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An osteopathy association has enquired whether its services are exempt from VAT. The DGT has ruled that the healthcare exemption does not require the profession to be regulated in Spain, provided that the professional possesses the necessary professional qualifications.
Cuestión planteada Si dichas prestaciones de servicios se encuentran exentas del Impuesto sobre el Valor Añadido.
La exención de asistencia sanitaria requiere un requisito objetivo (servicios de diagnóstico, prevención o tratamiento de enfermedades) y uno subjetivo (prestador con condición de profesional médico o sanitario). Según la jurisprudencia del TJUE, la exención no se limita solo a profesiones reguladas por la normativa nacional, sino que el profesional debe contar con las cualificaciones profesionales requeridas. En el caso de la osteopatía, si los profesionales cuentan con una titulación y cualificación equivalente a los estándares de la Norma Europea UNE-EN 16686:2015, será de aplicación la exención del artículo 20.Uno.3º de la Ley 37/1992.
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