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Coalition Backs 2026 Freeze on Health and Care Contribution Rates

Financing remains unresolved, pending further coalition meetings before Christmas.

Overview

  • Leaders agreed in principle in the Koalitionsausschuss that contribution rates will not rise on January 1, 2026, according to participant accounts.
  • CDU/CSU floor leader Jens Spahn said the parties agree social insurance contributions should not increase, calling it an important signal for the insured.
  • The government now must decide how to close the gap, with options including higher federal transfers or savings in the health sector.
  • Internal estimates cited in reports put compensation for a 0.1 percentage-point move in long-term care contributions at roughly €2 billion.
  • Pressure on statutory funds remains high after rising costs, and Health Minister Nina Warken had previously expected a higher supplementary premium in 2026; current base rates stand at 14.6% for health and 3.6% for long-term care.