National Health Chemotherapy Funding Amendment
Summary
The Australian Department of Health, Disability and Ageing issued Instrument F2026L00404 amending the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2024. This April 2026 update modifies chemotherapy drug schedules and funding arrangements under the National Health Act 1953, affecting reimbursement rates and coverage for cancer treatments.
What changed
The amendment modifies the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2024 (PB 31 of 2024), updating the efficient funding schedule for chemotherapy drugs and related services. Changes may include updated drug prices, amended infusion service fees, revised medicine benefit listings, or adjusted access criteria for specific chemotherapy agents.
Healthcare providers administering chemotherapy and pharmaceutical companies supplying chemotherapy medicines should review the updated Schedule 1 amendments to ensure alignment with current billing codes and reimbursement rates. The instrument takes effect 31 March 2026, with any pricing or listing changes impacting PBS claiming from the effective date. Providers should verify their systems reflect the updated arrangements before submitting claims.
What to do next
- Review Schedule 1 amendments to the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2024
- Update billing and claiming systems with revised chemotherapy drug prices and infusion fees
- Verify reimbursement rates align with the new efficient funding schedule before submitting claims from 31 March 2026
Archived snapshot
Mar 31, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
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National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment (April Update) Instrument 2026
In force Administered by
- Department of Health, Disability and Ageing
This item is authorised by the following title:
- National Health Act 1953 Latest version F2026L00404 31 March 2026
View document Legislative instrument Explanatory statement Filter active Table of contents
- 1. Name
- 2. Commencement
- 3. Authority
- 4. Schedules
- Schedule 1—Amendments
- National Health (Efficient Funding of Chemotherapy) Special Arrangement 2024 (PB 31 of 2024)
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