Angus Taylor (Hume, Liberal Party, Shadow Minister for Defence) Share this | Hansard source

I rise to speak on the Health Legislation Amendment (Miscellaneous Measures No. 1) Bill 2025. The coalition acknowledges the intent of this bill, which contains a number of technical amendments to improve the efficiency of several important elements of our health system, including the allocation of Medicare provider numbers, the assignment of Medicare benefits processes and improvements to the private health insurance premiums reduction scheme. It also makes amendments to the Bonded Medical Program, with the aim of ensuring that penalties for noncompliance are fair and proportionate, particularly in light of the serious workforce shortages facing our healthcare system. The measures in this bill are intended to tidy up existing legislation, streamline administration and make sure the rules governing Medicare payments and bonded medical placements are clear and consistent. These are sensible objectives, and on that basis the coalition will not stand in the way of this bill in the House.

However, we will be seeking further information and scrutiny on this bill through a Senate inquiry, particularly in relation to the implications of the proposed changes to the Bonded Medical Program and the assignment of Medicare benefits for bulk-billing and simplified billing arrangements. We have significant unanswered questions that we believe it is important to seek answers to. It's vital these measures do not create unintended consequences or additional administrative burden for our hardworking health professionals, because right now it is undeniable that primary health care is in crisis under this government.

At the last election, we saw the Prime Minister wave around his Medicare card at every photo opportunity, declaring that under his government all you need is your Medicare card, not your credit card. He said that Australians can see a GP for free under Labor. He made that promise at least 71 times during the campaign. But the truth, confirmed by his own department, is very different. A department of health briefing obtained under freedom of information revealed that a quarter of GP clinics across Australia will not bulk-bill. This means millions of Australians still need their credit card as well as their Medicare card when they visit a doctor. Now the health minister is desperately trying to walk it all back, saying that Labor never said there would be 100 per cent bulk-billing. Well, the Prime Minister certainly did say that. He looked Australians in the eye and said, 'One card covers it all—not your credit card, your Medicare card.'

But today Australians are paying the price for the Albanese Labor government's disingenuous approach to Medicare. Whilst the Prime Minister was out there waving his Medicare card, Australian families were paying a combined $166 million in out-of-pocket costs at the GP in the month of the campaign, May 2025, alone. In the past year, Australians have paid over $2 billion out of pocket to see a GP—$2 billion charged to their credit cards, not covered by their Medicare cards. That is the Prime Minister's $2 billion lie. Since Labor was elected, Australians are now paying 75 per cent more out of their own pocket to see a doctor. So much for 'free to see a GP'!

Labor promised to strengthen Medicare, but it has only been weakened. Since the Albanese government came to power, bulk-billing has fallen from 88 per cent to 77 per cent. That's 40 million fewer bulk-billed GP visits in the past year alone. Medicare mental health funding has been slashed in half, and, despite all of Labor's false promises and misleading rhetoric, Australians are now paying the highest average out-of-pocket costs on record to see a GP. That is the stark reality of Labor's primary care crisis. More than 1.5 million Australians last year said they avoided seeing a GP because of cost concerns. That's 1½ million people forced to make a difficult decision about their health, a decision no Australian should have to make, because of Labor's primary healthcare crisis.

While Australian families are struggling to afford to go to their doctor, the Prime Minister seems completely out of touch, more interested in political stunts than ensuring all Australians actually have timely and affordable access to essential health care. Nowhere is Labor's neglect clearer than in mental health. When Labor tore away Medicare subsidised mental health sessions from 372,000 vulnerable Australians, it ignored the advice of its own review and the pleas of mental health experts right across the country. Since that cruel cut, access to Medicare mental health support has fallen to its lowest level in at least a decade, right at the time when demand has never been higher. Labor has cut Medicare mental health sessions in half, abolished the Mental Health Commission and even ripped away the Suicide Prevention Research Fund. Their neglect of mental health is so significant that the former chair of Mental Health Australia was forced to resign in frustration at the government's inaction. This is not the record of a government strengthening Medicare or supporting Australians' health and wellbeing. It is the record of a government that says one thing and does another.

Under the coalition, Medicare funding increased every single year, from $18.6 billion back in 2012-13 under Labor to more than $30 billion in 2021-22. Bulk-billing rose consistently through our term in office to a record more than 88 per cent when we left government. In our final year, Australians received 167 million free GP visits, which is 61 million more than under the previous Labor government. That's the coalition's record—delivering affordable, quality health care.

So, while the coalition acknowledge the technical objectives of this bill to ensure efficiency in several elements of our health system, we will not let the government use it as a smokescreen for its broader failures. We condemn the Albanese government's broken promises and appalling record on Medicare. Australians deserve a government that tells them the truth, not one that waves around a Medicare card while forcing families to reach for their credit cards. The coalition remains firmly focused on ensuring that all Australians can access timely, affordable and quality health care, no matter where they live.

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