EXPLANATORY STATEMENT
Issued by the authority of the Minister for Mental Health and Ageing
Aged Care Act 1997
Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement)
Determination 2011 (No. 1)
The Aged Care Act 1997 (the Act) provides for the regulation and funding of aged care services. Persons who are approved under the Act to provide residential aged care services (approved providers) can be eligible to receive residential care subsidy payments in respect of the care they provide to approved care recipients.
All care recipients who meet the requirements of subsection 44-28(2) of the Act, and who are not excluded under subsections 44-28(3), (5) or (6) of the Act, are eligible for a pensioner supplement. This includes pre-2008 reform residents who receive an income support payment (but who have not agreed to pay a large accommodation bond), or have a dependent child. Residents are also not eligible for a pensioner supplement while they fail to, or elect not to, provide information for the purpose of determining their total assessable income.
Subsection 44-28(7) of the Act provides that the Minister may determine, by legislative instrument, the amount of the pensioner supplement.
The purpose of the Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2011 (No. 1) (the Determination) is to set the amount of the pensioner supplement with effect from 20 March 2011. This Determination also revokes Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2010 (No. 2).
The difference between the Determinations is that the amount of pensioner supplement for a day has been increased in accordance with increases in the consumer price index (CPI) as a measure of movements in the non-labour costs of providers.
The Determination is a legislative instrument for the purposes of the Legislative Instruments Act 2003.
Consultation
The Department of Health and Ageing undertook extensive consultation on the policy, which included policy on increases in the rates of supplements, that was implemented through the Aged Care Amendment (2008 Measures No. 1) Act 2008 and related instruments.
Further consultation was undertaken as part of the Review of the Conditional Adjustment Payment and is ongoing in relation to funding arrangements.
Indexation of the supplement uses a well established formula based on the CPI as a measure of the movements in the non-labour costs of providers. As this is in accordance with policy upon which extensive consultation was undertaken, no specific consultation was undertaken with respect to this instrument.
Information about the increase in the amount of the supplement will be disseminated via electronic media to approved providers.
Overview
The Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2011 (No. 1) was enacted to address the need for periodic adjustments to the pensioner supplement within the framework established by the Aged Care Act 1997. This legislative instrument, issued under the authority of the Minister for Mental Health and Ageing, aims to ensure that the supplement provided to eligible care recipients keeps pace with inflation and other economic factors. The policy objective is to maintain the adequacy of the supplement in supporting the non-labour costs of providers, thereby ensuring the sustainability and effectiveness of the aged care system. The determination revokes the previous supplement determination from 2010 and increases the amount of the pensioner supplement in line with the Consumer Price Index, reflecting the increases in non-labour costs for providers. Extensive consultation was conducted by the Department of Health and Ageing, particularly regarding the policy on supplement increases, ensuring that the legislative instrument aligns with broader aged care funding arrangements.
Scope and Application
The Aged Care Act 1997 governs the regulation and funding of aged care services in Australia, applying to approved providers who offer residential aged care services and the care recipients they serve. The Act stipulates that care recipients meeting certain criteria are eligible for a pensioner supplement, including pre-2008 reform residents who receive an income support payment or have a dependent child, provided they do not fall under the exclusions outlined in subsections 44-28(3), (5), or (6) of the Act. Additionally, residents must provide necessary information for income assessment to qualify. The Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2011 (No. 1) sets the amount of the pensioner supplement, reflecting adjustments based on the consumer price index. This Determination revokes the previous 2010 version, increasing the supplement amount in line with rising non-labour costs of providers. The Determination extends nationally under Commonwealth jurisdiction and is a legislative instrument pursuant to the Legislative Instruments Act 2003. Extensive consultation was undertaken regarding the policy underpinning the supplement increases, ensuring alignment with established practices.
Key Provisions
The Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2011 (No. 1) specifies the amount of the pensioner supplement to be provided under the Aged Care Act 1997. This Determination, which came into effect on 20 March 2011, is designed to index the amount of the pensioner supplement in line with changes in the consumer price index (CPI). The increase in the supplement amount is reflective of the non-labour costs incurred by aged care providers. It is important to note that this Determination revokes the previous Aged Care (Residential Care Subsidy – Amount of Pensioner Supplement) Determination 2010 (No. 2), establishing a new rate that takes into account recent economic indicators.
Entities governed by this Determination, primarily the approved providers of residential aged care services, must adhere to the specified pensioner supplement amounts as determined by the Minister. These providers are obligated to apply the correct supplement amount when billing for care provided to eligible care recipients, ensuring compliance with the legislative requirements. Additionally, care recipients must meet the eligibility criteria outlined in subsection 44-28(2) of the Act to qualify for the pensioner supplement, and providers must ensure that all necessary information is provided to determine the total assessable income of the care recipients.
Failure to comply with the provisions of this Determination may lead to financial discrepancies and potential disputes between care recipients and providers. However, the Determination does not explicitly outline specific penalties or consequences for non-compliance. It is presumed that breaches of the Aged Care Act 1997 or related legislative instruments could result in penalties as defined in the primary Act or through administrative or judicial processes. Providers and care recipients should be aware of the importance of adhering to these provisions to avoid any potential repercussions.