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IMAT Reading Skills and General Knowledge · Politics, Economics and Society

The Italian Republic: Constitution, Institutions and Regions

How Italy's Constitution was made in 1946 to 1948, what its key articles say, and how Parliament, the President, the Government, the courts and the regions work.

Why this matters

The Cambridge papers asked which body enacted the Constitution, which Italian institution is chosen by direct universal suffrage, and what perfect bicameralism means. A test set by the Italian ministry is likely to keep returning to Italy's own institutions.

Concept 1 of 3: The birth of the Italian Constitution and its key articles

After fascism and the war, Italians voted on the same day to abolish the monarchy and to elect an assembly that would write a new constitution. The result is a rigid constitution: ordinary laws cannot change it, and its republican form can never be changed at all. A handful of articles state its core values.

Definition

  • 2 June 1946: an institutional referendum chose the republic over the monarchy, and the Constituent Assembly (556 members) was elected. It was the first national vote for Italian women. 2 June is Republic Day.
  • The Constituent Assembly approved the Constitution on 22 December 1947; it was promulgated on 27 December by the provisional head of state Enrico De Nicola, and came into force on 1 January 1948.
  • It has 139 articles plus transitional provisions. It is rigid: amendments need a special procedure (article 138).
Date or articleWhatDetail
2 June 1946Institutional referendum and election of the Constituent AssemblyRepublic chosen; women vote nationally for the first time
22 December 1947Constitution approvedBy the Constituent Assembly
1 January 1948Constitution enters into force139 articles
Article 1Founding principleItaly is a democratic republic founded on labour; sovereignty belongs to the people
Article 3EqualityAll citizens are equal before the law, without distinction of sex, race, language, religion, political opinion or personal and social condition
Article 11PeaceItaly repudiates war as a means of offence and of settling international disputes
Article 32HealthHealth is a fundamental right of the individual and an interest of society; free care for the poor
Article 139Limit on amendmentThe republican form of the state cannot be changed by constitutional revision
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Approved in 1947, in force in 1948

The Constitution was approved by the Constituent Assembly on 22 December 1947 but took effect only on 1 January 1948. The Government, the ministries and the courts played no part in enacting it; the Constituent Assembly did.

Concept 2 of 3: Parliament, President of the Republic and Government of Italy

Italian citizens elect only Parliament directly. Everything else flows from it: Parliament elects the President of the Republic, the President appoints the Prime Minister, and the Government survives only while both chambers support it. That chain is why Italy is a parliamentary republic.

Definition

  • Parliament: the Chamber of Deputies (400 members) and the Senate of the Republic (200 elected members, plus a few senators for life). Both are directly elected for 5 years, and both have the same powers (perfect bicameralism).
  • The President of the Republic is elected by Parliament in joint session, joined by 58 regional delegates, for 7 years; candidates must be at least 50.
  • The President of the Council of Ministers (Prime Minister) is appointed by the President of the Republic and must win a confidence vote in both chambers within ten days.
  • The seat numbers were cut from 630 and 315 by a 2020 constitutional reform, applied from the 2022 election.
InstitutionHow chosenTermMain role
Chamber of DeputiesDirect universal suffrage, voters aged 18 and over5 yearsMakes laws; gives or withdraws confidence
Senate of the RepublicDirect universal suffrage on a regional basis, voters aged 18 and over (since 2021)5 yearsSame powers as the Chamber
President of the RepublicElected by Parliament in joint session plus regional delegates7 yearsHead of State; appoints the Prime Minister; promulgates laws; can dissolve the chambers; chairs the High Council of the Judiciary
President of the Council of MinistersAppointed by the President of the Republic; needs the confidence of both chambersNo fixed termHead of Government; directs the Council of Ministers
Constitutional Court15 judges: a third each from the President, Parliament and the highest courts9 yearsJudges whether laws respect the Constitution
High Council of the Judiciary (CSM)Two thirds elected by judges, one third by Parliament; chaired by the President of the Republic4 yearsSelf-government of judges: appointments, transfers, discipline
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Italians do not directly elect the President or the Prime Minister

The only national bodies chosen by direct universal suffrage are the two chambers of Parliament. The President of the Republic is elected by Parliament; the Prime Minister and Government are appointed by the President and need Parliament's confidence. The CSM is chosen by judges and Parliament.

