{"id":"F2025L01437","name":"Migration (Specification of Required Medical Assessment) Instrument 2025","slug":"migration-specification-of-required-medical-assessment-instrument-2025","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":443057,"registerId":"F2025L01437-fast-fetch-1775957964353","compilationNumber":null,"startDate":"2026-04-12","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Migration (Specification of Required Medical Assessment) Instrument 2025","content":"---\nmeta-content-style-type: text/css\nmeta-content-type: application/xhtml+xml; charset=utf-8\n---\n\n\n\n \n\nLIN 25/049\n\n \n\nMigration (Specification of Required Medical Assessment) Instrument 2025\n\nI, Dr Grant Pegg, delegate of the Minister, make the following instrument.\n\nDated 26 November 2025\n\n \n\nDr Grant Pegg\n\nChief Medical Officer\n\nDepartment of Home Affairs\n\n \n\nContents\n\n1 Name\n\n2 Commencement\n\n3 Authority\n\n4 Definitions\n\n5 Schedules\n\n6 Specified classes of person required to undertake medical assessment\n\n7 Specified medical assessments\n\n8 Specified persons to conduct medical assessments\n\nSchedule 1—Medical assessments required for specified class of persons\n\nSchedule 2—Medical assessments required for persons not covered by Schedule 1\n\nSchedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)\n\nSchedule 4—List of provisional visas\n\nSchedule 5—Low hepatitis B risk countries and jurisdictions\n\nSchedule 6—Repeals\n\nMigration Regulations 1994 –Specification of Required Medical Assessment – IMMI 15/144\n\n \n\n \n\n1 Name\n\n This instrument is the Migration (Specification of Required Medical Assessment) Instrument 2025.\n\n2 Commencement\n\n This instrument commences on 29 November 2025.\n\n3 Authority\n\n This instrument is made under paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Migration Regulations 1994.\n\n4 Definitions\n\n In this instrument:\n\nhigh hepatitis B risk jurisdiction means a country or jurisdiction not mentioned in Schedule 5.\n\npanel physician means a doctor or radiologist who:\n\n (a) is outside Australia; and\n\n (b) provides medical assessment services for visa applicants for purposes under the Migration Act 1958 and the Regulations; and\n\n (c) provides those services on the basis that the doctor or radiologist either:\n\n (i) has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network; or\n\n (ii) is employed or otherwise engaged to provide the services by a clinic, organisation or other entity (however described) that has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network.\n\nprovisional visa means a temporary visa of a subclass mentioned in Schedule 4.\n\nRegulations means the Migration Regulations 1994.\n\n5 Schedules\n\n Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms. \n\n\n6 Specified classes of person required to undertake medical assessment\n\n For paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations, the following classes of person are specified:\n\n (a) a person who:\n\n (i) is a citizen of a country or jurisdiction; or\n\n (ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;\n\n where the country or jurisdiction is listed in column 1 of the table in Schedule 1 to this instrument;\n\n (b) a person who:\n\n (i) is a citizen of a country or jurisdiction; or\n\n (ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;\n\n where the country or jurisdiction is not listed in column 1 of the table in Schedule 1 to this instrument;\n\n (c) a person who is covered by both paragraphs 6(a) and (b) of this instrument.\n\n7 Specified medical assessments\n\n For subparagraphs 4005(1)(aa)(i) and 4007(1)(aa)(i) of Schedule 4 to the Regulations, the following medical assessments are specified:\n\n (a) for a person in a class of person specified in paragraph 6(a)—the medical assessments specified in columns 2, 3, 4 and 5 of the table in Schedule 1 to this instrument;\n\n (b) for a person in a class of person specified in paragraph 6(b)—the medical assessments specified in:\n\n (i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and\n\n (ii) Schedule 3 to this instrument;\n\n (c) for a person specified in paragraph 6(c)—the medical assessments specified in:\n\n (i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and\n\n (ii) Schedule 3 to this instrument.