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The allocation of 80,000 new home care packages worth $6.5 billion and a basic daily fee increase for residential providers are the centrepiece of a raft of aged care reforms which start today.
In a continued response to the final report of the Royal Commission into Aged Care Quality and Safety, the latest measures from the Morrison Government put the health and wellbeing of senior Australians first.
Minister for Health and Aged Care Greg Hunt and Minister for Senior Australians and Aged Care Services, Richard Colbeck said it was another step in the Government’s implementation of generational reform.
From today, aged care providers must review the quality of their daily living services – with a particular focus on food and nutrition – to receive a new $10 per resident per day Government Basic Daily Fee supplement.
Residential aged care providers will be required to report on a quarterly basis from 2021-22, with the first report due in October 2021.
“This significant funding boost, worth $3.2 billion over five years, will provide a broad funding uplift to support the sector to deliver better care and services for residents,” Minister Hunt said.
“The new reporting requirements will strengthen provider accountability.
“A key focus of the reporting requirements will be to ensure providers are delivering high quality services to meet the living needs of residents, with a focus on food and nutrition.”
The new supplement will be paid monthly, with the first payment to be made in early August based on residents in care in July.
To start receiving the payment providers will need to make an undertaking to the Department that they will provide good quality and quantity of goods and services to meet the living needs of resident and meet the quarterly reporting obligations.
The undertaking must be made by 21 July 2021, and payment will cease if the reporting obligations are not met.
Minister Hunt said the 30 per cent increase in the homeless and viability supplements paid to the residential sector would also continue to ensure providers are well placed to keep offering services, especially to vulnerable senior Australians.
Minister Colbeck said the allocation of 80,000 new home care packages would ensure senior Australians could live at home for longer,
“Over the coming two years, 80,000 new home care packages will be steadily released, which will build on the 83,105 packages released since the 2018‑19 Budget,” Minister Colbeck said.
“This equates to more than 750 packages each week.
“Our Government is supporting more senior Australians who choose to remain in their homes for longer as they age.”
According to latest data there are 167,124 senior Australians receiving services through a package as at 31 March 2021.
Home care packages have increased from 59,300 under Labor in 2011-12 to 275,597 forecast for 2024-25, an increase of 365 per cent.
Over the same period, funding will increase by 576 per cent due to growth in high-level home care packages.
Additionally, from today, measures will be implemented to reduce the use of restrictive practices.
The Aged Care and Other Legislative Amendment (Royal Commission Response No.1) Bill 2021 will:

• Strengthen regulation for the use of restrictive practices, such as chemical and physical restraint, as a last resort;
• Establish assurance review arrangements for home care delivery and administration; and
• Abolish the requirement for the Aged Care Financing Authority (ACFA) to make way for new governance arrangements.

Minister Colbeck said the new provisions in the legislation clarify and strengthen provider responsibilities.
Use of alternative behaviour management strategies will now ensure safer care for those most vulnerable receiving care, particularly those living with dementia.
“Increased regulation, training and oversight on the use of restraints will help carers, the aged care workforce, and the sector comply with the strengthened legislation, facilitating safer and higher quality care for senior Australians,” he said.
Assurance reviews will also apply to up to 500 home care providers each year, from November 2021.
“The reviews will examine fees and charges applied by home care providers, to ensure senior Australians are not facing unjustified costs,” Minister Colbeck said.
