Health Reform Law 2013

Original Language Title: Gesundheitsreformgesetz 2013

Read the untranslated law here: https://www.global-regulation.com/law/austria/2996500/gesundheitsreformgesetz-2013.html

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81. Federal law, with a federal partnership targeting health (health control law G-ZG) will be adopted, as well as change the Federal Act on Gesundheit Österreich GmbH, the private hospitals Financing Fund Act and the Federal Act on the Federal law on hospitals and spas, the General Law on social security, the commercial social security law, the farmers social insurance law, the officials-sick and accident insurance law, the social security Amendment Act, the unemployment insurance law of 1977, the special support Act, the army supply Act, the Kriegsopferversorgung Act 1957, the equalisation Act 1967, the health quality law, the doctor Act 1998, documentation in healthcare () Health reform law 2013)

The National Council has decided:

Table of contents



Article 1



Federal law on the partnership targeting health



Article 2



Amendment of the Federal law on hospitals and sanatoria



Article 3



Change of the General Social Security Act



Article 4



Amendment of the commercial law on social insurance



Article 5



Change of the farmers social insurance law



Article 6



Change of officers sick and accident insurance act



Article 7



Amendment to the social security supplement Act



Article 8



Amendment to the unemployment insurance act of 1977



Article 9



Amendment of the special support act



Article 10



Amendment to the army supply Act



Article 11



Change of the Kriegsopferversorgung Act of 1957



Article 12



Change in the equalisation Act 1967



Article 13



Amendment of the health quality Act



Article 14



Amending the medical act of 1998



Article 15



Amendment of the Federal Act on Gesundheit Österreich GmbH



Article 16



Amendment to the private hospitals Financing Fund Act



Article 17



Amendment of the Federal law on the documentation in healthcare



Article 1

Federal law on the partnership targeting health (health target control Act G-ZG)

Table of contents



1 article General provisions



§ 1.



Subject



§ 2.



Scope



§ 3.



Definitions



2. Notes on public health policies



§ 4.



Orientation on the health goals of part of and public health



§ 5.



Principles, objectives and fields of action targeting health



§ 6.



Patient orientation and transparency



§ 7.



Quality assurance in the context of targeting health



3. section structure and process of targeting health



§ 8.



Previous of the target control process



§ 9.



Ratio of targeting health ÖSG/RSG



4. section concrete expression of partnership targeting health



§ 10.



Orientation of targeting health



§ 11.



Control Panel results-oriented



§ 12.



Control Panel supply structures



§ 13.



Control Panel supply processes



§ 14.



Specifications and content of the country control contracts



§ 15.



Annual work programmes



5. section defining the financial target control



§ 16.



Financial target management - general provisions



§ 17.



Content and subject to the financial framework contracts



§ 18.



Virtual budget



§ 19.



Strengthening of health promotion



6 article decision-making structures and organization



§ 20.



Organisation of the Federal Health Agency (referred to in article 56a of the Federal law on hospitals and sanatoria)



§ 21.



Federal Health Commission



section 22.



Federal goal Control Commission



section 23.



Participation of the Federation in the institutions and bodies of the national health fund



§ 24.



Participation of the statutory health insurance in the institutions and bodies of the national health fund



7 section specifications for the monitoring and reporting



§ 25.



Implementation of a monitoring and reporting system



section 26.



Process steps



§ 27.



Detailed rules for monitoring and reporting



8 section regulations of the sanction mechanism



section 28.



General information



section 29.



Rules for non-achievement of objectives



section 30.



Rules for breach of the agreement in accordance with article 15a B-VG target control-health, the federal target control contract or the country control contracts



§ 31.



Regulations in non-realization of the federal target control treaty or the country control contracts



§ 32.



Arbitration for disputes arising from the federal target control contract or the country target control treaties in the context of targeting health



9 section final and transitional provisions



§ 33.



Quoting other federal laws



§ 34.



Implementation of the Federal law



section 35.



Entry into force



section 36.



Transitional provisions 1 section

General terms and conditions

Subject

§ 1 (1) the Federal Government and the statutory health insurance have competence-legal responsibilities in accordance with the following provisions with the countries in which to establish an inclusive partnership targeting health for the structure and organization of the Austrian health care and develop. This federal law affects not the responsibilities of the countries to the legislation and execution.

(2) the concretization of this targeting health has comparable effect-oriented qualitatively and quantitatively to be firmly based on 1 supply objectives 2. planning values 3. supply processes and structures 4. to be earnings and quality parameters. A 5 is based on as an integral part of establishing financial target control.

(3) the implementation of the partnership targeting health has to ensure the principle of efficiency in health care through the development of organization and control mechanisms at the Federal and State level.

Scope

§ 2. The partnership targeting health has to include all intra - and extramural areas of the Austrian health care system and affected joints in structural and organisational terms.

Definitions

§ 3. Within the meaning of this Federal Act, the terms mean: 1 "outpatient area": the ambulatory health care in hospital clinics, independent outpatient clinics and in the established field (in particular medical assistance and similar services within the meaning of the social security law).

2. "Best point of service": the point at which the provision of curative care each macro-economically possible cost takes place at the right time at the right place with optimal medical and nursing quality.

3. "Health in all policies (health in all policies)": effective and sustainable promotion of health of the population through increased consideration of the theme of health and the health determinants in other than the directly competent political sectors.

4. "Health Technology Assessment (HTA)": process to systematically assess of medical technologies, procedures, and tools, but also organizational structures, in which medical services are provided. Criteria such as effectiveness, safety and cost, each taking into account social, legal and ethical aspects are investigated.

5. "integrated care": the patient-oriented joint and coordinated cross-sectoral health care along with adjacent areas (acute in-patient care, ambulatory care, rehabilitation, seams to the health care sector). It includes process and organizational integration.

6 "Interdisciplinary care models": cooperation of physicians/doctors of different disciplines (General Medicine, internal medicine, Gynecology, laboratory, radiology, etc.) as well as non-medical health service providers (qualified nursing staff, physiotherapists/physical therapists, etc.) in group practices or independent outpatient clinics as well as, where appropriate, to developing forms of organization.

7 "Primary care (primary health care)": the General and directly accessible first point of contact for all people with health problems in the sense of a comprehensive primary health care. It should coordinate the supply process and provides comprehensive and continuous care. And social conditions taken into account.

8 "Public Health": creation of social conditions, environmental conditions, and conditions of a needs-based, as well as effective and efficient health care under which populations can live healthy.

9 "Statutory health insurance": the established by the General Law on social security, the commercial social security law, the farmers social insurance act or the officials-sick and accident insurance act and summarized in the main Association of Austrian social insurance institutions insurance institutions as health insurance.

10.

"Control contracts": the private law contracts concluded by federal, State and statutory health insurance (federal target control contract) or respective country and statutory health insurance (country destination control treaty) to the joint implementation of targeting health, where only the regime of the 8th section available for the dispute of the contract partner.

2. section

Public health principles

Orientation on the health goals of part of and public health

§ 4 (1) within the meaning of "Health in all Policies" has the development of objectives, to be structure and organisation of health care in the context of targeting health in accordance with the framework health goals to be decided by the Federal Health Commission. The Federal Health Commission has the framework health goals to be more specific. Federal and statutory health insurance together with the countries have to ensure that any previously defined health objectives in accordance with the framework health goals at the concretization of the country health goals through the platform of health at the country level.

(2) the Federal Government and the statutory health insurance have on federal and regional level in the implementation of its measures in the context of targeting health to be aligned with public health principles. These include: 1 focus on a comprehensive concept of health, to reduce 2. systematic reporting of health, 3. further development of the Organization and the tasks of the public health service (EGD), 4 health services research, demand-oriented planning, to ensure development and evaluation, 5 strengthening of interdisciplinarity in the supply, as well as in research and development with the aim of improving the health for all and health inequalities.

Principles, objectives and fields of action targeting health

§ 5 (1) as principles in the context of targeting health are to be followed: 1. the promotion of health promotion and prevention, 2. in the case of illness the curative supply the "best point of service", 3. the commitment by federal, State and statutory health insurance for active cooperation and mutual support in the implementation of the jointly agreed objectives, 4. the patient-oriented quality healthcare has to serve to increase the effectiveness and efficiency of health care , 5 for the target control including integrated planning necessary data are for all sectors in accordingly prepared and comprehensible form made available.

(2) to the achievement of these principles are in particular the following objectives to implement in the context of targeting health: 1 targeted health promotion and prevention, strengthening evidence-based early detection and early intervention, 2. access to and improve availability of all necessary services, 3. coordinate services in all sectors, making patient - and demand-orientated and in parallel structures prevent or dismantle, 4 high quality of treatment make sure and make transparent, treatment processes, in particular through the Elimination of organizational and communication deficits improve 5. , 6 routine measurement of the effectiveness of supply intensify, 7 financing and remuneration systems closer to the supply demand align 8 at all supply levels is to give precedence to individual service providers establishing multi professional and inclusive forms of care.

(3) to pursue these common goals are to edit the following fields of action in the context of targeting health anyway: are 1 through supply contracts to define the "best points of service" and are transparent to make the right start and further bodies. The financing is across all sectors to adapt to shifts in power (article 17, paragraph 1 Z 6 or § 17 para 2 No. 7).

2. the stationary range in acute sick institutions is to relieve justified medically and macroeconomic shift by the day-clinical or outpatient services. The provision is to develop Z 1 as required especially in the outpatient area within the meaning of article 3 and to coordinate with respect to the services and to set. Additionally, to undertake on the basis of objective cost and benefit assessments, taking into account existing workloads performance shifts towards more efficient structure alternatives and reduce inefficient structures. Parallel structures - especially outpatient specialist care in the established and hospital outpatient area - are to dismantle.

3. the range of primary health care ("primary health care") is to strengthen international models in the established range.

4. for selected diseases are to be defined-oriented standards of care the patient needs.

5. to improve the supply processes, particularly for chronic conditions, are to develop disease management programs and to implement, expand interdisciplinary and multiprofessional cooperation forms and define treatment processes.

6. a comprehensive, comparable, systematic and standardized quality management (with comprehensive measurement of the quality of the results) is to build in the intramural as well as in the extramural area.

7 financing and remuneration systems are designed to support the objectives of targeting health (especially supply the "best point of service").

Handling of the fields of action referred to in Nos. 4 and 5, taking into account scientific evidence including the relevant legal interest groups and patient organizations and prosecutors, as well as the possibly affected medical associations are included.

Patient orientation and transparency

Section 6 (1) within the meaning of the patient orientation is to strengthen, that the active participation of those affected in the decision-making process is possible state of health on the health literacy of the population. Also the possibilities of information and communication technology in the health field are apply.

(2) surveys on the subjective health status of the population and cross-sectoral patient surveys are carried out regularly.

Quality assurance in the context of targeting health

§ 7 (1) has the Austrian quality work the levels of the structure, to include process and outcome quality.

(2) the following are set in terms of the quality of the result: 1 for the stationary range is to continue the routine documentation-based system of earnings quality measurement and assurance by peer reviewed law and under addition of quality registers at the national level and to expand.

2. the federal target control Commission has to develop an adequate, comparable system taking into account international models and experiences 18 months for health service providers in primary care result quality measurement and assurance and to ensure the implementation in the connection. In the drafting of the social security, Austrian Medical Association and the Austrian Federal Economic Chamber are (as a representative of health establishments within the meaning of section 149, paragraph 3, of the General Social Security Act, Federal Law Gazette No. 189/1955) to include.

(3) in the area of process quality in the context of targeting health are in the narrow connection with the fields of activity of targeting health (§ 5 ABS. 3 Nos. 4 and 5) to set nationwide uniform quality standards.

(4) the criteria in the Austrian structural plan be set in the area of structure quality health (ÖSG).

3. section

Structure and process of targeting health

Previous of the target control process

Section 8 (1) which has in the context of targeting health target control process to be carried out according to established scientific methods.

(2) the strategic objectives and the measures to be set to reach goal are to agree on four-year contracts at the federal level (period-related federal target management contracts) and to set binding. At the country level, the statutory health insurance has to agree on the strategic objectives and the measures to be set to achieve targets in four-year period-related country destination management contracts with the respective country and to set binding. The implementation has to be carried out in the annual work programmes.

(3) at the national level, in particular the following process steps are in terms of strategic cooperation and coordination: 1. to implement measures are the detailed design of targeting health at the federal level and be at the federal level set by the Federal Government and the statutory health insurance together with the countries through federal target control contracts where macroeconomic effects and regional requirements are taken into account. These contracts have to cover the contents laid down in the 4th and 5th section.

2.

