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What changed

From · report parliamentary committee draft · 2023-02-10 CJ43-PR-742387 on the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space
To · Plenary report · 2023-12-05 A-9-2023-0395 on the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space
+1845 added · −261 removed · 87 modified paragraphs

DRAFT EUROPEAN PARLIAMENT LEGISLATIVE RESOLUTION

– having regard to the opinion of the Committee of the Regions of 9 February 2023,

– having regard to RulesRule 59 and 40 of its Rules of Procedure,

– having regard to the opinions of the Committee on Industry, Research and Energy and of the Committee on Internal Market and Consumer Protection,

– having regard to the report of the Committee on the Environment, Public Health and Food Safety and the Committee on Civil Liberties, Justice and Home Affairs (A90000/2023),(A9-0395/2023),

1. Adopts its position at first reading hereinafter set out;

Proposal for a regulation

Recital 31

Or. en

Amendment 2

Proposal for a regulation

Recital 51 a (new)

Or. en

Amendment 3

Proposal for a regulation

Recital 7

Recital 1 b (new)

Or. en

Amendment 4

Proposal for a regulation

Recital 92

Or. en

Amendment 5

Proposal for a regulation

Recital 103

Or. en

Amendment 6

Proposal for a regulation

Recital 153 a (new)

Or. en

Amendment 7

Proposal for a regulation

Recital 18 a (new)

Recital 4

Or. en

Amendment 8

Proposal for a regulation

Recital 24

Recital 4 a (new)

Or. en

Amendment 9

Proposal for a regulation

Recital 255

Or. en

Amendment 10

Proposal for a regulation

Recital 365 a (new)

Or. en

Justification

The important role of real-world evidence for policy decision-making is currently not emphasised in the proposal. The amendment introduces a recital highlighting the potential application of real-world evidence, including the benefits for patients with certain diseases, including respiratory and rare diseases.

Amendment 11

Proposal for a regulation

Recital 377

Or. en

Amendment 12

Proposal for a regulation

Recital 399

Or. en

Amendment 13

Proposal for a regulation

Recital 39 a (new)

Recital 10

Or. en

Justification

In order to empower data subjects, they should have a say on the further use of their most private and sensitive data. The possibility to opt-out of processing for secondary use should be provided to preserve the essence of the right to data protection and to provide for suitable and specific measures to safeguard the fundamental rights and interests of data subjects (Art. 9(2) GDPR).

The issue is also one of trust between the patient and the HC provider: patients may no longer wish to share their health data with HC providers if the data are then automatically passed on for secondary use.

Amendment 14

Proposal for a regulation

Recital 40 a (new)

Recital 11

Or. en

Amendment 15

Proposal for a regulation

Recital 4712

Or. en

Justification

Consequence of proposed deletion of Article 49.

Amendment 16

Proposal for a regulation

Recital 4913

Or. en

Amendment 17

Proposal for a regulation

Recital 5314

Or. en

Justification

Consequence of proposed deletion of Article 49.

Amendment 18

Proposal for a regulation

Recital 5415

Or. en

Amendment 19

Proposal for a regulation

Recital 5516

Or. en

Amendment 20

Proposal for a regulation

Recital 57

Recital 16 a (new)

Or. en

Amendment 21

Proposal for a regulation

Recital 61 a (new)

Recital 17

Or. en

Amendment 22

Proposal for a regulation

Recital 63 a (new)

Recital 19

Or. en

Amendment 23

Proposal for a regulation

Recital 64 a (new)

Recital 20

Or. en

Amendment 24

Proposal for a regulation

Recital 6420 ba (new)

Or. en

Amendment 25

Proposal for a regulation

Recital 64 c (new)

Recital 21

Or. en

Amendment 26

Proposal for a regulation

Recital 64 d (new)

Recital 22

Or. en

Amendment 27

Proposal for a regulation

Recital 65

Recital 22 a (new)

Or. en

Amendment 28

Proposal for a regulation

Recital 69 a (new)

Recital 23

Or. en

Amendment 29

Proposal for a regulation

Recital 7424

Or. en

Amendment 30

Proposal for a regulation

Article 1 – paragraph 3 a (new)

Recital 25

Or. en

Amendment 31

Proposal for a regulation

Article 1 – paragraph 4

Recital 26

Or. en

Amendment 32

Proposal for a regulation

Article 2 – paragraph 1 – point a

Recital 34 a (new)

Or. en

Amendment 33

Proposal for a regulation

Article 2 – paragraph 1 – point c

Recital 35

Or. en

Amendment 34

Proposal for a regulation

Article 2 – paragraph 1 – point f a (new)

Recital 36 a (new)

Or. en

Amendment 35

Proposal for a regulation

Article 2 – paragraph 2 – point b

Recital 37

Or. en

Amendment 36

Proposal for a regulation

Article 2 – paragraph 2 – point e

Recital 37 a (new)

Or. en

Amendment 37

Proposal for a regulation

Article 2 – paragraph 2 – point m

Recital 38

Or. en

Amendment 38

Proposal for a regulation

Article 2 – paragraph 2 – point n

Recital 39

Or. en

Amendment 39

Proposal for a regulation

Article 2 – paragraph 2 – point q – introductory part

Recital 39 a (new)

Or. en

Amendment 40

Proposal for a regulation

Article 2 – paragraph 2 – point z

Recital 40

Or. en

Amendment 41

Proposal for a regulation

Article 2 – paragraph 2 – point z a (new)

Recital 40 a (new)

Or. en

Amendment 42

Proposal for a regulation

Article 2 – paragraph 2 – point ae a (new)

Recital 40 b (new)

Or. en

Amendment 43

Proposal for a regulation

Article 2 – paragraph 2 – point ae b (new)

Recital 41

Or. en

Amendment 44

Proposal for a regulation

Article 3 – paragraph 5 – subparagraph 1 – point b

Recital 42

Or. en

Amendment 45

Proposal for a regulation

Article 3 – paragraph 5 – subparagraph 1 – point b a (new)

Recital 43

Or. en

Amendment 46

Proposal for a regulation

Article 3 – paragraph 8 – subparagraph 1

Recital 44

Or. en

Amendment 47

Proposal for a regulation

Article 3 – paragraph 9

Recital 46

Or. en

Amendment 48

Proposal for a regulation

Article 3 – paragraph 10

Recital 47

Or. en

Amendment 49

Proposal for a regulation

Article 3 – paragraph 12

Recital 48

Or. en

Amendment 50

Proposal for a regulation

Article 4 – paragraph 2

Recital 49

Or. en

Amendment 51

Proposal for a regulation

Article 4 – paragraph 3

Recital 50

Or. en

Amendment 52

Proposal for a regulation

Article 5 – paragraph 1 – subparagraph 1 – point f

Recital 50 a (new)

Or. en

Amendment 53

Proposal for a regulation

Article 5 – paragraph 1 – subparagraph 1 – point f a (new)

Recital 51

Or. en

Amendment 54

Proposal for a regulation

Article 5 – paragraph 2 a (new)

Recital 52

Or. en

Amendment 55

Proposal for a regulation

Article 6 – paragraph 1 – point a

Recital 53

Or. en

Amendment 56

Proposal for a regulation

Article 7 – paragraph 1 a (new)

Recital 54

Or. en

Amendment 57

Proposal for a regulation

Article 8 – paragraph 1

Recital 55

Or. en

Amendment 58

Proposal for a regulation

Article 10 – paragraph 2 – point m

Recital 59

Or. en

Amendment 59

Proposal for a regulation

Article 10 – paragraph 2 a (new)

Recital 61

Or. en

Amendment 60

Proposal for a regulation

Article 10 – paragraph 5

Recital 62 a (new)

Or. en

Amendment 61

Proposal for a regulation

Article 10 – paragraph 5 a (new)

Recital 63

Or. en

Amendment 62

Proposal for a regulation

Article 11 – paragraph 1

Recital 63 a (new)

Or. en

Amendment 63

Proposal for a regulation

ArticleRecital 1164 a (new)

Or. en

Amendment 64

Proposal for a regulation

Article 12 – paragraph 4

Recital 64 b (new)

Or. en

Amendment 65

Proposal for a regulation

Article 12 – paragraph 8

Recital 64 c (new)

Or. en

Amendment 66

Proposal for a regulation

Article 13 – paragraph 3 – subparagraph 1

Recital 65

Or. en

Amendment 67

Proposal for a regulation

Article 16 – paragraph 1 – introductory part

Recital 65 a (new)

Or. en

Amendment 68

Proposal for a regulation

Article 16 – paragraph 1 – point b

Recital 66 a (new)

Or. en

Amendment 69

Proposal for a regulation

Article 16 – paragraph 1 a (new)

Recital 66 b (new)

Or. en

Amendment 70

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 1

Recital 66 c (new)

Or. en

Amendment 71

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 2

Recital 66 d (new)

Or. en

Amendment 72

Proposal for a regulation

Article 29 – paragraph 1

Recital 66 e (new)

Or. en

Amendment 73

Proposal for a regulation

Article 31 – paragraph 6

Recital 66 f (new)

