{"id":"F2020L00303","name":"Federal Financial Relations (National Health Reform Payments for 2018-19) Determination 2020","slug":"federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":440417,"registerId":"F2020L00303-fast-fetch-1775956048933","compilationNumber":null,"startDate":"2026-04-12","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Federal Financial Relations (National Health Reform Payments for 2018-19) Determination 2020","content":"---\nmeta-content-style-type: text/css\nmeta-content-type: application/xhtml+xml; charset=utf-8\n---\n\n?xml version=\"1.0\" encoding=\"utf-8\" standalone=\"no\"?>\n\n![](image.001.jpeg)\n\n \n\nFederal Financial Relations (National Health Reform Payments for 2018‑19) Determination 2020\n\nI, Josh Frydenberg, Treasurer, make the following determination.\n\nDated: 23 March 2020\n\n \n\nJosh Frydenberg\n\nTreasurer\n\n \n\n \n\n \n\n \n\nContents\n\nPart 1—Preliminary\n\n1  Name \n\n2  Commencement\n\n3  Authority\n\n4  Definitions\n\nPart 2—Determination of national health reform payments for 2018-19\n\n5  National health reform payments for 2018-19\n\n \n\nPart 1—Preliminary\n\n \n\n1  Name\n\n  This instrument is the Federal Financial Relations (National Health Reform Payments for 2018‑19) Determination 2020.\n\n2  Commencement\n\n (1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.\n\n \n\n- Commencement information\n- Column 1 Column 2 Column 3\n- Provisions Commencement Date/Details\n- 1. The whole of this instrument The day after this instrument is registered.\n\n\nNote: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.\n\n (2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.\n\n3  Authority\n\n  This instrument is made under the Federal Financial Relations Act 2009.\n\n4  Definitions\n\nNote: Expressions have the same meaning in this instrument as in the Federal Financial Relations Act 2009 as in force from time to time—see paragraph 13(1)(b) of the Legislation Act 2003.\n\n  In this instrument:\n\nthe Act means the Federal Financial Relations Act 2009.\n\nPart 2—Determination of national health reform payments for 2018-19\n\n \n\n5  National health reform payments for 2018-19\n\n  For the purposes of section 15A of the Act, each item of the following table specifies an amount that is to be paid to the State specified in the item, for the 2018-19 payment year, for the purpose of making a grant of financial assistance for the purpose of expenditure in accordance with the National Health Reform Agreement:\n\n \n\n| Item | For this State: | The amount of financial assistance for the 2018‑19 payment year is: |\n| --- | --- | --- |\n| 1 | New South Wales | $6,513,337,336.46 |\n| 2 | Victoria | $5,191,933,469.21 |\n| 3 | Queensland | $4,667,378,144.30 |\n| 4 | Western Australia | $2,280,680,739.76 |\n| 5 | South Australia | $1,397,586,242.15 |\n| 6 | Tasmania | $436,943,789.59 |\n| 7 | Australian Capital Territory | $400,317,332.63 |\n| 8 | Northern Territory | $280,852,308.58 |\n|  | Total | $21,169,029,392.68 |\n\n\n \n","sortOrder":0}],"analysis":{"kimi_summary":{"content_quality":"ok","complexity_score":2,"scope_assessment":{"changed":false,"description":"This instrument performs exactly the function intended by the Federal Financial Relations Act 2009 — making specific annual determinations of health reform payments to states. The scope remains tightly constrained to the statutory purpose of specifying payment amounts for a particular financial year."},"complexity_factors":["Very short instrument — only 5 substantive provisions across 2 Parts","No defined terms in the instrument itself (relies entirely on definitions from the parent Act)","Single operative provision (section 5) containing a straightforward payment table","No conditional logic, exceptions, or cross-references beyond the basic authority provision","Essentially a 'schedule of payments' wrapped in standard legislative machinery"],"plain_english_summary":"This is a **determination** (a type of legal instrument made by a Minister) that sets out exactly how much **Commonwealth money** the Federal Government will give to each Australian state and territory for **public hospital funding** for the 2018-19 financial year.\n\n**What it does:**\n- Authorises **$21.17 billion** in total payments to be distributed among the eight states and territories\n- The money is paid under the **National Health Reform Agreement** — the deal between the Commonwealth and states about how public hospitals are funded\n- The largest share goes to **New South Wales** ($6.5 billion) and **Victoria** ($5.2 billion), reflecting their larger populations\n\n**Who it affects:**\n- **State and territory governments** — they receive this money to run public hospitals\n- **Hospital patients** — indirectly, as this funding supports public hospital services\n- **Taxpayers** — this is federal revenue being redistributed to the states\n\n**Why it matters:**\nThis is the **legal mechanism** that actually transfers the cash. Without this determination, the Commonwealth couldn't legally pay the states their hospital funding for 2018-19. It reflects the 'activity-based funding' model where the Commonwealth contributes roughly 45% of the efficient cost of public hospital services."},"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-for-2018-19-determination-2020","history":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020/history","analysis":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020/analysis","conflicts":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020/conflicts","importantCases":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020/important-cases","documents":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2018-19-determination-2020/documents"}}