Services Flashcards

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1
Q

Omega Spielhallen

A

if goods are supplied in order to provide services, then it is FMS

Activity in Germany, place provides you with guns and you can shoot at people. Some complained thinking this is against human dignity. Question: is this a FMG or FMS, to allow this games were imported from other MS. Held: have to look at activity in question, were goods supplied for performing some activity? If goods are supplied to facilitate games which is the services, you apply FMS not goods.

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2
Q

Gebhard

A

Establishment = stable and contunoous

Services = temporary basis.

A one off activity will be services.

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3
Q

Van Binsbergen

A

Art 56 is directly effective.

People who direct most or all their services at the territory of a particular MS, but maintain their place of establishment outside that state in order to evade its professional rules, may be treated as being established within the MS and thus not covered by art 56 on services but art 49 on establishment instead.

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4
Q

In order to benefit from art 56 who do you need to be?

A

must have a place of establishment within the EU and, if a natural person, must possess the nationality of a MS.

If no right under EU law for company or EU national established outside the EU to provide temporary services within the EU.

A permanent economic base must first be established within MS and from that base the person may provide temporary services in other MS.

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5
Q

Luisi & Carbone

A

the treaty covers the situation of recipients as well as providers of services.

Although art 56 refers to the freedom to provide services, and art 57 to the rights of the provider of services, this case established that the treaty covers the situation of recipients as well as providers of services. Established that the freedom to provide services includes the freedom, for the recipients of services to go to another MS i order to receive a service there, without obstructions.

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6
Q

Cowan

A

Court found that a refusal, by the french to compensate a british tourist who had been attacked whilst in Paris constituted a restriction within the meaning of art 56.

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7
Q

Humbel

A

1) Definition of remuneration

2) Services which are financed mainly or entirely by public funds are not services. The State was not
seeking to engage in gainful activity, but was fulfilling its duties towards its own population in
the social, cultural and educational fields.

Court defined remuneration as consideration paid for activity and agreed between provider and recipient of activity:

1) consideration
2) Agreement

Held:
1) state education is not a service because it is funded from the public purse not by individuals,

2) it does not seek to get money and it discharges its duties

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8
Q

Wirth

A

Contrast Humbel

private education could be a service, so were providers of services within art 56 and 57.

They said that as long as the state ‘essentially’ funds public education, this will fall outside art 56. This suggests that if private payments amounts to more than half of the total funds received for the service, then these payment will be renunciation and art 56 will apply.

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9
Q

Kohll

A

Applicability of reasoning in Humbel has been narrowed in relation to cross-boarder health care.

Kohll appies for his daughter to have dental treatment in Germany. Under Luxemburg law, such treatment was free if provided in Luxenburg, but required prior authorisation from the insurance fund it it were provided outside the country. Authorisation was refused on the basis that the treatment was not urgent and could be provided within Luxemburg.

Held: such rules deter a person from approaching another MS, so hinters services

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10
Q

Watts

A

NHS patient on a waiting list for treatment in the UK travelled to another MS to receive the treatment instead. Was captured by Arts 56 and 57 even though the NHS is not an insurance scheme – but as the ‘service’ was not provided by the NHS, the CJEU did not rule on whether the NHS is a ‘service’.

Each case has to be assessed individually and the individual circumstances of a patient should properly be taken into account

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11
Q

Geraets Smits and Peerboms

A

two people, one has Parkinson disease, the other is in a coma, both funds are funded by people themselves. State finances the other part. Mixed funded involving individual and state. If you want treatment abroad you are not free to ask them for reimbursement. These two people thought no treatment in Netherlands, they wanted to go abroad.

Question: If they go abroad and receive treatment in another hospital then their insurance fund has to pay for it, is this a service? If they pay for it themselves, this is a service, but what if requirement is that their sickness fund will pay. Held:

1) MS could refuse prior authorisation if they could show that the same or equally effective treatment could be obtained without undue delay in the home Member State.
2) MS cannot say that treatment is “normal”, it depends on international medical science, so obligation for them to look at interantional law to see what is normal.

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12
Q

Müller-Fauré

A

this is about non hospital treatment, can you go somewhere else and get treatment and then seek reimbursement? Held: yes not just about hospital treatments but non hospital treatments.

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13
Q

Watts

A

In NHS it is taxed by tax payers money, can someone registered with NHS go abroad and then ask NHS to pay for it? Held: yes this is service, if someone receives treatment abroad this is also a service.