Or. en

Amendment 74

Proposal for a regulation

Article 31 – paragraph 9

Recital 66 g (new)

Or. en

Amendment 75

Proposal for a regulation

Article 33 – paragraph 1 – point a

Recital 66 h (new)

Or. en

Amendment 76

Proposal for a regulation

Article 33 – paragraph 1 – point b

Recital 66 i (new)

Or. en

Amendment 77

Proposal for a regulation

Article 33 – paragraph 1 – point d

Recital 66 j (new)

Or. en

Amendment 78

Proposal for a regulation

Article 33 – paragraph 1 – point f

Recital 66 k (new)

Or. en

Amendment 79

Proposal for a regulation

Article 33 – paragraph 1 – point g

Recital 66 l (new)

Or. en

Amendment 80

Proposal for a regulation

Article 33 – paragraph 1 – point j

Recital 69 a (new)

Or. en

Amendment 81

Proposal for a regulation

Article 33 – paragraph 1 – point l

Recital 70

Or. en

Amendment 82

Proposal for a regulation

Article 33 – paragraph 1 – point n

Recital 71

Or. en

Amendment 83

Proposal for a regulation

Article 33 – paragraph 3 a (new)

Recital 74

Or. en

Amendment 84

Proposal for a regulation

Article 33 – paragraph 5

Recital 76

Or. en

Justification

The possibility to opt-out of processing for secondary use should be provided to preserve the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and interests of data subjects (Art. 9(2) GDPR). The issue is also one of trust between the patient and the HC provider: patients may no longer wish to share their health data with HC providers if the data are then automatically passed on for secondary use.

Amendment 85

Proposal for a regulation

Article 341 – paragraph 12introductorypoint parta

Or. en

Amendment 86

Proposal for a regulation

Article 341 – paragraph 13 – point a

Or. en

Amendment 87

Proposal for a regulation

Article 34 – paragraph 1 – pointparagraph c4

Or. en

Amendment 88

Proposal for a regulation

Article 341 – paragraph 1 –4 pointa d(new)

Or. en

Amendment 89

Proposal for a regulation

Article 341 – paragraph 1 –5 pointa e(new)

Or. en

Amendment 90

Proposal for a regulation

Article 342 – paragraph 1 – point e – point i (new)c

Or. en

Amendment 91

Proposal for a regulation

Article 342 – paragraph 1 – point e2 – point ii (new)a

Or. en

Amendment 92

Proposal for a regulation

Article 342 – paragraph 12 – point fb

Or. en

Justification

Included in point e - point i

Amendment 93

Proposal for a regulation

Article 342 – paragraph 12 – point gd

Or. en

Justification

Included in point e- point ii

Amendment 94

Proposal for a regulation

Article 342 – paragraph 2 a (new)point e

Or. en

Amendment 95

Proposal for a regulation

Article 352 – paragraph 12 – point aj

Or. en

Amendment 96

Proposal for a regulation

Article 352 – paragraph 12 – point bk

Or. en

Amendment 97

Proposal for a regulation

Article 362 – paragraph 2 – point l

Or. en

Amendment 98

Proposal for a regulation

Article 362 – paragraph 32 – point m

Or. en

Amendment 99

Proposal for a regulation

Article 362 – paragraph 42 a (new)point n

Or. en

Amendment 100

Proposal for a regulation

Article 372 – paragraph 12 – point co

Or. en

Justification

Text simplification, see horizontal amendment introducing a definition of 'public sector body', which includes Union institutions, bodies, offices and agencies.

Amendment 101

Proposal for a regulation

Article 372 – paragraph 12 – point jq – introductory part

Or. en

Amendment 102

Proposal for a regulation

Article 372 – paragraph 42subparagraphpoint 1q a (new)point i

Or. en

Amendment 103

Proposal for a regulation

Article 382 – paragraph 12 – point cy

Or. en

Amendment 104

Proposal for a regulation

Article 382 – paragraph 12 – point d a (new)z

Or. en

Amendment 105

Proposal for a regulation

Article 382 – paragraph 12 – point ez a (new)

Or. en

Amendment 106

Proposal for a regulation

Article 382 – paragraph 2 – point aa

Or. en

Justification

Alignment to Article 14 GDPR.

Amendment 107

Proposal for a regulation

Article 382 – paragraph 32 – point a ea (new)

Or. en

Amendment 108

Proposal for a regulation

Article 383 – paragraph 42

Or. en

Amendment 109

Proposal for a regulation

Article 383 – paragraph 2 a (new)

Or. en

Amendment 110

Proposal for a regulation

Article 38 b (new)

Article 3 – paragraph 3

Or. en

Amendment 111

Proposal for a regulation

Article 393 – paragraph 1 – subparagraph 1 a (new)4

Or. en

Amendment 112

Proposal for a regulation

Article 423 – paragraph 5 – subparagraph 1 – point a

Or. en

Justification

consequence of the proposed deletion of Article 49

Amendment 113

Proposal for a regulation

Article 423 – paragraph 45 – subparagraph 1 – point b

Or. en

Amendment 114

Proposal for a regulation

Article 433 – paragraph 45 – subparagraph 2

Or. en

Amendment 115

Proposal for a regulation

Article 433 – paragraph 5 a (new)

Or. en

Justification

Consequence of the proposed deletion of Article 49

Amendment 116

Proposal for a regulation

Article 443 – paragraph 16

Or. en

Amendment 117

Proposal for a regulation

Article 443 – paragraph 36 a (new)

Or. en

Amendment 118

Proposal for a regulation

Article 443 – paragraph 3 a (new)7

Or. en

Amendment 119

Proposal for a regulation

Article 453 – paragraph 28pointsubparagraph a1

Or. en

Amendment 120

Proposal for a regulation

Article 453 – paragraph 28pointsubparagraph f2

Or. en

Amendment 121

Proposal for a regulation

Article 453 – paragraph 28point f asubparagraph (new)3

Or. en

Amendment 122

Proposal for a regulation

Article 453 – paragraph 2 – point f b (new)9

Or. en

Amendment 123

Proposal for a regulation

Article 453 – paragraph 2 – point h a (new)10

Or. en

Amendment 124

Proposal for a regulation

Article 463 – paragraph 111

Or. en

Amendment 125

Proposal for a regulation

Article 463 – paragraph 212

Or. en

Amendment 126

Proposal for a regulation

Article 463 – paragraph 312 a (new)

Or. en

Justification

This provision would in practice void the core of the regulation. It would entail a fiction of a data authorization, at the expense of the fundamental rights of the data subjects and would not allow for controlling essential elements of the request, including the necessity and relevance of the data for the processing purpose pursued. In particular, applicants could benefit from the licensing fiction making unlawful or unlawful applications.

Amendment 127

Proposal for a regulation

Article 464 – paragraph 4-1 (new)

Or. en

Amendment 128

Proposal for a regulation

Article 49

Article 4 – paragraph 1 – point a

Or. en

Justification

Without the involvement and oversight by a health data access body, there is an important risk that the rights of the data subjects and safeguards contained in this Regulation might not be upheld.

Amendment 129

Proposal for a regulation

Article 504 – paragraph 1 – introductory part2

Or. en

Amendment 130

Proposal for a regulation

Article 504 – paragraph 1 –2 pointa b(new)

Or. en

Amendment 131

Proposal for a regulation

Article 504 – paragraph 2 b (new)

Or. en

Amendment 132

Proposal for a regulation

Article 514titleparagraph 3

Or. en

Amendment 133

Proposal for a regulation

Article 514 – paragraph 13 a (new)

Or. en

Amendment 134

Proposal for a regulation

Article 514 – paragraph 24

Or. en

Amendment 135

Proposal for a regulation

Article 525 – paragraph 41 – subparagraph 1 – introductory part

Or. en

Amendment 136

Proposal for a regulation

Article 525 – paragraph 51 – subparagraph 1 – point e

Or. en

Amendment 137

Proposal for a regulation

Article 565 – paragraph 31introductorysubparagraph part1 – point f

Or. en

Amendment 138

Proposal for a regulation

Article 605 – paragraph 21 – subparagraph 1 – point f a (new)

Or. en

Justification

The EDPB and EDPS consider in their Joint Opinion that the recommendations regarding data storage in the EU and compliance with Chapter V GDPR and in particular Article 48 GDPR would be best operationalised if they were embedded at an early stage when procuring or funding services provided by controllers and processors established in the EU processing personal electronic health data.

Amendment 139

Proposal for a regulation

Article 60 a (new)

Article 5 – paragraph 1 – subparagraph 2

Or. en

Justification

See the EDPB/EDPS Joint Opinion, citing the storage location requirement as set out in CJEU joined Cases C-293/12 and C-594/12 of 8 April 2014, Digital Rights Ireland Ltd, paras 68-69, and joined Cases C-203/15 and C-698/15 of 21 December 2016, Tele2 Sverige AB, para 122, which should apply a fortiori to electronic health data. See as well the data storage requirement laid down in Article 6(8) of Directive (EU) 2016/681 (EU PNR Directive).