\n\n\n\n\n8 Specified persons to conduct medical assessments\n\n For subparagraphs 4005(1)(aa)(ii) and 4007(1)(aa)(ii) of Schedule 4 to the Regulations:\n\n (a) for a medical assessment conducted in Australia—Bupa Australia Health Pty Ltd (trading as Bupa Medical Visa Services) is specified;\n\n (b) for a medical assessment conducted outside Australia for visa purposes—panel physicians are specified.\n\nNote: Paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations both relevantly provide that if an applicant is in a class of persons specified by the Minister in a written instrument for the paragraph, they must be assessed by the person specified in the instrument unless a Medical Officer of the Commonwealth decides otherwise.\n\n\n\n\nSchedule 1—Medical assessments required for specified class of persons\n\n \n\n| Column 1
Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years | Column 2
Temporary stay in Australia of up to six months | Column 3
Temporary stay in Australia of six months or more | Column 4
Permanent and provisional visa applicants | Column 5
Additional medical assessments |\n| --- | --- | --- | --- | --- |\n| Aland Islands;
Albania;
American Samoa;
Andorra;
Anguilla;
Antarctica;
Antigua and Barbuda;
Argentina;
Armenia;
Aruba;
Australia;
Austria;
Bahamas, The;
Bahrain;
Barbados;
Belarus;
Belgium;
Belize;
Bermuda;
Bonaire;
Bosnia and Herzegovina;
Bouvet Island;
British Indian Ocean Territory;
British Virgin Islands;
Bulgaria;
Canada;
Cayman Islands;
Chile;
Christmas Island;
Cocos(Keeling) Islands;
Comoros;
Cook Islands;
Costa Rica;
Croatia;
Cuba;
Curacao;
Cyprus;
Czech Republic;
Denmark;
Dominica;
Egypt;
Estonia;
Falkland Islands;
Faroe Islands;
Finland;
France;
French Guiana;
French Polynesia;
Germany;
Gibraltar;
Greece;
Grenada;
Guadeloupe;
Guam;
Guatemala;
Guernsey;
Heard and McDonald Islands;
Holy See, The
Honduras;
Hungary;
Iceland;
Iran;
Iraq;
Ireland;
Isle of Man;
Israel;
Italy;
Jamaica;
Japan;
Jersey ;
Jordan;
Korea (Republic of);
Kuwait;
Latvia;
Lebanon;
Liechtenstein;
Lithuania;
Luxembourg;
Malta;
Martinique;
Mauritius;
Mayotte;
Mexico;
Monaco;
Montenegro;
Montserrat;
Netherlands;
New Caledonia;
New Zealand;
Norfolk Island;
Norway;
Occupied Palestinian Territories;
Oman;
Pitcairn Island;
Poland;
Portugal;
Puerto Rico;
Qatar;
Republic of North Macedonia
Reunion;
Russian Federation;
Saint Barthélemy;
Saint Helena (Ascension and Tristan da Cunha);
Saint Kitts and Nevis;
Saint Lucia;
Saint Martin (French Part);
Saint Pierre and Miquelon;
Saint Vincent and the Grenadines;
Samoa;
San Marino;
Saudi Arabia;
Serbia;
Seychelles;
Sint Eustatius & Saba;
Sint Maarten (Dutch part);
Slovak Republic;
Slovenia;
South Georgia and the South Sandwich Islands;
Spain;
Suriname;
Svalbard & Jan Mayen;
Sweden;
Switzerland;
Syria;
Togo;
Tokelau;
Tonga;
Trinidad and Tobago;
Tunisia;
Türkiye;
Turks and Caicos Islands;
United Arab Emirates;
United Kingdom (British citizen);
United States of America;
Vatican City;
Virgin Islands (British);
Virgin Islands (US);
Wallis and Futuna | Any applicable additional medical assessments specified in Column 5 of this Table | Any applicable additional medical assessments specified in Column 5 of this Table | Under 11 years of age: Medical examination and any additional medical assessments specified in Column 5 of this Table
Aged 11 or older and under 15 years of age: Medical examination, chest X-ray and any additional medical assessments specified in Column 5 of this Table
Aged 15 years of age or older: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Column 5 of this Table | Likely to work or be a trainee at an Australian childcare centre (including preschool and crèche): Medical examination, chest X-ray and serum creatinine/eGFR
Intending to work as, or study or train to be a doctor, dentist, nurse or paramedic: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B and hepatitis C tests
Pregnant and intending to give birth in Australia: Hepatitis B test
Aged 75 years or older and applying for a Subclass 600 (Visitor) visa regardless of length of stay: Medical examination and serum creatinine/eGFR |\n\n\n \n\n\n\n\nSchedule 2—Medical assessments required for persons not covered by Schedule 1\n\n \n\n| Column 1
Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years | Column 2