Each case has to be assessed individually and the individual circumstances of a patient should properly be taken into account

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14
Q

Schindler

A

Where goods and services are provided at the same time, the distinction is made on what the final purpose of engaging in the business, if it is the sale of goods then FMGs apply but if goods are supplied for a service, this will be a service

court found that buying a lottery ticket fell within the freemovement of services, not goods because the phyical ticket was purely ancillary to the real substance of the tranaction, which was the chance of winning a prize. The custom paid in order to participate in the lottery - a service - not in order to own a piece of paper.

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15
Q

Omega-Spielhallen

A

Where goods and services are provided at the same time, the distinction is made on what the final purpose of engaging in the business, if it is the sale of goods then FMGs apply but if goods are supplied for a service, this will be a service.

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16
Q

Gebhard

A

establishment takes a more stable and continuous form, services provided on a temporary basis.

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17
Q

Van Binsbergen

A

If most acitivity takes place where establishment is not, it could be FME rather than services, accepted that this would be quite rare for court to provide.

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18
Q

Humbel

A

a. state provided an education, provided without consideration was excluded from scope of art 56. To provide remunication there must be some consideration agreed between the provider and the recipient of the service. Not necessary that this consideration be from the recipient, can be paid by someone else.

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19
Q

Bond van Adverteerders

A

treaty also includes freedom to receive services

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20
Q

Alpine Investment

A

Neither provider nor recipient is moving, but the service crosses boarder

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21
Q

Laval

A

art 56 is horizontally directive effective

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22
Q

FDC

A

Spanish rule that film distributors granted a licence to dub foreign films on condition that they sell Spanish film at the same time, this gave advantage to Spanish films. Spain tried to justify this on cultural policy, this is not provided for in the treaty so should have been ORPI. Court refused to accept this because it was directly discriminative.

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23
Q

Sjoberg

A

Sweden imposed stricter penalties on promoting online gambling other MS compared to gambling on its own territory.

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24
Q

Commission v Germany (Insurance cases)

A

Germany required insurance company wishing to provide insurance on its territory to be both authorised and established in Germany. Court found: this increases costs and even though consumer protection justification was acceptable, it was acceptable and proportionate only as far as authorisation was concerned. The establishement requirement was unnecessary.

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25
Q

Säger

Gambelli

A

Any measure likely to hinder free movement of services violates the treaty. Does not need to be discriminatory

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26
Q

Alpine Investment, Schindler, Commission Italy (Insurance) –

A

in these cases the rules applied without disctinction between domestic and foreign providers, however, they made the reality more difficult for foreginers so breached art 56.

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27
Q

Kohll

A

Any restriction on receving services abroad can caught by art 56 and justifications such as social security (MS does not want to pay random sums of money is acceptable) towether with justificatins of public health. Here, it was not acceptable because as far as court was concerned, the payment would have been at the same rate. Another justification was that we do not know if the dentist services in another MS are of the same quality. This was rejected because courts said the professin was harmonised. Kohll left two questions unanswered:

1) Whether hospital treatments will be covered?
2) Benefits in kind would make a different?

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28
Q

Geraets-Smits & Peerbooms

A

– two persons travelling to another MS to receive treatment which they could not have recived in Netherlands, to reimburse the costs from their healthcare fund, they needed prior authorisation which can only be granted if it was considered normal and necessary. The court found restriction of prior authorisationw as a retriction because it makes it more difficult to receive treatment abroad. Question then turned to balancing the justifications against free movements.

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29
Q

Müller-Fauré

A

Non hospital treatment will be covered as well. Highlights the cost will be kept at home MS rate.

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30
Q

Watts

A

court did not rule whether serives provided by NHS are services and instead it concentrated that Mrs Watts received treatment abroad, paid for it herself and then sought reimbursement frm NHS. Up to this point, all elements of service were satisfied, therefore EU law applied. It was irrelevant that she subsequently sought reimbursement from NHS and NHs is tax funded. Similariliy, justifications could be invoked bt have tohbalance interests of state and Mrs Watts.

Each case has to be assessed individually and the individual circumstances of a patient should properly be taken into account

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31
Q

Regione Sardegna

A

court refused to extend ground of public health to cover environmental protection.

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32
Q

Sjoberg

A

public policy might include preventing people from gambling. But court did not like the idea of it being discriminatory

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33
Q

Geraets-Smits & Peerbooms

A

demonstrate willingness to interprete public health sometimes to take into accout considerations not raised before.

