division_name: Healthcare (International Arrangements) Bill &#8212; Annual report on the cost of healthcare arrangements
motion: <p class="indent" pid="a82.1/4" pwmotiontext="yes">&#8220;the NHS has been recovering much less than it should&#8221;,</p>
  
  <p class="indent" pid="a82.1/6" pwmotiontext="yes">&#8220;The systems for cost recovery appear chaotic.&#8221;</p>
  
  <p class="indent" pid="a82.1/9" pwmotiontext="yes">&#8220;If&#8230;the Secretary of State wished to fund wholly or entirely the cost of all mental health provision in the state of Arizona, or the cost of all hip replacements in Australia, the regulations would only be subject to the negative procedure.&#8221;</p>
  
  <p class="indent" pid="a82.1/11" pwmotiontext="yes">&#8220;Of course, these examples will not be priorities for any Secretary of State in this country&#8221;.</p>
  
  <p class="indent" pid="a82.1/15" pwmotiontext="yes">&#8220;There is no limit to the amount of the payments. There is no limit to who can be funded world-wide. There is no limit to the types of healthcare being funded. The regulations can confer functions (that is, powers and duties, including discretions) on anyone anywhere. The regulations can delegate functions to anyone anywhere.&#8221;</p>
  
  <p class="indent" pid="a82.1/17" pwmotiontext="yes">&#8220;In our view, the powers in clause 2(1) are inappropriately wide and have not been adequately justified by the Department. It is particularly unsatisfactory that exceedingly wide powers should be subject only to the negative procedure.&#8221;</p>
  
  <p class="indent" pid="a82.1/20" pwmotiontext="yes">&#8220;We would like to see much more emphasis on scrutiny of all the discussions in the arrangements going forward.&#8221;&#8211;&#8211;[Official Report, Healthcare (International Arrangements) Public Bill Committee, <phrase class="date" code="2019-11-27">27 November</phrase> 2018; c. 6, Q14.]</p>
  
  <p class="indent" pid="a82.1/22" pwmotiontext="yes">&#8220;The Bill also provides flexibility to fund healthcare even where there is no bilateral agreement, which we might explore using in exceptional circumstances to secure healthcare for certain groups of people.&#8221;</p>
  
  <p class="indent" pid="a82.1/25" pwmotiontext="yes">&#8220;will potentially add to their number as part of future health and trade policy.&#8221;&#8211;&#8211;[Official Report, Healthcare (International Arrangements) Public Bill Committee, <phrase class="date" code="2019-11-29">29 November</phrase> 2018; c. 23-24.]</p>
  
  <p class="indent" pid="a82.1/29" pwmotiontext="yes">&#8220;Both clinicians and health organisations are concerned that we could end up with a system that is both administration-intensive and time-intensive.&#8221;&#8211;&#8211;[Official Report, Healthcare (International Arrangements) Public Bill Committee, <phrase class="date" code="2019-11-27">27 November</phrase> 2018; c. 3, Q4.]</p>
  
  <p class="indent" pid="a85.0/3" pwmotiontext="yes">&#8220;If UK citizens in the EU are treated as 3rd country nationals (i.e. they cease to have rights of movement and access to services in EU Member States, and are treated like citizens coming from non-EU countries) some may face additional financial costs or difficulties accessing healthcare services, with potential implications for their health and wellbeing.&#8221;</p>
  
  <p class="indent" pid="a85.0/5" pwmotiontext="yes">&#8220;Firms are currently pricing in the assumption that there will be a withdrawal agreement in place with a transitional period that will allow more time for the Government to enter into a reciprocal healthcare arrangement.&#8221;</p>
  
  <p class="indent" pid="a85.0/7" pwmotiontext="yes">&#8220;We have people who are taking the option to travel now because they have no idea what will happen after <phrase class="date" code="2019-03-29">29 March</phrase>. For them, the ability to travel with confidence&#8212;I think there is something in the Bill about people being able to travel with confidence&#8212;is something they can do now, and they are not confident yet that they will be able to do that after <phrase class="date" code="2019-03-29">29 March</phrase>.&#8221;&#8211;&#8211;[Official Report, Healthcare (International Arrangements) Public Bill Committee, <phrase class="date" code="2019-11-27">27 November</phrase> 2018; c. 13.]</p>
  
  <p class="italic" pid="a89.1/7" pwmotiontext="yes">The House divided:</p>
  
  <p pid="a89.1/8" pwmotiontext="yes">Ayes 260, Noes 295.</p>