<Table> <Tr> <Td> </Td> <Td> This section needs expansion . You can help by adding to it . (August 2017) </Td> </Tr> </Table> <Tr> <Td> </Td> <Td> This section needs expansion . You can help by adding to it . (August 2017) </Td> </Tr> <P> The healthcare system is regulated by the Federal Joint Committee (Gemeinsamer Bundesausschuss), a public health organization authorized to make binding regulations growing out of health reform bills passed by lawmakers, along with routine decisions regarding healthcare in Germany . </P> <P> Health insurance is compulsory for the whole population in Germany . Salaried workers and employees below the relatively high income threshold of almost 50,000 Euros per year are automatically enrolled into one of currently around 130 public non-profit "sickness funds" at common rates for all members, and is paid for with joint employer - employee contributions . Provider payment is negotiated in complex corporatist social bargaining among specified self - governed bodies (e.g. physicians' associations) at the level of federal states (Länder). The sickness funds are mandated to provide a unique and broad benefit package and cannot refuse membership or otherwise discriminate on an actuarial basis . Social welfare beneficiaries are also enrolled in statutory health insurance, and municipalities pay contributions on behalf of them . </P>

Who manages health insurance and care in germany