Sick Note Rule Change Proposed: Germany Considers Two-Week Illness Period Without Doctor‘s Visit
Berlin – Germany’s Health Minister, Karl Lauterbach (SPD), is proposing a significant change too sick leave regulations, perhaps allowing employees to be absent from work for up to two weeks without needing to present a doctor’s certificate. The move, intended to alleviate pressure on the country’s overburdened healthcare system, comes as new data reveals a high rate of short-term sick leave, averaging 19.1 days per insured person.
The proposal aims to address rising economic concerns linked to widespread illness, including slower economic growth and increased social security contributions. Currently, a doctor’s visit and sick note are onyl legally required after three calendar days of illness, though employers can request certification earlier under the Continued Payment of Remuneration Act. Lauterbach’s plan would extend this threshold considerably, potentially saving the healthcare system an estimated 1.4 million working hours and 100 million euros annually, according to estimates cited by economist Gassen, who notes approximately 116 million sick notes are issued each year, with 35 percent lasting three days or less.
The debate follows a recent proposal from Allianz CEO Joachim Faber to abolish continued wage payment for the first day of illness, a suggestion described as “absurd” by critics. While Lauterbach’s approach differs, both initiatives reflect a growing urgency to tackle the economic impact of employee absenteeism.
Employer representatives have already voiced strong opposition to the idea of extending the period without a medical certificate, raising concerns about potential abuse and difficulties in managing workforce absences. The proposal is expected to face significant scrutiny and debate as it moves forward.