The Federal Commission in the control of the target is the design for the federal target control contract to advise and recommend the Federal Government, the main Association of Austrian social insurance institutions and the countries by mutual agreement to the decision-making. Previously, the draft federal health Commissioners to submit of any written comments can be submitted. The contract is to sign as soon as legally binding upon approval by the relevant competent institutions by the Federal Government and for statutory health insurance by the main Association after voting by the media conference and gain validity after legally binding signing by the countries. The contractor federal target control contract is to bring within 14 days of the federal target control Commission and the country target control commissions. The Federal Minister of the Federal Minister of health has to publish the current federal target control contract on the homepage of the Federal Ministry of health.

3. the design of the first federal target control contract for the years 2013 and 2016 has to exist until June 30, 2013. Federal target control contracts for the further periods have to be until the middle of the year preceding the period. Any adaptations of existing federal target control contracts have also until no later than the middle of the year to be that precedes the year in which these adaptations for targeting health are relevant.

4. the federal target management contracts are to be more specific in relation to each year, if necessary, to adapt and to operationalize in annual work programmes at the national level. The annual work programme for the measures at the federal level for the year 2013 is at the same time agreeing with the first federal target control contract. The annual work programmes for subsequent years are at the latest at the end of last year by the federal target control Commission.

5. a national, effective and efficient monitoring and reporting are set up according to the provisions in section 7 and making at the federal level.

(4) the statutory health insurance is at the country level in terms of strategic cooperation and coordination with the countries for the achievement and implementation of the targets set in the target control health and cooperation in particular in accordance with the following process steps z 1 to 4 responsible: 1. for the detailed design of targeting health at the country level has the statutory health insurance starting by the contractual provisions at the federal level with the respective country to agree a country target control contract and implement. These contracts have to cover the contents laid down in the 4th and 5th section. The country target control contract concluded between land and legal health insurance including the financial framework agreement to be agreed in accordance with article 16 shall be binding, failure which engages sanction mechanism in accordance with the 8th section.

2. in the country target control Commission design for a country target control contract will advise and consensually recommended for decision in the competent bodies of the statutory health insurance and the country. If this draft contradicts the federal target control treaty or any other federal legislation, the Federal Government has a right of veto. The contract is upon approval by the relevant competent organs of the locally competent Gebietskrankenkasse, the public servant insurance company to sign the social security institution of the commercial economy, the social insurance institution of the farmers and the insurance institution for railroads and mining as soon as legally binding and acquired legal validity after signing legally binding throughout the country. Is a contract is not signed by all referred to statutory health insurance carriers in the country, this agreement between the undersigned parties concluded anyway, unless the federal target control Commission sees the objectives expected not endangered and therefore no veto. The contractor country target control contract within 14 days the federal target control Commission and the respective country target control Commission is brought to the attention.

3. the design of the first country target control contract for the years 2013 and 2016 is 30 September 2013. Country control contracts and agreements are available until end of November of the year preceding the period for further periods. Any adaptations of existing country control contracts also at least will be available end of November of the year preceding the year in which these adaptations for the target control become relevant.

4. the country objective control contracts are defined at each country level in relation to each year, if necessary, adapted, as well as operationalized in annual work programmes and implemented within the scope of the effect. The annual work programme for action at the country level for the year 2013 will be agreed at the same time with the first country target control contract. Annual work programmes for subsequent years are agreed at the latest at the end of the previous year in the respective country target control Commission.

Integrated planning and relationship of targeting health ÖSG/RSG

9. (1) all levels and areas of health care and adjacent areas includes the integrated planning of the Austrian health care structure and is made on the basis of existing evidence and cross-sector. The binding basis for the integrated planning of the Austrian health care structure is set in the Austrian structural plan health (ÖSG). The ÖSG health (RSG) represents the framework planning for inpatient and outpatient care planning in the regional structure plans.

(2) the federal target control contract as well as its implementation in the respective annual work programmes has on the already agreed provisions of the Austrian structural plan to rebuild health (ÖSG). The further orientation of the Austrian structural plan health is determined by the overall health of targeting.

(3) the Federal Government and the statutory health insurance have to ensure that the country target control contract as well as its implementation in the respective annual work programmes health (RSG) builds on the already agreed provisions of the respective regional structure plan at the country level, and is the parent of this. The structural measures agreed in the context of targeting health at country level will be incorporated content accordingly in compliance with the requirements in the federal target control contract and in the ÖSG agreed in the respective regional structure plan of health.

(4) on the basis of the central provisions and requirements of targeting health, the Austrian structural plan is health as central planning instruments in terms of structural and content and in accordance with the criteria of the supply, to develop the quality and efficiency, as well the regional structure plans be developed health.

4 section

Concrete expression of partnership targeting health

Orientation of targeting health

§ 10 (1) based on the principles presented in the 2nd section and goals is targeting health in the areas of control 1 result orientation, 2. supply structures, to clarify section 3. supply processes and 4. financial targets in accordance with 5.

(2) for all target agreements covered by the areas of control in the context of targeting health, evidence-based measures and target values to define are together with the countries of the Confederation and of the statutory health insurance.

Control Panel results-oriented

§ 11 (1) in the control area focus on results the federal target management contracts to contain in particular the following regulations have: 1. national frameworks for results-oriented supply and effect-oriented health objectives derived from the framework health objectives, 2. documentation requirements (data basis: cross-sectoral common diagnostics and performance documentation;) Use of pseudonyms) for a nationwide monitoring of the health and supply objectives, 3. nationwide uniform measures and target values for the measures in the control areas of supply structures and processes be set, where these for international comparisons, performance measurement should be usable, 4. uniform guidelines for cost benefit reviews and evidence based (HTA) of diagnostic and treatment methods (including measures of health promotion, screening and vaccination programmes), 5 coupling of measures of health promotion and prevention on action-oriented health targets including mandatory evaluation.

(2) on the implementation of the partnership targeting health in accordance with § 1 para 1 regional health and supply targets be set in the country target control treaties, so that the nationwide targets for the results-oriented supply and effect-oriented health objectives can be achieved.

Control Panel supply structures


12. (1) in the control area of supply structures the federal target management contracts to contain in particular the following regulations in the form of bandwidth have: 1. demand-driven supply and power density in the acute inpatient and outpatient area for the further development of the power density in direction power density for all supply areas, 2. share of the day clinical performance or outpatient services for specified selected services, 3. discharge of the full inpatient area in the acute hospitals by medical and economy as a whole justified shift from services in the day or in the outpatient area, taking into account article 5 par. 3 Nos. 1, 2 and 3, 4. portion of the ambulatory care structure with opening day and week end times and share of interdisciplinary care models to the ambulatory care structure, 5. strengthening primary care ("primary health care") also in the established area, 6 frameworks for any affected joints, 7 framework for the roles, responsibilities and supply jobs of outpatient care, 8 cross-border cooperation.

(2) on the implementation of the partnership targeting health in accordance with § 1 para 1, during the period-related country control contracts and agreements set forth requirements referred to in paragraph 1 based concrete regional needs and set target values for the respective observation period by mutual agreement. Also provisions on the action implementation both in qualitative and in quantitative terms are taken in these contracts, taking into account in particular the following measures concerning supply structures that cause significant impact on service provision in the other sector: 1 capacity adjustments in acute sick institutions, in particular by setting structural measures such as converting (dislocated) week or day clinics and base hospitals or creation of hospital networks and hospitals with several locations including specifications for the joint operation of selected functions , 2. capacity adjustments 5. adaptation of the clinical day and outpatient structures starting from extramuraler performance provision (especially interdisciplinary care models such as E.g. independent outpatient clinics, group practices or to establish new innovative forms of care, extended opening hours) under consideration to set regional supply orders especially for new contracts, 3. establishment of interdisciplinary central recording and emergency treatment units, and outpatient primary care units, 4. planning of the hospital clinics associated with the established physicians/specialists, from the agreed target output volumes per area , 6 set of roles, responsibilities and supply orders per outpatient care level and mandatory cross-sectoral planning of the regional structure plans health, 7 set "best points of service" by means of regional supply orders depending on supply level and introduction of integrated care models, 8 taking into account of the "Date time" and "Supply effectiveness" per providers in regional capacity planning in primary care in the context of the provisions in the RSG.

Control Panel supply processes

13. (1) in the control area of supply processes the federal target control contracts have in particular the following regulations as targets for optimization of treatment processes to include: 1 defining the implementation of eHealth concepts (electronic health records, cross-sectoral uniform diagnostic and performance documentation, eMedikation, etc.), 2 reduction of avoidable double and multiple findings points, especially at elective surgery through the implementation of the Federal quality guideline preoperative diagnosis, 3. comprehensive definition and implementation of quality standards (E.g. Federal quality guideline recording and release management) , 4. range of disease management programmes and concepts for integrated care, 5. operational measures for the implementation of article 24 para 2 third and fourth set of hospitals - and Spa Institute law, BGBl. No. 1 / 1957, 6.
Measures for the efficient and effective use of medications.

(2) at the federal level, a joint drug Commission will be established as part of targeting health for the intra - and extramural area especially for high-priced and specialized medicines (in terms of remedies in accordance with section 136, paragraph 1, of the General Social Security Act) and their uses. Thereby, the following applies: 1. the task of the Joint Drug Commission is at the request of a State or of the main Association of Austrian social insurance institutions of federal target control Commission recommendations to submit, what high-priced and specialized drugs are used in the utilities sector and what reimbursement system or which utilities sector assumes the costs thereby incurred. The opportunity to comment is the concessionnaires company before submitting a recommendation to give. The recommendations of the Joint Drug Commission have to turn off the "best point of service" and in particular on medical and therapeutic, health economic and supply aspects to be based to ensure the highest quality of service.

2nd three representatives of the social security and the countries belong to the Joint Drug Commission for the intra - and extramural area. The Federal Minister / the Federal Minister for Health sends a representative / a representative of the Federal Ministry of health, who chaired the Commission three scientific experts/experts in the pharmaceutical industry and also. All members are eligible to vote. She meets the recommendations by a three-quarters majority, where the minority opinion requested document is.

3. the federal target control Commission has to decide on the recommendations of the Joint Drug Commission for the intra - and extramural area. The tasks 351 g of the General Social Security Act affect the remedy Evaluation Commission pursuant to §.

(3) for the implementation of the partnership targeting health in accordance with section 1, paragraph 1, measures to optimize the treatment processes provided in the country target control treaties through improved organization and communication processes between all service providers. Such measures are in particular considering: 1 implementation of eHealth concepts (electronic health records, sektorenüber cross common diagnostic and performance documentation, eMedikation, etc.), 2 implementation of (cross-sectoral) guidelines and standards (E.g., recording and release management, pre-operative diagnosis) for the treatment and care particularly chronic and common diseases, 3. patient control to the "best point of service", 4. implementation evidence-based and quality-assured disease management programs, as well as integrated care concepts.

Specifications and content of the country control contracts

§ 14. The country control contracts and agreements may not contradict the federal target control contract. You have specially the handicap in the control areas "Result orientation" from the federal target control contract, closer to define "Power structures", "Supply processes" and "Financial targets" and to include the appropriate measures to implement starting from the regional demand.

Annual work programmes

§ 15. In regard to their timely implementation to operationalize the commitments taken in the target control contracts in the control areas "Result orientation", "Power structures", "Supply processes" and the financial target control (article 5) and measures. There are annual programmes to create for this purpose.

5. section

Defining the financial target control

Financial target management - general provisions


The management areas specified in the section 4 are 16 (1) to complement a financial target control as an integral part of the targeting health. Controlling financial target aims gradually to dampen that the annual increase in output does not exceed a value of 3.6 percent (average development of the nominal gross domestic product in accordance with the medium-term forecast for the Federal Finance frame law) in 2016 the increase in public health spending in the first period of targeting health from 2012 to 2016. In other periods, the annual output increase in the average development of gross domestic product in accordance with the medium-term forecast for the Federal Finance frame law in amended should remain coupled. The financial target control is in financial contracts that are part of period-related target control contracts, fleshing out. This financial framework agreements have by the Contracting Parties in the context of targeting health to control health spending in the future subject to implementation of partnership targeting health in accordance with § 1 para 1 of a shared financial responsibility of countries and legal health insurance with respect to the use of funds to cover.