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34
Q

Grogan

A

Medical activities fall within the scope.

where a private organisation tried to stop students’ unions in Ireland from publicising the addresses of British abortion clinics (abortion is illegal under Irish law) to university students. The European Court held in favour of the organization on facts (the Students’ Unions were not acting on behalf of the British abortion clinics but simply to help students, therefore could not rely on the right to advertise the services provided in one of the Member States in other EU countries

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35
Q

Jany

A

prostitution is considered to be a service because it is not prohibited in all MS.

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36
Q

Schindler

A

lotteries were “services”, it is not goods . U.K. could restrict or even prohibit lotteries from other EEC Member States, provided those restrictions were not discriminatory on the basis of nationality.

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37
Q

Josemans

A

selling cannabis in marijuana cafes

Marijuana cafas can sell drugs but only for those who live there. Someone tried to challenge that prohibition on selling drugs only to residents affects their rights to provide services because it affects how much they can sell to foreigners as well. This is probably not worse than prostitution. However, court held that point in excluding this because in no MS this is a legal activity, all MS think that marketing drugs are unlawful. Therefore, more of margin for MS than in other MS.

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38
Q

Luisi and Carbone

A

1) Service recipient moves even though art 56 does not directly recognise this, there is recognition of right to receive service

ladies went abroad as tourists and seek medical treatment were not happy with Italian rule that you can only travel with a certain amount of money. Court held this was restriction on their right to receive services.

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39
Q

Alpine Investment

A

Service itself move

40
Q

Van Binsbergen

direct effect

A

art 56 is vertically directly effective

Dutch national providing legal advice, moved to Belgium (establishment is now in Belgium), he then continues to provides advice in Netherlands. Netherlands were not happy because could not do this any longer if did not have establishment so the restriction was taken up against the home state.

41
Q

Laval

direct effect

A

Art 56 is horizontally directly effective

42
Q

Carpenter

A

Mr C was a UK national providing services in other MS. He married a Filipino national who had overstayed on her tourist visa. The UK sought to deport Mrs C – breached Art 56 – ensuring the protection of the family life of EUCs necessary in order to eliminate obstacles to the exercise of the fundamental freedoms (same rationale as Metock).

43
Q

Humbel

A

remuneration constitutes consideration for the service in question and is agreed upon between the provider and the recipient of the service - reflects the function of the freedom to provide services and its link with the economic aim of establishing the internal market

44
Q

Lotteries cases

A

Schindler

Commission v Spain (lotteries)

45
Q

Jany

A

prostitution held to be a ‘service’ under Art 56

46
Q

SPUC v Grogan

A

abortion is a ‘service’ even though illegal in Ireland. Irish students offered information about abortion services in the UK. Established that it would have been a ‘service’ if there had been a commercial transaction (the students were not paid to supply the information by the abortion clinics)

47
Q

Humbel

A

In its early case law, the CJEU ruled that free state-financed education is not a ‘service’:
State education not included because the State is not engaged in gainful activity and the system is public funded – users do not have to pay for it

48
Q

Wirth

A

But there is not a general exclusion of ‘public’ services – education, health, welfare – the issue is how the services are financed: includes privately financed higher education services

49
Q

Kohll

A

cross-border receipt of health care service (treatment from an orthodontist) - medical treatment or health care reimbursed under a national social security scheme fell within Art 56, where treatment is paid for by the patient, but reimbursed by a public sickness insurance fund, and provided extramurally ‘outside any hospital infrastructure’.

50
Q

Müller-Fauré

A

principle of Kohll also applies to intramural treatment (within a hospital) where reimbursed by a national sickness insurance fund. Thus a home MS rule requiring prior authorisation for medical treatment in a hospital in a host MS can be a ‘restriction’ in the sense of Art 56 TFEU, for instance where it is subject to the requirements that the treatment be ‘normal within the professional circles concerned’ in the home MS, and that the treatment be a ‘medical necessity’, meaning that adequate treatment cannot be obtained without undue delay in hospitals in the home MS that have a contractual relationship with the sickness fund.

51
Q

Watts

A

NHS patient on a waiting list for treatment in the UK travelled to another MS to receive the treatment instead. Was captured by Arts 56 and 57 even though the NHS is not an insurance scheme – but as the ‘service’ was not provided by the NHS, the CJEU did not rule on whether the NHS is a ‘service’.

