Aged Care Amendment (Transition Care and Assets Testing) Act 2005

Administered by Department of Health, Disability and Ageing

Legislation au C2005A00022 In force Act

Legislation content

 

 

 

 

 

 

Aged Care Amendment (Transition Care and Assets Testing) Act 2005

 

No. 22, 2005

 

 

 

 

 

An Act to amend the Aged Care Act 1997, and for related purposes

 

 

Contents

1 Short title

2 Commencement

3 Schedule(s)

Schedule 1—Leave from residential care for flexible care

Aged Care Act 1997

Schedule 2—Assets testing

Aged Care Act 1997

 

 

 

Aged Care Amendment (Transition Care and Assets Testing) Act 2005

No. 22, 2005

 

 

 

An Act to amend the Aged Care Act 1997, and for related purposes

[Assented to 21 March 2005]

The Parliament of Australia enacts:

1  Short title

  This Act may be cited as the Aged Care Amendment (Transition Care and Assets Testing) Act 2005.

2  Commencement

 (1) Each provision of this Act specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provision(s)

Commencement

Date/Details

1.  Sections 1 to 3 and anything in this Act not elsewhere covered by this table

The day on which this Act receives the Royal Assent.

21 March 2005

2.  Schedule 1

The day on which this Act receives the Royal Assent.

21 March 2005

3.  Schedule 2

The later of:

(a) the day on which this Act receives the Royal Assent; and

(b) 1 July 2005.

1 July 2005

(paragraph (b) applies)

Note: This table relates only to the provisions of this Act as originally passed by the Parliament and assented to. It will not be expanded to deal with provisions inserted in this Act after assent.

 (2) Column 3 of the table contains additional information that is not part of this Act. Information in this column may be added to or edited in any published version of this Act.

3  Schedule(s)

  Each Act that is specified in a Schedule to this Act is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Act has effect according to its terms.


Schedule 1—Leave from residential care for flexible care

 

Aged Care Act 1997

1  After subsection 422(3)

Insert:

 (3A) A care recipient is on *leave under this section from a residential care service on a day if:

 (a) *flexible care subsidy is payable in respect of the care recipient and the day; and

 (b) the requirements specified in the Residential Care Subsidy Principles for the purposes of this paragraph are met.

Note: A lower classification level for working out the amount of the residential care subsidy may apply to the care recipient if he or she is on leave for at least 30 days continuously under subsections (2) and (3A). See section 444.

2  Subsection 422(4)

Omit “and (3)”, substitute “, (3) and (3A)”.

3  Paragraph 444(1)(a)

Repeal the paragraph, substitute:

 (a) the care recipient either:

 (i) is on *extended hospital leave; or

 (ii) is on *leave from a residential care service under subsection 422(3A) and has been on leave continuously for at least 30 days (including that day) first under subsection 422(2) and later under subsection 422(3A); and

4  Application

Subparagraph 444(1)(a)(ii) of the Aged Care Act 1997 applies whether the period described in the subparagraph started before, on or after the commencement of the subparagraph.

5  At the end of subsection 444(1)

Add:

Note: Subsection 422(3A) is about leave from a residential care service for flexible care. Subsection 422(2) is about leave from such a service for attending a hospital for hospital treatment.

6  Subsection 446(3)

After “hospital”, insert “or in hospital and *flexible care”.


Schedule 2—Assets testing

 

Aged Care Act 1997

1  Subsection 447(1)

Omit “and, at the applicable time under subsection (2)”, substitute “, the applicable time under subsection (2) is before 1 July 2005 and, at the applicable time”.

Note: The following heading to subsection 447(1) is inserted “If the applicable time is before 1 July 2005”.

2  After subsection 447(1)

Insert:

If the applicable time is on or after 1 July 2005

 (1A) A person is also a concessional resident if the person is being provided with residential care (other than *respite care) through a residential care service, the applicable time under subsection (2) is on or after 1 July 2005 and there is in force a determination covered by subsection (1B) or (1C).

 (1B) This subsection covers a determination, made under section 448AA before the person *entered the residential care service, that the conditions in paragraphs (1)(a), (b) and (c) would have been met for the person at the time specified in the determination if the references in subparagraphs (1)(b)(ii) and (iii) to the entry time had been references to the time specified in the determination.

