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Leave to appeal on reimbursement limits for medicines

BVerwG 5 B 1/12, 5 B 1/12 (5 C 6/12)Bverwg / Division 5Feb 7, 2012Granted

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Extracted by Omnilex

Omnilex summary

The Federal Administrative Court granted leave to appeal against the Baden-Württemberg Administrative Court judgment. It held that the case could clarify, under § 132(2) No. 1 VwGO, the requirements for a legally valid determination of fixed reimbursement ceilings for expenses for medicinal products under § 22(1) BBhV.

Omnilex headnote

§ 132 Abs. 2 Nr. 1 VwGO; revision admission for fundamental importance: A case has fundamental significance where it is capable of clarifying the requirements for a legally effective determination of fixed amounts as an upper limit for the beihilfefähigkeit of expenses for medicinal products. It is sufficient that the proposed revision can contribute to the clarification of an unresolved legal question of general importance; the court need not already decide the merits at the admission stage.

Full text

BVerwG — 5 B 1/12, 5 B 1/12 (5 C 6/12), Beschluss

Entscheidungsdatum: 2012-02-07

Aktenzeichen: 5 B 1/12, 5 B 1/12 (5 C 6/12)

Dokumenttyp: Beschluss

Normen: § 22 Abs 1 BBhV

Vorinstanz: vorgehend Verwaltungsgerichtshof Baden-Württemberg, 4. August 2011, Az: 2 S 83/11, Urteil

Spruchkörper: 5. Senat

Titelzeile

Beihilfefähigkeit der Aufwendungen für Arzneimittel

Gründe

1 Die Revision gegen das Urteil des Verwaltungsgerichtshofs Baden-Württemberg vom 4. August 2011 ist nach § 132 Abs. 2 Nr. 1 VwGO wegen grundsätzlicher Bedeutung der Rechtssache zuzulassen. Die Revision kann zur Klärung der Anforderungen an eine rechtswirksame Bestimmung von Festbeträgen als Obergrenze für die Beihilfefähigkeit der Aufwendungen für Arzneimittel beitragen.

Keywords

beihilfemedicinesreimbursement ceilingfundamental importancerevision admission

Extracted by Omnilex

Key legal questions extracted by Omnilex

Key legal question

Whether revision should be admitted because the case raises a question of fundamental importance regarding the lawful setting of fixed reimbursement ceilings for medicinal expenses under the BBhV.

Extracted holding

Revision is admitted so that the requirements for a legally effective determination of fixed amounts as an upper limit for reimbursable drug expenses can be clarified.

Extracted reasoning

The court found that the case is capable of clarifying a question of fundamental significance within the meaning of § 132(2) No. 1 VwGO.

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