This Newsletter covers Federal and State policy and legislative developments in the area of health. Copies of documents referred to can be obtained by clicking on the reference in this Newsletter or through Capital Monitor's collection at www.capitalmonitor.com.au or from the source quoted.
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25 May
PHI 31/21 Second-tier updates
The Department of Health announced hospital and second-tier benefits eligibility. The following private hospitals' names and/or address have been updated to match their state licence:
Name: North Shore Specialist Day Hospital
Previous Address: 176 Pacific Highway, Greenwich NSW 2065
Updated Address: Level 3, 176 Pacific Highway, Greenwich NSW 2065
Provider Number: 0027230H
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PHI 30/21 Private Hospital Declaration
The Department of Health reported notice of new or amended hospital declaration status and/or second-tier default benefit eligibility. The following facilities have been declared a private hospital under Section 121-5 of the Private Health Insurance Act 2007:
- Gregory Hills Renal Care Centre
- B.Braun Morayfield Renal Care Centre
- Hader Clinic Queensland Private
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Research
27 May
Hidden malaria life cycle discovered in the spleen
Ground-breaking studies have found large numbers of malaria parasites hiding in the human spleen where they actively multiply in a previously unrecognised life cycle. Until now, it was thought that once malaria parasites reached the blood stream, they circulated and multiplied only in the blood. New research, led by Dr Steven Kho and Professor Nick Anstey at Australia's Menzies School of Health Research and Professor Pierre Buffet at the University of Paris, with partners in Indonesia, found that in chronic malaria, concentrations of parasites were hundreds to thousands of times higher in the spleen than found in the circulating blood.
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26 May
Majorities of unvaccinated adults in most of 15 countries would get a vaccine if they could
A new Ipsos survey of nearly 10,000 unvaccinated adults in 15 countries conducted in partnership with the World Economic Forum finds that vaccine hesitancy tends to be more prevalent among those with lower incomes or lower levels of education, younger generations and/or females. Majorities in all but two of the countries surveyed intend to get a COVID- 19 vaccine when it will be available to them. However, the study indicates that vaccination intent has been declining since February - not only in the United States and the United Kingdom where about half of all adults have already received at least one dose, but also in countries, where fewer vaccination campaigns have been much slower, such as Australia and South Korea.
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25 May
Cancer Council NSW grants for Garvan researchers
Cancer Council NSW has awarded four project grants to Garvan Institute of Medical Research scientists to embark on innovative research projects in pancreatic cancer, breast cancer and neuroblastoma. The projects build on Garvan's leading cancer discoveries and leverage the Institute's capabilities and expertise in imaging, mathematical modelling and cancer cell biology. Each worth $450,000, the grants were awarded based on scientific merit, as determined by a peer-review process, and also reviewed by a consumer panel.
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24 May
New study finds no link between mobile phone use and salivary gland tumours
A study conducted by the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) and the University of Auckland has found no link between mobile phone use and salivary gland cancers. Published in the scientific journal, Cancer Epidemiology, the study looked at the number of parotid and other salivary gland cancers occurring in Australia from 1982 to 2016, which coincides with the rise of mobile phone use among the general population.
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Rural, Regional and Remote Health
27 May
Promoting cancer screenings to improve early detection rates
The Australian Government is increasing its efforts to promote cancer screenings to support and improve outcomes for all Australians, including $9.7 million for a new National Bowel Cancer Screening Program awareness campaign, said Minister for Health and Aged Care Greg Hunt. The campaign will aim to increase the numbers of Australians taking their free bowel cancer test and will focus on men aged 50 to 59 years, people living in regional and remote Australia, Aboriginal and Torres Strait Islander people and individuals from Culturally and Linguistically Diverse communities.
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25 May
Technology brings better health care to one of the most remote communities in the world
The Australian Digital Health Agency said that: 'In one of the most remote communities in the world, the Aboriginal community of Tjuntjuntjara in Western Australia, telehealth and the use of My Health Record have transformed health care delivery Over the last six months, the Agency has established eight delivery partnerships with Aboriginal and Torres Strait Islander health organisations to support the co-design and uptake of digital health, implemented a cultural competency training program for agency staff, implemented procurement protocols to support local Indigenous businesses, and commenced implementation of a My Health Record and digital health eLearning module with CPD accreditation for Aboriginal Health Practitioners.'
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Women's Health
27 May
Clinical guidelines to improve diagnosis and treatment of endometriosis
The Government commissioned the development of the guidelines in line with the National Action Plan for Endometriosis, launched in 2018. The Action Plan was the first of its kind and aims to improve the lives of women living with this debilitating condition, said Minister for Health and Aged Care Greg Hunt, Federal Member for Forrest Nola Marino and Federal Member for Boothby Nicolle Flint. Endometriosis is an inflammatory condition, which can be devastating for some sufferers but is often undiagnosed, although it affects one in nine women and girls.
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26 May
Time for WA Parliament to end harassment at the doors of abortion clinics
The dignity of people seeking reproductive health care is a step closer to being protected in Western Australia, with the reintroduction of safe access zone laws into the WA Parliament. The proposed laws would create protective areas around abortion services where intimidating and harassing behaviour targeted at patients and staff is prohibited. Western Australia is the only state in Australia without safe access zones. Human Rights Law Centre Associate Legal Director Monique Hurley said: 'This is a significant moment for Western Australia. These laws are an important step towards bringing Western Australia's laws in line with the rest of the country, where safe access zone laws play a critical role in promoting equality and protecting people's right to access healthcare safely.'
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WA: Legislation for safe and private access to abortion services reintroduced to Parliament
The WA Minister for Health Roger Cook said that: 'Government has fulfilled a commitment to reintroduce legislation that will ensure women seeking an abortion can have safe and private access to health services without fear of harassment or intimidation. The reintroduction of the Public Health Amendment (Safe Access Zones) Bill 2021 to Parliament today was required as it was unable to be debated and passed by the Upper House before the March election. The Bill provides for a safe access zone which will include the protected premises and any area within 150 metres of the boundary. The zone will apply 24 hours a day, seven days a week.'
