National Health (Continued Dispensing) Amendment Determination 2013 (No. 1) (No. PB 45 of 2013)

Administered by Department of Health, Disability and Ageing

Legislation au F2013L01561 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

National Health Act 1953

National Health (Continued Dispensing) Amendment Determination 2013 (No.1)

PB 45 of 2013

 

Authority

Subsection 89A(3) of the National Health Act 1953 (the Act) provides that the Minister may determine the pharmaceutical benefits that can be supplied by an approved pharmacist under Part VII of the Act without a prescription, and the conditions for such a supply (‘Continued Dispensing’).

Purpose

The purpose of this legislative instrument, made under subsection 89A(3) of the Act, is to amend the National Health (Continued Dispensing) Determination 2012 (Principal Determination).  The Principal Determination specifies the pharmaceutical benefits that may be supplied, and the conditions that must be satisfied when those pharmaceutical benefits are supplied, by an approved pharmacist without a current prescription, but on the basis of a previous prescription from a PBS prescriber.

This instrument:

  • amends the conditions to provide that the requested supply and the previous supply may be for pharmaceutical benefits that are not the same but are ‘a’ flagged in the Schedule of Pharmaceutical Benefits as being substitutable; and
  • amends the determination of pharmaceutical benefits covered by Continued Dispensing to provide that any listed brand of a pharmaceutical item mentioned in Schedule 1 is able to be supplied under Continued Dispensing. It is intended that any listed brand of a pharmaceutical item mentioned in Schedule 1 is able to be supplied under Continued Dispensing. In addition this will ensure that any change to the brands of a pharmaceutical item available on the PBS automatically changes the brands available under Continued Dispensing.

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

Consultation

Broad consultation has been undertaken throughout the development of the initiative.  A public written consultation process was undertaken in 2011.  Responses were received from a broad cross section of stakeholders within key industry groups including prescribers, pharmacists and consumers.  The responses provided both positive and constructive feedback that was used in finalising policy parameters for the initiative.  The Department has continued to engage with stakeholder groups as individual issues are identified.  In particular, throughout the development of the professional guidelines to support Continued Dispensing the Pharmaceutical Society of Australia established an expert reference group made up of key industry representatives.  This group was integral to the development of the implementation models for this initiative.

In addition, the Department has also undertaken direct consultation with the Department of Human Services and has also engaged and consulted with state and territory Departments of Health to seek their input and support for the initiative, which is reliant on amendments to state and territory legislation.

These amendments are considered to be of a minor and mechanical nature.

This Instrument commences on the day after registration.

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

 

 


ATTACHMENT

PROVISION BY PROVISION DESCRIPTION OF THE NATIONAL HEALTH (CONTINUED DISPENSING) AMENDMENT DETERMINATION 2013 (No.1)

 

Section 1 Name of Instrument

This section provides that this Instrument is the National Health (Continued Dispensing) Amendment Determination 2013 (No.1) and that it may also be cited as PB 45 of 2013.

Section 2 Commencement

This section provides that this Instrument commences on the day after registration.

Section 3 Amendments to National Health (Continued Dispensing) Determination 2012

This section provides that Schedule 1 amends the National Health (Continued Dispensing) Determination 2012 (Principal Determination).

Schedule 1 Amendments

Item [1] Subsection 1.03(2)

This item amends the list of terms that have the same meaning as in the Act in subsection 1.03(2) of the Principal Determination to add the defined term ‘Schedule equivalent’.

Item [2] after Paragraph 2.01(3)(b)

This item amends subsection 2.01(3) of the Principal Determination to provide that particular references to ‘the pharmaceutical benefit’ in Part 2 of the Principal Determination include pharmaceutical benefits that are ‘a’ flagged in the Schedule of Pharmaceutical Benefits as being substitutable (ie Schedule equivalent).

Item [3] Section 3.01

This item amends the determination of pharmaceutical benefits available under Continued Dispensing to cover all listed brands of the pharmaceutical items listed in Schedule 1 of the Principal Determination

Item [4] Schedule 1

This item replaces Schedule 1 of the Principal Determination and removes the names of the brands available under Continued Dispensing.

 

 

 

Statement of Compatibility with Human Rights

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

National Health (Continued Dispensing) Amendment Determination 2013 (No.1)

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 purpose of this legislative instrument, made under subsection 89A(3) of the Act, is to amend the National Health (Continued Dispensing) Determination 2012 (Principal Determination).  This determination specifies the pharmaceutical benefits that may be supplied, and the conditions that must be satisfied when those pharmaceutical benefits are supplied, by an approved pharmacist without a current prescription, but on the basis of a previous prescription from a PBS prescriber.

