Changes in care
Age & care

New in 2026: Changes in nursing care

New regulations for applying for respite care, for home visits for care levels 4 and 5 and above: Changes for people in need of care and their relatives. 
Expert: Paul Rathjen, specialist consultant for homecare and eldercare, pme Familienservice

Shorter billing time for respite care

From January 1, 2026, applications for respite care must be submitted "promptly." The deadline is being shortened so that costs can only be submitted and reimbursed until the end of the following year. Example: Anyone who used respite care in 2025 must submit their application by December 31, 2026, at the latest. Previously, applications for reimbursement could be submitted retroactively for up to four years.

Home visits for grades 4 and 5 only every six months

People in need of care with care level 4 or 5 who receive only care allowance are now only required to attend a mandatory consultation visit twice a year (previously four times a year). This means that the same rules now apply to them as previously applied to care levels 2 and 3. This should come as a relief to many people in need of care and their relatives, as the quarterly visits were often perceived as compulsory counseling. However, at the request of the person in need of care or their relatives, the consultation can still take place once per quarter. 

More powers for nursing staff

The expertise of well-trained nursing professionals should be better utilized. To this end, they will be given additional powers that were previously reserved for doctors. These include wound care, the treatment of pressure ulcers, and the care of people with diabetes mellitus. In addition, health insurance funds should examine how nursing professionals can be more closely involved in the provision of nursing aids.

Authority Extension Act

State care allowance in Bavaria to be halved

People in need of care with care level 2 and higher who have their main residence in Bavaria can apply for the state care allowance. From 2026, this will amount to €500 per year (previously €1,000 per year). 

Bavarian State Office for Nursing Care

Higher minimum wage, earnings limit for mini-jobs to be raised

Interesting for employers in private households: The statutory minimum wage will rise to €13.90 gross per hour on January 1, 2026, and to €14.60 one year later. 
The statutory minimum wage also applies to mini-jobbers. The earnings limit for mini-jobs will therefore also increase on January 1, 2026. It will be €603 per month in the coming year and €633 in 2027. Currently, mini-jobbers are allowed to earn €556 gross per month on average over the year. 

Federal Government

Pension package approved

The law on stabilizing pension levels and fully equalizing child-raising periods (known as the "2025 pension package") extends the freeze on statutory pension insurance contributions until 2031. This ensures that pension levels will not fall below 48 percent until 2031.

Among other things, childcare periods are now fully recognized for up to three years for each child, regardless of the child's year of birth. Around 10 million people, mainly women who have had to interrupt their careers due to a lack of childcare options, will benefit from the improvement in "mothers' pensions."

The 2025 pension package was passed by the Bundestag on December 5, 2025, and forwarded to the Bundesrat for final deliberation. The legislative process is expected to be completed before the end of 2025. The pension package is closely linked to other pension policy measures that the federal government is introducing with the 2025 pension reform: early retirement, active retirement, and strengthening occupational pensions.

Federal Ministry of Labor and Social Affairs

zero Spouses' emergency representation law: What you need to know!

Spouses' right of emergency representation
Age & care

Spouses' emergency representation law: What you need to know!

If a person was no longer able to make decisions about their own health due to an accident or serious illness, this often came as a nasty surprise for their spouse or partner.

Contrary to what they often thought, life partners were not automatically entitled to make decisions for their partner. The emergency spouse representation law gives spouses and civil partners the opportunity to make decisions in emergency medical situations, for example regarding medical examinations or treatments. 

In this article you will learn

  • When does the spouse's right of emergency representation apply and what options does it offer?
  • In which areas spouses will be able to make decisions in emergencies in future.
  • What limits the spouse's right of emergency representation has.
  • Why individual provision is still important.

When does the emergency spouse representation law apply and what does it include?

The "Right of emergency representation between spouses in health matters" comes into force in January 2023 .

According to this regulation, spouses can represent each other in emergency medical situations even without a living will or power of attorney and take over the healthcare of their partner who is unable to make decisions. However, this right only applies for a maximum of six months. 

If the condition has not improved after this, a legal guardian can be appointed by the guardianship court. Relatives, volunteers or full-time caregivers are usually considered for this.

In which areas will spouses be able to make decisions in future?

They can make decisions about treatments and examinations as well as decisions relating to property law that are directly connected to this (e.g. concluding treatment and care contracts). 

What are the limits of the spouse's right of emergency representation?

The new regulation expressly refers only to emergencies.

For example, spouses are only authorized to act once a doctor has confirmed their partner's incapacity in writing. In addition, the right of emergency representation only applies in direct connection with health care - but not for residential matters or the care of property.

Is the right of emergency representation mandatory?

No, it does not apply if it is contrary to the wishes of the patient. It does not apply if the patient has previously authorized another person in a health care proxy or has expressed a different will.

It also does not apply to spouses who are separated. 

What is recommended for comprehensive prevention? 

The spouse's right of emergency representation can be a great relief in acute situations. However, it does not replace the tried and tested precautionary options such as a health care proxy and living will.

On the one hand, these are not limited in time, and on the other hand, they offer considerably more freedom of design because they allow very individual arrangements for a wide variety of areas. 

An overview of spousal emergency representation law: 5 key points 

  • The emergency representation law comes into force in January 2023.
  • Spouses and registered partners can represent each other in healthcare matters.
  • The right of representation is only valid for a maximum of 6 months. 
  • A doctor must have confirmed the partner's legal incapacity.
  • Living wills and health care proxies are still recommended for comprehensive provision.
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