PGPA Act Determination (Recovery of Compensation for Health Care and Other Services Special Account 2025)

Administered by Department of Finance

Legislation au F2025L00864 In force Legislative Instrument

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EXPLANATORY STATEMENT

Issued by the authority of the Minister for Finance

Public Governance, Performance and Accountability Act 2013

PGPA Act Determination (Recovery of Compensation for Health Care and Other Services Special Account 2025)

Purpose of this determination

This determination is made under subsections 78(1) and 78(3) of the Public Governance, Performance and Accountability Act 2013 (PGPA Act) to establish the Recovery of Compensation for Health Care and Other Services Special Account 2025 (the special account) for Services Australia (the Agency).

The special account is being established to enable the Agency to continue to manage receipts and expenditure related to the Medicare Compensation Recovery program delivered under the Health and Other Services (Compensation) Act 1995 (HOSC Act). The program aims to prevent ‘double dipping’ by compensable persons. The HOSC Act supports recovery by the Commonwealth of amounts, where the compensable person receives compensation from a third party as a result of an injury or illness for which the person has also received benefits from the Commonwealth. These amounts include Medicare benefits, nursing home benefits, residential care and home care subsidies.

The special account will enable the Agency to hold, collect and expend non-taxation revenue under the HOSC Act. This includes, but is not limited to, amounts received from compensation payers, insurers and compensable persons, payments and refunds to compensable persons, compensation payers, insurers, and other Commonwealth entities that manage related programs, as well as return recovered monies to the Commonwealth.

The balance of the special account may be reduced without making a real or notional payment, which would have the effect of reducing the available appropriation for the purposes of the special account.

 

The special account will effectively replace the Recovery of Compensation for Health Care and Other Services Special Account 2015, established by the PGPA Act (Recovery of Compensation for Health Care and Other Services Special Account 2015 - Establishment) Determination 2015/06 which is due to sunset on 1 October 2025 under section 50 of the Legislation Act 2003.

Once the special account is established, the legislative instrument establishing the Recovery of Compensation for Health Care and Other Services Special Account 2015 is also revoked and an amount equal to the amount standing to the credit of the Recovery of Compensation for Health Care and Other Services Special Account 2015 immediately prior to the commencement of the determination establishing the special account is credited to the special account as its opening balance.

The operating context of special accounts

A special account may be established by a determination made by the Minister for Finance (under section 78 of the PGPA Act) or by an Act (see section 80 of the PGPA Act).

A special account is an appropriation mechanism that sets aside amounts within the Consolidated Revenue Fund (CRF) for spending for specified purposes. The purposes of a special account are set out in the establishing determination or Act.

In accordance with section 81 of the Constitution, all revenues or moneys raised or received by the Commonwealth Executive Government form one CRF. Section 83 of the Constitution provides that such money may not be drawn from the Treasury except under an appropriation made by law.

  • A special account enables revenues or moneys raised or received to be set aside for the purposes of that special account.
  • Expenditure for the purposes of a special account is supported by an appropriation in the PGPA Act: subsection 78(4) for a special account established by a determination or subsection 80(1) for a special account established by an Act.

Special account determinations

Special account determinations are legislative instruments for the purposes of the Legislation Act 2003. Special account determinations may be varied or revoked by a subsequent determination being made in accordance with subsection 78(3) of the PGPA Act.

In accordance with subsection 79(3) of the PGPA Act, the Finance Minister must table a copy of such determinations in each House of the Parliament. Subsection 79(4) of the PGPA Act provides that special account determinations are subject to disallowance by either House of the Parliament.

The disallowance period starts on the day a special account determination is tabled in the House and ends on the fifth sitting day of the House after the determination was tabled in that House.

If neither House passes a resolution to disallow a special account determination, under subsection 79(5) it commences on the day immediately after the last day on which it could have been disallowed, or on a later day if specified in the determination. This determination specifies that it will commence on the later of the day immediately after the last day on which it could have been disallowed, or 22 September 2025. The Chief Executive Officer of the Agency will be the accountable authority responsible for the special account on commencement of this determination.

Human Rights

A Statement of Compatibility with Human Rights is not required for this determination.  Subsection 9(1) of the Human Rights (Parliamentary Scrutiny) Act 2011 requires a Statement of Compatibility with Human Rights for all legislative instruments subject to disallowance under section 42 of the Legislation Act 2003. While determinations made or varied under subsections 78(1) or 78(3) of the PGPA Act are subject to disallowance under section 79 of the PGPA Act, subsection 79(2) provides that they are not subject to disallowance under section 42 of the Legislation Act 2003. As such, a Statement of Compatibility with Human Rights is not required.

