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Germany nursing reform faces SPD blockade over cost concerns FAST-MOVING

Germany's proposed nursing insurance reform is facing a political deadlock as the SPD threatens to block a cabinet decision scheduled for late September. The dispute centers on how to address a projected multi-billion euro deficit in the nursing insurance system, which could reach eight billion euros by 2027 without significant savings.

Health Minister Carsten Linnemann (CDU) intends to stabilize finances through the Nursing Reorganization Act (PNOG). However, the SPD has rejected the current draft, citing concerns over potential benefit cuts for caregivers and those in need. Instead, the SPD is demanding a cap on out-of-pocket expenses for nursing home residents—a proposal supported by Saarland Minister-President Anke Rehlinger—and a fairer financial equalization between statutory and private nursing insurance.

Industry groups and insurance associations have warned of a “red alert” situation. Oliver Blatt, head of the GKV-Spitzenverband, cautioned that funds could be exhausted within months if a solution is not reached. Additionally, health industry associations have expressed concern that proposed changes to the reimbursement of hygiene and infection protection supplies could jeopardize care safety in domestic settings.

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Anke Rehlinger · CDU · Carsten Linnemann · GKV-Spitzenverband · Germany · Linnemann · SPD · Tim Klüssendorf

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