National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 - specification under subsection 84AAA(2) (No. PB 56 of 2012)

Administered by Department of Health, Disability and Ageing

Legislation au F2012L01603 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

NATIONAL HEALTH ACT 1953

 

NATIONAL HEALTH ACT (PHARMACEUTICAL BENEFITS – EARLY SUPPLY) AMENDMENT AUGUST 2012 – SPECIFICATION UNDER SUBSECTION 84AAA(2)

 

PB 56 of 2012

 

Purpose

 

The purpose of this legislative instrument, made under subsection 84AAA(2) of the National Health Act 1953 (the Act) is to amend the National Health (Pharmaceutical Benefits – Early Supply) Instrument 2009 – specification under subsection 84AAA(2) (PB 30 of 2009) to insert new pharmaceutical items and delete an existing pharmaceutical item.

 

PB 30 of 2009 specifies the pharmaceutical items that are in pharmaceutical benefits for which Pharmaceutical Benefits Scheme (PBS) Safety Net entitlements will not apply for early supplies.

 

Authority

 

Subsection 84AAA(1) of the Act provides that a supply of a pharmaceutical benefit (whether or not the supply is of a kind described in paragraph 84C(4A)(a) of the Act) to a person is an early supply of a specified pharmaceutical benefit if:

(a)   The supply is made within 20 days after the day of a previous supply to the person of:

(i)     the same pharmaceutical benefit; or

(ii)      another pharmaceutical benefit that has the same pharmaceutical item as the pharmaceutical benefit; or

(iii)    another pharmaceutical benefit that is Schedule equivalent to the pharmaceutical benefit;

whether or not the previous supply is a supply of a kind described in paragraph 84C(4A)(a) of the Act; and

(b)   The pharmaceutical item in the pharmaceutical benefit is specified in an instrument under subsection 84AAA(2); and

(c)   The supply does not result from a prescription originating from a hospital.

 

Subsection 84AAA(2) of the Act provides that the Minister may specify, by legislative instrument, pharmaceutical items for the purposes of paragraph 84AAA(1)(b) of the Act. 

 

Subsection 84AAA(3) provides that the instrument may specify a pharmaceutical item by reference to the circumstances in which a pharmaceutical benefit that has the pharmaceutical item is supplied or any other circumstances in relation to a pharmaceutical benefit that has the pharmaceutical item.

 

Paragraph 84C(4A) of the Act refers to repatriation pharmaceutical benefits supplied under the schemes established under section 91 of the Veterans Entitlements Act 1986 or section 18 of the Australian Participants in British Nuclear Tests (Treatment) Act 2006 or supplied in accordance with a determination made under paragraph 256(1)(c) of the Military Rehabilitation and Compensation Act 2004.

 

Subsection 101(3AA) of the Act requires the Pharmaceutical Benefits Advisory Committee (PBAC) to make recommendations to the Minister about what should be specified in the instrument under subsection 84AAA(2) (currently PB 30 of 2009).

 

 

Changes to PB 30 of 2009 made by this instrument

 

This instrument provides for additions and deletions.  These changes are summarised, by subject matter, in the Attachment.

 

The ‘listed drug’, ‘form’, ‘manner of administration’, ‘maximum quantity or number of units’ and ‘maximum number of repeats’ for a pharmaceutical item are the same as declared and determined under the Act for pharmaceutical benefits that have the pharmaceutical item. These declarations and determinations are made in the National Health (Listing of Pharmaceutical Benefits) Instrument 2010.

 

Therefore, a supply of a pharmaceutical benefit that has this pharmaceutical item will be an early supply of a specified pharmaceutical benefit providing the requirements of subsection 84AAA(1) are met.

 

Consultation

 

The PBAC has recommended that the pharmaceutical items referred to in this amendment be included in an instrument under subsection 84AAA(2).

 

PBAC members are selected from consumers, health economists, practising community pharmacists, general practitioners, clinical pharmacologists and specialists, with at least one member selected from each of those interests or professions.  Remaining members are persons whom the Minister is satisfied have qualifications and experience in a field relevant to the functions of the PBAC, and that would enable them to contribute meaningfully to the deliberations of the PBAC.

 

This amendment is minor and machinery in nature.

 

General

 

This Instrument commences on 1 August 2012.

 

This Instrument is a legislative instrument for the purposes of the Legislative Instruments Act 2003.


ATTACHMENT

 

Listed Drug Added

Letrozole

Rasagiline

Ticagrelor

 

 

Forms Added

Auranofin

Capsule 3 mg

Temozolomide

Capsule 5 mg

Capsule 20 mg

Capsule 100 mg

Capsule 250 mg

 

 

Forms Deleted

Oestradiol

Transdermal patches 2 mg, 8

 


 

Statement of Compatibility with Human Rights

Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011

 

National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 - specification under subsection 84AAA(2)

This Legislative Instrument is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.

 

Overview of the Legislative Instrument

The National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 - specification under subsection 84AAA(2) amends the National Health (Pharmaceutical Benefits – Early Supply) Instrument 2009 - specification under subsection 84AAA(2) (PB 30 of 2009) which specifies the pharmaceutical items that are pharmaceutical benefits for which the Pharmaceutical Benefits Scheme (PBS) Safety Net entitlements will not apply for early supplies.

 

Human rights implications

This legislative instrument engages Articles 2 and 12 of the International Covenant on Economic, Social and Cultural Rights (ICESCR) by assisting with the progressive realisation by all appropriate means of the right of everyone to the enjoyment of the highest attainable standard of physical and mental health.

