This Regulation caps and indexes recoverable legal, medical and expert fees in NSW motor-accident claims, limits recoverable experts, and sets rules for GST, travel reimbursements and insurer payment timelines. It requires solicitors to provide costs breakdowns to the Authority, allows contracting out of caps only with strict disclosure for high‑value claims, bans referral payments, and gives the Commission/courts discretion to order extra fees or experts. It primarily affects claimants, practitioners, insurers and expert witnesses by shifting incentives, transparency and administrative obligations.
The Motor Accidents Compensation Regulation 2020 sets maximum recoverable costs and fees, prescribes procedural duties about costs reporting and referrals, and fixes several administrative rates and timeframes that apply to the Motor Accidents Compensation Act 1999 (the Act). It operates mainly by (a) fixing maximum legal costs recoverable in motor accident matters (Schedule 1 and cl 6), (b) fixing maximum medico‑legal fees for medical reporting and witness attendance (Schedule 2 and cl 11), (c) prescribing which claims are exempt from assessment (cl 12A), (d) setting procedural duties for legal practitioners to supply costs breakdowns to the Authority (cl 24), and (e) creating limited rules about contracting out of regulated maximums and when that may be permitted (cl 8). It also prescribes peripheral operational items: a private motor vehicle travel rate ($0.55/km) for specified purposes (cl 18), the method for indexing monetary units (Schedule 3), interest on late insurer payments (cl 22(3)-(4)), and various loadings for advocacy in regional and interstate settings (Schedule 1, cl 3 and cl 4).
Mechanically, the Regulation freezes entitlement to recover costs by imposing maximums: the amounts payable for legal services are set in Schedule 1 and express amounts in monetary units (MU) (cl 6(1), Schedule 1); medico‑legal fees are set in Schedule 2 (cl 11(1)); and the MU is adjusted annually by reference to Sydney CPI under Schedule 3 (schedules 2-4). The Commission and courts enforce those ceilings via the assessment procedures in the Act: the Commission may include costs in an assessment (cl 13(1)), and an insurer that refuses to accept an assessment within 21 days bears claimant costs incurred after the certificate (cl 16). The Regulation also operationalises duties intended to give the Authority data for scheme evaluation: legal practitioners who represent claimants on finalisation must provide a costs breakdown in a form approved by the Authority (cl 24(2)-(3)).
Current sections
Direct links to the current provisions in Motor Accidents Compensation Regulation 2020.
The Act and the Interpretation Act 1987 contain definitions and other provisions that affect the interpretation and application of this Regulation.
(2) Notes included in this Regulation do not form part of this Regulation.
cl 3: Am 2020 (744), Sch 2[1] [2].
Part 2
Costs
Part 2 Costs
Part 2 Costs
Division 1
Preliminary
Division 1 Preliminary
Division 1 Preliminary
4
Costs not regulated by Part
4 Costs not regulated by Part
4 Costs not regulated by Part
Costs referred to in this Part, Division 4 excepted, do not include any of the following—
(a) fees for accident investigators’ reports or accident reconstruction reports,
(b) fees for accountants’ reports,
(c) fees for reports from health practitioners, other than medical practitioners,
(d) fees for other professional reports relating to treatment or rehabilitation, for example, architects’ reports concerning house modifications,
(e) fees for interpreter or translation services,
(f) court fees,
(g) travel costs and expenses of the claimant for attendance at the Commission or a court,
(h) witness expenses at the Commission or a court.
cl 4: Am 2020 (744), Sch 2[3].
Division 2
Maximum legal and other costs
Division 2 Maximum legal and other costs
Division 2 Maximum legal and other costs
5
Application of Division
5 Application of Division
5 Application of Division
(1) This Division is made under section 149 of the Act and applies to the following costs payable on a party and party basis, on a practitioner and client basis or on any other basis—
(a) legal costs,
(b) costs for matters that are not legal services but are related to proceedings in a motor accidents matter.
Note.
Section 149(2) of the Act provides that a legal practitioner is not entitled to be paid or recover for a legal service or other matter an amount that exceeds any maximum costs fixed for the service or matter by regulations under section 149.
(2) This Division does not affect costs recovered before 17 December 1999 or for which a bill of costs was issued before that day.
Note.
Section 147(2) of the Act provides that expressions in Chapter 6 (Costs) of the Act (and consequently expressions used in this Part) have the same meaning as they have when used in relation to legal costs in the legal profession legislation (as defined in section 3A of the Legal Profession Uniform Law Application Act 2014).
6
Fixing of maximum costs recoverable by legal practitioners
6 Fixing of maximum costs recoverable by legal practitioners
6 Fixing of maximum costs recoverable by legal practitioners
(1) Except as otherwise provided by this Part, the costs set out in Schedule 1 are the maximum costs for—
(a) legal services provided by an Australian legal practitioner to a claimant or to an insurer in a motor accidents matter, and
(b) matters that are not legal services but are related to a motor accidents matter.
(2) If there is a change in the Australian legal practitioner retained by a claimant or insurer in a motor accidents matter, the relevant costs are to be apportioned between the Australian legal practitioners concerned.
(3) If there is a dispute as to the apportionment, either Australian legal practitioner concerned, or the client claimant or insurer concerned, may refer the dispute to the Commission for determination.
(4) Subclause (3) does not apply if the dispute arose in a matter in which, under section 92 of the Act, the claim is exempt from assessment.
(5) An Australian legal practitioner has the same right of appeal against a determination made under subclause (3) as the practitioner would have under section 205 of the Legal Profession Uniform Law (NSW) if the determination were a determination of a costs assessor under Division 7 of Part 4.3 of that Law.
cl 6: Am 2020 (744), Sch 2[4].
7
Excluded matters
7 Excluded matters
7 Excluded matters
(1) The maximum costs set out in Schedule 1 do not apply in respect of a matter in which, under section 92 of the Act, the claim is exempt from assessment.
(2) An exclusion under this clause in respect of a matter involving a claim referred to in section 92(1)(b) of the Act extends to any costs incurred before the matter became exempt.
8
Contracting out—practitioner and client costs
8 Contracting out—practitioner and client costs
8 Contracting out—practitioner and client costs
(1) Schedule 1 does not apply to costs in a motor accidents matter to the extent that they are payable on a practitioner and client basis if—
(a) an Australian legal practitioner makes a disclosure under Division 3 of Part 4.3 of the Legal Profession Uniform Law (NSW) to a party to the matter with respect to the costs, and
(b) the practitioner enters into a costs agreement with that party as to those costs in accordance with Division 4 of that Part, and
(c) before entering into the costs agreement, the practitioner advises the party in a separate written document that, even if costs are awarded in favour of the party, the party will be liable to pay the amount of the costs provided for in the costs agreement that exceeds the amount that would be payable under the Act in the absence of a costs agreement, and
(d) where the party is a claimant—the practitioner provides to the Authority, at the time and in the way approved by the Authority, a costs breakdown in relation to the claim when the claim is finalised, and
(e) the amount paid in resolution of the claim by way of settlement or an award of damages is more than $50,000.
(2) However, the maximum costs recoverable in the matter on a practitioner and client basis are fixed at the amount calculated by subtracting $50,000 from the amount paid in resolution of the claim.
(3) For the purposes of subclause (2), the amount paid in resolution of a claim includes the amount (if any) payable in connection with the claim on a party and party basis.
(4) The maximum costs specified in subclause (2) include all legal services provided in the course of the claim during the period commencing on the acceptance of the retainer and ending on the resolution of the claim.
(5) A costs agreement referred to in subclause (1)(b) does not include a conditional costs agreement, within the meaning of Part 4.3 of the Legal Profession Uniform Law (NSW), that provides for the payment of a premium on the successful outcome of the matter concerned.
(6) Subclause (1)(e) and (2)–(4) do not apply if the party is an insurer.
(7) This clause does not apply to costs involving a compensation matter application, as referred to in Schedule 1, clause 2A.
cl 8: Am 2020 (744), Sch 2[5].
9
Maximum costs for claims made by children
9 Maximum costs for claims made by children
9 Maximum costs for claims made by children
(1) This clause applies to a claim if—
(a) a certificate has been issued under section 92 of the Act to the effect that the claim is exempt from assessment under Part 4.4 of the Act, and
(b) the exemption is solely on the ground that the claimant is under the age of 18 years on the date on which the certificate is issued, and
(c) the amount paid in resolution of the claim is not more than $50,000.
(2) The maximum costs for legal services provided to a claimant in connection with a claim to which this clause applies are as follows, unless otherwise ordered by the court—
(a) except as provided by paragraph (b)—$5,000,
(b) if the amount paid in resolution of the claim is more than $25,000 (but not more than $50,000) and no associated person has made a claim in respect of the motor accident concerned—$10,000.
(3) The maximum costs specified in subclause (2) are inclusive of all legal services provided in the course of the claim during the period commencing on the acceptance of the retainer and ending on the resolution of the claim.
(4) If there is a change in the Australian legal practitioner retained by a claimant or insurer in connection with a claim to which this clause applies, the relevant costs are to be apportioned between the Australian legal practitioners concerned.
(5) Any dispute as to the apportionment may be determined by the court or referred by either Australian legal practitioner concerned, or the client or insurer concerned, to the Commission for determination.
