Sussa regions appeal Cosmic fines ruling, citing first-instance win

In the ongoing Sussa Cosmic contract saga, regions including Region Dalarna are appealing the Kammarrätt's recent decision to uphold million-kronor fines (10 million SEK each) over a supplementary agreement for the Cosmic journal system. After winning in administrative court, they lost on Konkurrensverket's appeal. 'We believe we are right,' says Sofia Jarl (C).

The nine regions in the Sussa collaboration, previously fined following the Kammarrätt's ruling on the illegal Cosmic addendum (as covered earlier), are now jointly appealing to the Supreme Administrative Court.

This follows their initial victory in the administrative court, overturned by Konkurrensverket's successful appeal to Kammarrätt.

"We believe we are right," Sofia Jarl (C), representing the regions, told media. The appeal rests on their confidence in the procurement process amid widespread discussion of the case.

The matter continues to unfold after related developments, including Cambio covering some fines.

Makala yanayohusiana

Dramatic courtroom scene depicting Swedish court's ruling against regions for illegal Cosmic contract addendums, with symbolic fines of 10 million kronor each.
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Court rules Cosmic addendum illegal – million fines for regions

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The Administrative Court of Appeal in Gothenburg has ruled that addendum agreements to the Cosmic contract for nine regions, including Region Dalarna, violated the law. Each region must pay 10 million kronor in procurement penalty fees following Tuesday's ruling. The Competition Authority prevailed after the Administrative Court had acquitted the regions.

All regions in the Sussa collaboration, including Region Dalarna, are appealing a Kammarrätten ruling imposing 10 million kronor fines each. The ruling concerns a supplementary agreement on the Cosmic system. The regions are deemed to have erred in the handling.

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Nine regions, including Region Dalarna, avoid paying 10 million kronor fines each for the illegal procurement of the Cosmic journal system. Supplier Cambio Healthcare will cover the costs per prior agreement. Konkurrensverket criticizes the arrangement but will not act in this case.

Region Dalarna has decided to increase compensation under Vårdval BUP by 25 percent. The investment applies retroactively from the turn of the year and aims to secure access to psychiatric care for children and youth in the county.

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Spain's Constitutional Court plenary has decided to maintain the suspension of a law modifying the institutional participation of unions and employer groups in the Murcia Region. The Government appealed it in October 2025 for invading state competencies and removing the parity principle in subsidies. The suspension will last until a final ruling.

Around 60–70 employees from the medical clinic in Falun marched to the Region House on Wednesday to protest the decision not to extend operations manager Kerstin Smids' appointment. They handed a petition with 270 signatures to health and medical care director Åsa Dedering. The staff express strong dissatisfaction with the decision, which has been questioned through letters and meetings.

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Region Dalarna has decided to develop an action plan to improve the work environment amid shortages of care places, sick leaves, and low staff satisfaction. Regional councilor Sebastian Karlberg (S) stresses the need for staff involvement to resolve these issues.

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