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Germany Proposes Full Federal Coverage of Bürgergeld Recipients’ Healthcare Costs

Nina Warken argues that shifting full health costs for Bürgergeld recipients to the federal budget will plug a €10 billion funding gap

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Nina Warken (CDU), Bundesministerin für Gesundheit
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Overview

  • The social care insurance recorded a €1.54 billion deficit in 2024 and a €160 million shortfall in the first quarter of 2025
  • The federal government injected €800 million into the health fund after reserves fell below critical levels
  • Current subsidies cover only €109 per month for Bürgergeld recipients against an estimated need of €311, creating a €10 billion annual gap
  • Warken is in talks with Finance Minister Lars Klingbeil and will present two legislative drafts on care insurance to the cabinet imminently
  • The Greens back full federal reimbursement and Warken plans a structural reform package by 2026 to stabilize insurance finances