Germany debates Nursing Reorganization Act amid fiscal and social concerns

Germany is facing significant debate over the proposed Nursing Reorganization Act (PNOG), aimed at stabilizing long-term care insurance finances. While the Federal Ministry of Health anticipates savings of up to 4.2 billion euros by 2030 through adjusted assessment criteria, an analysis by the Scientific Institute of the AOK (WIdO) warns that these savings could be 50 percent lower than projected. The study notes that current incentives may lead people to apply for care status under old rules, potentially increasing short-term costs.

Various stakeholders have raised concerns regarding the reform's impact. The CSU has called for a concerted action plan involving welfare associations and medical professionals, emphasizing the need for increased investment in outpatient care. The association ‘Digitalization in Care’ supports a proposed transformation clause that would allow facilities to invest in technology to relieve staff, though they seek better refinancing.

Additionally, agricultural associations have warned that the reform could disproportionately affect women in rural areas, who often provide unpaid care and face financial risks, such as reduced pension entitlements. Critics argue that adjusting threshold values alone is insufficient and that the entire assessment system requires comprehensive evaluation.