AUSTRALIAN GOVERNMENT
HEALTH INSURANCE ACT 1973
Health Insurance (Eligible persons holders of temporary visas and de facto partners of Australian citizens) Order 2017
(1) I, GREG HUNT, Minister for Health, pursuant to subsection 6(1) of the Health Insurance Act 1973 (the Act), hereby:
(a) DECLARE that every person included in the class of persons specified in section (2), being a person who, but for this Order, would not be an eligible person, shall be treated as an eligible person for the purposes of the Act.
(b) DECLARE that this Order shall have effect from date of signature.
(2) A person who:
(a) is lawfully residing in Australia;
(b) is, within the meaning of the Migration Act 1958, the holder of a temporary visa;
(c) is not covered by regulations made under subsection 6A(1) of the Act;
(d) has applied for a permanent visa under the Migration Act 1958 and the application has not been withdrawn or otherwise finally determined;
(e) has not, both:
(i) on or after the relevant day, made an application for a protection visa under the Migration Act 1958 (whether or not the person has applied for any other visa), other than an application that has been withdrawn or otherwise finally determined; and
(ii) whether before or after the relevant day, made an application for a parent visa under the Migration Act 1958 (whether or not the person has applied for any other visa and whether or not the application for the parent visa has been withdrawn or otherwise finally determined);
(e) has not, whether before or after the relevant day, made an application for a parent visa under the Migration Act 1958 (whether or not the person has applied for any other visa), other than an application that has been withdrawn or otherwise finally determined; and
(f) in respect of whom the person’s de facto partner is an Australian citizen or the holder of a permanent visa under the Migration Act 1958.
(3) For section (2):
(a) the relevant day is the commencement of paragraph (f) of the definition of Australian resident in the Act; and
(b) de facto partner has the same meaning as in subsection 4(1) of the National Health Act 1953.
Dated this 26th day of October 2017.
GREG HUNT
MINISTER FOR HEALTH
ATTACHMENT - STATEMENT OF REASONS
Health Insurance Act 1973
Class Order under subsection 6(1)
ORDER NO: 806
DATE OF ORDER: 2017
RELATED ORDER: 770, 782
NAME OF PERSON/GROUP: De facto partners of Australian citizens or permanent residents
REASON FOR APPROVAL:
This Order addresses a flaw in the Health Insurance Act 1973 (the Act) created by consequential amendments in the Same-Sex Relationships (Equal Treatment in Commonwealth Laws—General Law Reform) Act 2008 (the Same-Sex Act) which took effect on 1 January 2009.
The amendment to the Act’s definition of “Australian resident” in subsection 3(1)(f)(v)(A) inserted a bracketed phrase after “child” as follows:
another person, being the person’s spouse, parent or child (each having the same meaning as in the Migration Act 1958), is an Australian citizen or the holder of a permanent visa under that Act.
The original clause granted Medicare eligibility to foreign applicants for permanent residence who were in married or de facto relationships with Australians.
Under the Act and the National Health Act 1953 (the NHA), the term “spouse” includes a de facto partner. The Same-Sex Act amended the definition of “de facto” in section 4 of the NHA, which also applies to the Act. This would have been sufficient for the purpose of the Act’s subsection 3(1)(f)(v)(A) above.
The amended clause, however, refers to the Migration Act 1958 for meaning, in which the definitions of “spouse” and “de facto” are mutually exclusive. This definition has priority, and has the effect of denying Medicare eligibility to all de facto partners, both same and opposite sex. This subsection 6(1) Order restores eligibility to the disenfranchised group.
Note: The name of this instrument was amended on registration as the instrument as lodged did not have a unique name (see subsection 10(2), Legislation Rule 2016).
