After another examination, the Vienna Public Regional Health Insurance Office undertook to cover the costs for both operations. In the statement of grounds, reference was made to the German Federal Social Court, which assesses bra size A as the benchmark for covering costs within the scope of gender reassignment surgery. The Association of Social Security Institutions, which was contacted with regard to a standardisation of such issues, considers generally valid rules for the assumption of costs to be unnecessary. It informed the AOB that these are individual cases that required that the overall picture and medical-psychological topics be part of a resolution and this could not be adequately represented by way of statutory provisions. No matter how difficult the relevant considerations are, a non-discriminatory approach to medical services can only exist if it remains undisputed and there are evaluation criteria that build on the premise that such questions do indeed fall into the catalogue of services covered by statutory health insurance. Individual case: VA-BD-SV/0818-A/1/2012; see also Annual Report 2011, VA-BD-SV/742-A/1/2011 Discrimination based on nationality or ethnic origin The AOB welcomes the expansion of the prohibition of discrimination in administrative criminal law An amendment of the law that came into force on 1 September 2012 implemented a recommendation by the AOB and created more efficient prosecution and punishment of discriminating practices. VA criticises inadequate protection against discrimination For a long time, the AOB has been pointing out the unadequate implementation of the prohibition against discrimination based on ethnic origin with regard to access to public places and public services. As previously reported, in its collective decisions taken in 2007 and 2011, the AOB determined that there was maladministration on the part of the authorities insofar as the inconsistent and inefficient enforcement of Art. III (1) (3) of the Introductory Act to the Administrative Procedure Acts 1991 could not fulfil Austria's international, 74