Patient safety and fragmented care
Stronger controls were sought for addictive medicines, prescription monitoring and medical oversight, alongside reliable communication and digital systems to prevent disconnected treatment.
This bill became law on Jul 6th, 2026.
Health, care & disability
Registered nurses with the required approval can prescribe selected medicines subsidised through the Pharmaceutical Benefits Scheme, which lowers patients’ medicine costs.
The government said registered nurses make up about half of Australia’s health workforce and are spread more widely across the country than any other health profession. It argued that letting qualified nurses prescribe subsidised medicines would improve access in rural and remote communities and reduce pressure on doctors and hospitals. The new nursing standard took effect on 30 September 2025, with the first trained nurses expected to begin prescribing from July 2026. The government expected no additional cost to the Pharmaceutical Benefits Scheme, the program that subsidises listed medicines, because patient eligibility and the expected number of prescriptions would not change.
Australia had introduced a registration pathway allowing eligible registered nurses to prescribe scheduled medicines, but the Pharmaceutical Benefits Scheme still excluded them from prescribing subsidised medicines. At the same time, limited GP access, workforce shortages and stretched services—especially in rural, regional and remote communities—created pressure to use nurses' skills more fully; the government responded through Mark Butler MP's bill, which passed both Houses and received Royal Assent on 6 July 2026, creating a safeguarded PBS pathway for authorised nurse prescribers.
Sophie Scamps (Independent) said the bill lacked adequate patient safeguards. She cited concerns from the Royal Australian College of General Practitioners, a professional body for family doctors, and the Australian Medical Association, a doctors’ representative group. They wanted addictive Schedule 8 medicines excluded and real-time checks of controlled-medicine prescriptions required. Wendy Askew (Liberal) argued the reform was too narrow because it excluded qualified foot-care specialists called podiatrists. She said more than 20 inquiry submissions supported including them. Anne Ruston (Liberal) also criticised the government for not formally responding to a workforce review completed 18 months earlier.
Mark Butler MP introduced this bill. It passed on the voices.
Did it become law?
Yes
Became law 06 July 2026
Final passage
Passed without a counted vote
6 recorded amendment or procedural votes were found, but no counted vote on the bill itself was recorded.
Passage speed
222 days
From introduction to the latest recorded parliamentary step
Meaning
Registered nurses with the required approval can prescribe selected medicines subsidised through the Pharmaceutical Benefits Scheme, which lowers patients’ medicine costs.
Registered nurses seeking approval must meet requirements set by the health minister. These may cover nursing qualifications, experience and professional endorsement.
Approved nurse prescribers may need an agreement with another approved prescriber. They cannot prescribe medicines that their agreement partner cannot prescribe.
Patients can receive nurse-prescribed subsidised medicines from 1 July 2026. The health minister decides which medicines are included.
Patients can receive selected medicines directly from an approved nurse without first taking a prescription to a pharmacy.
Approved nurse prescribers can challenge a refusal, suspension or cancellation by first asking the department to reconsider its decision.
Patients receive the same safety oversight used for other subsidised-medicine prescribers through the Professional Services ReviewPeer review of whether health practitioners used government programs appropriately., a peer-review system for health practitioners.
