Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016

Administered by Department of Health, Disability and Ageing

Legislation au F2016L01451 Not in force Legislative Instrument

Legislation content

EXPLANATORY STATEMENT

 

Issued by the authority of the Minister for Health and Aged Care

 

Aged Care Act 1997

 

Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016

 

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 aged care services (approved providers) can be eligible to receive subsidy and supplement payments in respect of the care they provide to approved care recipients.

 

The Act provides that for each type of aged care, the Minister may determine the amount of subsidy and supplement payable to an approved provider for the provision of that type of aged care. Specifically, the authority for making specific determinations is set out in the following table:

Residential

Respite supplement

44-5(3)

Annual cap

44-21(7)

Lifetime cap

44-21(8)

First asset threshold

44-22(3)

Second asset threshold

44-22(3)

Maximum home value

44-26B(1)

Accommodation supplement

44-28(4)

Home care

First cap

48-7(2) Step 4. (c)

Second cap

48-7(2) Step 5. (c)

Income threshold

48-7(6)

Annual cap

48-7(7)

Lifetime cap

48-7(8)

Primary supplements

48-3(3)

 

 

The purpose of the Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016 (the Amending Determination) is to increase the amount of supplements payable to approved providers of aged care services in respect of a day from 20 September 2016 in line with the changes to the consumer price index (CPI), in addition to increasing the value of the caps and thresholds in line with the age pension. 

 

The Amending Determination applies only in respect of care recipients who are not continuing care recipients. Continuing care recipients are those who entered a care service before 1 July 2014 and since that time have not left the service for a continuous period of more than 28 days (other than because the person is on leave), or before moving to another service, have not made a written choice to be subject to the new rules relating to fees and payments that took effect on 1 July 2014. The amount of subsidy and supplements payable in respect of continuing care recipients is detailed in the Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014.

 

The Amending Determination is a legislative instrument for the purposes of the Legislation Act 2003.

 

Commencement

The amendments in Schedule 1 commence on 20 September 2016.

 

Reliance on subsection 33(3) of the Acts Interpretation Act 1901

Under subsection 33(3) of the Acts Interpretation Act 1901, where an Act confers a power to make, grant or issue any instrument of a legislative or administrative character (including rules, regulations or by-laws), the power shall be construed as including a power exercisable in the like manner and subject to the like conditions (if any) to repeal, rescind, revoke, amend, or vary any such instrument.

 

Consultation

The amendments implement routine indexation.  Routine indexation of supplements in this Amending Determination is calculated through the use of a well-established formula based on the consumer price index (CPI) as a measure of the movements in the non-labour costs of providers. As this is in accordance with the general policy for indexation of aged care payments upon which consultation was undertaken, no specific consultation was undertaken with respect to this indexation.

 

Information about the increase in the amount of the supplements payable to approved providers from 20 September 2016 will be disseminated via electronic media to approved providers.

 

Regulation Impact Statement

The Office of Best Practice Regulation (OBPR) has advised that no Regulation Impact Statement is required for the indexation of aged care subsidies and supplements (OBPR ID 11719).

 

 

 

 

 

 

 

 

 

 

 


ATTACHMENT

Details of the Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016

 

Clause 1 states that the name of the determination is the Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016.

 

Clause 2 sets out the commencement date for the Amending Determination.

 

Clause 3 provides that the authority for the making of the determination is the Aged Care Act 1997.

 

The authority for making specific determinations is set out in the following table:

Residential

Respite supplement

44-5(3)

Annual cap

44-21(7)

Lifetime cap

44-21(8)

First asset threshold

44-22(3)

Second asset threshold

44-22(3)

Maximum home value

44-26B(1)

Accommodation supplement

44-28(4)

Home care

First cap

48-7(2) Step 4. (c)

Second cap

48-7(2) Step 5. (c)

Income threshold

48-7(6)

Annual cap

48-7(7)

Lifetime cap

48-7(8)

Primary supplements

48-3(3)

 

Clause 4 provides that each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 

Schedule 1 – Amendments

 

Aged Care (Subsidy, Fees and Payments) Determination 2014

 

Amendments of listed provisions – indexation of amounts

This item provides for the indexation of amounts in relation to the following:

  • the respite supplement;
  • the caps which limit the amount of means tested and income tested care fees payable by care recipients;
  • the cap on the value of the former principal residence;
  • the asset thresholds at which different taper rates apply in the asset test;
  • the accommodation supplement; and
  • the income thresholds at which the different caps on the income tested care fees in home care apply.

Statement of Compatibility with Human Rights
 

Prepared in accordance with Part 3 of the Humans Rights (Parliamentary Scrutiny) Act 2011

 

Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016
 

The Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016 is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny Act) Act 2011.