Each case has to be assessed individually and the individual circumstances of a patient should properly be taken into account

52
Q

Gouda

A

Article [56 TFEU] entails, in the first place, the abolition of any discrimination against a person providing services on the grounds of his nationality or the fact that he is established in a Member State other than the one in which the service is provided’.

Direct discrimination is prohibited and tells us that there is a broader understanding of discrimination. Discrimination is generally about not discriminating on basis of nationality, also not discriminating on basis of where you are established. Broader understanding of discrimination!

53
Q

FDC

A

Direct discrimiantion example

Spanish rule that you could get a license to dub foreign films only if you took an obligation to promote Spanish films at the same time. This rule gives an advantage to foreign films over other foreign ones. This is caught by prohibition on direct discrimination

54
Q

Sjoberg

A

Direct discrimination example

Sweden decided to impose penalties on promoting online gambling for various reasons, prevent crime etc, but penalties were much higher than any other domestic service provider, therefore the higher penalty for foreign services is direct discrimination.

55
Q

Commission v Germany (Insurance cases)

A

Indirect discrimination example

German required that could sell insurance services only if they had authorisation and if you were established in Germany. This was because you want there to be quality in the services (justification). Rule might apply to everyone but would not effect everyone in the same way, especially the establishment rule, usually this is the dual burden rule because normally established elsewhere in EU. For anyone to get engages in free movement of services provision you have to be established somewhere in EU.Authorisation requirement is proportionate but establishment requirement is not.

56
Q

Commission v France (Tourist guides)

A

Indirect discrimination example

French rule that tourist guides have to be authorised to take tourist to particular places, this is because cannot just let anyone tell the culture of france. This was indirect discrimination because by imposing this requirement you set aside possibility for them to hire their own tourguide.

57
Q

Säger

definition

A

non-discriminatory measure definition.

Art 56 TFEU includes ‘… the abolition of any restriction,
even if it applies without distinction …, when it is liable to prohibit or
otherwise impede the activities of a provider of services established in another Member State… will be caught by art 56.

58
Q

Säger

A

Any rules which prohibit access to market or impede activities once already in market of host MS are prohibited.

Germany had a rule that rights can be monitored only by lawyers or patent agent. British company with German clients provided them the service of prompting them when their patents needed renewal. Cross boarder element. A patent agent in Germany was not happy, bringing case against British company. Art 56 prohibits discrimination and abolition of any restriction.

59
Q

Alpine Investment

A

non-discriminatory measures

Dutch rule prohibiting making cold calls abroad, calls were about selling financial services. Dutch did not was them to cold call anyone outside or inside of Netherlands because will damage their reputation. Court found this within scope art 56 following logic in Sager because not allowing companies to sell their services then this is caught by art 56.

60
Q

Schindler

A

non-discriminatory measures

German agent advertising German lottery, but this was banned at the time in UK. Held: it is a service because provided for renunciation. Is there a restriction on freedom to provide services. Is the ban a restriction on provider? Held: yes because the host MS makes it impossible for German lotteries to engage with British customers.

61
Q

Commission Italy (Insurance)

A

non-discriminatory measures

Italy demanded that all insurer companies include everyone who wants to have insurance contracts with them, cannot exclude anyone. Question: is this a deterrent from foreigners, they complain that coming to Italy makes their service more difficult. Court held: yes because this will raise costs, have to change contracts, business model etc this hinders how you provide services.

62
Q

Luisi &; Carbone

A

Art 56 applies where it is the recipients who travel.
Examples of rules found to be restrictive

Italian ladies travelling to Germany to receive medical treatment because of restriction of how much money they could take with them, they claimed that they had a right to receive services abroad

63
Q

Regione Sardegna

A

Examples of rules found to be restrictive

Italy has a rule that any recreational aircrafts which stop at X would have to pay a tax not paid by locals. Court held this was unacceptable becase this prevents those using this services from receiving this service.

64
Q

Laval

A

Restrictions on Posted Workers

Laval – directive said minimum requirements of obligation on MS:
1) MS should adopt legislation for minimum wage
2) Ensure equal treatment
3) Etc
Post 2004 enlargement, different levels of social protection of workers. Sweden did not have a law implementing minimum wage, part of directive was about universal agreements. EU directive was not about protecting worker but creating an equal field for them. Sweden does not impose minimum wage, instead it leaves it to its trade unions, up to trade union to negotiate minimum wages. Trade unions can impose restrictions so art 56 can be horizontally effective. Court held: ORPIs will kick in but there is a balancing exercising, it is important the interplay of directive. Court said Sweden has not implemented directive properly, it is the trade unions doing this, no minimum wage and imposing conditions not in the directive, this tells us that you cant do more than what directive says, it treats it as exhaustive harmonization.