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Transcripts
Minister for Defence Peter Dutton and Deputy Leader of the Opposition Richard Marles
28 MAY: Transcript of Interview with Allison Langdon, Today Show
Subjects: Victorian lockdown, COVID-19, Vaccine rollout, Hotel quarantine, Aged care
Prime Minister Scott Morrison, Minister for Health and Aged Care Greg Hunt and Australian Medical Association (AMA)
27 MAY: Transcript of Press Conference with Dr. Omar Khorshid, President of AMA, Australian Parliament House, Canberra
Subjects: COVID-19 pandemic, Vaccine supply
Minister for Health and Aged Care Greg Hunt
27 MAY: Transcript of Interview with Leigh Sales, ABC 7:30
Subjects: Vaccine rollout, Vaccination rates, Aged care, COVID-19 outbreak in Victoria, Urban & regional quarantine facilities
Minister for Finance Simon Birmingham
27 MAY: Transcript of Interview with Scott Emerson, 4BC Drive
Subjects: COVID-19 pandemic, Vaccine supply, COVID-19 outbreak in Victoria, Vaccine hesitancy, Regional quarantine facility
Minister for Foreign Affairs Marise Payne
27 MAY: Transcript of Interview with Sabra Lane, ABC AM
Subjects: Source of COVID-19 investigation, World Health Organisation, China-Australia relations, Yang Hengjun trial, Legal transparency, Samoan government, Defence submarine capability
Leader of the Australian Labor Party Anthony Albanese
27 MAY: Transcript of Interview with Mike O'Loughlin, Tasmania Talks
Subjects: NSW Upper Hunter by-election, Quarantine, Vaccine rollout, Borders, Tax cuts, Housing, Trade, China, Climate change, National Reconstruction Fund
Leader of the Australian Labor Party Anthony Albanese and Shadow Minister for Health and Ageing Mark Butler
27 MAY: Transcript of Doorstop Interview, Parliament House, Canberra
Subjects: Victorian COVID-19 outbreak, Victorian lockdown, Vaccine rollout, Quarantine facilities, Vaccine eligibility, Contact tracing
Deputy Labor Leader in the Senate Kristina Keneally
27 MAY: Transcript of Interview with Lisa Millar, ABC News Breakfast
Subjects: Hotel quarantine, COVID-19 vaccine rollout, Victoria's COVID-19 outbreak, Tax cuts, Taxation
Deputy Labor Leader in the Senate Kristina Keneally
27 MAY: Transcript of Interview with Liam Bartlett, 6PR Mornings
Subjects: Quarantine facilities, Victorian COVID-19 outbreak & lockdown, Hotel quarantine, Canstruct operations on Nauru, Senate Estimates
Shadow Minister for Health and Ageing Mark Butler
27 MAY: Transcript of Interview with Steve Price, Australia Talks
Subjects: COVID-19 vaccine rollout, Hotel quarantine, Aged care vaccinations, Vaccine ad campaign
Shadow Minister for Health and Ageing Mark Butler
27 MAY: Transcript of Doorstop Interview, Parliament House, Canberra
Subjects: COVID-19 vaccine rollout, Hotel quarantine, Aged care facilities in Victoria yet to receive vaccine dose, Vaccine hesitancy, Vaccine supply
Shadow Minister for Health and Ageing Mark Butler
27 MAY: Transcript of Interview with Kieran Gilbert, Sky News
Subjects: Vaccine rollout, Vaccine hesitancy, Public health information advertising campaigns, Aged care, Quarantine facility
Shadow Minister for Health and Ageing Mark Butler
27 MAY: Transcript of Interview with Fran Kelly, ABC RN Breakfast
Subjects: COVID-19 vaccine rollout, Hotel quarantine, Aged care facilities, Failures in disability rollout, Vaccine supply, Vaccine hesitancy, No Advertising campaign
Shadow Minister for Industrial Relations Tony Burke
27 MAY: Transcript of Interview with Laura Jayes, Sky News
Subjects: Melbourne lockdown, Hotel quarantine, COVID-19 vaccines, Tax cuts, Taxation
Member for Macnamara Josh Burns
27 MAY: Transcript of Interview with Raf Epstein, ABC Radio Melbourne Drive
Subjects: Victorian COVID-19 outbreak & lockdown, Aged care, Vaccination rollout, AstraZeneca supply, Disability care sector, Hotel quarantine facility
Member for Macnamara Josh Burns
27 MAY: Transcript of Interview with Pete Stefanovic, Sky News First Edition
Subjects: Victorian outbreak & possible lockdown, Protection of vulnerable Australians, COVID-19 vaccine rollout, Stage three tax cuts, Taxation
Minister for Industry, Science and Technology Christian Porter
26 MAY: Transcript of Interview with Laura Jayes, Sky News
Subjects: Defamation action, mRNA vaccine production, Vaccine rollout, COVID-19, Medical technology, Australian manufacturers
Royal Commission Into Violence, Abuse, Neglect & Exploitation of People With Disability
26 MAY: Transcript of Proceedings
Subjects:
Public Hearing 13, Day 3
Department of Health
26 MAY: Transcript of Chief Midwifery and Nursing Officer Alison McMillan's Interview with Lisa Millar, ABC News Breakfast
Subjects: COVID-19, Vaccine rollout
Deputy Prime Minister Michael McCormack
25 MAY: Transcript of Interview with David Koch, Sunrise, Channel 7
Subjects: COVID-19, Melbourne cases, Vaccine rollout, State Health Authorities, Contact tracing, Chief Medical Officer, Building Better Regions Fund
Royal Commission into Violence, Abuse, Neglect & Exploitation of People with Disability
25 MAY: Transcript of Chair, Ronald Sackville's Opening Statement to Public Hearing 13
Subjects: NDIS, Hearings, COVID-19, Research, Disabilities
Minister for Health and Aged Care Greg Hunt
24 MAY: Transcript of Interview on Four Corners, ABC
Subjects: COVID-19, Public health, Vaccine rollout, Hotel quarantine, Industry, Europe, International supply chain challenges, AstraZeneca
Member for Higgins Katie Allen and Shadow Assistant Minister for Financial Services Matt Thistlethwaite
24 MAY: Transcript of Interview with Patricia Karvelas, ABC Afternoon Briefing
Subjects: Victoria COVID-19 cases, Vaccine rollout, Vaccine supply, Vaccine hesitancy, Upper Hunter by-election, Coal mining, Employment
Minister for Health and Aged Care Greg Hunt
23 MAY: Transcript of Doorstop Interview, Mount Martha
Subjects: COVID-19 update, Vaccination rollout, Roadmap to reopening international borders, Aged care funding, National Cabinet, ATAGI, COVAX vaccines
Shadow Minister for Senior Australians and Aged Care Services Clare O'Neil
23 MAY: Transcript of Interview with David Speers, ABC Insiders
Subjects: COVID-19 vaccine rollout and quarantine, Aged Care Budget, Income tax, Kurri Kurri gas plant, Climate change
Member for Reid Fiona Martin and Shadow Assistant Minister for the Environment Josh Wilson
22 MAY: Transcript of Interview with Kathryn Robinson, ABC News Weekend Breakfast
Subjects: COVID19 Vaccination rollout, Kurri Kurri gas plant, mRNA, Climate change, Renewables, Solar, Wind
Prime Minister Scott Morrison and Treasurer Josh Frydenberg
21 MAY: Transcript of Remarks & Q&A, Burnie Budget Lunch, Burnie
Subjects: COVID-19, Veterans' affairs, Women's health & economic security, STEM
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Reports
Australian Public Assessment Report for Esketamine hydrochloride - Report
Department of Health, Therapeutic Goods Administration (TGA)
This AusPAR describes the application by Janssen-Cilag Pty Ltd (the sponsor) to register Spravato (esketamine hydrochloride) 28 mg of esketamine per 2 actuations, nasal spray solution for the following proposed indication:
- Spravato is indicated for treatment resistant depression (Major Depressive Disorder in adults who have not responded adequately to at least two different antidepressants of adequate dose and duration to treat the current depressive episode).
