Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010

Administered by Department of Health, Disability and Ageing

Legislation au C2010A00063 In force Act

Legislation content

 

 

 

 

 

 

Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010

 

No. 63, 2010

 

 

 

 

 

An Act to amend the National Health Act 1953 and the Private Health Insurance Act 2007, and for related purposes

 

 

Contents

1 Short title

2 Commencement

3 Schedule(s)

Schedule 1—Amendments relating to the Australian Community Pharmacy Authority

National Health Act 1953

Schedule 2—Amendments relating to lifetime health cover

Private Health Insurance Act 2007

 

 

 

Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010

No. 63, 2010

 

 

 

An Act to amend the National Health Act 1953 and the Private Health Insurance Act 2007, and for related purposes

[Assented to 28 June 2010]

The Parliament of Australia enacts:

1  Short title

  This Act may be cited as the Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010.

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 this Act receives the Royal Assent.

28 June 2010

2.  Schedule 1

The day this Act receives the Royal Assent.

28 June 2010

3.  Schedule 2

1 July 2010.

1 July 2010

Note: This table relates only to the provisions of this Act as originally passed by both Houses of 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  Each Act that is specified in a Schedule to this Act is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Act has effect according to its terms.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—Amendments relating to the Australian Community Pharmacy Authority

 

National Health Act 1953

1  Subsection 90(3C)

Omit “30 June 2010”, substitute “30 June 2015”.

2  Section 99Y

Omit “30 June 2010”, substitute “30 June 2015”.


Schedule 2—Amendments relating to lifetime health cover

 

Private Health Insurance Act 2007

1  Section 3425

Repeal the section, substitute:

34‑25  Meaning of lifetime health cover base day

General rule: 1 July after person turns 31

 (1) Subject to subsections (2), (3) and (4), a person’s lifetime health cover base day is the 1 July after the person turns 31.

Note: See also section 375.

Person who had lifetime health cover base day on or before 30 June 2010

 (2) If a person had a lifetime health cover base day on or before 30 June 2010, that lifetime health cover base day remains the person’s lifetime health cover base day.

Person who is not an Australian citizen and is not covered by subsection (2)

 (3) Subject to subsection (4), the lifetime health cover base day of a person who is not an *Australian citizen on the person’s *medicare eligibility day and is not covered by subsection (2) is the later of:

 (a) the 1 July after the person turns 31; and

 (b) the first anniversary of the person’s medicare eligibility day.

Note: See also section 375.

Person overseas on day worked out under subsection (1) or (3)

 (4) However, if the person is *overseas on the day worked out under subsection (1) or (3), the person’s lifetime health cover base day is the first anniversary of:

 (a) the person’s first return to Australia from overseas; or

 (b) the person’s first entry to Australia;

after the day worked out under subsection (1) or (3), whichever is applicable.

Medicare eligibility day

 (5) A person’s medicare eligibility day is the day on which the person is registered by the Medicare Australia CEO as an eligible person within the meaning of section 3 of the Health Insurance Act 1973.

2  Section 3430

Omit “Without”, substitute “(1) Without”.

Note: The heading to section 3430 is altered by adding at the end “or enters Australia”.

3  Paragraph 3430(b)

Omit “and”.

4  Paragraph 3430(c)

Repeal the paragraph.

5  At the end of section 3430

Add:

 (2) For the purposes of this Part, a person is taken not to have returned to Australia from *overseas, or entered Australia, if the person returns to Australia, or enters Australia, but remains in Australia for a period of less than 90 days.

6  After paragraph 375(a)

Insert:

 (aa) who:

 (i) was an *Australian citizen on 1 July 2000; or

 (ii) was an Australian resident (within the meaning of section 3 of the Health Insurance Act 1973) on 1 July 2000; or

 (iii) had a lifetime health cover base day on or before 30 June 2010; and

7  After section 375

Insert:

37‑7  Person yet to turn 31

  If the 1 July after a person turns 31 has not arrived, lifetime health cover does not yet apply to the person.

8  Clause 1 of Schedule 1

Insert:

Australian citizen has the same meaning as in the Australian Citizenship Act 2007.