(2) basis of the financial target management is a cross-sectoral output attenuation path. This output attenuation path has a forecast of health care spending without intervention, to cover the nominal expenditure ceilings for public health expenditure (excluding long term care) and the resulting attenuation effects in output growth (output damping effects) a year and accumulated over the period. These values are for an initial period up to the year 2016 in articles 25 to 27 of the agreement in accordance with article 15a B-VG target control-health agreed and for the other periods in the respective federal target control contract to agree in the agreement in accordance with section 15a B-VG on the Organization and financing of health care in the currently valid version has to be considered. This ceiling on expenditure and output damping effects are for the area of social security and the competence of the Länder at federal level in the financial contracts to represent. There are also for the area of social security and the range of countries in implementing the partnership targeting health in accordance with § 1 para 1 at country level to represent this ceiling on expenditure and output attenuation effects and merge national cross-sectoral expenditure ceiling and output attenuation effects. Health expenditure from pension insurance, accident insurance, health care institution and the Federal Government, as well as investment are be presented separately.

(3) public expenditure on health basis for the determination of the nominal expenditure ceilings including output damping effects at the federal level, as well as for the definition of sectoral and regional expenditure ceilings are their respective expression by making selections in analogy to the approaches of Statistics Austria on the basis of "System of health accounts (SHA)".

(4) in implementing the partnership targeting health in accordance with § 1 para 1, compliance with the output attenuation path at the Federal and State level through partnership agreed measures in the context of targeting health must be ensured. In addition, the Federal Government and the statutory health insurance together with the countries based on financially weighted and verifiable assumptions have to present a package of measures which is suitable in sum, actually achieving the agreed expenditure ceiling and the resulting output damping effects. The final objectives finally focused on the respect of the applicable expenditure ceilings.

(5) the determination of defined for the financial target control as target control relevant health issues in the area of federal, State and social security has to be transparent and comprehensive. The methodology of the Austria-wide representation and the output attenuation path of targeting health are set in the period-related federal target control contracts. The description and illustrations in articles 25 to 27 of the agreement in accordance with article 15a B-VG target control applies to the output values, expenditure ceilings and output damping effects for the first period until 2016-health, being the implementation of the targets in the period in the foreground. They are mutually disclosed for the identification of public health expenditure and data works required for the subsequent monitoring and the corresponding data origins are to expel.

(6) the distribution carried out by the countries themselves of the expenditure ceiling including the output damping effects to be achieved shall be documented in accordance with article 17, paragraph 1 and 2 in the target control contracts. Übererfüllungen the output damping effects of countries in one year can be applied to subsequent years, provided complied with the annual expenditure ceilings set.

(7) the distribution of the expenditure ceiling including the output damping effects to be achieved within the social insurance institutions and the country assignment of expenditure ceilings and output attenuation effects are done by the social security system and to document in accordance with article 17, paragraph 1 and 2 in the target control contracts.

(8) the statutory health insurance carriers have to strive for a revenue-oriented output policy.

Content and subject to the financial framework contracts

Section 17 (1) at the federal level the financial framework contracts for the respective period of targeting health have to include at least the following content: 1 for the nationwide cross-sectoral output attenuation path of public health care spending without long-term care: a) the output value for the first year of the relevant period, b) the evolution of expenditure in the period without intervention, c) the annual expenditure ceiling and the result to be derived from, d) annual and accumulated over the period of the output damping effects, as well as e) the allocation key for the output damping effects on the two sectors.

2. for the nationwide sectoral output damping paths of public health expenditure for controlling financial target ongoing relevant: a) the output values for the first year of the relevant period, b) the evolution of expenditure in the period without intervention, c) the annual expenditure ceiling and the result to be derived from, d) annual and accumulated over the period output damping effects in accordance with subpara 1 lit. d and e separately for countries and public health insurance.

3. the allocation of lit in no. 2. c and expenditure ceilings shown in d and output attenuation effects derived from a) on the nine federal States, b) to all media of the statutory health insurance, and the c) State-way merging lit. (b).

4. be presented separately are: a) investments, b) health spending of pension insurance (in particular rehabilitation), c) health expenditure of accident insurance, d) health issues of the health care Institute, e) Federal health spending.

5. the specific design of the differentiated output representation for the extra - and intramural field, as well as the generation of the necessary data bases shall be agreed in the first federal target control contract.

6 Furthermore the content are in the first federal target control contract nationwide framework regulations for the country level according to para 2 No. 7 of to financing and clearing mechanisms for agreed cross-sectoral shifts in performance.

(2) on the implementation of the partnership targeting health in accordance with § 1 para 1, include the financial framework agreements on content country level for the respective period of targeting health for all nine provinces in any case, the following: 1. representation of the output damping path of for controlling financial target running relevant public health spending of the country: a) if the output value for the first year of the relevant period, b) the evolution of expenditure in the period without intervention , c) the annual expenditure ceiling and the result to be derived from, d) annual and accumulated over the period output damping effects in accordance with para 1 No. 3 lit. a. 2. representation of the output damping path of for controlling financial target ongoing relevant public health expenditure of the statutory health insurance in the country: a) the output value for the first year of the relevant period.

(b) the expenditure in the period without intervention.

c) the annual expenditure ceiling of the statutory health insurance scheme and the result to be derived from, d) annual and accumulated over the period output damping effects in accordance with para 1 No. 3 lit. c. 3.
The appearance of the merged output attenuation path in accordance with no. 1 and no. 2 for the respective Federal State.

4. attributable to the respective Federal State investments separately by country and statutory health insurance.

5.

The expenditure of both sectors are displayed according to a functional outline due to a nationwide report template: a differentiated presentation of expenditure according to the existing functional structure is made for the extramural area. For the intramural field, a differentiated presentation of essential financial positions of the national health fund and the countries/communities is made anyway. In addition, defined for the intramural area on the basis of the estimates and accounts of the hospital institution and starting from the uniform data bases for hospitals cost accounting one according to material and functional aspects differentiated from this calculation works derived expenditure or cost display (expenses/costs for staff, medical and non-medical health and consumer goods including a separate presentation of the remedies, for the purchase of medical and non-medical services and for investment) and supplemented. A differentiated appearance is functional and technical areas to strive for.

The measures agreed in the country target control treaties are 6 to represent in budgetary terms, as follows: a) overall assessment of the presented measures in accordance with article 11, paragraph 2, section 12 paragraph 2 and § 13 para 3 and b) whose impact on the intra - and extramural area.

7 binding rules for cross-sectoral funding and allocations referred to in paragraph 1 No. 6 of performance shifts caused by targeting health or newly established forms of care.

(3) the data necessary for the financial target management including the monitoring in accordance with section 7 are from the Federal Government, the main Association of Austrian social security institutions and countries to provide.

Virtual budget

Section 18 (1) joint financial responsibility at the country level within the framework of the virtual budget relates in accordance with § 1 para 1 on the agreed financial framework contracts pursuant to clause 17 as part of the implementation of the partnership targeting health and includes: 1 the output damping effects and the expenditure ceilings, and 2. the measures gem. § 16 para 4.

(2) the content referred to in paragraph 1 are regulated in § 16 para 4 and § 17 para 2 subpara 1 Nos. 1, 2 and 3.

(3) the content referred to in paragraph 1 are regulated in § 16 para 4 and § 17 para 2 Z 2 Z 6 and 7.

(4) the statutory health insurance has the realisation of the objectives agreed in the financial framework contracts to answer for with the appropriate approach in the not achievement of objectives and for breaches of the financial framework contracts is regulated in sections 29 and 30 with the countries.

Strengthening of health promotion

Section 19 (1) the statutory health insurance has, in accordance with the financing of countries according to the provisions of article 23 of the agreement in accordance with article 15a B-VG target control-health, to strengthen health promotion and prevention in the all country health fund as a special fund for under - managed separately from the other assets of the Land Fund - health promotion fund for ten years (2013 to 2022) to bring into 130 million euro in equal annual tranches. The appropriations will be the insured key (§ 447 g of the General Social Security Act) applied and distributed on the national health fund. This is to ensure that 1 focused the use of resources on the part of health objectives adopted by the Federal Health Commission, the measures based on the existing evidence, efficacy and the quality criteria for health promotion and prevention, 2. and 3. evaluated the implementation of the measures and will be shown in regular reporting.

(2) the statutory health insurance has to decide in consultation with the country in the country target control Commission over the use of funds from the health promotion fund.

(3) funds not used in the business year are to strike the health promotion resources available the following year.

(4) the federal target control Commission has to use this funding to adopt principles and objectives, which is in particular to ensure that health promotion projects do not contradict the fundamental objectives of the federal target control treaty and the country control contracts.

6 article

Governance and organization

Organisation of the Federal Health Agency (referred to in article 56a of the Federal law on hospitals and sanatoria)

Institutions in the Federal Health Agency are § 20 (1): 1 Federal Health Commission 2. federal target control Commission (2) also may to the advice of the Federal Health Agency a national health Conference be set up, in which the main actors/stakeholders of health care are represented.

(3) the conduct of business of the Federal Health Agency is the Federal Ministry of health.

(4) in carrying out the tasks, the federal health agency that has to ensure that a high-quality, effective and efficient, free accessible and equal health care in Austria all in particular by targeting health ensures and secured the financial viability of the Austrian health care in accordance with the financial framework contracts is.

Federal Health Commission

Section 21 (1) has the Federal Health Commission within the framework of planning, control and financing of health care in Austria to perceive tasks in accordance with the provisions in the federal target control agreement and the Federal Commission in the control of the target as well as taking into account macroeconomic effects and regional and country-specific requirements. In the Federal Health Commission determinations (decisions) are carried out at the following points: 1 on matters of the Federal Health Agency Fund: a) ongoing maintenance and updating and further development of performance-based hospital financing model (LKF) including its bases, b) guidelines for the use of purpose dedicated to agents of the Federal Health Agency, c) estimate and accounts of the Federal Health Agency.

2. on general health matters: a) (further) development of the (framework) health objectives including the establishment of indicators and monitoring in accordance with § 4 (including strategies to implement), b) frameworks for joint management between the various sectors of the health care system, c) establishment and development of relevant health information and communication technologies and their applications (such as ELGA, e-card, telehealth, telecare), d) guidelines for a nationwide, comprehensive all sectors of health care documentation , e) further development of the documentation and information system for analysis in the health sector (DIAG), f) evaluation of the tasks of the Federal Health Commission.

(2) the Federal Health Commission consists of 36 members, who are appointed in accordance with the following provisions, while an voting rights 1 to 7 only the members in accordance with Z: 1 appoints nine members to the Federal Government on the proposal of the Minister / the Federal Minister of health, appointed nine members of the main Association of Austrian social insurance institutions 2., 3. appoints a member of depending on each country, one the representatives of towns and municipalities of the order 4. , 5. a member appointed the Austrian Conference of bishops together with the Protestant upper Church Council, a member the patient representatives established under section 11e Krankenanstalten-and Spa Institute law order 6 together, 7 appoints a member of the Austrian Medical Association, 8. appoints a member of the Austrian Chamber of pharmacists, 9 appoints a member of the Federal Minister / the Federal Minister for science and research, 10 appoints a member of the General accident insurance institution, 11 appoints a member of legal advocacy for the hospitals into consideration referred to in section 149, paragraph 3, of the General Social Security Act.

For each of the so ordered federal health Commissioners, a representative by written authorization is possible in individual cases. The right to order includes also the right to removal of members.

(3) for decisions of Federal Health Commission, a majority of the votes and the approval of at least three quarters of the representatives referred to in paragraph 2 Z 1-3 are required.

(4) do not use the to order federal health Commissioners authorized by this law and order not members, the not ordered members of the quorum of the Federal Health Commission disregarded remain so.

(5) the Federal Minister / the Federal Minister of health has the Chairman of the Federal Health Commission to lead. The Federal Minister the Minister is unable to hold the Presidency, so the Federal Minister / the Federal Minister has to entrust a representative / a representative from the circle of senior officials of the Federal Ministry of health with the chairmanship of the Federal Health Commission.


(6) the Federal Health Committee has to adopt its rules of procedure.

Federal goal Control Commission

Section 22 (1) the federal target control Commission has agreed to recommend the design for the federal target control contract to advise and to the decision the Federal Government, the main Association of Austrian social insurance institutions and the countries in the context of targeting health. The federal target control contract forms the basis and the framework for the tasks referred to in paragraph 2 and 3.

