It is to be discussed and decided in the Bundestag at short notice, reports the "Frankfurter Allgemeine Zeitung" (Wednesday edition). A legislative proposal formulated by the Ministry of Health on Monday provides that care services and homes from July 1, 2022 may only work with the statutory long-term care insurance if they pay their carers according to a recognized collective agreement.
At the same time, Spahn's draft provides for people in need of care to be paid a new surcharge from the long-term care insurance to protect them from increasing financial burdens due to higher wage costs. From July 2022 on, “care facilities may only be approved if they have either concluded a collective agreement (or company collective agreement) themselves with regard to the remuneration of employees in the care and support area or are bound by church labor law regulations," says Spahn's new draft, among other things. And about the planned surcharge it says: "People in need of care in care levels 2 to 5 who have been receiving full inpatient services for more than 12 months will receive a performance surcharge of 25 percent of their care-related contribution to be paid." increase to up to 75 percent. Formally, the new draft is a so-called formulation aid for the coalition groups in the Bundestag. The plan is to link the new paragraphs to the “Law on the Further Development of Health Care” that has already been introduced in the Bundestag. This means that the new regulations for care for the elderly could also be passed in good time before the federal election. First of all, an agreement is to be reached within the federal government, as can be seen in the document. With the new regulations, Spahn would implement essential parts of his plans for a nursing reform that were presented in March. Before that, there had been friction between the Union and the SPD. At the weekend, Labor Minister Hubertus Heil (SPD) made his own initiative for a statutory wage regulation in elderly care and thus put Spahn under political pressure.