The Quadripartite Committee convened on Wednesday, 21 May 2025, at the Opderschmelz Cultural Centre in Dudelange, under the chairmanship of Health and Social Security Minister Martine Deprez. The meeting was held in close collaboration with Finance Minister Gilles Roth and served as preparation for the upcoming autumn session of the Quadripartite Committee.
The Quadripartite Committee brings together all key stakeholders involved in the governance of the health and maternity insurance system. This includes representatives of the government, employee and employer organisations, and healthcare providers.
The committee is tasked with reviewing health sector revenue and expenditure trends and proposing legislative, regulatory, or contractual measures to improve system efficiency and sustainability, taking into account medical advances, population needs, and national resources.
During the meeting, the committee assessed the financial situation for 2024 and projections for 2025. The findings confirmed the troubling trends identified in the previous session in November 2024.
For 2024, the health and maternity insurance system is expected to record a deficit of €25.8 million. The situation is projected to worsen in 2025, with a forecasted operating shortfall of €132.6 million, equivalent to 16.5% of annual current expenditure.
This steep rise in expenditure, which continues to outpace revenue growth, is putting significant strain on financial reserves. According to the latest projections, the legal minimum reserve threshold of 10% could be reached as early as 2027, if corrective measures are not taken.
Speaking to RTL following the meeting, Minister Deprez described the situation as urgent and made it clear that action could no longer be postponed. While no concrete plans for contribution increases were announced, she confirmed that proposals aimed at long-term financial stability and recovery of the national health insurance will be presented at the autumn session.
The gravity of the current financial trajectory has drawn comparisons to the ongoing pension reform debate, which is likewise framed as a matter of urgency. Both areas now represent critical pillars of Luxembourg’s social model requiring immediate and coordinated policy responses.
Deprez concluded the meeting by thanking all participants for their efforts and reiterated her confidence: “We have all recognised that urgent action is needed, and I am confident that by autumn 2025, a list of concrete measures to restore balance to the health and maternity insurance system will be ready.”