14 After subsection 88(1E) (1EAA) Subject to this Part, an authorised nurse prescriber is authorised to write a prescription on or after 1 July 2026 for the supply of any pharmaceutical benefit determined from time to time by the Minister for the purposes of this subsection, by legislative instrument. 15 Subsection 88(1EA) Omit “or (1E)”, substitute “, (1E) or (1EAA)”. 16 Subsection 88(1F) Omit “or (1E)”, substitute “, (1E) or (1EAA)”. 17 At the end of subsection 88(3) ; or (f) by an authorised nurse prescriber otherwise than in relation to the nursing treatment by the authorised nurseHealth Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
84AAM Meaning of eligible nurse prescriber (1) For the purposes of this Part, a person is an eligible nurse prescriber if the person: (a) is a registered nurse; and (b) meets the requirements set out in a determination made under subsection (3). (2) However, if there is no determination in force under subsection (3), a person cannot be an eligible nurse prescriber for the purposes of this Part. (3) The Minister may, by legislative instrument, determine one or more requirements that a specified person must meet in order to be an eligible nurse prescriber for the purposes of this Part. (4)Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
84AAN Authorised nurse prescriber (1) An eligible nurse prescriber may apply to the Secretary, in writing, to be an authorised nurse prescriber for the purposes of this Part. (2) The Secretary may approve the application if satisfied that the eligible nurse prescriber meets the criteria determined under paragraph (3)(a). The approval is subject to any conditions determined under paragraph (3)(b). (3) The Minister may, by legislative instrument, determine either or both of the following: (a) criteria by which applications are to be considered under this section; (b) conditions to which appHealth Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
14 After subsection 88(1E) (1EAA) Subject to this Part, an authorised nurse prescriber is authorised to write a prescription on or after 1 July 2026 for the supply of any pharmaceutical benefit determined from time to time by the Minister for the purposes of this subsection, by legislative instrument.Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
20 After section 93AB 93AC Prescriber bag supplies—authorised nurse prescribers (1) Except as prescribed by the regulations, an authorised nurse prescriber is authorised to supply such pharmaceutical benefits as the Minister, by legislative instrument, determines to persons who are entitled under this Part to receive those pharmaceutical benefits. (2) For the purposes of this section, the Minister may, by legislative instrument, determine the maximum quantity or number of units of a pharmaceutical benefit which may be obtained by an authorised nurse prescriber during a specified period. (3Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
84AAQ Review of decisions relating to authorised nurse prescribers (1) If the Secretary: (a) decides not to approve an eligible nurse prescriber under section 84AAN; or (b) suspends or revokes an approval under section 84AAP; the person to whom the approval relates may apply, in writing, to the Secretary for reconsideration by the Secretary of the decision. (2) On receiving an application under subsection (1) relating to a decision not to approve an eligible nurse prescriber under section 84AAN, the Secretary must reconsider the decision and: (a) affirm the decision; or (b) approve theHealth Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
1 Subsection 81(1) eligible nurse prescriber has the same meaning as in Part VII of the National Health Act 1953. 2 Subsection 81(1) (after paragraph (db) of the definition of practitioner) (dc) an eligible nurse prescriber; or 3 Subsection 81(1) (after paragraph (cb) of the definition of profession) (cc) the practice of an eligible nurse prescriber; 4 Subsection 81(1) (paragraph (b) of the definition of service) Omit “or a nurse practitioner”, substitute “, a nurse practitioner or an eligible nurse prescriber”. 5 Subsection 92(7) (after paragraph (bc) of the definition of Part VII autHealth Legislation Amendment (Prescribing of Pharmaceutical Benefits) Act 2026
Context
Australia had introduced a registration pathway allowing eligible registered nurses to prescribe scheduled medicines, but the Pharmaceutical Benefits Scheme still excluded them from prescribing subsidised medicines. At the same time, limited GP access, workforce shortages and stretched services—especially in rural, regional and remote communities—created pressure to use nurses' skills more fully; the government responded through Mark Butler MP's bill, which passed both Houses and received Royal Assent on 6 July 2026, creating a safeguarded PBS pathway for authorised nurse prescribers.
GP access and workforce shortages put pressure on primary care
Parliamentary debate linked the reform to limited GP access, workforce shortages and stretched services in rural, regional and remote communities.
Hansard ↗A nurse-prescriber standard leaves a PBS gap
A new federal registration standard enabled eligible registered nurses to prescribe scheduled medicines, but they could not yet prescribe PBS-subsidised medicines.
Hansard ↗Mark Butler MP introduces the bill
Mark Butler MP introduced the bill in the House of Representatives to let authorised nurse prescribers provide PBS-subsidised medicines to eligible patients.
Parliamentary timeline ↗Parliament passes the bill
Both Houses passed the bill in the same form, completing parliamentary passage.
Parliamentary timeline ↗Royal Assent turns the bill into an Act
The Governor-General gave Royal Assent, converting the bill into an Act and completing the legal step needed for the new PBS prescriber category.
Parliamentary timeline ↗Legislative route
The bill was formally presented to the chamber and read a first time, which starts its parliamentary journey.
Introduced and read a first time
A minister or sponsoring member moved the second reading, opening the main debate on the bill's purpose and principles.
Second reading moved
Referred to Committee (27/11/2025): Senate Community Affairs Legislation Committee; Committee report (26/02/2026)
Report tabled 26 Feb 2026
APH bill page notesThe bill reached this recorded parliamentary step.
The bill reached this recorded parliamentary step.
The bill reached this recorded parliamentary step.