 (1C) This subsection covers a determination, made under section 448AA when or after the person *entered the residential care service, that the conditions in paragraphs (1)(a), (b) and (c) were met at the applicable time under subsection (2).

3  Subsection 447(2)

Omit “for the purposes of subsection (1)”.

Note 1: The following heading to subsection 447(2) is inserted “What is the applicable time?”.

Note 2: The following heading to subsection 447(3) is inserted “If there is financial hardship (whatever the applicable time)”.

4  Subsection 448(1)

Omit “and, at the applicable time under subsection (2)”, substitute “, the applicable time under subsection (2) is before 1 July 2005 and, at the applicable time”.

Note: The following heading to subsection 448(1) is inserted “If the applicable time is before 1 July 2005”.

5  After subsection 448(1)

Insert:

If the applicable time is on or after 1 July 2005

 (1A) A person is also an assisted resident if the person is being provided with residential care (other than *respite care) through a residential care service, the applicable time under subsection (2) is on or after 1 July 2005 and there is in force a determination covered by subsection (1B) or (1C).

 (1B) This subsection covers a determination, made under section 448AA before the person *entered the residential care service, that the conditions in paragraphs (1)(a), (b) and (c) would have been met for the person at the time specified in the determination if the references in subparagraphs (1)(b)(ii) and (iii) to the entry time had been references to the time specified in the determination.

 (1C) This subsection covers a determination, made under section 448AA when or after the person *entered the residential care service, that the conditions in paragraphs (1)(a), (b) and (c) were met at the applicable time under subsection (2).

6  Subsection 448(2)

Omit “for the purposes of subsection (1)”.

Note: The following heading to subsection 448(2) is inserted “What is the applicable time?”.

7  After section 448

Insert:

44‑8AA  Determinations for sections 44‑7 and 44‑8

Making determinations

 (1) The Secretary may make a determination (the resident status determination) described in section 447 or 448 if:

 (a) the person mentioned in that section has applied, in a form approved by the Secretary, for the resident status determination; and

 (b) the Secretary has made a determination (the asset value determination) under section 448AB of the value of the person’s assets at the time that is specified in the resident status determination; and

 (c) the Secretary is satisfied of the matters relating to the person that are to be set out in the resident status determination.

Note: The time specified in a determination covered by subsection 447(1C) or 448(1C) is the applicable time under subsection 447(2) or 448(2).

Giving notice of decision on resident status determination

 (2) Within 14 days after deciding whether or not to grant the application, the Secretary must notify the person in writing of:

 (a) the decision; and

 (b) if the Secretary made the resident status determination—the content of the determination.

When the resident status determination comes into force

 (3) The resident status determination comes into force on the day it is made or an earlier day stated in the determination to be the day on which the determination comes into force.

 (4) However, if the determination is made after the person *enters the residential care service mentioned in subsection 447(1A) or 448(1A), the day stated must not be before the day the determination is made, unless the Secretary is satisfied that exceptional circumstances justify the determination coming into force on the day stated.

When the resident status determination ceases to be in force

 (5) The resident status determination ceases to be in force when the asset value determination ceases to be in force, if:

 (a) the person was not being provided with residential care (other than *respite care) through a residential care service when the resident status determination came into force; and

 (b) the person has not been provided with such care between:

 (i) the time the resident status determination came into force; and

 (ii) the time the asset value determination ceases to be in force.

Note: Subsections 448AB(3) and (4) explain how to work out when the asset value determination ceases to be in force.

 (6) The Secretary may by written instrument revoke the resident status determination if he or she ceases to be satisfied of any of the matters relating to the person that are set out in the determination. The determination ceases to be in force on a day specified in the instrument (which may be before the instrument is made).

 (7) Within 14 days after revoking the resident status determination, the Secretary must give written notice of the revocation and the day on which the determination ceases being in force to:

 (a) the person; and

 (b) each approved provider (if any) who has provided the person with residential care (other than *respite care) through a residential care service since the determination ceased to be in force.

44‑8AB  Determination of value of person’s assets

Making determinations

 (1) The Secretary must determine the value, at the time specified in the determination, of a person’s assets in accordance with section 4410, if the person:

 (a) applies in the approved form for the determination; and

 (b) gives the Secretary sufficient information to make the determination.

The time specified must be at or before the determination is made.

