twelve years after its introduction, long-term care was reformed for the first time in 2008. the act provides, inter alia, a broadening of services. the care reform provides various changes. the membership rate for the long term care was raised on 1 july 2008 by 0.25% so the care rate rose from 1.7% to 1.95%. for people without children, already at least 23, the nursing care rate rise up to 2.2% of the gross salary. the higher care premiums should be sufficient to 2014. after that, the maintenance care rates should adjusted for price increases every 3 years.