The PBS is a benefit scheme which assists with advancement of this human right by providing for subsidised access by patients to medicines. The recommendatory role of the Pharmaceutical Benefits Advisory Committee (PBAC) ensures that decisions about subsidised access to medicines on the PBS are evidence-based.

 

Conclusion

This Legislative Instrument is compatible with human rights because it advances the protection of human rights.

 

Adriana Platona

Assistant Secretary

Pharmaceutical Evaluation Branch

Department of Health and Ageing

Overview

The National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012, enacted to address the need for updating the list of pharmaceutical items under the Pharmaceutical Benefits Scheme (PBS) Safety Net, specifies the pharmaceutical benefits for which PBS Safety Net entitlements will not apply for early supplies. The amendment was made under subsection 84AAA(2) of the National Health Act 1953 and was introduced by the Minister for Health as a legislative instrument. The purpose of this legislative instrument is to insert new pharmaceutical items and delete an existing pharmaceutical item in the National Health (Pharmaceutical Benefits – Early Supply) Instrument 2009. The Pharmaceutical Benefits Advisory Committee recommended these changes, which are designed to ensure that decisions about access to medicines are evidence-based and aligned with the objective of achieving the highest attainable standard of physical and mental health. This legislative instrument is compatible with the human rights and freedoms recognised or declared in international instruments, particularly advancing the right to the highest attainable standard of physical and mental health by facilitating access to subsidised medicines.

Scope and Application

The National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 - specification under subsection 84AAA(2) is an amendment to the National Health (Pharmaceutical Benefits – Early Supply) Instrument 2009 - specification under subsection 84AAA(2) (PB 30 of 2009). The amendment applies to the pharmaceutical items specified in the instrument that are pharmaceutical benefits for which Pharmaceutical Benefits Scheme (PBS) Safety Net entitlements will not apply for early supplies. The amendment is made under subsection 84AAA(2) of the National Health Act 1953, which provides that the Minister may specify, by legislative instrument, pharmaceutical items for the purposes of paragraph 84AAA(1)(b) of the Act. The amendment inserts new pharmaceutical items and deletes an existing pharmaceutical item. The amendment applies nationally and is made under the authority of the Commonwealth of Australia. The Pharmaceutical Benefits Advisory Committee (PBAC) has recommended that the pharmaceutical items referred to in this amendment be included in an instrument under subsection 84AAA(2). PBAC members are selected from consumers, health economists, practising community pharmacists, general practitioners, clinical pharmacologists and specialists, with at least one member selected from each of those interests or professions. The amendment is minor and machinery in nature. The National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 - specification under subsection 84AAA(2) is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011. The PBS is a benefit scheme which assists with advancement of the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. The recommendatory role of the PBAC ensures that decisions about subsidised access to medicines on the PBS are evidence-based. This legislative instrument engages Articles 2 and 12 of the International Covenant on Economic, Social and Cultural Rights (ICESCR) by assisting with the progressive realisation by all appropriate means of the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. The amendment is compatible with human rights because it advances the protection of human rights.

Key Provisions

The National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 – specification under subsection 84AAA(2) modifies the National Health (Pharmaceutical Benefits – Early Supply) Instrument 2009 – specification under subsection 84AAA(2) (PB 30 of 2009). This amendment is focused on specifying pharmaceutical items that will not be subject to the Pharmaceutical Benefits Scheme (PBS) Safety Net entitlements for early supplies. The primary sections involved are subsections 84AAA(1) through 84AAA(3) of the National Health Act 1953, which outline the criteria for an early supply of a pharmaceutical benefit and the authority for specifying pharmaceutical items through a legislative instrument. Section 84AAA(2) allows the Minister to specify these items by legislative instrument, while section 84AAA(3) provides the flexibility to specify these items based on the circumstances of supply. The amendment specifies new pharmaceutical items to be added and an existing item to be deleted, ensuring that the list remains current and relevant. The Act imposes several obligations on parties involved in the pharmaceutical supply chain. Firstly, it requires pharmaceutical suppliers to adhere to the specified list of pharmaceutical items that are exempt from PBS Safety Net entitlements for early supplies. This means that if a supply of a specified pharmaceutical item meets the criteria of being an early supply, it will not be subject to the PBS Safety Net. Additionally, the Pharmaceutical Benefits Advisory Committee (PBAC) has a recommendatory role in advising the Minister on the pharmaceutical items to be specified, ensuring that the decisions are evidence-based and aligned with public health needs. Compliance with these obligations is crucial for maintaining the integrity of the PBS and ensuring that patients have appropriate access to necessary medications. Breaches of the provisions outlined in the Act may lead to civil or criminal consequences. Although the specific penalties are not detailed in the explanatory statement, it is implied that non-compliance with the legislative instrument could result in enforcement actions. The Minister has the authority to take action against parties that fail to adhere to the specified list of pharmaceutical items for early supplies. This could include penalties such as fines or other sanctions, depending on the nature and severity of the breach. It is essential for pharmaceutical suppliers and other relevant parties to understand and comply with the requirements to avoid any legal repercussions. In summary, the National Health Act (Pharmaceutical Benefits – Early Supply) Amendment August 2012 – specification under subsection 84AAA(2) serves to update the list of pharmaceutical items exempt from PBS Safety Net entitlements for early supplies. The Act outlines the criteria for early supply and the authority to specify these items, while also imposing obligations on parties to comply with the specified list. Non-compliance may result in civil or criminal penalties, emphasizing the importance of adhering to the legislative requirements.

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