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HEALTH

Spain’s Health Ministry reignites medical cannabis law

After draft legislation was put aside last year, the Spanish government is now reviewing proposals to regulate medical cannabis, something supported by the vast majority of Spaniards.

Spain's Health Ministry reignites medical cannabis law
The vast majority of Spaniards support regulation for medicinal use. Photo: JENS SCHLUETER/AFP.

Spain’s Ministry of Health is set to resume looking at the regulation of medical cannabis.

Sources from the Ministry, headed by Sumar’s Mónica García, have confirmed to various outlets in the Spanish press that they intend to press on with draft legislation and relaunch the creation of a medical programme from mid-January.

The government had previously looked into the issue and the Spanish Parliament even approved a draft document that urged for cannabis regulation for medicinal purposes, but with the rush of elections at the end of the last legislature the issue was ultimately side-lined.

READ ALSO: What’s the law on cannabis in Spain?

Now the Health Ministry wants to reignite the process and is reviewing the existing draft legislation, which was drawn up on the basis of findings by a Congressional committee and was something backed by all parties besides right-wing Partido Popular (PP) and Vox, who voted against.

There is no clear deadline for when legislation will formally be presented to the Congress of Deputies, or when medical cannabis could become legal in Spain if approved.

However the fact that García, a far-left politician, has been given the health brief means that the Ministry will likely have more thrust to legalise than previous PSOE Health Ministers, who have historically been sceptical of the issue.

READ ALSO: What you need to know about cannabis clubs in Spain

Spain is one of the few major European countries that does not have a regulated medical cannabis programme, despite the fact that it has broad public support (84 percent of Spaniards polled were in favour, according to CIS data) and a majority of lawmakers in Parliament have already endorsed a medical programme of some sort.

Equally, with the current distribution of seats in the House of Deputies, a vote in favour of medical marijuana legalisation seems plausible.

However, the Spanish Medical Cannabis Observatory (OECM), the group that has pushed hardest for medicinal regulation in Spain, has warned against rushing through the legislation, arguing instead that being too ambitious could be detrimental to potential patients who need cannabis for pain relief.

Carola Pérez, OECM president, said in the Spanish press: “we have already had many unfulfilled promises since 2016.” 

There is no talk of legalising recreational cannabis for now. Recreational use in Spain still exists in a rather confusing grey area, with personal possession (of which the exact amount is not legally defined) not considered illegal but not legal either, with public possession subject to fines.

Recreational consumption is not illegal on private property, nor is growing a small number of plants for personal consumption. In Spain, cannabis ‘associations’ exploit these legal loopholes to have Amsterdam-style coffee shops, though they too are occasionally subject to seizure by the police. 

READ ALSO: What you need to know about cannabis clubs in Spain

In Spain, 14.9 percent of the adult population polled in 2021 declared themselves habitual consumers (defined by having consumed in the last month), after reaching peaks of 20.1 percent in 2008, according to the National Plan on Drugs. Cannabis is the most consumed non-legal drug in Spain, but falls far behind legal drugs such as tobacco (23.9 percent) and alcohol (53.6 percent).

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HEALTH

How many hours do I have to work to get access to public healthcare in Spain?

A common question among those wanting to move to Spain is if they will have access to the Spanish public healthcare system even if they only work part time or a few hours a week.

How many hours do I have to work to get access to public healthcare in Spain?

In order to understand the answer to this question, you need to be aware of several rules on who has the right to public healthcare in Spain. 

In Spain, you have the right to access public healthcare under the following circumstances:

  • You are an employee or self-employed and are affiliated and registered with the social security system
  • You receive Spain’s state pension
  • You are the recipient of benefits, including unemployment benefits or subsidies.
  • You have exhausted your unemployment benefit or subsidy or other benefits of a similar nature and are unemployed and residing in Spain
  • Children under the age of 15
  • Students under the age of 26

You also have the right to healthcare if your spouse pays into the social security system or if you’re pregnant.

READ ALSO: Does permanent residency in Spain equal free public healthcare?

But what happens if you are an employee, but you only work part-time, does the number of hours you work affect whether you have the right to public healthcare coverage?

Even if you work part-time (or media jornada in Spanish), you will still be paying into the social security system automatically – part of it from your salary and part of it from your employer.

Therefore you will be affiliated in the social security system as in point one above. 

According to stats from Spain’s National Statistics Institute (INE), a total of 6.6 percent of men in Spain in 2022 worked part-time and 21.6 percent of women. In September 2023, there were 2.9 million part-time employees in the country.

As far as social security is concerned, those who work part-time benefit the same as those working full-time when it comes to national healthcare, regardless of the length of their day. Part-time contributions count as one full day when it comes to paying social security.

READ ALSO: What to be aware of before accepting a part-time job in Spain

This rule, equating part-time work to full-time work was brought into force on October 1st 2023 in order to try and help reduce the gender pay gap in Spain, but was designed with the pension system in mind rather than national health coverage.

The advantage is that it also benefits those who want to work part-time and still be able to access healthcare. Even before this was brought into force, however, those working part-time and paying social security were still covered. 

All this means that there isn’t a specific number of hours you must work in order to be able to be covered under the Spanish healthcare system, and as long as you’re paying social security or fall into one of the categories above, you will be able to benefit from it.

Remember that if you’re not employed or self-employed in Spain and don’t have a spouse who is either, then you may not be covered.

To get around this you can either join a programme such as the S1 scheme for British pensioners or pay the convenio especial in order to benefit from public healthcare. For this, you will pay a monthly fee of €60 if you are under 65 and €157 if you are over 65. 

If none of these options are available to you or the requirements of your visa say so, then it’s necessary to get private health insurance instead.

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