Overview

• From October 1 physicians must populate the ePA and pharmacies must use it, with financial penalties for non‑population scheduled to begin in 2026.
• Gematik reports that about 80% of practices can already upload to the ePA, yet roughly one fifth still lack the required PVS module as some vendors plan deliveries in the fourth quarter and others give no timetable.
• Hospitals expect slower adoption due to more complex KIS integration, and a DKG survey finds most clinics do not foresee real‑world use this year, with TI allowance cuts not expected before the second quarter of 2026.
• The KBV warns of severe sanctions for contract physicians starting in 2026 and presses to limit insurer billing data visibility to the insured person while calling for clearer protections for minors.
• Usage is expanding with tens of thousands of practices, dentists, pharmacies, and hundreds of clinics already participating and 1.9 million documents uploaded weekly, as regional leaders stress that stable Telematik infrastructure is essential for routine operations.