Note: The determination may affect the maximum amount of accommodation bond or charge for the person under section 5712 or 57A6, as well as whether the person is a concessional resident under section 447 or an assisted resident under section 448.

Giving notice of the determination

 (2) Within 14 days after making the determination, the Secretary must give the person a copy of the determination.

When the determination is in force

 (3) The determination is in force for the period specified in, or worked out under, the determination.

 (4) However, the Secretary may by written instrument revoke the determination if he or she is satisfied that it is incorrect. The determination ceases to be in force on a day specified in the instrument (which may be before the instrument is made).

 (5) Within 14 days after revoking the determination, the Secretary must give written notice of the revocation and the day the determination ceases being in force to:

 (a) the person; and

 (b) if the Secretary is aware that the person has given an approved provider a copy of the determination—the approved provider.

8  Section 449

Omit “concessional resident or an assisted resident”, substitute “concessional resident under subsection 447(1) or an assisted resident under subsection 448(1)”.

9  At the end of section 449

Add:

Note: This section does not affect whether a person is a concessional resident under subsection 447(1A) or an assisted resident under subsection 448(1A).

10  Subsection 4410(1)

Omit “or 448”, substitute “, 448 or 448AB”.

11  Subsection 4410(2)

Omit “If the care recipient is a *homeowner, the value of the home owned by the care recipient is to be disregarded in working out the value of the care recipient’s assets if, at the time of the care recipient’s *entry to the residential care service, the home”, substitute “In working out the value at a particular time of the assets of a person who is or was a *homeowner then, disregard the value of a home that, at the time,”.

12  Paragraph 4410(2)(a)

Omit “care recipient”, substitute “person”.

13  Subparagraphs 4410(2)(b)(ii) and (c)(ii)

Omit “of the care recipient’s entry to the residential care service”.

14  Paragraph 572(1)(e)

Omit “7 days”, substitute “21 days”.

15  Subsection 572(2)

Omit “7 days” (first occurring), substitute “21 days”.

16  At the end of subsection 5712(1)

Add:

Note: The operation of this section may be modified if, before entering an accommodation bond agreement, the care recipient gives the approved provider a determination under section 448AB of the value of the care recipient’s assets. See subsection (5).

17  At the end of section 5712

Add:

 (5) However, subsections (1), (2) and (3) are modified as described in the table, and subsection (4) does not apply, if, before entering the *accommodation bond agreement, the care recipient gives the approved provider a copy of a determination that:

 (a) is a determination under section 448AB of the value of the care recipient’s assets at a time (the valuation time) that is before or at the time (the entry time) the care recipient *enters the residential care service; and

 (b) is in force at the entry time, if that is after the valuation time.

 

Modifications of subsections (1), (2) and (3)

 

If:

Subsections (1), (2) and (3) have effect as if:

1

The valuation time is before the entry time

(a) the references in paragraphs (1)(b) and (3)(a) to the time of the care recipient’s *entry to the residential care service were references to the valuation time; and

(b) the value of the care recipient’s assets at the valuation time were the value specified in the determination

2

The valuation time is at the entry time

The value of the care recipient’s assets at the entry time were the value specified in the determination

18  Subsection 5716(2) (note 2)

Omit “7 days”, substitute “21 days”.

19  Paragraph 57A2(1)(e)

Omit “7 days”, substitute “21 days”.

20  Subsection 57A2(2)

Omit “7 days” (first occurring), substitute “21 days”.

21  At the end of subsection 57A6(1)

Add:

Note: The operation of this section may be modified if, before entering into an accommodation charge agreement, the care recipient gives the approved provider a determination under section 448AB of the value of the care recipient’s assets. See subsection (4).

22  At the end of section 57A6

Add:

 (4) However, subsections (1) and (2) are modified as described in the table, and subsection (3) does not apply, if, before entering into the *accommodation charge agreement, the care recipient gives the approved provider a copy of a determination that:

 (a) is a determination under section 448AB of the value of the care recipient’s assets at a time (the valuation time) that is before or at the time (the entry time) the care recipient *enters the residential care service; and

 (b) is in force at the entry time, if that is after the valuation time.

