State baths are health establishments owned by the German federal states . Many state baths have their origins in the feudal period of the 18th and 19th centuries , when the sovereigns took possession of medicinal springs and had bathing facilities built. Many of these spa facilities remained in state ownership. The health resorts are called state baths, but only individual areas of the health resort are actually in state ownership, not the places themselves.
In recent times, the state has increasingly withdrawn from its historical responsibility: More and more federal states are separating from their state spas, partly through municipalization and partly through privatization of the spa facilities. In addition, health reforms , the declining number of spa prescriptions and the recession are forcing the spas to restructure . In order to compensate for losses from the spa business, they often try to expand the areas of wellness and tourism .