ORDER NO. 24
YEAR 2026
ITALIAN REPUBLIC
IN THE NAME OF THE ITALIAN PEOPLE
THE CONSTITUTIONAL COURT
composed of:
President: Giovanni AMOROSO;
Judges: Francesco VIGANÒ, Luca ANTONINI, Stefano PETITTI, Angelo BUSCEMA, Emanuela NAVARRETTA, Maria Rosaria SAN GIORGIO, Filippo PATRONI GRIFFI, Marco D’ALBERTI, Giovanni PITRUZZELLA, Antonella SCIARRONE ALIBRANDI, Massimo LUCIANI, Maria Alessandra SANDULLI, Francesco Saverio MARINI,
has pronounced the following
ORDER
in the proceedings regarding the constitutional legitimacy of Law no. 207 of December 30, 2024 (State Budget for the 2025 financial year and multiannual budget for the 2025-2027 three-year period), and, in particular, of Articles 1, paragraphs 273 to 384 and 784 to 794; 3, in relation to Table 2, Mission 2 (Financial relations with territorial authorities), 14 (Social rights, social policies and family) and 15 (Pension policies); 16, in relation to Table 15, Mission 1 (Health Protection), Program 1.1 (Prevention and promotion of human health and healthcare for sailing and aeronautical personnel and safety of care); and 18, brought by the Apulia Region with an appeal notified and filed with the Registry on February 26, 2025, registered as no. 11 of the 2025 appeal register and published in the Official Gazette of the Republic no. 12, special first series, of the year 2025.
Having regard to the act of appearance of the President of the Council of Ministers;
having heard Judge Rapporteur Angelo Buscema at the public hearing of January 27, 2026;
having heard attorney Isabella Fornelli for the Apulia Region, as well as State Attorneys Marina Russo and Beatrice Gaia Fiduccia for the President of the Council of Ministers.
Having observed that the Apulia Region, with the appeal in question (reg. appeal no. 11 of 2025), has raised questions of constitutional legitimacy concerning both the entire Law no. 207 of December 30, 2024 (State Budget for the 2025 financial year and multiannual budget for the 2025-2027 three-year period) and its specific provisions, insofar as they do not provide, in favor of the regions, for either the restitution of resources advanced by them for damages arising from mandatory or recommended vaccinations, or for transfers relating to the annual requirement for the payment of compensation for vaccination-related damages.
Having considered in the council chamber on January 27, 2026, that the issues raised by the appeal in question require further investigation, pursuant to Articles 14 and 15 of the Supplementary Rules for Proceedings before the Constitutional Court, aimed at acquiring further and specific information essential for the purpose of the decision.
Considering that, in particular, it is necessary to request from the subjects identified below a report addressing the queries specified for each:
a) the Ministry of Health, within its competence, also through the respective directors general, shall report on:
1) Law no. 207 of 2024, and in particular Article 16 and the attached Table 15, with specific reference to Mission 1 (Health Protection), Program 1.1 (Prevention and promotion of human health and healthcare for sailing and aeronautical personnel and safety of care), Action (Indemnities and compensation to subjects damaged by transfusions, blood products, and mandatory vaccinations. Medico-legal assessments), chapter 2409, management plan 1 (Sums due as compensation and damages to subjects damaged by irreversible complications due to mandatory vaccinations, transfusions, and administration of blood products):
1.1) regarding the rationale and criteria for quantifying the annual allocation for 2025, amounting to a total of 260,000,000 euros;
1.2) regarding the commitments and payments made under the aforementioned chapter 2409, management plan 1, in the 2025 financial year, analytically indicating the beneficiaries of the sums disbursed;
2) indicate the number of persons compensated pursuant to Law no. 210 of February 25, 1992 (Compensation in favor of subjects damaged by irreversible complications due to mandatory vaccinations, transfusions, and administration of blood products), as of 2025, whose payment is the responsibility of the Ministry of Health, highlighting their territorial distribution by individual region;
3) indicate the annual amount and the number of beneficiaries of the compensation referred to in Laws no. 229 of October 29, 2005 (Provisions regarding compensation in favor of subjects damaged by irreversible complications due to mandatory vaccinations) and no. 266 of December 23, 2005, containing «Provisions for the formation of the annual and multiannual State budget (2006 financial law)», in particular per Art. 1, paragraph 607, at the exclusive expense of the State, and whether the latter are added to the previous ones referred to in point 2) or if they are included therein;
b) the Conference of Regions and Autonomous Provinces shall report on:
1) which regions and on what occasions they represented within the Conference the need to obtain from the State the restitution of the advances disbursed as compensation in favor of subjects damaged by irreversible complications due to mandatory vaccinations, transfusions, and administration of blood products, pursuant to Art. 1, paragraph 586, of Law no. 208 of December 28, 2015, containing «Provisions for the formation of the annual and multiannual State budget (2016 stability law)»;
2) on what occasions and in which institutional venues the Conference represented the right of the regions to obtain reimbursement from the State of the indemnities in question, pursuant to the aforementioned Art. 1, paragraph 586, of Law no. 208 of 2015;
3) whether the resources advanced by the individual regions for the payment of the indemnities were sourced within the financial scope of the healthcare perimeter;
c) the Apulia Region shall report on:
1) the annual number of subjects compensated pursuant to Law no. 210 of 1992 regarding the 2021-2025 period and the relative amount of compensation for each year;
d) the State General Accountant shall report on:
1) regarding the rationale and criteria for quantifying the resources allocated to the fund established by Art. 1, paragraph 821, of Law no. 178 of December 30, 2020 (State Budget for the 2021 financial year and multiannual budget for the 2021-2023 three-year period), for the costs incurred by the regions for the exercise of the function of granting compensation in favor of subjects damaged by irreversible complications due to mandatory vaccinations, transfusions, and administration of blood products referred to in Law no. 210 of 1992, and subsequently refinanced by Art. 9, paragraph 11, of Decree-Law no. 145 of October 18, 2023 (Urgent measures in economic and fiscal matters, in favor of territorial entities, for the protection of work and for non-deferrable needs), converted, with modifications, into Law no. 191 of December 15, 2023.
Considering the advisability, given the complexity of the issues, of ordering the hearing of the State General Accountant, the Director General of the General Directorate for Prevention, and the Director General of the General Directorate for Human Resources and Budget for the Ministry of Health, as well as the Secretary General of the Conference of Regions and Autonomous Provinces.
for these reasons
THE CONSTITUTIONAL COURT
reserving any further decision regarding the appeal indicated in the heading;
1) orders that:
– within forty-five days from the notification of this order, each of the subjects indicated above in points a), b), c), and d) shall proceed to file with the Registry of this Court the report referred to in the statement of reasons;
– the State General Accountant, the Director General of the General Directorate for Prevention, and the Director General of the General Directorate for Human Resources and Budget for the Ministry of Health, as well as the Secretary General of the Conference of Regions and Autonomous Provinces, shall be heard by this Court in the council chamber with the participation of the parties;
2) postpones the proceedings to a new docket.
Decided in Rome, at the seat of the Constitutional Court, Palazzo della Consulta, on January 27, 2026.
Signed:
Giovanni AMOROSO, President
Angelo BUSCEMA, Rapporteur
Roberto MILANA, Director of the Registry
Filed with the Registry on March 5, 2026