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5 !!"#$%&"'()*+(,-#*!./&0()1(,-#*! 2"&#%&"'()*+(,-#*! 3(4($&0(1(,-#*! 5/#%&%4()*+(,-#*! 6&#(1&"#$%&"'()*+(,-#*! 78'9(11(,-#:)/;1"&"#$%&"'()*+(,-#*! 6&&(1)#""#'$,-(*3('#/&<*! =1(40()*+(,-#*! 7(1#$9"'(*>$(1"1,-$(*! B#""#)C(1#1"<)1(,-#*! 7(1%10&/&<)1(,-#*! DE&<(1()*+(,-#*<(-#*F'#(1(4*+(,-#*C%1*! 31/&01(,-#)%10&/&<**! =1($-($#)1(,-#(**! G%'$#$),-(*+(,-#(**! '&

6 !!"#$%&''()#*+ %&

7 !!"#$%&'"%&()"%&*+",-&.+/,#01&..%2%&! 34"$+55)/65"47810(784&9")/,0+64/&! 9")/,"47815#",/)/6&! 9")/,"47814&+05&D;E48">&)/,&?78)1A"47814F&/(781& +;4"&.4(51)/65"47814&GH3&I&J%K&! =4(/&L4781&+)$&!B464&GH3&MN&O&;&)/,&O3&5#E(4&H94"& P!%IQRPSST&U%&TK&! V#WX414/A#",/)/6&! Y(/+/A(4")/65A)51Z/,(6=4(1&;4(W&H)/,&GH3&NNN&J%K&! 34"5#"6)/65A)51Z/,(6=4(1&&;4(W&V+/1#/&GH3&QK& 1!

8 !!!"#$%&'($)*+",-./)&'($"-012$3#4-+"*- 5+12$3#6"7".)$%+",-! 012$3#6"7".)$%+",-8-9)"7".)$%+",-*$&- :$)&#+",&$%1%)",$%&-! A)$%&-B7C7"#-+"*-A)$%&-,7%7"#-!!"#$%&'($)*+",-./)&'($"-012$3#4-+"*- 5+12$3#6"7".)$%+",-! 5+12$3#6"7".)$%+",-8-9)"7".)$%+",-*$&- DE$,$1$*F%G#),$"-! &<.)7H$-DE$,$;$%&)'($%+",&H$)&#+",$"-! B%);7#$-DE$,$;$%&)'($%+",&H$)&#+",$"-! 5'(7*$"4-;$%&+&-5+II$";$%&)'($%+",-! A7,,$H*4-;$%&+&-:$1$"&;$%&)'($%+",-! Auswirkungen des Neuen Finanzausgleichs (per )! Kantonalisierung des Betagten- und Behindertenbereichs! Bund leistet! Beitrag von 5/8 an Spital- und Heimkosten von EL- Bezügern (ELG 13 II)! Beiträge für die drei Pro Organisationen (ELG 17 f.) 2!

9 !! Auswirkungen des Neuen Finanzausgleichs (per )! Wegfall der IV-Beiträge für Behinderteneinrichtungen! Wohnheime, Werkstätten und Tagesstätten! BG vom 6. Oktober 2006 über die Institutionen zur Förderung der Eingliederung von invaliden Personen (IFEG)! bisherige Bundessubventionen wurden längstens bis bezahlt (BV 197 Ziffer 4)! Objektfinanzierung durch Kantone! Spitäler: 55 % durch Kantone, 45 % durch Krankenversicherer (KVG 49a II)! Heime! Unterscheidung Behinderteneinrichtung (IFEG/ IVSE) und Pflegeheim (KVG 39 III)! Besonderheiten Pflegeheime! kantonale Pflegeheimliste! Heimpflegekostenbeitrag(KLV 7a III) nur für Pflegeheime (KVG 39 III und 50), nicht aber Wohneinrichtungen (IFEG 3 I b)! Objektfinanzierung durch Kantone! Heime! Besonderheiten Pflegeheime! Tarifschutz (KVG 44 I)! Heime beanspruchen HE (und eventuelle weitere Kostenbeteiligung) zusätzlich zu den Pflegetarifen KVG/ KLV (BGer 2P.7/2007) oder verlangen zusätzliche Pauschalen! als Betreuungsaufwand und für echte Mehrleistungen zulässig (BGer 2P.25/2000 E. 14 und 9C_103/2007 E. 4)! unzulässig für Pflegemassnahmen gemäss KLV (BGer 2P. 25/2000 E. 8) 3!

10 !! Objektfinanzierung durch Kantone! Heime! Besonderheiten Behinderteneinrichtung! Anspruch auf bedürfnisgerechtes Angebot (IFEG 2)! Kostenbeteiligungsanspruch (IFEG 7)! kein Pflegekostenbeitrag nach KVG/KLV! Finanzierung erfolgt im Rahmen der Interkantonalen Vereinbarung für soziale Einrichtungen (IVSE)! Objektfinanzierung durch Kantone! Spitexbetriebe! Subventionierung von Spitexbetrieben mit Leistungsauftrag! heterogene kantonale Ausführungsgesetzgebung! Pflegegesetz vom 27. September 2010 (ZH)! Subjektfinanzierung durch Bund und Kantone! Bund! Pflegeentschädigungen! Spitalpflegeentschädigung! Heimpflegeentschädigung! Spitexpflegeentschädigung! Angehörigenpflegeentschädigung! Hilflosenentschädigung/Intensivpflegezuschlag! Assistenzbeitrag! Pflegehilfsmittel/Dienstleistungen Dritter! (Betreuungsgutschriften) 4!

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13 )*&"-%/0'"8#'/0"+S"("#)*(+! >"'C?I"("+1Y34+9:+)*8+K9B+!!?'&"E?I"("+1Y34+9:+)*8+K9Z+Y33+9Q+7+ [HI'/0&#"'%&)*(\B+! U*("0]-'("*?I"("+1Y34+9:+)*8+K9Z+Y33+9Q+77+ [^-C"%%"*%#"'%&)*(\B+! 3"-%'/0"-&"+_"'%&)*("*++! 3"-?I"()*(+)*8+Y*&"-J)*X&+$"'+!?'&.#?I"("+1Y34+9:+ 7+/B+! C"8'M'*'%/0"+>"'C`+)*8+>.)%?I"("++! 8"-+a#.%"+)*8+8'('&.#"+!&)0#.)%-V)C)*(+1a4^ ^P+6+)*8+GB+! 7!

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