NIS2 and Care services

Excep­ti­on for day care and short-term care

Sin­ce March 6, under the Ger­man BSI Act (BSIG) – the Ger­man imple­men­ta­ti­on of the NIS2 Direc­ti­ve (Direc­ti­ve (EU) 2022/2555) – affec­ted enti­ties have been requi­red to regis­ter on the por­tal of the Ger­man Fede­ral Office for Infor­ma­ti­on Secu­ri­ty (BSI). Accor­ding to the BSI, only about 15,500 enti­ties have regis­tered so far – signi­fi­cant­ly fewer than the expec­ted num­ber of affec­ted enti­ties. The reason for the delay is often that enti­ties encoun­ter uncer­tain­ties and ques­ti­ons regar­ding the scope of appli­ca­ti­on when asses­sing their com­pli­ance. This appli­es in par­ti­cu­lar to care services.

Care ser­vices under BSIG

The NIS 2 Direc­ti­ve, which is trans­po­sed into natio­nal law by the BSIG, does not con­tain an expli­cit exemp­ti­on for care ser­vices. Howe­ver, Annex 1, No. 4 of the BSIG refers, under the “Health” sec­tor, to the Pati­ent Mobi­li­ty Direc­ti­ve (Direc­ti­ve 2011/24/EU). Accor­ding to Reci­tal 14 of this Direc­ti­ve, it does not app­ly to ser­vices who­se “pri­ma­ry pur­po­se is to assist per­sons who requi­re help with rou­ti­ne dai­ly activities.”

Express excep­ti­on for long-term care

To date, the BSI has high­ligh­ted the expli­cit excep­ti­on for long-term care on its web­site. This was jus­ti­fied by the wor­ding of Reci­tal 14 of the Pati­ent Mobi­li­ty Direc­ti­ve, which refers to long-term care, as well as the accom­pany­ing expli­cit excep­ti­on in the expl­ana­to­ry memo­ran­dum to the BSIG. In prac­ti­ce, a distinc­tion was regu­lar­ly made bet­ween long-term and short-term care to deter­mi­ne whe­ther the BSIG appli­ed and whe­ther a resul­ting regis­tra­ti­on requi­re­ment existed.

BSI: Excep­ti­on also appli­es to day care or short-term care

The BSI has sin­ce moved away from this nar­row inter­pre­ta­ti­on and notes that – depen­ding on the indi­vi­du­al case – out­pa­ti­ent care ser­vices, as well as nur­sing homes and faci­li­ties pro­vi­ding day care and short-term care, shall do not fall within the scope of the BSIG. With refe­rence to Reci­tal 14 of the Pati­ent Mobi­li­ty Direc­ti­ve, it is not only the type of care that is rele­vant, but the spe­ci­fic ser­vice per­for­med. The decisi­ve fac­tor is the­r­e­fo­re whe­ther the ser­vice pro­vi­ded pri­ma­ri­ly con­sists of assis­tance with rou­ti­ne dai­ly activities.

For prac­ti­ce

The expli­cit exten­si­on of the BSIG exemp­ti­on to day care and short-term care exempts many com­pa­nies and faci­li­ties from the scope of the BSIG and the asso­cia­ted regis­tra­ti­on requi­re­ment. Nevert­hel­ess, enti­ties may fall within the scope of the BSIG if they pro­vi­de any addi­tio­nal medi­cal ser­vices, which is why a careful case-by-case review is neces­sa­ry. The same appli­es to poten­ti­al covera­ge due to ancil­la­ry acti­vi­ties, such as cor­po­ra­te IT. A detail­ed and docu­men­ted impact ana­ly­sis the­r­e­fo­re remains essential.

Check now if your enti­ty is affec­ted by NIS2 with our free NIS2 Quick-Check.

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