Draft Order amending the Common Package of Benefits of the Spanish National Health System

On September 5, 2025, the Ministry of Health opened a public consultation on a Draft Ministerial Order to update the Common Package of Benefits of the National Health System (NHS). The Draft also amends Order SND/606/2024, which created the Advisory Committee on Genetics Services. The key planned changes are expected in diagnostic imaging, endocrine, gastrointestinal, in-vitro diagnostics, neurology and neurosurgery, and obstetrics and gynecology fields. Some examples are provided below:

• Updating the package of public health services by including multiple conditions in the neonatal screening program (primary carnitine deficiency, severe combined immunodeficiency, spinal muscular atrophy, 3-hydroxy-3-methylglutaric aciduria, and some others);
• Renaming the Neonatal screening program for endocrine-metabolic diseases to the Neonatal screening program for congenital diseases via heel prick test;
• Expansion of colorectal cancer screening up to age 74; the screening test is the fecal occult blood test;
• Inclusion of preeclampsia in the prenatal screening program. The screening test is a first-trimester combined screening test for preeclampsia, consisting of a biochemical assessment with determination of PlGF (placental growth factor) or PAPP-A (glycoprotein synthesized in the trophoblast), an ultrasound assessment of the uterine artery pulsatility index (UtA-PI), and measurement of mean arterial pressure (MAP);
• Modification of the age limit for patients with premature clinical ovarian failure accessing in vitro fertilization (IVF) with donated oocytes.

Input can be submitted via informacion_publica@sanidad.gob.es until September 26, 2025. The hearing and public information procedures aim to gather opinions from citizens with rights or interests affected by a drafted regulation, directly or through representative organizations, as well as any additional contributions from other individuals or entities. 

The full details in Spanish can be found here.

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