(6) In this clause—
associated person, in relation to a claimant who has made a claim in respect of a motor accident, means any person who—
(a) at the time of the accident, was an occupant of the same motor vehicle as the claimant, and
(b) has retained to act on the person’s behalf in respect of any claim arising from the motor accident the same law practice as the claimant has retained in respect of the claimant’s claim.
resolution means any final resolution of a claim, whether by way of settlement, an award of damages or otherwise.
cl 9: Am 2020 (744), Sch 2[4].
Division 3
Medico-legal fees and expert witnesses
Division 3 Medico-legal fees and expert witnesses
Division 3 Medico-legal fees and expert witnesses
10
Application of Division
10 Application of Division
10 Application of Division
This Division is made under section 150 of the Act and applies in respect of fees for the provision of medical reports, and appearances as witnesses, by medical practitioners.
Note.
Section 150(2) of the Act provides that a medical practitioner is not entitled to be paid or recover any fee for providing a service that exceeds any maximum fee fixed under section 150 for the provision of the service.
11
Maximum fees recoverable by medical practitioner
11 Maximum fees recoverable by medical practitioner
11 Maximum fees recoverable by medical practitioner
(1) The maximum fees for providing a service specified in Schedule 2 in relation to any motor accident are the fees set out in that Schedule for that service, except as otherwise provided by this Part.
(2) A reference in that Schedule to a report means, if the Motor Accidents Medical Guidelines require medical reports to be in a particular form, a report in that form.
(3) A claimant may not claim an amount set out in item 5 or 6 of Schedule 2 in respect of an initial report by an attending medical practitioner unless—
(a) the claimant has requested in writing that the insurer provide the report to the claimant, and
(b) the insurer has failed to do so within a reasonable time.
(4) This clause does not affect fees recovered before 17 December 1999 or for which a bill was issued before that day.
12
Limit on costs for expert witnesses
12 Limit on costs for expert witnesses
12 Limit on costs for expert witnesses
(1) Costs are not to be included in an assessment or award of damages in respect of an expert witness giving evidence, or providing a report, on behalf of the claimant in relation to a claims assessment or in court proceedings under the Act, except for costs in respect of—
(a) one medical expert in any specialty, and
(b) 2 experts of any other kind.
(2) Subclause (1) does not apply if the Commission or court concerned agrees that costs are payable in respect of a greater number of expert witnesses in the matter.
(3) Despite subclause (1)(a), if there is a substantial issue as to a matter referred to in section 58(1)(d) of the Act, costs are payable in respect of 2 medical experts in any specialty relevant to the injury concerned.
(4) This clause extends to costs incurred in connection with medical assessments.
cl 12: Am 2020 (744), Sch 2[4].
Division 4
Assessment of claims
Division 4 Assessment of claims
Division 4 Assessment of claims
12A
Claims exempt from assessment
12A Claims exempt from assessment
12A Claims exempt from assessment
(1) For the purposes of section 92(1)(a) of the Act, the following kinds of claims are exempt from assessment under Part 4.4 of the Act—
(a) a claim in which the claimant is a person under legal incapacity,
(c) a claim against a person who is not a licensed insurer or a third-party insurer,
(d) a claim in relation to which the insurer, by written notice to the claimant, alleges that the claim is fraudulent because the claimant—
(i) made a statement about the circumstances of the motor accident that gave rise to the claim, and
(ii) in making the statement, contravened section 117 of the Act,
(e) a claim for which the insurer, by written notice to the claimant and to the owner or driver of the motor vehicle to which a third-party policy relates, declines to indemnify the owner or driver under the third-party policy,
(f) a claim for which the insurer, by written notice to the claimant, denies liability because the insurer denies the fault of the owner or driver of the motor vehicle in the use or operation of the vehicle.
(2) In this clause—
person under legal incapacity includes the following persons—
(a) a child under the age of 18 years,
(b) an involuntary patient or forensic patient within the meaning of the Mental Health Act 2007,
(e) an incommunicate person, being a person with a physical or mental disability that prevents the person from receiving communications, or expressing their will, in relation to the person’s property or affairs.
cl 12A: Ins 2020 (744), Sch 2[6].
13
Assessment of costs by Commission
13 Assessment of costs by Commission
13 Assessment of costs by Commission
(1) In making an assessment and specifying damages under section 94 of the Act in respect of a claim, the Commission may include in the assessment an assessment of the claimant’s costs in the matter, including—
(a) costs for legal services referred to in Schedule 1, and
(b) fees for medico-legal services referred to in Schedule 2.
(2) An assessment of those costs may also be made, whether or not an assessment has been made under subclause (1), if a court—
(a) does not determine a matter after the issue of a certificate under section 94 of the Act, and
(b) remits the matter to the Commission for further assessment.
(3) In making an assessment under this clause, the Commission—
(a) may have regard to the amount of any written offer of settlement made by either party to the matter, and
(b) must give effect to—
(i) any requirement of a court under section 151(3) of the Act, and
(4) The amount of any assessment under this clause must not exceed the relevant amounts set out in Schedules 1 and 2.
cl 13: Am 2020 (744), Sch 2[3] [4] [7].
14
Assessment of costs to produce information
14 Assessment of costs to produce information
14 Assessment of costs to produce information
The Commission may assess the reasonable costs in relation to the issuing of, or compliance with, a direction under section 49 of the Personal Injury Commission Act 2020.
cl 14: Subst 2020 (744), Sch 2[8].
15
Appeals against assessment
15 Appeals against assessment
15 Appeals against assessment
Each of the following persons has the same right of appeal against an assessment made under this Division as the claimant, insurer or legal practitioner would have under section 89 of the Legal Profession Uniform Law Application Act 2014 if the assessment were a decision of a costs assessor under Part 7 of that Act in relation to a bill of costs—
(a) a claimant,
(b) an insurer,
(c) a legal practitioner retained by a claimant or an insurer in respect of the relevant claim.
16
Costs where insurer does not accept assessed amount of damages
16 Costs where insurer does not accept assessed amount of damages
16 Costs where insurer does not accept assessed amount of damages
(1) This clause applies if an assessment is made under Part 4.4 of the Act of the amount of damages for liability under a claim and the insurer does not accept that liability under the claim within 21 days after the certificate of assessment is issued.
(2) In that case, and subject to any direction of a court as to costs—
(a) the insurer is liable to pay all the costs of the claimant incurred in the matter after the certificate of assessment is issued, and
(b) the maximum costs set out in this Regulation do not apply in respect of those costs.
(3) In this clause—
costs of the claimant means the costs of the claimant payable on a party and party basis, including any court fees prescribed under section 154 of the Act.
Division 5
Other costs matters
Division 5 Other costs matters
Division 5 Other costs matters
17
Non-attendance or cancellation of appointment
17 Non-attendance or cancellation of appointment
17 Non-attendance or cancellation of appointment
(1) This clause applies if the President schedules an appointment for a medical assessment under Part 3.4 of the Act and the claimant, without reasonable excuse—
(a) fails to attend the appointment, or
(b) cancels the appointment within 72 hours of the scheduled time.
(2) In that case, the Authority may recover from the claimant all or part of the costs reasonably incurred by the President as a consequence of the non-attendance or cancellation.
cl 17: Am 2020 (744), Sch 2[9].
18
Private motor vehicle travel expenses incurred by injured persons
18 Private motor vehicle travel expenses incurred by injured persons
18 Private motor vehicle travel expenses incurred by injured persons
For the purposes of sections 64(5), 84(6) and 86(5) of the Act, the cost of travel by a private motor vehicle for any of the following purposes is to be calculated at the rate of $0.55 per kilometre—
(a) attending a medical assessment under Part 3.4 of the Act,
(b) obtaining rehabilitation services under Part 4.3 of the Act,
(c) attending a medical examination or rehabilitation assessment under Part 4.3 of the Act.
19
GST may be added to costs
19 GST may be added to costs
19 GST may be added to costs
(1) Despite the other provisions of this Part, a cost fixed by this Part may be increased by the amount of any GST payable in respect of the service to which the cost relates, and the cost as so increased is taken to be the cost fixed by this Part.
(2) This clause does not permit a legal practitioner or medical practitioner to charge or recover, in respect of GST payable in respect of a service, an amount that is greater than 10% of the maximum amount payable under this Part to the legal practitioner or medical practitioner in respect of the legal or other service apart from this clause.
Maximum amounts payable by insurer for certain treatment
20 Maximum amounts payable by insurer for certain treatment
20 Maximum amounts payable by insurer for certain treatment
(1) This clause applies in relation to treatment to which section 56 of the Act applies, being treatment—
(a) that is provided to an injured person by a health care professional, and
(b) in respect of which a fee is specified in the AMA List.
(2) However, this clause does not apply in relation to treatment received by an injured person before 17 December 1999.
(3) For the purposes of section 56(3) of the Act, the maximum amount for which an insurer is liable in respect of any claim for fees payable for treatment to which this clause applies is the amount listed, in respect of the treatment concerned, in the AMA List.
Note.
Section 56 of the Act does not apply to treatment that is provided at a hospital (whether to an in-patient or out-patient) and for which any payment is required to be made to the hospital and not to the provider of the treatment. The section does apply to the fee payable to a private hospital for any treatment at the hospital.
