EXPLANATORY STATEMENT
NATIONAL HEALTH ACT 1953
NATIONAL HEALTH (EFFICIENT FUNDING OF CHEMOTHERAPY) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2013 (No. 4)
PB 25 of 2013
Authority
Subsection 100(1) of the National Health Act 1953 (the Act) enables the Minister to make special arrangements for the supply of pharmaceutical benefits. Subsection 100(2) of the Act provides that the Minister may vary or revoke a special arrangement made under subsection 100(1).
Subsection 100(3) of the Act provides that Part VII of the Act, and instruments made for the purposes of Part VII have effect subject to a special arrangement made under subsection 100(1).
Purpose
The purpose of this legislative instrument, made under subsections 100(1) and 100(2) of the Act, is to amend the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011 (PB 79 of 2011) (the Special Arrangement), to make changes to the special arrangement relating to the efficient funding of chemotherapy.
The Special Arrangement achieves greater efficiency in payment for the supply of injected or infused chemotherapy medicines (“chemotherapy pharmaceutical benefits”) to eligible patients being treated for cancer, to reflect the 2010 budget measure titled ‘Revised arrangements for the efficient funding of chemotherapy drugs’. This Special Arrangement also relates to the supply of medicines associated with the side-effects of cancer and cancer treatment (“related pharmaceutical benefits”) at certain public hospitals.
This instrument makes changes to the pharmaceutical benefits available under the section 100 special arrangement for the efficient funding of chemotherapy. These changes reflect changes made to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 made under sections 84AF, 84AK, 85, 85A, 88 and 101 of the Act, which commence on the same day.
This Instrument
- adds 4 new listed brands for the listed drugs ‘Doxorubicin’, and ‘Gemcitabine’;
- adds 1 new listed form for the listed drug ‘Aprepitant’;
- removes 2 listed brands for the listed drug ‘Docetaxel’; and
- adds new circumstance codes and the associated circumstances for the listed drug ‘Aprepitant’.
A provision by provision description of this Instrument is contained in the Attachment.
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.
This Instrument commences on 1 May 2013.
This Instrument is a legislative instrument for the purposes of the Legislative Instruments Act 2003.
ATTACHMENT
PROVISION BY PROVISION DESCRIPTION OF THE NATIONAL HEALTH (EFFICIENT FUNDING OF CHEMOTHERAPY) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2013 (No. 4)
Section 1 Name of Instrument
This section provides that this Instrument is the National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2013 (No. 4) and that it may also be cited as PB 25 of 2013.
Section 2 Commencement
This section provides that this Instrument commences on 1 May 2013.
Section 3 Amendments to PB 79 of 2011
This section provides that Schedule 1 amends the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011 (PB 79 of 2011) (the Special Arrangement).
Schedule 1
Item 1 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Docetaxel’ by removing a pharmaceutical benefit, which is the listed drug ‘Docetaxel’ in the form ‘Solution concentrate for I.V. infusion 20 mg in 2 mL’ with manner of administration ‘Injection’ and brand ‘Docetaxel Ebewe’.
Item 2 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Docetaxel’ by removing a pharmaceutical benefit, which is the listed drug ‘Docetaxel’ in the form ‘Solution concentrate for I.V. infusion 80 mg in 8 mL’ with manner of administration ‘Injection’ and brand ‘Docetaxel Ebewe’.
Item 3 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Doxorubicin’ by adding a new pharmaceutical benefit, which is the listed drug ‘Doxorubicin’ in the form ‘Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 10 mg in 5 mL single dose vial’ with manner of administration ‘Injection/intravesical’ and brand ‘Doxorubicin SZ’.
Item 4 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Doxorubicin’ by adding a new pharmaceutical benefit, which is the listed drug ‘Doxorubicin’ in the form ‘Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 200 mg in 100 mL single dose vial’ with manner of administration ‘Injection/intravesical’ and brand ‘Doxorubicin SZ’.
Item 5 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Gemcitabine’ by adding a new pharmaceutical benefit, which is the listed drug ‘Gemcitabine’ in the form ‘Solution concentrate for I.V. infusion 1000 mg (as hydrochloride) in 100 mL’ with manner of administration ‘Injection’ and brand ‘Gemcitabine AS’.
Items 6 amends the entry in Schedule 1 Part 1 of the Special Arrangement for ‘Gemcitabine’ by adding a new pharmaceutical benefit, which is the listed drug ‘Gemcitabine’ in the form ‘Solution concentrate for I.V. infusion 200 mg (as hydrochloride) in 20 mL’ with manner of administration ‘Injection’ and brand ‘Gemcitabine AS’
Items 7 amends the entry in Schedule 2 of the Special Arrangement for ‘Aprepitant’ by adding a new pharmaceutical benefit, which is the listed drug ‘Aprepitant’ in the form ‘Capsule 165 mg’ with manner of administration ‘Oral’ and brand ‘Emend’.
Item 8 amends the entry in Schedule 4 of the Special Arrangement by adding the new circumstances codes ‘C4216’, ‘C4217’ and ‘C4223’, and the associated circumstances for pharmaceutical benefits with the listed drug ‘Aprepitant’.