloga bolnišnic IRIS je določena z zakonom o CPAS ali v skladu z njim, zato ni „skupna“ vsem bolnišnicam.
On the contrary, according to Belgium they are simply transfers between the Region and the municipalities within the Region's remit in terms of the overall funding of municipalities.
Po njihovem mnenju ta naloga ni gospodarske narave.
This overall funding is designed to enable the municipalities to fulfil their tasks of communal interest which includes the missions of the CPAS.
Bolnišnice IRIS se torej ustanovijo na podlagi zakona o CPAS, nato pa morajo upoštevati dodatna pravila iz zakona LCH [133].
It is the municipalities that specify the SGEI entrusted to the hospitals they establish and the Ordonnance has no relevance in this context as it only concerns intra-State financing.
Po njihovem mnenju pooblastitev za opravljanje osnovne bolnišnične naloge ne zadošča za podobno pooblastitev za opravljanje naloge zagotavljanja zdravstvene nege vsem osebam v vseh okoliščinah in ne glede na njihovo plačilno sposobnost.
The Belgian authorities also refute the allegedly inaccurate portrayal of the social missions made by CBI in its observations.
To zanesljivo dokazuje dejstvo, da obstajajo posebna pravila, ki urejajo urgentno zdravljenje.
In particular, CBI considered that the LCH defines a ‘basic social mission’ common to public and private hospitals, but which only the IRIS-H would perform more intensively.
Belgijski organi trdijo, da naloga splošnega interesa ne more biti predvidena, ampak naložena.
From this perspective, the ‘additional’ social missions of the IRIS-H could not be separated from the hospital services provided and would be an integral part of these.
Po njihovem mnenju je bilo treba določiti posebne zahteve za urgentno zdravljenje, saj v opredelitvi osnovne bolnišnične naloge v zakonu LCH urgentno zdravljenje ni navedeno.
According to the Belgian authorities, this view cannot be followed.
Dejansko trdijo, da zakon z dne 8. julija 1964 [134] in njegove izvedbene odločbe obravnavajo nujno medicinsko pomoč [135] in nujne storitve (vključno z reševalnimi vozili).
The Belgian authorities consider that beyond the fact that CBI expressly recognises here that there is indeed an intrinsic difference between public and private hospitals (i.e. a higher volume of social services being provided by the IRIS-H), CBI does not define what it means exactly by ‘basic social mission’, which it considers to be a hospital SGEI, or determine the legal basis which supports it or the specific mandate which grants it.
Na podlagi tega lahko nekatere javne in zasebne bolnišnice izvajajo nekatere naloge na področju nujne medicinske pomoči.
The Belgian authorities are of the opinion that only the Loi CPAS can be used to entrust ‘basic social missions’ to public hospitals.
Po njihovih navedbah morajo bolnišnice zagotoviti pomoč v primerih nujne medicinske pomoči v skladu s svojo strukturo in razpoložljivim strokovnim znanjem [136].
According to them, this mission is not economic in nature.
Vendar pojasnjujejo, da v vseh drugih (tj. nenujnih) primerih bolnišnice, ki niso pooblaščene za opravljanje naloge splošnega zdravstvenega varstva, niso zavezane k zdravljenju pacientov, če ga ti ne morejo plačati.
Hence, the IRIS-H are established under the Loi CPAS and, once set up, expected to abide by the LCH's additional rules [133].
Ugotavljajo tudi, da belgijske bolnišnice sicer seveda ne smejo diskriminirati na podlagi pacientovega premoženja (in s tem na podlagi golega dejstva, da je nekdo reven), vendar jih ni mogoče prisiliti, da zagotavljajo brezplačno oskrbo, če je pacient v nenujnem primeru ne more ali noče plačati.
With respect to CBI's observations concerning the universal care mission, the Belgian authorities observe that CBI limits the universal care mission, which it alleges to be common to all hospitals, solely to emergencies and post-emergencies.
Belgijski organi so v svojih pripombah k pripombam združenja CBI tudi umestili v kontekst njegovo sklicevanje na sodbo bruseljskega sodišča prve stopnje (glej uvodno izjavo 72).
In this way, the Belgian authorities consider that CBI would implicitly recognise that private Brussels hospitals have no obligation to treat patients outside of emergency and ‘post-emergency’ cases, which nonetheless account for the bulk of care provided for needy people.
Po njihovih navedbah se sodba, ki jo navaja združenje CBI, nanaša le na zelo poseben primer zagotavljanja nujne zdravstvene oskrbe [137] migrantu brez dokumentov, ki je potreboval psihiatrično pomoč.
Furthermore, the Belgian authorities argue that CBI's reference to the public interest mission described in Article 2 of the LCH does not provide a basis for any such obligation.
