National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 5) (No. PB 39 of 2011)

Administered by Department of Health, Disability and Ageing

Legislation au F2011L00892 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

Issued by Authority of the Minister for Health and Ageing

NATIONAL HEALTH ACT 1953

NATIONAL HEALTH (CHEMOTHERAPY PHARMACEUTICALS ACCESS PROGRAM) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2011 (No. 5)

PB 39 of 2011

Purpose

The purpose of this legislative instrument, made under subsections 100(1) and 100(2) of the National Health Act 1953 (the Act), is to amend the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (PB 117 of 2010) (the Special Arrangement), to make changes to the special arrangement relating to the chemotherapy pharmaceuticals access program.

The Special Arrangement deals with the supply of chemotherapy pharmaceutical benefits at certain public hospitals to non-admitted patients, day admitted patients and patients on discharge. 

Section 100 special arrangements and Part VII of the Act

Subsection 100(1) enables the Minister to make special arrangements for, or in relation to, providing that an adequate supply of pharmaceutical benefits will be available to persons:

(a)  who are living in isolated areas: or

(b) who are receiving treatment in circumstances in which generally available

                        pharmaceutical benefits are inadequate for that treatment; or

(c)                    if the pharmaceutical benefits covered by the arrangements can be more

                         conveniently or efficiently supplied under the arrangements.

 

Subsection 100(3) provides that Part VII of the Act, and regulations and other legislative instruments made for the purposes of Part VII have effect subject to a special arrangement made under subsection 100(1). 

 

Subsection 100(2) provides that the Minister may vary or revoke a special arrangement made under subsection (1).

 

Changes to the Special Arrangement made by this Instrument

This instrument makes changes to the pharmaceutical benefits available under the section 100 special arrangement for the chemotherapy pharmaceuticals access program. The changes made by this instrument reflect changes to the National Health (Listing of Pharmaceutical Benefits) Instrument made under sections 84AF, 85, 85A, 88 and 101 of the Act, which commence on the same day.

This instrument:

  • changes the brand of a chemotherapy pharmaceutical benefit; and
  • changes the responsible person for two chemotherapy pharmaceutical benefits; and
  • makes changes to the circumstances and purposes for which two chemotherapy pharmaceutical benefits may be prescribed under this Special Arrangement.

 

Consultations

An ongoing and formal process of consultation in relation to matters relevant to this instrument includes the involvement of interested parties through the membership of the Pharmaceutical Benefits Advisory Committee (PBAC). PBAC is an independent expert body established by section 100A of the Act which makes recommendations to the Minister about which drugs and medicinal preparations should be available as pharmaceutical benefits. 

PBAC members are appointed following nomination by prescribed organisations and associations 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 PBAC, and that would enable them to contribute meaningfully to the deliberations of PBAC.  When recommending the listing of a medicine on the Pharmaceutical Benefits Scheme (PBS), PBAC takes into account the medical conditions for which the medicine has been approved for use in Australia, its clinical effectiveness, safety and cost-effectiveness compared with other treatments.

Pharmaceutical companies were consulted throughout the process for additions and changes to listings on the PBS and for the Special Arrangement. This includes consultation through the PBAC process, and agreement to final listing details.

General

This Instrument commences on 1 June 2011.

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

A provision by provision description of this Instrument is contained in the Attachment.

 

 

ATTACHMENT

PROVISION BY PROVISION DESCRIPTION OF THE NATIONAL HEALTH (CHEMOTHERAPY PHARMACEUTICALS ACCESS PROGRAM) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2011 (No. 5)

 

Section 1  Name of Instrument

This section provides that this Instrument is the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011(No. 5) and that it may also be cited as PB 39 of 2011.

Section 2  Commencement

This section provides that this Instrument commences on 1 June 2011.

Section 3   Amendments to PB 117 of 2010

This section provides that Schedule 1 amends the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (PB 117 of 2010) (the Principal Instrument). 

Schedule 1

Item 1 amends the entry in Schedule 1 of the Principal Instrument for the chemotherapy pharmaceutical benefit that has the listed drug ‘Bleomycin’ and the brand ‘Blenamax’ to change the responsible person for that chemotherapy pharmaceutical benefit from Sigma Pharmaceuticals (Australia) Pty Ltd to Aspen Pharma Pty Ltd.

Item 2 amends the entry in Schedule 1 of the Principal Instrument for the chemotherapy pharmaceutical benefit with the listed drug ‘Docetaxel’ in the form ‘Solution concentrate for I.V. infusion 20 mg in 2 mL and the brand ‘Docetaxel Ebewe’ with a maximum quantity of ‘1’ and a number of repeats of ‘0’ to omit the circumstance codes ‘C2439’ and ‘C3292’.

Item 3 amends the entry in Schedule 1 of the Principal Instrument for the chemotherapy pharmaceutical benefit with the listed drug ‘Docetaxel’ in the form ‘Solution concentrate for I.V. infusion 20 mg in 2 mL and the brand ‘Docetaxel Ebewe’ with a maximum quantity of ‘2’ and a number of repeats of ‘0’ to omit both the circumstance codes ‘C2439’ and ‘C3292’ and the purpose codes ‘P2439’ and ‘P3292’.

