After fifteen years, important news for Italian health are coming: on 12 January the President of the Council of Ministers Paolo Gentiloni signed the decree containing the new Essential Assistance Levels (the so-called "LEA"). The provision was eagerly awaited and introduces important updates, not only because it redefines the list of benefits to be provided by the National Health System (NHS) for free or by paying the health ticket, but also because it revises the list of rare diseases, chronic and disabling. In addition, it establishes a National Commission that will have the task of updating the list of essential levels every year. THE NEWS' The Decree of the President of the Council of Ministers (DPCM) on the new LEA acts first of all on the list of health services guaranteed by the NHS: on the one hand defines in a more precise and detailed the performance and activities already provided in the previous LEA, from another introduces new ones. For example, medically assisted procreation, pain therapy and palliative care are included among the guaranteed benefits, and new free vaccines are included, such as anti-papilloma (also for males), anti-pneumococcus and 'anti-meningococcus. Regarding autism, the performance of early diagnosis, treatment and individual treatment is guaranteed. In addition, the Decree includes 110 new diseases in the list of rare diseases (whose benefits are provided under exemption), and also updates the list of chronic and disabling diseases, adding for example the endometriosis in clinical stages "moderate "And" serious ". Celiac disease, on the other hand, changes its category, going from the list of rare diseases to that of chronic diseases. 


One of the most important changes introduced by the DPCM on the new LEAs concerns the updating of the nomenclatori of prosthetic assistance, that is the list of prosthetic devices made available to the disabled. With the provision, in fact, the most obsolete tools give way to the most modern and avant-garde ones, such as ocular communicators, speech recognition systems and advanced technology artificial limbs.