In the German health system only physicians have the right to prescribe medical treatment (?selbständige Ausübung von Heilkunde?). An amendment of the statutory long-term care insurance (?Pflegeweiterentwicklungsgesetz?) in 2008 obliged the Federal Joint Committee to produce a list of treatments which could be prescribed by non-physicians in future pilot projects. The deadline has expired, but the list has been announced for the year-end.This development reflects an important change of paradigm.