Poudarjajo, da bolnišnice IRIS ne zagotavljajo te vrste oskrbe.
According to them being entrusted with a basic hospital mission is not sufficient in order to be similarly entrusted with the mission of providing care to all persons in all situations and regardless of their ability to pay.
Po njihovem mnenju ta sodba dejansko potrjuje, da nujno zdravstveno oskrbo migrantom brez dokumentov običajno zagotavljajo bolnišnice, ki so jih ustanovili CPAS, ali bolnišnice, s katerimi so CPAS sklenili dogovor [138].
The mere fact that there are specific rules governing emergencies amply demonstrates this.
Poudarjajo, da združenje CBI ne utemeljuje oziroma sploh ne poskuša utemeljiti domnevne obveznosti zasebnih bolnišnic, da vsem pacientom zagotovijo „posturgentno zdravljenje“.
The Belgian authorities argue that a general interest mission cannot be implied, but is imposed.
Po njihovih navedbah za zasebne bolnišnice ne velja nobena taka obveznost „posturgentnega zdravljenja“, bolnišnice IRIS pa morajo zdraviti vse paciente v vseh okoliščinah, tudi če ne gre za primer nujne medicinske pomoči.
In their view, it was necessary to lay down specific requirements for emergencies because there is no mention of emergencies in the LCH definition of the basic hospital mission.
OCENA UKREPOV
Indeed, the Belgian authorities argue that the Law of 8 July 1964 [134] and its implementing decrees deal with emergency medical assistance [135] and emergency services (including ambulances).
Področje uporabe tega sklepa
On this basis, some hospitals, both public and private, carry out certain tasks in the field of emergency medical assistance.
Pritožnik je navedel ukrep pomoči v višini približno 100 milijonov EUR v okviru prestrukturiranja, s katerim so bile ustanovljene bolnišnice IRIS (glej oddelek 2.2).
However, the Belgian authorities argue that the obligation to provide emergency care in both public and private hospitals is not conferred by the LCH.
Vendar je Komisija, kot je bilo pojasnjeno v oddelku 3.1 sklepa o začetku postopka, ukrepala le v zvezi s pomočjo za prestrukturiranje, ko je rok za vračilo te pomoči pretekel.
It is, instead, a general obligation to assist persons in danger.
Zato ta ukrep pomoči ni bil vključen v področje formalne preiskave, ki jo je izvedla Komisija, in ne bo nadalje obravnavan v tem sklepu.
According to the Belgian authorities, hospitals are required to provide assistance in cases of medical emergency, according to their structure and available expertise [136].
Razen ukrepa, za katerega je veljal rok, se je pritožba formalno nanašala na (i) sredstva, ki jih je sklad FRBRTC dodelil občinam, odgovornim za bolnišnice IRIS, in (ii) posebne subvencije (v višini do 10 milijonov EUR letno), ki jih je tem občinam dodelila regija glavnega mesta Bruselj na podlagi Ordonnance z dne 13. februarja 2003.
Both public and private hospitals are subject to this obligation, as indeed is everyone else, by virtue of their duty to assist persons in danger.
Vendar sta se ti vrsti sredstev dodelili le občinam, odgovornim za bolnišnice IRIS, in ne samim bolnišnicam IRIS.
The Belgian authorities also explain that under Article 422 ter of the Belgian Criminal Code, this obligation only applies in emergency situations, and particularly in medical emergencies of a life-threatening nature.
Dejansko gre resnično le za gibanje kapitala med regijo glavnega mesta Bruselj in šestimi bruseljskimi občinami, odgovornimi za bolnišnice IRIS, zato ne pomenita državne pomoči bolnišnicam IRIS.
However, they point out that in all other (i.e. non-emergency) situations hospitals that have not been entrusted with a universal care mission, are not obliged to treat patients if these cannot pay for the treatment.
Res je, da so v razveljavljeni odločbi Komisije iz leta 2009 plačila iz sklada FRBRTC zamešana z mehanizmom za nadomestilo primanjkljaja iz člena 109 zakona LCH in da ocena parametrov nadomestila teh dveh ukrepov ni bila ločena [139].
Finally, the Belgian authorities observe that while Belgian hospitals are naturally not allowed to discriminate based on a patient's wealth (and hence on the pure fact that someone is poor), they cannot be forced to provide care for free if a patient cannot or will not pay in a non-emergency situation.
Poleg tega občine sredstva iz sklada FRBRTC uporabijo za izravnavo primanjkljaja bolnišnic IRIS [140], bolnišnicam IRIS pa so jih morale nakazati najpozneje v sedmih delovnih dneh [141].
In their comments to CBI's observations, the Belgian authorities also put into context CBI's reference to a judgment of the Brussels Court of First Instance (see recital 72).