65
Q

Kohll

A

Restrictions on healthcare services

Citizen of Luxemburg claiming money from his health authority, money for daughter treated in another MS, he paid and is now seeking reimbursement. This cannot be services because this is health care – states have different models of health care, limited money etc. The state wants to regulate what range of services it provides on a continuous basis. This is one area where no general harmonization, does this mean services are excluded from scope of treaty>? No, not going into how you organize healthcare, there is a cross boarder, economic activity then this is a service for EU law. The rejection of reimbursement can be seen as a restriction.

66
Q

Geraets-Smits & Peerbooms

A

Restrictions on healthcare services

Two Dutch people, one suffering from Parkinson disease, she wants to try another treatment in Germany. A young man who was in a PVS and his family decided that he will benefit from treatment in another MS. Regulation on social security in EU which has a provision about receiving treatment in one MS, it says that in emergency no need to seek authorisation but if no emergency you need to seek prior authorisation. Can go abroad only if treatments are normal in Netherlands and necessary. This treatment was not available in Netherlands. Having found this as a restriction, prioir authorisation prevents people from going abroad and getting treatment which is a restriction on people receiving treatment. Treamtnet received in hospital are covered and does not matter that you do not pay for services (comes from someone else)

67
Q

Müller-Fauré

A

Non hospital treatment can be covered as well. Receive treatment, your sickness insurance pays for it. Prior authorization is a restriction. There are justifications.

68
Q

Watts

A

difference between Dutch case and this case is the way healthcare is finance, NHS do not make individual payments to it, it is the taxpayer that pays for it. Ms Watts needed surgery, her case is classed as routine so will have to wait a year, she cannot, she goes to consultation in France because her condition deteriorates. Her case is reprioritized so surgery will be given in 3 months so refuse to give her treatment abroad. Are prioritation requirements restrictions? Can it be justified in how NHS functions? Held: no because this is does not stop us from examining proportionality. The fact that if we think prioritation is a restriction falling out of EU law, the system like the NHS will have to reimburse for it, even though receive similar treatment in UK, the NHS does not have an obligation to reimburse you.

69
Q

Mobistar

A

The restrictoion has to effect X in a way which is not de minimus.

. Court says that the rules in question, especially local taxes, court found this was a small additional cost, does not create a disadvantage between foreign and domestic providers

70
Q

Luisi & Carbone

A

a prohibition on export of foreign currency above a certain amount was held to restrict the freedom to receive services, as it prevented the transfer of currency necessary to pay for services received (including medical treatment) in another MS

71
Q

Regione Sardegna

A

regional tax on stopovers by aircraft and boats – made it more costly for recipients of services from outside the region including those from other MSs – differential treatment constituted a restriction

72
Q

Commission v Spain (Lotteries)

A

Spain had a rule that its own lotteries would not be subject to income tax, this means that foreigners are. This is direct discrimination, because of origin the foreign services are at a disadvantage so art 52 is where you are looking. The state justified it by public health and public policy. Public policy – court held: there should be no assumption that foreigners would be fraudsters, trying to combat crime when there is no evidence will not be accepted.
Public health – Court held: no evidence to harm being done, no evidence so not acceptable.

73
Q

Regione Sardegna

A

X imposed tax on stop over on private aircraft, charged to those not established in region, tried to claim that reason was public health because this is direct discrimination can only be justified on art 52, on environmental protection. Court held: because direct discrimination, can be justified on public health but this does not include environmental protection.

74
Q

Sjoberg

A

Sweden imposed higher penalties on foreign gaming websites, direct discrimination. They tried to argue that they were trying to do this to prevent people from getting addicted to online gambling, this can be part of public policy. But court dislikes direct discrimination.

75
Q

Van Binsbergen

A

ORPIs

1) Must be applied in a non-discriminatory manner
2) Legitimate public interest ‘general good’
3) proportinality

Carpenter added - must respect fundamental rights.

