Reimbursement of costs by health insurance companies to service providers organized under public law in the area of ​​emergency services

Summary

Original text of the question(s):<br /> <br /> How does the Federal Ministry of Labor and Social Affairs, as the supervisory authority of the Federal Office for Social Security, assess that direct cost reimbursement is currently being paid by health insurance companies to publicly organized service providers in the field of emergency services in Germany, if, due to the lack of a contractual relationship, the remuneration for emergency service services is, in the narrower sense, according to the most recent case law of the Federal Social Court (judgment of February 20, 2025 - B 1 KR 7/24 R). pure cost reimbursement claim, and how are corresponding cash flows currently possible in accordance with the law, especially where there are no contractual relationships between the payer and the service provider due to fee models for the remuneration of emergency services?<br /> <br /> On what legal basis is there currently a direct reimbursement of costs from health insurance companies to service providers organized under public law in the area of emergency services in Germany if, due to the lack of a contractual relationship, the remuneration of emergency services services is, according to the latest case law of the Federal Social Court (judgment of February 20, 2025 - B 1 KR 7/24 R), in the narrower sense a pure claim for reimbursement of costs, and what consequences does the Federal Ministry of Health draw for the announced Emergency and rescue service reform with a view to the divergence between the legal framework and the current implementation of remuneration in the Meaning of a claim for benefits in kind?

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Timeline

1. 26 September 2025

   Schriftliche Frage/Schriftliche Antwort

   Reimbursement of costs by health insurance companies to service providers organized under public law in the area of ​​emergency services

   Source: BT

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