Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024
No. 33, 2024
An Act to amend the law relating to health, and for related purposes
Contents
1 Short title
2 Commencement
3 Schedules
Schedule 1—Amendments
Health Insurance Act 1973
National Health Act 1953
Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024
No. 33, 2024
An Act to amend the law relating to health, and for related purposes
[Assented to 31 May 2024]
The Parliament of Australia enacts:
1 Short title
This Act is the Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024.
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 |
Provisions | 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. | 31 May 2024 |
2. Schedule 1 | The later of: (a) 1 November 2024; and (b) the day after this Act receives the Royal Assent. | 1 November 2024 (paragraph (a) applies) |
Note: This table relates only to the provisions of this Act as originally enacted. It will not be amended to deal with any later amendments of this Act.
(2) Any information in column 3 of the table is not part of this Act. Information may be inserted in this column, or information in it may be edited, in any published version of this Act.
3 Schedules
Legislation that is specified in a Schedule to this Act is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Act has effect according to its terms.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
Health Insurance Act 1973
1 Subsection 3(1) (paragraph (b) of the definition of participating midwife)
Omit “eligible midwife;”, substitute “eligible midwife.”.
2 Subsection 3(1) (definition of participating midwife)
Omit all the words after paragraph (b).
3 Subsection 3(1) (paragraph (b) of the definition of participating nurse practitioner)
Omit “eligible nurse practitioner;”, substitute “eligible nurse practitioner.”.
4 Subsection 3(1) (definition of participating nurse practitioner)
Omit all the words after paragraph (b).
National Health Act 1953
5 Section 84 (definition of authorised midwife)
Omit “, so far as the eligible midwife provides midwifery treatment in a collaborative arrangement or collaborative arrangements of a kind or kinds specified in a legislative instrument made by the Minister for the purposes of this definition, with one or more medical practitioners of a kind or kinds specified in the legislative instrument”.
6 Section 84 (definition of authorised nurse practitioner)
Omit “, so far as the eligible nurse practitioner provides nurse practitioner treatment in a collaborative arrangement or collaborative arrangements of a kind or kinds specified in a legislative instrument made by the Minister for the purposes of this definition, with one or more medical practitioners of a kind or kinds specified in the legislative instrument”.
[Minister’s second reading speech made in—
House of Representatives on 20 March 2024
Senate on 14 May 2024]
Overview
The Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024 was enacted by the Parliament of Australia to amend existing health laws by removing the requirement for certain healthcare providers to engage in collaborative arrangements with medical practitioners. This change was made to streamline the administrative processes and enhance the flexibility and autonomy of healthcare providers, particularly midwives and nurse practitioners. The Act aims to improve the efficiency of healthcare services and better align with contemporary healthcare practices, ensuring that qualified professionals can provide services without the need for mandated collaborative agreements. The Act was assented to on 31 May 2024 and includes provisions that commenced on that date, with further amendments taking effect from 1 November 2024.
Scope and Application
The Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024 amends the Health Insurance Act 1973 and the National Health Act 1953 by removing the requirement for a collaborative arrangement in certain health-related definitions. This Act applies to the definitions of participating midwife and participating nurse practitioner in the Health Insurance Act, and to the definitions of authorised midwife and authorised nurse practitioner in the National Health Act. By omitting specific phrases that mention the need for collaborative arrangements with medical practitioners, the Act broadens the eligibility criteria for these health professionals. The amendments are intended to enhance flexibility and potentially improve access to health services provided by midwives and nurse practitioners. The Act commenced on 31 May 2024, with further amendments to the Health Insurance Act and the National Health Act taking effect from 1 November 2024. This legislative change is designed to streamline healthcare provisions and does not include any specific exclusions or thresholds as detailed within the Act itself.
Key Provisions
The Health Legislation Amendment (Removal of Requirement for a Collaborative Arrangement) Act 2024 (Act) makes significant amendments to the Health Insurance Act 1973 (Cth) and the National Health Act 1953 (Cth). These amendments remove the requirement for eligible midwives and nurse practitioners to provide their services in a collaborative arrangement with medical practitioners, as was previously stipulated in these Acts. Specifically, Section 3(1) of the Health Insurance Act 1973 is amended to remove the reference to "eligible midwife" and "eligible nurse practitioner" being required to provide services in a collaborative arrangement (Schedule 1, items 1 to 4). Similarly, the National Health Act 1953 is amended to omit the requirement for authorised midwives and nurse practitioners to provide treatment in a collaborative arrangement with medical practitioners (Schedule 1, items 5 and 6).
Under the amended legislation, eligible midwives and nurse practitioners are no longer required to operate within a collaborative arrangement with medical practitioners to provide their services. This change broadens the scope of practice for midwives and nurse practitioners, allowing them greater autonomy in delivering health services. These amendments ensure that the definitions of "participating midwife" and "participating nurse practitioner" in the Health Insurance Act 1973, and "authorised midwife" and "authorised nurse practitioner" in the National Health Act 1953, reflect the updated legislative requirements.
The Act imposes obligations on the parties it governs, primarily the removal of the collaborative arrangement requirement for eligible midwives and nurse practitioners. This means that these health professionals can now provide their services independently, without needing to be part of a collaborative arrangement with medical practitioners. These amendments are intended to streamline the provision of healthcare services and reduce bureaucratic barriers for eligible health professionals.
There are no specific offences, penalties, or civil/criminal consequences outlined in the Act for breach of its provisions. However, non-compliance with the updated legislative requirements could potentially lead to challenges in the provision of services or eligibility for certain health benefits, depending on how the amendments are interpreted and implemented by relevant authorities and in practice. The Act's primary focus is on legislative clarity and the expansion of professional autonomy rather than punitive measures for non-compliance.