Major depressive disorder (MDD) is a common, serious, severely debilitating and recurrent psychiatric disorder. It is the leading cause of disability (years lived with disability) worldwide according to the World Health Organization (WHO).
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Australian Public Assessment Report for Filgotinib maleate - Report
Department of Health, Therapeutic Goods Administration (TGA)
This AusPAR describes the application by Gilead Sciences Pty Ltd (the sponsor) to register Jyseleca (filgotinib maleate) 100 mg and 200 mg, film coated tablet for the following proposed indication:
- Jyseleca is indicated for the treatment of adult patients with moderately to severely active rheumatoid arthritis (RA). It may be used as monotherapy, or in combination with methotrexate (MTX) or other conventional synthetic DMARDs (csDMARDs).
Rheumatoid arthritis (RA) is an autoimmune systemic inflammatory disorder of unknown aetiology that typically presents as a bilateral symmetrical polyarthropathy of the peripheral synovial joints.
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2020 ESAT Review - Mid-Term Review of DES Program
Department of Social Services
The recent Mid-Term Review of the Disability Employment Services program (DES) highlighted the unclear value-for-money currently provided, given the rising caseload and spend but soft growth in employment outcomes. Employment Services Assessments (ESAts) are a critical process step in controlling entry into the Disability Employment Services program (DES), allowing for qualitative assessment of the employment barriers faced by job seekers. Ensuring that ESAts are effective, accurate, and consistent is critical to matching appropriate supports to job seekers, and for the ongoing sustainability of DES.
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Inquiry into the Surgical Implantation of Medical Mesh in South Australia
Social Development Committee
The Inquiry into Issues Related to the Surgical Implantation of Medical Mesh in South Australia (the Inquiry), by the Social Development Committee (the Committee) was championed by mesh injured advocates through Ms Dana Wortley MP, who moved a motion in the House of Assembly in February 2019 for this inquiry to be undertaken. The report of the Committee looks at a number of issues in the evidence, which suggest the physical, material and psychological damage that can be caused by failed mesh devices, is at least as severe as it has been claimed to be by mesh injured people and, is likely to be more widespread than it was thought to be by the health system and medical profession.
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National Safety and Quality Health Service Standards
Australian Commission on Safety and Quality in Health Care
The National Safety and Quality Health Service (NSQHS) Standards were developed by the Australian Commission on Safety and Quality in Health Care (the Commission) in collaboration with the Australian Government, states and territories, the private sector, clinical experts, patients and carers. The primary aims of the NSQHS Standards are to protect the public from harm and to improve the quality of health service provision. They provide a quality assurance mechanism that tests whether relevant systems are in place to ensure that expected standards of safety and quality are met.
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National Partnership on Essential Vaccines: performance report 2019-20
Australian Institute of Health and Welfare (AIHW)
This report assesses the performance of state and territory governments against the benchmarks set out in the National Partnership on Essential Vaccines (NPEV; the Agreement).
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Impacts of COVID-19 on Medicare Benefits Scheme and Pharmaceutical Benefits Scheme: Quarterly Data
Australian Institute of Health and Welfare (AIHW)
The following data visualisation provides an overview of the impact of the COVID-19 pandemic on the Medicare program. Total Medicare claiming can be seen on the Broad Type of Service (BTOS) comparison tab, and the volume of services and benefits paid for items more specific to COVID can be seen on the COVID items and GP attendances tabs. The bulk-billing incentive items detail the impact of both the introduction of bulk-billing incentive items specific to the pandemic response, and the temporary doubling of all Medicare bulk-billing incentive fees which ceased on 1 October 2020.
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Annual Report 2019-2020
Central Highlands Rural Health
The 2019-2020 financial year has been a period of immense change and upheaval, not just for the organisation, but for every member of the community. As devastating bushfires were abating at the beginning of the year, the Coronavirus (COVID-19) pandemic was emerging. This meant that from early February 2020, the focus has been on keeping staff, residents, patients, clients and their loved ones safe and protected as much as possible from the virus.
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Evening is the best time of day to exercise for glycaemic control, study
Australia Catholic University (ACU)
An evening workout trumps morning exercise when it comes to minimising blood sugar spikes in overweight men, a new Australia Catholic University (ACU) study has found. The study, which looked at men who were overweight, inactive, at risk of type 2 diabetes and fed a high-fat diet, found that those who completed later workouts upped their metabolic health more than those who performed the same exercise earlier in the day. The men had better overnight blood sugar control when they exercised in the early evening rather than in the morning.
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Submission to the Select Committee on Mental Health and Suicide Prevention
Mental Health Australia
Mental health is fundamental to wellbeing and social and economic participation. For too long Australia's mental health system has failed to provide adequate services for the Australian community to realise these benefits. There is strong consensus across the mental health and suicide prevention sector about what needs to be done to address the gaps in the current system - as outlined by the nine principles of the sector's Charter for mental health reform (supported by over 110 signatories). The Charter principles are reflected in the findings and recommendations of the Productivity Commission Inquiry into Mental Health Final Report (PC Report), Vision 2030, and the Royal Commission into Victoria's Mental Health System Final Report (Victorian Royal Commission Final Report).
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The Queensland Inpatient Diabetes Survey (QuIDS) 2019 - The bedside audit of practice - Paper
Medical Journal of Australia (MJA)
It is estimated that about 1.2 million Australian adults (6% of the population) have diabetes. During 2016-17, more than 50 000 people were hospitalised with diabetes-related complications, and diabetes was an associated diagnosis for 1.1 million admissions (10% of all hospitalisations). A total of $598 million was spent on hospital admissions directly related to diabetes during 2015-16. Observational studies of hospitalised patients have found that hyperglycaemia is associated with increased mortality and morbidity, and hypoglycaemia with increased mortality and hospital length of stay.
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Transparent triage policies during the COVID-19 pandemic - A critical part of medico-legal risk management for clinicians - Paper
Medical Journal of Australia (MJA)
Clinicians, ethicists and lawyers have long debated the parameters of triage in response to the inevitable disasters that sporadically overwhelm the health care system. Almost universally, they have advocated for open, transparent and consultative triage protocols, guidelines and legislation to combat biases and to support clinicians making unavoidable decisions in the interests of the community as a whole. The coronavirus disease 2019 (COVID-19) pandemic has highlighted the importance of transparent triage.
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Research Insights - Why do Australians buy private hospital insurance - Paper
University of Melbourne, Melbourne Institute
All Australians have access to Medicare that covers free hospital treatment, as well as subsidised medications and other medical treatment. In addition, the Australian government regulates private hospital insurance (PHI) with the aim of attracting private financing of healthcare and reducing the burden on the public hospital system. Since 1997, the government has implemented several policies to encourage people to purchase PHI, including rebates to partially refund premiums.
