TITLE XII — HEALTH, EDUCATION AND SOCIAL PROTECTION

 

Chapter I — The Right to Health

Article 182 — Right to Health Protection

Everyone covered by the national health protection scheme shall have the right to access medically necessary care under the conditions established by law.

The Principality shall guarantee a national system of universal health coverage based on solidarity and equal access.

No distinction of noble rank or territory may justify arbitrary exclusion from this right.

Article 183 — Full Coverage of Healthcare

The national health insurance scheme shall cover one hundred per cent of the cost of medical care and medicines falling within the scope of legally guaranteed benefits.

No beneficiary may be required to make any upfront payment for these benefits.

The arrangements for reimbursing institutions, healthcare professionals and suppliers shall be established by national legislation.

Fiefs may not introduce compulsory financial contributions that diminish this guarantee.

Article 184 — Territorial Organisation of Healthcare Institutions

Fiefs shall organise, administer and manage healthcare institutions falling within their competence.

They may establish hospitals, clinics, specialised centres and territorial medical services.

The State shall guarantee funding for benefits covered by the national scheme and establish general requirements for authorisation, professional qualifications and health safety.

Territorial authorities may develop additional facilities and services.

Article 185 — Health Safety and Quality of Care

The Principality shall establish minimum national standards concerning patient safety, professional qualifications and the quality of medical services.

Fiefs may adopt more protective requirements.

Healthcare institutions and professionals shall be subject to the inspections prescribed by law.

Patients shall be entitled to respect for their dignity, privacy and consent to care, subject to legally justified exceptions.

Chapter II — Education and Teaching

Article 186 — Right to Education

The Principality shall guarantee the right to education and access to teaching under the conditions established by law.

Compulsory education shall be organised in accordance with national rules.

Access to public education may not be subject to arbitrary discrimination based on territorial origin or noble rank.

Article 187 — National Curricula and Examinations

The State shall determine core curricula, minimum educational requirements and national rules for certifying knowledge.

It shall organise or recognise national examinations and diplomas.

Qualifications duly obtained shall be recognised throughout the Principality in accordance with the law.

Fiefs may supplement national curricula with teaching adapted to their traditions and needs.

Article 188 — Territorial Administration of Education

Fiefs shall organise and administer schools falling within their competence.

They shall ensure their operation, equipment and staffing arrangements in accordance with national standards.

They may establish specialised institutions and develop complementary educational policies.

Territorial autonomy may neither eliminate compulsory core teaching nor undermine national recognition of diplomas.

Chapter III — Social Protection

Article 189 — Fundamental Social Guarantees

The Principality shall recognise the right to organised social protection against the principal risks of life.

Legislation shall guarantee a national baseline of protection in respect of old age, unemployment, disability and circumstances of vulnerability.

The conditions for entitlement and minimum benefits shall be determined by law.

Article 190 — Territorial Management of Social Benefits

Fiefs shall manage the social programmes falling within their competence.

They may establish supplementary benefits, specific assistance and conditions more favourable than the national guarantees.

No fief may diminish the minimum rights recognised by national legislation.

Mechanisms for coordination between territorial schemes shall be determined by law.

Article 191 — Continuity and Portability of Rights

Lawfully acquired social rights shall be protected when a beneficiary changes residence between fiefs.

National legislation shall provide for their continuity and portability.

Territorial authorities shall cooperate to avoid unjustified interruptions in benefits.

Additional assistance specific to a fief may remain subject to lawfully established territorial conditions.

Chapter IV — Employment and Occupational Social Guarantees

Article 192 — Workers' Rights

National legislation shall establish the minimum safeguards applicable to employment relationships.

It shall determine, in particular, the national minimum wage, essential occupational safety rules, protection against unfair dismissal and workers' collective rights.

Fiefs may establish a territorial minimum wage higher than the national minimum and adopt more favourable social safeguards.

Trade union freedom and the right to strike shall be recognised under the conditions prescribed by law.

Specific restrictions may be established for services essential to security, health and the continuity of the State, with due respect for fundamental rights.

Chapter V — Funding and Organic Provisions

Article 193 — Funding of Social Guarantees

The State shall fund the national health guarantees and solidarity mechanisms for which it is responsible.

Fiefs shall fund their management responsibilities and supplementary benefits in accordance with the applicable rules.

National transfers and solidarity mechanisms may be established to support territories and guarantee minimum rights.

National funding shall be subject to oversight by the Court of Auditors under the conditions prescribed by Title X.

Article 194 — Social and Health Legislation

National laws and the applicable organic provisions shall determine the organisation of the health insurance scheme, public health guarantees, educational programmes, social benefits and fundamental labour rights.

They shall specify the allocation of powers and funding between the State and the fiefs.

They may abolish neither full coverage of legally guaranteed care and medicines nor the minimum protections recognised by this Title.