(4) In this clause—
AMA List means the document called List of Medical Services and Fees published by the Australian Medical Association and dated 1 December 2019 as amended or replaced, from time to time, by a document that—
(a) has been published by the Australian Medical Association, as an amendment to, or replacement of, the AMA List, and
(b) has been recognised by the Authority, by notice published in the Gazette.
21
Motor vehicles subject to unregistered vehicle permits
21 Motor vehicles subject to unregistered vehicle permits
21 Motor vehicles subject to unregistered vehicle permits
(1) For the purposes of section 10A(1)(c) of the Act, the following classes of motor vehicles are prescribed—
(a) motor vehicles that comply with subclause (2) and that—
(i) are used to perform agricultural tasks (for example, tractors and harvesters), or
(ii) are designed for use solely over snow (but only during the time that the motor vehicles are within the boundaries of Kosciuszko National Park),
(b) motor vehicles that were manufactured 30 or more years ago and are used on a road solely in the course of, or as an incident to, an activity of an organisation that is identified in the records of Transport for NSW as an historic vehicle club,
(c) motor vehicles that weigh more than 250 kilograms when unladen and are designed or used solely for cutting grass or for purposes incidental to cutting grass,
(d) motor vehicles that are used solely for the purposes of road construction, maintenance or repair and are not used on a road otherwise than while at, or proceeding to or returning from, the place where the road construction, maintenance or repair is carried out,
(e) motor vehicles that are subject to a conditional registration under the Road Transport Act 2013 on the basis that they are—
(i) classified by Transport for NSW as earthwork plant or industrial plant, or
(ii) used solely on Stockton Beach for recreation purposes,
(f) motor vehicles that are motorised buggies or carts and are designed and used for the purpose of—
(i) carrying golfers, spectators or golfing equipment on a golf course, or
(ii) carrying persons in a holiday resort or retirement village or the like,
(g) motor vehicles that are designed or used solely for the conveyance of a person with a disability that substantially impairs the person’s mobility and that are capable of travelling at more than 10 kilometres an hour,
(h) motor vehicles that are trackless trains,
(i) any other motor vehicles that have been granted full exemption from—
(2) A motor vehicle complies with this subclause if—
(a) the vehicle is not required to be entered on the RAV by the Road Vehicle Standards Act 2018 of the Commonwealth or rules made under that Act, and
(b) if applicable—approval for the placement of identification plates was not given in relation to the vehicle under the Motor Vehicle Standards Act 1989 of the Commonwealth, section 10A, as in force from time to time before its repeal.
(3) In this clause—
RAV means the Register of Approved Vehicles kept under the Road Vehicle Standards Act 2018 of the Commonwealth, section 14(1).
cl 21: Am 2021 No 22, Sch 5.4[1] [2].
22
Time for payment by insurer of assessed amount of damages
22 Time for payment by insurer of assessed amount of damages
22 Time for payment by insurer of assessed amount of damages
(1) For the purposes of section 95(2A) of the Act, an insurer must pay an assessed amount of damages to the claimant concerned within 20 business days of the claimant’s communication of acceptance of the assessment.
(2) Despite subclause (1), if an insurer is required by law to make a deduction from the assessed amount of damages payable to the claimant, the insurer must—
(a) notify the person to whom the deduction is payable, and
(b) request advice as to the amount of the deduction that is required from the person to whom the deduction is payable within 10 business days of the claimant’s communication of acceptance of the assessment, and
(c) on receipt of that advice, pay the balance of the assessed amount of damages to the claimant within 20 business days of the date of the advice or, if deductions are payable to more than 1 person, within 20 business days of the receipt of all advice from those persons relating to the assessed amount of damages.
(3) Interest is payable by the insurer on so much of the assessed amount of damages as remains unpaid after the end of the relevant period for payment of the assessed amount of damages.
(4) The rate of interest is 75% of the rate prescribed for the purposes of section 101 of the Civil Procedure Act 2005 for the period concerned.
23
Prescribed authority for access to protected information
23 Prescribed authority for access to protected information
23 Prescribed authority for access to protected information
For the purposes of section 217(2)(b) of the Act, the Australian Prudential Regulation Authority is a prescribed authority.
24
Determining efficiency of scheme
24 Determining efficiency of scheme
24 Determining efficiency of scheme
(1) The object of this clause is to enable the Authority to obtain information about costs in order to advise the Minister as to the efficiency and effectiveness of the motor accidents scheme under the Act.
(2) It is the duty of a legal practitioner who represents a claimant when a claim is finalised to ensure that the Authority is provided, at the time and in the way approved by the Authority, with a costs breakdown in relation to the claim.
(3) The duty applies to all claims, regardless of whether—
(a) damages are to be paid to the claimant, or
(b) the claim is exempt from assessment under section 92 of the Act, or
(c) there has been contracting out under clause 8.
(4) However, the duty does not apply to a claim in a motor accidents matter if the claimant incurs no legal fees in the matter.
(5) If a barrister and a solicitor act for a claimant, the duty falls on the solicitor and not the barrister.
(6) The Authority may provide any information contained in a costs breakdown to the Minister and may, if directed to do so by the Minister, publicise statistics produced from the information.
(7) The Authority may forward to the Legal Services Commissioner any information obtained under this clause.
25
Referral fees
25 Referral fees
25 Referral fees
(1) A legal practitioner has a duty not to receive consideration for referring a claimant who is represented by the legal practitioner to a person for the purposes of a service being provided in respect of the claimant’s claim.
(2) A legal practitioner is taken to receive consideration if a close associate of the legal practitioner receives the consideration.
(3) A legal practitioner has a duty not to give consideration for the referral of a person to the legal practitioner for the purposes of the legal practitioner representing the person in relation to a claim.
(4) A legal practitioner is taken to give consideration if a close associate of the legal practitioner gives the consideration.
(5) In this clause—
close associate of a legal practitioner means the following—
(a) an employer of the legal practitioner, including, if the employer is a corporation, a director of the corporation,
(b) a partner of the legal practitioner,
(c) an employee or agent of the legal practitioner or of a person referred to in paragraph (a) or (b),
(d) a family member of the legal practitioner.
consideration includes a fee or any other benefit but does not include hospitality that is reasonable in the circumstances.
Schedule 1
Maximum costs for legal services
Schedule 1 Maximum costs for legal services
Schedule 1 Maximum costs for legal services
(Clause 6)
sch 1: Am 2020 (744), Sch 2[10]–[14].
2A
Compensation matter applications—claims for damages
2A Compensation matter applications—claims for damages
2A Compensation matter applications—claims for damages
(1) The maximum costs for legal services provided in a claim for damages in connection with a matter relating to a compensation matter application are the costs set out in the Table to this clause.
(2) An amount for the fees for senior counsel, or for more than one advocate, is not to be included unless the court so orders.
(3) In this clause—
compensation matter application has the same meaning as in section 26 of the Personal Injury Commission Act 2020 in relation to which leave has not been granted by the District Court.
Table
| Column 1 | Column 2 |
| | Monetary units |
| Court proceedings in relation to a compensation matter application | 10 |
| Representation in court— | |
| (a) maximum per day for advocate other than senior counsel | 25 |
| (b) maximum per day for senior counsel | 35.5 |
| Conference directly related to a compensation matter application | 3 |
Schedule 2
Maximum fees for medico-legal services
Schedule 2 Maximum fees for medico-legal services
Schedule 2 Maximum fees for medico-legal services
(Clause 11)
| | | Maximum fee |
| Appearances as witnesses |
| 1 | Health practitioners called to give evidence other than expert evidence, per hour (or proportionately if not for a full hour) to a maximum of 6 MU | 3 MU |
| 2 | Health practitioners called to give expert evidence— | |
| | (a) for the first one and a half hours (including time travelling to the court from the medical professional’s home, hospital, place of practice, office or other place and return to that place from the court) | 8 MU |
| | (b) for every full hour after the first one and a half hours (or proportionately if not for a full hour) | 3 MU |
| | to a maximum of 24 MU | |
| 3 | Travelling allowance in connection with appearance as witness—per kilometre | 55 cents |
| 4 | Accommodation and meals in connection with appearance as witness | reasonable costs |
| Medical reports |
| 5 | Report made by an attending general practitioner— | |
| | (a) if a re-examination of the patient is not required | 2.5 MU |
| | (b) if a re-examination of the patient is required | 3.3 MU |
| 6 | Report made by an attending specialist— | |
| | (a) if a re-examination of the patient is not required | 8 MU |
| | (b) if a re-examination of the patient is required | 12 MU |
| 7 | Report made by a specialist who has not previously treated the patient (where both parties have not jointly agreed to the appointment of the specialist)— | |
| | (a) if an examination of the patient is not required | 8 MU |
| | (b) if an examination of the patient is required | 12 MU |
| 8 | Report made by a specialist who has not previously treated the patient (where both parties have jointly agreed to the appointment of the specialist)— | |
| | (a) if an examination of the patient is not required | 12 MU |
| | (b) if an examination of the patient is required | 16 MU |
| 9 | Charges for copying medical reports—per page | $1 |
| Cancellation fee |
| 10 | Fee if appearance or medical report is not required | Not more than 50% of the relevant amount specified in this Schedule |
Schedule 3
Adjustment of maximum costs and fees for inflation
Schedule 3 Adjustment of maximum costs and fees for inflation
Schedule 3 Adjustment of maximum costs and fees for inflation
Schedule 4
Savings, transitional and other provisions
Schedule 4 Savings, transitional and other provisions
Schedule 4 Savings, transitional and other provisions
Source text: opening excerpt
Sourced from legislation.nsw.gov.au, CC BY 4.0.
