News item | 09-12-2025 | 2:37 PM
People who receive a personal budget (pgb) from their health insurer can also receive compensation for the higher employer contributions via the Social Insurance Bank (SVB) over the next two years. Those who are not yet known to the government will be given extra time to arrange this. To this end, the government will amend the bill to amend the Home Services Regulations. This scheme applies to personal budget care providers with an employment contract of a maximum of three days. Personal budget holders who are paid via municipalities or healthcare offices were already compensated in the new law.
Ruling of the Central Appeals Tribunal
The Central Board of Appeal (CRvB) stated in 2023 that the Home Services Regulation (Rdah) leads to indirect discrimination and is therefore unlawful. According to the judge, care providers who are paid from a personal budget have the same rights as all other employees, even if they only work a maximum of three days a week. This means that they continue to receive their wages if they are ill, that they receive benefits in the event of unemployment or disability and that employee premiums must be paid for them.
Bill for Home Services Regulations
The government is following up on this court decision with the bill for Home Services Regulations. For example, the bill ensures that personal budget holders are supported and relieved as much as possible by the Social Insurance Bank (SVB). They will pay premiums and payroll tax on behalf of the personal budget holder. In the event of illness, they take over the wage costs, so that the personal budget holder can hire a new healthcare provider. An occupational health and safety doctor is also available through the SVB who can help with reintegration.
Personal budget via the health insurer
People who receive a personal budget through their health insurer can have their payroll administration done by the SVB. There is a group that is already doing this. They will soon receive support with their employer obligations through the SVB. A way has also been found to compensate them for the extra employer costs via the SVB.
The government takes the concerns of the interest group and the House very seriously and has started looking for a solution with this assignment. The same option will be available for the group that is not yet visible to the government. They must therefore run their payroll administration through the SVB. The entry into force of the bill will be postponed for this group until a later date. This gives them the opportunity to still arrange this.
January 1, 2026
The bill has been in the House of Representatives since May and must come into effect on January 1, 2026. Because the bill leads to a major adjustment to the working method for the SVB, implementation of the change started last year. This is common with such major IT changes. Healthcare offices, municipalities and health insurers have also already adjusted their working methods. If the bill does not enter into force on January 1, 2026, there will be major consequences for budget holders, healthcare providers and implementing agencies. At the same time, a discussion in both Houses before January 1 is unlikely. The government therefore grants retroactive effect to the bill, from the moment that both Houses approve it back to January 1, 2026. This means that if the law has been adopted by both Houses after January 1, the law will still come into effect on January 1.