Cross-Border Workers, 'Health Tax' in Place by September
Lombardy Region confirms the timeframe for the economic contribution that will support the salaries of healthcare personnel in border areas with Switzerland.
Contesto
The customs office in Chiasso has announced that the Italian norm for increasing the salary of doctors and nurses working in border areas with Switzerland will come into effect in the coming months. The announcement comes directly from the Lombardy Region. The measure is based on the state law 213 of 2023 and has been made operational by the decree of the Ministry of Health of November 14, 2025, which regulates the participation in health expenses of cross-border workers in Switzerland. 'The goal is to implement it by September,' said the Lombardy Region's commissioner for local and mountain entities, Massimo Sertori, during the hearing in the VIII Commission of the Regional Council. 'Doctors and nurses working in Lombardy's border areas with Switzerland will receive a 20% salary increase, equivalent to approximately 10,000 euros net per year for doctors and 5,400 euros for nurses.' According to the information presented in the hearing, the workers concerned are approximately 7,000, with a total investment of about 45 million euros. 'The state law,' continued Sertori, 'provides that the resources will be obtained with a contribution of 3% to 6% of the net salary paid by the so-called
Dettagli operativi
The impact of the new health measure on cross-border workers is significant. A 20% salary increase for doctors and a 5% increase for nurses represent a substantial improvement, but this is accompanied by a 3% increase in their net salary. This means that cross-border workers earning 4,000 euros net per month will have to pay 120 euros per month as a contribution. This contribution will be used to support the salaries of healthcare personnel in border areas, ensuring quality healthcare services. However, the strong controversy surrounding this measure has led to a negative reaction from cross-border workers and their union representatives. The health tax has been considered an unfair levy on workers, and the issue has also found space in the electoral campaign for the municipal elections on May 24 and 25, 2026. The question has become a point of discussion between voters and center-right parties, who have supported the measure. The reaction of cross-border workers is motivated by the fact that the contribution may not lead to an immediate improvement in public healthcare services, but rather to double taxation. This has led to a reflection on how cross-border workers perceive the value of public healthcare services and their desire for faster and more concrete services. ## Useful tools to protect your net income To reduce FX leakage, compare CHF-EUR exchange options and banks for cross-border workers.
Punti chiave
For cross-border workers employed in the border areas with Switzerland, the new regulation introduces an economic contribution to support the salaries of healthcare personnel. This contribution will range from 3% to 6% of the net salary. For a net monthly salary of 4'000 euros, the contribution will be 120 euros per month. The funds collected will be used to guarantee and strengthen healthcare in the border areas, to the benefit of the cross-border workers and their families. It is important that cross-border workers are informed about how and when to pay this contribution. The step-by-step procedure for paying the contribution is as follows: 1. Check your net monthly salary. 2. Calculate 3% of the net salary as a contribution. 3. Pay the contribution through the banking system. 4. Receive a payment confirmation. 5. Keep the payment confirmation for any tax checks. For further information and useful tools, visit our website and use the salary calculator to calculate your contribution. This tool will help you better understand your contribution and plan your monthly budget. Source: rsi.ch
Punti chiave
[{"q":"What is the amount of the contribution for a cross-border worker earning 4'000 CHF net per month?","a":"The contribution will be 120 CHF per month."},{"q":"When will the new regulation come into effect?","a":"The regulation will come into effect by September."},{"q":"How is the contribution managed?","a":"The contribution will be paid through the banking system and will be used to support the salaries of healthcare personnel in border areas."}]
Frequently Asked Questions
- What is the amount of the contribution for a cross-border worker earning 4'000 CHF net per month?
- The contribution will be 120 CHF per month.
- When will the new regulation come into effect?
- The regulation will come into effect by September.
- How is the contribution managed?
- The contribution will be paid through the banking system and will be used to support the salaries of healthcare personnel in border areas.