The provisions of this Act shall apply to the implementation and substance of health care services for the provision of which local authorities are responsible under the Primary Health Care Act (66/1972) and the Act on Specialised Medical Care (1062/1989), unless otherwise provided in other laws. Health care services shall encompass health and welfare promotion, primary health care, and specialised medical care. What has been provided in this Act regarding local authorities shall also apply to the cooperation area referred to in the Act on Restructuring Local Government and Services (169/2007). This Act shall not be enforced on the Åland Islands with the exception of compensation for the provision of training payable to health care units as referred to in sections 60 and 63.