Long-Term Care Acts

from Wikipedia, the free encyclopedia

The German long-term care strengthening laws (PSG I – III) are intended to gradually improve the situation of those in need of care, relatives and people who work in care, including through better recognition for the existence of a “ need for care ”; In three stages, they complement the compulsory long-term care insurance introduced in 1995 , the “ Care Services Supplementary Act ” that came into force in 2002 and the “ Care Reorientation Act ” of October 30, 2012:

  • On January 1, 2015, the “ First Care Strengthening Act ” (PSG I) came into effect to realign care support.
  • On January 1, 2016, the “ Second Care Strengthening Act ” (PSG II) introduced a new definition of the need for care (replacement of the previous three care “levels” with more precise five care “grades”) and a new assessment procedure.
  • The Third Long- Term Care Strengthening Act (PSG III) came into force largely on January 1, 2017 .

The PSG were launched in the 18th legislative period of the German Bundestag in accordance with an agreement in the associated coalition agreement between the CDU, CSU and SPD .

Overview

As of January 1, 2015, the First Care Strengthening Act expanded the benefits for people in need of care and their relatives, increased the number of carers in inpatient care facilities and established a care provision fund to buffer future increases in contributions.

To finance this, the equal contribution rate for long-term care insurance was increased by 0.3 percentage points from January 1, 2015 (shared equally between employees and employers ). Two thirds of the higher premium income should be used to finance short-term improvements in benefits and the dynamization of benefits, the remaining third to build up the long-term care provision fund.

The Second Care Enhancement Act introduced a new 1 January 2016 care concept a (replacement of the previous three levels of care through more tailored five nursing degrees) and a new review process. To finance this, the contribution rate was increased by a further 0.2 percentage points.

The Third Long-Term Care Act has two primary goals: On the one hand, it is intended to relate care services that are based on the second Long-term Care Act to other care-related social benefit systems. On the other hand, it should bring about an improvement in the care situation at the municipal level. The proposal for PSG III was approved by the Federal Cabinet on June 28, 2016. Most of the regulations negotiated therein came into force on January 1, 2017.

First Care Strengthening Act

Basic data
Title: First law to strengthen nursing care and to change other regulations
Short title: First Care Strengthening Act
Abbreviation: PSG I
Type: Federal law
Scope: Germany
Legal matter: Social security law
Issued on: December 17, 2014
( Federal Law Gazette I p. 2222 )
Entry into force on: predominantly January 1, 2015
GESTA : M006
Weblink: Text of the law
Please note the note on the applicable legal version.

On October 17, 2014, PSG I was passed by the Bundestag with the votes of the grand coalition and against the votes of the opposition from Bündnis 90 / Die Grünen and Die Linke in the version recommended by the Committee on Health and approved by the Bundesrat. It mainly came into force on January 1, 2015 ( Art. 4 PSG I)

The law was introduced by the federal government under the title Fifth Act to Amend the Eleventh Book of the Social Code on May 30, 2014 in the Bundesrat and on June 23, 2014 in the Bundestag.

In its recommendations of June 30, 2014 and in its meeting on July 11, 2014 (924th meeting), the Federal Council commented in detail on the draft law and proposed several changes.

The reform was criticized as inadequate by the opposition parties in the Bundestag. Several amendments and resolutions by Die Linke und Bündnis 90 / Die Grünen - u. a. to waive the long-term care provision fund - failed in parliament due to resistance from the Union and the SPD.

Increase in benefits

In accordance with the dynamization of Section 30 of Book XI of the Social Code (SGB XI) , which is legally stipulated every three years, the benefits of long-term care insurance were increased by four percent as of January 1, 2015, in order to take into account the development of prices in the previous three years. The benefits introduced just two years earlier by the Care Reorientation Act (PNG) of October 28, 2012 on January 1, 2013 were increased by 2.67 percent.

Federal Minister of Health Hermann Gröhe has been providing those affected and their relatives with a “care service helper” since January 2nd, 2015. This is a calculator that should help to get an overview of the new services.

