Social Security (NSW Lifetime Care and Support Scheme - Self-purchasing of treatment, rehabilitation and care services) (DEEWR) Determination 2011

Administered by Department of Social Services

Legislation au F2011L01018 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

Social Security (NSW Lifetime Care and Support Scheme Selfpurchasing of treatment, rehabilitation and care services) (DEEWR) Determination 2011

 

Summary

This Determination provides that the NSW Lifetime Care and Support Scheme  Self-purchasing of treatment, rehabilitation and care services is an ‘approved scheme’ under section 35A of the Act. 

A person for whom a payment is made under the NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services may also receive a social security payment.  The effect of this determination is that the person will not have the payment that was received under that Scheme taken into account for the purposes of income tests under the social security law.

Background

Under the social security law, income includes any income amount earned, derived or received for a person’s own use or benefit.  However, the social security law specifically excludes some amounts from being income. Paragraph 8(8)(zi) of the Social Security Act 1991 (the Act) provides that a payment towards the cost of personal care support services for the person, being a payment made under a scheme approved under section 35A, is not income for the purposes of the Act.

Section 35A of the Act allows the relevant Minister to determine in writing that a scheme for the provision of personal care support is an ‘approved scheme’ for the purposes of the Act.  Since 1992, a number of schemes have been approved for the purposes of section 35A of the Act.

Explanation of the Determination

This Determination approves the NSW Lifetime Care and Support Scheme  Self-purchasing of treatment, rehabilitation and care services as an approved scheme under section 35A of the Act.  This Determination has effect in relation to social security income support payments coming within the portfolio responsibility of the Minister for Tertiary Education, Skills, Jobs, and Workplace Relations.

The Motor Accidents (Lifetime Care and Support) Act 2006 (NSW) provides for the payment of reasonable expenses for treatment and care needs of persons injured in motor accidents in that State.  The Lifetime Care and Support Authority of New South Wales constituted under that Act administers the making of payments under the Scheme provided for by that Act.  A person who has suffered a motor accident injury may be eligible to be a participant in the Scheme in respect of the injury.

The NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services forms a component of this broader Scheme.   Under the NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services, the Authority pays an amount to cover the reasonable costs of treatment, rehabilitation and care services of the participant related to the participant’s motor accident injury.  Such services support the participant in their home and in the community. 

The NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services does not provide income support for persons injured in motor accidents.  Instead, payments are made under this scheme to cover the cost of treatment, rehabilitation and care services incurred by the participant in this scheme, as they relate to the motor accident injury and as are reasonable and necessary in the circumstances.

The effect of this determination is that a person who receives the benefit of a payment under the NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services and who also receives a social security payment, will not have the payment under the NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services taken into account for the purposes of the income test under social security law.

Commencement

This determination will commence on the day after it is registered.

Consultation

This determination was made in response to a request from the Lifetime Care and Support Authority of New South Wales.

The Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) has been consulted to ensure a co-ordinated and consistent approach to the administration of payments made under the NSW Lifetime Care and Support Scheme Self-purchasing of treatment, rehabilitation and care services, for all social security income support payments under the Act.  It is expected that the Minister for FaHCSIA will make a corresponding determination for the purposes of the social security income support payments within the Minister’s portfolio responsibility.

This determination is beneficial to income support recipients because it excludes payments made under the NSW Lifetime Care and Support Scheme  Self-purchasing of treatment, rehabilitation and care services from being taken into account as income under the social security law.  Public consultation was therefore seen as unnecessary.

Regulatory Impact

This determination does not require a Regulatory Impact Statement, as it is not regulatory in nature, does not impact on business activity and will have no, or minimal compliance costs.

 

Overview

The Social Security (NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services) (DEEWR) Determination 2011 was enacted to address the issue of how payments under the NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services are treated for social security purposes. The Act was enacted by the Parliament of Australia to provide clarity and ensure that individuals who receive payments under the NSW Scheme for treatment, rehabilitation, and care services related to motor accident injuries do not have these payments considered as income for social security income tests. This was achieved by approving the NSW Scheme as an 'approved scheme' under section 35A of the Social Security Act 1991. The policy objective is to ensure that such payments do not negatively impact social security benefits, thereby providing financial relief to those in need. This determination ensures that the recipients of these payments are not disadvantaged in their eligibility for social security support.

Scope and Application

The Social Security (NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services) (DEEWR) Determination 2011 provides that the NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services is an approved scheme under section 35A of the Social Security Act 1991. This determination applies to persons who are participants in the scheme and receive payments for treatment, rehabilitation, and care services related to motor accident injuries in New South Wales. These payments are not considered income for the purposes of income tests under the social security law, thereby ensuring that recipients of these payments do not have their social security payments reduced. The determination extends to social security income support payments within the portfolio responsibility of the Minister for Tertiary Education, Skills, Jobs, and Workplace Relations. The scheme is administered by the Lifetime Care and Support Authority of New South Wales under the Motor Accidents (Lifetime Care and Support) Act 2006, and while it does not provide income support, it does cover reasonable and necessary costs related to the injuries sustained in motor accidents.

Key Provisions

The main operative sections of the Social Security (NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services) (DEEWR) Determination 2011 ((F2011L01018)) are pivotal in establishing the framework through which the NSW Lifetime Care and Support Scheme – Self-purchasing of treatment, rehabilitation and care services is recognised as an 'approved scheme' under section 35A of the Social Security Act 1991 ((Act)). This determination ensures that payments made under the NSW Lifetime Care and Support Scheme, related to treatment, rehabilitation and care services for persons injured in motor accidents, are not considered income for social security purposes. This is crucial for individuals who are recipients of both the scheme's payments and social security benefits, as it prevents the scheme payments from adversely affecting their social security income test. The obligations imposed by this determination on the parties it governs, particularly the Lifetime Care and Support Authority of New South Wales, include ensuring that payments made under the approved scheme are strictly for the reasonable costs of treatment, rehabilitation, and care services related to motor accident injuries. These payments are intended to support participants in their homes and communities, and not as a form of income support. Additionally, the Authority must coordinate with the Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) to maintain a consistent approach in the administration of these payments across different social security income support systems. This collaboration ensures that the scheme's payments are accurately excluded from the income assessment for social security purposes. In terms of offences, penalties, or civil/criminal consequences for breach, the determination does not explicitly outline specific penalties. However, non-compliance with the conditions set forth for the payments under the NSW Lifetime Care and Support Scheme could potentially lead to administrative or legal actions under the Social Security Act 1991. Such actions might include the recovery of erroneously paid benefits or other corrective measures to ensure that the scheme operates within its intended parameters. The primary focus of the determination is to ensure clarity and consistency in the application of the scheme, rather than to impose punitive measures for breaches.

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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.