Amendment 140

Proposal for a regulation

Article 635 – paragraph 1 – subparagraph 3

Or. en

Amendment 141

Proposal for a regulation

Article 63 a (new)

Article 5 – paragraph 2

Or. en

Amendment 142

Proposal for a regulation

Article 646 – paragraph 1 – introductory part

Or. en

Amendment 143

Proposal for a regulation

Article 646 – paragraph 41 – point a

Or. en

Amendment 144

Proposal for a regulation

Article 646 – paragraph 61 a (new)point c

Or. en

Amendment 145

Proposal for a regulation

Article 656 – paragraph 1 – point asubparagraph a1 (new)

Or. en

Amendment 146

Proposal for a regulation

Article 656 – paragraph 1 – point b a (new)2

Or. en

Amendment 147

Proposal for a regulation

Article 656 – paragraph 1 – point b b (new)3

Or. en

Amendment 148

Proposal for a regulation

Article 657 – paragraph 1 – point e

Or. en

Amendment 149

Proposal for a regulation

Article 657 – paragraph 13point e asubparagraph (new)1

Or. en

Amendment 150

Proposal for a regulation

Article 657 – paragraph 13 a (new)subparagraph 2

Or. en

Amendment 151

Proposal for a regulation

Article 657 – paragraph 2 – point f3 a (new)

Or. en

Amendment 152

Proposal for a regulation

Article 658 – paragraph 2 – point f b (new)1

Or. en

Amendment 153

Proposal for a regulation

Article 659 – paragraph 2 a (new)1

Or. en

Amendment 154

Proposal for a regulation

Article 699 – paragraph 12

Or. en

Amendment 155

Proposal for a regulation

Article 699 – paragraph 1 a (new)3

Or. en

Amendment 156

Proposal for a regulation

Article 69 a (new)

Article 9 – paragraph 4

Or. en

Amendment 157

Proposal for a regulation

Article 7010 – paragraph 12 – introductory part

Or. en

Amendment 158

Proposal for a regulation

Article 10 – paragraph 2 – point b

Amendment 159

Proposal for a regulation

Article 10 – paragraph 2 – point h

Amendment 160

Proposal for a regulation

Article 10 – paragraph 2 – point k

Amendment 161

Proposal for a regulation

Article 10 – paragraph 2 – point m

Amendment 162

Proposal for a regulation

Article 10 – paragraph 3

Amendment 163

Proposal for a regulation

Article 10 – paragraph 3 a (new)

Amendment 164

Proposal for a regulation

Article 10 – paragraph 5

Amendment 165

Proposal for a regulation

Article 10 – paragraph 5 a (new)

Amendment 166

Proposal for a regulation

Article 11 – paragraph 1

Amendment 167

Proposal for a regulation

Article 11 – paragraph 2

Amendment 168

Proposal for a regulation

Article 11 – paragraph 3 a (new)

Amendment 169

Proposal for a regulation

Article 11 a (new)

Amendment 170

Proposal for a regulation

Article 12 – paragraph 4

Amendment 171

Proposal for a regulation

Article 12 – paragraph 6

Amendment 172

Proposal for a regulation

Article 12 – paragraph 8

Amendment 173

Proposal for a regulation

Article 13 – paragraph 3

Amendment 174

Proposal for a regulation

Article 14 – paragraph 2

Amendment 175

Proposal for a regulation

Article 14 – paragraph 4

Amendment 176

Proposal for a regulation

Article 15 – paragraph 1

Amendment 177

Proposal for a regulation

Article 16 – paragraph 1 – introductory part

Amendment 178

Proposal for a regulation

Article 16 – paragraph 1 – point b

Amendment 179

Proposal for a regulation

Article 17 – paragraph 1 – point a

Amendment 180

Proposal for a regulation

Article 17 – paragraph 1 – point b

Amendment 181

Proposal for a regulation

Article 17 – paragraph 1 – point c

Amendment 182

Proposal for a regulation

Article 17 – paragraph 1 – point d

Amendment 183

Proposal for a regulation

Article 17 – paragraph 1 – point d a (new)

Amendment 184

Proposal for a regulation

Article 17 – paragraph 1 – point e

Amendment 185

Proposal for a regulation

Article 17 – paragraph 1 – point e a (new)

Amendment 186

Proposal for a regulation

Article 17 – paragraph 1 – point g

Amendment 187

Proposal for a regulation

Article 17 – paragraph 1 – point h

Amendment 188

Proposal for a regulation

Article 17 – paragraph 1 – point i

Amendment 189

Proposal for a regulation

Article 17 – paragraph 1 – point j

Amendment 190

Proposal for a regulation

Article 17 – paragraph 1 – point k

Amendment 191

Proposal for a regulation

Article 17 – paragraph 1 – point k a (new)

Amendment 192

Proposal for a regulation

Article 17 – paragraph 2

Amendment 193

Proposal for a regulation

Article 17 – paragraph 3

Amendment 194

Proposal for a regulation

Article 17 – paragraph 3 a (new)

Amendment 195

Proposal for a regulation

Article 17 – paragraph 3 b (new)

Amendment 196

Proposal for a regulation

Article 17 – paragraph 3 c (new)

Amendment 197

Proposal for a regulation

Article 18 – paragraph 2 – introductory part

Amendment 198

Proposal for a regulation

Article 18 – paragraph 2 – point a

Amendment 199

Proposal for a regulation

Article 18 – paragraph 2 – point b

Amendment 200

Proposal for a regulation

Article 18 – paragraph 2 – point b a (new)

Amendment 201

Proposal for a regulation

Article 18 – paragraph 2 – point b b (new)

Amendment 202

Proposal for a regulation

Article 18 – paragraph 2 – point c

Amendment 203

Proposal for a regulation

Article 18 – paragraph 2 a (new)

Amendment 204

Proposal for a regulation

Article 19 – paragraph 2 – point a

Amendment 205

Proposal for a regulation

Article 19 – paragraph 2 – point a a (new)

Amendment 206

Proposal for a regulation

Article 19 – paragraph 2 – point b

Amendment 207

Proposal for a regulation

Article 19 – paragraph 2 – point c

Amendment 208

Proposal for a regulation

Article 19 – paragraph 3

Amendment 209

Proposal for a regulation

Article 19 – paragraph 4

Amendment 210

Proposal for a regulation

Article 19 – paragraph 5

Amendment 211

Proposal for a regulation

Article 19 – paragraph 7

Amendment 212

Proposal for a regulation

Article 19 – paragraph 7 a (new)

Amendment 213

Proposal for a regulation

Article 19 – paragraph 7 b (new)

Amendment 214

Proposal for a regulation

Article 20 – paragraph 1 – point a

Amendment 215

Proposal for a regulation

Article 20 – paragraph 1 – point b

Amendment 216

Proposal for a regulation

Article 20 – paragraph 1 – point c

Amendment 217

Proposal for a regulation

Article 20 – paragraph 2

Amendment 218

Proposal for a regulation

Article 20 – paragraph 3

Amendment 219

Proposal for a regulation

Article 20 – paragraph 4

Amendment 220

Proposal for a regulation

Article 21 – title

Amendment 221

Proposal for a regulation

Article 21 – paragraph 1

Amendment 222

Proposal for a regulation

Chapter III – Section 3 – title

Amendment 223

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 1

Amendment 224

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 2

Amendment 225

Proposal for a regulation

Article 23 – paragraph 4 a (new)

Amendment 226

Proposal for a regulation

Article 23 – paragraph 5

Amendment 227

Proposal for a regulation

Article 23 – paragraph 6

Amendment 228

Proposal for a regulation

Article 24 – paragraph 1

Amendment 229

Proposal for a regulation

Article 24 – paragraph 2

Amendment 230

Proposal for a regulation

Article 24 – paragraph 2 a (new)

Amendment 231

Proposal for a regulation

Article 24 – paragraph 3

Amendment 232

Proposal for a regulation

Article 25 – paragraph 1

Amendment 233

Proposal for a regulation

Article 25 – paragraph 2 – point a

Amendment 234

Proposal for a regulation

Article 25 – paragraph 2 – subparagraph 1a (new)

Amendment 235

Proposal for a regulation

Article 26 – paragraph 3

Amendment 236

Proposal for a regulation

Article 26 – paragraph 3 a (new)

Amendment 237

Proposal for a regulation

Article 26 – paragraph 4

Amendment 238

Proposal for a regulation

Article 26 – paragraph 4 a (new)

Amendment 239

Proposal for a regulation

Article 26 – paragraph 4 b (new)

Amendment 240

Proposal for a regulation

Article 27 – paragraph 1 a (new)

Amendment 241

Proposal for a regulation

Article 27 – paragraph 2 a (new)

Amendment 242

Proposal for a regulation

Article 27 – paragraph 2 b (new)

Amendment 243

Proposal for a regulation

Article 27 a (new)

Amendment 244

Proposal for a regulation

Article 27 aa (new)

Amendment 245

Proposal for a regulation

Article 27 b (new)

Amendment 246

Proposal for a regulation

Article 27 c (new)

Amendment 247

Proposal for a regulation

Article 27 d (new)

Amendment 248

Proposal for a regulation

Article 27 e (new)

Amendment 249

Proposal for a regulation

Article 27 f (new)