Part 1 Preliminary
Part 1 Preliminary
Part 1 Preliminary
1 Name of Regulation
1 Name of Regulation
1 Name of Regulation
This Regulation is the Motor Accidents Compensation Regulation 2020.
2 Commencement
2 Commencement
2 Commencement
This Regulation commences on 1 September 2020 and is required to be published on the NSW legislation website.
Note.
This Regulation replaces the Motor Accidents Compensation Regulation 2015, which is repealed on 1 September 2020 by section 10(2) of the Subordinate Legislation Act 1989.
3 Definitions
3 Definitions
3 Definitions
(1) In this Regulation—
costs breakdown means a document that sets out the following, in a form approved by the Authority—
(a) the total amount paid by an insurer in finalising a claim for damages,
(b) all deductions, including all legal costs and disbursements, in relation to the claim,
(c) the final amount paid to the claimant.
health practitioner has the same meaning as in the Health Practitioner Regulation National Law (NSW).
monetary unit or MU—see Schedule 3.
the Act means the Motor Accidents Compensation Act 1999.
Note.
The Act and the Interpretation Act 1987 contain definitions and other provisions that affect the interpretation and application of this Regulation.
(2) Notes included in this Regulation do not form part of this Regulation.
cl 3: Am 2020 (744), Sch 2[1] [2].
Part 2 Costs
Part 2 Costs
Part 2 Costs
Division 1 Preliminary
Division 1 Preliminary
Division 1 Preliminary
4 Costs not regulated by Part
4 Costs not regulated by Part
4 Costs not regulated by Part
Costs referred to in this Part, Division 4 excepted, do not include any of the following—
The instrument replaces the 2015 Regulation and commenced on 1 September 2020 (cl 2). Several clauses and schedules are explicitly amended or inserted (see cl 3 and other marginal notes). The Regulation contains provisions affecting who pays and when (insurers, claimants, legal and medical practitioners), how payments are capped and indexed (Schedule 3), the circumstances in which parties may contract out of statutory maximums (cl 8), limits on expert witnesses that may be included in awards (cl 12), and duties prohibiting referral payments between practitioners and service providers (cl 25). All defined terms and notes are governed by the Act and the Interpretation Act (cl 3).
Main concepts
The Regulation is organised around a small number of regulatory concepts that control the flow of money and information in motor accidents claims. Key concepts written into the text are:
Maximum costs and fees: Schedules 1 and 2 set maxima for legal services and medico‑legal services respectively (cl 6(1), cl 11(1)). Schedule 1 uses a combination of flat MU amounts for discrete stages and formulae that scale with the settlement/assessment amount (Schedule 1 cl 1, Tables A and B). Schedule 2 lists maximum fees for appearances and report preparation (Schedule 2 items 1-10).
Monetary unit (MU) as an indexing device: Values in Schedules are denominated in MU. Schedule 3 prescribes MU = $100 for 2019-20 and a CPI‑indexed amount thereafter using Sydney CPI for the June quarter (Schedule 3 cl 2(1), editorial note). Rounding rules apply (Schedule 3 cl 2(2)-(3) and cl 3).
Cost ceilings versus contracting out: The Regulation fixes ceiling amounts but permits contracting out of those ceilings for practitioner and client fees only if precise procedural and disclosure conditions are met (cl 8(1)). Contracting out for claimants is restricted to claims settled for more than $50,000 and is subject to a cap that effectively leaves the claimant responsible for any contracted amount in excess of the first $50,000 of the resolution (cl 8(1)(e), (2)).
Assessment exemptions: The Regulation identifies claims that are exempt from assessment under Part 4.4 of the Act (cl 12A). These include persons under legal incapacity and other enumerated categories (cl 12A(1)-(2)).
Limits on expert witnesses: The Regulation limits the number and type of experts whose fees can be included in an award or assessment (cl 12). By default only one medical expert per specialty and two non‑medical experts are recoverable unless the Commission or court allows more; an exception allows two medical experts in a specialty where there is a substantial issue under s 58(1)(d) of the Act (cl 12(1), (3)).
Duties about cost data and referral fees: A duty requires legal practitioners to provide a costs breakdown at finalisation to the Authority for scheme evaluation (cl 24). Separately, legal practitioners are prohibited from giving or receiving consideration for referrals in relation to claims, and associates are caught by that duty (cl 25).
Timeframes and payment obligations: Insurers must pay assessed damages within 20 business days of the claimant’s acceptance (cl 22(1)), with detailed rules where law requires deductions (cl 22(2)). Interest on unpaid assessed sums accrues at 75% of the Civil Procedure Act rate (cl 22(3)-(4)).
Excluded cost items: The Regulation lists categories of costs not regulated by Part 2, Division 4 (cl 4). Examples include travel costs of claimants, court fees, interpreter fees and certain professional reports; these remain outside the statutory maxima except where expressly included.
These concepts function through a mix of fixed schedules, statutory cross‑referencing to the Act (for example s 149 and s 150 of the Act cited in cl 5 and cl 10), procedural duties on professionals, and administrative responsibilities placed on the Authority (indexing notices, approval of costs breakdown form, recognition of AMA List) (Schedule 3 cl 4, cl 24(2)-(6), cl 20(4)).
Who it affects
The Regulation assigns rights, obligations and information flows among a set of identifiable stakeholders. The primary affected groups are:
Claimants: The Regulation limits the costs they may recover for legal services (Schedule 1) and medico‑legal reports (Schedule 2) in claims under the Act. Claimants under 18 are subject to specific cost caps where a certificate under s 92 exempts their claims from assessment (cl 9). Claimants also face duties indirectly: if they fail to attend a President‑ordered medical assessment without reasonable excuse, the Authority may recover costs from the claimant (cl 17). Claimants are the recipients of assessed damages and therefore the timing rules in cl 22 directly affect when they will receive payment.
Insurers: Insurers are the primary payers for assessed damages and for most regulated costs. The Regulation prescribes insurer liabilities for legal costs (Schedule 1, cl 6), medico‑legal fees (Schedule 2, cl 11), and treatment fees (cl 20). If an insurer does not accept an assessment within 21 days after a certificate, the insurer becomes liable for all claimant costs incurred after the certificate and the statutory maxima do not apply to those costs (cl 16). Insurers also must comply with deduction procedures when the law requires deductions from assessed amounts (cl 22(2)).
Legal practitioners and law practices: Practitioners acting for claimants or insurers must observe the maximum cost schedules (cl 6(1)), apportion costs if the practitioner changes (cl 6(2)-(3)), and comply with the disclosure and costs agreement rules if contracting out (cl 8(1)(a)-(c)). A solicitor representing a claimant must provide the Authority with a costs breakdown when the claim is finalised (cl 24(2)-(5)). Legal practitioners are bound by referral fee prohibitions and must not give or receive consideration for referrals; close associates are captured (cl 25(1)-(5)).
Medical practitioners and health practitioners: Medical reports and attendance fees are capped in Schedule 2 (cl 11). The Regulation ties the form of reports to Motor Accidents Medical Guidelines if those guidelines require a particular form (cl 11(2)). Attendance fee entitlements and cancellation fees are specified (Schedule 2 items 1-4 and 10). Medical practitioners providing attending reports may not be claimable for certain initial reports unless a claimant has asked for the report and the insurer fails to provide it in reasonable time (cl 11(3)).
The Authority and the President: The Authority has administrative duties, including approving the form of costs breakdowns, recognising the AMA List for treatment fees (cl 20(4)), notifying Parliamentary Counsel of MU changes (Schedule 3 cl 4(1)(a)), and communicating information to the Minister and the Legal Services Commissioner (cl 24(6)-(7)). The President schedules medical assessments and may incur costs recoverable from claimants for non‑attendance (cl 17).
Courts and the Commission: The Commission makes assessments and can include costs in assessments (cl 13). The Commission and courts can grant leave to exceed expert witness limits (cl 12(2)). Parties have appeal rights against assessments as provided (cl 15), and courts can determine apportionment disputes and make orders varying maxima (cl 6(3)-(5), cl 9(5)).
Third parties named in the Act: The Regulation prescribes that APRA is a prescribed authority for access to protected information under s 217(2)(b) of the Act (cl 23), which identifies a regulated disclosure pathway.
Overall, the concrete financial burdens fall primarily on insurers (payment of damages and regulated costs), legal practitioners and medical practitioners (restricted recovery through fixed maxima and obligations to provide information), and claimants (limits on recoverable costs, duties regarding attendance and potential liability for some Authority costs). The Authority and Commission are tasked with operational and enforcement roles.
Key duties and rights
The Regulation creates a network of statutory duties and rights that structure legal and medical cost recovery, administration and information flows. Important duties and rights, with the source clauses, are:
Right to maximum amounts: Legal practitioners and medical practitioners have set maximum amounts they may recover for services in motor accidents matters, fixed by Schedule 1 and Schedule 2 respectively (cl 6(1), cl 11(1)). Section 149 of the Act is the enabling head (cl 5(1) references s 149).