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Hansards
Federal
27 MAY 2021: REPS HANSARD: Questions Without Notice - COVID-19
27 MAY 2021: REPS HANSARD: Questions Without Notice - COVID 19: Vaccination
27 MAY 2021: REPS HANSARD: Matters of Public Importance - COVID-19
27 MAY 2021: REPS HANSARD: Adjournment - Fairfax Electorate: Aged Care
27 MAY 2021: REPS HANSARD: Bills - Private Health Insurance Amendment (Income Thresholds) Bill 2021 - Second Reading, Debate Adjourned
26 MAY 2021: REPS COMMITTEE HANSARD: Standing Committee on Health, Aged Care and Sport - Approval processes for new drugs and novel medical technologies in Australia - Brisbane - 17 MAY 2021
26 MAY 2021: REPS COMMITTEE HANSARD: Standing Committee on Health, Aged Care and Sport - Approval processes for new drugs and novel medical technologies in Australia - Brisbane - 18 MAY 2021
26 MAY 2021: REPS COMMITTEE HANSARD: Standing Committee on Health, Aged Care and Sport - Approval processes for new drugs and novel medical technologies in Australia - Sydney - 07 MAY 2021
25 MAY 2021: REPS HANSARD: Statements by Members - World Health Assembly
24 MAY 2021: REPS HANSARD: Federation Chamber - Statements By Members - Bowman Electorate: Redland Hospital
24 MAY 2021: REPS HANSARD: Petitions - Mental Health
24 MAY 2021: REPS HANSARD: Petitions - Health Care
24 MAY 2021: REPS HANSARD: Questions Without Notice - Mental Health
24 MAY 2021: REPS HANSARD: Federation Chamber - Statements By Members - Dunkley Electorate: Mental Health
24 MAY 2021: REPS HANSARD: Federation Chamber - Statements By Members - McEwen Electorate: Health Services
24 MAY 2021: REPS HANSARD: Questions Without Notice - COVID 19: Vaccination
24 MAY 2021: REPS HANSARD: Questions Without Notice - COVID-19: Vaccination
24 MAY 2021: REPS HANSARD: Questions Without Notice - COVID-19: Vaccination
24 MAY 2021: REPS HANSARD: Questions Without Notice - COVID 19: Vaccination
24 MAY 2021: REPS HANSARD: Petitions - Aged Care
24 MAY 2021: REPS HANSARD: Petitions - Vaccination
24 MAY 2021: REPS HANSARD: Petitions - Responses - Vaccination
24 MAY 2021: REPS HANSARD: Petitions - Responses - Australian Centre for Disease Control
20 MAY 2021: JOINT COMMITTEE HANSARD: Joint Standing Committee on the National Disability Insurance Scheme - National Disability Insurance Scheme Quality and Safeguards Commission - Canberra
Queensland
27 MAY 2021: QLD ASSEMBLY HANSARD: Questions Without Notice - Manufacturing, Health Technologies
27 MAY 2021: QLD ASSEMBLY HANSARD: Ministerial Statements - Coronavirus, Victoria; Health Infrastructure
27 MAY 2021: QLD ASSEMBLY HANSARD: Ministerial Statements - Coronavirus, Update
27 MAY 2021: QLD ASSEMBLY HANSARD: Ministerial Statements - Coronavirus, Victoria
27 MAY 2021: QLD ASSEMBLY HANSARD: Questions Without Notice - Health System
27 MAY 2021: QLD ASSEMBLY HANSARD: Private Members' Statements - Health System, Budget
27 MAY 2021: QLD ASSEMBLY HANSARD: Questions Without Notice - Health System, Funding
27 MAY 2021: QLD ASSEMBLY HANSARD: Private Members' Statements - Coronavirus, Vaccine Rollout
25 MAY 2021: QLD ASSEMBLY HANSARD: Questions Without Notice - Princess Alexandra Hospital, Elective Surgery
25 MAY 2021: QLD ASSEMBLY HANSARD: Adjournment - Townsville University Hospital, Paediatric Cardiology Service
25 MAY 2021: QLD ASSEMBLY HANSARD: Ministerial Statement - Further Answer to Question, Health System
25 MAY 2021: QLD ASSEMBLY HANSARD: Questions Without Notice - Health System
25 MAY 2021: QLD ASSEMBLY HANSARD: Committees - Health and Environment Committee - Report
South Australia
25 MAY 2021: SA COUNCIL HANSARD: Question Time - Central Adelaide Local Health Network
25 MAY 2021: SA ASSEMBLY HANSARD: Question Time - Mental Health Beds
25 MAY 2021: QLD ASSEMBLY HANSARD: Matters of Public Interest - Torres Strait Islands, Health Infrastructure
Western Australia
27 MAY 2021: WA COUNCIL HANSARD: Question Without Notice 156 - Supplementary Information - Coronavirus - Hotel Quarantine
27 MAY 2021: WA COUNCIL HANSARD: Motion - Palliative Care
27 MAY 2021: WA COUNCIL HANSARD: Statement - Coronavirus - Vaccination
27 MAY 2021: WA COUNCIL HANSARD: Bills - COVID-19 Response Legislation Amendment (Extension of Expiring Provisions) Bill 2021 - Committee, Report, Third Reading
27 MAY 2021: WA COUNCIL HANSARD: Question Without Notice 154 - Supplementary Information - Coronavirus - Vaccination Rate
27 MAY 2021: WA COUNCIL HANSARD: Questions Without Notice - Child and Adolescent Health Service - Aishwarya Aswath
27 MAY 2021: WA COUNCIL HANSARD: Questions Without Notice - Police - Mental Health Co-Response Program
27 MAY 2021: WA ASSEMBLY HANSARD: Questions Without Notice - Hospitals - Bed Capacity
27 MAY 2021: WA ASSEMBLY HANSARD: Questions Without Notice - Quarantine Advisory Panel
27 MAY 2021: WA ASSEMBLY HANSARD: Grievance - Perth Children's Hospital - Eating Disorders Program
25 MAY 2021: WA COUNCIL HANSARD: Questions Without Notice - Health - Specialised Medical Equipment
25 MAY 2021: WA COUNCIL HANSARD: Questions Without Notice - St John of God Midland Public Hospital - Budget
25 MAY 2021: WA ASSEMBLY HANSARD: Questions Without Notice - Minister for Health, Health Sector
25 MAY 2021: WA ASSEMBLY HANSARD: Questions Without Notice - Minister for Health, Performance
25 MAY 2021: WA ASSEMBLY HANSARD: Questions Without Notice - Health, Care System, Fatalities
Victoria
25 MAY 2021: VIC COUNCIL HANSARD: Adjournment - Mental Health Support
25 MAY 2021: VIC ASSEMBLY HANSARD: Questions Without Notice & Ministers Statements - Hospital Funding
25 MAY 2021: VIC COUNCIL HANSARD: Papers - Department of Health
25 MAY 2021: VIC ASSEMBLY HANSARD: Adjournment - Nepean Electorate Youth Mental Health
25 MAY 2021: VIC ASSEMBLY HANSARD: Adjournment - Ballarat Mental Health Funding
25 MAY 2021: VIC ASSEMBLY HANSARD: Bills - State Taxation and Mental Health Acts Amendment Bill 2021 - Appropriation
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Court Cases
None this edition.
