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Court Strikes Down Teltow-Fläming Rescue-Fee Schedule, Backing Insurers

The ruling leaves the county confronting a multimillion-euro funding gap, prompting consideration of a federal appeal.

Overview

  • The Higher Administrative Court of Berlin-Brandenburg declared Teltow-Fläming’s 2019 emergency-service fee schedule invalid in case OVG 6 A 13/25.
  • At issue was whether non-transport responses and no-contact deployments (“Fehlfahrten” and “Fehleinsätze”) can be counted in the cost base used to set fees.
  • Eleven statutory and substitute health insurers challenged the county’s calculation method and prevailed in the case.
  • County leaders warn that excluding such deployments from billable events would leave an estimated €10 million annual shortfall in a state that provides no direct rescue-service subsidies.
  • The county may seek leave to appeal to the Federal Administrative Court, and officials say the decision has implications for rescue-service financing across Brandenburg; a separate dispute over non-emergency transports with AOK was settled on January 22.