Statement by the Federal Joint Committee (G-BA) on the draft law to support and relieve the burden in care
13.03.2023 17:54
With the Appointment Service and Supply Act, which came into force on May 11, 2019, the legislature gave the G-BA the mandate to carry out the initial drafting of a guideline on the requirements according to Section 137f Paragraph 2 SGB V (DMP Guideline) as well as with every regular review of its DMP guidelines to examine the inclusion of suitable digital medical applications (DimA).
In addition, since the digitalSupply Act on December 19, 2019 gives insured persons a right to digital Health applications (DiGA) in accordance with Sections 33a and 139e SGB V. The BfArM has the Task, about applications from manufacturers for inclusion in the list of reimbursable DiGA to decide.
In contrast to the detailed requirements for DiGA in standard care (§§ 33a, 139e SGB V), there are no legal provisions for DimA in DMP (§ 137f Paragraph 8 Sentence 1 SGB V). Requirements. Alone one "Fitness" for structured Treatment programs becomes provided. This way there will be lower quality even in digital applications higher risk classes are accepted.
Digital applications a big win for chroniclerscare
The Attempt, the legal Order to justifiable solutions to lead, has the The consultation time required to update a DMP in the G-BA almost doubled. The G-BA is aware that the rebuilding and updating of DMP is a challenge for the supply priority task. Digital applications can be a great benefit for them Care for chronically ill insured people.
For this reason, the G-BA advocates harmonization of the service area: Digital products in DMP are refundable, permanently in the BfArM directory included DiGA or others included via the general performance law reimbursable digital products – i.e. as part of a new investigation and treatment method or as an aid. The current limitless opening must be adapted for all other digital products.
The G-BA can then issue a directive on the requirements according to Section 137f Paragraph 2 SGB V as well as with every regular update check whether a permanent
DiGA included in the BfArM directory for the care of the patient group in the structured treatment program is suitable. The realignment of the exam would Noticeably increase consulting efficiency at the G-BA, in-depth study of the enable supply-relevant question of crucial (digital) service content as well as to prevent the current risk of two-tier medicine in the area of digital products in DMP.
Suggested change:
In Section 137f Paragraph 8 Sentence 1 and 2, the words “medical applications” are replaced by the Information “Health applications in accordance with Sections 33a, 139e Paragraph 2 SGB V” replaced.