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ZUS medical certification reform: new powers for physiotherapists and nurses

This act introduces major changes to how the Social Insurance Institution (ZUS) certifies incapacity for work and other benefits. From 2027, not only doctors but also physiotherapists (for rehabilitation matters) and nurses (for inability to live independently) will be able to issue medical certificates. The rules for checking sick leave (L4) are also changing – it clarifies what constitutes paid work and activity inconsistent with the purpose of sick leave, and contribution payers, i.e., employers, will also be able to check the use of L4.
Key points
New ZUS certifiers: from January 1, 2027, physiotherapists will rule on the need for medical rehabilitation, and nurses will rule on the inability to live independently.
Changes in sick leave (L4) control: the act specifies that any paid activity during sick leave is considered work, and any activity hindering treatment is inconsistent with the leave. Employers gain the right to independently check how their employees use sick leave.
One benefit period: regardless of the number of sickness insurance titles (e.g., multiple employment contracts), there will be one sickness benefit period, and incapacity for work applies to all titles simultaneously.
Electronic certificates and a new appeal procedure: certificates will be issued electronically, and an appeal against them will be possible by filing an objection to ZUS within 14 days, which is intended to speed up the entire process.
Unified certification rules: ZUS certificates will become the basis for issuing decisions in many other matters, including for judges, prosecutors, bailiffs, and civil service employees, which standardizes procedures across the administration.
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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
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: deepseek-v4-pro
Source data: api.sejm.gov.pl
AI work logs for this document launch
Summary & Status

Key Questions about ZUS medical certification reform: new powers for physiotherapists and nurses

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:

  • New ZUS certifiers: from January 1, 2027, physiotherapists will rule on the need for medical rehabilitation, and nurses will rule on the inability to live independently.
  • Changes in sick leave (L4) control: the act specifies that any paid activity during sick leave is considered work, and any activity hindering treatment is inconsistent with the leave. Employers gain the right to independently check how their employees use sick leave.
  • One benefit period: regardless of the number of sickness insurance titles (e.g., multiple employment contracts), there will be one sickness benefit period, and incapacity for work applies to all titles simultaneously.
  • Electronic certificates and a new appeal procedure: certificates will be issued electronically, and an appeal against them will be possible by filing an objection to ZUS within 14 days, which is intended to speed up the entire process.
  • Unified certification rules: ZUS certificates will become the basis for issuing decisions in many other matters, including for judges, prosecutors, bailiffs, and civil service employees, which standardizes procedures across the administration.

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 2026-07-16.

Analysis and Potential Impact of PROJEKT USTAWY 1856

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CATEGORIES

Benefits Health Labor