Overview

• The GKV-Spitzenverband says the planned Krankenhausreformanpassungsgesetz would grant federal states broad powers to undercut nationwide minimum requirements.
• The association warns hospitals could continue offering services without the necessary staffing, technical equipment or sufficient experience.
• It cautions this risks a return to occasional provision for complex operations, undermining patient safety and treatment quality.
• Insurers criticize the planned deletion of nationwide reachability criteria for exceptions, arguing states could claim coverage is threatened at will.
• A hearing on the draft is being held today at Health Minister Nina Warken’s ministry as the 2025 reform, due through 2029 and expected to shrink the 1,700‑clinic network, faces renewed pushback including earlier concerns from the Greens.