(2) in the federal target control Commission determinations (decisions) are carried out at the following points: 1 coordination, polls and definitions of all the tasks resulting from the federal target control contract including financial framework agreement, 2nd annual work programmes for action at the federal level to the concrete implementation of the federal target control treaty, 3. principles for a nationwide monitoring of the targeting health, including the Finanzzielsteuerungsmonitorings, 4 issues of the monitoring and reporting system in accordance with section 7, 5. perception of agendas to the sanctions referred to in section 8 , 6 matters from the framework for contractual and to howsoever by statutory health insurance and countries together cross-sectoral financing and clearing mechanisms at the country level (E.g. hospital outpatient clinics, group practices and established physicians/specialists, clinical day care, innovative forms of care); Development, testing of billing models for cross-sectoral funding the outpatient area, 7 (further) development of payment systems, 8 issues of quality, 9 principles, objectives and methods for planning in the Austrian structural plan Gesundheit/in regional structure plans health, 10 issues of the Austrian structural plan health including structural quality criteria, 11 planning large-scale intra and extramural, 12 issues of joint drug Commission, 13 guidelines for the transparent representation of full budgeting, and the accounts of hospitals or hospital associations and of guidelines for the transparent representation of the Estimates and accounts of social security for the extramural area, 14 development projects for health promotion, 15 evaluation of the tasks of the federal target control Commission, 16 principles and objectives for the use of funds from the Land Fund to strengthen health promotion to be available.

The design of ÖSG federal health Commissioners to submit of any written comments can be presented before the Federal Commission in the control of the target's decision.

(3) in the federal target control Commission a reciprocal information and consultation on the substantive and strategic commitments of goal orientation and the control mechanisms shall be effected, that federal, State and public health insurance in the respective area of effect to use.

(4) the federal target control Commission consists of 12 members who are appointed in accordance with the following provisions: 1 appoints four members to the Federal Government on the proposal of the Minister / the Federal Minister of health, four members of the main Association of Austrian social insurance institutions ordered 2, four members of the countries that are to announce the Federal Ministry of health of the State in the Bundesrat Presidency leading order 3.

For each of the so ordered members of the federal target control Commission representation by written authorization is possible in individual cases. The right to order includes also the right to removal of members.

(5) for decision-making within the federal target control Commission, unanimity is required.

(6) do not use the to the appointment of members of the federal target control Commission authorized by this law and order not members, the not ordered members of the quorum of federal target control Commission ignored forever.

(7) the Federal Minister / the Federal Minister of health has to do the Chairman of the Federal Commission in the control of the target. The first first Chairman Deputy is Chairperson Deputy of of social insurance and the second second Chairman Deputy is Chairperson Deputy of the countries ordered.

(8) the federal target control Commission has to adopt its rules of procedure.

Participation of the Federation in the institutions and bodies of the national health fund

23. (1) the Federal Minister / the Federal Minister of health has to a representative shall appoint a representative in each health platform, a representative, and a representative in the respective country target control Commission in the framework of the national health fund.

(2) the representative of the representatives of the Federal Government may against decisions which are against the law, the existing agreements in accordance with article 15a B-VG, the federal target control contract or decisions of the organs of the Federal Health Agency violated, a veto.

Participation of the statutory health insurance in the institutions and bodies of the national health fund

Section 24 (1) which has main Association to appoint a representative a representative without voting rights in the respective health platform within the framework of the national health fund.

(2) the statutory health insurance funds have to send five representatives in the country target control commissions of the national health fund and health platforms and four representatives of competent local Gebietskrankenkasse, including at least the Chairwoman / Chairman and a representative a representative of nationwide carrier per country. The posting of representatives/agents and the performance of duties is respect from self-government rights to respect and to take into account the interests of company health insurance funds betriebsgesellschaft.

(3) in the country target control Commission the representatives nominated by the statutory health insurance make a mansion with a voice. The common positions on the issues the country target control Commission are to accept within the Curia of the statutory health insurance.

(4) the Chairwoman / Chairman of each local health insurance fund has 1 to perceive the function of first Deputy of the first Deputy of the Chairperson of the health platform and 2 on an equal footing with the Member of the provincial government ordered by the country to hold the Presidency in the country target control Commission (co-Chair), as well as to perceive 3. voting for the Curia of the statutory health insurance scheme in accordance with paragraph 3.

(5) a Bureau is the preparation for meetings of the health platform and the country target control Commission, the statutory health insurance in this has to send representatives. It's respect from self-government rights to respect and to take into account the interests of company health insurance funds betriebsgesellschaft.

(6) in order to fulfil the tasks of the country target control Commission a Coordinator / a coordinator is designated to make by the statutory health insurance. This/these is on an equal footing with the country ordered Coordinator/Coordinator for all matters of the country target control Commission responsible. / The Coordinator/coordinator appointed by the statutory health insurance is responsible as such only the Chairwoman / Chairman of each local health insurance fund in its capacity as co Chairman/Co-Chairman.

(7) the representatives of the Federal Government, the Länder and statutory health insurance in the institutions of the national health fund mutually inform each other about all relevant actions in the field of intra - and extramural. In addition an information and consultation on commitments to significant operational and financial matters of the provision in the health care sector is carried out in the country target control Commission in time.

(8) in the case of an unregulated condition in order termination of a total contract the country health funded hospitals, taking into account article 26 apply ABS. 1 Z 3 of the hospitals - and Spa Institute Act at, to avoid serious consequences in the medical care for the population. Compensation for additional services, an agreement between the national health fund and the statutory health insurance is to close with the statutory health insurance has to make payments to the extent of the comparable expenditures for medical care.

(9) in the case of the fulfilment of the tasks of the national health fund, the statutory health insurance in the scope of their activities in the country health fund in particular has to make sure that this one high especially by targeting health ensures high-quality, effective and efficient, all freely accessible and equal health care in Austria and secures the financial viability of the Austrian health care in accordance with the financial framework contracts.

7 section

Provisions for monitoring and reporting

Implementation of a monitoring and reporting system


Section 25 (1) in the context of targeting health are the agreed objectives to define that a constant monitoring of clearly defined measures and target values is possible. Where a uniform rating scheme for assessing the degree of target achievement is to make sure.

(2) at the federal level is to implement an Austria-wide monitoring differentiated according to sectors and regions and reporting. This reporting must meet the following requirements: 1. monitoring of the adequate objectives of targeting health on the basis of measures and target values contracted, 2. creation of transparency and comparability, 3. structured public reports.

(3) the data required for monitoring and fact-based evaluation are timely to provide.

Process steps

section 26. The monitoring and reporting system has to be carried out following clearly distinct process steps: 1 (data collection, processing and evaluation) is monitored by the ACC. to § 5 paragraph 1a of the Federal Act on Gesundheit Österreich GmbH - GÖGG, Federal Law Gazette I no. 132/2006, a subsidiary of Gesundheit Österreich GmbH. The data processing and evaluation are to submit to the respective country target control Commission for an opinion.

2. the acceptance of the monitoring by the respective country target control Commission action senior developed recommendations is carried out taking into account the comments by the federal target control Commission.

3. the federal target control Commission has to send the monitoring report, including the senior action recommendations and opinions to the country target control commissions.

Detailed rules for monitoring and reporting

The detailed section 27 (1) arrangements for monitoring and evaluating based on it, in particular as regards the necessary data, their form and data sources, are to agree in the first federal target control treaty binding. These regulations are the requirements arising from the targeting health to adjust particularly in terms of ensuring data availability regularly. These detailed regulations is to ensure that 1 the handling of monitoring and evaluating based on it is simple and no-hassle, routine documentation primarily existing 2 and data reporting tracks be used, 3. nationwide not consistent metrics are used and 4 a high topicality is guaranteed anyway.

(2) the periodicity of monitoring and evaluating based on it is accordingly in terms of key measures and target values to the supply the control fields in the section 4 and financial target control according to the 5th section in the federal target control treaty to regulate.

8 section

Regulations of the sanction mechanism

General information

section 28. A sanction mechanism is set for the following cases: 1 non-specific identified In the course of monitoring objectives, which in the agreement in accordance with article 15a B-VG target control-health in the federal target control contract or in the destination country control treaties laid down 2. breach of the agreement in accordance with article 15a B-VG target control-health, the federal target control contract or the country target control treaties 3. non-consummation of the federal target control treaty or the country control contracts.

Rules for non-achievement of objectives

section 29. Through the federal target control Commission determined in the course of monitoring that the objectives in the agreement in accordance with article 15a B-VG target control-health, in the federal target control contract or in the destination country control treaties are laid down, were not reached, the following applies to the implementation of the partnership targeting health in accordance with § 1 para 1: 1 at not achieving the common objectives set forth in the federal target control agreement at national level is of the respective country target control Commission , in whose country the target not reached a written report has been tabled within eight weeks after finding non-achieving the objectives of the federal target control Commission. Not reached relates to the Bund, the reporting obligation on the federal target control Commission meets the Federal.

2. for failure to reach the common objectives laid down in the country target control treaties, a written report will be presented by the respective country target control Commission within eight weeks after finding non-achieving the objectives of the federal target control Commission.

3. the reports referred to in Nos. 1 and 2 have in any case, the reasons for the failure to reach of the set objectives and to measures to contain that securing the attainment of the objectives at the time of ehestmöglichen.

4. the federal target control Commission has to authorize under Z 1 and 2 referred to reports in particular as regards the measures proposed and the proposed timetable for achieving the goal. If not approval, revised reports to submit.

5. According to no. 4 by the federal target control Commission approved or non-approved reports are to publish of each affected by the Federal Ministry of health with appropriate commentary on the federal target control Commission and opinion.

Rules for breach of the agreement in accordance with article 15a B-VG target control-health, the federal target control contract or the country control contracts

Section 30 (1) is a breach of the agreement in accordance with article 15a B-VG target control from the perspective of a contractual partner of targeting health-health or against the federal target control contract, so this violation can be shown in writing and justified by this Contracting Party in the federal target control Commission. The listed offences are to treat the Federal Commission in the control of the target. Action executive measures to restore the State of vereinbarungs - or contractual provisions, discontinue in to initiate are promptly by the federal target control Commission established infringements.

(2) a violation against this country target control contract exists from the perspective of a Contracting Party of a country destination control contract, so this violation can be shown up to the implementation of the partnership targeting health in accordance with § 1 para 1 in writing and justified by this Contracting Party in the country target control Commission so that be shown to infringements in the country target control Commission handles and promptly identified violations by the country target control Commission action executive measures to restore the State of contractual provisions, discontinue in the way.

(3) can be adjusted within two months the Federal Commission in the control of the target or the country destination control Commission in no consensus here, whether a violation exists or may about the measures to be taken, the party displayed the infringement initiate the conciliation procedure pursuant to § 32.

(4) if additional expenses resulting from a violation identified in the conciliation procedure the federal target control contract or the country control contracts, these shall be borne by the defaulting partner. The resulting overspending are slamming the financial target control-specific editions of the defaulting partner.

Regulations in non-realization of the federal target control treaty or the country control contracts

Section 31 (1) is up to the in § 8 para 4 Z 3 set time no unterfertigter country destination control treaty that can be admitted upon a reasoned request of the respective country target control Commission a reasonable grace period for the submission of the advice country target control contract by the Federal Government. Moreover, the federal target control Commission is to inform.

(2) no unterfertigter country destination control contract is concluded within the granted period continues, the following applies: 1 in the country-destination control Commission are to implement the partnership targeting health in accordance with § 1 para 1 found the consensus and dissent points and submitted to the federal target control Commission.

2. the federal target control Commission has Act preliminary requirements in terms of the existing points of dissent or if necessary from the federal target control contract is to lead missing points to set.

3. the federal target control Commission has to make a report on Nos. 1 and 2 by publishing transparent. The opinions of the parties are to incorporate it fully.

(3) up to the in § 8 para 3 Z 3 set time no unterfertigter federal target control contract above applies after unsuccessful smearing of a grace period of two months the following: 1. the Federal Commission in the control of the target are to determine the consensus and dissent points and to make transparent by publishing.

2.

No federal target control contract is concluded within three months after publication, the Federal Minister / the Federal Minister for health has temporary action preliminary requirements in terms of the existing points of dissent or any missing points to set for one year. The agreement with the Federal Minister / the Federal Minister of finance is to produce financial effects. When these provisions the Federal Minister has the Federal Minister for health of the existing preparatory work and the senior action guidelines, which are suitable to achieve the main objectives, to go out. This action conducting requirements are to make transparent by publishing.

Arbitration for disputes arising from the federal target control contract or the country target control treaties in the context of targeting health

Section 32 (1) disputes arising from the federal target control contract or the country target control treaties is set up a conciliation body at the Federal Ministry for health in targeting health-related.

(2) the Arbitration Board include the following four years ordered members to: 1 a / a designated/recognized and independent/independent health expert/health expert from the federal target control Commission appointed/appointed as Chairman/CEO, 2. two members sent by the Federal Government, 3. two members jointly sent by the countries, 4. two of the main Association of Austrian social security institutions sent members.