Apportionment and dispute mechanism on change of practitioner: If the retained legal practitioner changes, costs are to be apportioned between practitioners (cl 6(2)). Disputes about apportionment may be referred to the Commission for determination, unless the matter is exempt from assessment (cl 6(3)-(4)). Practitioners have appeal rights against such determinations equivalent to those under the Legal Profession Uniform Law (cl 6(5)).
Contracting out of regulated maxima for practitioner and client costs: Contracting out of Schedule 1 maxima is possible for practitioner and client costs only if a practitioner makes the statutory disclosure under the Legal Profession Uniform Law (NSW), enters a costs agreement according to that law, provides a separate written warning to the client that even if costs are awarded the client will be liable for amounts above those payable under the Act, supplies a costs breakdown to the Authority at finalisation (for claimants), and the claim settles for more than $50,000 (cl 8(1)(a)-(d), (e)). Where contracting out occurs, the maximum recoverable on a practitioner and client basis is capped at the amount equal to the settlement minus $50,000 (cl 8(2)), and contracting out rules do not apply if the party is an insurer (cl 8(6)). Conditional costs agreements with success premiums are excluded from the contracting‑out pathway (cl 8(5)).
Special caps for child claimants: Where a claim is exempt from assessment solely because the claimant is under 18, and the resolution is not more than $50,000, maximum legal costs are capped at $5,000 except where the resolution is over $25,000 and no associated person has made a claim,then the cap is $10,000,these caps include all legal services from retainer acceptance to resolution (cl 9(1)-(3)).
Limits on expert witnesses recoverable in awards: Awards and assessments include costs for only one medical expert in any specialty and two other experts, unless the Commission or court agrees to more (cl 12(1)-(2)). Where there is a substantial issue under s 58(1)(d) of the Act, two medical experts per specialty may be allowed (cl 12(3)). Clause 12 extends to medical assessments (cl 12(4)).
Evidence and report form standards: Medical reports are to conform to the Motor Accidents Medical Guidelines if those guidelines require a particular form (cl 11(2)). For attending medical practitioners’ initial reports, claimants may only claim fees listed in Schedule 2 items 5 or 6 if the claimant requested the insurer provide the report and the insurer failed to do so within a reasonable time (cl 11(3)).
Duty to provide costs breakdown: A solicitor who represents a claimant at the time of finalisation must ensure the Authority receives a costs breakdown in the Authority’s approved form (cl 24(2)). This applies to all claims regardless of whether damages are payable, whether the claim is exempt from assessment, or whether contracting out occurred (cl 24(3)), but not where the claimant incurred no legal fees (cl 24(4)). The duty falls on the solicitor (not a barrister) if both act for the claimant (cl 24(5)). The Authority may provide that information to the Minister and forward it to the Legal Services Commissioner (cl 24(6)-(7)).
Prohibition on referral consideration: Legal practitioners must not receive or give consideration for referrals relating to services in the claimant’s matter; close associates are treated as receiving or giving consideration (cl 25(1)-(4)). Consideration is broadly defined to include fees or benefits but excludes reasonable hospitality (cl 25(5)).
Time for insurer payment and interest: Insurers must pay an assessed amount within 20 business days after a claimant’s acceptance (cl 22(1)). If deductions must be made by law, insurers must notify the payee and request advice within 10 business days and then pay the balance within 20 business days after receiving that advice, or after all relevant advice if multiple payees are involved (cl 22(2)). Interest accrues on unpaid portions at 75% of the Civil Procedure Act prescribed rate (cl 22(3)-(4)).
Authority and Commission powers: The Commission may include cost assessments when specifying damages (cl 13(1)), have regard to settlement offers and Legal Profession Uniform Law principles (cl 13(3)(a), (c)), and must respect court requirements and cl 12 (cl 13(3)(b)). The Commission may assess reasonable costs for compliance with Personal Injury Commission Act directions (cl 14).
These duties and rights are expressed as prescriptive statutory requirements and ceilings; the Regulation couples them with administrative duties on the Authority (indexing, recognition of fee lists) and specified procedural consequences (e.g. apportionment processes and appeals).
Penalties and enforcement
The Regulation primarily enforces limits and duties through ceilings, assessment mechanisms and administrative reporting, rather than by creating new separate criminal or administrative penalty schemes in its text. The enforcement and remedial mechanisms provided by the Regulation are:
Assessment enforcement via the Commission: The Commission can include costs in its assessments under Part 4.4 of the Act (cl 13(1)). The Commission’s assessment must not exceed the maxima in Schedules 1 and 2 (cl 13(4)). The Commission may also have regard to offers of settlement and to Legal Profession Uniform Law principles when determining costs (cl 13(3)(a), (c)).
Appeals against assessments: Persons who are affected by an assessment made under the Division (claimant, insurer, legal practitioner) have the same right of appeal as they would have under section 89 of the Legal Profession Uniform Law Application Act 2014 in relation to a costs assessor decision (cl 15). Those appeal pathways are the statutory route to challenge assessments.
Financial consequences for insurers who do not accept assessments: If an insurer does not accept an assessment within 21 days of the certificate, the insurer becomes liable to pay all claimant costs incurred after the certificate and statutory maximums do not cap those costs (cl 16(1)-(2)). This creates a direct financial enforcement mechanism encouraging insurer acceptance or timely resolution.
Interest on late payments by insurers: An insurer that delays payment beyond the statutory time must pay interest on unpaid assessed damages at a rate fixed at 75% of the Civil Procedure Act 2005 rate (cl 22(3)-(4)). This imposes a quantifiable cost for late payment by insurers.
Authority powers to recover costs for non‑attendance: If a claimant fails to attend or cancels a President‑ordered medical assessment without reasonable excuse within 72 hours, the Authority may recover reasonable costs incurred by the President as a consequence of the non‑attendance or cancellation (cl 17(1)-(2)). This is an administrative recovery power tied to compliance with medical assessment scheduling.
Duty reporting and referral of information to regulatory bodies: The Authority may forward information obtained from costs breakdowns to the Legal Services Commissioner (cl 24(7)). While the Regulation does not state specific sanctions, referral to the Legal Services Commissioner opens the possibility of regulatory action under the Legal Profession Uniform Law regime for misconduct revealed by the breakdowns or referral fee breaches.
Prohibitions on referral consideration: Clause 25 imposes duties not to give or receive consideration for referrals. The Regulation does not itself prescribe specific fines or criminal sanctions for breach, but the prohibition is framed as a professional duty and, given cl 24(7), breaches can be referred to the Legal Services Commissioner for potential disciplinary action under the legal profession regulatory framework.
Limits and exclusions: The Regulation's primary enforcement is the statutory barring of recovery beyond the maxima, which operates as a monetary disincentive. Section 149 of the Act (cited in cl 5 and cl 10) provides the enabling power that a practitioner is not entitled to be paid or recover amounts in excess of maxima fixed by regulation.
Notably, the Regulation does not itself specify express criminal penalties or administrative pecuniary penalties in its text. Enforcement is effected by limiting entitlement to recover amounts, by administrative recovery powers (cl 17), by interest for delayed payments (cl 22), by the Commission’s assessment and the appeal process (cl 13, cl 15), and by regulatory referral pathways (cl 24(7)). Practitioners should therefore view enforcement as exercised through cost non‑recovery, administrative recovery and professional discipline pathways rather than new fines created by the Regulation itself.
How it interacts with other laws
The Regulation is explicitly cross‑referenced to several other statutory regimes and instruments, and its operation depends on those links:
Motor Accidents Compensation Act 1999 (the Act): The Regulation is subordinate to and operates under the Act. Clauses repeatedly reference procedural provisions of the Act (for example the enabling sections s 149 and s 150 referenced in cl 5 and cl 10) and implement the mechanics of Parts 3 and 4 of the Act (cl 13(1) refers to Part 4.4 assessments, cl 17 references Part 3.4 medical assessments). The Regulation determines maximum recoverable amounts and procedural duties that are effective under the Act’s framework.
Legal Profession Uniform Law (NSW) and associated Acts: The Regulation imports standards and processes from the Legal Profession Uniform Law (LPUL) framework. Clause 8 requires disclosure under Division 3 of Part 4.3 of the LPUL and a costs agreement under Division 4 for contracting out. Clause 6(5) gives an Australian legal practitioner the same right of appeal against an apportionment determination as under section 205 of the Legal Profession Uniform Law (NSW), if the determination were a costs assessor decision. Clause 13(3)(c) requires the Commission to have regard to the principles in s 200 of the LPUL. Clause 15 relies on appeal rights under the Legal Profession Uniform Law Application Act 2014.
Civil Procedure Act 2005: Clause 22(4) sets the rate of interest on unpaid assessed damages at 75% of the rate prescribed for section 101 of the Civil Procedure Act 2005. The Regulation therefore links post‑assessment interest calculations to the Civil Procedure Act.
Health Practitioner Regulation National Law (NSW): The Regulation adopts the definition of health practitioner from the Health Practitioner Regulation National Law (cl 3). Schedule 2 refers to "health practitioners" and medical evidence/reports, so those definitions matter for application.
Personal Injury Commission Act 2020: Clause 14 authorises the Commission to assess reasonable costs related to directions under section 49 of the Personal Injury Commission Act 2020, tying the Regulation to the procedural machinery of the PIC Act.
