29 June 2025

Accessibility Reinforcement Act: Also relevant for the practice website? (updated)

(Update from 29/06/2025. The article was originally published on 16/12/2024)

Accessibility - a term that is often associated with lifts or disabled-accessible toilets. However, the Barrier-Free Accessibility Reinforcement Act (BFSG for short, often colloquially referred to as the Accessibility Act), which came into force on 28 June 2025, goes far beyond structural measures. It also includes digital products and services. Due to the increasing presence of this topic in the media, more and more doctors and dentists are asking themselves whether they need to take action with regard to their practice website. We have investigated this question and come to the following conclusion: No, in most cases this is currently not the case. 

Important note: The information provided does not constitute legal advice. It is merely a personal opinion or assessment. For binding legal advice, please contact a licensed lawyer.

"Scaremongering" around the BFSG

Accessibility Reinforcement Act Practice homepageCurrent article in the "Ärzte Zeitung" of 26 May 2025 and information letter from the chambers and KVs/KZVs

As the BFSG came into force on 28 June 2025, there is currently a lot of reporting on it. For example, the Ärzte Zeitung in its issue of 26 May 2025, and various chambers and KZVs are writing to their members to inform them about the new law.

Doctors and dentists are under the impression that they have to act immediately in order to avoid warnings and fines. In reality, however, there is no need to panic, as the following should be noted:

  • Only practices with more than ten employees and an annual turnover of more than two million euros are affected.
  • Even if there are different interpretations of this on the internet (due to a lack of judgements): We are of the opinion that only websites that are newly put online after 28 June 2025 are affected. According to this view, existing websites may remain unchanged (i.e. "non-accessible") until 28 May 2030 (provided they are not fundamentally changed).
  • Only websites that offer more than just information are affected. However, what this means in concrete terms is controversial.

Taking the above points into consideration, it becomes clear that only very few practices actually have an urgent need for action at present.

If your practice is affected or you would still like to make your practice website accessible, we will be happy to help you.

What is the Accessibility Reinforcement Act?

The BFSG is the German implementation of the EU directive of the European Accessibility Act (EAA) on accessibility requirements for products and services. The aim is to reduce barriers for people with disabilities - in the digital and analogue world. It is about accessibility for everyone - regardless of whether someone has hearing, visual or mobility impairments.

That sounds bulky and complicated. And as doctors and dentists, you're probably having a moment of déjà vu and remember when the bureaucratic monster of the GDPR (General Data Protection Regulation) threatened to take over your everyday practice and the online world.

Today we know: With the right tips and helpers, everything is half as bad. And it's the same with the BFSG.

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Don't panic: The practice homepage as a website for presenting the practice and its services is generally not subject to the Accessibility Act [1].

Does the Accessibility Improvement Act also apply to doctors' practice websites?

Pure practice homepages - via which no contracts can normally be concluded directly and via which no products or services are sold - are not affected. This means that your practice website, which you use to present your services, team and premises, is generally not covered by the BFSG (cf. RA Phil Salewski, 2024 [1]).

The BFSG focuses on commercial providers who sell their goods and services online. You can find more information here: www.it-recht-kanzlei.de/faq-barrierefreiheit-online-shops-bfsg.html#abschnitt_6

However, it is disputed whether this categorisation changes if the possibility of online appointment booking is offered on the practice website and/or a contact form is provided. We have received contradictory statements on this from several lawyers, partly because there is currently a lack of judgements.

In addition, there are further "ifs" and "buts" to the question of whether your own practice website is affected by the BFSG, which further restrict the group of affected practice websites:

  • Only practices with more than ten employees and an annual turnover of more than two million euros are affected.
  • Even if there are different interpretations of this on the internet (due to a lack of judgements): We are of the opinion that only websites that are newly put online after 28 June 2025 are affected. According to this view, existing websites may remain unchanged (i.e. "non-accessible") until 28 May 2030 (provided they are not fundamentally changed).

In the vast majority of cases, there is therefore probably no acute need for action from a legal perspective - even if this is often presented differently, for example by marketing agencies. Of course, sales intentions also play a role here, which are particularly easy to enforce if there are fears of doing something wrong.

Why is the Accessibility Reinforcement Act and the accessibility of a practice website still an issue?

