{"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The day after this instrument is registered.\n\n\nNote: This table relates only to the provisions of this instrument as originally made.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":{"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"},"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":"This is a straightforward piece of legislation that sets out exactly how much money the Australian Government will give to each state and territory for public hospitals in the 2023-24 financial year.\n\n**What it does:**\n- Authorises **$28.4 billion** in total payments to the states and territories\n- These payments are for running public hospitals under the **National Health Reform Agreement** (a deal between the Commonwealth and states about how to fund and run public hospitals)\n\n**Who gets what:**\n| State/Territory | Amount |\n|----------------|--------|\n| New South Wales | $8.38 billion |\n| Victoria | $6.85 billion |\n| Queensland | $6.64 billion |\n| Western Australia | $3.05 billion |\n| South Australia | $1.93 billion |\n| Tasmania | $621 million |\n| Australian Capital Territory | $511 million |\n| Northern Territory | $402 million |\n\n**Why it matters:**\nPublic hospitals are run by state governments, but the Commonwealth contributes significant funding. This Determination is the legal instrument that actually releases the money. Without it, the payments couldn't legally flow. The amounts reflect population needs, hospital activity, and the funding formula in the National Health Reform Agreement.\n\n**Who it affects:**\n- State and territory governments (they receive the money)\n- Public hospitals and patients (the ultimate beneficiaries of the funding)\n- Taxpayers (this is where a chunk of federal tax revenue goes)"}},"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"}}