Countries push for stricter oversight of newborn infants delivered too soon - Three Nations Propose stricter Measures for Premature Deliveries
In a significant move, the states of Baden-Württemberg, Saxony-Anhalt, and Schleswig-Holstein have filed a complaint with the Federal Constitutional Court in Karlsruhe, challenging the guidelines set by the Joint Federal Committee (G-BA) for the care of premature babies weighing less than 1.250 grams.
The lawsuit, initiated due to the states' concerns about potential supply bottlenecks due to the guidelines, is a necessary last resort to protect the enshrined sovereignty of the states in hospital planning, according to Baden-Württemberg's Health Minister Manne Lucha.
The Joint Federal Committee (G-BA), the highest decision-making body in the German healthcare system, determines guidelines for medical services for the approximately 73 million insured persons of the statutory health insurance. The guidelines for the care of very premature babies stipulate that hospitals will only be reimbursed for treating these children by health insurers if they can demonstrate certain minimum quantities of patients per year.
Josef Hecken, the chairman of the G-BA, believes that routine pays off in planned, complex interventions for premature babies and cannot be replaced by structural guidelines. According to him, in the care of underweight premature babies, the number of treated premature babies has a direct influence on the mortality rate and the extent of later impairments.
However, the states object to these guidelines, fearing that they will lead to supply bottlenecks. The lawsuit concerns the care of very premature babies, specifically those weighing less than 1.250 grams.
In response to the lawsuit, Hecken states that quality in the care of premature babies is not negotiable. Hecken's statement is in response to the lawsuit filed by Baden-Württemberg, Saxony-Anhalt, and Schleswig-Holstein against the guidelines of the G-BA for the care of premature babies weighing less than 1.250 grams.
The lawsuit is in response to repeated interventions by the G-BA. It remains to be seen how the Federal Constitutional Court will rule on this matter, as it could have significant implications for the balance of power between the German states and the federal committee in matters of healthcare policy.
[1] Healthcare Policy Document 1 [2] Healthcare Policy Document 2 [3] Medical Guidelines Document [4] Genetic Research Document [5] Legislative Document
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