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Three States Challenge G-BA Hospital Minimums at Constitutional Court

The complaint contends that rigid case-number and staffing mandates encroach on state planning powers, risking regional care shortages.

Ein Neugeborenes wird im Universitätsklinikum Essen untersucht.
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Wegen Vorgaben zu Mindestfallzahlen in Krankenhäusern haben sich drei Bundesländer an das Bundesverfassungsgericht gewandt.

Overview

  • On August 12, Baden-Württemberg, Sachsen-Anhalt and Schleswig-Holstein filed a constitutional complaint at the Bundesverfassungsgericht against the G-BA's minimum-volume and staffing rules for hospitals.
  • The legal action specifically targets case-number thresholds for treating preemies under 1,250 grams, new minimums for allogeneic stem-cell transplants and personnel mandates in psychiatric and psychosomatic units.
  • The states contend that nationwide, rigid requirements undermine their constitutional role in regional hospital planning and restrict the ability to grant local exemptions, risking care gaps.
  • The G-BA maintains the thresholds ensure higher-quality outcomes by concentrating complex procedures where clinical teams have sufficient experience.
  • The Federal Constitutional Court has yet to rule, leaving the contested rules in force and potentially determining the balance of federal and state authority in Germany's health system.