The chamber agreed to the bill at second reading, meaning it accepted the bill in principle and allowed it to continue.
Second reading agreed to
The chamber considered the bill in detail and dealt with amendments before the next stage.
Consideration in detail debate
The chamber agreed to the bill at third reading, which completed passage through that chamber. Later message exchanges with the other chamber were still recorded afterwards.
Third reading agreed to
The bill was formally presented to the chamber and read a first time, which starts its parliamentary journey.
Introduced and read a first time
A minister or sponsoring member moved the second reading, opening the main debate on the bill's purpose and principles.
Second reading moved
The bill reached this recorded parliamentary step.
The bill reached this recorded parliamentary step.
The bill reached this recorded parliamentary step.
The chamber agreed to the bill at second reading, meaning it accepted the bill in principle and allowed it to continue.
Second reading agreed to
The chamber considered amendments before the bill moved to the next stage.
Committee of the Whole debate
The chamber agreed to the bill at third reading, which completed passage through that chamber. Later message exchanges with the other chamber were still recorded afterwards.
Third reading agreed to
The House dealt with Senate amendments or requests so both chambers could settle the bill in the same form.
Consideration of Senate message
The bill reached this recorded parliamentary step.
The Senate dealt with the House response to amendments so both chambers could settle the bill in the same form.
Consideration of House of Reps message
Both houses passed the bill in the same form, completing parliamentary passage.
Finally passed both Houses
The Governor-General gave Royal Assent, turning the bill into an Act.
Key criticism
Sophie Scamps (Independent) said the bill lacked adequate patient safeguards. She cited concerns from the Royal Australian College of General Practitioners, a professional body for family doctors, and the Australian Medical Association, a doctors’ representative group. They wanted addictive Schedule 8 medicines excluded and real-time checks of controlled-medicine prescriptions required. Wendy Askew (Liberal) argued the reform was too narrow because it excluded qualified foot-care specialists called podiatrists. She said more than 20 inquiry submissions supported including them. Anne Ruston (Liberal) also criticised the government for not formally responding to a workforce review completed 18 months earlier.
The Coalition and the Australian Greens supported allowing qualified nurses to prescribe subsidised medicines. The government said nurse prescribing followed research and consultation dating from 2017, while the final law lets the minister limit eligible medicines and places nurse prescribers under peer review.
Patient safety and fragmented care
Stronger controls were sought for addictive medicines, prescription monitoring and medical oversight, alongside reliable communication and digital systems to prevent disconnected treatment.
Untested model and workforce limits
The reform was criticised as insufficiently tested and lacking appropriate funding and clinical governance, with concern that PBS access alone would not create more autonomous prescribers in regional areas.
Votes
The bill passed both chambers on the voices. The counted divisions below were about amendments or procedure, not final passage.
House agreed to the bill's third reading on the voices, so there is no list of individual Aye and No votes for final passage in that chamber.
Passed on the voices
In a voice vote, members call out Aye or No and the presiding officer judges which side has it. Individual names are only recorded if a formal division is called.
Senate agreed to the bill's third reading on the voices, so there is no list of individual Aye and No votes for final passage in that chamber.
Passed on the voices
In a voice vote, members call out Aye or No and the presiding officer judges which side has it. Individual names are only recorded if a formal division is called.
Amendments grouped by chamber. These cards include amendment outcomes recorded without a counted division.
House
Passed 90 to 43. Support came from Labor. Opposition came from Liberal, Nationals, Community Strong Australia, and Greens. Minor-party and independent votes were split.
The vote restored the bill's focus on nurse prescribers and sent it back to the Senate without the podiatrist provisions.
Passed 90 to 43. Support came from Labor. Opposition came from Liberal, Nationals, Community Strong Australia, and Greens. Minor-party and independent votes were split.
This recorded the House's justification for removing the podiatrist provisions and communicated its position back to the Senate.
Defeated 17 to 92. Support came from Nationals and One Nation. Opposition came from Labor, Greens, Centre Alliance, and Katter's Australian Party. Minor-party and independent votes were split.
Its defeat allowed the proposed PBS access for designated registered nurse prescribers to proceed without first satisfying that additional trial-and-review condition.
Did not vote: Liberal Party, LNP, Nationals
Senate
Passed 33 to 19. Support came from Liberal, Greens, One Nation, Nationals, and minor parties and independents. Opposition came from Labor.