Medicare/GST and Commonwealth tax law: Clause 19 refers to GST having the same meaning as in the A New Tax System (Goods and Services Tax) Act 1999 (Cth), and allows a statutory addition to maximum amounts for GST subject to a 10% cap on the maximum amount for GST recoverable by practitioners. That creates an interaction with Commonwealth tax law about GST applicability.
Road vehicle and registration laws: Clause 21 prescribes classes of vehicles for the purposes of section 10A(1)(c) of the Act and cross‑references Commonwealth vehicle standards statutes (Road Vehicle Standards Act 2018 and Motor Vehicle Standards Act 1989) and the Road Transport Act 2013. Thus, definitions and vehicle status under Commonwealth and NSW road laws influence whether a vehicle falls within a prescribed class for unregistered vehicle permits.
Australian Medical Association List: Clause 20 adopts the AMA List (List of Medical Services and Fees dated 1 December 2019, as amended and recognised by the Authority) as the maximum payable by insurers for certain treatment covered by s 56 of the Act. The AMA List therefore functions as an external pricing instrument incorporated by reference and recognised by publication in the Gazette.
Legal Services Commissioner and professional discipline regimes: Clause 24(7) permits the Authority to forward information obtained from costs breakdowns to the Legal Services Commissioner, linking the Regulation’s reporting duties to the legal profession disciplinary process under the LPUL framework.
Subordinate legislation and indexing: Schedule 3 requires the Authority to notify Parliamentary Counsel for publication on the NSW legislation website of MU changes (Schedule 3 cl 4(1)(a)) and to give public notice on an appropriate government website (Schedule 3 cl 4(1)(b)), creating administrative interactions with Parliamentary Counsel and government publishing requirements.
The Regulation frequently assumes the continuing operation of definitions and interpretative rules in the Act and the Interpretation Act 1987 (cl 3 note). Practitioners and insurers must therefore read the Regulation together with the Act, the LPUL, the Civil Procedure Act and other referred instruments to understand full legal effect, especially on appeal rights, professional duties and interest calculations.
Amendment history
The Regulation contains internal marginal notes indicating amendments and insertions at various points. The document itself records its commencement and replacement relationship to the earlier 2015 Regulation: it commenced on 1 September 2020 and replaces the Motor Accidents Compensation Regulation 2015 (cl 2). Specific amendment notations within the Regulation include:
Clause 3 carries marginal notes "Am 2020 (744), Sch 2[1] [2]" indicating an amendment in 2020, Schedule 2 items 1-2 of the amending instrument; the clause as presented includes updated definitions (cl 3(1) definitions of costs breakdown, health practitioner, MU, and the Act).
Clauses 4, 6, 9, 11, 12 and other items include "Am 2020 (744), Sch 2" references, identifying the 2020 instrument as having amended multiple clauses (for example, cl 4 is annotated "Am 2020 (744), Sch 2[3]" and cl 6 is "Am 2020 (744), Sch 2[4]" etc). Those marginal notes indicate that Schedule 2 to the amending instrument number 744 of 2020 adjusted the Regulation text in multiple places when the 2020 Regulation was made.
Clause 12A is an insertion with marginal note "Ins 2020 (744), Sch 2[6]" marking that the clause exempting certain claims from assessment was inserted in 2020.
Clause 14 is marked "Subst 2020 (744), Sch 2[8]" indicating substitution in 2020 of the earlier text with the present version assessing costs related to PIC Act directions.
Clause 21 contains "Am 2021 No 22, Sch 5.4[1] [2]" indicating an amendment in 2021 (No 22) that altered clause 21 (vehicle classes).
Schedule 1 is marked "sch 1: Am 2020 (744), Sch 2[10]-[14]" indicating the Schedule itself was amended in multiple parts by the 2020 instrument.
Schedule 3 includes an editorial note listing MU amounts for adjustment years 2020-21 through 2025-26. Those amounts show practical indexing outcomes over successive adjustment years (Schedule 3 editorial note).
Schedule 4, Part 1 contains saving and transitional provisions, including that acts or things that had effect under the repealed 2015 Regulation continue under the 2020 Regulation and that clause 8 applies to existing claims only for costs incurred after commencement (Schedule 4 cl 1-2).
The Regulation therefore has a recorded amendment history dating to its 2020 enactment and at least one post‑commencement amendment in 2021. The marginal annotations in the Regulation are the only amendment history details present in this text. The Regulation also contains internal notes instructing the Authority about indexing and public notice (Schedule 3 cl 4), which creates an administrative path for future indexed amendments of MU without separate legislative instruments because the Schedule prescribes the method for adjustment.
The text does not contain further historical legislative metadata such as full list of amending Acts or regulatory instruments beyond the marginal notes cited. Users requiring a comprehensive chronicle of every amending instrument should consult the NSW legislation database or the official consolidated version where the marginal notes can be followed to the amending instruments indicated.
Litigation history
The Regulation text supplied contains no reported case law, adjudicated disputes or judicial decisions applying it. It does, however, provide statutory routes for litigation and appeals:
Apportionment determinations by the Commission under cl 6(3) may be appealed as if they were decisions of costs assessors under the Legal Profession Uniform Law (cl 6(5)). Clause 15 extends appeal rights against assessments under this Division to claimants, insurers and legal practitioners by reference to the appeal structure in the Legal Profession Uniform Law Application Act 2014.
The Commission may include costs in assessments and must have regard to court requirements (cl 13(1)-(3)). If a court remits a matter to the Commission for further assessment after refusing to determine a matter post‑certificate, the Commission may reassess costs (cl 13(2)).
Clause 16 sets a deterministic financial consequence if an insurer fails to accept an assessment within 21 days post‑certificate: the insurer is liable for all claimant costs incurred in the matter after the certificate, and the statutory maxima do not apply to those costs. That clause could produce litigation about when an insurer accepted or validly declined liability, about the scope of costs incurred post‑certificate, or about the application of the clause itself, though no such cases are recorded in the Regulation text.
Clause 25 creates duties on practitioners about referral payments and contemplates potential consequences, though the Regulation itself does not set out disciplinary sanctions; breaches can be drawn to the Legal Services Commissioner via cl 24(7), which could trigger disciplinary proceedings under the Legal Profession Uniform Law.
Because the provided Regulation contains no case names or judicial commentary, there is no litigation history within this document to summarise. Practitioners should therefore anticipate that litigation and administrative disputes will engage the broader statutory machinery referenced in the Regulation (Act assessments, LPUL appeals and Legal Services Commissioner disciplinary pathways), and should check external case law databases for decisions that interpret or apply these specific clauses in dispute.
Gotchas
The Regulation includes multiple technical details that can produce practical traps if overlooked. The following concrete "gotchas" are grounded in the Regulation text and deserve attention:
Contracting out is tightly conditional and partially self‑limiting. Clause 8 allows contracting out of Schedule 1 maxima for practitioner and client costs only if the legal practitioner follows LPUL disclosure rules, enters a costs agreement under LPUL, provides a separate written warning that contractual costs above statutory amounts remain the client’s liability even if costs are awarded, and (for claimants) provides a costs breakdown to the Authority at finalisation (cl 8(1)(a)-(d)). Importantly, this pathway only applies where the settlement exceeds $50,000 (cl 8(1)(e)), and the maximum recoverable on a practitioner and client basis is limited to settlement minus $50,000 (cl 8(2)). That means contracting out does not permit a legal practitioner to recover beyond the statutory payable amount from the insurer; it shifts exposure to the client above the initial $50,000.
Costs breakdown duty is broad and mandatory for solicitors: Clause 24(2) makes it the duty of the legal practitioner who represents a claimant at finalisation to ensure a costs breakdown is provided to the Authority in the approved form. Clause 24(3) makes this duty apply even where the claim is exempt from assessment or contracting out has occurred. The duty only does not apply if the claimant incurred no legal fees (cl 24(4)). The Authority may forward the information to the Legal Services Commissioner (cl 24(7)). Non‑compliance could result in regulatory referral, even though the Regulation does not expressly define a sanction.
Attending medical practitioner reports are not automatically recoverable: Under cl 11(3), a claimant cannot claim amounts in Schedule 2 items 5 or 6 for an initial report by an attending medical practitioner unless the claimant requested the insurer provide the report in writing and the insurer failed to do so within a reasonable time. That procedural precondition can trap claimants (and their solicitors) who assume attending practitioner reports are recoverable without making the request or ensuring the insurer’s default.
Expert witness limits are tight: Clause 12 limits recoverable expert costs to one medical expert per specialty and two non‑medical experts, unless the Commission or court agrees otherwise (cl 12(1)-(2)). This interacts with Schedule 2 medico‑legal fee maxima. If a matter genuinely requires multiple experts, parties must secure the Commission’s or court’s agreement in advance,or risk non‑recovery.
MU indexing and rounding impacts: Values in Schedule 1 and Schedule 2 are denominated in MU, the dollar value of which is CPI‑indexed annually (Schedule 3 cl 2). Schedule 3 prescribes rounding to nearest cent for MU and rounding to nearest dollar for calculated maximums (Schedule 3 cl 2(2), cl 3). The editorial note shows MU values change annually. Practitioners must convert MU to dollars using the correct adjustment year and rounding rules; an erroneous MU conversion will result in incorrect billing and potential non‑recovery.