Temporary stay in Australia of up to six months | Column 3
Temporary stay in Australia of six months or more | Column 4
Permanent and provisional visa applicants |\n| --- | --- | --- | --- |\n| All countries or jurisdictions that are not listed in column 1 of the table in Schedule 1 | Any applicable additional medical assessments specified in Schedule 3 | Under 11 years of age: Medical examination and any additional medical assessments specified in Schedule 3
Aged 11 or older and under 15 years of age: Medical examination,
chest X-ray and any additional medical assessments specified in Schedule 3
Aged 15 years or older: Medical examination, chest X-ray, serum creatinine/eGFR and any additional medical assessments specified in Schedule 3 | Under 2 years of age: Medical examination and any additional medical assessments specified in Schedule 3
Aged 2 or older and under 11 years of age: Medical examination, TB screening and any additional medical assessments specified in Schedule 3
Aged 11 or older and under 15 years of age: Medical examination, chest X-ray and any additional medical assessments specified in Schedule 3
Aged 15 years or older: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Schedule 3 |\n\n\n \n\n\n\n\nSchedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)\n\n \n\n| Item | Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa) |\n| --- | --- |\n| 1 | For a person who intends to work as, or study or train to be, a doctor, dentist, nurse or paramedic:
(a) if the person is not an applicant mentioned in paragraph (b):
(i) medical examination; and
(ii) chest X-ray; and
(iii) serum creatinine/eGFR; and
(iv) HIV test; and
(v) hepatitis B test; and
(vi) hepatitis C test; and
(vii) latent tuberculosis screening; or
(b) if the person mentioned in paragraph (a), is an applicant, who has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:
(i) medical examination; and
(ii) chest X-ray; and
(iii) serum creatinine/eGFR; and
(iv) HIV test; and
(v) hepatitis B test; and
(vi) hepatitis C test. |\n| 2 | For a person who intends to work as, or study or train to be, a health care worker, or to work within a health care or hospital environment, aged care or disability care facility, in a health care profession not mentioned in item 1:
(a) if the person is not an applicant mentioned in paragraph (b):
(i) medical examination; and
(ii) chest X-ray; and
(iii) serum creatinine/eGFR; and
(iv) latent tuberculosis screening;
(b) if the person mentioned in paragraph (a), is an applicant, and has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:
(i) medical examination; and
(ii) chest X-ray; and
(iii) serum creatinine/eGFR. |\n| 3 | For a person who is likely to work or be a trainee at an Australian childcare centre (including preschool and crèche):
(a) medical examination; and
(b) chest X-ray; and
(c) serum creatinine/eGFR. |\n| 4 | For a person who is likely to enter a health care or hospital environment:
(a) medical examination; and
(b) chest X-ray; and
(c) serum creatinine/eGFR. |\n| 5 | For a person who is pregnant and intending to give birth in Australia:
(a) hepatitis B test. |\n| 6 | For a person who is at least 75 years old, and applying for a Subclass 600 (Visitor) visa:
(a) medical examination; and
(b) serum creatinine/eGFR. |\n\n\n \n\n\n\n\nSchedule 4—List of provisional visas\n\n \n\n| Column 1 | Column 2 |\n| --- | --- |\n| Item | Type of visa |\n| 1 | Subclass 160 (Business Owner (Provisional)) |\n| 2 | Subclass 161 (Senior Executive (Provisional)) |\n| 3 | Subclass 162 (Investor (Provisional)) |\n| 4 | Subclass 163 (State/Territory Sponsored Business Owner (Provisional)) |\n| 5 | Subclass 164 (State/Territory Sponsored Senior Executive (Provisional)) |\n| 6 | Subclass 165 (State/Territory Sponsored Investor (Provisional)) |\n| 7 | Subclass 173 (Contributory Parent (Temporary)) |\n| 8 | Subclass 188 (Business Innovation and Investment (Provisional)) |\n| 9 | Subclass 300 (Prospective Marriage) |\n| 10 | Subclass 309 (Partner (Provisional)) |\n| 11 | Subclass 445 (Dependent Child) |\n| 12 | Subclass 489 (Skilled – Regional (Provisional)) |\n| 13 | Subclass 491 (Skilled Work Regional (Provisional)) |\n| 14 | Subclass 494 (Skilled Employer Sponsored Regional (Provisional)) |\n| 15 | Subclass 820 (Partner) |\n| 16 | Subclass 884 (Contributory Aged Parent (Temporary)) |\n\n\n \n\n\n\n\nSchedule 5—Low hepatitis B risk countries and jurisdictions\n\n \n\n| Column 1 | Column 2 |\n| --- | --- |\n| Item | Name |\n| 1 | Afghanistan |\n| 2 | Algeria |\n| 3 | Andorra |\n| 4 | Anguilla |\n| 5 | Antigua and Barbuda |\n| 6 | Argentina |\n| 7 | Armenia |\n| 8 | Aruba |\n| 9 | Australia |\n| 10 | Austria |\n| 11 | Bahamas, The |\n| 12 | Bahrain |\n| 13 | Barbados |\n| 14 | Belgium |\n| 15 | Belize |\n| 16 | Bermuda |\n| 17 | Bhutan |\n| 18 | Bolivia |\n| 19 | Bouvet Island |\n| 20 | Brazil |\n| 21 | British Virgin Islands |\n| 22 | Canada |\n| 23 | Cayman Islands |\n| 24 | Chile |\n| 25 | Colombia |\n| 26 | Costa Rica |\n| 27 | Croatia |\n| 28 | Cuba |\n| 29 | Curacao |\n| 30 | Cyprus |\n| 31 | Czech Republic |\n| 32 | Denmark |\n| 33 | Dominica |\n| 34 | Dominican Republic |\n| 35 | Ecuador |\n| 36 | Egypt |\n| 37 | El Salvador |\n| 38 | Equatorial Guinea |\n| 39 | Estonia |\n| 40 | Falkland Islands |\n| 41 | Federal Democratic Republic of Nepal |\n| 42 | Faroe Islands |\n| 43 | Fiji |\n| 44 | Finland |\n| 45 | France |\n| 46 | French Guiana |\n| 47 | French Polynesia |\n| 48 | Germany |\n| 49 | Gibraltar |\n| 50 | Greece |\n| 51 | Greenland |\n| 52 | Grenada |\n| 53 | Guadeloupe |\n| 54 | Guatemala |\n| 55 | Haiti |\n| 56 | Holy See, The |\n| 57 | Honduras |\n| 58 | Hungary |\n| 59 | Iceland |\n| 60 | Iran |\n| 61 | Ireland |\n| 62 | Isle of Man |\n| 63 | Israel |\n| 64 | Italy |\n| 65 | Japan |\n| 66 | Jersey |\n| 67 | Jordan |\n| 68 | Kosovo |\n| 69 | Kuwait |\n| 70 | Latvia |\n| 71 | Lebanon |\n| 72 | Libya |\n| 73 | Liechtenstein |\n| 74 | Luxembourg |\n| 75 | Malta |\n| 76 | Mexico |\n| 77 | Monaco |\n| 78 | Montenegro |\n| 79 | Montserrat |\n| 80 | Morocco |\n| 81 | Netherlands |\n| 82 | New Caledonia |\n| 83 | New Zealand |\n| 84 | Nicaragua |\n| 85 | Norway |\n| 86 | Occupied Palestinian Territories |\n| 87 | Pakistan |\n| 88 | Panama |\n| 89 | Paraguay |\n| 90 | Peru |\n| 91 | Pitcairn Island |\n| 92 | Poland |\n| 93 | Portugal |\n| 94 | Puerto Rico |\n| 95 | Qatar |\n| 96 | Republic of North Macedonia |\n| 97 | Réunion |\n| 98 | Russia |\n| 99 | Saint Barthélemy |\n| 100 | Saint Helena, Ascension and Tristan da Cunha |\n| 101 | Saint Kitts and Nevis |\n| 102 | Saint Lucia |\n| 103 | Saint Martin (French Part) |\n| 104 | Saint Pierre and Miquelon |\n| 105 | Saint Vincent and the Grenadines |\n| 106 | San Marino |\n| 107 | Saudi Arabia |\n| 108 | Serbia |\n| 109 | Sint Maarten (Dutch part) |\n| 110 | Slovak Republic |\n| 111 | Slovenia |\n| 112 | South Georgia and the South Sandwich Islands |\n| 113 | Spain |\n| 114 | Suriname |\n| 115 | Sweden |\n| 116 | Switzerland |\n| 117 | Taiwan |\n| 118 | Trinidad and Tobago |\n| 119 | Turks and Caicos Islands |\n| 120 | Ukraine |\n| 121 | United Arab Emirates |\n| 122 | United Kingdom |\n| 123 | United States of America |\n| 124 | United States Minor Outlying Islands |\n| 125 | Uruguay |\n| 126 | Venezuela |\n| 127 | Wallis and Futuna |\n| 128 | Western Sahara |\n| 129 | Zambia |\n\n \n\n\n\n\nSchedule 6—Repeals\n\nMigration Regulations 1994 –Specification of Required Medical Assessment – IMMI 15/144\n\n1 The whole of the instrument\n\nRepeal the instrument.\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":6,"scope_assessment":{"changed":false,"description":"This instrument appears to maintain the established scope of medical assessment requirements for visa applicants. It replaces IMMI 15/144 (repealed in Schedule 6) but preserves the core structure of country-based risk classification (Schedule 1 vs Schedule 2), occupation-specific additional testing, and age-based testing tiers. The instrument continues to operate under the same legislative authority (paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Migration Regulations 1994) and serves the same public health protection purpose as its predecessor."