Relevant legislative provisions
7 The following provisions in the FOI Act are of primary relevance (the legislative provisions referred to in this judgment are those which were in force as at 8 February 2012, however, for convenience they will be referred to in the present tense).
8 The general objects of the FOI Act are set out in s 3:
3 Objects - general
(1) The objects of this Act are to give the Australian community access to information held by the Government of the Commonwealth or the Government of Norfolk Island, by:
(a) requiring agencies to publish the information; and
(b) providing for a right of access to documents.
(2) The Parliament intends, by these objects, to promote Australia's representative democracy by contributing towards the following:
(a) increasing public participation in Government processes, with a view to promoting better‑informed decision‑making;
(b) increasing scrutiny, discussion, comment and review of the Government's activities.
(3) The Parliament also intends, by these objects, to increase recognition that information held by the Government is to be managed for public purposes, and is a national resource.
(4) The Parliament also intends that functions and powers given by this Act are to be performed and exercised, as far as possible, to facilitate and promote public access to information, promptly and at the lowest reasonable cost.
9 Section 11 is an important provision. It creates a legally enforceable right of every person to obtain access in accordance with the FOI Act. It provides:
11 Right of access
(1) Subject to this Act, every person has a legally enforceable right to obtain access in accordance with this Act to:
(a) a document of an agency, other than an exempt document; or
(b) an official document of a Minister, other than an exempt document.
(2) Subject to this Act, a person's right of access is not affected by:
(a) any reasons the person gives for seeking access; or
(b) the agency's or Minister's belief as to what are his or her reasons for seeking access.
10 Section 17 provides for circumstances where information sought by an applicant is not available in a written document but could be made available in that form by using equipment such as a computer. It provides:
17 Requests involving use of computers etc.
(1) Where:
(a) a request (including a request in relation to which a practical refusal reason exists) is made in accordance with the requirements of subsection 15(2) to an agency;
(b) it appears from the request that the desire of the applicant is for information that is not available in discrete form in written documents of the agency; and
(ba) it does not appear from the request that the applicant wishes to be provided with a computer tape or computer disk on which the information is recorded; and
(c) the agency could produce a written document containing the information in discrete form by:
(i) the use of a computer or other equipment that is ordinarily available to the agency for retrieving or collating stored information; or
(ii) the making of a transcript from a sound recording held in the agency;
the agency shall deal with the request as if it were a request for access to a written document so produced and containing that information and, for that purpose, this Act applies as if the agency had such a document in its possession.
(2) An agency is not required to comply with subsection (1) if compliance would substantially and unreasonably divert the resources of the agency from its other operations.
11 Part IV deals with exempt documents. Section 38, which is included in Pt IV, deals with what are commonly known as "secrecy provisions". It relevantly provides:
38 Documents to which secrecy provisions of enactments apply
(1) Subject to subsection (1A), a document is an exempt document if:
(a) disclosure of the document, or information contained in the document, is prohibited under a provision of an enactment; and
(b) either:
(i) that provision is specified in Schedule 3; or
(ii) this section is expressly applied to the document, or information, by that provision, or by another provision of that or any other enactment.
(1A) A person's right of access to a document under section 11 or 22 is not affected merely because the document is an exempt document under subsection (1) of this section if disclosure of the document, or information contained in the document, to that person is not prohibited by the enactment concerned or any other enactment.
(2) Subject to subsection (3), if a person requests access to a document, this section does not apply in relation to the document so far as it contains personal information about the person.
(3) This section applies in relation to a document so far as it contains personal information about a person if:
(a) the person requests access to the document; and
(b) disclosure of the document, or information contained in the document, is prohibited under section 503A of the Migration Act 1958 as affected by section 503D of that Act.
(4) In this section:
enactment includes a Norfolk Island enactment.
12 Schedule 3 of the FOI Act contains three of many provisions which are specified for the purposes of s 38, i.e. ss 130(1), (4) and (9) of the HI Act. Section 130(1) is central in the appeal. It is set out in [18] below, together with other sub-sections in that provision, including ss 130(4) and (9).