Amendment 250

Proposal for a regulation

Article 27 g(new)

Amendment 251

Proposal for a regulation

Article 27 h (new)

Amendment 252

Proposal for a regulation

Article 27 i (new)

Amendment 253

Proposal for a regulation

Article 27 j (new)

Amendment 254

Proposal for a regulation

Article 27 k (new)

Amendment 255

Proposal for a regulation

Article 27 l (new)

Amendment 256

Proposal for a regulation

Article 27 m (new)

Amendment 257

Proposal for a regulation

Article 27 n (new)

Amendment 258

Proposal for a regulation

Article 27 o (new)

Amendment 259

Proposal for a regulation

Article 27 p (new)

Amendment 260

Proposal for a regulation

Article 27 q (new)

Amendment 261

Proposal for a regulation

Article 27 r (new)

Amendment 262

Proposal for a regulation

Article 28 – paragraph 2

Amendment 263

Proposal for a regulation

Article 28 – paragraph 2 a (new)

Amendment 264

Proposal for a regulation

Article 28 – paragraph 2 b (new)

Amendment 265

Proposal for a regulation

Article 28 – paragraph 4 a (new)

Amendment 266

Proposal for a regulation

Article 28 – paragraph 4 b (new)

Amendment 267

Proposal for a regulation

Article 29 – paragraph 1

Amendment 268

Proposal for a regulation

Article 29 – paragraph 1 a (new)

Amendment 269

Proposal for a regulation

Article 29 – paragraph 1 b (new)

Amendment 270

Proposal for a regulation

Article 29 – paragraph 3

Amendment 271

Proposal for a regulation

Article 29 – paragraph 3 a (new)

Amendment 272

Proposal for a regulation

Article 29 – paragraph 4 – subparagraph 1

Amendment 273

Proposal for a regulation

Article 29 – paragraph 4 – subparagraph 2

Amendment 274

Proposal for a regulation

Article 29 – paragraph 5

Amendment 275

Proposal for a regulation

Article 30 – paragraph 1 – introductory part

Amendment 276

Proposal for a regulation

Article 30 – paragraph 1 – point a

Amendment 277

Proposal for a regulation

Article 30 – paragraph 1 – point b

Amendment 278

Proposal for a regulation

Article 30 – paragraph 1 – point c

Amendment 279

Proposal for a regulation

Article 30 – paragraph 1 – point d a (new)

Amendment 280

Proposal for a regulation

Article 30 – paragraph 1 a (new)

Amendment 281

Proposal for a regulation

Article 30 – paragraph 1 b (new)

Amendment 282

Proposal for a regulation

Article 30 – paragraph 1 c (new)

Amendment 283

Proposal for a regulation

Article 30 – paragraph 1 d (new)

Amendment 284

Proposal for a regulation

Article 30 – paragraph 1 e (new)

Amendment 285

Proposal for a regulation

Article 30 a (new)

Amendment 286

Proposal for a regulation

Article 31 – title

Amendment 287

Proposal for a regulation

Article 31 – paragraph 1

Amendment 288

Proposal for a regulation

Article 31 – paragraph 3

Amendment 289

Proposal for a regulation

Article 31 – paragraph 4

Amendment 290

Proposal for a regulation

Article 31 – paragraph 6

Amendment 291

Proposal for a regulation

Article 31 – paragraph 9

Amendment 292

Proposal for a regulation

Article 31 – paragraph 10

Amendment 293

Proposal for a regulation

Article 31 a (new)

Amendment 294

Proposal for a regulation

Article 32 – paragraph 1

Amendment 295

Proposal for a regulation

Article 32 – paragraph 3

Amendment 296

Proposal for a regulation

Article 33 – title

Amendment 297

Proposal for a regulation

Article 33 – paragraph 1 – introductory part

Amendment 298

Proposal for a regulation

Article 33 – paragraph 1 – point a

Amendment 299

Proposal for a regulation

Article 33 – paragraph 1 – point b

Amendment 300

Proposal for a regulation

Article 33 – paragraph 1 – point c

Amendment 301

Proposal for a regulation

Article 33 – paragraph 1 – point d

Amendment 302

Proposal for a regulation

Article 33 – paragraph 1 – point e

Amendment 303

Proposal for a regulation

Article 33 – paragraph 1 – point f

Amendment 304

Proposal for a regulation

Article 33 – paragraph 1 – point f a (new)

Amendment 305

Proposal for a regulation

Article 33 – paragraph 1 – point g

Amendment 306

Proposal for a regulation

Article 33 – paragraph 1 – point j

Amendment 307

Proposal for a regulation

Article 33 – paragraph 1 – point l

Amendment 308

Proposal for a regulation

Article 33 – paragraph 1 – point n

Amendment 309

Proposal for a regulation

Article 33 – paragraph 2

Amendment 310

Proposal for a regulation

Article 33 – paragraph 4

Amendment 311

Proposal for a regulation

Article 33 – paragraph 5

Amendment 312

Proposal for a regulation

Article 33 – paragraph 5 a (new)

Amendment 313

Proposal for a regulation

Article 33 – paragraph 7

Amendment 314

Proposal for a regulation

Article 33 – paragraph 8

Amendment 315

Proposal for a regulation

Article 33 a (new)

Amendment 316

Proposal for a regulation

Article 34 – paragraph 1 – introductory part

Amendment 317

Proposal for a regulation

Article 34 – paragraph 1 – point a

Amendment 318

Proposal for a regulation

Article 34 – paragraph 1 – point b

Amendment 319

Proposal for a regulation

Article 34 – paragraph 1 – point c

Amendment 320

Proposal for a regulation

Article 34 – paragraph 1 – point d

Amendment 321

Proposal for a regulation

Article 34 – paragraph 1 – point e

Amendment 322

Proposal for a regulation

Article 34 – paragraph 1 – point f

Amendment 323

Proposal for a regulation

Article 34 – paragraph 1 – point g

Amendment 324

Proposal for a regulation

Article 34 – paragraph 1 – point h

Amendment 325

Proposal for a regulation

Article 34 – paragraph 2

Amendment 326

Proposal for a regulation

Article 34 – paragraph 4

Amendment 327

Proposal for a regulation

Article 35 – paragraph -1 (new)

Amendment 328

Proposal for a regulation

Article 35 – paragraph -1 a (new)

Amendment 329

Proposal for a regulation

Article 35 – paragraph 1 – introductory part

Amendment 330

Proposal for a regulation

Article 35 – paragraph 1 – point a

Amendment 331

Proposal for a regulation

Article 35 – paragraph 1 – point b

Amendment 332

Proposal for a regulation

Article 35 – paragraph 1 – point c

Amendment 333

Proposal for a regulation

Article 35 – paragraph 1 – point e

Amendment 334

Proposal for a regulation

Article 35 – paragraph 1 – point e a (new)

Amendment 335

Proposal for a regulation

Article 36 – paragraph 1

Amendment 336

Proposal for a regulation

Article 36 – paragraph 2

Amendment 337

Proposal for a regulation

Article 36 – paragraph 2 a (new)

Amendment 338

Proposal for a regulation

Article 36 – paragraph 3

Amendment 339

Proposal for a regulation

Article 36 – paragraph 3 a (new)

Amendment 340

Proposal for a regulation

Article 37 – paragraph 1 – point a

Amendment 341

Proposal for a regulation

Article 37 – paragraph 1 – point a a (new)

Amendment 342

Proposal for a regulation

Article 37 – paragraph 1 – point a b (new)

Amendment 343

Proposal for a regulation

Article 37 – paragraph 1 – point d

Amendment 344

Proposal for a regulation

Article 37 – paragraph 1 – point e

Amendment 345

Proposal for a regulation

Article 37 – paragraph 1 – point f

Amendment 346

Proposal for a regulation

Article 37 – paragraph 1 – point g

Amendment 347

Proposal for a regulation

Article 37 – paragraph 1 – point i

Amendment 348

Proposal for a regulation

Article 37 – paragraph 1 – point j a (new)

Amendment 349

Proposal for a regulation

Article 37 – paragraph 1 – point k

Amendment 350

Proposal for a regulation

Article 37 – paragraph 1 – point m

Amendment 351

Proposal for a regulation

Article 37 – paragraph 1 – point n

Amendment 352

Proposal for a regulation

Article 37 – paragraph 1 – point q – point i

Amendment 353

Proposal for a regulation

Article 37 – paragraph 1 – point q – point ii

Amendment 354

Proposal for a regulation

Article 37 – paragraph 1 – point q – point ii a (new)

Amendment 355

Proposal for a regulation

Article 37 – paragraph 1 – point q – point iii

Amendment 356

Proposal for a regulation

Article 37 – paragraph 1 – point r a (new)

Amendment 357

Proposal for a regulation

Article 37 – paragraph 2 – point a

Amendment 358

Proposal for a regulation

Article 37 – paragraph 2 – point a a (new)