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New Regulations
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2021 (No. 5)
Legislative instrument - F2021L00654
The purpose of this legislative instrument is to amend the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012) to make changes to the pharmaceutical benefits listed on the Pharmaceutical Benefits Scheme (PBS) and related matters. PB 71 of 2012 determines the pharmaceutical benefits that are on the PBS through declarations of drugs and medicinal preparations, and determinations of forms, manners of administration and brands. It also provides for related matters (equivalent brands, responsible persons, prescribing circumstances, maximum quantities, number of repeats, determined quantity and pack quantity, section 100 only status and prescriber bag only status).
Explanatory Statement | Supporting Material
Health Insurance (Section 3C General Medical Services - Heart Health Assessment No.2) Amendment Determination 2021
Legislative Instrument - F2021L00623
The purpose of the Health Insurance (Section 3C General Medical Services - Heart Health Assessment No.2) Amendment Determination 2021 (the Amendment Determination) is to amend the two heart health assessment items (699 and 177) to provide that these services can only be performed on a patient who is 30 years of age or over. This will align the items with the current evidence-based age cohorts for the Australian Absolute Cardiovascular Disease Risk calculator, which is the basis for the assessment requirements for the heart health assessment items.
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Medicare Guarantee (2020-21 Credits to the Special Account No. 2) Determination 2021
Notifiable Instrument - F2021N00101
This instrument is the Medicare Guarantee (2020-21 Credits to the Special Account No. 2) Determination 2021.
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Medicare Guarantee (2021-22 Credits to the Special Account No. 1) Determination 2021
Notifiable Instrument - F2021N00102
This instrument is made under the Medicare Guarantee Act 2017.
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Proclamations
None this edition.
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Gazette Notices
None this edition.
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Consolidated Legislation
None this edition.
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New Bills
Federal
A Bill for an Act to amend the law relating to aged care, and for related purposes
The purpose of the Bill is to provide urgent amendments to the Aged Care Act 1997 (Aged Care Act) and the Aged Care Quality and Safety Commission Act 2018 (Quality and Safety Commission Act) in response to the Royal Commission into Aged Care Quality and Safety (Royal Commission).
The Bill provides the first stage of aged care reform in response to the Royal Commission's final report, strengthens the Australian Government's ongoing commitment to ensuring senior Australians get the high quality and safe aged care services they deserve.
The amendments introduced by Schedule 1 of the Bill will strengthen the responsibilities under the Aged Care Act on approved providers of aged care of a type specified in the Quality of Care Principles 2014 (Quality of Care Principles) by including enhanced safeguards and conditions on the use of restrictive practices. The Bill undertakes to emphasise person-centred care in relation to the use of restrictive practices through inserting a new definition of 'restrictive practice' and requiring the Quality of Care Principles to provide legislative detail on the requirements approved providers are to comply with prior to, during, and after the use of restrictive practices.
The Bill will also enhance compliance of approved providers by including civil penalties for those providers who fail to comply with compliance notices produced by the Aged Care Quality and Safety Commissioner (Commissioner) in relation to a breach of restrictive practice responsibilities under the Aged Care Act.
Schedule 2 of the Bill amends the Aged Care Act to empower the Secretary to conduct reviews (assurance reviews) to assure the arrangements for the delivery and administration of home care are effective and efficient. Assurance reviews will inform the continuous improvement of home care policy and the education of approved providers in relation to home care and home care services.
The Secretary, or appropriate delegate, will be able to issue 'notices to give' and 'notices to attend' to approved providers that are corporations to collect information in relation to an assurance review. Approved providers that are corporations will be required to provide all reasonable facilities and assistance to the Secretary, and persons assisting the Secretary, in their performance of the reviews. Failure to comply with these notices or provide reasonable assistance will incur civil penalties. The Secretary will also be able to request that a person (or approved provider that is not a corporation) to provide any information or documents that are relevant to an assurance review. The person is not required to comply with the request.
The Secretary or persons assisting the Secretary may prepare and publish reports on assurance reviews, dealing with findings, conclusions or recommendations made as a result of the reviews. The report may be published where no identifying personal information is included. The Secretary may publish information on providers who do not comply with notices to produce information or provide reasonable assistance. The assurance reviews will provide transparency for consumers and increased program oversight for the Government.
Reps: Intro 27/05/21, 2R 27/05/21, Passed TBA
Senate: Intro TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
Sections 1 to 3 and anything in this Act not elsewhere covered by this table - The day this Act receives the Royal Assent.
Schedule 1 - 1 July 2021.
Schedule 2 - The day after this Act receives the Royal Assent.
Schedule 3 - 1 July 2021.
A Bill for an Act to amend the law relating to medical and midwife indemnity, and for related purposes
The purpose of the Bill is to ensure that claims made against all privately practising midwives are eligible under the Commonwealth's medical and midwife indemnity schemes.
The Bill amends the Medical Indemnity Act 2002 to ensure that claims against all midwives in private practice whose registration is not endorsed by the Nursing and Midwifery Board of Australia to prescribe scheduled medicines (registered only midwives) are eligible under the Allied Health High Cost Claims Scheme and the Allied Health Exceptional Claims Scheme (Allied Health Schemes) where the claim relates to incidents that occurred on or from 1 July 2020. Previously, claims against some registered only midwives were not eligible for the Allied Health Schemes based on whether the midwife could be expected to be covered by an employer's indemnity arrangements.
These amendments ensure that the medical indemnity legislation reflects the Commonwealth's policy that claims against all registered only midwives have coverage under the Allied Health Schemes for claims made after the commencement of those Schemes on 1 July 2020, creating parity of arrangements with all other registered allied health professionals eligible under the Allied Health Schemes.
The Bill also amends the Midwife Professional Indemnity (Commonwealth Contribution) Scheme Act 2010 to expand eligibility of the Midwife Professional Indemnity Scheme and the Midwife Professional Indemnity Run-off Cover Scheme (Midwife Schemes) to cover claims made against midwives in private practice whose registration has been endorsed by the Nursing and Midwifery Board of Australia to prescribe scheduled medicines (eligible midwives), irrespective of whether the midwife is covered under a professional indemnity insurance policy as an employee or in an independent capacity.
The Aboriginal Community Controlled Health Services have requested Government support for access to an insurance product for their employed midwives. This cohort of midwives are unable to obtain indemnity insurance to extend their services to intrapartum care under an indemnity insurer. The Department has worked closely with a number of the Aboriginal Community Controlled Health Services and the provider currently administering the Midwife Schemes, Medical Insurance Group Australia Pty Ltd, to support the development of an appropriate insurance product to cover these health services and their midwifery services. This measure will open-up the Midwife Professionals Indemnity Scheme to all endorsed midwives irrespective of their employment status, and provide access to an insurance policy for this class of midwives that includes intrapartum care (with the exception of home births).
The Department also provided advice to key stakeholders to outline the changes to be made in the medical and midwife indemnity legislation and invited these stakeholders to provide written feedback. The stakeholders contacted during this process included the Australian College of Midwives and medical indemnity insurers including, Avant, Berkshire Hathaway, Guild Insurance, Medical Indemnity Protection Society, MDA National and Medical Insurance Group Australia Pty Ltd.