The following benefit amounts apply from January 1, 2015:

step Until December 31, 2014 From January 1, 2015
Full inpatient care according to § 43 SGB ​​XI
I. 1023 € 1064 €
II 1279 € 1330 €
III 1550 € 1612 €
Hardship 1918 € 1995 €
Nursing benefits in kind ("outpatient care") according to Section 36 of Book XI of the Social Code // additional amount for significantly restricted everyday skills according to Section 123 of Book XI of the Social Code
0 € 0 // 225 € 0 // € 231
I. 450 € // 215 € € 468 // € 221
II 1100 € // 150 € 1144 € // 154 €
III 1550 € // 0 € 1612 € // 0 €
Hardship 1918 € 1995 €
Care allowance according to § 37 SGB ​​XI // Additional amount for significantly limited everyday skills according to § 123 SGB ​​XI
0 € 0 // € 120 € 0 // € 123
I. 235 € // 70 € € 244 // € 72
II € 440 // € 85 458 € // 87 €
III 700 € // 0 € € 728 // € 0
Surcharge for care in outpatient living groups according to § 38a SGB ​​XI
I - III € 200 205 €
" Prevention care " according to § 39 SGB ​​XI: annual maximum amount
0 - III 1510 €
max. 4 weeks annually		 1612 €
max. 6 weeks annually;
in addition, 50% of the short-term care amount (806 €) can be used as "preventive care" if this is not used
Short-term care according to § 42 SGB ​​XI: annual maximum amount
I - III 1510 € 1612 € in
addition, unused preventive care can be used (max. Another 1612 €)
Assumption of costs for the consumption of certain care aids in accordance with Section 40 (2) SGB XI
I - III € 31 per month 40 € per month
Subsidy for “measures to improve the living environment” in accordance with Section 40, Paragraph 4 of SGB XI
I - III 2557 € 4000 €
Additional care services
Basic amount 100 € 104 €, new: for all those in need of care
new: also for "relief services"
Increased amount € 200 208 €, new: for all those in need of care at “erhebl. limited everyday skills "according to § 45b SGB ​​XI
new: also for" relief services "

Extended entitlement to benefits for people with dementia

The entitlement to benefits for people with limited everyday skills should be expanded. Since the introduction of the Care Reorientation Act in 2012/2013, those insured with care level 0 have only received benefits from long-term care insurance occasionally. From January 2015, these insured persons should also be able to take advantage of short-term care and semi-stationary care (day care / night care). In addition, start-up financing for residential groups with outpatient care and the surcharge for members of these residential groups should be made possible from 2015. By expanding the entitlement to benefits, all insured persons in care level 0 can claim all outpatient services as previously those insured persons who are classified at least in care level I.

Inpatient care services

According to the new legal regulations, inpatient care facilities should receive an additional one billion euros per year from January 1, 2015, in order to create the conditions for increasing the number of additional carers ( not carers! ) From around 25,000 to up to 45,000 can be increased.

The funds for supplementary care offers through additionally available everyday companions should in future also be available to all those in need of care, in order to improve the day-to-day care in the fully and partially inpatient care facilities. So far, they have only been reserved for people in need of care with “considerable general care needs” (e.g. people with dementia).

Outpatient residential groups

With the new law, people with care level 0 can now receive benefits that were previously reserved for the other care level groups, e.g. B. a “ group living surcharge” of € 205.00 / month when setting up an “outpatient community” ( Section 38a SGB ​​XI). In addition, a one-off start-up financing of € 2,500 per person or 10,000 per residential group can be considered ( Section 45e SGB ​​XI).

Performance improvements in outpatient care

In particular, outpatient care in your own home is supported by the Care Strengthening Act. This also includes better combinability of benefits for preventive or short-term care as well as the new regulation of benefits for day and night care, which are no longer offset against each other. Additional care and replacement services are also being expanded so that, for example, recognized household services or everyday companions can also be used. The financing of renovation measures and care aids is also increasingly being promoted.

Not only those in need of care benefit from the measures of the Care Strengthening Act, but also caregiving relatives, who are now able to more easily prepare for individual care in terms of time and money.

Contribution rate increase and pension fund

As of January 1, 2015, the contribution rate for long-term care insurance was increased by 0.3 percentage points ( Section 55 SGB ​​XI) in order to be able to finance the increased service expenditure from January 2015, because the service improvements result in additional expenditure of around 2.4 billion euros. However, the 0.3 percent increase in the contribution rate will result in additional income totaling 3.6 billion euros. The 1.2 billion euros in excess of the expenses incurred for performance improvements are to be allocated to a so-called long - term care provision fund (see below). From the year 2036 - when the baby boomers reach the nursing age - the money then accumulated in this nursing care fund is to be used to cushion any increases in contributions that might otherwise arise. With the Second Act to Strengthen Long-Term Care, the contribution rate is to be increased by a further 0.2 percentage points from 2017, so that an overall increase of 0.5 percent will then result.

Long-term care provision fund

From 2015 a so-called long - term care provision fund ( Sections 131 to 139 SGB ​​XI) will be introduced. In addition to the goal of strengthening long-term care, the long-term care provision fund aims to secure long-term care. From January 1, 2015, 0.1 percentage points of the contribution rate should flow into the long-term care provision fund, which corresponds to around 1.2 billion euros. The capital saved up to 2035 could then be returned to long-term care insurance over a period of at least 20 years (up to a twentieth). The intention is to cushion possible increases in contribution rates, which are expected from the year 2036, because from this point in time the baby boomers will reach the foster age.