Concept 3 of 3: Regions, referendums and the National Health Service

Italy is a unitary state, but much of daily government, including health care, is run by its regions. The national health service guarantees care to everyone, paid for by taxes, while the regions organise hospitals and local health authorities. Citizens can also repeal laws directly by referendum.

Definition

  • 20 regions, of which 5 have a special statute with extra autonomy: Sicily, Sardinia, Valle d'Aosta, Trentino-Alto Adige/Südtirol and Friuli Venezia Giulia.
  • The 2001 reform of Title V of the Constitution gave regions more legislative power, including over the organisation of health care.
  • The Servizio Sanitario Nazionale (SSN), founded in 1978, is universal and financed by general taxation.
  • An abrogative referendum (article 75) can repeal a law; it is valid only if more than half of those entitled to vote take part.
Body or toolNumber or dateFact to remember
Regions20 (5 with special statute)Ordinary regions were set up in 1970
Autonomous provinces2Trento and Bolzano
Municipalities (comuni)About 7,900Led by an elected mayor (sindaco) and council
National Health Service (SSN)1978 (Law 833)Universal coverage, run regionally through local health authorities (ASL)
Abrogative referendumArticle 75Repeals a law; needs a turnout above 50% of eligible voters
Constitutional referendumArticle 138Can confirm a constitutional amendment; no turnout requirement
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Regions run health care, but the SSN is national

The SSN guarantees the same essential levels of care everywhere and is set up by national law, but the regions organise and manage hospitals and local health authorities. So both statements "health care is national" and "health care is regional" are half true.

Summary — formulas & gotchas at a glance

A revision cheat-sheet for the formulas and gotchas above. Click any concept name to jump back to its full explanation.

Reference tables (3)

The birth of the Italian Constitution and its key articles8 rows
Date or articleWhatDetail
2 June 1946Institutional referendum and election of the Constituent AssemblyRepublic chosen; women vote nationally for the first time
22 December 1947Constitution approvedBy the Constituent Assembly
1 January 1948Constitution enters into force139 articles
Article 1Founding principleItaly is a democratic republic founded on labour; sovereignty belongs to the people
Article 3EqualityAll citizens are equal before the law, without distinction of sex, race, language, religion, political opinion or personal and social condition
Article 11PeaceItaly repudiates war as a means of offence and of settling international disputes
Article 32HealthHealth is a fundamental right of the individual and an interest of society; free care for the poor
Article 139Limit on amendmentThe republican form of the state cannot be changed by constitutional revision
Parliament, President of the Republic and Government of Italy6 rows
InstitutionHow chosenTermMain role
Chamber of DeputiesDirect universal suffrage, voters aged 18 and over5 yearsMakes laws; gives or withdraws confidence
Senate of the RepublicDirect universal suffrage on a regional basis, voters aged 18 and over (since 2021)5 yearsSame powers as the Chamber
President of the RepublicElected by Parliament in joint session plus regional delegates7 yearsHead of State; appoints the Prime Minister; promulgates laws; can dissolve the chambers; chairs the High Council of the Judiciary
President of the Council of MinistersAppointed by the President of the Republic; needs the confidence of both chambersNo fixed termHead of Government; directs the Council of Ministers
Constitutional Court15 judges: a third each from the President, Parliament and the highest courts9 yearsJudges whether laws respect the Constitution
High Council of the Judiciary (CSM)Two thirds elected by judges, one third by Parliament; chaired by the President of the Republic4 yearsSelf-government of judges: appointments, transfers, discipline
Regions, referendums and the National Health Service6 rows
Body or toolNumber or dateFact to remember
Regions20 (5 with special statute)Ordinary regions were set up in 1970
Autonomous provinces2Trento and Bolzano
Municipalities (comuni)About 7,900Led by an elected mayor (sindaco) and council
National Health Service (SSN)1978 (Law 833)Universal coverage, run regionally through local health authorities (ASL)
Abrogative referendumArticle 75Repeals a law; needs a turnout above 50% of eligible voters
Constitutional referendumArticle 138Can confirm a constitutional amendment; no turnout requirement

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