As a result of these amendments, the eligible insurer under the Midwife Professional Indemnity (Commonwealth Contribution) Scheme Act 2010, currently Medical Insurance Group Australia Pty Ltd, will be able to indemnify employed endorsed midwives under the Midwife Schemes. This ensures that these midwives are covered by an insurance policy that has capped premiums and eligibility to the Midwife Professional Indemnity Run-off Cover Scheme.
Employed eligible midwives currently not participating in the Midwife Schemes will have the choice to stay under their current arrangements, and if an eligible claim was made in these circumstances the Allied Health Schemes would respond. This flexibility in arrangements supports midwives to work in a variety of different arrangements, without their indemnity insurance being a barrier.
Amendments made by this Bill will mean that claims against all privately practising midwives will be eligible under the Commonwealth's medical and midwife indemnity schemes if an eligible medical indemnity claim is made.
Reps: Intro 27/05/21, 2R 27/05/21, Passed TBA
Senate: Intro TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
Sections 1 to 3 and anything in this Act not elsewhere covered by this table - The day this Act receives the Royal Assent.
Schedule 1 - 1 July 2020.
Schedule 2 - 1 July 2021.
A Bill for an Act to amend the Private Health Insurance Act 2007, and for related purposes
The Bill continues the pause of the annual indexation of private health insurance (PHI) income thresholds for another two years, and adjusts the formula for recommencement of indexation at the current income thresholds following the end of the pause.
The Private Health Insurance Act 2007 (the Act) is the main law that sets out the requirements for PHI and health insurers. The Act allows for the setting and annual indexing of income thresholds. The income thresholds determine rebate amounts that may apply for consumers with eligible PHI cover (the PHI rebate), and the Medicare Levy Surcharge (MLS) income thresholds and rates.
Indexation of income thresholds
Annual indexation of income thresholds is provided for under Subdivision 22Æ'{B (the Subdivision) of the Act. The thresholds for annual indexation of Singles and Family thresholds and the details of indexation are specified under Subsection 22Æ'{35, 22Æ'{40, and 22Æ'{45 provisions respectively.
The Bill continues the pause of the annual indexation of income thresholds for another two years, and adjusts the formula for recommencement of indexation. The Government has announced that the continuation of the pause will provide an opportunity to undertake a detailed study of settings of the PHI rebate and the MLS.
With the pause, rebate income thresholds remain at $90,000 for the base single policy and at $180,000 for the base family policy. Base income threshold (under which a taxpayer is not liable to pay the MLS) remains at $90,000 for singles and at $180,000 for families.
Specifically the Bill seeks to amend the Act to:
- pause indexation for a further two financial years
- recommence annual indexation thereafter
- recommence indexation using current income thresholds
- repeal consequential redundant Subdivision 22Æ'{B provisions.
Reps: Intro 12/05/21, 2R 27/05/21, Passed TBA
Senate: Intro TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement: The whole of this Act - 1 July 2021.
A Bill for an Act to amend the law relating to taxation, social security, veterans' entitlements and the National Housing Finance and Investment Corporation, and for related purposes.
Schedule 1 of the Bill amends the Medicare Levy Act 1986 and the A New Tax System (Medicare Levy Surcharge - Fringe Benefits) Act 1999 to:
- increase the Medicare levy low-income thresholds for individuals and families (along with the dependent child-student component of the family threshold) in line with movements in the CPI;
- increase the Medicare levy low-income thresholds for individuals and families eligible for the SAPTO (along with the dependent child-student component of the family threshold), in line with movements in the CPI; and
- increase the Medicare levy surcharge low-income threshold in line with movements in the CPI.
This will ensure that low-income individuals, families, seniors and pensioners who were exempt from the Medicare levy in the 2019-20 income year continue to be exempt in the 2020-21 income year if their income has increased in line with, or less than, movements in the CPI.
Schedule 2 of the Bill amends the NHFIC Act to expand the objects of the Act to include NHFIC improving housing outcomes for Australians by assisting earlier access to the housing market by eligible single parents with dependants. The amendments to the objects will enable the Minister to issue directions to NHFIC through its Investment Mandate.
Schedule 3 of the Bill amends the ITAA 1997, the SS Act and the Veteran's Entitlements Act 1986 to provide that annual and lump sum payments made by the Commonwealth to Thalidomide survivors are exempt from income tax and do not count as income for the purposes of any income support payments.
Reps: Intro 13/05/21, 2R 13/05/21, 26/05/21, 27/05/21, Passed 27/05/21
Senate: Intro TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
Sections 1 to 3 and anything in this Act not elsewhere covered by this table - The day this Act receives the Royal Assent.
Schedule 1 - The day after this Act receives the Royal Assent.
Schedule 2 - The later of:
(a) 1 July 2021; and
(b) the day after this Act receives the Royal Assent.
Schedule 3, Part 1 - The first 1 January, 1 April, 1 July or 1 October to occur after the day this Act receives the Royal Assent.
Schedule 3, Part 2 - The day after this Act receives the Royal Assent.
Schedules 4 and 5 - The first 1 January, 1 April, 1 July or 1 October to occur after the day this Act receives the Royal Assent.
Queensland
A Bill for An Act about access to voluntary assisted dying and related matters, and to amend this Act, the Coroners Act 2003, the Guardianship and Administration Act 2000, the Medicines and Poisons Act 2019 and the Powers of Attorney Act 1998 for particular purposes.
The objective of the Bill is to establish a legal framework for voluntary assisted dying in Queensland, allowing eligible people who are suffering and dying to choose the timing and circumstances of their death. The Bill establishes a voluntary assisted dying scheme in Queensland based on the recommendations of the Queensland Law Reform Commission's (QLRC's) report: A legal framework for voluntary assisted dying (Report No. 79) and draft QLRC legislation. The QLRC aimed to develop a draft law for Queensland that is compassionate, safe and practical.
Legalising voluntary assisted dying in Queensland will introduce significant changes to the current law in defined circumstances, providing people, in certain circumstances, with access to more options at the end of life and affording them dignity by empowering them to exercise greater choice in the timing and manner of their death. Criminal Code offences relating to homicide and other laws will continue to apply to conduct falling outside the scheme in addition to the creation of specific offences under the voluntary assisted dying legislative scheme.
Intro 25/05/21, Referred to the Health and Environment Committee 25/05/21, Report due TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
(1) Part 8 and section 153 commence 6 months after the date of assent.
(2) The remaining provisions of this Act commence on 1 January 2023.
South Australia
A Private Member's Bill (Maher) for An Act to provide for and regulate access to voluntary assisted dying, to establish the Voluntary Assisted Dying Review Board, to make related amendments to other Acts, and for other purposes.