Second Act to Strengthen Long-Term Care

Basic data
Title: Second law to strengthen nursing care and to change other regulations
Short title: Second Act to Strengthen Long-Term Care
Abbreviation: PSG II
Type: Federal law
Scope: Federal Republic of Germany
Legal matter: Social security law
Issued on: December 21, 2015
( BGBl. I p. 2424 )
Entry into force on: predominantly January 1, 2016
Last change by: Art. 2b G of October 11, 2016
( Federal Law Gazette I p. 2233, 2239 )
Effective date of the
last change: 		November 1, 2016
(Art. 3 G of October 11, 2016)
GESTA : M020
Weblink: Text of the law
Please note the note on the applicable legal version.

background

After a lead time of almost ten years, during which the concrete implementation of a new definition of the need for long-term care was repeatedly delayed and also not addressed with PSG I, as well as after numerous scientific studies and model projects, the government cabinet made up of CDU and SPD passed a draft law on PSG II on August 13, 2015 that on September 25, 2015, first reading was debated in the Bundestag.

The law came into force on January 1, 2016, as the new assessment procedure was initially to be tested for its practicality and the medical service of the health insurance , the nursing services and the nursing homes needed about a year in advance to be able to implement the new regulations.

The main primary objective of PSG II is the introduction of a new definition of the need for care and a new system for assessing / assessing those in need of care. It is motivated by the knowledge that the previous assessment of those in need of care, which was mainly based on purely physical ailments, does not offer a satisfactory solution for the increasing number of dementia patients.

implementation

Specifically, physical, mental and psychological restrictions should be equally recorded and taken into account in the classification. This means that people with dementia can also be better involved and have equal access to long-term care insurance benefits. The need for care should be assessed for all persons in need of care solely according to the degree of their independence in everyday life. This is to be measured in the future in six areas when assessing a person in need of care (by the medical services of the health insurance companies):

  1. mobility
  2. Cognitive and communication skills
  3. Behaviors and psychological problems
  4. Self-sufficiency
  5. Coping with and independent handling of illness or therapy-related demands and stresses
  6. Design of everyday life and social contacts

The results of the six individual assessments should be combined - with different weighting - to form an overall assessment. On the basis of this, the person in need of care is to be classified in one of five newly defined care levels, which will replace the three care levels that will apply until then as well as the additional determination of "significantly reduced everyday skills" (especially dementia) from 2017.

In the future, support should start earlier than before: people who do not yet have a significant need for support, but who need care advice, an adaptation of the living conditions (e.g. age-appropriate shower) or services for general care, are to be classified in care level 1.

The practicability of the new assessment procedure was tested as a basis for the further legislative procedure from April 2014 in a project with specially trained employees of the Medical Service of Health Insurance (MDK). It stipulated that the MDK would carry out around 2000 assessments nationwide, both in care facilities and in the home environment of those requiring care, in parallel according to the old and the new rules. In a second project, based on around 2000 people in need of care from 40 nursing homes in five federal states, the nursing staff at the facilities was supposed to determine what care costs the new care levels trigger in inpatient nursing facilities. The first results / reports on the trial study have been available since the beginning of 2015. They show that the new assessment procedure works.

"Care notes"

With the PSG II in 2009 introduced the system of "is nursing notes " with 59 criteria for assessing the quality of homes being replaced by a "Care TÜV ", which the approximately 12,000 facilities for inpatient accommodation in Germany to the quality of results compare their performance, assess and should classify. The care grades should initially be abolished by the end of 2017 and replaced by a new evaluation system based on self and external evaluation.

At the beginning of 2018, the media reported that there should be a new rating for nursing homes in 2019 and a new rating for outpatient care services in 2020.

Services

Long-term care level 1 is being introduced as a new level for long-term care insured persons with minor restrictions, especially in the physical area, who sometimes need help with self-sufficiency, when leaving the home and with housekeeping.