13 Section 58 of the FOI Act is also relevant, particularly s 58(2):
58 Powers of Tribunal
(1) Subject to this section, in proceedings under this Part, the Tribunal has power, in addition to any other power, to review any decision that has been made by an agency or Minister in respect of the request and to decide any matter in relation to the request that, under this Act, could have been or could be decided by an agency or Minister, and any decision of the Tribunal under this section has the same effect as a decision of the agency or Minister.
(2) Where, in proceedings under this Act, it is established that a document is an exempt document, the Tribunal does not have power to decide that access to the document, so far as it contains exempt matter, is to be granted.
(6) The powers of the Tribunal under this section extend to matters relating to charges payable under this Act in relation to a request.
14 It is desirable to now identify the primary relevant provisions of the HI Act. The first thing to note about that legislation is the breadth and complexity of its subject matter, as is reflected in its long title:
An Act providing for Payments by way of Medical Benefits and Payments for Hospital Services and for other purposes.
As might be expected of Commonwealth legislation dealing with such a complex subject and the expenditure of considerable amounts of Commonwealth money, the HI Act contains numerous provisions concerning persons who are affected by the Medicare Benefits Scheme, including participating medical practitioners (such as general practitioners, midwives, nurses, optometrists, physiotherapists, and pathologists), as well as patients. The legislation also contains numerous provisions relating to the supply, storage and disclosure of various information which is relevant to the operation of the Medicare Benefits Scheme, the purposes for which such information is acquired and the circumstances in which the information may lawfully be recorded and/or disclosed.
15 Section 3 defines "general practitioner" to include "a person registered under s 3F as a vocationally registered general practitioner".
16 Section 3F of the HI Act is an important provision in this proceeding. It obliges the Chief Executive Medicare to maintain a Vocational Register of General Practitioners (the Register). It also deals with the provision of relevant information to the Chief Executive Medicare for the purpose of establishing and maintaining the Register and the circumstances in which the Chief Executive Medicare may provide information relating to the Register to specified persons. Section 3F provides:
3F Vocationally registered general practitioners
(1) The purpose of this section is to provide for the registration of certain medical practitioners as vocationally registered general practitioners.
Note: Some items in the general medical services table apply only to services rendered by medical practitioners who are registered under this section.
(2) The Chief Executive Medicare is to establish and maintain a Vocational Register of General Practitioners.
(3) The Register may be maintained in any form, including the form of a computer record.
(4) A medical practitioner may apply to the Chief Executive Medicare for registration under this section.
(5) The application must be made in a manner approved by the Minister.
(6) After receiving an application, the Medicare Australia CEO must, within the required period under subsection (6A), enter the applicant's name in the Register if:
(a) the Royal Australian College of General Practitioners; or
(b) a body specified in the regulations;
gives the Chief Executive Medicare written notice that the applicant is, in accordance with the regulations, eligible for registration under this section.
(6A) The required period for the purposes of subsection (6) is:
(a) the period of 14 days after the notice under subsection (6) was received by the Medicare Australia CEO; or
(b) if the application was made after the notice was received - the period of 14 days after the application was received by the Medicare Australia CEO.
(7) The Chief Executive Medicare shall give the applicant written notice of the day on which the applicant's name is to be entered in the Register.
(8) The Chief Executive Medicare may give the Royal Australian College of General Practitioners information about:
(a) the current state of the Register;
(b) additions to the Register; and
(c) deletions from the Register.
(9) The Chief Executive Medicare or an authorised officer may make available to members of the public, on request, the names of medical practitioners who are registered under this section and the addresses at which they practise.
(10) In the section:
authorised officer means a Departmental employee (within the meaning of the Human Services (Medicare) Act 1973) authorised in writing by the Chief Executive Medicare as an authorised officer for the purposes of this section.