This instrument:

- amends the conditions to provide that the requested supply and the previous supply may be for pharmaceutical benefits that are ‘a’ flagged in the Schedule of Pharmaceutical Benefits as being substitutable; and

- amends the determination of pharmaceutical benefits to provide that any listed brand of a pharmaceutical item mentioned in Schedule 1 is able to be supplied under Continued Dispensing.

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 for people to medicines.  This is a positive step towards attaining the highest standard of health for all Australians.  Efficient operational arrangements for the PBS support effective administration of the Scheme.

Conclusion

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

Steve Dunlop

Acting Assistant Secretary

Pharmaceutical Access Branch

Pharmaceutical Benefits Division

Department of Health and Ageing

Overview

The National Health (Continued Dispensing) Amendment Determination 2013 (No.1) was enacted to amend the National Health (Continued Dispensing) Determination 2012 under subsection 89A(3) of the National Health Act 1953. This amendment aimed to address gaps in the previous legislation by allowing approved pharmacists to supply pharmaceutical benefits without a current prescription, provided certain conditions are met. The changes include enabling the supply of pharmaceutical benefits that are flagged in the Schedule of Pharmaceutical Benefits as being substitutable, and allowing any listed brand of a pharmaceutical item mentioned in Schedule 1 to be supplied under Continued Dispensing. This ensures that changes to the brands of pharmaceutical items available on the Pharmaceutical Benefits Scheme (PBS) are automatically reflected in the brands available under Continued Dispensing. The determination was made by the Minister for Health and was developed following extensive consultation with stakeholders, including prescribers, pharmacists, and consumers, as well as state and territory Departments of Health.

Scope and Application

The National Health (Continued Dispensing) Amendment Determination 2013 (No.1) applies to the supply of pharmaceutical benefits by approved pharmacists under Part VII of the National Health Act 1953. Specifically, it amends the conditions under which pharmaceutical benefits can be supplied without a current prescription based on a previous prescription from a Pharmaceutical Benefits Scheme (PBS) prescriber, referred to as 'Continued Dispensing'. This Act applies to pharmaceutical benefits that are flagged in the Schedule of Pharmaceutical Benefits as being substitutable, allowing for the supply of pharmaceutical benefits that may not be identical but are considered equivalent. The amendments extend to all listed brands of pharmaceutical items in Schedule 1, ensuring that any changes to the brands available on the PBS are automatically reflected in the brands available under Continued Dispensing. The Act operates on a national level, impacting all states and territories within Australia. The amendments are considered minor and mechanical, ensuring that the provisions align with the objectives of the National Health Act and the PBS.

Key Provisions

The National Health (Continued Dispensing) Amendment Determination 2013 (No.1) amends the National Health (Continued Dispensing) Determination 2012 (Principal Determination) under subsection 89A(3) of the National Health Act 1953 (the Act). This amendment specifically modifies the conditions and the determination of pharmaceutical benefits available under Continued Dispensing. Under this amendment, an approved pharmacist can now supply pharmaceutical benefits that are 'a' flagged in the Schedule of Pharmaceutical Benefits as being substitutable, even if the requested supply and the previous supply are not the same. Additionally, any listed brand of a pharmaceutical item mentioned in Schedule 1 can now be supplied under Continued Dispensing, ensuring that changes to brands available on the Pharmaceutical Benefits Scheme (PBS) are automatically reflected in Continued Dispensing. The Act imposes obligations on both pharmacists and patients to ensure that Continued Dispensing is carried out correctly and safely. Pharmacists must be approved under the Act to dispense medication without a prescription, and they must adhere to the conditions specified in the Determination. Patients must have a valid previous prescription from a PBS prescriber for the medication they seek to obtain under Continued Dispensing. The pharmacist must also verify that the pharmaceutical benefits requested are substitutable as flagged in the Schedule of Pharmaceutical Benefits. Breaches of the conditions set out in the Determination may lead to civil or criminal penalties. While the specific penalties are not detailed in the explanatory statement, violations of the National Health Act or its regulations could result in fines and other sanctions. The penalties for non-compliance are determined based on the severity and nature of the breach, with potential maximum penalties depending on the specific provision violated. It is crucial for pharmacists and patients to comply with the terms and conditions to avoid any legal repercussions.

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