Amounts in euros / € per month
Until December 31, 2016 From January 1, 2017
Classification in care level power Classification in care degree power difference
Care allowance (according to § 37 SGB ​​XI)
Without 1
0 with eA 123.00 2 316.00 + 193.00
I. 244.00 2 316.00 + 73.00
I with eA 316.00 3 545.00 + 229.00
II 458.00 3 545.00 + 87.00
II with eA 545.00 4th 728.00 + 183.00
III 728.00 4th 728.00 ± 0.00
III with eA 728.00 5 901.00 + 173.00
Nursing benefits in kind ("outpatient care")
0 with eA 231.00 2 689.00 + 458.00
I. 468.00 2 689.00 + 221.00
I with eA 689.00 3 1,298.00 + 609.00
II 1,144.00 3 1,298.00 + 154.00
II with eA 1,298.00 4th 1,612.00 + 314.00
III 1,612.00 4th 1,612.00 ± 0.00
III with eA 1,612.00 5 1,995.00 + 383.00
"Hardship" 1,995.00 5 1,995.00 ± 0.00
Full inpatient care (according to § 43 SGB ​​XI)
0 0.00 1 125.00 +125.00
0 with eA 0.00 2 770.00 + 770.00
I. 1,064.00 2 770.00 - 294.00
I with eA 1,064.00 3 1,262.00 + 198.00
II 1,330.00 3 1,262.00 - 68.00
II with eA 1330.00 4th 1,775.00 + 445.00
III 1,612.00 4th 1,775.00 + 163.00
III with eA 1,612.00 5 2,005.00 + 393.00
Preventive care according to § 39 SGB ​​XI
0 - III 1,612.00 2 - 5 1,612.00 ± 0.00
Short-term care according to § 42 SGB ​​XI
I - III 1,612.00 2 - 5 1,612.00 ± 0.00
"Hardship" 1,995.00 5 2,005.00 + 10.00
Surcharge for care in outpatient living groups
I - III 205.00 1 - 5 214.00 + 9.00
Assumption of costs for the consumption of certain care aids (according to Section 40 (2) SGB XI)
I - III 40.00 1 - 5 40.00 ± 0.00
Subsidy for “measures to improve the living environment” in accordance with Section 40, Paragraph 4 of SGB XI
I - III 4,000.00 maximum per measure 1 - 5 4,000.00 ± 0.00
Additional care services
0 - III 104.00 ("basic amount") 1 - 5 125.00 + 21.00
0 - III with eA 208.00 1 - 5 125.00 - 83.00
Flat rate for consultation
I - III 1 - 3 23.00 + 23.00
II with eA 4 and 5 33.00 + 33.00

Notes on the table

  1. ↑ - Nursing
    advice according to §§ 7a and 7b, - § 37, paragraph 3: "Advice in one's own home",
    - § 38a: additional services in outpatient care groups,
    - § 40 paragraphs 1 to 3 and 5: supply of care aids ,
    - financial subsidies for measures to improve the individual or shared living environment
    - § 43b: additional support and activation in-patient care facilities,
    - § 45: care courses for relatives and volunteer carers
  2. ↑ with attested " considerably restricted everyday competence " (eA) (according to § 37 SGB ​​XI)
  3. ↑ Maximum amount, for a maximum of six weeks or 42 days of preventive care per year, in addition, if not used, 50% of the annual amount can be used for short-term care (= 806.00)
  4. ↑ Regulations as above
  5. ↑ Annual maximum amount, in addition, unused amounts from the item "Prevention care" can be used (= max. Another 1612.00)
  6. ↑ Regulations as before; Service period now a maximum of eight weeks per year
  7. ↑ according to § 38a SGB ​​XI, monthly
  8. ↑ For "relief services"
    These are day or night or short-term care services as well as outpatient care services or the "everyday support services" recognized under state law.
    Only with evidence from the service provider.
    Unused amounts can be carried over to the first half of the following year.
  9. ↑ "monthly relief amount": regulations as before;
    - with care level 1, can also be used for benefits in kind provided by a care service (“ basic care ”);
    - under care level 2 to 5 but not for "body-related care measures"
  10. ↑ Increased amount according to § 45b SGB ​​XI for "considerably limited everyday skills"
  11. ↑ Voluntary for people with care level 1; with care level 2 to 5 regularly
  12. ↑ Accessed every six months
  13. ↑ Accessed quarterly

Own contribution for full inpatient accommodation

The costs incurred for an inpatient nursing place add up to the expenses

  • for the care itself including care, medical treatment care and a training contribution,
  • the cost of accommodation and meals and
  • a flat-rate investment cost .

The benefits of the statutory long-term care insurance funds are intended for care, support, medical treatment care and the training of nursing staff. The insured must pay their own contribution. So far, the co-payment has increased in connection with the care level awarded. The insured person has to cover the additional costs for accommodation and meals as well as the lump sum for investment costs.

With PSG II coming into force, all residents of a home should pay the same amount regardless of their level of care; Residents with lower care levels now co-finance residents with higher care levels, who are likely to pay less.

The co-payment is calculated from home to home, but is the same for each institution. According to estimates by the Federal Ministry of Health, it should be an average of 580 euros per month.

