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Germany Moves Emergency Care Overhaul Into Interministerial Review

Formal consultations now begin on a plan to curb ER overload through linked hotlines with integrated intake centers.

Overview

  • The health ministry confirmed that a draft law from Minister Nina Warken has entered interministerial coordination after early vetting.
  • Integrierte Notfallzentren are proposed as 24/7 first contact points combining ER access, on-site urgent care practices, and standardized triage.
  • The reform mandates digital integration of 112 and 116117 with uniform first assessment, telemedicine options, and video consultations for lower-acuity cases.
  • Rescue services would be recognized in SGB V as a distinct benefit area, enabling direct billing as medical services rather than transport-only reimbursement.
  • The proposal earmarks €225 million per year from a federal infrastructure fund for digital upgrades and projects long-term savings of about €1.3 billion annually, with cabinet consideration targeted for early next year.