A simple majority is required for decisions of the arbitration board where ever a voice to all members, in decisions on disputes from the country target control contracts, the members delegated by the Federal Government have no voting rights.

(3) it has the Arbitration Board called by a Contracting Party, in consultation with the affected parties in the case to decide and to make transparent the decision through publication. This decision must be accepted by concerned parties. The legal action is excluded. The conciliation body has this decision 1 the affected parties, and 2. the federal target control Commission, as well as 3 of the concerned country target control Commission in disputes from the country target control contract to bring.

9 section

Final and transitional provisions

Quoting other federal laws

§ 33. Insofar as reference is made in this Federal Act on provisions of other federal laws, these are if not otherwise is intended to apply in their respectively valid version.

Implementation of the Federal law

§ 34. With the completion of this federal law is entrusted, as far as is nothing else is arranged, the Federal Minister / the Federal Minister of health.

Entry into force

35. (1) this law retroactively with 1 January 2013 enter into force.

(2) section 7 para 2 subpara 2 comes into effect with July 1, 2013.

Transitional provisions

36. (1) decisions with the hospitals - and Spa Institute Act - KAKuG, Federal Law Gazette No. 1 / 1957, as amended by Federal Law Gazette I no. 101/2007 decorated Federal Health Commission and rights derived from and liabilities remain valid, unless the federal target control Commission strike to set Federal Health Committee or on the basis of this Act on the basis of this Act decides otherwise.

(2) in accordance with § Royal 59 g KAKuG member of the Federal Health Commission is to be implemented on the basis of this Act Federal Health Commissioner as long, until another Member is appointed for this.

(3) a recourse of the Federal Health Agency against the federal health Commissioners or members of the federal target control Commission is the service employees Liability Act, Federal Law Gazette apply by analogy to no. 80/1965.

Article 2

Amendment of the Federal law on hospitals and sanatoria - KAKuG

The Federal law on hospitals and sanatoria, Federal Law Gazette No. 1/1957, amended by the Federal Act Federal Law Gazette I no. 108/2012, is amended as follows:

1. (determination of principle of) in § 3 para 2a the following sentence is added:

"In addition is to refrain from assessing the requirement, if has already been granted a construction permit and their location within the same watershed it is."

1a. In the section 3a, paragraph 4 the following sentence is added:

"In addition is to refrain from assessing the requirement, if has already been granted a construction permit and their location within the same watershed it is."

2. (determination of principle of) in section 5a paragraph 1 is in Z 2 after the word "exercise" the phrase "and to participate actively in decision-making their health status concerning" inserted.

3. (principle of determination) § 5 the following sentence is added to b subsection 6:

"To engage the support of hospitals, to take part in regular multi-sectoral patient surveys are also."

4. (determination of principle of) Article 10a, paragraph 1 first sentence reads:

"The provincial legislature has to commit the Government of the country, on the basis of common definitions in the partnership targeting health as part of a regional structure plan health to fund hospitals through regulation to adopt a country hospital plan, the under the federal target control contract pursuant to section 8 of the Federal Act to the partnership targeting health, Federal Law Gazette I no. 81/2013 and the Austrian structural plan health (ÖSG) located in."

5. (determination of principle of) in the section 12 paragraph 1 is inserted after the word "Condition"the phrase", in particular by a change of the country hospital plan".

6. (determination of principle of) is in section 19a of the introductory phrase of paragraph 3:

"The carrier of hospitals have to ensure that the medicines Commission considered the federal target control Commission in matters of the Joint Drug Commission pursuant to section 13, paragraph 2, of the Federal Act to the partnership targeting health, and in particular the following principles in the performance of their task:"

7 (principle of determination) section 27 the following sentence is added to b paragraph 5:

"Article 3, par. 3 of the Federal law on the quality of health services, Federal Law Gazette I no. is 179/2004, in its up-to-date version to apply."

8 paragraph 56a:

'article 56a. To the performance of duties in accordance with the § is article 21 and 22 of the Federal law on partnership targeting health, as well as the tasks within the meaning of the following provisions of this Act to establish the Federal Health Agency as a Fund at the Federal Ministry of health with its own legal personality."

9 section 59 para 6 No. 2 lit. c and d are: "c) funds to finance other projects and planning and promoting essential health promotion and prevention programs and treatment measures with regional importance, in particular with reference to the framework health goals in the amount of EUR 3.5 million a year) and (d) after the occurrence of a cost-benefit assessment, as well as pursuant to decisions adopted by mutual agreement between federal, State and social security Federal Health Commission maximum of EUR 10 million (for the period 2008-2013) for the conception" ", Implementation and operation of the architecture components in accordance with the plans for the first phase of implementation of the electronic health record (ELGA) and pursuant to decisions of the Federal Health Commission to withdraw maximum of EUR 10 million (for the 2014 to 2016 period) for the financing of ELGA and to withhold from the Federal Health Agency and to use in accordance with section 59d and section 59e or according to the decisions of the Federal Health Commission."

10 § 59a paragraph 1 reads:

"(1) the Federal Health Agency has within the framework of the partnership targeting health planning to exercise control and financing of health care in Austria the tasks pursuant to section 21 paragraph 1 and section 22 para 1 to 3 of the Federal Act to the partnership targeting health, taking into account the overall economic impact, as well as regional and country-specific needs."

11. in section 59c is the phrase "as last amended by Federal Law Gazette I no. 179/2004" is replaced by the phrase "in its up-to-date version".

12 section 59e para 1 and 2 are:

"(1) to finance further projects and plans and health promotion essential to promote and preventive programs and treatment measures of supra-regional importance, in particular with reference to the framework health goals can be used annually more than 3.5 million euros by the Federal Health Agency.

(2) the sponsored measures have to be aligned with the principles adopted by the Federal Health Commission the allocation of resources and the public procurement and quality criteria of 'strategy to use the Vorsorgemittel". Furthermore, there are also complementary policies adopted by the Federal Health Committee to comply with. The measures have to serve the implementation of the framework health goals."

13. in section 59e paragraph 3 the phrase "in consultation with the countries and the main Association of Austrian social security institutions" is omitted

14 paragraph: 59 g


"section 59 g." The articles 20 to 22 of the partnership targeting health care federal law apply to the organisation of the Federal Health Agency."

15. in section 59j is the word "and" at the end of the Z replaced 2 by a comma; at the end of the Z 3 is the word "and" appended. following no. 4 shall be added: "4. the current federal target control contract pursuant to section 8 of the Federal Act to the partnership targeting health" 16. The following section is inserted after section 65a 65B:

"§ 65 b. (1) the provincial legislature has the implementing regulations for the changes in § 3 para 2a, section 3a, paragraph 4, section 5a paragraph 1 Z 2, § 5 b of paragraph 6, Article 10a, paragraph 1, § 19a section 3 and section 27 (b) paragraph 5 as amended by Federal Law Gazette I no. 81/2013 period of six months to adopt."

(2) sections 56a, 59, 59a, 59 c, 59e, 59 g and 59j as amended by Federal Law Gazette I no. 81/2013 apply with 1 January 2013.

"(3) the assets of with the Federal law on the adaptation of legal provisions to the agreement in accordance with art. 15a B-VG on the Organization and financing of health care for the years 2008 to 2013, Federal Law Gazette I no. 101/2007, a federal health agency with all rights and liabilities on the Federal Health Agency to be created under this Act passes."

Article 3

Change of the General Social Insurance Act (82. amendment to the ASVG)

The General Social Insurance - ASVG, Federal Law Gazette No. 189/1955, as last amended by Federal Law Gazette I no. 4/2013, is amended as follows:

1 the following sentence is added to § 23 para 5:

"The acquisition of this supply can be agreed by the countries in the case of unregulated. The health insurance carriers have to assume this obligation only to the extent of the comparable expenditures for medical assistance in the established field."

2 in § 31 para 2, the point will be replaced at the end of the Z 5 by a comma; following no. 6 is added: "6 the support and participation in the implementation of agreements pursuant to article 15a B-VG on the Organization and financing of health care and the agreement on the targeting health, in particular through the creation of carrier cross-statistics, standardized the elaboration and provision data bases, the posting of representatives and representatives of the social security (§ 84a, para. 2 and 3) and the operation of a Psyeudonymisierungsstelle (§ 31 para 4 Z 10)."

3. in the section 31, subsection 4, the point will be replaced at the end of the No. 9 with a semicolon; following Z 10 shall be added: ' 10 the establishment and the management of a Pseudonymisierungsstelle to the use of pseudonyms of personal data on diagnoses and inpatient and outpatient services. " As far as the main Association runs the Pseudonymisierungsstelle for clients outside the circle of social insurance institutions belonging to him, he is working and bound by the instructions of the Federal Minister for health in the transferred area."

4. § 31 section 5 16 b attaches to the Z 16a following Z: ' 16. for health promotion and prevention related to health-related behaviours or conditions and disease risks, preventive impressionable diseases or requirements of specific population groups pursuant to § 19 of the health target control Act G-ZG, Federal Law Gazette I no. 81/2013; "

5. the existing text of § 31d receives the description of paragraph (1), following para. 2 and 3 are added:

"(2) the Association has in accordance with the provisions of Gesundheitstelematikgesetzes - GTelG 2012, Federal Law Gazette I no. 111/2012, to create 1 the necessary conditions for the use of the parental (§ 31a) for the purposes of ELGA, as well as 2 reference register (§ 2 Z 13 GTelG 2012) and document storage (§ 2 Z 7 GTelG 2012) for the hospitals operated by social security institutions, including those hospitals which are operated by companies" , who owned one or more social security institutions are entirely, to provide and to operate, or to operate. This reference register and document repository can further ELGA health service providers (§ 2 Z 10 GTelG 2012) be made available on a contract basis.

(3) the Association has in the transferred the functions of the access portal of ELGA, in particular those promoting the ELGA participants / rights (§ 23 para 2 Z 2 GTelG 2012), to provide. He is bound by the instructions of the Federal Minister of health."

6. in the section 32 h the expression "Comparability of indicators (benchmarking)" is replaced by the expression "Comparability of indicators (benchmarking) and the various remuneration systems, in particular in terms of incentive and control effect".

7 the following paragraph 5 is added to § the 82:

"(5) as far as the main Association to the enforcement of the Federal law on the documentation in healthcare, Federal Law Gazette No. 745/1996, by use of pseudonyms by data on automation-supported path through the Pseudonymisierungsstelle (§ 31 para 4 Z 10) indeed, he receives remuneration in the form of a fixed lump sum per year." "This lump sum is financed through the Federal Health Agency (sections 56a ff KAKuG)."

8. the heading of the 7 sub-section in section V of the first part is:

"Participation and involvement of social security on the planning and management of health care and the health of target management"

9 § 84a para 2 to 5 is as follows:

"(2) the Federation each has representatives in accordance with § 21 para 2 Z 2 G-AGS in the Federal Health Commission, in accordance with § 22 para 4 Z 2 G-AGS in the federal target control Commission, as well as in accordance with § 24 para 1 G-AGS in the respective health platforms within the framework of the national health fund to send."

(3) the statutory health insurance funds have to send para 2 and 3 G-ZG representatives in the health platform, as well as the country destination control Commission in the respective country health fund pursuant to § 24. As a result, the statutory health insurance funds have to send each a total of five representatives in the country target control commissions of the national health fund and health platforms and four representatives of competent local Gebietskrankenkasse, including at least the Chairwoman / Chairman and a representative a representative of nationwide carrier per country. The posting of representatives/agents and the performance of duties is respect from self-government rights to respect and to take into account the interests of company health insurance funds betriebsgesellschaft.

(4) the social insurance institutions have for reform pool projects that continue after 31 December 2012 as part of the country control contracts and agreements to transfer the necessary funds in case of need.

(5) the social insurance institutions are obliged to submit the data required to carry out their tasks in accordingly prepared and comprehensible form by electronic means 1 the Federal Health Agency and the national health fund to their request and to provide 2 of the Federal Health Agency, and the national health fund pseudonymised diagnostic and performance data about the medical services provided on their behalf in a standardized, encrypted form.

The main Association and the social security institutions are required, the data according to the provisions of the Federal Act on the documentation in healthcare, Federal Law Gazette I no. 745/1996, to submit. "All data are submitted to the Federal Health Agency, the national health fund and the authorities referred to in the Federal Act on the documentation in the health sector to ensure compliance with the data protection regulations by the Pseudonymisierungsstelle Association established (article 31, par. 4 Z 10) to pseudonymise."

10. after section 84, b is inserted the following section 84 c together with the heading:

"Participation in the target control health

§ 84c. "The main Association and the health insurance carriers have to participate in the targeting health after the G-AGS and are to conclude of appropriate agreements, in particular within the meaning of sections 4 and 5 G ZG (especially section 17 para 1 Nos. 6 and para. 2 Z 7 G-ZG) entitled."

