The study explores how buyers and suppliers of e-health solutions from Denmark, Poland and Spain perceive the regulatory and financial background for the development of e-health procurement. The aim of the paper is to describe how policies can influence the development of e-health procured through public procurement of innovative solutions (PPI). The study included a literature review and series of structured interviews with the three categories of stakeholders involved in the e-health procurement process: suppliers, buyers and experts, gathered through convenience sampling. Results show that procurers feel trapped between contradictory policies that they have to operate within, in some cases scared of breaking the law, which discourages them from engaging in procuring via new procedures. All stakeholders notice that financing models of e-health projects are not sustainable, precluding scaling up of the solutions.