Item 4 amends the entry in Schedule 1 of the Principal Instrument for the chemotherapy pharmaceutical benefit with the listed drug ‘Docetaxel’ in the form ‘Solution concentrate for I.V. infusion 80 mg in 8 mL and the brand ‘Docetaxel Ebewe’ to omit the circumstance codes ‘C2439’ and ‘C3292’.

Item 5 amends the entry in Schedule 1 of the Principal Instrument for the chemotherapy pharmaceutical benefit with the listed drug ‘Thiotepa’ to change both the brand and the responsible person from ‘Sigma Pharmaceuticals (Australia) Pty Ltd’ to ‘Aspen Pharma Pty Ltd’.

 

Item 6 amends Schedule 2 of the Principal Instrument to insert a new entry for the new responsible person ‘Aspen Pharma Pty Ltd’ with the responsible person code ‘QA’.

Item 7 amends Schedule 2 of the Principal Instrument to remove the entry for the  responsible person ‘Sigma Pharmaceuticals (Australia) Pty Ltd’ with the responsible person code ‘SI’.

 

 

 

Overview

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 5) was enacted to amend the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010. This instrument was introduced to address specific changes in the supply of chemotherapy pharmaceuticals at certain public hospitals to non-admitted patients, day admitted patients, and patients on discharge. Enacted under the authority of the Minister for Health and Ageing, the instrument aims to ensure that an adequate supply of pharmaceutical benefits is available to those in need, as stipulated in the National Health Act 1953. The policy objective is to align the special arrangement with changes made to the National Health (Listing of Pharmaceutical Benefits) Instrument, ensuring that the Pharmaceutical Benefits Scheme remains efficient and effective in meeting the needs of patients requiring chemotherapy treatment. The changes in this instrument are the result of an ongoing consultation process involving the Pharmaceutical Benefits Advisory Committee (PBAC) and pharmaceutical companies, ensuring that the adjustments made are both clinically effective and cost-efficient.

Scope and Application

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 5) amends the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010, to make changes to the special arrangement relating to the chemotherapy pharmaceuticals access program. The National Health Act 1953 enables the Minister to make special arrangements for ensuring an adequate supply of pharmaceutical benefits for individuals living in isolated areas, receiving treatment where generally available pharmaceutical benefits are inadequate, or where benefits can be more conveniently or efficiently supplied under the arrangements. This instrument changes the brand of a chemotherapy pharmaceutical benefit, changes the responsible person for two chemotherapy pharmaceutical benefits, and makes changes to the circumstances and purposes for which two chemotherapy pharmaceutical benefits may be prescribed under the Special Arrangement. The changes reflect changes to the National Health (Listing of Pharmaceutical Benefits) Instrument. The instrument applies to the pharmaceutical benefits available under the special arrangement for the chemotherapy pharmaceuticals access program and is subject to consultation with the Pharmaceutical Benefits Advisory Committee, which includes members from relevant professions and interests, and with pharmaceutical companies. This instrument commenced on 1 June 2011 and is a legislative instrument for the purposes of the Legislative Instruments Act 2003.

Key Provisions

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 5) amends the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010. The main changes include altering the brand of a chemotherapy pharmaceutical benefit, changing the responsible person for two chemotherapy pharmaceutical benefits, and modifying the circumstances and purposes for which two chemotherapy pharmaceutical benefits may be prescribed under the special arrangement. Specifically, the amendments change the brand of the drug 'Thiotepa' and the responsible person for the drugs 'Bleomycin' and 'Docetaxel' from Sigma Pharmaceuticals (Australia) Pty Ltd to Aspen Pharma Pty Ltd. Additionally, the circumstances and purposes for prescribing 'Docetaxel' are revised by omitting certain circumstance and purpose codes. The Act imposes several obligations on the parties involved. Firstly, it requires the Minister to ensure that an adequate supply of pharmaceutical benefits is available to persons living in isolated areas or receiving treatment in which generally available pharmaceutical benefits are inadequate. The Act also requires the Pharmaceutical Benefits Advisory Committee (PBAC) to consult with various stakeholders, including pharmaceutical companies, in recommending the listing of medicines on the Pharmaceutical Benefits Scheme (PBS). The Minister, in turn, must consider the recommendations of the PBAC when making special arrangements. These obligations ensure that the special arrangement effectively addresses the needs of patients requiring chemotherapy pharmaceuticals. Failure to comply with the provisions of the Act can result in various consequences. While specific offences and penalties are not detailed in the explanatory statement, breaches of the Act may lead to civil or criminal penalties, depending on the nature and severity of the breach. The maximum penalties for breaches of the Act can vary widely, but generally, they include fines and imprisonment. The precise penalties would depend on the specific breach and the relevant provisions of the Act under which the breach is being prosecuted. In summary, the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 5) makes specific amendments to the special arrangement for chemotherapy pharmaceuticals, aligning it with changes to the National Health (Listing of Pharmaceutical Benefits) Instrument. The Act imposes obligations on the Minister and PBAC to ensure an adequate supply of pharmaceutical benefits and to consult with stakeholders in making special arrangements. Breaches of the Act may lead to civil or criminal penalties, although the exact penalties are not specified in the explanatory statement.

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