Since July 2022, self-employed psychotherapists in Switzerland have been allowed to bill health insurance directly, but the rates remain provisional. A dispute has arisen as health insurers demand lower rates, citing rising costs, while the Federation of Swiss Psychologists argues for maintaining current rates. This could result in therapists shifting to private billing, potentially exacerbating access issues for lower-income patients. Currently, a shortage of therapy options exists, impacting those without supplemental insurance as more practitioners may opt out of basic insurance.