National Health Determination under paragraph 98C(1)(b) Amendment 2016 (No. 8) (PB 108 of 2016)

Administered by Department of Health, Disability and Ageing

Legislation au F2016L01835 Not in force Legislative Instrument

Legislation content

EXPLANATORY STATEMENT

NATIONAL HEALTH ACT 1953

National Health Determination under paragraph 98C(1)(b)
Amendment 2016 (No. 8)

PB 108 of 2016

 

Authority

Paragraph 98C(1)(b) of the National Health Act 1953 (the Act) provides that the Minister may determine the conditions subject to which payments will be made by the Commonwealth in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.  Determination under paragraph 98C(1)(b) of the National Health Act 1953 (PB 119 of 2008) (the Principal Determination) sets out the conditions subject to which these payments will be made.

Purpose

This Amendment Determination amends the Principal Determination to reflect the changes made by the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2016 (No. 11), commencing on 1 December 2016.  Schedule 4 to the Principal Determination is amended by the deletion of homatropine and the addition of leuprorelin and bicalutamide in the forms pack containing 1 syringe containing leuprorelin 7.5 mg (as acetate) and 28 tablets bicalutamide 50 mg; pack containing 1 syringe containing leuprorelin 22.5 mg (as acetate) and 28 tablets bicalutamide 50 mg; and pack containing 1 syringe containing leuprorelin 22.5 mg (as acetate) and 84 tablets bicalutamide 50 mg.

Variation and revocation

Unless there is an express power to revoke or vary PB 119 of 2008 cited in this Instrument and explanatory statement, subsection 33(3) of the Acts Interpretation Act 1901 is relied upon to revoke or vary PB 119 of 2008.

Background

Part VII of the National Health Act 1953 (the Act) is the legislative basis of the Pharmaceutical Benefits Scheme (PBS) by which the Commonwealth provides reliable, timely, and affordable access to a wide range of medicines for all Australians.

Subsection 85(1) provides that benefits are to be provided by the Commonwealth in accordance with Part VII in respect of pharmaceutical benefits.

Paragraph 98C(1)(b) of the Act provides that the Minister may, from time to time, determine the conditions subject to which payments will be made by the Commonwealth in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.

The determination under paragraph 98C(1)(b) of the Act sets out the conditions under which payments will be made in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.

 


Consultations

The Department consulted with the Pharmaceutical Benefits Advisory Committee (PBAC) during the regular process of its meetings to consider applications in order to recommend to the Minister which medicines should be subsidised through the Pharmaceutical Benefits Scheme.  The Committee is independent of Government and includes members from the following interests or professions: consumers, health economists, practising community pharmacists, general practitioners, clinical pharmacologists and medical specialists.  The Committee has received submissions and representations from interested pharmaceutical companies and has recommended the changes to the Minister who has determined the changes to the conditions under paragraph 98C(1)(b) which appear in this Determination. 

 

This Instrument commences on 1 December 2016.

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

 


Statement of Compatibility with Human Rights

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

 

National Health Determination under paragraph 98C(1)(b) Amendment 2016
(No. 8)
(PB 108 of 2016)

 

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 determination under paragraph 98C(1)(b) of the National Health Act 1953 sets out the conditions under which payments will be made in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.

This legislative instrument amends the Determination under paragraph 98C(1)(b) of the National Health Act 1953 (PB 119 of 2008).  The amendments provide for changes to the conditions subject to which payments will be made by the Commonwealth in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.  Schedule 4 to the Principal Determination is amended by the deletion of one form of a pharmaceutical item. 

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.

 

Penny Shakespeare
First Assistant Secretary

Pharmaceutical Benefits Division

Department of Health

 

Overview

The National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2016 (No. 11) Amendment Determination, enacted in 2016, amends the Principal Determination under the National Health Act 1953. This amendment reflects the changes introduced by the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2016 (No. 11), which commenced on 1 December 2016. The changes involve the addition of leuprorelin and bicalutamide to the forms pack, and the removal of homatropine. This legislative instrument is authorised by subsection 98C(1)(b) of the National Health Act 1953, which allows the Minister to determine the conditions under which payments will be made by the Commonwealth for the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners. The primary objective of this amendment is to align the payment conditions with the latest updates in the Pharmaceutical Benefits Scheme (PBS), ensuring that the scheme continues to provide reliable, timely, and affordable access to essential medicines for all Australians.

Scope and Application

The National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2016 (No. 11), commencing on 1 December 2016, amends the National Health Determination under paragraph 98C(1)(b) of the National Health Act 1953. This legislative instrument applies to approved pharmacists and approved medical practitioners who supply pharmaceutical benefits under the Pharmaceutical Benefits Scheme (PBS). The changes outlined in this Amendment Determination reflect the decisions made by the Pharmaceutical Benefits Advisory Committee (PBAC), which has recommended the inclusion of certain medications in the PBS. The Amendment Determination alters the conditions under which Commonwealth payments are made in respect of these pharmaceutical benefits by deleting homatropine from the PBS and adding leuprorelin and bicalutamide in various forms. The changes are applicable nationally and are intended to ensure that all Australians have access to reliable, timely, and affordable medicines through the PBS. The instrument relies on the provisions of the National Health Act 1953 and the Acts Interpretation Act 1901 for its revocation and variation powers.

Key Provisions

The National Health Act 1953, as amended by the National Health Determination under paragraph 98C(1)(b) Amendment 2016 (No. 8) (PB 108 of 2016), primarily revises the conditions under which payments are made for pharmaceutical benefits supplied by approved pharmacists and approved medical practitioners. Section 98C(1)(b) of the Act empowers the Minister to determine these conditions, and the amendment to the Principal Determination (PB 119 of 2008) specifies the updated terms. The amendments primarily involve changes to Schedule 4, where homatropine has been removed and leuprorelin and bicalutamide have been added in specific forms and quantities. This means that from 1 December 2016, the Commonwealth will only make payments for these newly listed pharmaceutical combinations. The obligations imposed by this amendment require approved pharmacists and approved medical practitioners to adhere to the new conditions set forth in the amended determination. They must ensure that the pharmaceutical benefits they supply meet the updated criteria as specified in Schedule 4. This includes proper documentation and adherence to the new forms and quantities of the pharmaceutical items listed. Failure to comply with these conditions may result in the Commonwealth withholding payments for the specified pharmaceutical benefits. The legislative instrument also outlines the consequences for non-compliance with the new conditions. While specific offences, penalties, or legal consequences for breaching these conditions are not detailed in the provided text, it is implied that non-compliance could lead to administrative actions, such as the withholding of payments, or potential legal ramifications depending on the severity and intent behind the breach. Additionally, the amendments reflect the ongoing commitment to ensuring the Pharmaceutical Benefits Scheme (PBS) operates efficiently and effectively, which indirectly underscores the importance of compliance for the smooth functioning of the scheme.

Legal classification tags

Area of Law
Health Law
Instrument
Legislative Instrument
Concepts
Definitions & Interpretation
Reporting & Disclosure Obligations
Regulatory Standards

Interactions

Authorises

All Versions

Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.