11 article 116 paragraph 1 Z 1 is: "1. for evidence-based early detection of and early intervention in diseases and preservation of public health;"

12 article 116 paragraph 1 Z 5 is: "5. for targeted, action-oriented health promotion (Salutogenesis) and prevention."

13. the heading to section II of the second part of the 1st sub-section is as follows:

"Evidence-based early detection of and early intervention for illnesses and other measures for the conservation of public health"

14 in the article 149, paragraph 3, the expression "Wirtschaftskammer Österreich" is replaced by the expression "Professional Association of health establishments".

15. in paragraph 149 paragraph 3a fourth set is replaced the expression "for the years 2009 to 2013" by the expression "as of the year 2009".

16. the heading to § 154 is b:

"Health promotion and prevention"

17 paragraph 154 b paragraph 1:


"(1) the health insurance carriers have in the context of health promotion and prevention to help to enable a high degree of self-determination over their health insured persons and their families and to empower them by they enlighten especially about health hazard, the preservation of health and the prevention of diseases and accidents - excluding accidents at work - to strengthen their health, and to advise avoiding hazards , Diseases and accidents - excluding accidents at work - can be prevented. These are targeted for groups of claimants parked on their life-worlds Gesundheitsförderungs-and prevention programmes and measures derived from to offer."

18 § 156 para 1 No. 3 is: "3. measures to strengthen the health literacy of the insured persons and their families (health literacy);"

19. in section 322a para 2 fifth set is replaced by the expression "from the year 1998" the expression "for the years 1998 until 2013".

20. in section 322a para 4 second sentence is the expression "until the year 2013".

21. in the section 338, paragraph 1, the last sentence is replaced by the following records:

"The agreements and any changes and additional agreements are to publish by the Association on the Internet. After every fifth change a consolidated version is by the main Association to publish."

22 paragraph 351 g 2 final sentence:

"The remedy Evaluation Commission's recommendations the criteria of science, to comply with the transparency and the health economic evaluations and the federal target control Commission decisions have to by the Joint Drug Commission (§ 13 para 2 G-ZG) to take into account recommendations."

23. in section 437 para 1, the point is replaced at the end of the Z 8 by a semi-colon and following Z 9 added: "9 the conclusion country target control contracts for the G-ZG."

24 in the section 441d, subsection 2, the point is replaced and added following Nos. 12, 13 and 14 at the end of the Z 11 a semicolon: "12 consent to decisions of the Association Council to federal target control contracts for the G-AGS;"

13 issues of the health promotion fund pursuant to § 447 g;

"14. the posting of representatives/agents in the Federal Health Commission according to § 21 para 2 Z 2 G-AGS and in the federal target control Commission pursuant to § 22 para 4 Z 2 G ZG."

25. in section 447a para 10, the expression "for the years 2008 to 2013" is replaced by the expression "for the years from 2008".

26. in the section 447f, paragraph 1, the expression "for the years 2008 to 2013" by the expression "as of the year 2008" and the expression "for the years 2009 to 2013" be replaced by the expression "from the year 2009".

27 § 447f para 1 second division is: "-the increase of in contribution rates in health insurance by 0.1 percentage points to January 1, 2005, due to the Federal Act Federal Law Gazette I no. 156/2004, of the Federal Act Federal Law Gazette I no. 101/2007 and updating the boost by Federal Law Gazette I no. 81/2013" 28. In the article 447f, paragraph 1, final part is the expression "for the years 2008 to 2013" by the expression "starting in 2008" replaced.

29. in the section 447f para 6, the expression "for the years 2008 to 2013" is replaced by the expression "as of the year 2008".

30. in paragraph 447f paragraph 14, the expression "for the years 2008 to 2013" is replaced by the expression "as of the year 2008".

31 in the section 447f, section 16, the expression "in the years 2008 to 2013" is replaced by the expression "as of the year 2008".

32. According to section 447f, the following section is inserted 447 g together with the heading:

"Health promotion fund pursuant to § 19 of the health target control Act G-ZG

§ 447 g. (1) the social security institutions as a carrier of health insurance have the in the respective country health fund according to § 19 to participate in G-AGS of health promotion fund.

(2) the funds are raised by the statutory health insurance funds in the ratio of the number of insured persons during second vorangegangenen. This ratio is to determine the carrier Conference. The funds are to be transferred on April 20th every year by way of the Confederation in the ratio of insured numbers indicated on the respective national health fund. The amounts of the statutory health insurance funds to the main Association of Austrian social insurance institutions are to transfer that they have arrived at the penultimate each banking day before the transfer deadline at this."

33. paragraph 447h para 3 first sentence:

"The resources of the Fund are for Vorsorge(Gesunden)Untersuchungen and co-ordinated by the Central Association to use measures for targeted, action-oriented health promotion (Salutogenesis) and prevention."

34. in section 447h para 3 second sentence, the expression "Measures of health promotion" by the expression is replaced "Measures for targeted, action-oriented health promotion and prevention".

35. in section 447h paragraph 4, first sentence, the expression "Measures of health promotion" by the expression is replaced "Measures for targeted, action-oriented health promotion and prevention".

36. paragraph 447h par. 4 Z 5: "The measures for targeted, action-oriented health promotion and prevention, (partially) financed were 5th in coordination by the Confederation."

37. in the section 634, para 1, the expression "January 1, 2014" Z 2 is replaced by the expression "the time observed according to § 675 section 3 by regulation of the Federal Minister for health".

38. According to § 674, 675 the following section including headline is attached:

"Final provisions article 3 of the Federal Act Federal Law Gazette I no. 81/2013"

675 (1) § 23 para 5, 31 para 2 Nos. 5 and 6, par. 4 Z 9 and 10, para 5 Z 16B, 31d, 32 h, 82 para 5, the heading of the seventh sub-section in the 5th section of the first part, 84a para 2-5, 84c together with heading, 116 paragraph 1 Nos. 1 and 5, the heading of the 1st subsection to section II of the second part , Section 149 subsection 3, heading to 154, 154b para 1, 156 para 1 No. 3, 338 para 1, 351 g para 2, 437 para 1 Nos. 8 and 9, para 2 441d Z 11 to 14, 447 g together with heading, 447h para 3 and 4 as well as 634 para 1 No. 2 in the version of Federal Law Gazette I no. 81/2013 apply retroactively with 1 January 2013.

(2) the Association has to publish a consolidated version of all total contracts applicable at this time and any changes and additional agreements on the Internet as of July 1, 2014.

(3) §§ 149 par. 3a, 322a para 2 and 4, 447a paragraph 10, as well as 447f para 1, 6, 14 and 16 as amended by Federal Law Gazette I no. 81/2013 become retroactively with 1 January 2013 into force and after the expiration of six months after expiry of the agreement in accordance with section 15a B-VG on the Organization and financing of health care, Federal Law Gazette I no. 105 / 2008 , in the currently valid version override. The Federal Minister of health to be issued in agreement with the Federal Minister of finance regulation to determine has the date of expiry."

Article 4

Amendment of the commercial law on social insurance

The commercial law of social insurance - GSVG, BGBl. No. 560/1978, as last amended by Federal Law Gazette I no. 3/2013, is amended as follows:

1 § 78 para 1 subpara 1 is: "1. for the evidence-based early detection of and early intervention in diseases and preservation of public health;"

2. § 78 para 1 sub-para. 5 is: "5. for targeted, action-oriented health promotion (Salutogenesis) and prevention."

3. the heading to § 99 is b:

"Health promotion and prevention"

4. paragraph 99 b paragraph 1:

"(1) the insurance carrier as a health insurance carrier has to contribute in the context of health promotion and prevention, to allow their health the insured persons and their family members a high degree of self-determination over and to empower them by he enlighten especially about health hazard, the preservation of health and the prevention of diseases and accidents - excluding accidents at work - to strengthen their health, and to advise , how can avoid hazards, preventing diseases and accidents - excluding accidents at work -. These are targeted for groups of claimants parked on their life-worlds Gesundheitsförderungs-and prevention programmes and measures derived from to offer."

5. § 101 paragraph 1 Z 3 is: "3. measures to strengthen the health literacy of the insured persons and members of their families (health literacy);"

6. in the section 210, paragraph 1, the point is replaced at the end of the Z 8 by a semi-colon and following Z 9 added: "9 completion of country target control agreements after the health target control Act G-ZG, Federal Law Gazette I no. 81/2013."

7. in § 319 ABS. 1 Z 2 is the expression "1 January 2014" by the expression "which, according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health date" replaced.

8. after section 350, 351 the following paragraph with heading is attached:

"Final provision to article 4 of the Federal Act Federal Law Gazette I no. 81/2013"


Section 351. "The § 78 para 1 Nos. 1 and 5, the title to 99, 99 b para 1, 101 paragraph 1 Z 3, 210 para 1 Nos. 8 and 9 as well as 319 para. 1 No. 2 in the version of Federal Law Gazette I no. 81/2013 apply retroactively with 1 January 2013."

Article 5

Change of the farmers social insurance law

The farmers social insurance law – BSVG, Federal Law Gazette No. 559/1978, as last amended by Federal Law Gazette I no. 3/2013, is amended as follows:

1. Article 74 para 1 subpara 1 is: "1 for evidence-based early detection of and early intervention in diseases and preservation of public health;"

2. Article 74 paragraph 1 Z 5 is: "5. for targeted, action-oriented health promotion (Salutogenesis) and prevention."

3. the heading to § 96 is b:

"Health promotion and prevention"

4. paragraph 96 b paragraph 1:

"(1) the insurance carrier as a health insurance carrier has to contribute in the context of health promotion and prevention, to allow their health the insured persons and their family members a high degree of self-determination over and to empower them by he enlighten especially about health hazard, the preservation of health and the prevention of diseases and accidents - excluding accidents at work - to strengthen their health, and to advise , how can avoid hazards, preventing diseases and accidents - excluding accidents at work -. These are targeted for groups of claimants parked on their life-worlds Gesundheitsförderungs-and prevention programmes and measures derived from to offer."

5. § 101 paragraph 1 Z 3 is: "3. measures to strengthen the health literacy of the insured persons and their families (health literacy);"

6. in the section 198, paragraph 1, the point is replaced at the end of the Z 8 by a semi-colon and following Z 9 added: "9 completion of country target control agreements after the health target control Act G-ZG, Federal Law Gazette I no. 81/2013."

7. in article 309 paragraph 1 Z 2 is the expression "1 January 2014" by the expression "which, according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health date" replaced.

8. after section 342, 343 the following section including headline is attached:

"Final provision to article 5 of the Federal Act Federal Law Gazette I no. 81/2013"

§ 343. "The sections 74 subsection 1 Nos. 1 and 5, the heading to 96, 96B para 1, 101 para 1 No. 3, 198 paragraph 1 Z 8 and 9 as well as 309 para 1 No. 2 in the version of Federal Law Gazette I no. 81/2013 apply retroactively with 1 January 2013."

Article 6

Change of officers sick and accident insurance act

The officials-sick and accident insurance law - B-KUVG, Federal Law Gazette No. 200/1967, as last amended by Federal Law Gazette I no. 3/2013, is amended as follows:

1 § 51 para 1 subpara 1 is: "1. for evidence-based early detection of and early intervention in diseases and preservation of public health;"

2. § 51 para 1 sub-para. 5 is: "5. for targeted, action-oriented health promotion (Salutogenesis) and prevention."

3. the heading to section 65 is b:

"Health promotion and prevention"

4. paragraph 65 b paragraph 1:

(1) who has to contribute in the context of health promotion and prevention, to allow a high degree of self-determination over their health insured persons and their relatives and to empower them by he enlighten especially about health hazard, the preservation of health and the prevention of diseases and accidents - excluding accidents at work - to strengthen their health, and to advise insurance as bearer of the health insurance , how can avoid hazards, preventing diseases and accidents - excluding accidents at work -. These are targeted for groups of claimants parked on their life-worlds Gesundheitsförderungs-and prevention programmes and measures derived from to offer."

5. § 72 para 1 No. 3 is: "3. measures to strengthen the health literacy of the insured persons and their families (health literacy);"

6. in section 147a para 1, the point is replaced at the end of the Z 8 by a semi-colon and following Z 9 added: "9 completion of country target control agreements after the health target control law G-ZG, Federal Law Gazette I no. 81/2013."

7. in the section 218, paragraph 1 Z 2 is the expression "1 January 2014" by the expression "which, according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health date" replaced.

