National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No. 3)

Administered by Department of Health, Disability and Ageing

Legislation au F2013L00874 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

NATIONAL HEALTH ACT 1953

 

NATIONAL HEALTH (HIGHLY SPECIALISED DRUGS PROGRAM FOR HOSPITALS) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2013 (No.3)

 

PB 30 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 the Act, is to amend the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 (PB 116 of 2010) (the Special Arrangement), to make changes to the special arrangement relating to the highly specialised drugs program for hospitals.

The pharmaceutical benefits supplied under the Special Arrangement are for the treatment of chronic conditions which, because of their clinical use or other special features, may only be supplied to patients receiving treatment at or from a public or private hospital having access to appropriate specialised facilities.

The amendments made by this Instrument reflect changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012, which commence on the same day.

This instrument deletes one form of a listed drug.

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

Consultation

The amendments made by this Instrument accord with recommendations made by the Pharmaceutical Benefits Advisory Committee (PBAC). 

An ongoing and formal process of consultation in relation to matters relevant to the Special Arrangement includes the involvement of interested parties through the membership of the 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 of changes to the listings on the PBS and for this Instrument. This includes consultation through the PBAC process, and agreement to final listing details.

This Instrument commences on 1 June 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 (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No.1)

 

Section 1 Name of Instrument

This section provides that this Instrument is the National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No.3) and that it may also be cited as PB 30 of 2013.

Section 2 Commencement

This section provides that this Instrument commences on 1 June 2013.

Section 3 Amendments to PB 116 of 2010

This section provides that Schedule 1 amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 (PB 116 of 2010) (the Special Arrangement).

Schedule 1  Amendments

Item [1] Schedule 1, entry for Epoetin beta in the form Injection 20,000 units in 0.6 mL, brand NeoRecormon

This item deletes the brand NeoRecormon for the drug Epoetin Beta in the form of a 20,000 units in 0.6 mL pre-filled syringe.

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overview

The National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No.3) was enacted to amend the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010, reflecting changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012. This instrument was introduced by the Australian Parliament to address the need for updating the supply of pharmaceutical benefits for highly specialised drugs used in the treatment of chronic conditions in hospitals. The Pharmaceutical Benefits Advisory Committee, which makes recommendations to the Minister about the availability of drugs as pharmaceutical benefits, was consulted throughout the process. The objective of the amendments was to align the special arrangement with the updated listings on the Pharmaceutical Benefits Scheme, ensuring that the supply of highly specialised drugs to hospitals remains effective and cost-efficient. The instrument commenced on 1 June 2013, and is a legislative instrument under the Legislative Instruments Act 2003.

Scope and Application

The National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No.3) amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010, under the authority provided by the National Health Act 1953. The amendment affects the highly specialised drugs program for hospitals, which supplies pharmaceutical benefits for the treatment of chronic conditions that require specialised facilities, typically available in public or private hospitals. This instrument, which commences on 1 June 2013, reflects changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012, specifically deleting a form of the drug Epoetin beta from the program. The amendments were made in accordance with recommendations from the Pharmaceutical Benefits Advisory Committee, an independent body established under the Act that consults with various stakeholders, including pharmaceutical companies, in recommending drugs for the Pharmaceutical Benefits Scheme. The amendments apply to the pharmaceutical benefits provided under the Special Arrangement, impacting the supply and listing of highly specialised drugs for hospital use. The changes are limited to the deletion of a specific drug formulation and do not extend to other drugs or treatments under the program. The amendment is effective nationwide, as it operates under the Commonwealth’s legislative framework. The instrument is a legislative instrument for the purposes of the Legislative Instruments Act 2003, and its provisions are detailed in the accompanying attachment, which outlines the specific changes made to the Special Arrangement.

Key Provisions

The National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2013 (No.3) amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010. The primary operative sections include the name of the Instrument (Section 1), the commencement date (Section 2), and the specific amendments to the 2010 Special Arrangement (Section 3 and Schedule 1). Section 3 directs that Schedule 1 amends the 2010 Special Arrangement, and Schedule 1 specifically removes the brand NeoRecormon for the drug Epoetin Beta in the form of a 20,000 units in 0.6 mL pre-filled syringe (Item [1]). This amendment reflects changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012. The obligations imposed by the Act on the parties or entities it governs include the requirement to adhere to the special arrangement for the supply of pharmaceutical benefits. The Minister has the authority to make special arrangements for the supply of pharmaceutical benefits under subsection 100(1) of the National Health Act 1953, and these arrangements are subject to the Act and any instruments made for its purposes under subsection 100(3). The amendments made by this Instrument reflect changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 and must be implemented by the relevant parties in accordance with the Act. Any offences, penalties, or civil/criminal consequences for breach of the Act or the special arrangement are not explicitly stated in the provided text. However, it is reasonable to infer that failure to comply with the Act or the special arrangement could result in legal action, as is typical with legislative instruments. The consequences could include fines, sanctions, or other legal remedies depending on the nature and severity of the breach. The maximum penalties for such breaches would be determined by the relevant courts based on the specific circumstances of the case and applicable laws.

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