Other important reforms starting today include:

• $178.9 million for Primary Health Networks (PHN) to support senior Australians’ health, including improved access to telehealth care and enhanced out of hours support for aged care residents, new health pathways to support assessment and referral, and early monitoring and identification of health needs to support people to live at home for longer;
• Additional funding of $125.7 million over four years to support the National Aboriginal and Torres Strait Islander Flexible Care services and Multi-Purpose Services;
•  $45.4 million for medication management in residential aged care, including the use of electronic national residential medication charts;
• $42.8 million to boost the Aged Care Access Incentive to increase face-to-face servicing by general practitioners in residential aged care;
• $37.3 million to expand the Greater Choice for At Home Palliative Care initiative to all 31 PHNs;
• Support for expanded independent advocacy to deliver greater choice for senior Australians, improved quality safeguards, and diversity assistance for providers;
• Enhanced reporting for residential aged care providers to meet financial and prudential monitoring requirements to improve compliance and intervention;
• The assumption of responsibility of the Australian Commission on Safety and Quality in Health Care for setting clinical care components of the aged care quality standards; and
• Work to establish a local network of Department of Health aged care staff to focus on stewardship and coordination of aged care services, starting with eight PHN regions.

The Aged Care Sector Committee will also finish and be replaced with the new National Aged Care Advisory Council.
A dedicated Council of Elders for senior Australians will be established to provide advice to Government, informed by experience, to ensure those who are most central to the system can help direct and shape the way it operates.
Membership arrangements for the new National Aged Care Advisory Council and Council of Elders are currently being considered.

The Morrison Government is investing record funding in Medicare, providing more support to Australians as we face some of the greatest health challenges in a generation. Our commitment to Medicare is rock solid.
We are investing $125.7 billion in Medicare over the forward estimates, an increase of over $6 billion since last year’s Budget. This is up 58% from when Labor were last in government.
This includes $204.6 million to extend the Medicare Benefits Schedule (MBS) telehealth arrangements until 31 December 2021, bringing the total investment in telehealth to $3.6 billion. This is continuing to provide access to health services for all Australians regardless of where they live. Importantly patients whose movements are restricted by a State or Territory public health order can continue to access support through telehealth.
Through the 2021-22 Budget, the Government invested a further $711.7 million to add new services and strengthen existing services on the MBS. For example, $40.5 million has been committed for ambulatory blood pressure monitoring – a new service for diagnosing high blood pressure (hypertension) that provides greater accuracy for diagnosis through continuous monitoring over 24 hours. Ambulatory blood pressure monitoring is superior to the currently MBS funded service of discrete blood pressure measurements in a clinic, or using home blood pressure monitors in conjunction with GP consultations.
From 1 July 2021, changes to the MBS items for orthopaedic, cardiac and general surgery services will be implemented following recommendations of the independent, clinician-led MBS Taskforce Review.
The changes are part of the most comprehensive review of Medicare since it began, with the aim of modernising the system to ensure it supports high quality health and medical practice.
They result from a five year process by the MBS Review Taskforce, including detailed consideration by committees led by medical experts, and extensive consultation with relevant medical organisations and the public.
As well as revised Medicare rebates, the changes include the addition of new items, the revision of some items and removal of other obsolete items, to reflect contemporary best practice.
They will improve the quality and safety of care for patients, support high value care, and simplify the MBS.
The majority of the changes coming into effect on 1 July 2021 relate to orthopaedic surgery items, which make up about 10 per cent of all MBS items.
Medicare rebates have been reviewed to reflect the cost and complexity of performing each service. They will assist consumers in accessing the best available medical treatment and ensure a more consistent approach to billing by providers.
Rebates will significantly increase for a number of items. Rebates will rise for nine existing items for general surgery and 29 orthopaedic surgery items. For example, the Medicare rebate for revision of knee replacement (item 49533) will increase by $315 to $2,645.55.
For cardiac surgery, rebates will rise significantly across three services related to coronary bypass grafting surgery, which have been increased by 50 per cent.
Changes to general surgery consolidate the existing 138 items into 85 items and provide more flexibility for surgeons to better tailor treatment to patients.
Private Healthcare Australia has publicly supported the 1 July 2021 changes, noting most patients would not pay increased out-of-pocket costs and that rebates have increased for a range of orthopaedic procedures.