Reconciliation

  • In the period from November 1, 2016 to December 31, 2017, the 25-day deadline for deciding on an application for long-term care insurance benefits, which otherwise applies to long-term care insurance, is no longer in force.
  • Who was divided already in a care level, enjoys " grandfathering ", the division into a care level is transferred to a new nursing degree, there is no new assessment:
    ". Insured exclusively physical limitations are automatically transferred to the next higher nursing degree"
    "Insured additional mental limitations (limited everyday skills) automatically move to the next but one level of care. "
  • Full inpatient accommodation also enjoy grandfathering with regard to their own contribution: the difference to a possibly higher, newly determined own contribution is covered by the care insurance.

financing

In particular, due to the lower entry threshold for care level 1, the group of people who can make use of long-term care insurance benefits for the first time is significantly expanded, so that it is expected that the number of beneficiaries will increase by up to 500,000 people in the next few years .

The reform is to be financed by increasing the long-term care insurance contribution by 0.2 percent to 2.55 percent (2.8 percent for “childless”) at the beginning of 2017. This means that from 2017, 5 billion euros more will be available for care each year . These contribution rates are to remain stable until 2022.

Third Act to Strengthen Long-Term Care

Basic data
Title: Third law to strengthen nursing care and to change other regulations
Short title: Third Act to Strengthen Long-Term Care
Abbreviation: PSG III
Type: Federal law
Scope: Federal Republic of Germany
Legal matter: Social security law
Issued on: December 23, 2016
( Federal Law Gazette I p. 3191 )
Entry into force on: predominantly January 1, 2017
Weblink: Text of the law
Please note the note on the applicable legal version.

The Third Act to Strengthen Long-Term Care was enacted on December 23, 2016. It mainly came into force on January 1, 2017 and specifies the instructions and responsibilities of PSG II. There is a close factual connection between PSG III and the Federal Participation Act (BTHG), which was passed in parallel : PSG III regulations with reference to the BTHG, which people in need of care with a disability who live in integration assistance facilities will not come into force until January 1, 2020, at the same time as the corresponding regulations of the BTHG.

Content

1. Interface between long-term care insurance and other social benefit systems:

In the home environment, care services should originally take precedence over integration assistance services, while integration assistance services in inpatient settings should be given priority over care services; after corresponding criticism from professional and welfare associations, this project was abandoned: the services remain equal.

2. Expansion of local advice
3. Increased municipal care through long-term care funds:

The long-term care funds are obliged to participate in committees that organize the regional supply of the municipalities; they must incorporate the recommendations of these committees into their contract negotiations in order to prevent under-supplies for purely economic reasons.

4.Municipal support by means of personnel and material contributions
5. Exchange and compensation of subsidies among the federal states to fully utilize the subsidies
6. More efficient prevention of accounting fraud:

The medical service of the health insurance (MDK) receives an extended inspection right with which it can subject all care companies to regular inspections; existing control mechanisms are to be further developed. In the future, the MDK will be allowed to carry out random checks on the nursing staff and those in need of care. In the event of irregularities in the billing of the nursing services, the MDK can carry out unannounced checks on the billing in order to be able to punish billing fraud early. Regular corresponding controls are already carried out by default.

7. Fight against corruption .

financing

There is no concrete estimate of the costs that the Third Long-Term Care Act will require in addition to the costs of the Second Long-Term Care Act. The Federal Ministry of Health states that the federal government, the federal states and the municipalities will experience a relief of 330 million euros annually through the second long-term care strengthening act, later by 230 million euros annually, while the social long-term care insurance will experience additional expenditure of up to a maximum due to the further development of the care structures Has 10 million euros annually. Due to the interface function of the Third Care Strengthening Act between care services and other social benefits, additional costs of up to 20 million euros per year can arise, while additional expenses of around 10 million euros arise in other areas. For the health insurance companies, there are additional expenses of around 655,000 euros annually, as the examinations of the medical service of the health insurance (MDK) are taking place more and more and will be more extensive.

criticism

Among others, the Federal Association of Protestant Disability Assistance criticized the priority of benefits from long-term care insurance over those from integration assistance (“ help for care ”), which is partially provided for in PSG III . The parity referred to the competition between individual services (and thus between the cost bearers who raise them and who are responsible ) to avoid and shift costs .

Those affected, especially in the federal state of Berlin, fear a reduction in the opportunities for personal assistance (PA) that have already been achieved through termination by the previous social welfare offices with an attempt to shift the service and responsibility to long-term care insurance: according to PSG III, PA should only be in precisely defined, limited areas are granted, PA for mobility even only in the homes of those affected; in addition, contributions in kind are to be given priority.

