Overview
- Euskadi has notified it will withhold the roughly €51 million due for the 2023–2024 settlement after the Interterritorial Council dropped the item from its agenda.
- Sanidad urges Euskadi to refine how it records and validates cross‑regional care and to quantify residents who live elsewhere without formalizing a change of address, which can shift costs onto Osakidetza.
- In April 2024 the council approved the 2012–2022 settlement assigning the Basque Country €169 million; Euskadi did not attend, and its absence counted as acceptance, unlike Aragón, which voted no and took the judicial route.
- Several regions, including Madrid, Extremadura, Aragón, La Rioja, Cantabria and Valencia, complained about opacity and pressed for a review, echoing a 2017 Tribunal de Cuentas warning about lacking uniform criteria.
- The ministry notes the Basque service has long validated the data underpinning these liquidations and says past objections were largely accepted, while Euskadi now seeks a formal system review before paying.