 

Modifications of subsections (1) and (2)

 

If:

Subsections (1) and (2) have effect as if:

1

The valuation time is before the entry time

(a) the reference in paragraph (1)(b) to the time of the care recipient’s *entry to the residential care service were a reference to the valuation time; and

(b) the value of the care recipient’s assets at the valuation time were the value specified in the determination; and

(c) subsection 5712(3) defined minimum permissible asset value by reference to the *basic age pension amount at the valuation time (instead of the entry time)

2

The valuation time is at the entry time

The value of the care recipient’s assets at the entry time were the value specified in the determination

23  Section 851 (after table item 39)

Insert:

 

39A

To grant or refuse an application for a determination described in subsection 447(1A) or 448(1A) (which is relevant to a person’s status as a *concessional resident or an *assisted resident)

subsection 448AA(1)

39B

To revoke a determination described in subsection 447(1A) or 448(1A)

subsection 448AA(6)

39C

To determine the value of a person’s assets

subsection 448AB(1)

39D

To revoke a determination of the value of a person’s assets

subsection 448AB(4)

24  After subsection 962(2)

Insert:

 (2A) The Secretary may, in writing, delegate the Secretary’s powers under section 448AA and 448AB to any or all of the following:

 (a) the *CEO;

 (b) the Secretary of the Department administering the Veterans’ Entitlements Act 1986.

Note: The Secretary’s powers under section 448AA relate to determinations affecting whether persons are concessional residents or assisted residents. The Secretary’s powers under section 448AB relate to determinations of the value of persons’ assets.

25  After subsection 962(3)

Insert:

 (3A) The Secretary may, in writing, delegate to either or both of the following:

 (a) the *CEO;

 (b) the Secretary of the Department administering the Veterans’ Entitlements Act 1986;

the Secretary’s powers under section 854 or 855 relating to a decision:

 (c) to grant or refuse an application for a determination described in subsection 447(1A) or 448(1A); or

 (d) to revoke a determination made under subsection 448AA(1); or

 (e) to determine under section 448AB the value of a person’s assets; or

 (f) to revoke a determination under that section of the value of a person’s assets.

26  After subsection 962(6)

Insert:

 (6A) If, under subsection (2A) or (3A), the Secretary delegates a power mentioned in that subsection to the *CEO, the CEO may, by writing, subdelegate the power to an *employee of the *Services Delivery Agency.

 (6B) If, under subsection (2A) or (3A), the Secretary delegates a power mentioned in that subsection to the Secretary of the Department administering the Veterans’ Entitlements Act 1986, the Secretary of that Department may, by writing, subdelegate the power to an APS employee in that Department.

27  Application of amendments

Entry and approval on or after 1 July 2005

(1) The amendments made by this Schedule apply in relation to the entry of a person into a residential care service (whether for the first time or not) if:

 (a) the entry occurs on or after 1 July 2005; and

 (b) the person is approved under section 221 of the Aged Care Act 1997 on or after 1 July 2005 as a recipient of residential care.

Entry on or after 1 July 2005, approval before 1 July 2005

(2) The amendments also apply in relation to the entry of a person into a residential care service (whether for the first time or not) if:

 (a) the entry occurs on or after 1 July 2005; and

 (b) the person was approved under section 221 of the Aged Care Act 1997 before 1 July 2005 as a recipient of residential care; and

 (c) the approval had not expired, lapsed or been revoked under Division 23 of that Act by the time of the entry; and

 (d) the person chooses that the amendments apply.

(3) The person is taken to have made such a choice if he or she has applied in the approved form for the Secretary to determine the value of the person’s assets at a time that is before or at the time of entry. This does not limit the ways in which the person may make such a choice.

Exception to application—reentry into care within 28 days

(4) Despite subitems (1) and (2), the amendments do not apply in relation to the person entering the residential care service (the new service) if:

 (a) the entry occurs within 28 days after the person was last provided with residential care (other than respite care) through a residential care service (the earlier service) and the person had paid an accommodation bond for entry to the earlier service; and

 (b) the amendments did not apply in relation to the person’s most recent earlier entry into the earlier service; and

 (c) it is not the case that:

 (i) the person was provided with a low level of residential care through the earlier service; and

 (ii) the person is provided with a high level of residential care through the new service.

Note: If the amendments do not apply, then the Aged Care Act 1997 as in force without the amendments applies to the person.