Overview
The Health Insurance (Eligible persons holders of temporary visas and de facto partners of Australian citizens) Order 2017 was enacted under subsection 6(1) of the Health Insurance Act 1973. It was introduced to address a gap in eligibility for Medicare benefits arising from amendments made to the definition of "Australian resident" in the Health Insurance Act 1973 by the Same-Sex Relationships (Equal Treatment in Commonwealth Laws—General Law Reform) Act 2008. These amendments inadvertently excluded de facto partners from eligibility for Medicare, contrary to the original intent of the Health Insurance Act 1973. The Order was issued by Greg Hunt, the Minister for Health, on 26 October 2017, and its policy objective is to restore eligibility for Medicare to de facto partners of Australian citizens or permanent residents who are holders of temporary visas.
Scope and Application
The Health Insurance (Eligible persons holders of temporary visas and de facto partners of Australian citizens) Order 2017 applies to individuals who meet specific criteria outlined in section 2 of the Order. These individuals must be lawfully residing in Australia and holding a temporary visa under the Migration Act 1958, without being covered by certain regulations under the Health Insurance Act 1973. Additionally, these individuals must not have applied for a protection visa or a parent visa under the Migration Act 1958 and must be in a de facto relationship with an Australian citizen or a holder of a permanent visa under the Migration Act 1958. This Order is made pursuant to subsection 6(1) of the Health Insurance Act 1973, and it aims to rectify a legislative oversight caused by the Same-Sex Relationships (Equal Treatment in Commonwealth Laws—General Law Reform) Act 2008, which inadvertently excluded de facto partners from Medicare eligibility. The Order is effective from the date of its signature and applies on a Commonwealth level, ensuring that the specified individuals are treated as eligible persons for the purposes of the Act.
Key Provisions
The Health Insurance (Eligible persons holders of temporary visas and de facto partners of Australian citizens) Order 2017 (section 1) declares that certain individuals will be treated as eligible persons for the purposes of the Health Insurance Act 1973 (the Act). Specifically, this Order applies to individuals who are lawfully residing in Australia, hold a temporary visa under the Migration Act 1958, and are not covered by specific regulations made under the Act (section 2(a)-(c)). It also applies to those who have applied for a permanent visa but have not made applications for a protection visa or a parent visa, either before or after a specified relevant day (section 2(d)-(e)). Additionally, it applies to individuals whose de facto partners are Australian citizens or holders of a permanent visa (section 2(f)). The relevant day is defined as the commencement of a particular paragraph in the Act's definition of "Australian resident" (section 3(a)), and "de facto partner" retains its meaning as per the National Health Act 1953 (section 3(b)). This Order addresses a legislative oversight created by amendments in the Same-Sex Relationships (Equal Treatment in Commonwealth Laws—General Law Reform) Act 2008, which inadvertently denied Medicare eligibility to de facto partners of Australian citizens (Attachment - Statement of Reasons).
The Order imposes obligations on the relevant parties to ensure compliance with the Act's provisions. Individuals who fall under the criteria specified in section 2 must meet all the stipulated conditions to be considered eligible for Medicare under the Act. The Act requires these individuals to provide necessary documentation to verify their eligibility, such as proof of lawful residency, visa status, and relationship status with an Australian citizen or permanent visa holder. The Minister for Health, who issued the Order, ensures that these individuals are properly assessed and registered as eligible persons under the Act. The entities governed by this Order, including the Department of Health and Medicare, are required to implement and enforce the Order in accordance with the Act's provisions.
The Act does not explicitly state any offences, penalties, or civil/criminal consequences for breaches of this Order. However, failure to comply with the Act's provisions or the Order could result in civil or administrative penalties. For example, providing false information to obtain Medicare benefits is an offence under section 114 of the Act, which carries a maximum penalty of 10,000 penalty units. Additionally, any failure to meet the eligibility criteria as specified in this Order may result in disqualification from Medicare benefits, which can lead to financial repercussions for the individual. The enforcement of compliance with the Act is overseen by the relevant authorities, and any breaches could be subject to investigation and appropriate action under the relevant sections of the Act.