17 It was common ground that registration on the Register gives a registered medical practitioner access to special items under the Medicare Benefits Scheme and higher Medicare rebates. It was also common ground that general practitioners, such as Dr Walker, whose names do not appear on the Register, are referred to administratively as "non-vocationally registered general practitioners". This term does not appear in the HI Act. There was no dispute that non-vocationally registered general practitioners generally attract lower Medicare rebates, with the consequence that, in general, their patients personally spend more in consulting such practitioners. Although it is not relevant to the determination of the issues in the appeal, it appears that Dr Walker's grievance stems from the lower rebates received by him as a non-vocationally registered general practitioner.
18 Section 130 of the HI Act relevantly provides:
130 Officers to observe secrecy
(1) A person shall not, directly or indirectly, except in the performance of his or her duties, or in the exercise of his or her powers or functions, under this Act or for the purpose of enabling a person to perform functions in relation to a medicare program or for the purposes of enabling a person to perform functions under the Dental Benefits Act 2008 or the indemnity legislation, and while he or she is, or after he or she ceases to be, an officer, make a record of, or divulge or communicate to any person, any information with respect to the affairs of another person acquired by him or her in the performance of his or her duties, or in the exercise of his or her powers or functions, under this Act.
Penalty: $500.
(2) A person who is, or has been, an officer shall not, except for the purposes of this Act, be required:
(a) to produce in court any document that has come into his or her possession or under his or her control in the performance of his or her duties or functions under this Act; or
(b) to divulge or communicate to a court any matter or thing that has come under his or her notice in the performance of any such duties or functions.
(3) Notwithstanding anything contained in the preceding provisions of this section, the Secretary or the Chief Executive Medicare may:
(a) if the Minister certifies, by instrument in writing, that it is necessary in the public interest that any information acquired by an officer in the performance of his or her duties, or in the exercise of his or her powers or functions, under this Act, should be divulged, divulge that information to such person as the Minister directs; or
(c) divulge any such information to a person who, in the opinion of the Minister, is expressly or impliedly authorized by the person to whom the information relates to obtain it.
…
(4) An authority or person to whom information is divulged under subsection (3) or (3A), and any person or employee under the control of that authority or person, shall, in respect of that information, be subject to the same rights, privileges, obligations and liabilities under subsections (1) and (2) as if he or she were a person performing duties under this Act and had acquired the information in the performance of those duties.
…
(9) A person to whom information is divulged under subsection (6) or (7) and any person or employee under the control of the first-mentioned person shall not, directly or indirectly, except:
(a) in the case of the Secretary of the Department of Social Security or a person or employee under the control of the Secretary of the Department of Social Security-in the performance of his or her duties, or in the exercise of his or her powers or functions, under an Act administered by the Minister for Social Security; or
(aa) in the case of the Chief Executive Centrelink or a Departmental employee (within the meaning of the Human Services (Centrelink) Act 1997) -in the performance of powers or functions under an Act administered by the Minister for Social Security; or
(b) in the case of the Secretary of the Veterans' Affairs Department or a person or employee under the control of the Secretary-in the performance of his or her duties, or in the exercise of his or her powers or functions, under an Act administered by the Veterans' Affairs Minister; or
(ba) in the case of the Secretary of the Immigration Department or a person or employee under the control of the Secretary-in the performance of his or her duties, or in the exercise of his or her powers or functions, under the Migration Act 1958; or
(c) in the case of a person or persons referred to in paragraph (6)(e), (ea) or (eb), or (7)(g), (ga) or (gb), or a person or employee under the control of such a person or persons-in the performance of his or her duties, or in the exercise of his or her powers or functions, under the law referred to in that paragraph; or
(d) in the case of a director, secretary or employee of a private health insurer or a person or employee under the control of such a person-in the performance of his or her duties, or in the exercise of his or her powers or functions in relation to the carrying on of the business of the insurer;
and while he or she is, or after he or she ceases to be, such a person, make a record of, or divulge or communicate to any person, any information so divulged.
Penalty: $500.
…
officer means a person performing duties, or exercising powers or functions, under or in relation to this Act or a medicare program.
protected information means information about a person that is held in the records of the Department.
19 It will be necessary to refer below to some other provisions in the HI Act.