The clinical assessment and advisory activities of the medical section of the German Federal Employment Agency currently also involve questions related to the Sozialgesetzbuch II (support of persons seeking work) in about half of all cases. In addition to the familiar aspects of performance after changes in the legal situation, since 2005 unfamiliar questions and new cooperation partners also provide a variety of challenges. Currently, the statutory and political situation is once more subject to changes whose further developments can hardly be predicted. In any case, consistent good cooperation with the clients and within the social medical section is of decisive importance.