9  Clause 1 of Schedule 1 (definition of medicare eligibility day)

Omit “3425(3)”, substitute “3425(5)”.

10  Clause 1 of Schedule 1 (definition of new arrival)

Repeal the definition.

 

 

 

 

 

[Minister’s second reading speech made in—

House of Representatives on 12 May 2010

Senate on 15 June 2010]

(88/10)

 

Overview

The Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010 was enacted by the Parliament of Australia to address deficiencies in the National Health Act 1953 and the Private Health Insurance Act 2007. The Act aims to improve the governance and oversight of Australia's health system by amending the existing legislative framework. The Parliament introduced this legislation to better regulate the Australian Community Pharmacy Authority and to make adjustments to the private health insurance provisions, particularly concerning lifetime health cover. The Act was assented to on 28 June 2010 and came into effect on various dates as specified in the commencement provisions, with certain amendments taking effect from 1 July 2010. The key objective of this Act is to enhance the efficiency and effectiveness of Australia's health system by providing the necessary legislative support for the Australian Community Pharmacy Authority and by updating the private health insurance framework. The Act ensures that the provisions of the National Health Act 1953 are suitably amended to reflect the extended operational timeline for the Australian Community Pharmacy Authority, thereby allowing it to continue its functions without legislative interruptions. Additionally, the Act makes targeted amendments to the Private Health Insurance Act 2007 to clarify and refine the requirements for lifetime health cover, ensuring that these provisions are better aligned with the current health landscape and policy objectives.

Scope and Application

The Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010 is an Act of the Australian Parliament that amends the National Health Act 1953 and the Private Health Insurance Act 2007, extending the life of the Australian Community Pharmacy Authority and introducing various amendments to the private health insurance regime. This Act applies to entities such as the Australian Community Pharmacy Authority and individuals involved in the private health insurance industry, affecting their conduct and transactions within the health sector. Its jurisdiction is Commonwealth, impacting the national health system and private health insurance frameworks. The Act's provisions came into effect on 28 June 2010, with certain amendments to the Private Health Insurance Act 2007 taking effect on 1 July 2010. The Act does not explicitly state exclusions or exemptions, but it does set thresholds and conditions under which certain provisions apply, such as the lifetime health cover base day for private health insurance. The Act may extend or restrict its application through subordinate instruments, although this is not detailed in the primary text.

Key Provisions

The Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010 (Act) primarily amends two key pieces of legislation: the National Health Act 1953 and the Private Health Insurance Act 2007. The Act introduces changes to the Australian Community Pharmacy Authority (ACPA) and modifies the requirements for lifetime health cover under private health insurance. Specifically, it extends the ACPA's duration until 30 June 2015 (section 1 of Schedule 1) and alters the definition and calculation of lifetime health cover base days in private health insurance (section 1 of Schedule 2). The Act imposes various obligations on the parties it governs. For example, under the amended National Health Act 1953, the ACPA is now tasked with overseeing the regulation and operation of community pharmacies in Australia until 30 June 2015. The Private Health Insurance Act 2007 is amended to refine the criteria for determining a person's lifetime health cover base day, which is crucial for calculating the loading on private health insurance premiums based on when the individual took out lifetime health cover. These changes include specific provisions for Australian citizens, Australian residents on 1 July 2000, and individuals with a lifetime health cover base day before 30 June 2010 (section 34-30 of Schedule 2). Non-compliance with the provisions of the Act can result in various consequences. While the Act does not explicitly state penalties for breaches, penalties for non-compliance with health-related legislation typically fall under the jurisdiction of the relevant health authority or can be found in related Acts. For example, failure to adhere to the regulations set forth by the ACPA could result in administrative penalties, enforcement actions, or even the revocation of a pharmacy's operating license. Similarly, private health insurers that do not correctly apply the lifetime health cover loading rules could face financial penalties or corrective measures from regulatory bodies. The specific penalties would depend on the nature and severity of the breach, as outlined in the National Health Act 1953 and the Private Health Insurance Act 2007.

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Area of Law
Health Law
Insurance Law
Instrument
Act
Concepts
Commencement Provisions
Repeal & Amendment
Enforcement Powers
Reporting & Disclosure Obligations

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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.