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ZUS reforms: physiotherapists and nurses to evaluate health, new sick leave rules

The act introduces major changes to the ZUS medical evaluation system, allowing physiotherapists and nurses to issue health assessments. It also updates the rules for using and controlling sick leave (L4) by ZUS and employers.
Key points
Physiotherapists and nurses in ZUS: Physiotherapists can now decide on rehabilitation referrals, and nurses can assess the inability to live independently.
Online medical examinations: ZUS can conduct health evaluations online (telemedicine) or at the patient's home if their health prevents them from traveling.
New sick leave rules for multiple jobs: If you work multiple jobs, you can choose not to take sick leave from one of them if the nature of the work still allows you to perform it.
Loss of benefit for working on sick leave: Doing paid work or activities that delay recovery while on sick leave will result in losing your sick leave benefit.
Clearer control rules: ZUS and employers receive clear powers to check if you are using your sick leave correctly at your home or place of stay.
Easier appeals: You can now appeal against a ZUS refusal to refer you to medical rehabilitation.
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58%
VOTING RESULTS
2025-11-21
For 257
Against 5
Abstain 180
Full voting results open_in_new
gavel
Status:
Became Law
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Additional Information
Rządowy projekt ustawy o zmianie ustawy o systemie ubezpieczeń społecznych oraz niektórych innych ustaw.
Print number: PROJEKT USTAWY 1856
Process start date: 2025-10-28
Voting date: 2025-11-21
Voting no: 96
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Summarized by: gemini-3.5-flash
Source data: api.sejm.gov.pl
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Summary & Status

Key Questions about ZUS reforms: physiotherapists and nurses to evaluate health, new sick leave rules

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is PROJEKT USTAWY 1856.

When did the legislative process begin?

The process officially started on 2025-10-28.

What are the main provisions?

Key points include:

  • Physiotherapists and nurses in ZUS: Physiotherapists can now decide on rehabilitation referrals, and nurses can assess the inability to live independently.
  • Online medical examinations: ZUS can conduct health evaluations online (telemedicine) or at the patient's home if their health prevents them from traveling.
  • New sick leave rules for multiple jobs: If you work multiple jobs, you can choose not to take sick leave from one of them if the nature of the work still allows you to perform it.
  • Loss of benefit for working on sick leave: Doing paid work or activities that delay recovery while on sick leave will result in losing your sick leave benefit.
  • Clearer control rules: ZUS and employers receive clear powers to check if you are using your sick leave correctly at your home or place of stay.
  • Easier appeals: You can now appeal against a ZUS refusal to refer you to medical rehabilitation.

What is the specific legal status?

The current status is Became Law.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Where is the official voting record?

The official roll call vote is recorded at: voting record

What is the latest detailed status?

The latest detailed status is: Uchwalono

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2026-09-07.

Analysis and Potential Impact of PROJEKT USTAWY 1856

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Benefits Health Labor