Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024

Administered by Department of the Treasury

Legislation au F2024L01604 In force Legislative Instrument

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EXPLANATORY STATEMENT

Issued by authority of the Assistant Minister for Competition, Charities and Treasury

Federal Financial Relations Act 2009

Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024

Section 15A of the Federal Financial Relations Act 2009 (the Act) provides that the Minister may determine that an amount specified in the determination is to be paid to a State, the Australian Capital Territory or the Northern Territory as specified in the determination for the purpose of making a grant of financial assistances for the purpose of expenditure in accordance with the National Health Reform Agreement. 

The purpose of the Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 (the Determination) is to specify amounts to be paid to each State, the Australian Capital Territory and Northern Territory for the 2023-24 financial year.

Under the Intergovernmental Agreement on Federal Financial Relations (the IGA) and the Act, the Commonwealth provides national health reform payments to the States, the Australian Capital Territory and the Northern Territory, as a financial contribution to support state service delivery in the area of healthcare, particularly public hospitals. The details of the funding arrangements are set out in the National Health Reform Agreement.

Under the National Partnership for Priority Groups COVID-19 Testing and Vaccination, the Commonwealth agreed to provide financial assistance to each State, the Australian Capital Territory and Northern Territory to protect priority population groups from COVID-19 by delivering testing and vaccination programs from
1 January 2023 to 31 December 2023. The National Partnership for Priority Groups COVID-19 Testing and Vaccination amends the National Health Reform Agreement so that the additional funding can be paid into the National Health Funding Pool.

Advance payments in respect of national health reform are made throughout the financial year based on estimates of each jurisdiction’s anticipated entitlement for that year. In accordance with the National Health Reform Agreement, any adjustment between the advances paid to a jurisdiction and the jurisdiction’s determined entitlement will be spread equally across payments for a subsequent quarter, or appropriate period where the Administrator deems necessary.

In accordance with the functions of the Administrator of the National Health Funding Pool under paragraph 238(1)(a) of the National Health Reform Act 2011, the Administrator has calculated and advised the amounts required to be paid by the Commonwealth in respect of 2023-24 into each State Pool Account of the National Health Funding Pool under the National Health Reform Agreement. The Minister has accepted the Administrator’s advice in making the Determination.

Details of the amounts to be paid to each State, the Australian Capital Territory and Northern Territory for the 2023-24 financial year are outlined in Table 1 in Attachment C. The amounts include:

                 the Commonwealth’s share of funding for public hospital services under the National Health Reform Agreement which is calculated on an activity basis; and

                 payments to protect priority population groups from COVID-19 by delivering testing and vaccination programs.

The IGA and the National Health Reform Agreement (as amended by the National Partnership for Priority Groups COVID-19 Testing and Vaccination) were subject to extensive consultation with the States and Territories and were signed by all jurisdictions. Both agreements are publicly available on the Federal Financial Relations website. Consultation with the States and Territories on national health reform funding also occurs regularly, through the Administrator’s Jurisdictional Advisory Committee meetings.

Details of the Determination are set out in Attachment A.

The Determination is a legislative instrument for the purposes of the Legislation Act 2003. In accordance with subsections 44(1) and 54(1) of the Legislation Act 2003, the Determination is not subject to disallowance or sunsetting under the Act and the Legislation Act 2003 on the grounds that the instrument is part of an intergovernmental scheme and gives effect to agreements between the Commonwealth and each of the States, the Australian Capital Territory and the Northern Territory. The instrument’s operation is effectively mechanical in that it simply details financial assistance to be provided to a State or Territory based on that State or Territory having satisfied the necessary agreed criteria.

A Policy Impact Analysis is not required as the Determination is machinery in nature (OIA24-07548).

The Determination commenced the day after it was registered on the Federal Register of Legislation.

A statement of Compatibility with Human Rights is at Attachment B.

ATTACHMENT A

Details of the Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024

This Attachment sets out further details of the Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024.

Section 1 – Name of the instrument

This section provides that the name of the instrument is the Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 (the Determination).

Section 2 – Commencement

This section provides that the Determination commences on the day after it is registered on the Federal Register of Legislation.

Section 3 – Authority

This section provides that the Determination is made under the Federal Financial Relations Act 2009.

Section 4 – Definitions

This section provides definitions for the purposes of the Determination.

Section 5 – National health reform payments for the 2023-24 financial year

This section sets out the amounts required to be paid by the Commonwealth in respect of the 2023-24 financial year into each State Pool Account of the National Health Funding Pool under the National Health Reform Agreement (as amended by the National Partnership for Priority Groups COVID-19 Testing and Vaccination).

Details of the amounts to be paid to each State, the Australian Capital Territory and Northern Territory for the 2023-24 financial year are outlined in Table 1 in Attachment C. The amounts include:

                 the Commonwealth’s share of funding for public hospital services under the National Health Reform Agreement which is calculated on an activity basis;

                 payments to protect priority population groups from COVID-19 by delivering testing and vaccination programs.

The Administrator of the National Health Funding Pool (Administrator) has calculated and advised the amounts required to be paid to each State, the Australian Capital Territory and the Northern Territory, in accordance with paragraph 238(1)(a) of the National Health Reform Act 2011. The Minister has accepted the Administrator’s advice in making the Determination.


ATTACHMENT B

Statement of Compatibility with Human Rights

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

Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024

This Legislative Instrument 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 2011.

Overview of the Legislative Instrument

The purpose of the Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 is to specify the amount to be paid to each State, the Australian Capital Territory and the Northern Territory for the 2023-24 financial year.

Human rights implications

This Legislative Instrument does not engage any of the applicable rights or freedoms.

