The Spanish Council of Ministers has approved a Royal Decree-Law to fulfil the purpose of the Law 3/2024 aimed at improving the life of people with amyotrophic lateral sclerosis (ALS) and other high complexity and irreversible conditions, such as motor neuron diseases other than ALS, prion diseases or non-responding spinal muscular atrophy.
This decree creates a new dependency category “Grade III+” for those with full dependence in basic activities and need of instrumental and personal assistance due to respiratory problems and dysphagia. The law guarantees a minimum state-funded protection of €4,930 per month for each person in Grade III+ and raises maximum amounts for home and personal assistance to €9,859. In order to meet these payment obligations, the Spanish Government has allocated budget supplements amounting to €500 million for 2025.
The decree also outlines the application procedure, with the medical evaluation completed within one month, and the official resolution issued within three months, valid nationwide.
More information (in Spanish): Ministry of Health press release https://www.sanidad.gob.es/gabinete/notasPrensa.do?id=6778
Royal Decree-Law 11/2025 https://www.boe.es/diario_boe/txt.php?id=BOE-A-2025-21205
Law 3/2024 https://www.boe.es/diario_boe/txt.php?id=BOE-A-2024-22438