{"id":"F2016L00486","name":"Federal Financial Relations (National Health Reform Payments) Determination 2014-15","slug":"federal-financial-relations-national-health-reform-payments-determination-2014-15","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":129070,"registerId":"commonwealth-F2016L00486-current","compilationNumber":null,"startDate":"2026-04-03","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Federal Financial Relations (National He","sectionType":"part","heading":"Federal Financial Relations (National Health Reform PAYMENTS) Determination 2014-15","content":"# Federal Financial Relations (National Health Reform PAYMENTS) Determination 2014\\-15","sortOrder":0},{"sectionNumber":"Part 1","sectionType":"part","heading":"preliminary","content":"```html\n

Federal Financial Relations (National Health Reform PAYMENTS) Determination 2014-15

I, SCOTT JOHN MORRISON, Treasurer, make this Determination under subsection 15A(1) of the Federal Financial Relations Act 2009.

SCOTT JOHN MORRISON


Dated: 23 February 2016

\n```\n\n## Part 1 — preliminary\n\n### Name of Determination\n\n This determination is the Federal Financial Relations (National Health Reform Payments) Determination 2014\\-15.\n\n### Commencement\n\n 2. This determination commences on the day on which this determination is made.\n\n### Definitions\n\n 3. The following definitions are used throughout this determination:\n\nAdministrator means the Administrator of the National Health Funding Pool.\n\nFFR Act means the Federal Financial Relations Act 2009.\n\nState includes the Australian Capital Territory and the Northern Territory.\n\n## PArt 2 — National Health Reform PAYMENTS\n\n 4. Under the National Health Reform Agreement, national health reform funding arrangements commenced from 1 July 2012. From 2014-15, Commonwealth funding for most public hospital services is on an activity basis where funding varies in response to efficient growth in public hospital services.\n 5. For 2014-15, Clause A3 of the National Health Reform Agreement provides that the Commonwealth will fund 45 per cent of the efficient growth of activity based services. Efficient growth consists of the national efficient price for any changes in the volume of services provided and the growth in the national efficient price of providing the existing volume of services.\n 6. Where services or functions are more appropriately funded through block grants and for teaching, training and research, Clause A4 of the National Health Reform Agreement provides that the Commonwealth will fund 45 per cent of growth in the efficient cost of providing the services or performing the functions.\n 7. In accordance with the functions of the Administrator under paragraph 238(1)(a) of the National Health Reform Act 2011, the Administrator has calculated and advised the amounts required to be paid by the Commonwealth into each State Pool Account of the National Health Funding Pool under the National Health Reform Agreement. These amounts include the reconciliation of actual service delivery in 2014\\-15 and a further adjustment to 2013-14 amounts to be paid to each State.\n 8. Based on the Administrator’s advice and in accordance with subsection 15A(1) of the FFR Act, the amounts specified in Table 1 are to be paid for the 2014\\-15 financial year to the States specified in that table.\n\n### Table 1: National health reform payments, 2014\\-15\n\n### ![](image.001.png)\n\n 9. In accordance with subsection 15A(3) of the FFR Act, the amounts specified in Table 1 are to be paid to the States on condition that the financial assistance is spent in accordance with the National Health Reform Agreement.","sortOrder":1},{"sectionNumber":"Name of Determination","sectionType":"division","heading":"Name of Determination","content":"### Name of Determination\n\n This determination is the Federal Financial Relations (National Health Reform Payments) Determination 2014\\-15.","sortOrder":2},{"sectionNumber":"Commencement","sectionType":"division","heading":"Commencement","content":"### Commencement\n\n 2. This determination commences on the day on which this determination is made.","sortOrder":3},{"sectionNumber":"Definitions","sectionType":"division","heading":"Definitions","content":"### Definitions\n\n 3. The following definitions are used throughout this determination:\n\nAdministrator means the Administrator of the National Health Funding Pool.\n\nFFR Act means the Federal Financial Relations Act 2009.\n\nState includes the Australian Capital Territory and the Northern Territory.","sortOrder":4},{"sectionNumber":"PArt 2","sectionType":"part","heading":"National Health Reform PAYMENTS","content":"## PArt 2 — National Health Reform PAYMENTS\n\n 4. Under the National Health Reform Agreement, national health reform funding arrangements commenced from 1 July 2012. From 2014-15, Commonwealth funding for most public hospital services is on an activity basis where funding varies in response to efficient growth in public hospital services.\n 5. For 2014-15, Clause A3 of the National Health Reform Agreement provides that the Commonwealth will fund 45 per cent of the efficient growth of activity based services. Efficient growth consists of the national efficient price for any changes in the volume of services provided and the growth in the national efficient price of providing the existing volume of services.\n 6. Where services or functions are more appropriately funded through block grants and for teaching, training and research, Clause A4 of the National Health Reform Agreement provides that the Commonwealth will fund 45 per cent of growth in the efficient cost of providing the services or performing the functions.