The Government will closely monitor the impact of the 1 July 2021 changes to ensure there are no unintended consequences to patients. We are also committed to working in partnership with the sector, including the AMA, private health insurers and private hospitals, to implement future changes to the MBS recommended by the MBS Review Taskforce.
Further information about the 1 July 2021 changes to the MBS is available at: www.health.gov.au/mbsonline

The Morrison Government is continuing to secure Australia’s recovery from COVID-19 with key measures taking effect on 1 July 2021 to create more jobs, rebuild our economy and set Australia up for the future.
These measures will provide tax relief to millions of hard-working Australians, incentivise businesses to invest and ensure our superannuation system works harder for you.
Retaining the low-and middle-income tax offset
The Government is delivering further personal income tax cuts to support more than 10 million low‑and middle‑income earners. These tax cuts are worth up to $1,080 for individuals or up to $2,160 for couples. This is more money to spend in local businesses, giving them the confidence to take on an extra worker, offer an extra shift or buy a new piece of equipment.
Providing tax incentives for businesses
The Government is further supporting businesses by extending its temporary full expensing and temporary loss carry-back measures beyond this financial year.
This will allow more than 99 per cent of businesses employing 11.5 million Australians to deduct the full cost of eligible depreciable assets of any value in the year they are installed until 30 June 2023.
These measures are estimated to boost GDP by around $7.5 billion in 2021‑22 alone and create around 60,000 jobs by the end of 2022-23.
Cutting taxes for small and medium businesses
The tax rate for small and medium companies with turnover below $50 million will decrease from 26 per cent to 25 per cent. For unincorporated small business such as sole traders, the tax discount rate will increase from 13 per cent to 16 per cent (up to the existing cap of $1,000). Access to a range of small business tax concessions will also be expanded with the turnover threshold rising from $10 million to $50 million, providing tax relief and reducing red tape for eligible businesses.
Supporting business research and development
Reforms to the Research and Development Tax Incentive take effect from 1 July. This includes generous tax offset rates above the company tax rate and includes an intensity test to reward companies that commit a greater proportion of their expenditure to R&D. In addition, the cap on eligible R&D expenditure will rise from $100 million to $150 million per annum.
Providing tax relief for small brewers and distillers
As announced in the 2021‑22 Budget, the Excise remission scheme for alcohol manufacturers will provide brewers and distillers a full remission of any excise they pay, up to an annual cap of $350,000.
This builds on the Government’s 2020‑21 MYEFO announcement to allow eligible alcohol manufacturers to receive their excise duty remission automatically, which reduces administrative overheads and provides additional assistance by addressing cash flow concerns. These changes also commence from 1 July.
Exempting granny flat arrangements from capital gains tax (CGT)
The Government is supporting older and disabled Australians and their families by providing a targeted CGT exemption for granny flat arrangements. From 1 July, CGT will not apply to the creation, variation or termination of formal written granny flat arrangements providing accommodation for older Australians or people with disabilities.
This change removes the CGT impediments to families entering into legally enforceable granny flat arrangements, reducing the risk of financial abuse to vulnerable Australians.
Supporting first home buyers and single parent families
From 1 July, the Government will release an additional 30,000 places to eligible applicants under the First Home Loan Deposit Scheme, the New Home Guarantee program, and the Family Home Guarantee.
As announced in the 2021-22 Budget, the Government will establish the Family Home Guarantee to support single parents with dependants. From 1 July, 10,000 guarantees will be made available to eligible single parent families to build a new home or purchase an existing home with a deposit of as little as 2 per cent.
The Government will also extend the New Home Guarantee for a second year, providing an additional 10,000 places in 2021-22 for first homebuyers seeking to build a new home or purchase a newly built home with a deposit of 5 per cent.
Making superannuation work harder for Australians
As part of the most significant changes to superannuation in nearly 30 years, the Government is holding underperforming funds to account and strengthening protections for the retirement savings of millions of Australians.