Kljub temu so na podlagi informacij, prejetih v odgovoru na sklep o začetku postopka, in kot je pojasnjeno v nadaljevanju (glej uvodno izjavo 230), prenosi finančnih sredstev iz sklada FRBRTC in regije glavnega mesta Bruselj občinam, ki so odgovorne za bolnišnice IRIS, potrebni, saj te občine nimajo dovolj lastnih sredstev za izpolnitev svoje obveznosti glede nadomestila primanjkljaja, ki jo imajo do bolnišnic IRIS.
According to the Belgian authorities, the judgment referred to by CBI only concerns a very specific case of urgent medical aid [137] provision for an undocumented migrant who needed psychiatric care.
V zvezi s tem sta sklad FRBRTC in regija glavnega mesta Bruselj od bruseljskih občin zahtevala, da dajo sredstva iz sklada FRBRTC in posebne subvencije bolnišnicam IRIS na voljo skoraj takoj po njihovem prejemu.
They point out that the IRIS-H do not provide this type of care.
Ne glede na to obveznost prenosa morajo le zadevne občine kriti primanjkljaje bolnišnic IRIS in te bolnišnice niso upravičene do nobenega nadomestila regije glavnega mesta Bruselj ali iz sklada FRBRTC.
In their view, this judgment actually confirms that urgent medical aid for undocumented migrants is normally either provided by hospitals established by a CPAS or by hospitals with which the CPAS have concluded an agreement [138].
Podobno so bolnišnicam IRIS nekatere obveznosti naložile le občine in ne regija glavnega mesta Bruselj (glej oddelek 7.3.4.1).
Finally, the Belgian authorities point out that CBI does not justify, or even attempt to justify, an alleged obligation for private hospitals to treat all patients for ‘post-emergencies’.
Zato se lahko le plačila za nadomestilo primanjkljaja občin bolnišnicam IRIS, financirana iz lastnih sredstev občin ali sredstev, ki jih je občinam zagotovila regija glavnega mesta Bruselj, štejejo za državno pomoč v smislu člena 107(1) PDEU.
According to the Belgian authorities, no such ‘post-emergency’ obligation exists for private hospitals while the IRIS-H are obliged to treat all patients in all circumstances, even if there is no medical emergency.
Komisija ugotavlja, da je financiranje na ravni države (ki ga regija glavnega mesta Bruselj neposredno ali posredno prek sklada FRBRTC dodeli občinam) le vir sredstev za občinska plačila za nadomestilo primanjkljaja in ni ukrep, ki lahko bolnišnicam IRIS poleg tega nadomestila primanjkljaja prinese korist.
ASSESSMENT OF THE MEASURES
Zato denarni tokovi med regijo glavnega mesta Bruselj in zadevnimi bruseljskimi občinami ter njihove pravne podlage (npr. Ordonnance z dne 13. februarja 2003) v tem sklepu ne bodo ocenjeni kot taki.
Scope of this decision
Namesto tega bo Komisija v tem sklepu ocenila občinska plačila za nadomestilo primanjkljaja, ki koristijo bolnišnicam IRIS in pri katerih so občine večinoma odvisne od financiranja na ravni države, ki so ga prejele od regije glavnega mesta Bruselj [142].
The complaint made reference to an aid measure of approximately EUR 100 million in the context of the restructuring operation that led to the creation of the IRIS-H (see Section 2.2).
V oceni državne pomoči za občinsko nadomestilo primanjkljaja se ne bodo nadalje obravnavali ukrepi, na katere se je formalno nanašala pritožba, vendar se bodo vsebinsko v celoti obravnavali pritožnikovi pomisleki glede državne pomoči, saj se bodo dejansko obravnavala tudi sredstva, ki jih je regija glavnega mesta Bruselj dodelila neposredno ali prek sklada FRBRTC, saj jih občine v celoti porabijo za nadomestilo primanjkljaja bolnišnic IRIS.
However, as explained in Section 3.1 of the opening decision, the Commission only took action with respect to the restructuring aid after the limitation period for the recovery of this aid had expired.
Zato so v preskusih glede prekomernega nadomestila, ki so opisani v nadaljevanju (glej preglednice od 9 do 13 v oddelku 7.3.5), opredeljena tudi plačila za nadomestilo primanjkljaja, ki so se financirala s sredstvi iz sklada FRBRTC in posebnimi subvencijami regije glavnega mesta Bruselj.
Therefore, this aid measure was not included in the scope of the formal investigation carried out by the Commission and will hence not be addressed further in this decision.
Poudariti bi bilo treba, da del občinskih plačil za nadomestilo primanjkljaja, ki ga je financirala regija glavnega mesta Bruselj ali se je financiral iz sklada FRBRTC, ni zadoščal [143] za kritje celotnega primanjkljaja bolnišnic IRIS in da se v obdobju 1996–2014 ni nikoli zgodilo, da bi katera od bolnišnic IRIS zaradi teh plačil dejansko prejela prekomerno nadomestilo in bi morala vrniti (del) nadomestila primanjkljaja (glej tudi uvodni izjavi 234 in (238)).