Amendment 359

Proposal for a regulation

Article 37 – paragraph 2 – point b

Amendment 360

Proposal for a regulation

Article 37 – paragraph 2 – point c

Amendment 361

Proposal for a regulation

Article 37 – paragraph 4

Amendment 362

Proposal for a regulation

Article 38 – paragraph 1 – introductory part

Amendment 363

Proposal for a regulation

Article 38 – paragraph 1 – point a

Amendment 364

Proposal for a regulation

Article 38 – paragraph 1 – point c

Amendment 365

Proposal for a regulation

Article 38 – paragraph 1 – point d

Amendment 366

Proposal for a regulation

Article 38 – paragraph 1 – point d a (new)

Amendment 367

Proposal for a regulation

Article 38 – paragraph 1 – point d b (new)

Amendment 368

Proposal for a regulation

Article 38 – paragraph 2

Amendment 369

Proposal for a regulation

Article 38 – paragraph 3

Amendment 370

Proposal for a regulation

Article 38 a (new)

Amendment 371

Proposal for a regulation

Article 38 b (new)

Amendment 372

Proposal for a regulation

Article 39 – paragraph 1 – introductory part

Amendment 373

Proposal for a regulation

Article 39 – paragraph 1 – point a

Amendment 374

Proposal for a regulation

Article 39 – paragraph 1 – point c

Amendment 375

Proposal for a regulation

Article 39 – paragraph 1 – point d

Amendment 376

Proposal for a regulation

Article 39 – paragraph 1 – point e

Amendment 377

Proposal for a regulation

Article 39 – paragraph 1 – point j

Amendment 378

Proposal for a regulation

Article 39 – paragraph 1 – point l

Amendment 379

Proposal for a regulation

Article 39 – paragraph 2

Amendment 380

Proposal for a regulation

Article 39 – paragraph 3

Amendment 381

Proposal for a regulation

Article 40 – paragraph 1

Amendment 382

Proposal for a regulation

Article 40 – paragraph 2

Amendment 383

Proposal for a regulation

Article 41 – title

Amendment 384

Proposal for a regulation

Article 41 – paragraph 1

Amendment 385

Proposal for a regulation

Article 41 – paragraph 1 a (new)

Amendment 386

Proposal for a regulation

Article 41 – paragraph 1 b (new)

Amendment 387

Proposal for a regulation

Article 41 – paragraph 1 c (new)

Amendment 388

Proposal for a regulation

Article 41 – paragraph 2

Amendment 389

Proposal for a regulation

Article 41 – paragraph 3

Amendment 390

Proposal for a regulation

Article 41 – paragraph 4

Amendment 391

Proposal for a regulation

Article 41 – paragraph 5

Amendment 392

Proposal for a regulation

Article 41 – paragraph 6

Amendment 393

Proposal for a regulation

Article 41 – paragraph 7

Amendment 394

Proposal for a regulation

Article 41 a (new)

Amendment 395

Proposal for a regulation

Article 42 – paragraph 1

Amendment 396

Proposal for a regulation

Article 42 – paragraph 2

Amendment 397

Proposal for a regulation

Article 42 – paragraph 4

Amendment 398

Proposal for a regulation

Article 42 – paragraph 5

Amendment 399

Proposal for a regulation

Article 42 – paragraph 6

Amendment 400

Proposal for a regulation

Article 43 – title

Amendment 401

Proposal for a regulation

Article 43 – paragraph 1

Amendment 402

Proposal for a regulation

Article 43 – paragraph 2

Amendment 403

Proposal for a regulation

Article 43 – paragraph 3

Amendment 404

Proposal for a regulation

Article 43 – paragraph 4

Amendment 405

Proposal for a regulation

Article 43 – paragraph 5

Amendment 406

Proposal for a regulation

Article 43 – paragraph 6

Amendment 407

Proposal for a regulation

Article 43 – paragraph 7

Amendment 408

Proposal for a regulation

Article 43 – paragraph 7 a (new)

Amendment 409

Proposal for a regulation

Article 43 – paragraph 9

Amendment 410

Proposal for a regulation

Article 43 – paragraph 10

Amendment 411

Proposal for a regulation

Article 43 a (new)

Amendment 412

Proposal for a regulation

Article 44 – paragraph 1

Amendment 413

Proposal for a regulation

Article 44 – paragraph 2

Amendment 414

Proposal for a regulation

Article 44 – paragraph 3

Amendment 415

Proposal for a regulation

Article 44 – paragraph 3 a (new)

Amendment 416

Proposal for a regulation

Article 44 – paragraph 3 b (new)

Amendment 417

Proposal for a regulation

Article 45 – paragraph 1

Amendment 418

Proposal for a regulation

Article 45 – paragraph 2 – point -a (new)

Amendment 419

Proposal for a regulation

Article 45 – paragraph 2 – point a

Amendment 420

Proposal for a regulation

Article 45 – paragraph 2 – point a a (new)

Amendment 421

Proposal for a regulation

Article 45 – paragraph 2 – point a b (new)

Amendment 422

Proposal for a regulation

Article 45 – paragraph 2 – point b

Amendment 423

Proposal for a regulation

Article 45 – paragraph 2 – point c

Amendment 424

Proposal for a regulation

Article 45 – paragraph 2 – point d

Amendment 425

Proposal for a regulation

Article 45 – paragraph 2 – point e

Amendment 426

Proposal for a regulation

Article 45 – paragraph 2 – point f

Amendment 427

Proposal for a regulation

Article 45 – paragraph 2 – point g

Amendment 428

Proposal for a regulation

Article 45 – paragraph 2 – point h a (new)

Amendment 429

Proposal for a regulation

Article 45 – paragraph 2 – point h b (new)

Amendment 430

Proposal for a regulation

Article 45 – paragraph 2 – point h c (new)

Amendment 431

Proposal for a regulation

Article 45 – paragraph 3

Amendment 432

Proposal for a regulation

Article 45 – paragraph 4 – introductory part

Amendment 433

Proposal for a regulation

Article 45 – paragraph 4 – point a

Amendment 434

Proposal for a regulation

Article 45 – paragraph 4 – point b

Amendment 435

Proposal for a regulation

Article 45 – paragraph 5 – subparagraph 2

Amendment 436

Proposal for a regulation

Article 45 – paragraph 6

Amendment 437

Proposal for a regulation

Article 46 – paragraph 1

Amendment 438

Proposal for a regulation

Article 46 – paragraph 2

Amendment 439

Proposal for a regulation

Article 46 – paragraph 3

Amendment 440

Proposal for a regulation

Article 46 – paragraph 4

Amendment 441

Proposal for a regulation

Article 46 – paragraph 5

Amendment 442

Proposal for a regulation

Article 46 – paragraph 6 – introductory part

Amendment 443

Proposal for a regulation

Article 46 – paragraph 6 – point a

Amendment 444

Proposal for a regulation

Article 46 – paragraph 6 – point b

Amendment 445

Proposal for a regulation

Article 46 – paragraph 6 – point b a (new)

Amendment 446

Proposal for a regulation

Article 46 – paragraph 6 – point d

Amendment 447

Proposal for a regulation

Article 46 – paragraph 6 – point e

Amendment 448

Proposal for a regulation

Article 46 – paragraph 7

Amendment 449

Proposal for a regulation

Article 46 – paragraph 8

Amendment 450

Proposal for a regulation

Article 46 – paragraph 9

Amendment 451

Proposal for a regulation

Article 46 – paragraph 11

Amendment 452

Proposal for a regulation

Article 46 – paragraph 12

Amendment 453

Proposal for a regulation

Article 46 – paragraph 14

Amendment 454

Proposal for a regulation

Article 47 – title

Amendment 455

Proposal for a regulation

Article 47 – paragraph 1

Amendment 456

Proposal for a regulation

Article 47 – paragraph 2 – introductory part

Amendment 457

Proposal for a regulation

Article 47 – paragraph 3

Amendment 458

Proposal for a regulation

Article 48 – title

Amendment 459

Proposal for a regulation

Article 48 – paragraph 1

Amendment 460

Proposal for a regulation

Article 49

Amendment 461

Proposal for a regulation

Article 50 – paragraph 1 – introductory part

Amendment 462

Proposal for a regulation

Article 50 – paragraph 1 – point b

Amendment 463

Proposal for a regulation

Article 50 – paragraph 1 – point d

Amendment 464

Proposal for a regulation

Article 50 – paragraph 1 – point e

Amendment 465

Proposal for a regulation

Article 50 – paragraph 1 – point f a (new)

Amendment 466

Proposal for a regulation

Article 50 – paragraph 2

Amendment 467

Proposal for a regulation

Article 50 – paragraph 3

Amendment 468

Proposal for a regulation

Article 50 – paragraph 4

Amendment 469

Proposal for a regulation

Article 51 – title

Amendment 470

Proposal for a regulation

Article 51 – paragraph 1

Amendment 471

Proposal for a regulation

Article 52 – paragraph 3

Amendment 472

Proposal for a regulation

Article 52 – paragraph 5

Amendment 473

Proposal for a regulation

Article 52 – paragraph 12

Amendment 474

Proposal for a regulation

Article 52 – paragraph 13 – subparagraph 1 – introductory part

Amendment 475

Proposal for a regulation

Article 52 – paragraph 13 – subparagraph 1 – point a

Amendment 476

Proposal for a regulation

Article 52 – paragraph 13 – subparagraph 1 – point a a (new)

