Coalition approves savings package for stable health fund contributions

Bundestag and Bundesrat have passed the contested savings package of the black-red coalition on health expenditures. The goal is to prevent rising contributions for statutory health insurance funds.

The package relieves the funds from 2027 onward through spending brakes on medical practices, clinics, pharmacies and the pharmaceutical industry. In addition, co-payments for medicines will rise and free co-insurance for spouses will be restricted.

Health Minister Nina Warken (CDU) said this closes a financial gap of 18.8 billion euros. For 2027 the relief exactly matches the deficit with no extra buffer.

Oliver Blatt, head of the health insurance umbrella association, told the Deutsche Presse-Agentur: “We now have a solid basis for keeping health insurance contributions stable overall in the coming two years.” He added there is no room for any weakening and all measures must be implemented consistently.

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German cabinet meeting finalizing 2027 health reform draft with 16.3 billion euro savings target.
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German government finalizes 2027 health reform draft with 16.3 billion euro savings target

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Following Chancellor Merz's announcement that the bill was practically ready, the German government finalized its health reform draft on April 28, targeting 16.3 billion euros in savings from 2027—down from an initial 19.6 billion—to address a 15.3 billion euro deficit at statutory health insurers. The Greens decry it as a burden on insured people and companies, while Health Minister Nina Warken calls it balanced. Cabinet approval is set for Wednesday.

Bundestag and Bundesrat passed Health Minister Nina Warken's savings reform. The coalition agreed on concessions to the states.

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The Federal Constitutional Court has rejected emergency applications against the legislative process for the health savings package. This allows the Bundestag to vote on the law as planned on Friday.

CDU, CSU and SPD have agreed on support for reserve capacities. This clears the path for a Bundestag vote next week.

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Germany's black-red federal government aims to pass a package of reforms covering taxes, the labor market, pensions and bureaucracy reduction before the summer break. A further coalition committee meeting shortly before the parliamentary summer recess in early July is set to make the decisions. Chancellor Friedrich Merz will invite social partners to the chancellery in early June.

Manuela Schwesig, minister president of Mecklenburg-Vorpommern, has criticized federal health minister Nina Warken's plans for nursing care reform. She sees them as shifting problems onto the weakest. DAK chief Andreas Storm also called for a reform moratorium.

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Economists on the scientific advisory board to the Stability Council forecast an excessive deficit of 4.25 percent for 2026. They urge the federal government to make more savings to avoid breaching EU debt rules.

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