National Health Act 1953 (Amendment) Regulations 1993 No. 274
EXPLANATORY STATEMENT
STATUTORY RULES 1993 No. 274
Issued by Authority of the Minister for Housing, Local Government and Community Services
National Health Act 1953
National Health Regulations (Amendment)
National Health Act 1953 (Amendment) Regulations
Subsection 140(1) of the National Health Act 1953 (the Act) enables the Governor-General to make regulations, prescribing all matters which by the Act are required or permitted to be prescribed.
A number of government nursing homes in Victoria are to be prescribed as adjusted fee government nursing homes for the purposes of section 4AAAA of the Act.
Currently, proprietors of government nursing homes receive a fixed rate of benefit for each nursing home patient. The rate of benefit paid in respect of such patients has been frozen since 1985. The Government has announced its intention that government nursing homes be brought into the care aggregated module (CAM) funding system which applies to privately operated and adjusted fee government nursing homes. The CAM funding system will result in higher levels of benefit being paid to the proprietors of nursing homes that become adjusted fee government nursing homes. In order for existing government nursing homes to become adjusted fee government nursing homes and thereby be brought into the CAM funding system, they must be prescribed as adjusted fee government nursing homes for the purposes of section 4AAAA of the Act.
It is proposed that groups of government nursing homes throughout Australia will be progressively prescribed as adjusted fee government nursing homes for the purpose of the Act. On 1 May 1993, the first group of government nursing homes in Victoria became adjusted fee government nursing homes. This was followed by a second group of nursing homes in Victoria on 1 June 1993 and the third group in Victoria, South Australia and Tasmania on 1 July 1993.
The purpose of proposed National Health Regulations (Amendment) is to prescribe a fourth group of government nursing homes, all in Victoria, as adjusted fee government nursing homes with effect from 1 November 1993. A list of the nursing homes prescribed is set out in the Attachment. The proposed regulations also omit the current Schedule 5 (list of adjusted fee government nursing homes) and substitute a new Schedule 5 which consolidates the list of all adjusted fee government nursing homes according to the State in which the nursing homes are situated.
The purpose of the proposed National Health Act 1953 (Amendment) Regulations is to omit items 1-11 of Schedule 3 to the Act. Schedule 3 currently lists a number of nursing homes which are adjusted fee government nursing homes. By virtue of subsection 4AAAA(2) of the Act, the regulations may amend Schedule 3 by omitting any item in the Schedule. In omitting items 1-11 of Schedule 3, the proposed National Health Act 1953 (Amendment) Regulations delete all adjusted fee government nursing homes from that Schedule. This deletion is necessary as the proposed National Health Regulations (Amendment) will consolidate the listing of all adjusted fee government nursing homes in the National Health Regulations, including those previously listed in Schedule 3 to the Act.
The consolidated listing includes new names of nursing homes where these have changed and omits one home previously listed on Schedule 3 as this home is to combine with another adjusted fee government nursing home from 1 November 1993.
ATTACHMENT
Name & Address of Nursing Home
Raechel Willson House Thirteenth Street MILDURA VIC 3500 Fisher House Thirteenth Street MILDURA VIC 3500 Reg Geary House Pinnacle Crescent MELTON VIC 3337 Cyril Jewell House Hassett Crescent KEILOR VIC 3036 Boyne Russell House 184-186 Victoria Street BRUNSWICK VIC 3056 Creswick District Nursing Home Napier Street CRESWICK VIC 3363 | Approval No.
4457 S
4458 S
4464 S
4465 S
4466 S
4467 S
|
Overview
The National Health Act 1953 (Amendment) Regulations 1993 No. 274 were introduced to amend the National Health Act 1953 and related regulations to address the issue of updating the funding system for government nursing homes. These regulations were enacted by the Governor-General under the authority of the Minister for Housing, Local Government and Community Services. The primary policy objective of these regulations was to transition government nursing homes into the care aggregated module (CAM) funding system, which applies to privately operated and adjusted fee government nursing homes, resulting in higher levels of benefit for proprietors. By prescribing certain nursing homes as adjusted fee government nursing homes, the regulations aimed to facilitate the transition and consolidation of these homes under the new funding system.
The National Health (Amendment) Regulations also involved the amendment of Schedule 3 of the Act by omitting items 1-11, which listed nursing homes previously recognised as adjusted fee government nursing homes. This was necessary to align with the new consolidated list of adjusted fee government nursing homes that would be prescribed in the National Health Regulations. The changes were intended to streamline the administrative process and ensure that all nursing homes receiving the adjusted fee benefit were appropriately listed and recognised under the updated regulatory framework. This consolidation was part of a broader effort to modernise and standardise the funding arrangements for government nursing homes across Australia.
Scope and Application
The National Health Act 1953 (Amendment) Regulations 1993 No. 274, issued under the authority of the Minister for Housing, Local Government and Community Services, seeks to amend the National Health Act 1953 by prescribing certain government nursing homes as adjusted fee government nursing homes. This amendment facilitates the transition of these nursing homes into the care aggregated module (CAM) funding system, thereby ensuring higher levels of benefit are paid to the proprietors. This change applies to government nursing homes located in Victoria, South Australia, and Tasmania. The regulations specifically list nursing homes that will be prescribed as adjusted fee government nursing homes, effective from 1 November 1993, and consolidate these listings in the National Health Regulations. The regulations also omit and replace the current Schedule 5 of the Act, which previously listed adjusted fee government nursing homes, ensuring all listings are current and accurately reflect those nursing homes participating in the new funding system.
Key Provisions
The main operative sections of the National Health Act 1953 (Amendment) Regulations 1993 No. 274 involve the amendment and prescription of certain nursing homes as adjusted fee government nursing homes. Specifically, section 4AAAA of the Act allows the Governor-General to make regulations that prescribe all matters required or permitted by the Act. The Regulations aim to prescribe a fourth group of government nursing homes in Victoria as adjusted fee government nursing homes, effective from 1 November 1993 (section 4). This includes omitting items 1-11 from Schedule 3 of the Act and replacing it with a new consolidated list of adjusted fee government nursing homes in the National Health Regulations (Schedule 5). The regulations also aim to omit the existing Schedule 5 from the Act and replace it with the new consolidated list.
The obligations and requirements imposed by the Regulations are primarily concerned with the prescription of specific nursing homes as adjusted fee government nursing homes. This involves the inclusion of certain nursing homes in Victoria into the adjusted fee government nursing home category, thereby bringing them under the care aggregated module (CAM) funding system. This change will result in higher levels of benefit being paid to the proprietors of these nursing homes. The regulations also require the removal of previously listed adjusted fee government nursing homes from Schedule 3 of the Act and the consolidation of all such listings in the new Schedule 5 of the National Health Regulations. The proprietors of the nursing homes affected by these changes must comply with the new funding system and any related requirements set out in the Regulations.
Any breach of the provisions of the National Health Act 1953 (Amendment) Regulations 1993 No. 274 may result in civil or criminal consequences, depending on the nature and severity of the breach. The Act does not specify any particular offences, penalties, or maximum penalties for breaches of the Regulations. However, it is possible that breaches of the Act or Regulations could result in fines, imprisonment, or other penalties as determined by the relevant courts or authorities. It is important for the parties and entities governed by the Regulations to be aware of their obligations and to ensure compliance with the provisions of the Act and Regulations to avoid any potential consequences.