2009 had German Caritas expressed that the integration assistance is to be provided in priority to care.

See also

literature

Web links

Individual evidence

  1. ^ First law to strengthen nursing care and to amend other regulations (First Care Strengthening Act - PSG I) of December 17, 2014, Federal Law Gazette 2014 I p. 2222
  2. ↑ Second Act to Strengthen Nursing Care and to Change Other Regulations (Second Act on Strengthening Nursing - PSG II)
  3. ↑ bundesgesundheitsministerium.de, questions and answers on the Care Strengthening Act III ( memento of the original dated November 29, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. : "Except ... the regulations with reference to the Federal Participation Act (BTHG) for people in need of care with a disability who live in integration assistance facilities . They should only come into force on January 1, 2020, at the same time as the corresponding regulations of the BTHG. "(November 28, 2016) @1@ 2Template: Webachiv / IABot / www.bundesgesundheitsministerium.de
  4. ↑ Third Act to Strengthen Nursing Care and to Change Other Regulations (Third Act on Strengthening Nursing - PSG III)
  5. ↑ cdu.de: Shaping Germany's future. Coalition agreement between CDU, CSU and SPD - 18th legislative period , p. 59
  6. ↑ Federal Ministry of Health, May 28, 2014: What will change from January 1, 2015. The first Act to Strengthen Care
  7. ↑ Federal Ministry of Health, press release, July 4, 2014, Hermann Gröhe : Clear signal for good care in Germany. Nursing Strengthening Act I clears the first parliamentary hurdle ( memento of the original from July 29, 2014 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.bundesgesundheitsministerium.de
  8. ^ Federal Ministry of Health, June 18, 2014: New definition of the need for long-term care & new assessment procedure. The second Act to Strengthen Long-Term Care
  9. ↑ Federal Ministry of Health , bmg.bund.de: The second care strengthening law
  10. ↑ bmg.bund.de: Questions and answers on the Care Strengthening Act II
  11. ↑ The Nursing Strengthening Acts - Background to the new regulations in nursing ( memento of the original from January 9, 2017 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. on bundesgesundheitsministerium.de, accessed on January 9, 2017 @1@ 2Template: Webachiv / IABot / www.bundesgesundheitsministerium.de
  12. ↑ Federal Ministry of Health, Communication, June 28, 2016: Third Act to Strengthen Long-Term Care Adopted in the Cabinet (July 7, 2016)
  13. ↑ BT-Drucksache 18/2909 from October 15, 2014
  14. ↑ German Bundestag / 61. Session / 17. October 2014 / Minutes of plenary 18/61: Agenda item 21: Second and third deliberations on the draft of a fifth law introduced by the federal government to amend the Eleventh Book of the Social Security Code - extended benefits for people in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI-AmendmentG) Printed matter 18/1798, 18/2379, 18/2909. See also Annexes 2 and 3 (statements by MPs according to § 31 GO)
  15. ↑ Federal Ministry of Health: Press release October 17, 2014: Federal Minister of Health Gröhe: "We have put together a good service package for those in need of care and their relatives" ( Memento of October 23, 2014 in the Internet Archive )
  16. ↑ Federal Ministry of Health (October 17, 2014): The first Act to Strengthen Long-Term Care: What will change from January 1, 2015? ( Memento from July 7, 2014 in the Internet Archive )
  17. ↑ Spiegel-Online October 17, 2014: Better help for the needy: Bundestag adopts care reform
  18. ↑ Welt-Online October 17, 2014: Nursing reform - This is what it means for Germany
  19. ↑ Bundesrat - plenary minutes - 927th meeting on November 7, 2014: Agenda item 5: First law to strengthen nursing care and to amend other regulations (First Care Strengthening Act - PSG I) (Printed matter 466/14) (p. 345 C - 347 A , with speeches by Cornelia Rundt (SPD) (Lower Saxony Minister for Social Affairs, Women, Family, Health and Migration); Ingrid Fischbach (CDU) (Parliamentary State Secretary to the Federal Minister for Health), Angelica Schwall-Düren (SPD) (Minister for Federal Affairs, Europe and the media of the state of North Rhine-Westphalia) issued a declaration for the record (Annex 4 of the protocol - 365f.)
  20. ↑ Printed matter 223/14
  21. ↑ BT-DrS 18/1798
  22. ↑ Bundesrat: DrS 223/1/14: Recommendations of the committees of June 30, 2014: BRDrS 223/1/14 on: Draft of a fifth law to amend the Eleventh Book of the Social Code - expansion of benefits for people in need of care, long-term care provision fund (Fifth SGBXI Amendment Act - 5 .SGBXI-AAA)
