National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 9) (No. PB 70 of 2011)

Administered by Department of Health, Disability and Ageing

Legislation au F2011L02000 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. 9)

PB 70 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 commences on the same day.

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 October 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. 9)

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. 9) and that it may also be cited as PB 70 of 2011.

Section 2  Commencement

This section provides that this Instrument commences on 1 October 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 inserts two new forms for the pharmaceutical benefit Docetaxel, Powder for I.V infusion 20 mg with solvent and Powder for I.V infusion 80 mg with solvent.

Item 2 adds two new brands ‘Docetaxel Sandoz’ for the pharmaceutical benefit Docetaxel in the form Solution concentrate for I.V. infusion 20 mg in 2 mL.

Item 3 adds two new brands ‘Docetaxel Sandoz’ for the pharmaceutical benefit Docetaxel in the form Solution concentrate for I.V. infusion 80 mg in 8 mL.

Item 4 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Fludarabine in the form Powder for I.V injection containing fludarabine phosphate 50 mg.

Item 5 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Gemcitabine in the form Powder for I.V infusion 200 mg (as hydrochloride).

Item 6 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Gemcitabine in the form Powder for I.V infusion 1 g (as hydrochloride).

Item 7 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) and adds the brand ‘Irinotecan Kabi’ for the pharmaceutical benefit Irinotecan in the form I.V injection containing irinotecan hydrochloride trihydrate 40 mg in 2 mL.

Item 8 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) and adds the brand ‘Irinotecan Kabi’ for the pharmaceutical benefit Irinotecan in the form I.V injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL.

Item 9 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Oxaliplatin in the form Powder for I.V infusion 50 mg.

Item 10 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Oxaliplatin in the form Powder for I.V infusion 100 mg.

Item 11 adds the brand ‘Oxaliplatin SUN for the pharmaceutical benefit Oxaliplatin in the form Solution concentrate for I.V infusion 50 mg in 10 mL.

Item 12 adds the brand ‘Oxaliplatin SUN for the pharmaceutical benefit Oxaliplatin in the form Solution concentrate for I.V infusion 100 mg in 20 mL.

Item 13 adds the brand ‘Oxaliplatin SUN for the pharmaceutical benefit Oxaliplatin in the form Solution concentrate for I.V infusion 200 mg in 40 mL.

Item 14 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Paclitaxel in the form Solution concentrate for I.V infusion 30 mg in 5 mL.

Item 15 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Paclitaxel in the form Solution concentrate for I.V infusion 100 mg in 16.7 mL.

Item 16 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Paclitaxel in the form Solution concentrate for I.V infusion 150 mg in 25 mL.

Item 17 amends the Responsible Person code from ‘GQ’ (Generic Health Pty Ltd) to ‘TA’ (Actavis Australia Pty Ltd) for the pharmaceutical benefit Paclitaxel in the form Solution concentrate for I.V infusion 300 mg in 50 mL.

Item 18 removes the brands ‘Vinorelbine Kabi’ and ‘Vinorelbine Link for the pharmaceutical benefit Vinorelbine.

Item 19 removes the Responsible Person Code ‘FU’ (Fresentius Kabi Australia Pty Limited).

Item 20 removes the Responsible Person Code ‘GQ’ (Generic Health Pty Ltd).

 

 

 

 

 

 

 

 

Overview

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 9), made under the National Health Act 1953, seeks to amend the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010. This legislative instrument was introduced to address the need for changes to the special arrangement for the provision of chemotherapy pharmaceuticals in certain public hospitals, ensuring adequate and appropriate pharmaceutical benefits are available for non-admitted patients, day admitted patients, and patients on discharge. The Minister for Health and Ageing enacted this instrument to ensure the chemotherapy pharmaceuticals access program aligns with changes in the National Health (Listing of Pharmaceutical Benefits) Instrument, which commenced on the same day. The policy objective is to maintain an adequate supply of pharmaceutical benefits for patients receiving treatment in circumstances where generally available pharmaceutical benefits are inadequate, in line with section 100 of the Act. This amendment reflects consultations with the Pharmaceutical Benefits Advisory Committee and pharmaceutical companies, ensuring that the changes made are based on clinical effectiveness, safety, and cost-effectiveness.

Scope and Application

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 9) amends the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010, under the National Health Act 1953. This amendment primarily focuses on modifying the pharmaceutical benefits available under the special arrangement for the chemotherapy pharmaceuticals access program. The special arrangement applies to persons receiving treatment in circumstances where generally available pharmaceutical benefits are inadequate, particularly non-admitted patients, day admitted patients, and patients on discharge at certain public hospitals. The Act provides a special arrangement to ensure an adequate supply of pharmaceutical benefits for these patients, which includes chemotherapy drugs. The amendment reflects changes to the National Health (Listing of Pharmaceutical Benefits) Instrument, and therefore pertains to the specific listing of pharmaceutical benefits and their providers. The consultation process for these amendments involved the Pharmaceutical Benefits Advisory Committee (PBAC) and pharmaceutical companies, ensuring recommendations on the listing of medicines on the Pharmaceutical Benefits Scheme (PBS) are based on clinical effectiveness, safety, and cost-effectiveness. The amendment instrument commences on 1 October 2011 and is subject to the Legislative Instruments Act 2003.

Key Provisions

The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 9) (the Instrument) amends the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (the Special Arrangement). The Instrument introduces several changes to the pharmaceutical benefits available under the special arrangement for the chemotherapy pharmaceuticals access program, primarily by altering the list of chemotherapy drugs, their forms, and the responsible entities for their supply. Section 3 of the Instrument outlines these amendments through Schedule 1, which introduces new forms and brands for certain chemotherapy drugs, changes the responsible person for the supply of several drugs, and removes some brands and responsible persons from the list (Items 1 to 20 of Schedule 1). The Instrument imposes obligations on entities such as pharmaceutical companies, hospitals, and other healthcare providers participating in the chemotherapy pharmaceuticals access program. These entities must adhere to the new forms, brands, and responsible persons specified in the Instrument. For instance, they must ensure that the new forms and brands of chemotherapy drugs are supplied according to the updated details, and they must obtain these drugs from the newly designated responsible persons, such as Actavis Australia Pty Ltd, replacing the previous responsible entities like Generic Health Pty Ltd. The Instrument also requires these entities to remove the specified brands and responsible persons from their records and operations, ensuring a smooth transition to the new arrangements. Failure to comply with the provisions of the Instrument can result in various consequences. While the Instrument itself does not explicitly state penalties for non-compliance, breaches of related provisions under the National Health Act 1953 (the Act) can lead to civil or criminal penalties. Under the Act, individuals or entities that fail to comply with the requirements of special arrangements, such as those made under section 100, may face legal action. The penalties can include fines and, in severe cases, imprisonment. The exact penalties would depend on the nature and severity of the breach, as determined by the courts. In summary, the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2011 (No. 9) updates the list of chemotherapy drugs available under the special arrangement, specifies new forms and brands, and designates new responsible persons for their supply. Entities involved in the chemotherapy pharmaceuticals access program must adhere to these changes, and non-compliance can result in legal consequences under the National Health Act 1953.

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