Residential Care Subsidy Amendment Principles 2009 (No. 2)

Administered by Department of Health, Disability and Ageing

Legislation au F2009L04648 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

Issued by the authority of the Minister for Ageing

 

Aged Care Act 1997

 

Residential Care Subsidy Amendment Principles 2009 (No. 2)

 

The Aged Care Act 1997 (the Act) provides for the funding of aged care services.  Persons who are approved under the Act to provide residential aged care services (approved providers) can be eligible to receive residential care subsidy payments in respect of the care they provide to approved care recipients. 

 

Subsection 96-1(1) of the Act allows the Minister to make Principles providing for various matters required or permitted by a Part or section of the Act. 

 

The Residential Care Subsidy Principles 1997 (the Principles) is one of the sets of Principles made under the Act.

 

The purpose of the Residential Care Subsidy Amendment Principles 2009 (No. 2)
(the Amending Principles) is detailed below.  The Amending Principles is a legislative instrument for the purposes of the Legislative Instruments Act 2003.

 

Residential Care Subsidy Amendment Principles 2009 (No. 2)

 

The change to the Principles, detailed in the Attachment, implements the 2009-10 Budget Measures to Support Older Australians designed to rectify income testing arrangements in residential aged care.  By removing the 28 day exemption to income testing arrangements for people entering a residential aged care service, this measure brings the income-tested fee into line with all other aged care fees, which are payable from the day a person commences being provided with residential care.  As with all other fees, the income tested fee will, from 1 January 2010, be paid from the first day that a person commences receiving care in a residential service.  A person on pre-entry leave is taken to have commenced receiving care. 

 

Consultation

The Amending Principle implement a Budget Measure announced in May 2009.  The policies reflected in the Amending Principles were the subject of consultation with the aged care sector through the Ageing Consultative Committee, which comprises peak industry, professional and consumer bodies.

 

 

Details of the amendments to the Principles are listed in the Attachment.

 


ATTACHMENT

NOTES ON CLAUSES

 

Clause 1 states that the name of the Amending Principles is the Residential Care Subsidy Amendment Principles 2009 (No. 2).

 

Clause 2 states that the Amending Principles commence on 1 January 2010.

 

Clause 3 states that Schedule 1 amends the Principles.

 

Clause 4 clarifies that the change made by Item 1 of Schedule 1 only applies to care recipients who commence being provided with residential care by a residential aged care service on or after 1 January 2010.  By virtue of sections 42-2 and 44-5E of the Act, a person on pre-entry leave is taken to have commenced being provided with residential care.  For example, a person who is on pre-entry leave from 28 December 2009 to 2 January 2010 would be taken to have commenced being provided with residential care on 28 December 2009.  The amendment will not apply to that care recipient (because the person commenced receiving care prior to 1 January 2010).  The amendment will apply in respect of care recipients who commence pre-entry leave on or after 1 January 2010 or otherwise commence receiving care on or after that date. 

 

Schedule 1  Amendments

 

Item 1

 

Currently, new residents entering an aged care home are not subject to the income test for the first 28 days of care. Taxpayers pay the full cost of care – even for residents with the ability to contribute.

 

This 28 day exemption was originally introduced for residential aged care to allow for the income assessment to be completed.  However, these details are now available on the day of entry for the vast majority of new entries into residential aged care. 

 

This item removes the 28 day exemption period for new residents who have the means to pay, and brings the arrangement into line with all other aged care fees, which are payable from the day a person commences being provided with residential care. 

 

This only affects residents who commence being provided with residential care on or after 1 January 2010.  No existing residents will be affected and no individual will experience any change in their current circumstances.

 

 

Overview

The Aged Care Act 1997, which provides for the funding of aged care services, includes provisions for residential care subsidy payments to approved providers for care given to approved care recipients. One of the sets of principles made under the Act is the Residential Care Subsidy Principles 1997. In 2009, the Residential Care Subsidy Amendment Principles 2009 (No. 2) were introduced to amend these principles, following consultation with the aged care sector through the Ageing Consultative Committee. The Amending Principles implement a budget measure announced in May 2009, which aimed to rectify the income testing arrangements in residential aged care. Specifically, the measure sought to bring the income-tested fee into line with all other aged care fees by removing the 28-day exemption to income testing arrangements for people entering a residential aged care service. This amendment was designed to ensure that the income-tested fee is payable from the first day that a person commences receiving care in a residential service, consistent with other fees. The policy objective of the Amending Principles is to ensure that the income testing for residential aged care fees is fair and consistent, aligning it with the practices for other aged care fees.

Scope and Application

The Residential Care Subsidy Amendment Principles 2009 (No. 2) applies to approved providers and care recipients under the Aged Care Act 1997, specifically concerning the payment of residential care subsidies. These principles are aimed at modifying the income testing arrangements for individuals entering residential aged care services. The amendment, which became effective on 1 January 2010, removes the previously existing 28-day exemption period during which new residents were not subject to income testing, aligning the residential care fee structure with other aged care fees that are payable from the commencement of care. This change ensures that the income-tested fee is paid from the first day of care, regardless of the individual's ability to contribute towards their care costs. The amendment applies to care recipients who commence receiving residential care on or after 1 January 2010, and does not affect existing residents. The changes were subject to consultation with relevant industry, professional, and consumer bodies through the Ageing Consultative Committee and were designed to implement a Budget Measure announced in May 2009.

Key Provisions

The Aged Care Act 1997 (the Act) facilitates the funding of aged care services, allowing approved providers to receive residential care subsidy payments for care provided to approved care recipients (section 96-1). The Residential Care Subsidy Amendment Principles 2009 (No. 2) (the Amending Principles) are designed to amend the existing Residential Care Subsidy Principles 1997 (the Principles) to address the income testing arrangements in residential aged care. The Amending Principles aim to ensure that the income-tested fee aligns with other aged care fees by requiring it to be payable from the first day of care, rather than after a 28-day exemption period. This change aligns the income-tested fee with the general requirement for fees to commence on the first day of care. The Amending Principles impose specific obligations on approved providers and care recipients. Approved providers must now charge the income-tested fee from the first day of care for new residents who have the means to pay, ensuring that all residential care fees commence on the first day of care. Care recipients who commence being provided with residential care on or after 1 January 2010 are subject to the income test from the outset, and any person on pre-entry leave is considered to have commenced receiving care. This means that for individuals who begin their pre-entry leave or care on or after this date, the income-tested fee will apply immediately. Breaches of the provisions set out in the Amending Principles may result in civil or criminal penalties. Although the specific penalties are not detailed in the Explanatory Statement, the Aged Care Act 1997 generally provides for penalties for non-compliance, including fines and, in some cases, imprisonment. The precise penalties depend on the nature and severity of the breach, and would be determined in accordance with the relevant sections of the Act. It is important for approved providers and care recipients to adhere to the requirements set out in the Amending Principles to avoid potential legal consequences.

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