The main purpose of this Bill is to introduce a voluntary assisted dying scheme, modelled on that implemented in Victoria. The essential elements, as described by the Victorian health department, for someone seeking access to the Victorian scheme include:
- they must have an advanced disease that will cause their death, and is likely to cause that within six months, or 12 months if a neurodegenerative disease, that is causing that person suffering that is unacceptable to them;
- they must have the ability to make and communicate a decision about voluntary assisted dying through the formal request process; and
- they must be an adult over 18 years, have been living in the state for at least 12 months, and be an Australian citizen or permanent resident.
LC: 1R 02/12/20, 2R 02/12/20, 17/03/21, 31/03/21, 05/05/21, Passed (with amendments) 05/05/21
LA: 1R 06/05/21, 2R 12/05/21, 26/05/21, Passed TBA
LC: Final Stages TBA
Assent TBA, Act No. TBA
Commencement: This Act comes into operation on a day to be fixed by proclamation.
Victoria
and related Bills:
Appropriation (2021-2022) Bill 2021
Appropriation (Parliament 2021-2022) Bill 2021
A Bill for an Act to amend the Duties Act 2000, the First Home Owner Grant Act 2000, the Land Tax Act 2005, the Mental Health Act 2014 and the Payroll Tax Act 2007 and to make consequential amendments to other Acts and for other purposes.
This Bill amends the Duties Act 2000 to -
- provide for land transfer duty not to apply in particular circumstances involving a shared equity arrangement between a person and the State; and
- temporarily increase the threshold for the off-the-plan concession to $1 000 000, for all home buyers, for contracts entered into from 1 July 2021 to 30 June 2023; and
- introduce a premium land transfer duty rate of 6.5% on dutiable transactions with a dutiable value above $2 000 000 from 1 July 2021; and
- provide a temporary land transfer duty exemption and concession for the transfer of new homes in the City of Melbourne.
This Bill amends the First Home Owner Grant Act 2000 to -
- change the title of that Act to the First Home Owner Grant and Home Buyer Schemes Act 2000; and
- empower the Commissioner of State Revenue to administer home buyer schemes between the State and home buyers.
This Bill amends the Land Tax Act 2005 to -
- exclude unit trust schemes from the definition of discretionary trust; and
- provide that a partner in a partnership is taken to have a beneficial interest in partnership property; and
- provide for land tax not to apply in certain circumstances involving a shared equity arrangement between the owner and the State; and
- increase the land tax threshold from $250 000 to $300 000 for owners and absentee owners; and
- ensure that land tax is correctly calculated in the case of pre-2006 land owned by the trustee of a discretionary trust that is used and occupied by a nominated beneficiary as a principal place of residence; and
- extend the exemption for vacant residential land tax for new developments to apply for up to 2 land tax years; and
- increase land tax rates for taxpayers with larger property holdings of $1 800 000 or more.
This Bill amends the Mental Health Act 2014 to provide for the proceeds of the mental health and wellbeing surcharge to be used for the provision of mental health outputs.
This Bill amends the Payroll Tax Act 2007 to -
- ensure the correct calculation of payroll tax for a group that has been given approval to lodge a joint return covering the nominated members of the group where one or more (but not all) group members are bushfire relief regional employers; and
- raise the payroll tax annual threshold amount from $650 000 to $700 000 from 1 July 2021; and
- reduce the payroll tax rate for regional employers to 1.2125% from 1 July 2021; and
- introduce a mental health and wellbeing surcharge on payroll tax.
LA: 1R 20/05/21, 2R 20/05/21, 26/05/21, Passed 26/05/21
LC: 1R 26/05/21, 2R 26/05/21, Passed TBA
Assent TBA, Act No. TBA
Commencement:
(1) This Act (other than Part 5 and Divisions 1 and 4 of Part 6) comes into operation on 1 July 2021.
(2) Division 1 of Part 6 is taken to have come into operation on 1 July 2019.
(3) Part 5 and Division 4 of Part 6 come into operation on 1 January 2022.
Western Australia
A Bill for An Act to amend the following to extend the operation of provisions relating to the COVID-19 pandemic: The Criminal Code; the Criminal Code Amendment (COVID-19 Response) Act 2020; the Emergency Management Amendment (COVID-19 Response) Act 2020.
The Bill:
- amends the Emergency Management Amendment (COVID-19 Response) Act 2020 to extend the sunset date that applies to section 72A of the Emergency Management Act 2005 (EMA) so the powers under that provision are available for a further 6 months beyond the current sunset date of 4 July 2021; and
- amends the Criminal Code Amendment (COVID-19 Response) Act 2020 to ensure that higher penalties continue to apply to serious assaults and threats against public officers committed in the context of COVID-19 for a further 6 months beyond the current sunset date of 4 July 2021.
LA: Notice of Motion 04/05/21
LA: 1R 05/05/21, 2R 05/05/21, 11/05/21, Passed 11/05/21
LC: 1R 11/05/21, 2R 11/05/21, 26/05/21, 27/05/21, Passed 27/05/21
Assent TBA, Act No. TBA
Commencement: This Act comes into operation as follows -
(a) Part 1 - on the day on which this Act receives the Royal Assent;
(b) the rest of the Act - on the day after that day.
A Bill for An Act to amend the Public Health Act 2016.
The Bill amends the Public Health Act 2016 (the PHA) to create safe access zones around premises at which abortions are provided. These zones will ensure that those who want to access abortion services can do so in a safe and private manner. The Bill also prohibits publication and distribution of certain recordings to protect the privacy and dignity of those who access abortion services.
LA: Notice of Motion 25/05/21
LA: 1R 26/05/21, 2R 26/05/21, Passed TBA
LC: 1R TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement: This Act comes into operation as follows -
(a) sections 1 and 2 - on the day on which this Act receives the Royal Assent;
(b) the rest of the Act - on the day after that day.
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New Acts
Federal
Health Insurance Amendment (Prescribed Fees) Act 2021
An Act to amend the Health Insurance Act 1973, and for related purposes
This Act simplifies administrative processes for recognition of specialists and consultant physicians for Medicare purposes under the Health Insurance Act 1973 (the Act) by removing the requirement to pay a $30.00 prescribed fee to gain recognition by Medicare.
The current Commonwealth legislative framework to recognise specialists and consultant physicians for Medicare purposes is implemented in legislation that includes the following:
- the Act, and
- Health Insurance Regulations 2018 (Regulations).
The Act provides a pathway for recognising specialists and consultant physicians for Medicare purposes.
Reps: Intro 17/02/21, 2R 17/02/21, 12/05/21, Passed 12/05/21
Senate: Intro 12/05/21, 2R 12/05/21, Passed 13/05/21
Assent 27/05/21, Act No. 40 of 2021
Commencement: The whole of this Act - 1 July 2021. 1 July 2021
Northern Territory
An Act to amend the National Disability Insurance Scheme (Worker Clearance) Act 2020.
This Act amends the National Disability Insurance Scheme (Worker Clearance) Act 2020 to rectify minor drafting errors identified in the Act, that were not previously foreseen when the Act commenced.
The Act is amended from the day after the Administrator's assent to ensure that the Minister for Disabilities can declare Northern Territory Police, Fire and Emergency Services a Screening Agency to conduct nationally consistent National Disability Insurance Scheme Worker Screening checks in the Northern Territory.
