On June 4, 2025, Italy’s Council of Ministers formally approved a legislative decree that permanently bans the issuance of e-invoices through the SdI for healthcare services provided to individuals rather than being a temporary exception.
Under this provision, healthcare providers who are obliged to transmit data to the Sistema Tessera Sanitaria (Health Card System) may no longer issue e-invoices for B2C transactions via the SdI platform. This long-standing exception was originally introduced to safeguard patient privacy and is now a permanent policy.
The government cited two main justifications for the permanent ban: the need to uphold the confidentiality of sensitive health-related data, and the desire to avoid imposing additional technological burdens and compliance costs on healthcare professionals and institutions.
By codifying this rule, Italy continues to strike a balance between advancing digital tax administration and protecting personal data.