  23. ↑ German Federal Council: Minutes of plenary 924 / July 11, 2014: Agenda item 14, pp. 240–246 + 259 (Annex 10): Statement by State Minister Margit Conrad (Rhineland-Palatinate) on item 14 of the agenda)
  24. ↑ Bundesrat: DrS 223/14 (decision): Opinion of the Bundesrat of July 11, 2014 (924th meeting) on: Draft of a fifth law to amend the Eleventh Book of the Social Security Code - expansion of benefits for people in need of care, long-term care provision fund (Fifth SGBXI Amendment Act - 5. SGBXI-Amendment
  25. ↑ Deutscher Bundestag / DrS 18/2912 (October 15, 2014): Amendment by MPs Pia Zimmermann… and the DIE LINKE parliamentary group to the second discussion of the federal government's draft law - printed matter 18/1798, 18/2379, 18/2909 - draft of a Fifth law amending the eleventh book of the Social Security Code - expansion of benefits for those in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  26. ↑ Deutscher Bundestag / DrS 18/2913 (October 15, 2014): Amendment by MPs Pia Zimmermann… and the DIE LINKE parliamentary group to the second discussion of the federal government's draft law - printed matter 18/1798, 18/2379, 18/2909 - draft of a Fifth law amending the eleventh book of the Social Security Code - expansion of benefits for those in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  27. ↑ Deutscher Bundestag / DrS 18/2914 (October 15, 2014): Amendment by MPs Pia Zimmermann ... and the DIE LINKE parliamentary group to the second discussion of the federal government's draft law - printed matter 18/1798, 18/2379, 18/2909 - draft of a Fifth law amending the eleventh book of the Social Security Code - expansion of benefits for those in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  28. ↑ German Bundestag / DrS 18/2915 (October 15, 2014): Amendment by MPs Elisabeth Scharfenberg ... and the Alliance 90 / THE GREENS parliamentary group on the second discussion of the federal government's draft law - printed matter 18/1798, 18/2379, 18/2909 - Draft of a fifth law to amend the Eleventh Book of the Social Security Code - expansion of benefits for people in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  29. ↑ Deutscher Bundestag / DrS 18/2916 (October 15, 2014): Motion for a resolution by MPs Pia Zimmermann… and the DIE LINKE parliamentary group on the third discussion of the federal government's draft law - printed matter 18/1798, 18/2379, 18/2909 - draft of a Fifth law amending the eleventh book of the Social Security Code - expansion of benefits for those in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  30. ↑ German Bundestag / DrS 18/2917 (October 15, 2014): Motion for a resolution by MPs Elisabeth Scharfenberg ... and the Alliance 90 / THE GREENS parliamentary group on the third discussion of the Federal Government's draft law - printed matter 18/1798, 18/2379, 18/2909 - Draft of a fifth law to amend the Eleventh Book of the Social Security Code - expansion of benefits for people in need of care, long-term care provision fund (Fifth SGB XI Amendment Act - 5th SGB XI Amendment Act)
  31. ↑ http://www.bmg.bund.de/presse/pressemitteilungen/2015-01/pflegeleistungs-helfer.html
  32. ↑ Federal Ministry of Health: The care strengthening laws. An overview of planned improvements. (Brochure - overall presentation) - Status: Cabinet resolution May 28, 2014 ( Memento of the original from June 30, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.bmg.bund.de
  33. ↑ Federal Ministry of Health: Care services after the introduction of the Care Strengthening Act 1 (tabular overview of the service improvements from January 1, 2015) ( Memento of July 29, 2014 in the Internet Archive )
  34. ↑ Lebenshilfe -Zeitung 4/2014, p. 10
  35. ↑ Performance improvements in outpatient care
  36. ↑ GKV-Spitzenverband (Central Representation of the Statutory Health and Nursing Insurance): Definition of the need for long-term care ( Memento of the original from August 4, 2014 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.gkv-spitzenverband.de
  37. ↑ 7th September 2015, BT-DrS 18/5926 dip21.bundestag.de: Draft law of the federal government: Draft of a second law to strengthen nursing care and to change other regulations (Second Long-Term Care Act - PSG II)
  38. ↑ German Bundestag / 125. Meeting / 25. September 2015 / plenary minutes 18/125, agenda item 21, dip21.bundestag.de: First discussion of the draft of a second law introduced by the federal government to strengthen nursing care and to change other regulations (Second Long-Term Care Act - PSG II)
