{"id":"F2021L00474","name":"Federal Financial Relations (National Health Reform Payments for 2019-20) Determination 2021","slug":"federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":440818,"registerId":"F2021L00474-fast-fetch-1775956314023","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 2019-20) Determination 2021","content":"---\nmeta-content-style-type: text/css\nmeta-content-type: application/xhtml+xml; charset=utf-8\ntitle: 210324-LI-TSY_46_122-national health reform pymts 19-20.master\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 2019‑20) Determination 2021\n\nI, Josh Frydenberg, Treasurer, make the following determination.\n\nDated 21 April 2021\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 2019-20\n\n5  National health reform payments for 2019-20\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 2019‑20) Determination 2021.\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The day after this instrument is registered.\n\n\nNote: This table relates only to the provisions of this instrument as originally made.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 2019-20\n\n \n\n5  National health reform payments for 2019-20\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 2019-20 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 2019‑20 payment year is: |\n| --- | --- | --- |\n| 1 | New South Wales | $7,704,432,216.26 |\n| 2 | Victoria | $6,172,152,154.07 |\n| 3 | Queensland | $5,216,273,121.63 |\n| 4 | Western Australia | $2,442,993,952.69 |\n| 5 | South Australia | $1,514,463,642.95 |\n| 6 | Tasmania | $494,403,568.49 |\n| 7 | Australian Capital Territory | $433,590,203.36 |\n| 8 | Northern Territory | $319,676,402.99 |\n|  | Total | $24,297,985,262.44 |\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 narrow, technical function it was designed for: specifying health funding amounts for a single financial year under the Federal Financial Relations Act 2009. There is no scope creep — it does not expand beyond the original purpose of enabling Commonwealth-to-state health payments."},"complexity_factors":["Extremely short — only 5 operative 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 table of amounts","No conditional logic, exceptions, or cross-references beyond the basic authority provision","Purpose-built for a single, discrete administrative task (specifying payment amounts for one financial year)"],"plain_english_summary":"This is a **determination** (a type of legal instrument made by a Minister) that sets out exactly how much **federal money** the Commonwealth Government will give to each Australian state and territory for **health services in the 2019-20 financial year**.\n\n**What it does:**\n- Authorises **$24.3 billion** in total funding to be distributed among the eight states and territories\n- Specifies the exact dollar amount each jurisdiction receives (ranging from $319 million for the Northern Territory to $7.7 billion for New South Wales)\n\n**Who it affects:**\n- **State and territory governments** — they receive this money to run public hospitals and health services\n- **Patients and healthcare users** — this funding supports the public health system they rely on\n- **Taxpayers** — this is their money being allocated\n\n**Why it matters:**\nThis determination puts into effect the **National Health Reform Agreement**, which is the deal between the Commonwealth and the states about who pays for what in public hospitals. Without this legal instrument, the federal government couldn't legally transfer these billions of dollars to the states. It's essentially the \"pay cheque\" that keeps state hospital systems running."},"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-2019-20-determination-2021","history":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021/history","analysis":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021/analysis","conflicts":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021/conflicts","importantCases":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021/important-cases","documents":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2019-20-determination-2021/documents"}}