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German Doctors’ Association Seeks Sick Notes Only From Day Four as Employers Object

The KBV frames the change as a way to cut routine doctor visits, yielding about €100 million in annual savings.

Overview

  • KBV chair Andreas Gassen proposes making medical certificates obligatory only from illness day four or five.
  • Citing roughly 116 million sick notes a year, with just over a third lasting three days or less, the KBV estimates savings of about €100 million.
  • Current rules require a certificate after three calendar days, though employers are allowed to request one earlier.
  • The employer federation BDA rejects a blanket extension of the uncertified period, warning it would burden companies without addressing structural issues.
  • Political reporting suggests Health Minister Nina Warken is unlikely to adopt the proposal in near-term savings plans.