Legislator Case Law & Legislation
0144/18 AI generated

Administrative court dismisses appeal against Ministry of Health decision regarding pharmaceutical reimbursement eligibility criteria.

Case Number 0144/18
Court / Authority
Jurisdiction Portugal (PT)
Decision Date
Outcome Dismissed

Legislator summary

AI generated

The Supreme Administrative Court unanimously dismissed the appeal filed by A...., LDA against the Ministry of Health's decision. The appellant argued that the Ministry incorrectly denied reimbursement for specific pharmaceutical products based on restrictive eligibility criteria. The court held that the Ministry acted within its statutory authority to interpret and apply the national health insurance regulations as written.

Legislator headnote

AI generated

Art. 229.º do Código da Segurança Social; Art. 13.º da Lei de Bases da Saúde: The administrative authority is empowered to interpret statutory eligibility criteria for public health benefits, and judicial review is limited to verifying procedural legality rather than substituting the authority's discretionary judgment on policy implementation.

Keywords

AI generated
administrative appeal health insurance pharmaceutical reimbursement eligibility criteria judicial review limits public health policy statutory interpretation

Cited Legislation

AI generated
Art. 229.º do Código da Segurança Social
Art. 13.º da Lei de Bases da Saúde

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Full text

[Nº CONVENCIONAL] JSTA000P23173

[Nº DO DOCUMENTO] SA1201804180144

[RECORRENTE] A...., LDA

[RECORRIDO 1] MINISTÉRIO DA SAÚDE E B..., SA

[URL] https://www.dgsi.pt/jsta.nsf/35fbbbf22e1bb1e680256f8e003ea931/EB662CF46AB58E8F80258279002F98BE?OpenDocument