GST application is capped: Clause 19 allows a cost fixed by the Part to be increased by GST, but limits the amount recoverable for GST to not more than 10% of the maximum amount payable under the Part (cl 19(2)). This departs from standard GST recovery practice and caps GST recoverable to 10% of the statutory maximum, which may be lower than actual GST payable; practitioners must ensure they do not claim GST beyond the capped figure.
Contracting out does not apply to insurers: Clause 8(6) states that the contracting out provisions (cl 8(1)(e) and cl 8(2)-(4)) do not apply if the party is an insurer. Insurers cannot be placed into a practitioner/client costs agreement that displaces the statutory maximum in the same way claimants may execute contracting out paths.
Child claimant caps are specific and inclusive: Clause 9 sets all‑inclusive caps for claims where exemption under s 92 is only because the claimant is under 18. The caps include all legal services from acceptance of the retainer until resolution (cl 9(3)). Practitioners acting for young claimants must ensure total fees remain within these caps unless the court orders otherwise (cl 9(2)).
Non‑attendance recovery by Authority: For medical assessments scheduled by the President, if the claimant fails to attend or cancels within 72 hours without reasonable excuse, the Authority may recover all or part of the costs reasonably incurred by the President (cl 17(1)-(2)). Claimant representatives need to manage scheduling and communication to avoid exposing clients to recoverable Authority costs.
Treatment fees linked to AMA List recognition: Clause 20 fixes insurers’ maximum liability for certain treatment fees at amounts listed in the AMA List but only where the treatment is covered by s 56 and the AMA List has been recognized by the Authority via Gazette notice (cl 20(1), (3)-(4)). Insurers and providers must check the Authority’s Gazette notices to know which AMA List version applies.
Time for insurer payment is relatively short: Insurers must pay assessed amounts within 20 business days of claimant acceptance (cl 22(1)). This short period, and the interest rate set at 75% of the Civil Procedure Act rate for late payments (cl 22(4)), requires insurers to have procedures to calculate lawful deductions quickly and request advice where needed within 10 business days (cl 22(2)).
Being alert to these technical points will be necessary for advisers, insurers, and practitioners working in motor accidents claims.
How to comply
The Regulation creates several concrete compliance obligations and conversion exercises that legal practitioners, insurers, medical practitioners and the Authority must operationalise. Practical steps for compliance, with clause references, are:
For legal practitioners representing claimants:
Understand the applicable maximums and MU conversion: Determine which stage(s) of the matter in Schedule 1 apply and convert MU to dollars using the MU for the relevant adjustment year under Schedule 3 cl 2,follow rounding rules in Schedule 3 cl 2(2) and cl 3. Where a matter is finalised after a certificate, use Table B or stage calculations in Table A as applicable (Schedule 1 cl 1, Table A and B).
Apportion costs on change of practitioner: If a change of retained practitioner occurs, apportion the relevant costs between outgoing and incoming practitioners (cl 6(2)). If the parties dispute apportionment and the matter is not exempt under s 92, refer it to the Commission (cl 6(3)).
Follow LPUL disclosure and costs agreement requirements before contracting out: If proposing a costs agreement that departs from Schedule 1 maxima, ensure LPUL Division 3 disclosure is made, a formal costs agreement under LPUL Division 4 is executed, and a separate written warning is given that contractual excesses remain the client’s liability if costs are awarded (cl 8(1)(a)-(c)). For claimants, provide a costs breakdown to the Authority at finalisation and ensure settlement exceeds $50,000 (cl 8(1)(d)-(e)).
Prepare and lodge the costs breakdown on finalisation: When a client’s claim is finalised and the solicitor represented the claimant at finalisation, ensure a costs breakdown in the Authority’s approved form is provided at the time and in the manner required by the Authority (cl 24(2)-(3)). Do not assume the duty is discharged by counsel if both solicitor and barrister acted,the solicitor is responsible (cl 24(5)).
Avoid paying or receiving referral consideration: Do not accept or give consideration for referrals in relation to a claimant’s claim; be aware that close associates are captured by cl 25(2)-(4). Keep records demonstrating compliance, and ensure any hospitality provided falls within the reasonable hospitality exception (cl 25(5)).
Manage expert witness strategy: Before instructing multiple experts, seek court or Commission agreement where recoverability beyond the one medical expert per specialty and two other experts is required (cl 12(1)-(2)). Plan medico‑legal costs within Schedule 2 maxima (cl 11 and Schedule 2).
Ensure medical report form compliance: Confirm whether the Motor Accidents Medical Guidelines require a particular report form; if so, provide reports in that form (cl 11(2)). For attending practitioner initial reports, take the procedural step of requesting the insurer to provide the report in writing, and if the insurer fails to provide it in reasonable time, then claim the item in Schedule 2 items 5 or 6 (cl 11(3)).
For insurers:
Apply maximums and GST correctly: When paying legal or medico‑legal costs, apply Schedule 1 and Schedule 2 maxima, convert MU correctly per Schedule 3 cl 2, and add GST only within the 10% cap rule in cl 19(1)-(2). Keep documentation of MU conversion and CPA calculations.
Time payments and manage deductions: When the claimant communicates acceptance of an assessment, pay within 20 business days (cl 22(1)). If law requires deductions, notify the person entitled to the deduction and request advice within 10 business days, then pay the balance within 20 business days of receiving the deduction advice (cl 22(2)). Prepare to calculate and pay interest on unpaid assessed amounts at 75% of the Civil Procedure Act rate (cl 22(3)-(4)).
Be aware of the consequence of non‑acceptance: If you do not accept an assessment within 21 days after a certificate of assessment is issued, you become liable for all claimant costs incurred after the certificate, and statutory maxima do not apply to those costs (cl 16(1)-(2)). Implement internal acceptance decision procedures to avoid inadvertent exposure.
Recognise AMA List for treatment fees: For treatment covered by s 56 of the Act, insurers’ maximum liabilities are the amounts in the AMA List as recognised by the Authority (cl 20(1), (3)-(4)). Monitor Gazette notices for Authority recognition of AMA List updates.
For medical practitioners and health providers:
Charge only Schedule 2 maxima: For medico‑legal reports and evidence appearances, charge no more than the fees in Schedule 2 (cl 11(1) and Schedule 2). Observe the maximum charging periods and cancellation fee caps (Schedule 2, item 10).
Observe travel and allowance rules: Where appearance as a witness demands travel, apply the travelling allowance per kilometre at 55 cents and claim reasonable accommodation and meal costs where applicable (Schedule 2 items 3-4).
Comply with report format requirements: If the Motor Accidents Medical Guidelines require a particular report form, produce reports in that form so fees correspond to Schedule 2 references to 'report' (cl 11(2)).
For the Authority and the President:
Approve costs breakdown form, notify MU changes and publish maximums: Provide the Authority’s approved costs breakdown form and an approved method and time for submission by practitioners (cl 24(2)). After June quarter CPI data, notify Parliamentary Counsel of the MU for the next adjustment year and give public notice of actual maximum amounts (Schedule 3 cl 4(1)(a)-(b)). Ensure recognition notices for the AMA List are made by Gazette when appropriate (cl 20(4)).
For all parties:
Apply exclusions to costs regulation correctly: Be aware of categories excluded from the Part 2 maxima (cl 4) such as interpreter fees, travel costs of claimants, court fees and some professional reports. These costs may require separate handling outside the fixed maxima.
Keep records to support entitlements: Maintain contemporaneous records of retainer acceptance dates, stage triggers (as Schedule 1 stages are event‑driven), written requests to insurers for attending doctor reports (cl 11(3)), disclosures and signed costs agreements if contracting out (cl 8), and written notices concerning deductions for payment timing (cl 22(2)).
Prepare for appeals and Commission interaction: If costs are in dispute, expect Commission assessment under cl 13 and appeal rights under cl 15. Maintain file documents needed for an appeal or Commission referral concerning apportionment disputes (cl 6(3)-(5)).
Complying with the Regulation thus requires both procedural discipline (forms, notices, requests and time limits) and correct financial computation (MU conversions, GST caps, interest calculations). Practitioners should document compliance steps and ensure internal processes reflect the Regulation’s event‑driven maxima and administrative reporting duties.
(a) fees for accident investigators’ reports or accident reconstruction reports,
(b) fees for accountants’ reports,
(c) fees for reports from health practitioners, other than medical practitioners,
(d) fees for other professional reports relating to treatment or rehabilitation, for example, architects’ reports concerning house modifications,
(e) fees for interpreter or translation services,
(f) court fees,
(g) travel costs and expenses of the claimant for attendance at the Commission or a court,
(h) witness expenses at the Commission or a court.
cl 4: Am 2020 (744), Sch 2[3].
Division 2 Maximum legal and other costs
Division 2 Maximum legal and other costs
Division 2 Maximum legal and other costs
5 Application of Division
5 Application of Division
5 Application of Division
(1) This Division is made under section 149 of the Act and applies to the following costs payable on a party and party basis, on a practitioner and client basis or on any other basis—
(a) legal costs,
(b) costs for matters that are not legal services but are related to proceedings in a motor accidents matter.
Note.
Section 149(2) of the Act provides that a legal practitioner is not entitled to be paid or recover for a legal service or other matter an amount that exceeds any maximum costs fixed for the service or matter by regulations under section 149.
(2) This Division does not affect costs recovered before 17 December 1999 or for which a bill of costs was issued before that day.
Note.