8. According to § 234 235 the following section including headline is added:

"Final provision to article 6 of the Federal Act Federal Law Gazette I no. 81/2013"

section 235. "The § 51 para 1 Nos. 1 and 5, the heading to 65, 65B para of 1, 72 para. 1 No. 3, 147a para 1 Nos. 8 and 9 and 218 paragraph 1 Z 2 as amended by Federal Law Gazette I no. 81/2013 apply retroactively with 1 January 2013."

Article 7

Amendment to the social security supplement Act

The social security Amendment Act SV EC, Federal Law Gazette No. 154/1994, amended by Federal Law Gazette I no. 122/2011, is amended as follows:

1. in the Section 7a, paragraph 1, the expression "for the years 2008 to 2013" is replaced by the expression "as of the year 2008".

2. after section 9j inserted the following section 9 k:

"§ 9 k. "section 7a para 1 as amended by Federal Law Gazette I no. 81/2013 occurs retroactively with January 1, 2013 in force and with the regulation of the Federal Minister of health pursuant to § 675 3 ASVG date override."

Article 8

Amendment to the unemployment insurance act of 1977

The unemployment insurance Act 1977 - AlVG, BGBl. No. 609/1977, as last amended by Federal Law Gazette I no. 71/2013 is amended as follows:

1 in § 32 para 6 and 42 paragraph 5, the expression "in the years 2008 to 2013 7.65 vH" is replaced by the expression "from the year 2008 7.65 per cent".

134 the following paragraph is added to section 2. 79:

"(134) the articles 32, paragraph 6 and 42 paragraph 5 as amended by Federal Law Gazette I no. 81/2013 apply retroactively with 1 January 2013."

15 the following paragraph is added to section 3. 80:

"(15) § 32 paragraph 6 and § 42 paragraph 5 as amended by Federal Law Gazette I no. 81/2013 become with the regulation of the Federal Minister of health pursuant to § 675 3 ASVG date override."

Article 9

Amendment of the special support act

The special support act - SUG, BGBl. No. 642/1973, amended by Federal Law Gazette I no. 111/2010, is amended as follows:

1 in § 7 para 4, the expression "in the years 2008 to 2013 7.65 vH" is replaced by the expression "from the year 2008 7.65 per cent".

2. in article V is added the following paragraph 26:

"(26) § 7 para 4 in the version of Federal Law Gazette I no. 81/2013 occurs retroactively with 1 January 2013 in force and with the regulation of the Federal Minister of health pursuant to § 675 3 ASVG date override."

Article 10

Amendment to the army supply Act

The army supply Act - HVG, Federal Law Gazette No. 27/1964, as last amended by Federal Law Gazette I no. 96/2012, is amended as follows:

1 in § 99 para 15 Z 2 is the expression "1 January 2014" by the expression "which, according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health date" replaced.

Article 11

Change of the Kriegsopferversorgung Act of 1957

The Kriegsopferversorgung law of 1957 - KOVG 1957, Federal Law Gazette No. 152/1957, as last amended by Federal Law Gazette I no. 96/2012, is amended as follows:

1. Article 115 paragraph 12 No. 2 is the expression "1 January 2014" by the expression "which according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health date" replaced.

Article 12

Change in the equalisation Act 1967

The equalisation Act 1967, BGBl. No. 376/1967, as last amended by Federal Law Gazette I no. 19/2013, is amended as follows:

1. in the section 39j para 6 of the expression "in the years 2008 to 2013" by the expression "in the year 2008" and the expression is "from the year 2014" by the expression "from which according to § 675 section 3 ASVG by Ordinance of the Federal Minister of health provided set time" replaced.

Article 13

Amendment of the health quality Act

The Federal law on the quality of health services (health quality Act - GGQ), Federal Law Gazette I no. 179/2004, is amended as follows:

1 § 1 para 1 second and third sentence read:

"The work to build, to the development of assurance and evaluation a comprehensive Austrian quality system nationally, Bundesländer -, sector - and across the profession, especially including the established area, must be made. You have to take into account the principles of patients - and patient orientation and transparency and to promote quality in the provision of health services, taking into account the patients - and patient safety and to ensure."

2. paragraph 1 paragraph 2:


"(2) the specifications for the quality system have at least the requirements of targeting health, in accordance with the Federal Act on the partnership targeting health, Federal Law Gazette I no. 81/2013 amended, and in particular the monitoring referred to therein to meet." Quality work has made a significant contribution to the medium to long-term increase in the effectiveness and efficiency in health care to provide and to contribute to improving the health care of the population and their long-term financial viability. While the levels of structural are within the meaning of the quality system, to take into account process and outcome quality."

3. in the article 1, par. 3, respectively, the phrase "and women" is omitted.

4. paragraph 2 No. 3: "3."Patients - and patient orientation": In the sense of improvement of quality of life concerned people at the Centre of decisions and actions will stand and be empowered to participate actively in the decision-making process."

5. paragraph 2 Z 11: "11"health service": each by a member or a member of a legally recognized health profession or a legally authorized organization on or for the people provided action that serves the promotion, preservation, restoration, or improvement in physical and mental health."

6. in article 2, each the word sequence "and women" eliminates Z 13 and 14.

7 § 3 para 1 first sentence reads:

"The health service heritage wrestlers and providers are regardless of their organisational form 1 to adhere to quality standards in accordance with this Federal Act and 2 to participate in nationwide quality assurance measures in accordance with section 7 paragraph 2 of the Federal Act of partnership targeting health, Federal Law Gazette I no. 81/2013 in its current version, committed to."

8 the following paragraph 3 is added to section 3:

"(3) the compensation of individual services within the framework of the public health system through the institutions of social insurance, the national health fund and the private hospitals Financing Fund requires compliance with the essential quality standards which are directly relevant to the safety of patients and patients and the treatment success. "In particular those due to this Federal Act, in accordance with article 7, par. 3 and 4 of the Federal Act of partnership targeting health and in accordance with § 117 c include paragraph 1 Z 5 of the medical Act 1998, Federal Law Gazette I no. 169/1998 in amended, established essential standards of quality and participation to the measures of earnings quality measurement and assurance in accordance with section 7 paragraph 2 of the Federal Act to the partnership targeting health."

9. in § 4 para 1 and 2, respectively, the phrase "and women" is eliminated.

10 § 4 para 2 No. 6 is: "6 State of science and experience with regard to effectiveness and efficiency."

11. in § 5 para 1 first sentence deleted the phrase "and women".

12 § 5 para 1 second and third sentence read:

"Structural, process and outcome quality have to stand, where the development and further development of outcome quality indicators and their measurement in all sectors of health care is a priority in a direct and balanced proportion. These targets have to be carried out also in accordance with the objectives of targeting health wisely on existing reporting and documentation requirements, and international developments."

13. in § 5 para 2 third sentence is omitted the phrase "and women".

14 in § 5 para 3 first and second set accounts for each the word sequence "and women".

15. in section 5 paragraph 4 the phrase "and women" is eliminated.

16 in article 6 para 1 first sentence deleted the phrase "and women".

17 in § 6 para 1, the following sentence is inserted after the first sentence:

"Especially with the year 2014 regular reports about the quality of earnings in the inpatient and outpatient area are starting to create."

18. in section 6 paragraph 2, the phrase "and women" is eliminated.

19 § 6 para 3 first sentence reads:

"The Federal Minister / the Federal Minister of health has to publish the reports on the Austrian quality system in an appropriate manner in the spirit of transparency."

20. in paragraph 7, each the word sequence "and women" is omitted.

21. in article 8 the word consequences "and women" eliminates each.

22. in section 9 paragraph 1 and in paragraph 2 each, the phrase "and women" eliminates Z 2.

23 § 9 para 2 No. 3 is: "3. creating quality reports;"

24 in section 9, paragraph 2, the phrase "and women" is no. 6.

25. in article 10, par. 3 and 4, respectively, the phrase "and women" is omitted.

26. in article 11, paragraph 1, the phrase "and women" is omitted.

Article 14

Amending the medical act of 1998

The medical act of 1998, Federal Law Gazette I no. 169/1998, as last amended by Federal Law Gazette I no. 80/2013, is amended as follows:

1. According to § 49 para 2, the following paragraph 2 c b shall be inserted:

"(2c) physicians who are entitled to independent practice, have to persuade their graduated from training at least every three years to the Austrian Medical Association." Doctors have to reimburse these messages at the latest until the expiry of three months after the respective training period (collecting). The Austrian Medical Association has to check these messages and to evaluate as well as as the basis for reporting in accordance with § 117 b para 1 No. 21 lit. (e) to be used. To the fulfilment of the tasks the Austrian Medical Association of an affiliate can use."

1a. section 52c para 6 is the following sentence added:

"Any renewed authorisation is predictably, if an approved practice moved its location within the same watershed."

2. in section 117 b para 1 No. 21 will be lit. c the word "and" painted in lit. d the semicolon with the word 'and' replaced and following lit. e added: "e) is at least all biennial and to be published on the homepage of the Austrian Medical Association reporting to the medical and training a. This is to integrate established and employed doctors, professional groups, as well as supply regions, while ensuring the security of anonymity;"

3. § 117c para 1 No. 5 lit. a is: "a) development and implementation of quality assurance measures to raise the structure, process and result quality, in particular to the perception of outcome quality measurement and assurance in the established area in accordance with § 7 health target control law (G-ZG), Federal Law Gazette I no. 81/2013," 4. The following section 118f including heading shall be inserted after article 118e:

"Training and quality

section 118f. (1) which has ÖQMed provided that training commitment from the closest to the date of entry into force of the Federal Act Federal Law Gazette I no. 81 / 2013 following evaluation cycle within the framework of evaluation and control in accordance with section 118e to verify and to record the results of the evaluation and control. section 118e para 2 third sentence shall apply mutatis mutandis.

(2) the disciplinary display in accordance with section 118e para 2 third sentence in conjunction with section 118f in the amended Federal Law Gazette I 81/2013 may no. be avoided, if the doctor can not provide proof of the fulfilment of the obligation of training taking into account worthy reasons."

5. after section 232, 233 the following section including headline is attached:

"Final provision to article 14 of the Federal Law Gazette I no. 81/2013"

section 233. The reporting by the Austrian Medical Association in accordance with § 117 b paragraph 1 Z 21 lit. e as amended by Federal Law Gazette I no. 81/2013 has to be carried out for the first time at the latest on March 31, 2015."

Article 15

Amendment of the Federal Act on Gesundheit Österreich GmbH

The Federal Act on Gesundheit Österreich GmbH - GÖGG, Federal Law Gazette I no. 132/2006, last amended by Federal Law Gazette I no. 77/2008 is amended as follows:

1. in the table of contents entry to section 5 reads as follows: "article 5 affiliates" 2. The heading of article 5 is as follows:

"Subsidiaries"

3. in article 5, according to paragraph 1, the following paragraph 1a is inserted:

"(1a) also has the company to implement their tasks in the context of targeting health in accordance with the Federal Act to the partnership targeting health, Federal Law Gazette I no. 81 / 2013 amended, in particular monitoring (reporting) and high-quality work an own subsidiary to set up, from the Federal Government, represented by the Gesundheit Österreich GmbH, the countries and the statutory health insurance, represented by the main Association of Austrian social insurance institutions" , are to participate in equal parts (each one-third). The Managing Director of Gesundheit Österreich GmbH manages the Affairs of the subsidiary. Related services the company subsidiary in compliance with such orders, so the resulting loss of the company pursuant to a concluded contractual arrangements to pay for break even."

4. in article 14, paragraph 3, the word "Subsidiary" is replaced by the word "Subsidiaries".

Article 16

Amendment to the private hospitals Financing Fund Act


The Federal law on the establishment of a fund to finance private hospitals - PRIKRAF-G, Federal Law Gazette I no. 165/2004, as last amended by Federal Law Gazette I no. 101/2007, is amended as follows:

1. in section 2 paragraph 1 is the current No. 3 to the Z 4, inserted following no. 3: "3. the definition of quality criteria as well as the participation in the implementation and verification of compliance with quality specifications and the coordination with the overall Austrian health planning."

2. paragraph 1 is omitted § 21.

3. paragraph 21 paragraph 7:

"(7) against decisions of the Arbitration Committee appeal to the Federal Administrative Court can be filed."

4. in the section 24 para 1 first sentence is the word sequence "31 December 2013" by the phrase "by Decree of the Federal Minister for health in accordance with § 675 section 3 ASVG date" replaced.

5. in the section 24 para 1 second sentence is replaced by the phrase "Other than entry into force this law" the phrase "31 December 2013".