Apart from the measure covered by the limitation period, the complaint formally targeted (i) the funds distributed by the FRBRTC to the municipalities in charge of the IRIS-H and (ii) the special subsidies (of up to EUR 10 million per year) granted to these municipalities by the Brussels Capital Region on the basis of the Ordonnance of 13 February 2003.
Komisija bo zato ocenila nadomestilo primanjkljaja, ki so ga občine bolnišnicam IRIS dodelile od leta 1996 [144].
These two types of funds are however awarded only to the municipalities in charge of the IRIS-H and not to the IRIS-H themselves.
Na podlagi tega je na sliki 1 povzeto javno financiranje, ki spada na področje uporabe tega sklepa (pravokotnik s polno črto), prikazani pa so tudi ukrepi financiranja na ravni države, na katere se je nanašala pritožba (pravokotnik s črtkano črto).
They are in reality only financing flows between the Brussels Capital Region and the six Brussels municipalities in charge of the IRIS-H and therefore do not constitute State aid to the IRIS-H.
Ti ukrepi so podrobneje predstavljeni v oddelku 7.3.5.
It is true that the Commission's 2009 annulled decision tended to confuse the FRBRTC payments and the deficit compensation mechanism of Article 109 LCH and did not separate the assessment of the compensation parameters of these two measures [139].
Slika 1
Furthermore, the FRBRTC funds are used by the municipalities to compensate the deficit of the IRIS-H [140] and the municipalities had the obligation to pay the FRBRTC funds to the IRIS-H within a maximum period of seven working days [141].
Gibanje kapitala in področje uporabe tega sklepa
Nevertheless, on the basis of the information received in reply to its opening decision and as explained below (see recital 230) the financial transfers from the FRBRTC and the Brussels Capital Region to the municipalities in charge of the IRIS-H are necessary since these municipalities have insufficient own resources to fulfil the municipal deficit compensation obligation towards the IRIS-H.
Posebna subven-cija (največ 10 mil-ijonov EUR letno) Financiranje iz sklada FRBRTC (1)
It is in this context that both the FRBRTC and the Brussels Capital Region have required the Brussels municipalities to almost immediately upon receipt of these transfers make the FRBRTC funds and the special subsidies available to the IRIS-H.
Celotno kritje primanjkljaja (čl.
Regardless of this pass-on obligation, it is only the respective municipalities that have the obligation to compensate the deficits of the IRIS-H and these hospitals have no right to any compensation from the Brussels Capital Region or the FRBRTC.
46 statutov bolnišnic IRIS)
Likewise, the IRIS-H have been entrusted with certain obligations by the municipalities only and not by the Brussels Capital Region (see Section 7.3.4.1).
Pet bolnišnic IRIS (4)
Instead, in this decision the Commission will assess the municipal deficit compensation payments of which the IRIS-H benefit, and for which the municipalities rely to a large extent on the intra-State financing they received from the Brussels Capital Region [142].
Centre Publics d'Action Sociale: javni centri za socialno pomoč, ki spadajo k občinam.
However, while not further pursuing the measures that are formally targeted by the complainant, the State aid assessment of the municipal deficit compensation will materially fully address the complainant's State aid concerns since it will de facto also cover the funds that were granted by the Brussels Capital Region directly or via the FRBRTC as the municipalities use them entirely for the deficit compensation of the IRIS-H.
CHU Saint-Pierre, CHU Brugmann, Institut Bordet, Queen Fabiola Children's University Hospital (HUDERF) in južne bolnišnice IRIS.
For this reason, the overcompensation tests that are described below (see Tables 9 to 13 in Section 7.3.5) also identify the deficit compensation payments that were financed using FRBRTC funds and special subsidies from the Brussels Capital Region.
Državna pomoč v smislu člena 107(1) PDEU
The Commission will therefore assess the deficit compensation awarded by the municipalities to the IRIS-H since 1996 [144].
V skladu s tem ukrep pomeni državno pomoč, če so izpolnjeni naslednji štirje kumulativni pogoji [145]:
On that basis, Figure 1 below summarises the public financing that is in scope of this decision (in the full line rectangle) and also indicates the intra-State financing measures that were targeted in the complaint (in the dashed line rectangle).
ukrep mora podjetju zagotavljati selektivno gospodarsko prednost;
More detail on these measures will be provided in Section 7.3.5 below.
ukrep se mora financirati iz državnih sredstev;
Figure 1
ukrep mora izkrivljati ali bi lahko izkrivljal konkurenco;