Amendment 477

Proposal for a regulation

Article 52 – paragraph 13 – subparagraph 2

Amendment 478

Proposal for a regulation

Article 53 – title

Amendment 479

Proposal for a regulation

Article 54 – title

Amendment 480

Proposal for a regulation

Article 54 – paragraph 1

Amendment 481

Proposal for a regulation

Article 55 – title

Amendment 482

Proposal for a regulation

Article 56 – paragraph 2 a (new)

Amendment 483

Proposal for a regulation

Article 56 – paragraph 3 – introductory part

Amendment 484

Proposal for a regulation

Article 57 – paragraph 1

Amendment 485

Proposal for a regulation

Article 59 – paragraph 1

Amendment 486

Proposal for a regulation

Article 59 a (new)

Amendment 487

Proposal for a regulation

Article 60 – paragraph 2 a (new)

Amendment 488

Proposal for a regulation

Article 60 a (new)

Amendment 489

Proposal for a regulation

Article 61 – title

Amendment 490

Proposal for a regulation

Article 61 – paragraph 1

Amendment 491

Proposal for a regulation

Article 61 – paragraph 2

Amendment 492

Proposal for a regulation

Article 63 – paragraph 1

Amendment 493

Proposal for a regulation

Article 63 a (new)

Amendment 494

Proposal for a regulation

Article 64 – paragraph 1

Amendment 495

Proposal for a regulation

Article 64 – paragraph 2

Amendment 496

Proposal for a regulation

Article 64 – paragraph 3

Amendment 497

Proposal for a regulation

Article 64 – paragraph 4

Amendment 498

Proposal for a regulation

Article 64 – paragraph 5

Amendment 499

Proposal for a regulation

Article 64 – paragraph 7 a (new)

Amendment 500

Proposal for a regulation

Article 64 – paragraph 8

Amendment 501

Proposal for a regulation

Article 64 a (new)

Amendment 502

Proposal for a regulation

Article 65 – paragraph -1 (new)

Amendment 503

Proposal for a regulation

Article 65 – paragraph 1 – point b – introductory part

Amendment 504

Proposal for a regulation

Article 65 – paragraph 1 – point b – point iii

Amendment 505

Proposal for a regulation

Article 65 – paragraph 1 – point b a (new)

Amendment 506

Proposal for a regulation

Article 65 – paragraph 1 – point d

Amendment 507

Proposal for a regulation

Article 65 – paragraph 1 – point e

Amendment 508

Proposal for a regulation

Article 65 – paragraph 2 – point b – point v

Amendment 509

Proposal for a regulation

Article 65 – paragraph 2 – point b – point vi

Amendment 510

Proposal for a regulation

Article 65 – paragraph 2 – point c

Amendment 511

Proposal for a regulation

Article 65 – paragraph 2 – point d

Amendment 512

Proposal for a regulation

Article 65 – paragraph 2 – point f

Amendment 513

Proposal for a regulation

Article 65 – paragraph 2 – point f a (new)

Amendment 514

Proposal for a regulation

Article 65 – paragraph 2 a (new)

Amendment 515

Proposal for a regulation

Article 65 – paragraph 2 b (new)

Amendment 516

Proposal for a regulation

Article 65 – paragraph 2 c (new)

Amendment 517

Proposal for a regulation

Article 66 – paragraph 3

Amendment 518

Proposal for a regulation

Article 66 – paragraph 6 a (new)

Amendment 519

Proposal for a regulation

Article 67 – paragraph 2

Amendment 520

Proposal for a regulation

Article 67 – paragraph 3

Amendment 521

Proposal for a regulation

Article 67 – paragraph 6

Amendment 522

Proposal for a regulation

Article 68 – paragraph 2 a (new)

Amendment 523

Proposal for a regulation

Article 69 – paragraph 1

Amendment 524

Proposal for a regulation

Article 69 a (new)

Amendment 525

Proposal for a regulation

Article 69 b (new)

Amendment 526

Proposal for a regulation

Article 69 c (new)

Amendment 527

Proposal for a regulation

Article 70 – paragraph 1

Amendment 528

Proposal for a regulation

Article 70 – paragraph 1 a (new)

Or. en

Amendment 529

Proposal for a regulation

Article 70 – paragraph 2

Amendment 530

Proposal for a regulation

Article 71 a (new)

Amendment 531

Proposal for a regulation

Article 72 – paragraph 2

Amendment 532

Proposal for a regulation

Article 72 – paragraph 3 – point b

Amendment 533

Proposal for a regulation

Article 72 – paragraph 3 – point c

Amendment 534

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Justification

This amendment aims to promote patients' understanding and control of their personal health data. The blood type is a relevant type of data that should be added to the priority categories of health data.

Amendment 535

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Amendment 536

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Amendment 537

Proposal for a regulation

Annex II – point 2 – point 2.3

Amendment 538

Proposal for a regulation

Annex II – point 2 – point 2.5

Amendment 539

Proposal for a regulation

Annex II – point 2 – point 2.5 a (new)

Amendment 540

Proposal for a regulation

Annex II – point 3 – point 3.1

Amendment 541

Proposal for a regulation

Annex II – point 3 – point 3.1

Amendment 542

Proposal for a regulation

Annex II – point 3 – point 3.8

Justification

Amendment in line with EDPB/EDPS joint opinion recommendation.

Amendment 543

Proposal for a regulation

Annex IV a (new)

EXPLANATORY STATEMENT

The rapporteurs note with some concern the relatively restrictive budget allocated for the EHDS in the Legislative Financial Statement and sees the risk that the allocated budget may not be sufficient in fully meeting the objectives of the proposal. Furthermore, it is the position of the Parliament that new Union initiatives should be met with fresh financial resources, while there is a genuine concern that the EHDS will compete with other actions under the EU4Health and Digital Europe programmes foreseen at the adoption of the 2021-2027 Multiannual Financial Framework. The Commission should therefore analyse the need for strengthening the budget allocated to the implementation of the EHDS as part of any revision of the MFF and in the proposal for a new MFF in the period after 2027.

ANNEX: ENTITIES OR PERSONS FROM WHOM THE RAPPORTEURS HAS RECEIVED INPUT

Pursuant to Article 8 of Annex I to the Rules of Procedure, the rapporteurs declares that they have received input from the following entities or persons in the preparation of the report, until the adoption thereof in committee:

MEP Tomislav Sokol:

MEP Annalisa Tardino:

The list above is drawn up under the exclusive responsibility of the rapporteur.

23.5.2023

OPINION OF THE COMMITTEE ON INDUSTRY, RESEARCH AND ENERGY

for the Committee on the Environment, Public Health and Food Safety and the Committee on Civil Liberties, Justice and Home Affairs

on the proposal for a regulation of the European Parliament and of the Council on European Health Data Space

(COM(2022)0197 – C90167/2022 – 2022/0140(COD))

Rapporteur for opinion: CristianSilviu Buşoi

(*) Associated committee – Rule 57 of the Rules of Procedure

SHORT JUSTIFICATION

The Rapporteur supports many elements of the European Health Data Space (EHDS) initiative, especially the provisions aimed at providing better health outcomes and promoting health innovation and research. The Rapporteur believes that the availability of cross-border health data can significantly improve patient care and contribute to more effective health policies at a European level. The Rapporteur also believes that this proposal can lead to significant benefits for individuals, patients, healthcare professionals, and society as a whole. Additionally, the Rapporteur supports this proposal as it can boost research and innovation, support the development of new drugs, devices, and treatments, and increase the efficiency and sustainability of healthcare systems.

However, the Rapporteur is of the opinion that some changes are necessary to ensure the success of the initiative. The Rapporteur believes that a prudent implementation of the GDPR is necessary to avoid unnecessary restrictions for health research and data sharing, key to apply artificial intelligence and machine learning tools to research, and to enabling the digital transformation of healthcare, to tackle disparities in prevention, diagnosis, and treatment around Europe. The EHDS will be a critical tool in managing and sharing health data across the European Union, but it must do so in a way that respects the privacy and rights of patients. As contact person for the EMA, the Rapporteur understands that the EMA and other regulatory authorities, such as national medicines’ agencies need to be seen and treated differently from all other data users in EHDS. The legal proposal already foresees this by recognizing regulatory authorities’ needs, and the Rapporteur further strengthens the text by allowing better informed regulatory decision making on benefits and risks of medicinal products, robust and speed up regulatory assessment of new medicinal products with the goal of making them faster available to patients and enhanced tools and processes available to monitor safety and effectiveness of medicines to the benefit of EU patients. Furthermore, the Rapporteur thinks that in order for health data to be useful across different systems, it is essential that we establish interoperable and common rules and standards. This means that data should be able to be exchanged seamlessly between different health systems, regardless of the platform or software used. Therefore, the Rapporteur opinion also underline that the lack of standardization in health data is a major obstacle to interoperability.

Finally, the Rapporteur is of the opinion that EHDS should build upon the already existing legislation such as the Data Governance Act and Data Act. These acts provide a solid foundation for the governance and management of health data, and we should work to align our efforts with their provisions. By doing so, the Rapporteur wants to ensure that the collection, processing, and use of health data is conducted in a responsible and transparent manner, while also protecting the privacy and security of individuals.