 

Overview of Legislative Instrument

This legislative instrument amends the Aged Care (Subsidy, Fees and Payments) Determination 2014, and increases the amount of particular supplements payable to approved providers of aged care services in line with the changes to the consumer price index (CPI), in addition to increasing the value of the caps and thresholds in line with the age pension. 

 

Human Rights Implications

This legislative instrument is compatible with the right to an adequate standard of living and the right to the enjoyment of the highest attainable standard of physical and mental health as contained in article 11(1) and article 12(1) of the International Covenant on Economic, Social and Cultural Rights, and article 25 and article 28 of the Convention on the Rights of Persons with Disabilities.

 

This legislative instrument concerns the amount of subsidy payable to approved providers for the provision of care and services to people with a condition of frailty or disability who require assistance to achieve and maintain the highest attainable standard of physical and mental health.

 

Specifically, this legislative instrument increases the amounts of additional payments in the form of supplements that are payable to approved providers to assist with the costs of caring for people who are financially disadvantaged.  It also increases the thresholds and caps that are taken into account in determining how much people who can afford to contribute to the cost of their care can be asked to pay.  These increases are designed to ensure the payments and contributions keep pace with increases in the consumer price index.

 

Conclusion

This legislative instrument is compatible with human rights as it promotes the human right to an adequate standard of living and the highest attainable standard of physical and mental health.

 

The Minister for Health and Aged Care, the Hon Sussan Ley MP

Overview

The Aged Care Act 1997 is a foundational piece of legislation in Australia, providing for the regulation and funding of aged care services. The Act empowers the Minister for Health and Aged Care to determine the amount of subsidy and supplement payable to approved providers for the provision of aged care services. To address the need for regular adjustments to these payments in line with economic changes, the Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016 was enacted by the Minister for Health and Aged Care. This determination increases the amount of supplements payable to approved providers of aged care services in alignment with changes to the consumer price index (CPI), and also adjusts the value of caps and thresholds in line with the age pension. The objective of this amendment is to ensure that payments and contributions for aged care services keep pace with economic changes, thereby supporting the provision of adequate care and maintaining the highest attainable standard of physical and mental health for aged care recipients. The determination applies to care recipients who are not continuing care recipients, ensuring that those who entered care services after 1 July 2014 are subject to the updated payment structures.

Scope and Application

The Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016 applies to approved providers of aged care services under the Aged Care Act 1997, specifically those who provide care to non-continuing care recipients as of 20 September 2016. This legislative instrument amends the Aged Care (Subsidy, Fees and Payments) Determination 2014 to adjust the amount of supplements payable to these providers, aligning them with the changes to the consumer price index (CPI) and increasing the caps and thresholds in line with the age pension. The determination affects various aspects of aged care, including the respite supplement, caps on means tested and income tested care fees, the cap on the value of the former principal residence, asset thresholds, the accommodation supplement, and income thresholds. Exclusions apply to continuing care recipients, who are governed by the Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014. The instrument operates nationally within the Commonwealth jurisdiction, affecting all approved providers of aged care services across Australia.

Key Provisions

The Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016 (the Amending Determination) primarily serves to adjust the amount of supplements payable to approved providers of aged care services starting from 20 September 2016. This adjustment is made in line with changes to the consumer price index (CPI), ensuring that the costs associated with providing care keep pace with inflation (Clause 4). Furthermore, the Amending Determination increases the value of caps and thresholds in accordance with the age pension, reflecting broader economic shifts that impact the cost of living (Clause 4). These adjustments are targeted at non-continuing care recipients, who are individuals who have not been in a care service continuously since before 1 July 2014 (Clause 3). Approved providers of aged care services, under the Aged Care Act 1997, must comply with the updated subsidy and supplement payments as stipulated in the Amending Determination. These providers must ensure that their billing practices and service delivery align with the new financial parameters set forth in the legislation. This includes updating internal systems and documentation to reflect the new rates and caps, which are crucial for maintaining compliance with government funding regulations and ensuring that care recipients receive the correct level of financial support (Section 44-5(3), 44-21(7), 44-21(8), 44-22(3), 44-26B(1), 44-28(4), 48-3(3), 48-7(2) Step 4. (c), 48-7(2) Step 5. (c), 48-7(6), 48-7(7), 48-7(8)). Failure to comply with the provisions of the Amending Determination could result in legal consequences for approved providers. The Aged Care Act 1997 outlines penalties for non-compliance, which may include financial penalties or other sanctions deemed appropriate by the Minister for Health and Aged Care. The specific penalties can vary depending on the nature and severity of the breach but are intended to enforce adherence to the updated financial parameters established by the legislation. This ensures that the integrity of the aged care funding system is maintained and that care recipients continue to receive appropriate financial support (Acts Interpretation Act 1901, subsection 33(3)).

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Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.