On Saturday 27 September 2025, the Luxembourg Ministry of Health and Social Security reported that the Association of Doctors and Dentists (AMMD) had called on its members to discuss a potential termination of the agreements linking doctors and dentists to the National Health Fund (CNS).
The ministry emphasised that the convention currently in force is the result of thorough negotiations between the representatives of the AMMD and the CNS, which led to its signing at the end of 2024. A termination of this agreement would have no direct consequences for insured persons and patients, as all provisions would remain in force for the twelve months following termination. This period would serve to initiate negotiations for a new convention.
The ministry noted that, for the past two years, it had been working jointly with the AMMD on a comprehensive analysis of the health system. The results of this work are nearing completion and will translate into concrete actions in the coming months. The ministry said these include the establishment of additional local branches to accelerate outpatient care outside the main hospital sites; the launch of national governance for digitalisation, within the framework of the European Health Data Space, designed to consolidate and leverage existing initiatives to create a single platform through which every insured person and patient can consult their health data across Europe and every healthcare professional can access the information necessary to provide appropriate treatment; the development of a specific legal framework allowing independent doctors to form professional practice companies, thereby sustaining existing collaborative efforts and improving multidisciplinary accessibility for patients; and a revision of hospital law to regulate activities that may be carried out outside hospital structures via an accreditation system based on the population’s actual needs, aiming to strengthen access to primary care through extended opening hours.
The ministry stressed that social partners, represented on the Board of Directors of the National Health Fund, must be closely involved in these discussions. Alongside the president of the CNS, representing the Ministry of Health and Social Security, they will be responsible for incorporating the necessary legal and regulatory adjustments and modifications to ensure coverage of the costs incurred.
In a context marked by a slow economic environment and a decline in social security contributions, the ministry said it welcomed the efforts made by social partners and the AMMD to jointly seek the essential adjustments needed to control the evolution of medical costs, while ensuring an appropriate level of coverage for the population’s needs.
The ministry said that the next quadripartite meeting, bringing together the Ministry of Health and Social Security, the social partners who are members of the CNS Board of Directors and certain healthcare providers including the AMMD, will be “decisive” and the agenda will specifically focus on the measures to be implemented to restore the financing trajectory of the National Health Fund, in “a spirit of co-construction and shared responsibility among all actors”.
Moreover, the ministry underlined its collective duty to prevent disease, to guarantee insured persons and patients care adapted to their needs, and to involve all actors in the healthcare system in this mission.
Minister of Health and Social Security Martine Deprez said: “Let us combine our efforts to build a healthcare access system that places the patient, their needs and interests at the centre, rather than the other way around.”