Even if you are not obliged to make your practice website accessible, there are good reasons to address the issue:

A plus for your patients

Accessibility makes your practice website accessible to everyone - including people with impaired vision, hearing problems or motor impairments. This not only shows appreciation, but can also improve the reach and use of your practice website.

Future security

The accessibility requirements could be extended in the coming years. Those who take action now can look forward to any necessary changes with confidence.

Good usability for everyone

A user-friendly practice website ultimately benefits everyone. Measures such as clear structures, easy-to-read texts and font sizes or alternative texts for images also benefit people without disabilities.

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Picture: www.giphy.com 

Barrier-free practice homepage

What should you look out for?

You are probably wondering whether your existing practice website is accessible or not, or what you need to bear in mind when designing a new website so that it complies with the legal requirements - even if these are not binding for you. We will be happy to help you check the accessibility of your website and offer you some tips and tools here:

Clear navigation

Your patients should be able to find their way around your practice website without any problems, use buttons and icons easily and find information quickly and intuitively.

Good contrasts

Certain colour combinations and low contrasts make it difficult to read text and graphics. Clear structures and high contrasts, on the other hand, even support the use of your practice website on mobile phones or in bright light outdoors.

Check contrasts: contrastchecker.com

Comprehensible language

Clear, short and comprehensible sentences with a simple structure are more pleasant for all users of your practice website. After all, everyone wants to find information quickly and easily.

Check language: languagetool.org/en

Screen reader compatibility

With a read-aloud function, you can make texts and images on your practice website accessible to blind and visually impaired people.

Check screen reader compatibility: wave.webaim.org

Technical adjustments

Alternative texts for images, an easy-to-use website for keyboard navigation and other accessible tools are good additions.

Conclusion: Not (yet) an obligation, but an opportunity

The BFSG is a legal requirement that you do not currently have to implement for your practice website if no bookings and payments can be made on it [1]. However, it offers the opportunity to make your website more accessible and modern for everyone and to customise your services. After all, an accessible practice not only signals professionalism, but also that you care about the needs of all patients.

Furthermore, it is to be expected that the BFSG could be extended in the medium term to include the entire healthcare sector. This is in light of the fact that, as part of the consultation on the BFSG, the German Institute for Human Rights and associations, among others, have called for the healthcare sector, which belongs to the area of services of general interest and is particularly relevant in terms of fundamental and human rights, not to be left to the free market without strict accessibility requirements [2].

We will help you to Practice homepage meaningfully - not only for today, but also for tomorrow. Whether mandatory or voluntary, accessibility is a win-win situation for everyone.

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Picture: www.giphy.com 

Sources:

[1] FAQ: Mandatory accessibility of online shops from June 2025, Section VI: Do the accessibility requirements also apply to mere presentation homepages without a shop function?, accessed on 10.12.2024, 13:21: it-recht-kanzlei.de

[2] Information sheet for medical practices that provide GP or gynaecological services and wish to apply for funding for the accessible design of their website / mobile application from 01.02.2023, section "Why should a medical practice apply?", accessed on 10.12.2024, 13:21: schleswig-holstein.de

Disclaimer:

The information provided does not constitute legal advice. It is merely a personal opinion or assessment. For binding legal advice, please contact a licensed lawyer.

Do you need support?

We have been making practices throughout Germany fit for the future since 2012. We ensure a contemporary presence (online and offline), optimal search engine discoverability and implement new technologies (such as video consultations or online appointment booking) in everyday practice life and on your website. We also advise doctors on new trends and the extent to which these can be utilised for their own practice. Practice marketing can be utilised.

You are welcome to contact usif we can advise and support you with the introduction of video consultations or general practice digitalisation. If you would like to make an appointment directly for a free initial consultation (as part of a video conference or on site at one of our agencies), you can find the booking options here:

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Oliver Löw

oliver.loew@docrelations.de

Oliver Löw is the managing partner of Docrelations GmbH - Agentur für Practice marketing and PR. He founded the agency in 2012, initially as a sole proprietorship in Meerbusch near Düsseldorf. In 2013, he moved the headquarters to Düsseldorf and opened a second agency location in Bayreuth in 2015. In 2017, he converted the company into a limited liability company, and since then the agency has operated as Docrelations GmbH. → More information about the person