Australian Health Practitioner Regulation Agency - New cost allocation model and NSW fees

New cost allocation model and NSW fees

New cost allocation model and NSW fees

In 2022/23 we are introducing a new model for allocating costs which considers the complexity, volume, and time to manage the regulatory activity for each profession. The new model reflects access to more detailed data and is designed to ensure costs for regulating each profession are appropriately recovered, target equity levels are maintained, and the risk of cross-subsidisation minimised.

How costs are calculated

The National Registration and Accreditation Scheme operates on a cost-recovery basis with each Board meeting the full costs for the professions they regulate. A fundamental principle is that there should be no cross-subsidisation across professions or jurisdictions. Accordingly, NSW practitioners do not cover the costs of managing notifications in other states and territories, and vice versa. This is because Part 8 (notifications) of the National Law in NSW is undertaken by the Health Professional Councils in NSW working with the NSW Health Care Complaints Commission (HCCC) in a co-regulatory partnership. Neither Boards nor Ahpra manage notifications which arise in NSW.

For practitioners with a principal place of practice in NSW, the registration renewal fee has two components. The first component relates to the registration and accreditation functions which is the same for all practitioners across Australia. This is calculated by Ahpra. The second component relates to the notifications function. This is calculated by the NSW Health Professional Councils Authority and is specific to NSW practitioners.

To the extent that the total of these two components is lower than the national fee, NSW practitioners receive a rebate in the form of a lower fee. If the total is higher than the national fee, practitioners pay a surcharge.

The agreed registration fee is collected as part of the annual registration renewal process administered nationally by Ahpra. The notifications component is remitted to the HPCA, on a monthly basis, for practitioners with a principal place of practice in NSW, plus approximately 28% of practitioners who do not register a principal place of practice.

Registration and accreditation costs for NSW practitioners

While NSW practitioners pay an NSW-specific cost for notifications, they pay the same costs for registration and accreditation as other practitioners in their profession across Australia. The 2009 Ministerial policy direction requires Ahpra and the National Boards to assess the registration and accreditation elements of the fee for NSW practitioners so that it is clear that NSW practitioners are not contributing to the cost of notifications management outside NSW.

The registration and accreditation costs include:

  • the cost of managing applications for registration, including complex internationally qualified practitioners
  • maintaining the public register
  • the auditing of practitioners for compliance with registration standards and the National Law
  • criminal prosecutions for breaches in advertising and use of title
  • funding of practitioner health services
  • funding the National Health Practitioner Ombudsman
  • funding of registration elements of reviews such as the Cosmetic surgery review
  • funding accreditation services and in the case of medicine, contributing to the funding of accreditation of intern training positions via the Australian Medical Council and the state-based intern training accreditation authorities such as NSW Health Education and Training Institute (HETI).

The policy direction can be accessed on the Ministerial directives and communiques page.

Correction to the registration and accreditation fee component for NSW practitioners

In 2022/23, with access to better data on the costs for the regulatory activity for each profession the registration and accreditation fee component for NSW has been corrected. This will see an increase in costs for some professions and a decrease in costs for other professions.

Medical practitioners in NSW

The national costs for registration and accreditation for medical practitioners is $343. This is the same for all medical practitioners across Australia and there is no difference in this cost for medical practitioners in NSW.

The policy direction requires us to assess the registration and accreditation element of the fee for NSW practitioners. Our cost allocation work shows that we have been under-recovering the costs of registration and accreditation for medical practitioners with a principal place of practice in NSW. We are not recovering any prior year costs and have no plans to do so. However, we must comply with the policy direction and correct this component of the fee for NSW in 2022/23.

More widely, the Medical Board of Australia is managing the increase in costs of regulation for medical practitioners in other jurisdictions by going into a budget deficit in 2022/23. The Medical Board deficit can’t be used to cover NSW registration and accreditation costs because the policy direction clearly requires the actual cost to form the registration and accreditation component of the fee. This ensures that NSW practitioners are not cross-subsidising the costs of notifications for practitioners in other jurisdictions or vice versa.

The NSW notifications component of the national registration and renewal fee for NSW based medical practitioners will rise by $110 in 2022/23 to $555. This means the total fee for NSW medical practitioners will be $898. It is the first time the NSW complaints component has been adjusted above CPI since 2012. Like Ahpra and the National Boards, the Medical Council of NSW operates on a cost recovery basis and this change is necessary because of a substantial increase in complaints and associated regulatory activity in NSW.

Financial and Performance Data

Audited financial statements are published in the Ahpra annual report which is published every November on Ahpra’s website.

Ahpra’s data on registration and accreditation performance can be accessed on the statistics page on Ahpra’s website.

 

Overview of the national general registration fees 2022/23

National Board National Fee ($) Surcharge / (Rebate) for
NSW registrants ($)
Fee for registrants with principal
place of practice in NSW* ($)
Aboriginal and Torres Strait Islander Health Practice Board of Australia 154 0 154
Chinese Medicine Board of Australia 492 (201) 291
Chiropractic Board of Australia 451 (43) 408
Dental Board of Australia - dentists and specialists 719 140 859
Dental Board of Australia - dental prosthetists 639 136 775
Dental Board of Australia - dental hygienists and therapists 355 67 422
Medical Board of Australia 860 38 898
Medical Radiation Practice Board of Australia 203 (33) 170
Nursing and Midwifery Board of Australia 180 0 180
 Occupational Therapy Board of Australia 123 (4) 119
 Optometry Board of Australia 337 (14) 323
 Osteopathy Board of Australia 399 62 461
 Paramedicine Board of Australia 240 28 268
 Pharmacy Board of Australia 439 79 518
 Physiotherapy Board of Australia 180 (29) 151
 Podiatry Board of Australia 378  0 378
Psychology Board of Australia 415 (76) 339
 
 
Page reviewed 21/09/2022