{"id":"F2024L01604","name":"Federal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024","slug":"federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":442656,"registerId":"F2024L01604-fast-fetch-1775957618678","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 2023-24) Determination 2024","content":"---\nmeta-content-style-type: text/css\nmeta-content-type: application/xhtml+xml; charset=utf-8\n---\n\n![Commonwealth coat of arms of Australia](image.001.jpeg)\n\n \n\nFederal Financial Relations (National Health Reform Payments for 2023-24) Determination 2024\n\nI, Andrew Leigh, Assistant Minister for Competition, Charities and Treasury, make the following determination.\n\nDated   4 December 2024\n\n \n\nDr Andrew Leigh\n\nAssistant Minister for Competition, Charities and Treasury\n\nParliamentary Secretary to the Treasurer\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 2023-24\n\n5  National health reform payments for 2023-24\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 2023‑24) Determination 2024.\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The day after this instrument is registered.\n\n\nNote: This table relates only to the provisions of this instrument as originally made.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 2023-24\n\n5  National health reform payments for 2023-24\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 2023-24 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 2023‑24 payment year is: |\n| --- | --- | --- |\n| 1 | New South Wales | $8,381,532,885.93 |\n| 2 | Victoria | $6,853,591,204.64 |\n| 3 | Queensland | $6,639,341,725.00 |\n| 4 | Western Australia | $3,054,047,932.49 |\n| 5 | South Australia | $1,930,666,001.64 |\n| 6 | Tasmania | $620,806,123.59 |\n| 7 | Australian Capital Territory | $510,761,357.14 |\n| 8 | Northern Territory | $401,502,943.77 |\n|  | Total | $28,392,250,174.20 |\n\n\n \n","sortOrder":0}],"analysis":{"kimi_summary":{"content_quality":"ok","complexity_score":1,"scope_assessment":{"changed":false,"description":"This Determination performs exactly the function intended by the Federal Financial Relations Act 2009 — making annual determinations of specific payment amounts to states for health reform purposes. The scope remains tightly confined to its original purpose of specifying payment amounts for a single financial year."},"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 (Federal Financial Relations Act 2009)","Single operative provision (section 5) containing a simple table of amounts","No conditional logic, exceptions, or cross-references beyond the basic authority provision","No amendments, schedules, or transitional provisions","Straightforward mathematical calculation: fixed dollar amounts with no formulae or variables"],"plain_english_summary":"The Determination authorises $28.4 billion in Commonwealth payments to states and territories for running public hospitals in 2023–24 under the National Health Reform Agreement. It legally releases the funding that supports state-run hospitals and care delivery. It directly affects state/territory governments, public hospitals and patients, and represents a significant use of federal tax revenue."},"flash_summary":{"complexity_score":2,"scope_assessment":{"changed":false,"description":"This determination does not change the scope or eligibility of the National Health Reform Agreement; it only quantifies the Commonwealth payments for the 2023–24 payment year (see section 5). It is made under the Federal Financial Relations Act 2009 (section 3) and simply specifies the dollar amounts to be paid to each state and territory. No substantive amendment to the Act or the Agreement’s terms is made by this instrument; methodology and entitlement rules remain governed by the Act and the Agreement."},"complexity_factors":["Simple, single-purpose instrument: sets fixed monetary amounts in a one-row-per-jurisdiction table (see itemised table in section 5).","Legal authority is straightforward: instrument made under the Federal Financial Relations Act 2009 (section 3) for the purposes of section 15A of that Act (section 5).","Uses defined terms by reference to the Act rather than introducing new definitions (section 4), reducing interpretive work.","Commencement rule is mechanical: the instrument commences the day after registration (section 2).","Numeric precision and many decimal places require exact accounting and reconciliation by finance teams.","No allocation formula or methodology is included—readers must refer to the National Health Reform Agreement and section 15A for underlying rules.","Fiscal significance: large aggregate sum affecting Commonwealth budgeting and state revenue flows, despite low textual complexity.","Affects eight jurisdictions (states and territories), so administrative distribution and reporting follow existing intergovernmental arrangements."],"plain_english_summary":"This instrument fixes the Commonwealth’s dollar payments to each state and territory for the 2023–24 year under the National Health Reform Agreement. It lists eight specific grants (one per jurisdiction) totalling $28,392,250,174.20 and is made under the Federal Financial Relations Act 2009 for the purposes of section 15A. It matters because it determines how much each state or territory will receive from the Commonwealth for that payment year for public health expenditure."},"flash_summary_failed":{"failed":true,"reason":"Unauthenticated. Configure AI_GATEWAY_API_KEY or use a provider module. Learn more: https://ai-sdk.dev/unauthenticated-ai-gateway","source":"analysis-cron"}},"importantCases":[],"_links":{"self":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024","history":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024/history","analysis":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024/analysis","conflicts":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024/conflicts","importantCases":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024/important-cases","documents":"/api/acts/federal-financial-relations-national-health-reform-payments-for-2023-24-determination-2024/documents"}}