Conclusion

This Legislative Instrument is compatible with human rights as it does not raise any human rights issues.

ATTACHMENT C

Table 1: Details of the amounts to be paid to each State, the Australian Capital Territory and Northern Territory for the 2023-24 financial year

 

Item

For this State:

Commonwealth National Health Reform funding

Priority Groups Testing and Vaccination

Total

1

New South Wales

$8,349,968,180.73

$31,564,705.20

$8,381,532,885.93

2

Victoria

$6,853,591,204.64

$0.00

$6,853,591,204.64

3

Queensland

$6,639,341,725.00

$0.00

$6,639,341,725.00

4

Western Australia

$3,053,795,782.36

$252,150.13

$3,054,047,932.49

5

South Australia

$1,920,268,061.64

$10,397,940.00

$1,930,666,001.64

6

Tasmania

$620,546,057.89

$260,065.70

$620,806,123.59

7

Australian Capital Territory

$510,745,540.11

$15,817.03

$510,761,357.14

8

Northern Territory

$400,262,326.65

$1,240,617.12

$401,502,943.77

 

Total

$28,348,518,879.02

$43,731,295.18

$28,392,250,174.20

 

Table 2: Base funding amounts for each State, the Australian Capital Territory and Northern Territory for 2024-25 funding calculation purposes

 

Item

For this State:

Funding base for 2024-25

1

New South Wales

$8,349,968,180.73

2

Victoria

$6,853,591,204.64

3

Queensland

$6,639,341,725.00

4

Western Australia

$3,053,795,782.36

5

South Australia

$1,920,268,061.64

6

Tasmania

$620,546,057.89

7

Australian Capital Territory

$510,745,540.11

8

Northern Territory

$400,262,326.65

 

Total

$28,348,518,879.02

 

Overview

The Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024, enacted under the Federal Financial Relations Act 2009, addresses the need for a structured financial contribution from the Commonwealth to the States, the Australian Capital Territory, and the Northern Territory for healthcare service delivery, particularly for public hospitals. This determination specifies the financial assistance to be provided for the 2023-24 financial year, as agreed under the Intergovernmental Agreement on Federal Financial Relations and the National Health Reform Agreement, which includes funding for COVID-19 testing and vaccination programs. The determination was made by the Minister for Health, who accepted the advice of the Administrator of the National Health Funding Pool, in accordance with the National Health Reform Agreement. The objective of this legislation is to ensure that the Commonwealth provides the necessary funding to support state service delivery in healthcare, as per the intergovernmental agreements and arrangements. The Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 is a legislative instrument that is not subject to disallowance or sunsetting, as it is part of an intergovernmental scheme and gives effect to agreements between the Commonwealth and each of the States, the Australian Capital Territory, and the Northern Territory. It operates mechanically by detailing financial assistance to be provided to each jurisdiction based on their satisfaction of the agreed criteria. This determination commenced the day after it was registered on the Federal Register of Legislation and includes a statement of compatibility with human rights, affirming its alignment with international human rights standards.

Scope and Application

The Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 specifies the amounts to be paid to each Australian state, the Australian Capital Territory, and the Northern Territory for the 2023-24 financial year as part of national health reform payments. This determination applies to the Commonwealth Government, which is required to make these payments to the respective states and territories as specified. The payments are made in accordance with the Intergovernmental Agreement on Federal Financial Relations and the Federal Financial Relations Act 2009, which outline the framework for the distribution of funds to support state healthcare services, particularly public hospitals, and to fund COVID-19 testing and vaccination programs for priority population groups. The amounts are calculated based on an activity basis for public hospital services and the specific requirements for COVID-19 initiatives. The determination does not apply to any other entities or individuals outside of the specified states, territories, and the Commonwealth Government. The geographic scope of this legislation is national, covering all states and territories of Australia, as well as the Commonwealth. This legislation does not include any stated exclusions, exemptions, or thresholds beyond those specified in the agreements and determinations. The operation of the Act is supplemented by subordinate instruments, such as the calculations and advice provided by the Administrator of the National Health Funding Pool, which inform the Minister’s determinations.

Key Provisions

The Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024 (sections 1 to 5) outlines the amounts the Commonwealth will pay to each State, the Australian Capital Territory, and the Northern Territory for the 2023-24 financial year under the National Health Reform Agreement, as amended by the National Partnership for Priority Groups COVID-19 Testing and Vaccination. These payments include the Commonwealth's share of funding for public hospital services and additional funds for COVID-19 testing and vaccination programs. The amounts are detailed in Table 1 of Attachment C. The Determination imposes obligations on the Commonwealth to calculate and make payments to the States and Territories as specified, ensuring that the funds are allocated based on the criteria agreed upon in the National Health Reform Agreement and the National Partnership for Priority Groups COVID-19 Testing and Vaccination. The Administrator of the National Health Funding Pool calculates these amounts, and the Minister makes the Determination based on the Administrator's advice. The Determination does not specify any offences or penalties for breach. Instead, it is part of an intergovernmental scheme and gives effect to agreements between the Commonwealth and the States, the Australian Capital Territory, and the Northern Territory. As such, it is not subject to disallowance or sunsetting under the Federal Financial Relations Act 2009 and the Legislation Act 2003. The operation of the Determination is mechanical, providing financial assistance to jurisdictions that meet the agreed criteria. The compatibility of the Determination with human rights is affirmed in Attachment B, indicating no adverse human rights implications. The Determination commenced on the day after its registration on the Federal Register of Legislation and is effective immediately. It ensures that the Commonwealth provides the necessary financial support to States and Territories for healthcare services and COVID-19 initiatives as per the agreed-upon funding arrangements.

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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.