Germany rolls out free lung cancer screenings for heavy smokers in 2026

New health measures are set to take effect in Germany over the coming months. From April 1, heavy smokers will qualify for free lung cancer screenings, while stricter rules on nitrous oxide and other substances will soon be enforced. The changes also include updated billing rules for midwives and new requirements for radiologists. Starting April 1, 2026, smokers aged 50 to 75 with a history of at least 15 pack-years will be eligible for annual lung cancer screenings. The test will use a low-dose computed tomography (LDCT) scan, fully covered by statutory health insurance. Radiologists must first complete specialised training and obtain official approval from the Federal Joint Committee (G-BA) before offering the service.

Separately, the government is tightening controls on gamma-butyrolactone (GBL) and 1,4-butanediol (BDO). Online sales of nitrous oxide will be banned, and vending machine distribution will also be prohibited. From April 12, minors will no longer be allowed to buy or possess nitrous oxide. For midwives, new rules will simplify billing for phone consultations with women at home, removing the need for a signature. Those working in hospitals will also receive extra pay for providing one-on-one care during childbirth.

The lung cancer screening programme aims to detect early signs in high-risk smokers, with costs fully covered by insurance. Stricter substance regulations will limit access to nitrous oxide and related chemicals, particularly for young people. Meanwhile, midwives will see changes in payment procedures and additional support for individualised care during labour.