The Government will require superannuation products to meet an annual objective performance test. Funds with products that fail the test will be required to inform members, while persistently underperforming products will be prevented from taking on new members. Members will be notified by 1 October 2021 if their product fails this test.
Australians will also have access to a single, trusted and independent source of information to compare superannuation products through a new interactive online YourSuper comparison tool from 1 July. In addition, trustees will be required to demonstrate how their actions are in the best financial interest of members.
The Your Future, Your Super reforms are estimated to save Australian workers $17.9 billion over 10 years.
Increasing flexibility for self-managed superannuation funds
The Government is providing Australians with more flexibility and control in managing their retirement savings. From 1 July, the maximum number of allowable members in self-managed superannuation funds and small APRA funds will increase from four to six.
Extending the temporary reduction in superannuation minimum drawdown rates
As part of the Government’s COVID-19 response, the superannuation minimum drawdown rates were reduced by 50 per cent for the 2019‑20 and 2020‑21 income years. To further support retirees and provide extra flexibility, the Government has recently extended the temporary reduction to the 2021-22 income year.
Implementing Financial Services Royal Commission recommendations
Consumers will continue benefitting from the Government’s strong record on implementing recommendations of the Hayne Royal Commission, with several reforms taking effect from 1 July.
A new independent body, the Financial Regulator Assessment Authority, will be established to review and report on the effectiveness and capability of the Australian Securities and Investments Commission and the Australian Prudential Regulation Authority.
To address the Royal Commission’s concerns about fees for no service, the enhanced framework around providing financial advice to clients under ongoing fee arrangements starts. To assist with this transition, the Government has recently made a regulation to lower compliance costs for generating fee disclosure statements. There is also a new disclosure obligation to ensure financial advisers who are not ‘independent’ provide clients with a clear and concise written disclaimer.
In the area of superannuation, there are new measures to prohibit the deduction of ongoing advice fees from MySuper products and to increase the transparency of fees to members. To address concerns about conflict, there is a new measure prohibiting superannuation trustees from having a duty to act in the interests of another except those arising from its role as trustee. The Royal Commission recommendation that individuals be ‘stapled’ to a single super account has passed the parliament and will commence on 1 November 2021.
Cutting Cross-Border Red Tape for Tradies and Skilled Workers
Automatic mutual recognition (AMR) of occupational licences comes into effect across New South Wales, Victoria, the Australian Capital Territory and the Northern Territory. This will enable licensed workers including plumbers, builders and architects to operate across jurisdictions, without having to apply, pay for and wait for a further licence to perform the same type of work in another state or territory. These measures, which will be implemented progressively, will provide a $2.4 billion boost to the economy and directly benefit over 168,000 workers each year. Other states are expected to join the scheme subject to the passage of legislation.
Extending the Junior Minerals Exploration Incentive (JMEI)
The Government is extending the JMEI by four years to incentivise new investment in small minerals exploration companies undertaking greenfields minerals exploration in Australia.
Balancing the rights of franchisors and franchisees
Significant changes to the Franchising Code of Conduct start today. This includes reforms to better balance the rights of franchisors and franchisees and improve access to justice though additional, more efficient dispute resolution processes.
Improving payment times for suppliers in government contract supply chains
From 1 July 2021, large businesses awarded government contracts valued above $4 million will be required to pay their suppliers with subcontracts of up to $1 million within 20 calendar days, or pay interest.
Rolling out the Consumer Data Right
Starting from 1 July 2021 — exactly 12 months after the big four banks — the rollout of Open Banking by the remaining banks is set to occur. This means that even more Australians will now be able to securely access and share their banking data to access better value products and services.
Introducing licencing obligations for debt management services
From 1 July, providers of debt management services will be required to hold an Australian credit licence and meet ongoing obligations imposed on licensees. These regulations form part of the Government’s consumer credit reforms.
Together, these comprehensive measures help secure Australia’s recovery from COVID-19 by putting more money in the pockets of hard-working Australians and supporting job creation.