Federal Health Ministry Proposes Comprehensive Pharmacy Reform

The Federal Ministry of Health, led by Minister Nina Warken, has outlined a detailed plan for a significant reform of pharmacies in Germany. This initiative emerges as part of a broader agenda that includes 17 key projects aimed at enhancing the healthcare system. The proposed pharmacy reform is designed to ensure a comprehensive supply of medications throughout the country, addressing various operational challenges faced by pharmacies.

Among the key objectives outlined in the reform are the reduction of bureaucratic processes, the establishment of a primary care physician system, and a commitment to improving the remuneration structure for pharmacies. The coalition agreement between the Union and the Social Democratic Party (SPD) emphasizes the importance of maintaining a ban on foreign ownership of pharmacies and includes provisions for a fee increase that would be adjusted in line with economic developments.

The reform also aims to introduce measures that would simplify the distribution of medications and lessen administrative burdens, thereby allowing pharmacies to focus more on patient care. Among the proposed changes are the elimination of formal penalties for pharmacies that could lead to financial losses, as well as the lifting of restrictions on discounts offered to customers.

Warken's ministry has indicated that some aspects of the reform, such as the anticipated increase in fixed fees for pharmacies and the removal of discount restrictions, could be implemented quickly through regulatory adjustments. The ministry's timeline suggests that these measures could be enacted swiftly due to their legislative nature. However, there is also a possibility that a more comprehensive reform package may be preferred, as suggested by previous discussions within the Ministry of Economics.

To date, the Federal Ministry of Health has scheduled six initial projects for implementation. These include a ban on nitrous oxide, which is intended to be addressed through a legislative amendment, and the incorporation of new international health regulations, which were approved at last year's World Health Assembly. Furthermore, the ministry plans to establish a working group focusing on nursing care and to present legislation aimed at enhancing the qualifications of nursing staff.

In addition, discussions are expected to commence in September regarding the adjustments to the hospital reform, as stipulated in the coalition agreement. These changes are anticipated to have a significant impact on the healthcare landscape in Germany, particularly in relation to pharmacy operations.