\n 7. In accordance with the functions of the Administrator under paragraph 238(1)(a) of the National Health Reform Act 2011, the Administrator has calculated and advised the amounts required to be paid by the Commonwealth into each State Pool Account of the National Health Funding Pool under the National Health Reform Agreement. These amounts include the reconciliation of actual service delivery in 2014\\-15 and a further adjustment to 2013-14 amounts to be paid to each State.\n 8. Based on the Administrator’s advice and in accordance with subsection 15A(1) of the FFR Act, the amounts specified in Table 1 are to be paid for the 2014\\-15 financial year to the States specified in that table.","sortOrder":5},{"sectionNumber":"Table 1: National health reform payments","sectionType":"division","heading":"Table 1: National health reform payments, 2014-15","content":"### Table 1: National health reform payments, 2014\\-15\n\n### ![](image.001.png)\n\n 9. In accordance with subsection 15A(3) of the FFR Act, the amounts specified in Table 1 are to be paid to the States on condition that the financial assistance is spent in accordance with the National Health Reform Agreement.","sortOrder":6}],"analysis":{"kimi_summary":{"content_quality":"ok","complexity_score":3,"scope_assessment":{"changed":false,"description":"This Determination serves its original narrow purpose: authorising specific annual payments under the National Health Reform Agreement. It has not expanded beyond the statutory framework established by the Federal Financial Relations Act 2009 and the National Health Reform Act 2011. The 45% funding rate and activity-based funding mechanism were established by the underlying Agreement, not created by this instrument."},"complexity_factors":["Only 3 defined terms in the interpretation section (Administrator, FFR Act, State)","Single purpose instrument — purely operational, authorising specific payment amounts","Heavy reliance on external documents — the National Health Reform Agreement and National Health Reform Act 2011 contain the substantive policy (this Determination merely implements them)","Simple conditional structure — one condition in section 9 (spending must comply with the Agreement)","Missing Table 1 data — the actual dollar amounts are referenced but not displayed in the text (replaced with image placeholder), making the operative provision incomplete in this extract","No nested exceptions or complex logical operators","Straightforward commencement (date of making)"],"plain_english_summary":"This 2016 Determination by the Treasurer authorises Commonwealth payments into state Pool Accounts to fund public hospitals for 2014–15 under Australia’s activity‑based funding approach. It fixes the Commonwealth contribution at 45% of “efficient growth” (using a national efficient price) and provides reconciled payments calculated by the independent National Health Funding Pool Administrator. It affects states/territories, public hospitals and patients, and requires states to spend the funds in accordance with the National Health Reform Agreement."},"flash_summary":{"complexity_score":3,"scope_assessment":{"changed":false,"description":"The determination does not change the scope of National Health Reform funding; it specifies the 2014–15 payment amounts (including reconciliations and adjustments) and imposes the NHRA spending condition. It operationalises existing funding commitments rather than creating new programs or altering eligibility (paras 4–9)."},"complexity_factors":["Reliance on external instruments: implements funding rules from the National Health Reform Agreement (clauses A3–A4) rather than creating new policy (paras 4–6).","Delegated numeric determination: payments are specified by reference to Administrator calculations and a numeric Table of amounts for each State (para 7–8 and Table 1).","Statutory cross‑references and conditions: ties payments to functions and advice under the National Health Reform Act 2011 (para 7) and to the Federal Financial Relations Act 2009 payment and condition provisions (paras 8–9, subsection 15A(1) and 15A(3)).","Reconciliation and retrospective adjustment: includes reconciliation of 2014–15 actual service delivery and adjustments to 2013–14 amounts, adding an accounting/compliance layer (para 7).","Low procedural complexity: short, formulaic instrument with limited definitions and immediate commencement (Name, Commencement, Definitions)."],"plain_english_summary":"This Determination directs the Commonwealth to pay specific 2014–15 amounts into each State’s National Health Funding Pool account, using the Administrator’s calculations and the National Health Reform Agreement rules. It implements the Agreement’s rule that the Commonwealth funds 45% of ‘‘efficient growth’’ in activity‑based hospital services and similar growth for block‑funded services, and applies reconciliations and adjustments to prior years.\n\nIt affects Commonwealth budgeting, State health pool receipts and public hospitals because payments are conditional on spending in accordance with the National Health Reform Agreement."},"flash_summary_failed":{"failed":true,"reason":"A positive credit balance is required for all requests, including BYOK, so fallback providers remain available. Add credits at https://vercel.com/d?to=%2F%5Bteam%5D%2F%7E%2Fai%3Fmodal%3Dtop-up to continue.","source":"analysis-cron"}},"importantCases":[],"_links":{"self":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15","history":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15/history","analysis":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15/analysis","conflicts":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15/conflicts","importantCases":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15/important-cases","documents":"/api/acts/federal-financial-relations-national-health-reform-payments-determination-2014-15/documents"}}