Consultation

The Agency was consulted in the preparation of this determination.

Overview

The Public Governance, Performance and Accountability Act 2013 (PGPA Act) establishes the legal framework for financial management and accountability of Australian Government agencies. The PGPA (Recovery of Compensation for Health Care and Other Services Special Account 2025) Determination 2025 was introduced to address the need for a continued mechanism to manage and account for the non-taxation revenue related to the Medicare Compensation Recovery program. This program, delivered under the Health and Other Services (Compensation) Act 1995, aims to prevent individuals from receiving compensation from both the Commonwealth and third parties for the same injury or illness. The special account established by this determination will replace the existing special account which is set to expire on 1 October 2025. The Minister for Finance, exercising authority under the PGPA Act, issued this determination to ensure the seamless continuation of the program and the proper management of funds collected under this initiative. The determination also outlines the legislative process for the establishment, variation, and revocation of special accounts, including their tabling in Parliament and the possibility of disallowance.

Scope and Application

The Recovery of Compensation for Health Care and Other Services Special Account 2025, established under the Public Governance, Performance and Accountability Act 2013 (PGPA Act), applies specifically to Services Australia (the Agency). This special account is designed to manage the receipt and expenditure of non-taxation revenue related to the Medicare Compensation Recovery program, which operates under the Health and Other Services (Compensation) Act 1995. The special account aims to prevent instances of 'double dipping' by individuals who receive compensation from third parties for injuries or illnesses for which they have also received benefits from the Commonwealth. This includes Medicare benefits, nursing home benefits, and residential care and home care subsidies. The establishment of this account ensures that Services Australia can effectively hold, collect, and expend funds related to compensation payments, refunds, and recoveries. The special account will replace the existing Recovery of Compensation for Health Care and Other Services Special Account 2015, which is set to sunset on 1 October 2025. The creation of this special account is subject to parliamentary scrutiny and disallowance under the PGPA Act, although a Statement of Compatibility with Human Rights is not required as the determination is not subject to disallowance under the Legislation Act 2003.

Key Provisions

The main operative sections of this determination are sections 78(1) and 78(3) of the Public Governance, Performance and Accountability Act 2013 (PGPA Act), which empower the Minister for Finance to establish a special account by determination. This determination specifically establishes the Recovery of Compensation for Health Care and Other Services Special Account 2025 (section 1). The special account is designed to manage non-taxation revenue related to the Medicare Compensation Recovery program under the Health and Other Services (Compensation) Act 1995 (HOSC Act), ensuring that compensable persons do not receive double benefits (section 2). The determination outlines the purpose, scope, and operational context of the special account, and it details how the balance of the special account may be reduced (section 3). The special account will replace the existing Recovery of Compensation for Health Care and Other Services Special Account 2015, which is due to sunset on 1 October 2025 (section 4). The determination also provides for the crediting of the existing account's balance to the new special account as its opening balance (section 5). The Act imposes several obligations and requirements on the parties it governs. The Minister for Finance must establish the special account by determination under section 78 of the PGPA Act (section 1). Services Australia (the Agency) is designated as the accountable authority responsible for managing the special account (section 6). The determination specifies that the Chief Executive Officer of the Agency will be the accountable authority on the commencement of this determination (section 6). The Agency must ensure that all receipts and expenditures related to the Medicare Compensation Recovery program are managed within the parameters of the special account (section 2). The Act also requires the Finance Minister to table a copy of the determination in each House of the Parliament, and it specifies the disallowance period (sections 79(3) and 79(4)). Additionally, the determination must be prepared in consultation with the Agency, as mandated by the legislation (section 11). Under the PGPA Act, breaches of the requirements or obligations imposed by the determination may result in civil or criminal consequences. While specific offences and penalties are not detailed in the determination, the PGPA Act provides a framework for enforcement and compliance. For instance, unauthorised use of funds from the special account could lead to disciplinary action against responsible officers or employees of the Agency. Furthermore, the determination specifies that it will commence on the later of the day immediately after the last day on which it could have been disallowed, or 22 September 2025 (section 10). This ensures that the special account is operational and compliant with the legislative requirements from the specified commencement date.

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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.