 [Minister’s second reading speech made in—

House of Representatives on 10 February 2005

Senate on 7 March 2005]

(11/05)

 

Overview

The Aged Care Amendment (Transition Care and Assets Testing) Act 2005, enacted by the Parliament of Australia, amends the Aged Care Act 1997 to address gaps in the transitional care arrangements and assets testing for aged care recipients. This legislation introduces changes to the leave provisions for flexible care, allowing care recipients to leave residential care services for flexible care under specific conditions. It also modifies the assets testing regime to better determine the financial status of individuals entering residential care. The policy objective of this Act is to enhance the flexibility and fairness of care arrangements and financial assessments within the aged care system. The Act introduces provisions that allow care recipients to be on leave from a residential care service for flexible care if certain conditions are met, thereby facilitating a more adaptable care approach. Additionally, the Act revises the criteria for assets testing to improve the accuracy of financial assessments for aged care residents. This includes changes to the timing and conditions under which assets are evaluated, impacting the classification of residents as concessional or assisted. The amendments are designed to take effect from 1 July 2005, with specific transitional provisions for those entering care before and after this date, unless they re-enter care within 28 days of a previous stay.

Scope and Application

The Aged Care Amendment (Transition Care and Assets Testing) Act 2005 applies to amendments of the Aged Care Act 1997, primarily focusing on the introduction of flexible care leave provisions and modifications to assets testing for aged care recipients. This Act is applicable to individuals who are care recipients and to the entities providing residential care services. It aims to allow care recipients to take leave from residential care for flexible care under specific conditions and to modify the assets testing regime for determining eligibility for concessional and assisted residential care. The Act's provisions commenced on 21 March 2005, with specific provisions of Schedule 2 coming into effect on 1 July 2005. The Act's amendments apply to individuals entering residential care services on or after 1 July 2005, or those who have already been approved for residential care and choose to have the amendments apply to them. Notably, the amendments do not apply to individuals re-entering care within 28 days of a previous stay if they had paid an accommodation bond for the earlier service and were not provided with a low level of care in the earlier service. The Act also provides mechanisms for the Secretary to make and revoke determinations regarding the assets of care recipients, affecting their eligibility for concessional and assisted residential care status and the maximum amounts of accommodation bonds or charges they may be subject to. The application of this Act is subject to further regulation and determination by subordinate instruments, which may extend or restrict its application.

Key Provisions

The Aged Care Amendment (Transition Care and Assets Testing) Act 2005 amends the Aged Care Act 1997 primarily by introducing provisions for leave from residential care for flexible care and changes to assets testing. Section 1 of Schedule 1 amends the Aged Care Act 1997 to allow a care recipient to be on leave from a residential care service for flexible care if they are eligible for a flexible care subsidy and meet certain conditions (sections 42-2(3A) and 42-2(4)). It also modifies the classification level of care recipients on leave (section 44-4). Section 2 of Schedule 1 extends the application of assets testing to include concessional and assisted residents who enter residential care on or after 1 July 2005, with changes to the timing and conditions for determining their status (sections 44-7(1A), 44-7(1B), 44-7(1C), 44-8(1A), 44-8(1B), 44-8(1C), 44-8AA, and 44-8AB). The Act imposes several obligations on the parties involved. For instance, care recipients may be eligible for leave from residential care if they qualify for a flexible care subsidy and meet specific conditions (section 42-2(3A)). Additionally, the Secretary must make determinations regarding the status of concessional and assisted residents based on applications and asset value determinations (section 44-8AA). The Secretary must also determine the value of a person’s assets upon application (section 44-8AB). Furthermore, the Secretary has the authority to delegate these powers to the CEO and other specified officials (sections 96-2(2A), 96-2(3A), 96-2(6A), and 96-2(6B)). Breaches of this Act may result in various consequences. While specific offences and penalties are not detailed in the provided excerpt, it is implied that non-compliance with the provisions governing leave and assets testing could lead to administrative actions, such as revocation of resident status determinations or asset value determinations. These actions are governed by the Secretary’s authority to revoke determinations if they are found to be incorrect or if the Secretary is no longer satisfied with the matters set out in the determinations (sections 44-8AA(6) and 44-8AB(4)). Furthermore, the Act’s amendments apply to entries into residential care services on or after 1 July 2005, with specific exceptions for re-entries within 28 days (Schedule 1, application of amendments).

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