Statute Text
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1The Confederation shall, within the scope of its powers, take measures for the protection of health.

2It shall legislate on:

the use of foodstuffs as well as therapeutic products, narcotics, organisms, chemicals and items that may be dangerous to health;

the combating of communicable, widespread or particularly dangerous human and animal diseases; it shall in particular prohibit any form of advertising for tobacco products from reaching children and adolescents;79*

protection against ionising radiation.

79* With transitional provision.

The Confederation and the Cantons shall within the scope of their powers ensure that consideration is given to complementary medicine.

1The Confederation shall legislate on research on human beings where this is required in order to protect their dignity and privacy. In doing so, it shall preserve the freedom to conduct research and shall take account of the importance of research to health and society.

2The Confederation shall adhere to the following principles in relation to biological and medical research involving human beings:

It is a requirement for any research project that the participants or their legal representatives have given their informed consent. The law may provide for exceptions. A refusal is binding in every case.

The risks and stress for the participants must not be disproportionate to the benefits of the research project.

A research project involving persons lacking the capacity to consent may be conducted only if findings of equal value cannot be obtained from research involving persons who have the capacity to consent. If the research project is not expected to bring any immediate benefit to the persons lacking the capacity to consent, the risks and stress must be minimal.

An independent assessment of the research project must have determined that the safety of the participants is guaranteed.

Art. 118 Federal Constitution — Protection of Health

Overview

Art. 118 Federal Constitution regulates the Confederation's health competences. The provision does not allow the Confederation to act in all health matters. It may only act where the Constitution expressly grants it competences (Gächter/Renold-Burch, BSK BV, Art. 118 N. 3).

Paragraph 1 obliges the Confederation to take health protection measures within its existing competences. Paragraph 2 identifies three special areas in which the Confederation may enact legislation:

First, it regulates the handling of health-damaging products such as medicinal products, narcotics, chemicals and foodstuffs. This includes their manufacture, sale and use. Example: The Therapeutic Products Act prohibits the sale of medicinal products without medical prescription (BGE 140 II 520 E. 3).

Second, the Confederation combats infectious and dangerous diseases in humans and animals. This competence is very far-reaching (subsequently derogatory), as the COVID-19 pandemic showed (BGE 147 I 478 E. 3.2). Since 2022, the Constitution also prohibits all tobacco advertising that reaches children and young people (AS 2022 241).

Third, the Confederation protects against radioactive radiation, but not against mobile phone radiation. The latter falls under environmental protection.

The cantons remain responsible for all other health matters, such as hospitals and health promotion. They may also enact stricter rules than the Confederation, if federal law permits this. Example: Many cantons have stricter smoking bans than federal law (BGE 139 I 242 E. 3.3).