Negotiations regarding Germany’s healthcare reform are nearing a crucial juncture, with a deadline for results set for the end of June. Ahead of this, the German states (Länder) have submitted a new position paper focusing on gaining greater responsibility for the planning and allocation of specialist doctors. This move signals a desire for increased regional control over healthcare provision. The federal government (Bund) and municipal authorities are also involved in the “Reformpartner” talks. However, the federal health ministry has remained tight-lipped regarding the Länder’s proposal, offering no immediate comment. The core of the dispute appears to center on the distribution of responsibilities and decision-making power within the German healthcare system. The outcome of these negotiations will significantly shape the future of specialist healthcare access across the country.