Migration (Required medical assessments) Amendment Instrument (LIN 22/065) 2022

Administered by Department of Home Affairs

Legislation au F2022L00834 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

Issued by authority of the Minister for Immigration, Citizenship, Migrant Affairs and Multicultural Affairs

Migration Regulations 1994

Migration (Required medical assessments) Amendment Instrument (LIN 22/065) 2022

1                The instrument, Departmental reference LIN 22/065, is made under paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Migration Regulations 1994 (the Regulations). 

2                The instrument amends REQUIRED MEDICAL ASSESSMENT (F2015L01826) (IMMI 15/144) in accordance with subsection 33(3) of the Acts Interpretation Act 1901 (the Acts Interpretation Act).  That subsection provides that a power to make a legislative instrument includes a power to amend or repeal that instrument in the same manner, and subject to the same conditions, as the power to make the instrument.  This means that paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations also include a power to amend or repeal an instrument made under those provisions.

3                The instrument commences on 1 July 2022, and is a legislative instrument for the Legislation Act 2003 (the Legislation Act). 

Purpose

4                Paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations each provides that if an applicant is in a class of persons specified by the Minister in an instrument in writing for that paragraph, then the applicant must undertake any medical assessment specified in the instrument and must be assessed by the person specified in the instrument unless a Medical Officer of the Commonwealth decides otherwise. 

5                IMMI 15/144 provides that applicants mentioned in that instrument for paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations must undertake medical assessments by reference to their country of citizenship or residence, intended activities, and their intended stay period in Australia.  

6                The purpose of the instrument is to amend IMMI 15/144 by updating the additional medical assessments for the class of persons mentioned in paragraph 2(c) of IMMI 15/144 for paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations. 

7                Unless the applicants have applied for a Visitor (Subclass 600) visa for temporary stay in Australia of not more than 6 months, the instrument requires visa applicants from higher tuberculosis risk countries to undertake latent tuberculosis screening as part of their immigration medical examination, if the applicants intend to:

  • work as, or study or train to be, a doctor, dentist, nurse or paramedic; or
  • work as, or study or train to be, a health care worker, or to work within a health care, aged care or disability care facility, in a health care profession not mentioned above.

Continuation of effect of paragraph 4006A(1)(aa)

8                IMMI 15/144 was also made under paragraph 4006A(1)(aa) of Schedule 4 to the Regulations.  Clause 4006A, however, was repealed on 18 March 2018 by the Migration Legislation Amendment (Temporary Skill Shortage Visa and Complementary Reforms) Regulations 2018.   

9                Subclause 6702(2) of Schedule 13 to the Regulations provides that clause 4006A of Schedule 4 to the Regulations and any instruments made under that clause continue to apply as in force immediately before 18 March 2018 in relation to an application for a visa made before that date.  The effect of this is that IMMI 15/144, as in force immediately before 18 March 2018, continues to apply in relation to clause 4006A of Schedule 4 to the Regulations and relevant visa applications made before 18 March 2018.

10            The instrument does not make changes to the class of persons or additional medical assessments mentioned in IMMI 15/144 for paragraph 4006A(1)(aa) of Schedule 4 to the Regulations. 

Consultation

11            Consultation was undertaken with external stakeholders including the State and Territory tuberculosis programs and chest clinics, the National Tuberculosis Advisory Committee, the Department of Health, and migration medical service providers.  No concerns were raised with the additional medical assessments being amended in the instrument.

12            The Office of Best Practice Regulation (OBPR) was also consulted and considered that the instrument dealt with matters of a minor or machinery nature and no regulatory impact statement was required.  The OBPR reference number is 44188.

Details of the instrument

13            Section 1 sets out the name of the instrument.

14            Section 2 provides for the commencement of the instrument on 1 July 2022.

15            Section 3 provides that Schedule 1 to the instrument amends IMMI 15/144.  

16            Item 1 of Schedule 1 to the instrument amends paragraph 2(d) of IMMI 15/144 by removing reference to column E from that paragraph.  That is, only columns B, C and D of Schedule 2 to IMMI 15/144 apply to the class of persons mentioned in paragraph 2(c) of IMMI 15/144 for paragraphs 4005(1)(aa), 4006A(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations. 

17            Item 2 of Schedule 1 to the instrument amends section 2 of IMMI 15/144 by adding paragraphs 2(f) and (g).  Paragraph 2(g) provides that the additional medical assessments mentioned in new Schedule 3 to IMMI 15/144 apply to the class of persons mentioned in paragraph 2(c) of IMMI 15/144 for paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations.  Column E of Schedule 2 to IMMI 15/144 applies only in relation to paragraph 4006A(1)(aa) of Schedule 4 to the Regulations.