6. in article 24, according to paragraph 1, the following paragraph 1a is inserted:

"(1a) kick section 21 para 1 and 7 with 1 January 2014 into force."

Article 17

Amendment of the Federal law on the documentation in healthcare

The Federal Act on the documentation in healthcare, Federal Law Gazette No. 745/1996, amended by Federal Law Gazette I no. 179/2004, is amended as follows:

1. paragraph 1 is labeled "1a", 1 the following paragraph is inserted before the section 1a:

„§ 1. The Federal Act on the documentation in the health sector forms the legal basis corresponding to the data protection regulations for the documentation of health-related data in the intra - and extramural outpatient and the inpatient coverage for the processing of data by dogs or service recipients/beneficiaries and performance heritage wrestlers/providers in pseudonymised form for the following purposes: 1 to the control of structure, organization, quality and financing of the Austrian health care through a) long-term observation by health policy relevant epidemiological developments (diseases , Morbidity and mortality) and disease case-related supply processes to improve the process and outcome quality, b) implementation of integrated health structure planning oriented to the needs of the patient, which includes all levels and areas of health care and adjacent areas, c) further development of financing and accounting mechanisms for cross-sectoral performance shifts, 2 for the work to build, to further develop, assurance and evaluation a comprehensive, cross-sectoral Austrian quality system, particularly in the area of quality ", in particular to the implementation of article 7, par. 2 of the Federal Act to the partnership targeting health, Federal Law Gazette I no. 81/2013, in its current version, 3. to ensure a cross-sectoral documentation in all in-patient and out-patient care areas, 4 for the implementation, execution and observation (monitoring) the partnership targeting health under federal law to the partnership targeting health."

2. in Article 1a, paragraph 1 and 2, section 8, paragraph 2, article 9, para. 3 and § 13, the phrase "Social security and generations" by the word "Health" is replaced.

3. in article 2, paragraph 1, article 3, paragraph 1 and 2, article 5, paragraph 1 and 2, section 7 para 2, 3 and 4, § 8 ABS. 1, Article 8a and article 12 para 2 eliminates both the phrase "and women".

4. in § 2 para 4, the following sentence shall be added Z 2 after the bulleted list:

"The support of hospitals, which are not charged on country health fund, have in place the number of recording referred to in subpara 1 lit. (b) one from this not retroactive accounting record identification number formed by disposable derivation (as the following data set ID) and instead of date of birth in accordance with subpara 1 lit. (d) report ages."

5. in the section 3, paragraph 1, the following sentence is inserted after the first set:

"In this report the recording number in accordance with § 2 para 4 is lit Z 1. b a from this formed by disposable derivation not retroactive accounting data record ID and date of birth in accordance with § 2 para 4 No. 1 lit. d age groups to replace."

6 in section 3 para 2 the following sentence is added after the bulleted list:

"These reports the recording number in accordance with § 2 para 4 is lit Z 1. b a from this formed by disposable derivation not retroactive accounting data record ID and date of birth in accordance with § 2 para 4 No. 1 lit. d age groups to replace."

7 paragraph 4:

"§ 4 (1) the Federal Minister of health has further provisions 1 the nature of the data transmission by the main Association of Austrian social security institutions (in the following Central Association), the makers of the hospitals, the country captains and the national health fund, as well as about the way of the outline of the characteristics of the data referred to in § 2 para 4 and the specific data record layout including formatting, 2. with regard to the generation of the pseudonym for the Pfleglinge, as well as the technical and organizational conditions for the Pseudonymisierungen within the Pseudonymisierungsstelle to be operated by the Association by regulation and to adopt 3. as regards the disposable derivative of a not retroactive billable record ID from the recording number.

(2) the Federal Minister for health qualifiers to the data security measures, in particular to the encryption of data, to access and access authorization, identification and authentication, to log the processes of of use of and documentation, shall by regulation in accordance with § 5 c (2) and § 6 c par. 1 Z 2.zu issued.

(3) the data warehouse DIAG - documentation and information system for analysis in the health sector (DIAG) is to operate by the Federal Minister of health. Access to the raw data contained in the DIAG, including the stored pseudonyms to section 5a paragraph 1 Nos. 1 and § 6 c para 1 No. 2, is intended for in the Federal Ministry of health immediately with the creation and maintenance of the DIAG people employed allowed. The use of data stored in the DIAG for analysis purposes pursuant to section 1 is subject to strict regulations on data security. The persons authorized to use the DIAG for analysis purposes do not have access to the raw data and the stored pseudonyms to section 5a paragraph 1 Nos. 1 and § 6 c para 1 No. 2.

(4) for the Pseudonymisierungsvorgang to section 5a paragraph 1 Z 1 and § 6c para 1 No. 2 to use sector-specific personal identifier health - health documentation (hereinafter bPK GH-GD) is associated with the Federal Minister of health.

(5) the generated pseudonyms of the Confederation in the ways of the Pseudonymisierungsstelle pursuant to § 5 c (2) and § 6 c para 1 are no. 2, that are stored in the DIAG, to delete at the latest after a period of 15 years. The data released by the pseudonym may be used for the purposes defined in article 1 for a period of 10 years."

8 in the section 5, paragraph 1, the word order is after the word "Annual reports" "without pseudonym under section 5a paragraph 1 No. 1 and" inserted.

9. in section 5 paragraph 2, the phrase "without pseudonym under section 5a paragraph 1 No. 1" is inserted after the word "Reports".

10 according to § 5, following §§ 5a to 5 c shall be inserted:

'Article 5a. (1) the Association as a service provider of the Federal Minister of health has in the way of Pseudonymisierungsstelle decorated with him (pursuant to § 31 para 4 Z 10 General Social Security Act, Federal Law Gazette No. 189/1955, in the currently valid version) 1 within a technical infrastructure complying with the requirements of data protection and data security by means of hardware security provided by the Federal Minister of health module (HSM) from the bPK GH DG of Pfleglings a non retroactive accounting pseudonym to generate and encrypt , where the bPK GH DG assigned to one area is where the main Association to the execution is called disposable drainage to make a not retroactive accounting record ID and 3. the following data for the first quarter to 31 May of the current year, for the first half year to 30 September of the current year and for the preceding calendar year to 31 May of the current year to the Federal Minister of health to submit 2nd from recording number : a) encrypted pseudonyms of Pfleglinge pursuant to subpara 1, b) hospital number, c) record ID.

The recording date is decisive for the mapping of data to a data message.

(2) the technical process for the generation of the pseudonyms is to ensure that no access to automated data processing in the HSM possibility no. 1 during the Pseudonymisierungsvorgangs in accordance with article 5a, paragraph 1. It is to ensure that the algorithm to be used for the generation of the pseudonyms is unknown to the Federal Ministry of health and the Central Association and is kept securely on an independent third party to be designated by Ordinance of the Federal Minister of health.


§ 5 b. carrier of social security and of health care institution have the main Association to provide the necessary data for the first quarter up to 30 April of the current year, for the first half of 31 August of the current year and for the preceding calendar year to 30 April of the current year available to fulfil his obligations in accordance with § 5a. The recording date is decisive for the mapping of data to a data message.

§ 5c. (1) the Federation and the Federal Ministry of health, making a person reference when using the data referred to in this part is prohibited.

(2) the institutions referred to in this part have to ensure data security measures corresponding to the State of technology and the applicable laws."

11. the section 6 be attached following paragraph 4 and 5:

"(4) (establishing a reporting system on the ambulatory are January 1, 2014, from the makers of hospitals, which are billed on country health fund by the national health fund, by the Confederation, by the institutions of the social security system, as well as by the institutions of the health care institution and by the Federal Ministry of health to use the following data in accordance with the following provisions: 1 about power recipients/beneficiaries: a) age group to the contact time (event date)" , b) gender, c) citizenship, d) residence (State, postal code and municipality code), 2 via performance heritage wrestlers/providers: a) hospital number or service provider identification number, b) Department function code or area of expertise, c) based (postcode or town code), d) form of organization, 3rd to the out-patient contact, 4th to the outpatient services and 5. diagnosis (optional).

(5) for the use of the data referred to in paragraph 4 applies section 1.

12 according to § 6, following sections 6a to 6 g shall be inserted:

'Article 6a. The support of hospitals, which are charged on country health fund, have to submit the data pursuant to section 6 para 4 including the date of birth to calculate the ages and including the record number for the purpose of establishing the record ID quarterly for the respective quarter each up to 31 May, 31 August and 30 November of the current year as well as February 28 of the following year the national health fund. The contact (event date) is decisive for the quarter Association of records.

§ 6 b. The national health fund have to transmit the Federal Ministry of health validated by them and, if necessary, corrected data pursuant to section 6 para 4 quarterly for the respective quarter each up to 30 June, 30 September and 31 December of the current year, as well as up to March 31 of the following year. The number of recording record not retroactive accounting ID created by disposable derivative should be replace.

§ 6c. (1) the Association has 1 of the performance heritage wrestlers and providers from the extramural primary care on the basis of the fee regulations of health insurance funds documented medical services on a service catalogue issued by the Federal Minister of health to take over 2. as a service provider of the Federal Minister for health in the ways of Pseudonymisierungsstelle decorated with him (pursuant to § 31 para 4 Z 10 General Social Security Act, Federal Law Gazette No. 189/1955, in the currently valid version) within a technical infrastructure complying with the requirements of data protection and data security by means of of the Bundesminister for health provided hardware security module (HSM) a) from the bPK GH-GD the service recipient / beneficiary a pseudonym not retroactive accounting and b) to generate the unique identifier of the contract partner not retroactive accounting name of service provider / host of the out-patient extramural area and to encrypt.

3. the Confederation has also a) for the extramural primary care to bring together the records from the combination of year, quarter, social insurance institution code and ascending number a unique ID (provider ID), b) for the extramural primary care from the race number by disposable deriving a not retroactive accounting record ID and c) to generate a not retroactive accounting record ID for the intramural primary care from the record number by disposable derivation.

(2) the Association has to transmit the data referred to in paragraph 1, whichever is the contact (event date) for the quarter Association of records the Federal Ministry of health quarterly for the respective second vorangegangene quarter each up to 30 September and 31 December of the current year as well as to the 31 March and 30 June of the following year.

§ 6 d. The bearers of social insurance and the health care institution have the main Association for the message of the Confederation pursuant to § 6 c para 2 reviewed by them and, if necessary, corrected data required quarterly for the respective second vorangegangene quarter respectively to 31 August and 30 November of the current year, as well as up to 28 January and 31 May of the following year to make.

section 6e. The Federal Ministry of health has data from the reporting system pursuant to section 6 para 4 without pseudonyms in accordance with § 6 c to transmit paragraph 1 No. 2 of the Federal Health Agency, the national health fund, the countries, the Hauptverband and the institutions of social security, in so far as this perception of these if statutory tasks is necessary to.

section 6f. (1) making a person reference when using which prohibits data mentioned in this main piece is the Confederation and the Federal Ministry of health.

(2) the institutions referred to in section 6 paragraph 4 have corresponding State of the art and the applicable legal situation data security measures to ensure.

§ 6 g. The Federal Minister of health shall by regulation detailed provisions 1 about the nature of the Federation, the makers of hospitals, which are billed on country health fund and data transmission to be above the national health fund and the outline of the characteristics of the data referred to in section 6 para 4 and the specific data record layout including formatting, 2. with regard to the generation of the pseudonyms for the service recipients/beneficiaries and for the performance heritage wrestlers/providers from the out-patient extramural area, as well as the technical and organizational conditions for the Pseudonymisierungen within the by the Association of to be operated Pseudonymisierungsstelle and 3rd in terms of disposable drainage a not retroactive billable record ID from the recording number or current billing number to adopt."

13. in section 7 paragraph 1 does not apply the word sequence ", the conduct" and is inserted after the word "Annex" the phrase "and data the accounts".

14. in article 7, paragraph 3, the phrase is "to the revenue structure and which according to data relating to the management accounts" is replaced by the phrase "at the end of the Bill".

15 in § 7 para 4 who is after the word "Statistics" word order ", statement" added.

16. the section 12 be added following paragraph 4 to 6:

(4) that I have no. 81/2013 sections 6 to 6 g in the version of Federal Law Gazette for the first time the data reported for the year 2014 to apply.

(5) by way of derogation from paragraph 4 the sections 6 to 6 g in the version of Federal Law Gazette are I 81/2013 data message in the context of model projects of the Federal Health Agency already for the year 2013 to apply no..

(6) paragraphs 1 to 4 and 5a I apply no. 81/2013 to 5 c in the version of Federal Law Gazette for the first time on the data message for the year 2015."

Fischer

Faymann