  39. ↑ Federal Ministry of Health - press release August 12, 2015, Gröhe, bmg.bund.de: More help for people in need of care and their relatives
  40. ↑ Federal Ministry of Health - Questions and answers on the Care Strengthening Act II
  41. ^ Parliament No. 40 - September 28, 2015, p. 6, das-parlament.de/2015/40/innenpolitik/-/389328 das-parlament.de: New systematics in care. People with dementia should be better cared for in the future
  42. ↑ Federal Ministry of Health - questions and answers on the Care Strengthening Act II - s. Question 2
  43. ↑ Ärzteblatt April 18, 2014: Definition of the need for long-term care: New procedure is being tested
  44. ↑ a b Der Spiegel April 8, 2014: More services: Gröhe starts test run for the care reform
  45. ↑ deutschlandfunk.de , April 26, 2016, Katrin Sanders: New Notes for Nursing (December 2, 2016)
  46. ↑ Orientation aid for quality. New rating system for nursing homes. In: BR.de. January 5, 2018, archived from the original on January 29, 2018 .;
  47. ↑ a b c badische-zeitung.de , November 19, 2016, Annette Jäger: More money for those in need of care
  48. ↑ a b badische-zeitung.de, November 26, 2016, Annette Jäger: What does the place in the nursing home cost?
  49. ↑ badische-zeitung.de: Graphic Nursing Reform 2017 (November 27, 2016)
  50. ^ "Additional information" from the Securvita BKK from the end of November 2016
  51. ↑ Federal Ministry of Health - press release of August 12, 2015, Gröhe, bmg.bund.de: More help for people in need of care and their relatives - here: Transfer of people who are already in need of care
  52. ↑ Federal Ministry of Health - Questions and Answers on the Care Strengthening Act II - Questions 3, 5 and 6
  53. ↑ BT-DrS 18/5926 (7 September 2015): Draft law of the federal government: Draft of a second law to strengthen nursing care and to change other regulations (Second Care Strengthening Act - PSG II) - p. 4 + 6
  54. ↑ German Bundestag / 125. Meeting / 25. September 2015 / plenary minutes 18/125: Agenda item 21, first discussion of the draft of a second law introduced by the federal government to strengthen nursing care and to amend other regulations (Second Long-Term Care Act - PSG II ) - here: p. 12122: Speech by Hermann Gröhe
  55. ↑ Federal Ministry of Health, bmg.bund.de: Questions and answers on the Care Strengthening Act II - questions 12 and 13
  56. ↑ Parliament No. 40 - September 28, 2015, p. 6, das-parlament.de: New systematics in care. People with dementia should be better cared for in the future
  57. ↑ a b c d e f jedermann-gruppe.de: What does the Care Strengthening Act 3 contain? (November 30, 2016)
  58. ↑ bundesgesundheitsministerium.de : Questions and answers on the Care Strengthening Act III ( memento of the original dated November 29, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (November 28, 2016) @1@ 2Template: Webachiv / IABot / www.bundesgesundheitsministerium.de
  59. ↑ "(The integration assistance aims to prevent impending disabilities or to mitigate and, ideally, eliminate existing disabilities and / or their consequences. At the end of the integration assistance is successful inclusion. It is defined in the 6th Chapter of SGB XII.) "
  60. ↑ Federal Ministry of Health: Questions and Answers on the Care Strengthening Act III (July 7, 2016)
  61. ↑ Bundesverband Evangelische Behindertenhilfe , May 20, 2016, beb-ev.de: Opinion of the BeB on the draft bill of a third law to strengthen nursing care and to amend other laws (Third Care Strengthening Act - PSG III) (December 2, 2016)
  62. ↑ Der Paritätische , Berlin, May 20, 2016, infothek.paritaet.org: Opinion on the draft bill of a third law to strengthen nursing care and to amend other laws (Third Care Strengthening Act - PSG III ) ( Memento of the original of December 4, 2016 in Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (December 2, 2016) @1@ 2Template: Webachiv / IABot / infothek.paritaet.org
  63. ^ German Disability Council , October 18, 2016, deutscher-behindertenrat.de: "Improvement now even more!" (December 2, 2016)
  64. ↑ Bundesarbeitsgemeinschaft der Freie Wohlfahrtspflege , Berlin, October 12, 2016, bagfw.de: BAGFW's opinion on the draft law for a third law to strengthen nursing care and to amend other laws (Third Long-Term Care Act - PSG III) BT-Drucksache 18/9518
  65. ↑ taz.mit disability , December 2, 2016, Ulrike Pohl: Enable everyday life (December 11, 2016)
  66. ↑ badische-zeitung.de , January 5, 2017, Judith Reinbold: Social Welfare Office cuts funds due to care reform (January 8, 2016)
  67. ↑ caritas.de: Integration assistance must have priority over care (December 2, 2016)