},"complexity_factors":["Multiple overlapping classification systems: Schedule 1 vs Schedule 2 countries, age brackets (under 2, 2-11, 11-15, 15+, 75+), visa duration (under 6 months vs 6+ months), and visa type (temporary vs permanent/provisional)","Cross-referencing between schedules: Schedule 2 references Schedule 3 for additional assessments; Schedule 1 has internal column references","Conditional logic with nested exceptions: Schedule 3 items 1 and 2 have sub-paragraphs (a) and (b) creating different test requirements for Subclass 600 Visitor visa applicants vs others","129 countries/jurisdictions listed in Schedule 5 (low hepatitis B risk), requiring inverse logic to determine high-risk jurisdictions","Approximately 100+ countries in Schedule 1, creating a binary classification system for medical requirements","Defined terms include recursive definitions (panel physician definition includes nested conditions about employment arrangements)","Interaction with parent legislation: References to paragraphs 4005(1)(aa) and 4007(1)(aa) of Migration Regulations 1994 without reproducing that text"],"plain_english_summary":"This instrument sets the pre-entry medical tests required for people applying for Australian visas, varying by applicant origin (Schedule 1 vs Schedule 2), age, length/type of visa, planned activities (healthcare, childcare, aged care, childbirth) and certain risk factors (e.g., birthplace in high hepatitis B risk jurisdictions). Tests are performed by approved panel physicians or Bupa in Australia. It matters because medical clearance affects visa outcomes and protects public health and Australia’s health system."},"flash_summary":{"complexity_score":7,"scope_assessment":{"changed":true,"description":"The instrument repeals the earlier Specification of Required Medical Assessment instrument (IMMI 15/144) (Schedule 6) and re-specifies who must be medically assessed, what tests are required, and who may conduct assessments. It introduces a distinct low hepatitis B risk list (Schedule 5), detailed branching by stay length, age and intended work (Schedules 1–3), and names Bupa for in‑Australia assessments (s 8). These replacements and new lists indicate the scope of requirements has been changed and redefined."},"complexity_factors":["Extensive country and jurisdiction lists and cross-referencing between schedules (Schedules 1 and 5 increase administrative complexity).","Multiple branching rules by duration of stay (up to 6 months v. 6+ months), visa type (temporary, provisional, permanent), age bands and intended occupation (Schedules 1–3).","Numerous specified medical tests and technical criteria (medical examination, chest X-ray, serum creatinine/eGFR, HIV, hepatitis B/C, latent TB) across different applicant classes (Schedules 1–3).","Defined terms and risk classifications that affect obligations (defined in s 4: 'panel physician', 'high hepatitis B risk jurisdiction', 'provisional visa').","Named provider for in-Australia assessments (Bupa Australia Health Pty Ltd) creates a single specified domestic assessor (s 8(a)).","Overseas assessments limited to panel physicians tied to the Australian Panel Physician Network (s 4 definition; s 8(b)).","Discretionary override by a Medical Officer of the Commonwealth can exempt or vary requirements (note to s 8), adding case-by-case administrative discretion.","Cross-reference to Migration Regulations 1994 paragraphs 4005(1)(aa) and 4007(1)(aa) (authority in s 3) requires alignment with broader regulatory framework.","Repeal of the prior IMMI 15/144 instrument (Schedule 6) requires transition or comparison with previous requirements.","A specific list of provisional visa subclasses (Schedule 4) increases rule complexity for applicants and assessors."],"plain_english_summary":"- This instrument sets which visa applicants must have medical checks, specifies the tests required according to nationality/travel history, age, visa subclass and intended work, and names who may perform assessments (Bupa in Australia; overseas panel physicians).\n- It places testing, documentation and cost obligations on affected applicants, allows a Commonwealth Medical Officer to exempt or vary requirements, and repeals the prior specification IMMI 15/144."}},"importantCases":[],"_links":{"self":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025","history":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025/history","analysis":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025/analysis","conflicts":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025/conflicts","importantCases":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025/important-cases","documents":"/api/acts/migration-specification-of-required-medical-assessment-instrument-2025/documents"}}