18            Item 3 of Schedule 1 to the instrument amends Schedule 2 to IMMI 15/144.  It is a technical amendment that is consequential to the insertion of new Schedule 3 to IMMI 15/144 by item 5.

19            Item 4 of Schedule 1 to the instrument amends the heading of column E of Schedule 2 to IMMI 15/144.  The effect is to make it clear that column E does not apply in relation to paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations anymore. 

20            Item 5 of Schedule 1 to the instrument amends IMMI 15/144 by adding new Schedule 3 to it.  Schedule 3 specifies the additional medical assessments which apply only to the class of persons mentioned in paragraph 2(c) of IMMI 15/144 for paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations.

Parliamentary scrutiny etc. 

21            The instrument is exempt from disallowance under section 42 of the Legislation Act.  This is because it is an instrument made under paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations, which is exempt from disallowance under paragraph (b) of item 20 in section 10 of the Legislation (Exemptions and Other Matters) Regulation 2015.

22            The instrument is made by a delegate of the Minister, Chief Medical Officer, in accordance with paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations.

 

Overview

The Migration (Required medical assessments) Amendment Instrument (LIN 22/065) 2022 amends the Migration Regulations 1994, specifically updating the additional medical assessments for certain visa applicants from countries with a higher risk of tuberculosis. Enacted under the authority of the Minister for Immigration, Citizenship, Migrant Affairs and Multicultural Affairs, the instrument aims to ensure that visa applicants who intend to work in healthcare professions, or within health care, aged care, or disability care facilities, undergo appropriate medical screening to mitigate public health risks. The policy objective is to maintain stringent health standards for visa applicants who will be directly involved in health care roles, thereby protecting public health in Australia. This amendment came into effect on 1 July 2022 and is exempt from disallowance under the Legislation Act 2003.

Scope and Application

The Migration (Required medical assessments) Amendment Instrument (LIN 22/065) 2022 applies to certain visa applicants who are required to undergo medical assessments as specified in the instrument, particularly those intending to work or study in health care-related professions in Australia. This amendment is made under the authority of the Migration Regulations 1994, specifically affecting those applicants from countries with a higher risk of tuberculosis. It applies to all visa applicants who are not applying for a Visitor (Subclass 600) visa for a temporary stay of up to six months and who intend to engage in specified health care-related activities in Australia. The amendment took effect from 1 July 2022 and is applicable nationally within Australia. It does not apply to visitors on short-term visas, ensuring that only those intending longer stays or health care roles are subject to the updated medical assessment requirements. The instrument does not introduce new classes of persons or additional medical assessments for paragraph 4006A(1)(aa) of Schedule 4 to the Regulations, thus maintaining continuity with the repealed clause 4006A as it applied to visa applications made before 18 March 2018.

Key Provisions

The Migration (Required medical assessments) Amendment Instrument (LIN 22/065) 2022 amends the existing Required Medical Assessments under the Migration Regulations 1994. Specifically, it updates the additional medical assessments for certain visa applicants from higher tuberculosis risk countries, requiring them to undergo latent tuberculosis screening as part of their immigration medical examination if they intend to work or study in specified health care professions. This amendment applies to applicants intending to work or study in Australia for more than six months, excluding those applying for a Visitor (Subclass 600) visa for temporary stays of not more than six months. The main operative sections of this instrument are found in sections 3 and 15, which detail the amendments to the Required Medical Assessments. These sections require specific classes of visa applicants to undergo additional medical assessments if they intend to work or study in certain health care professions. The requirements are contingent on the applicant's country of citizenship or residence, intended activities, and their intended stay period in Australia. The obligations imposed by this Act on the relevant parties are straightforward: visa applicants from higher tuberculosis risk countries who intend to work or study in specified health care professions must undergo latent tuberculosis screening as part of their immigration medical examination. This applies unless they are applying for a Visitor (Subclass 600) visa for temporary stays of not more than six months. The instrument ensures that these assessments are conducted by the specified medical professionals unless a Medical Officer of the Commonwealth decides otherwise. There are no specific offences, penalties, or civil/criminal consequences outlined in the instrument for breaching these requirements. However, failure to comply with the mandated medical assessments could potentially impact the processing of the visa application. The instrument is exempt from disallowance and was made by a delegate of the Minister, Chief Medical Officer, under the Migration Regulations 1994. The changes introduced by this instrument are effective from 1 July 2022.

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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.