AMENDMENTS

The Committee on Industry, Research and Energy calls on the Committee on Civil Liberties, Justice and Home Affairs, as the committee responsible, to take into account the following amendments:

Amendment 1

Proposal for a regulation

Recital 1 a (new)

Amendment 2

Proposal for a regulation

Recital 1 b (new)

Amendment 3

Proposal for a regulation

Recital 1 c (new)

Amendment 4

Proposal for a regulation

Recital 4

Amendment 5

Proposal for a regulation

Recital 17

Amendment 6

Proposal for a regulation

Recital 27 a (new)

Amendment 7

Proposal for a regulation

Recital 29

Amendment 8

Proposal for a regulation

Recital 40

Amendment 9

Proposal for a regulation

Recital 41

Amendment 10

Proposal for a regulation

Recital 43

Amendment 11

Proposal for a regulation

Recital 53

Amendment 12

Proposal for a regulation

Recital 54

Amendment 13

Proposal for a regulation

Recital 61 a (new)

Amendment 14

Proposal for a regulation

Recital 63

Amendment 15

Proposal for a regulation

Recital 64

Amendment 16

Proposal for a regulation

Article 1 – paragraph 1

Amendment 17

Proposal for a regulation

Article 1 – paragraph 2 – point a

Amendment 18

Proposal for a regulation

Article 1 – paragraph 3 – point b

Amendment 19

Proposal for a regulation

Article 1 – paragraph 3 – point d

Amendment 20

Proposal for a regulation

Article 2 – paragraph 2 – point f

Amendment 21

Proposal for a regulation

Article 2 – paragraph 2 – point g

Amendment 22

Proposal for a regulation

Article 2 – paragraph 2 – point ae a (new)

Amendment 23

Proposal for a regulation

Article 2 – paragraph 2 – point ae b (new)

Amendment 24

Proposal for a regulation

Article 9 – paragraph 2

Amendment 25

Proposal for a regulation

Article 9 – paragraph 3

Amendment 26

Proposal for a regulation

Article 9 – paragraph 4

Amendment 27

Proposal for a regulation

Article 10 – paragraph 2 – point g

Amendment 28

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 1

Amendment 29

Proposal for a regulation

Article 23 – paragraph 5

Amendment 30

Proposal for a regulation

Article 33 – paragraph 1 – point a

Amendment 31

Proposal for a regulation

Article 33 – paragraph 1 – point d

Amendment 32

Proposal for a regulation

Article 33 – paragraph 1 – point e

Amendment 33

Proposal for a regulation

Article 33 – paragraph 1 – point i

Amendment 34

Proposal for a regulation

Article 33 – paragraph 1 – point j

Amendment 35

Proposal for a regulation

Article 33 – paragraph 3

Amendment 36

Proposal for a regulation

Article 33 – paragraph 4

Amendment 37

Proposal for a regulation

Article 33 – paragraph 5

Amendment 38

Proposal for a regulation

Article 33 – paragraph 7

Amendment 39

Proposal for a regulation

Article 33 – paragraph 8

Amendment 40

Proposal for a regulation

Article 33 a (new)

Amendment 41

Proposal for a regulation

Article 34 – paragraph 1 – point g

Amendment 42

Proposal for a regulation

Article 35 – paragraph 1 – introductory part

Amendment 43

Proposal for a regulation

Article 35 – paragraph 1 – point e a (new)

Amendment 44

Proposal for a regulation

Article 36 – paragraph 3

Amendment 45

Proposal for a regulation

Article 37 – paragraph 1 – point m

Amendment 46

Proposal for a regulation

Article 37 – paragraph 1 – point t a (new)

Amendment 47

Proposal for a regulation

Article 37 – paragraph 2 – point a a (new)

Amendment 48

Proposal for a regulation

Article 37 – paragraph 2 – point c

Amendment 49

Proposal for a regulation

Article 38 – paragraph 1 – point c

Amendment 50

Proposal for a regulation

Article 39 – paragraph 1 – introductory part

Amendment 51

Proposal for a regulation

Article 39 – paragraph 2

Amendment 52

Proposal for a regulation

Article 39 – paragraph 3

Amendment 53

Proposal for a regulation

Article 41 – paragraph 1

Amendment 54

Proposal for a regulation

Article 44 – paragraph 1

Amendment 55

Proposal for a regulation

Article 45 – paragraph 4 – point a

Amendment 56

Proposal for a regulation

Article 46 – paragraph 3

Amendment 57

Proposal for a regulation

Article 46 – paragraph 11

Amendment 58

Proposal for a regulation

Article 46 – paragraph 14

Amendment 59

Proposal for a regulation

Article 48 – paragraph 1

Amendment 60

Proposal for a regulation

Article 49

Amendment 61

Proposal for a regulation

Article 52 – paragraph 3

Amendment 62

Proposal for a regulation

Article 52 – paragraph 4

Amendment 63

Proposal for a regulation

Article 52 – paragraph 7

Amendment 64

Proposal for a regulation

Article 52 – paragraph 8

Amendment 65

Proposal for a regulation

Article 61 – paragraph 2

Amendment 66

Proposal for a regulation

Article 64 – paragraph 1

Amendment 67

Proposal for a regulation

Article 64 – paragraph 4

Amendment 68

Proposal for a regulation

Article 64 – paragraph 5

Amendment 69

Proposal for a regulation

Article 65 – paragraph 2 – point f

Amendment 70

Proposal for a regulation

Annex II – point 2 – point 2.4

Amendment 71

Proposal for a regulation

Annex II – point 3 – point 3.1

PROCEDURE – COMMITTEE ASKED FOR OPINION

FINAL VOTE BY ROLL CALL IN COMMITTEE ASKED FOR OPINION

25.5.2023

OPINION OF THE COMMITTEE ON THE INTERNAL MARKET AND CONSUMER PROTECTION

for the Committee on the Environment, Public Health and Food Safety and for the Committee on Civil Liberties, Justice and Home Affairs

on the proposal for a regulation of the European Parliament and of the Council on the European Health Data Space

(COM(2022)0197 – C90167/2022 – 2022/0140(COD))

Rapporteur for opinion: Andrey Kovatchev

(*) Associated committee – Rule 57 of the Rules of Procedure

SHORT JUSTIFICATION

This opinion focuses on the second pillar, Chapter III, which aims to implement a mandatory self-certification scheme for EHR systems, while complying with essential requirements on interoperability and security.

As Rapporteur for the IMCO Committee, I streamline the monitoring of the internal market. My draft opinion focuses on clarifying the definitions related to EHR, EHR systems, as well as introducing some new definition to allow for clear interpretation of the conditions set out in Chapter III of the proposal. Additionally, I propose to specify clearly the way in which the Commission will be creating the standards to apply to EHR systems through a clear reference to the use of international and harmonised standards, as well as the participation of all relevant stakeholders in this process.

My amendments further aim to define clearly the interplay between the EHDS and other sectoral legislation, especially for scenarios where devices would fall within the scope of more than one of these legislative acts.

An important addition is the requirement for the Commission and Member States to set explicit time-based targets for implementation and progress on cross-border health data interoperability and the relevant infrastructure.

This draft opinion aims to improve EHR systems by clarifying relevant definitions, ensuring that the Commission uses harmonised standards as the basis for setting EU-wide standards on security and interoperability for EHR systems, as well as reconciling the scope of the European Health Data Space with other sectoral legislation, such as the Medical Devices Regulation, the In-vitro Medical Device Regulation and the upcoming AI Act, and Data Act. By providing these clarifications, the proposed amendments intend to make the Commission’s proposal clearer and more predictable for stakeholders as well as clearly ensure the EU remains well connected globally and does not impose standards, which are not interoperable with global partners.

