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Act on the Reorganisation of Long-Term Care Insurance

Planned comprehensive reform of long-term care insurance

The Federal Ministry of Health (BMG) is planning a comprehensive reform of the social care insurance system through the Care Reform Act (PNOG). At present, however, only a draft bill from the Federal Ministry of Health is available. This forms the basis for the subsequent legislative process, but has not yet been adopted and may still be subject to change as the process progresses.

Several procedural steps are still required before the draft bill becomes law – including approval by the Federal Cabinet, as well as deliberations and adoption by the Bundestag and the Bundesrat. It is therefore still unclear which provisions will ultimately be adopted.

What does this mean for you?

The existing statutory provisions governing long-term care insurance will remain in force for 2026.

Although changes are expected for 2027, the provisions that will actually apply will only be confirmed once the legislative process has been completed.

For this reason, we are unable to make any binding statements regarding possible changes or their specific details on the basis of the current draft bill.

It is important to us to provide you with reliable and transparent information: as soon as the legislative process is complete and the specific regulations have been finalised, we will provide you with comprehensive information here about the changes that have been adopted.

As things stand, we expect that reliable information will be available in October 2026 at the earliest. Please feel free to check back on this page at a later date.

What are the next steps for the Care Reform Act?

Several further steps are required before it is finally passed. Only once this process has been completed will it be clear which provisions will actually be implemented.

The current timetable sets out the following steps:

  • Ministry draft: 4 June 2026
  • Consultation with associations: 10 June 2026
  • Adoption of the Cabinet draft: to be confirmed
  • First reading in the Bundesrat and first reading in the German Bundestag: to be confirmed
  • Hearing in the German Bundestag: to be confirmed
  • Second and third readings in the German Bundestag: to be confirmed
  • Second reading in the Bundesrat: to be confirmed
  • Planned date of entry into force: 1 January 2027 (1 January 2028 for certain provisions)
     
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