The negotiations between the CNS health insurance company and the AMMD doctors’ association about a new convention have come to an end after six rounds. The CNS announced this in a letter on Wednesday. The new contract texts are now at the AMMD for signing. However, she hasn’t responded yet.
Negotiations began on December 18, 2025, the statement said. After the sixth meeting on March 18, the parties noted that “discussions on the new framework agreements have been completed”. Further negotiating sessions were not deemed necessary.
The CNS Board of Directors then drew up new contract texts based on the discussions and sent them to the AMMD. However, the CNS is currently waiting for the return – and time is running out.
If the AMMD does not sign the texts by April 30th, arbitration proceedings will be initiated. “If this does not lead to a result, the binding collective agreement provisions will be determined as a last resort by a grand-ducal regulation,” it continues.
What happened
The AMMD officially terminated its contracts with the CNS in October last year. According to her account, the previous conventions no longer fit modern medicine. She criticized the fact that the CNS sets tariffs unilaterally, automatically binds doctors and political hurdles slow down the expansion of outpatient services. The AMMD therefore called for a new legal framework for liberal medicine with selective conventions, collective bargaining autonomy and more freedom in practice equipment and company formation.
The AMMD also received a lot of criticism for its actions. The “patient expulsion” saw this as a “dangerous development”. The association feared that the termination could create a system in which doctors could freely set their fees. The consequence: higher co-payments for patients, more bureaucracy, less transparency and possibly a two-tier system.
Chris Roller, the president of the AMMD, had this at the beginning of April Daily newspaper He said that the negotiations had reached a point where they couldn’t move forward without politics. “We had already asked for a meeting with Prime Minister Luc Frieden and Health Minister Martine Deprez at the beginning of the year,” said Roller. They were informed in January that Frieden would receive the AMMD in the spring. However, this has not yet happened.
