House debates

Wednesday, 21 October 2009

Health Insurance (Extended Medicare Safety Net) Determination 2009

4:51 pm

Photo of Nicola RoxonNicola Roxon (Gellibrand, Australian Labor Party, Minister for Health and Ageing) Share this | Hansard source

This piece of legislation and the determination that goes with it are very important. The shadow minister did not mention it, but I understand that he has agreed to make sure that this has speedy approval through the processes of the parliament. It is a very unusual arrangement that the safety net determinations, as requested by the opposition, must be approved by resolution of both houses of parliament before the instrument can take effect. Obviously, this unique process is now required for giving the legislative instrument the legal effect that it needs.

We are comfortable with the change that was made, as mentioned by the shadow minister, of removing item 42740 for the injection of therapeutic substances into the eye. We were persuaded by the arguments that were put by community members and the opposition that a save of under $20 million in a package worth nearly half a billion dollars, given the impacts that were highlighted to us, could be contemplated. We have made those changes accordingly. The only other change that appeared, in comparison to those that were tabled and released as draft determinations, was the indexation of the safety net benefit caps by the consumer price index. Of course, this is of benefit to patients as it means they will receive a higher benefit.

The last matter that I would like to address is the lack of understanding that is still being displayed by the opposition about the budget measure—the fact that this will still deliver the budget figures as estimated and released on budget night, with the adjustment, of course, of the under $20 million for the injection of therapeutic substance into the eye. It was announced and contemplated in the budget papers that the reworking of, for example, the IVF schedule and the obstetrics schedule was part of the calculations that were made for this budget measure. It suited the opposition to pretend that that was not part of the announcement and it suited them to campaign on it while those negotiations were underway, but the truth is that a reasonable arrangement has been met with broad support from the industry. It was not comprehensive support—I acknowledge that. I am pleased that the opposition has decided that this is a measure that they will support. I welcome that support and commend the determination to the House.

Question agreed to.

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