Transition refers to the care of young people suffering from chronic and rare diseases who slip out of pediatric care during transition into adulthood and are absorbed into adult care. Health planning, or rather care planning, is carried out in Austria via the Austrian Structural Plan for Health (ÖSG) and the regional structural plans as much quantitatively as qualitatively for the area established within the framework of the employment plans. The term “transition” has still not been included in the current 2012 version of the ÖSG. The current health reform provides the new structuring of the ÖSG under the federal target control agreement, in which the area of rare diseases, in addition to the chapters included so far and those that have been newly revised on the care of children and adolescents, has found its way into the ÖSG. In the course of this work, the possibility of enshrining the theme of transition as a considerable part of the care of chronic diseases of the pediatric and adolescent age into the ÖSG has come about. The Ordinance on Training for Doctors of Medicine constitutes an important basis for care planning. With regard to a smooth transition, the guidelines included on diagnostics and treatment for children and adolescents should be critically scrutinised in an overview of all specialisms and possible treatment needs formulated. With the implementation of a survivorship passport, as the national cancer program for the target group of children and adolescents requires, the life-long care of the chronically sick who have become adults is sustained and the transition optimized in the long term.