AMENDMENTS

The Committee on the Internal Market and Consumer Protection calls on the Committee on Civil Liberties, Justice and Home Affairs, as the committee responsible, to take into account the following amendments:

Amendment 1

Proposal for a regulation

Recital 7

Amendment 2

Proposal for a regulation

Recital 11

Amendment 3

Proposal for a regulation

Recital 16

Amendment 4

Proposal for a regulation

Recital 19

Amendment 5

Proposal for a regulation

Recital 19 a (new)

Amendment 6

Proposal for a regulation

Recital 23

Amendment 7

Proposal for a regulation

Recital 24

Amendment 8

Proposal for a regulation

Recital 25

Amendment 9

Proposal for a regulation

Recital 29

Amendment 10

Proposal for a regulation

Recital 34

Amendment 11

Proposal for a regulation

Recital 40

Amendment 12

Proposal for a regulation

Recital 51

Amendment 13

Proposal for a regulation

Recital 68

Amendment 14

Proposal for a regulation

Recital 69

Amendment 15

Proposal for a regulation

Recital 70

Amendment 16

Proposal for a regulation

Recital 71 a (new)

Amendment 17

Proposal for a regulation

Recital 72 a (new)

Amendment 18

Proposal for a regulation

Article 1 – paragraph 4

Amendment 19

Proposal for a regulation

Article 2 – paragraph 1 – point d a (new)

Amendment 20

Proposal for a regulation

Article 2 – paragraph 1 – point e

Amendment 21

Proposal for a regulation

Article 2 – paragraph 2 – point b

Amendment 22

Proposal for a regulation

Article 2 – paragraph 2 – point i a (new)

Amendment 23

Proposal for a regulation

Article 2 – paragraph 2 – point m

Amendment 24

Proposal for a regulation

Article 2 – paragraph 2 – point n

Amendment 25

Proposal for a regulation

Article 2 – paragraph 2 – point n a (new)

Amendment 26

Proposal for a regulation

Article 2 – paragraph 2 – point o

Amendment 27

Proposal for a regulation

Article 3 – paragraph 10

Amendment 28

Proposal for a regulation

Article 4 – paragraph 2 a (new)

Amendment 29

Proposal for a regulation

Article 6 – paragraph 1 – introductory part

Amendment 30

Proposal for a regulation

Article 10 – paragraph 2 – point i a (new)

Amendment 31

Proposal for a regulation

Article 12 – paragraph 1

Amendment 32

Proposal for a regulation

Article 12 – paragraph 4

Amendment 33

Proposal for a regulation

Article 14 – paragraph 2 a (new)

Amendment 34

Proposal for a regulation

Article 14 – paragraph 4

Amendment 35

Proposal for a regulation

Article 15 – paragraph 1

Amendment 36

Proposal for a regulation

Article 16 – paragraph 1 – introductory part

Amendment 37

Proposal for a regulation

Article 16 – paragraph 1 – point b

Amendment 38

Proposal for a regulation

Article 17 – paragraph 1 – point b

Amendment 39

Proposal for a regulation

Article 17 – paragraph 1 – point c

Amendment 40

Proposal for a regulation

Article 17 – paragraph 1 – point g

Amendment 41

Proposal for a regulation

Article 17 – paragraph 1 – point h

Amendment 42

Proposal for a regulation

Article 17 – paragraph 1 – point i

Amendment 43

Proposal for a regulation

Article 17 – paragraph 1 – point i a (new)

Amendment 44

Proposal for a regulation

Article 17 – paragraph 1 – point k a (new)

Amendment 45

Proposal for a regulation

Article 17 – paragraph 1 a (new)

Amendment 46

Proposal for a regulation

Article 17 – paragraph 3

Amendment 47

Proposal for a regulation

Article 17 – paragraph 3 a (new)

Amendment 48

Proposal for a regulation

Article 17 – paragraph 3 b (new)

Amendment 49

Proposal for a regulation

Article 17 – paragraph 3 c (new)

Amendment 50

Proposal for a regulation

Article 17 – paragraph 3 d (new)

Amendment 51

Proposal for a regulation

Article 18 – paragraph 1

Amendment 52

Proposal for a regulation

Article 18 – paragraph 2 – introductory part

Amendment 53

Proposal for a regulation

Article 18 – paragraph 2 – point b

Amendment 54

Proposal for a regulation

Article 18 – paragraph 2 – point b a (new)

Amendment 55

Proposal for a regulation

Article 18 – paragraph 2 – point b b (new)

Amendment 56

Proposal for a regulation

Article 18 – paragraph 2 a (new)

Amendment 57

Proposal for a regulation

Article 19 – paragraph 2 – point a a (new)

Amendment 58

Proposal for a regulation

Article 19 – paragraph 2 – point c

Amendment 59

Proposal for a regulation

Article 19 – paragraph 3

Amendment 60

Proposal for a regulation

Article 19 – paragraph 5

Amendment 61

Proposal for a regulation

Article 19 – paragraph 7

Amendment 62

Proposal for a regulation

Article 19 – paragraph 7 a (new)

Amendment 63

Proposal for a regulation

Article 19 – paragraph 7 b (new)

Amendment 64

Proposal for a regulation

Article 19 – paragraph 7 c (new)

Amendment 65

Proposal for a regulation

Article 20 – paragraph 1 – point c

Amendment 66

Proposal for a regulation

Article 20 – paragraph 3

Amendment 67

Proposal for a regulation

Article 20 – paragraph 4

Amendment 68

Proposal for a regulation

Article 21 – title

Amendment 69

Proposal for a regulation

Article 21 – paragraph 1

Amendment 70

Proposal for a regulation

Article 21 – paragraph 1 a (new)

Amendment 71

Proposal for a regulation

Article 21 – paragraph 1 b (new)

Amendment 72

Proposal for a regulation

Article 23 – paragraph 1 – subparagraph 1

Amendment 73

Proposal for a regulation

Article 23 – paragraph 5

Amendment 74

Proposal for a regulation

Article 23 – paragraph 6

Amendment 75

Proposal for a regulation

Article 24 – paragraph 1

Amendment 76

Proposal for a regulation

Article 24 – paragraph 2

Amendment 77

Proposal for a regulation

Article 25 – paragraph 2 – point a

Amendment 78

Proposal for a regulation

Article 26 – paragraph 4

Amendment 79

Proposal for a regulation

Article 26 – paragraph 4 a (new)

Amendment 80

Proposal for a regulation

Article 27 – paragraph 1 a (new)

Amendment 81

Proposal for a regulation

Article 28 – paragraph 2

Amendment 82

Proposal for a regulation

Article 29 – paragraph 3

Amendment 83

Proposal for a regulation

Article 30 – paragraph 1 – introductory part

Amendment 84

Proposal for a regulation

Article 30 – paragraph 1 – point a

Amendment 85

Proposal for a regulation

Article 30 – paragraph 1 – point b

Amendment 86

Proposal for a regulation

Article 30 – paragraph 1 – point b a (new)

Amendment 87

Proposal for a regulation

Article 30 – paragraph 1 – point c

Amendment 88

Proposal for a regulation

Article 30 – paragraph 1 – point d a (new)

Amendment 89

Proposal for a regulation

Article 31 – paragraph 6

Amendment 90

Proposal for a regulation

Article 31 – paragraph 9

Amendment 91

Proposal for a regulation

Article 33 – paragraph 1 – point j

Amendment 92

Proposal for a regulation

Article 33 – paragraph 4

Amendment 93

Proposal for a regulation

Article 34 – paragraph 1 – point a a (new)

Amendment 94

Proposal for a regulation

Article 34 – paragraph 1 – point f

Amendment 95

Proposal for a regulation

Article 34 – paragraph 1 – point f a (new)

Amendment 96

Proposal for a regulation

Article 37 – paragraph 1 – point i

Amendment 97

Proposal for a regulation

Article 41 – paragraph 1

Amendment 98

Proposal for a regulation

Article 42 – paragraph 1

Amendment 99

Proposal for a regulation

Article 44 – paragraph 3 a (new)

Amendment 100

Proposal for a regulation

Article 46 – paragraph 11

Amendment 101

Proposal for a regulation

Article 49 – paragraph 1

Amendment 102

Proposal for a regulation

Article 64 – paragraph 1

Amendment 103

Proposal for a regulation

Article 65 – paragraph 1 – point e a (new)

Amendment 104

Proposal for a regulation

Article 65 – paragraph 1 – point e b (new)

Amendment 105

Proposal for a regulation

Article 67 – paragraph 4

Amendment 106

Proposal for a regulation

Article 68 – paragraph 2 a (new)

Amendment 107

Proposal for a regulation

Article 69 – paragraph 1

Amendment 108

Proposal for a regulation

Article 69 – paragraph 1 a (new)

Amendment 109

Proposal for a regulation

Article 69 – paragraph 1 b (new)

Amendment 110

Proposal for a regulation

Article 69 – paragraph 1 c (new)

Amendment 111

Proposal for a regulation

Article 69 – paragraph 1 d (new)

Amendment 112

Proposal for a regulation

Article 69 – paragraph 1 e (new)

Amendment 113

Proposal for a regulation

Article 69 – paragraph 1 f (new)

Amendment 114

Proposal for a regulation

Article 70 – paragraph 1

Amendment 115

Proposal for a regulation

Article 70 – paragraph 2

Amendment 116

Proposal for a regulation

Article 70 – paragraph 3

Amendment 117

Proposal for a regulation

Article 70 – paragraph 3 a (new)

Amendment 118

Proposal for a regulation

Article 72 – paragraph 3 – point a

Amendment 119

Proposal for a regulation

Annex II – point 3 – point 3.1

Amendment 120

Proposal for a regulation

Annex II – point 3 – point 3.8

ANNEX: LIST OF ENTITIES OR PERSONS FROM WHOM THE RAPPORTEUR HAS RECEIVED INPUT

The following list is drawn up on a purely voluntary basis under the exclusive responsibility of the rapporteur. The rapporteur has received input from the following entities or persons in the preparation of the draft opinion:

PROCEDURE – COMMITTEE ASKED FOR OPINION

FINAL VOTE BY ROLL CALL IN COMMITTEE ASKED FOR OPINION

PROCEDURE – COMMITTEE RESPONSIBLE

FINAL VOTE BY ROLL CALL IN COMMITTEE RESPONSIBLE