Notice of Motion 24/03/21
Intro 25/03/21, 2R 25/03/21, 12/05/21, Passed 12/05/21
Assent 25/05/21, Act No. 16 of 2021
Commencement: This Act commences on the day after the day on which the Administrator's assent to this Act is declared.
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Editorial
Victorian Budget promises $3.8 billion for mental health through new big business levy
by James Dawson, Supervisory Editor
Mental health was at the forefront of last Thursday's Victorian state Budget. Acting Premier James Merlino announced a $3.8 billion investment in the sector - 65 per cent more than the Federal Government's $2.3 billion package for the whole country, announced just a week before. The new funding is a response to the recommendations of Victoria's Royal Commission on mental health. Revenue for the new package will be drawn from a new payroll tax on large businesses.
The Budget promises to build the state's mental health system from the ground up, starting with schools. Mr Merlino holds the portfolios of both Education and Mental Health, which will no doubt have informed the creation of this policy. "Whenever I visit a school, families and teachers tell me mental health and wellbeing is the single biggest issue affecting our kids," said Mr Merlino. "This is our opportunity to fundamentally transform the way we support our young people. That means putting schools at the heart of our response - giving them the funding, the staff, the tools and whatever else they might need to be there for our kids." The Budget invests $277 million in new mental health support for schools, part of the Government's promise to fund a mental health practitioner in every Government secondary and specialist secondary school by the end of 2021. The centrepiece of this package is a new $200 million School Mental Health Fund, which can be accessed for programs, staff and support services specific to the school community's needs. Funding will also expand the Mental Health in Primary Schools pilot program to cover 100 schools.
Chronic understaffing in the mental health sector will be targeted with a $206 million investment to boost the mental health workforce with around 3000 new mental health nurses, doctors, allied health professionals and support staff. The package includes $120 million in new training and study support, covering 120 graduate placements for nurses, 140 postgraduate mental health scholarships, and extra graduate placements for allied health professionals and additional psychiatry rotations for junior doctors. Funding will also continue the Government's Free TAFE course program, which has enrolled almost 1900 students in certificates in mental health and mental health peer work since 2019. Many workers in the sector have lived experience of mental health issues. The Budget follows the recommendations of the Royal Commission, allocating a further $40.7 million to expand and support the lived experience workforce.
People experiencing mental health crises are to be given more options than hospital emergency rooms. The Budget provides $1.96 billion in acute and emergency mental health programs. This will provide 104 new acute mental health beds across the state, including 35 beds specifically for women. "An emergency department shouldn't be the only place Victorians in crisis can go. These investments will mean more people can get the care they need, when they need it most," said Mr Merlino. "If a Victorian needs help, we need to catch them with both hands. That means more staff, more beds, and more dedicated support to help make sure they recover." There is also $36 million in funding for 24 new 'Mental Health Hospital in the Home' beds, providing comprehensive care while allowing people to remain in the comfort of their homes and communities. The Government will also establish four new HOPE (Hospital Outreach Post-suicidal Engagement) sites, specifically targeted at young people. These are designed to build on the success of the nine existing adult HOPE sites throughout the state, which will also receive ongoing funding in the Budget.
Regional communities will also receive dedicated mental health funding. This is designed to address shortfalls in services in rural and regional Victoria, where people are often forced to travel long distances away from families, friends and support networks to access mental health services. "When you're sick or scared, the last thing you should have to do is leave home and the people you love. And yet, that's the experience of too many regional Victorians," said Minister for Regional Development Mary-Anne Thomas "Making sure care is available in local communities will make all the difference when it comes to people's recovery." The Budget promises $700 million in new and regional mental health support services, including the first 20 of up to 60 local 'front door' services that will act as a first point of contact for mental health services in local communities. These services will operate 24/7, providing crisis outreach teams and emergency services response for people with complex mental health issues, without requiring them to travel to city centres. The Budget also invests $141 million for five new Youth Prevention and Recovery Care Units (YPARCs), including locations in the Barwon South-West, Gippsland and Grampians regions, specifically designed for young people aged 16 to 25 years. This will deliver 50 beds across the state, offering a 'step up' from community care or 'step down' from hospital, with 24-hour support delivered in a home-style setting.
Revenue for the new mental health spending is to be drawn from a mental health and wellbeing levy, based on one of the recommendations of the Royal Commission into Victoria's Mental Health System. The final report of the Royal Commission said the levy and dedicated mental health funding would be "critical to ensuring sustainable and enduring reform". The Commission warned that, should the implementation of the levy and dedicated capital investment fund be delayed, the Victorian Government should "demonstrate its commitment by allocating investment from general revenue as part of the annual budget process, to pave the way for major, sustained investment in good mental health and wellbeing."
The legislation to implement the new tax is schedule to commence on 1 January 2022, and is estimated to raise $387 million in 2021-22, increasing to $882 million by the end of the forward estimates. The levy will be implemented as a payroll tax surcharge on wages paid in Victoria by businesses with national payrolls over $10 million a year. A rate of 0.5 per cent will apply for businesses with national payrolls above $10 million, and businesses with national payrolls above $100 million will pay an additional 0.5 per cent. The Budget eases the pain for smaller businesses, immediately increasing the payroll tax-free threshold to $700,000 from 1 July 2021, providing approximately $28 million in relief. Regional employers will also benefit, with their payroll tax rate cut to 1.2125 per cent from1 July 2021. It is estimated this measure will save around 4,000 regional businesses approximately $30 million in payroll tax in 2021-22, in addition to the savings from the increase to the tax-free threshold.
Big business peak bodies have, unsurprisingly, expressed opposition to the new tax. Business Council of Australia chief executive Jennifer Westacott said the levy "sets a very dangerous precedent of fiscal repair which ultimately harms growth". "While we welcome mental health reform which is much needed to deal with systemic issues and the devastating impact of a long and disproportionate lockdown, an approach that pits some Victorians against others by taxing jobs makes everyone a loser," said Ms Westacott. "It doesn't make sense to target employers with a payroll tax hike which will hamstring their ability to create jobs and drive the recovery."
On Thursday, the Victorian Head of the Australian Industry Group, Tim Piper, initially welcomed the new investment in mental health, while warning that the new levy could be a brake on economic growth. "The leading place given to mental health in today's Budget is commendable. Improving our approach to mental health can have both social and economic benefits for Victorians. Businesses are increasingly dealing with mental health issues in workplaces and the greater focus on mental health in this Budget should include measures to improve the ability of employers and managers to play a constructive role in this area," Mr Piper said. "The payroll tax levy related to mental health funding, while directly impacting only a small proportion of businesses, will dampen jobs growth and add another cost to doing business in the State." A day later, Mr Piper had hardened his position on the new levy, condemning it as a "cash grab". "Business is shocked at the approach taken by Government to the employees and customers of the largest businesses in the State. The extra levy will impact most directly on them. Its indirect impacts extend to the level of private sector investment and employment in the State and because of that will harm the broader Victorian economy," Mr Piper said.
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