Section 147(2) of the Act provides that expressions in Chapter 6 (Costs) of the Act (and consequently expressions used in this Part) have the same meaning as they have when used in relation to legal costs in the legal profession legislation (as defined in section 3A of the Legal Profession Uniform Law Application Act 2014).
6 Fixing of maximum costs recoverable by legal practitioners
6 Fixing of maximum costs recoverable by legal practitioners
6 Fixing of maximum costs recoverable by legal practitioners
(1) Except as otherwise provided by this Part, the costs set out in Schedule 1 are the maximum costs for—
(a) legal services provided by an Australian legal practitioner to a claimant or to an insurer in a motor accidents matter, and
(b) matters that are not legal services but are related to a motor accidents matter.
(2) If there is a change in the Australian legal practitioner retained by a claimant or insurer in a motor accidents matter, the relevant costs are to be apportioned between the Australian legal practitioners concerned.
(3) If there is a dispute as to the apportionment, either Australian legal practitioner concerned, or the client claimant or insurer concerned, may refer the dispute to the Commission for determination.
(4) Subclause (3) does not apply if the dispute arose in a matter in which, under section 92 of the Act, the claim is exempt from assessment.
(5) An Australian legal practitioner has the same right of appeal against a determination made under subclause (3) as the practitioner would have under section 205 of the Legal Profession Uniform Law (NSW) if the determination were a determination of a costs assessor under Division 7 of Part 4.3 of that Law.
cl 6: Am 2020 (744), Sch 2[4].
7 Excluded matters
7 Excluded matters
7 Excluded matters
(1) The maximum costs set out in Schedule 1 do not apply in respect of a matter in which, under section 92 of the Act, the claim is exempt from assessment.
(2) An exclusion under this clause in respect of a matter involving a claim referred to in section 92(1)(b) of the Act extends to any costs incurred before the matter became exempt.
8 Contracting out—practitioner and client costs
8 Contracting out—practitioner and client costs
8 Contracting out—practitioner and client costs
(1) Schedule 1 does not apply to costs in a motor accidents matter to the extent that they are payable on a practitioner and client basis if—
(a) an Australian legal practitioner makes a disclosure under Division 3 of Part 4.3 of the Legal Profession Uniform Law (NSW) to a party to the matter with respect to the costs, and
(b) the practitioner enters into a costs agreement with that party as to those costs in accordance with Division 4 of that Part, and
(c) before entering into the costs agreement, the practitioner advises the party in a separate written document that, even if costs are awarded in favour of the party, the party will be liable to pay the amount of the costs provided for in the costs agreement that exceeds the amount that would be payable under the Act in the absence of a costs agreement, and
(d) where the party is a claimant—the practitioner provides to the Authority, at the time and in the way approved by the Authority, a costs breakdown in relation to the claim when the claim is finalised, and
(e) the amount paid in resolution of the claim by way of settlement or an award of damages is more than $50,000.
(2) However, the maximum costs recoverable in the matter on a practitioner and client basis are fixed at the amount calculated by subtracting $50,000 from the amount paid in resolution of the claim.
(3) For the purposes of subclause (2), the amount paid in resolution of a claim includes the amount (if any) payable in connection with the claim on a party and party basis.
(4) The maximum costs specified in subclause (2) include all legal services provided in the course of the claim during the period commencing on the acceptance of the retainer and ending on the resolution of the claim.
(5) A costs agreement referred to in subclause (1)(b) does not include a conditional costs agreement, within the meaning of Part 4.3 of the Legal Profession Uniform Law (NSW), that provides for the payment of a premium on the successful outcome of the matter concerned.
(6) Subclause (1)(e) and (2)–(4) do not apply if the party is an insurer.
(7) This clause does not apply to costs involving a compensation matter application, as referred to in Schedule 1, clause 2A.
cl 8: Am 2020 (744), Sch 2[5].
9 Maximum costs for claims made by children
9 Maximum costs for claims made by children
9 Maximum costs for claims made by children
(1) This clause applies to a claim if—
(a) a certificate has been issued under section 92 of the Act to the effect that the claim is exempt from assessment under Part 4.4 of the Act, and
(b) the exemption is solely on the ground that the claimant is under the age of 18 years on the date on which the certificate is issued, and
(c) the amount paid in resolution of the claim is not more than $50,000.
(2) The maximum costs for legal services provided to a claimant in connection with a claim to which this clause applies are as follows, unless otherwise ordered by the court—
(a) except as provided by paragraph (b)—$5,000,
(b) if the amount paid in resolution of the claim is more than $25,000 (but not more than $50,000) and no associated person has made a claim in respect of the motor accident concerned—$10,000.
(3) The maximum costs specified in subclause (2) are inclusive of all legal services provided in the course of the claim during the period commencing on the acceptance of the retainer and ending on the resolution of the claim.
(4) If there is a change in the Australian legal practitioner retained by a claimant or insurer in connection with a claim to which this clause applies, the relevant costs are to be apportioned between the Australian legal practitioners concerned.
(5) Any dispute as to the apportionment may be determined by the court or referred by either Australian legal practitioner concerned, or the client or insurer concerned, to the Commission for determination.
(6) In this clause—
associated person, in relation to a claimant who has made a claim in respect of a motor accident, means any person who—
(a) at the time of the accident, was an occupant of the same motor vehicle as the claimant, and
(b) has retained to act on the person’s behalf in respect of any claim arising from the motor accident the same law practice as the claimant has retained in respect of the claimant’s claim.
resolution means any final resolution of a claim, whether by way of settlement, an award of damages or otherwise.
cl 9: Am 2020 (744), Sch 2[4].
Division 3 Medico-legal fees and expert witnesses
Division 3 Medico-legal fees and expert witnesses
Division 3 Medico-legal fees and expert witnesses
10 Application of Division
10 Application of Division
10 Application of Division
This Division is made under section 150 of the Act and applies in respect of fees for the provision of medical reports, and appearances as witnesses, by medical practitioners.
Note.
Section 150(2) of the Act provides that a medical practitioner is not entitled to be paid or recover any fee for providing a service that exceeds any maximum fee fixed under section 150 for the provision of the service.
11 Maximum fees recoverable by medical practitioner
11 Maximum fees recoverable by medical practitioner
11 Maximum fees recoverable by medical practitioner
(1) The maximum fees for providing a service specified in Schedule 2 in relation to any motor accident are the fees set out in that Schedule for that service, except as otherwise provided by this Part.
(2) A reference in that Schedule to a report means, if the Motor Accidents Medical Guidelines require medical reports to be in a particular form, a report in that form.
(3) A claimant may not claim an amount set out in item 5 or 6 of Schedule 2 in respect of an initial report by an attending medical practitioner unless—
(a) the claimant has requested in writing that the insurer provide the report to the claimant, and
(b) the insurer has failed to do so within a reasonable time.
(4) This clause does not affect fees recovered before 17 December 1999 or for which a bill was issued before that day.
12 Limit on costs for expert witnesses
12 Limit on costs for expert witnesses
12 Limit on costs for expert witnesses
(1) Costs are not to be included in an assessment or award of damages in respect of an expert witness giving evidence, or providing a report, on behalf of the claimant in relation to a claims assessment or in court proceedings under the Act, except for costs in respect of—
(a) one medical expert in any specialty, and
(b) 2 experts of any other kind.
(2) Subclause (1) does not apply if the Commission or court concerned agrees that costs are payable in respect of a greater number of expert witnesses in the matter.
(3) Despite subclause (1)(a), if there is a substantial issue as to a matter referred to in section 58(1)(d) of the Act, costs are payable in respect of 2 medical experts in any specialty relevant to the injury concerned.
(4) This clause extends to costs incurred in connection with medical assessments.
cl 12: Am 2020 (744), Sch 2[4].
Division 4 Assessment of claims
Division 4 Assessment of claims
Division 4 Assessment of claims
12A Claims exempt from assessment
12A Claims exempt from assessment
12A Claims exempt from assessment
(1) For the purposes of section 92(1)(a) of the Act, the following kinds of claims are exempt from assessment under Part 4.4 of the Act—
(a) a claim in which the claimant is a person under legal incapacity,
(b) a claim involving an action under the Compensation to Relatives Act 1897 brought on behalf of a person under legal incapacity,
(c) a claim against a person who is not a licensed insurer or a third-party insurer,
(d) a claim in relation to which the insurer, by written notice to the claimant, alleges that the claim is fraudulent because the claimant—
(i) made a statement about the circumstances of the motor accident that gave rise to the claim, and
(ii) in making the statement, contravened section 117 of the Act,
(e) a claim for which the insurer, by written notice to the claimant and to the owner or driver of the motor vehicle to which a third-party policy relates, declines to indemnify the owner or driver under the third-party policy,
(f) a claim for which the insurer, by written notice to the claimant, denies liability because the insurer denies the fault of the owner or driver of the motor vehicle in the use or operation of the vehicle.
(2) In this clause—
person under legal incapacity includes the following persons—
(a) a child under the age of 18 years,
(b) an involuntary patient or forensic patient within the meaning of the Mental Health Act 2007,
(c) a person under guardianship within the meaning of the Guardianship Act 1987,
(d) a protected person within the meaning of the NSW Trustee and Guardian Act 2009,
(e) an incommunicate person, being a person with a physical or mental disability that prevents the person from receiving communications, or expressing their will, in relation
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