76
Q

a) Treaty-based justifications

A

The Treaty-based justifications are ‘public policy, public security and public health’, derived from Art 62 TFEU which applies Art 52(1) TFEU to services.

77
Q

Commission v Spain (lotteries)

A

certain Spanish charitable lotteries exempted from income tax – held to be direct discrimination as advantageous to the MS - put lotteries established in other MSs, including charitable ones, at a disadvantage. Spain could not rely on the Court-based justification (ORPI) of combating crime and fraud, LPFP and Bwin distinguished (see below), or its motive to support charities in the public interest, or consumer protection. Strict interpretation of Art 52(1) derogations: ‘national legislation is appropriate for ensuring attainment of the objective pursued only if it genuinely reflects a concern to attain it in a consistent and systematic manner’ (para 38). Public policy argument based on preventing money laundering, combating tax evasion did not stand up – too general – assumption that bodies and entities established in other MSs were engaging in criminal activity. Even if this argument could be advanced the tax exemption was disproportionate. The same applied to a public health argument based on preventing gambling addiction – no evidence that it had reached the point amongst the population at which it could be considered a danger to public health.

78
Q

Sjöberg & Gerdin

A

CJEU has adopted a less strict approach to ‘public policy’ where the national law in question is designed to restrict consumers from participating in gambling and is non-discriminatory. The CJEU noted that in the absence of EU-level harmonisation in the area it is for each Member State to determine the interests of consumers:

79
Q

Regione Sardegna

Justification

A

justification for regional tax on stopovers by aircraft and boats was the ‘polluter pays’ principle – protection of environment – could not be used to justify on the basis of the public health objective in Art 52(1) TFEU

80
Q

Regione Sardegna

Justification

A

justification for regional tax on stopovers by aircraft and boats was the ‘polluter pays’ principle – protection of environment – could not be used to justify on the basis of the public health objective in Art 52(1) TFEU

81
Q

Luisi and Carbone

A

It is settled case-law that medical activities fall within the scope of Article 56 of the Treaty, there being no need to distinguish in that regard between care provided in a hospital environment and care provided outside such an environment

82
Q

Bond van Adverteerders

A

Article 60 of the Treaty does not require that the service be paid for by those for whom it is performed

83
Q

Schnitzer

A

Establishment or services?

Services are temporary.

The temporary nature of the activity of the person providing the service is determined in light of:

1) Duration of the service
2) Regulatory, periodical nature or continuity.

The fact the activity is temporary does not need that X cannot equip himself with infrastructure such as offices.

84
Q

Steymann

A

remuneration does not need t be money as long as it can be valued in money

85
Q

Deliége

A

Remuneration need not be paid by the recipient of the service

86
Q

Tolsma

A

court found that busking is not a service because have not agreed between two parties as to the remuneration..
Donations were voluntary and the passers-by did not request the music.

87
Q

Schindler

A

Lotteries constitute an economic activity.

88
Q

Zanotti

A

Held: educational establishments essentiaally financed by private funds constitutes services since aim of those establishments is to offer a service for remuneration.

89
Q

Mobistar

A

Cannot be de minimus

90
Q

Online betting cases

A

Bwin International

Sporting Exchange & Ladbrokes

91
Q

Zeturf

A

Online gambling case.

92
Q

Säger test

A

A national measure restricting the freedom to provide services can be justified if:

1) Non-discriminatory
2) Justified by imperative requirements in the general interest
3) Is suitable to obtain the objective it pursues
4) Does not go beyond what is necessary in order to attain its objective.

93
Q

Trojani

A

An activity carried out on a permanent basis or at least without a foreseeable limit to its duration, does not fall within services.

94
Q

Säger

A

Non discrimination

National measure restriction freedom to provide services can only be justified if:

1) non discriminatory
2) justified by imperative requirements in the general interest
3) suitable to attain the objective it pursues
4) does not go beyond what is necessary.

95
Q

Advocate

General Ruiz-Jarabo Colomer

A

Advocate General Ruiz - Jarabo Colomer in Smits and Peerbooms,
recognized the need for Member States to
retain control over social welfare expenditure and that financial equilibrium
was essential to the public interest. If patients were entitled to travel to hospitals
other than those with whom social welfare systems had entered contracts
without prior authorization, financial control would be jeopardized
because it would be difficult to predict where and when patients would receive
treatment. Prior authorization was a necessary and proportionate
means of maintaining financial equilibrium.

However EUCJ has now abandoned this approahc, this was beginning approach.