The statement criticised the lack of a comprehensive response but did not directly change the bill's legal provisions for nurse prescribing.
Passed 32 to 19. Support came from Liberal, Greens, One Nation, Nationals, and minor parties and independents. Opposition came from Labor.
The vote expressed the Senate's support for subsidising these prescriptions but did not itself amend the bill's operative provisions.
Passed 31 to 21. Support came from Greens, One Nation, Nationals, and minor parties and independents. Opposition came from Labor and UAP. One cross-floor vote was recorded: Alex Antic (Liberal) voted no. Liberal had split recorded votes.
Unlike the earlier second-reading statement, this vote directly changed the bill's text to extend its prescribing framework beyond registered nurses to eligible podiatrists.
The Senate carried Anne Ruston’s amendment on voices. It called for a comprehensive response to the review’s 18 recommendations.
Carried on voices
The chamber decided this amendment without a counted division, so there is no list of individual Aye and No votes.
These are amendment votes, not the final passage vote on the bill itself. The bill passed both chambers on the voices.
Parliamentary debate
Start here — lead voices
Butler supports the bill because allowing designated registered nurses to prescribe certain PBS medicines will improve affordable and timely access to care, particularly in rural and regional communities, while easing pressure on GPs and hospitals.
Read in Hansard ↗Webster opposes the bill, arguing that subsidising prescriptions by authorised nurses is untested, lacks appropriate funding and clinical governance, and will not address regional shortages of autonomous prescribers.
Read in Hansard ↗Malcolm Roberts says One Nation will support the bill because allowing suitably qualified registered nurses to prescribe certain PBS medicines will improve access and ease pressure on doctors, particularly in regional and remote areas.
Read in Hansard ↗Sophie Scamps supports expanding prescribing powers for qualified nurses to improve access to primary care, but says the reforms should proceed only with stronger patient-safety safeguards, particularly for addictive medicines, prescription monitoring and medical oversight.
Read in Hansard ↗All speeches by bloc
31 speakers · 36 contributions · 31 support
“Ultimately, this whole bill is about putting patients first, and that has been our whole agenda with all of our healthcare reforms making sure we are putting patients first. It also, very importantly, recognises the skills of our nurses. And I do want to compliment all of our nurses in my region and across the country—both nurses and health professionals—for the remarkable work that they continue to do all of the time. This is a recognition of that. So it recognises the skills of our nurses, trusts the evidence and removes barriers that, quite frankly, don't make sense. It doesn't make sense that this had not been in place before. It's about ensuring that where a person lives or which qualified health professionals they see doesn't determine whether they can afford the medicines that they need, that they need then and there. By modernising our laws to reflect contemporary practice, we're strengthening Medicare; supporting the health workforce; and making our health system more responsive, more equitable and more sustainable into the future, because we do have that ageing population and we do have increasing clinical and complex care needs that are there. These investments right across the board are vitally important. I commend the bill to the House.”Read the full speech in Hansard ↗
“I rise to speak in support of the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025 brought forward by the Minister for Health and Ageing, and I commend him for doing so. This bill is about making it easier for Australians to access the prescription medicine they need. It's about lightening the load for hospital emergency departments and GPs. It's about empowering our highly skilled, highly educated workforce of registered nurses to do what they were trained to do. It's about equitable access to health care for all Australians, including those managing chronic diseases and health conditions and those living in regional, rural and remote areas, who feel issues with access to health care even more keenly.”Read the full speech in Hansard ↗
“Taken together, the measures in this bill modernise Australia's health legislation to reflect contemporary practice and patient needs. They strengthen Medicare's capacity to respond to demand and support a workforce that is better equipped to deliver timely, high-quality care. For the people I represent in Moore, this matters. It means a health system that works more effectively in practice, recognises the professionalism of nurses and delivers care when and where it is needed. For those reasons, I support the bill and commend it to the House.”Read the full speech in Hansard ↗
“This bill is also about valuing our healthcare workforce. Nurses are highly skilled professionals. Allowing them to work their full scope is not only efficient but also respectful. From a men's health perspective, a confident, empowered workforce means better care. It means clinicians who can act decisively when a man finally asks for help. I often say that we cannot fix men's health outcomes by telling men to do better alone. We must fix the system. This bill is system reform. It recognises how men actually use health services and reduces barriers. It improves access, and it supports early intervention. It strengthens Medicare, it strengthens primary care and it strengthens outcomes for men all across this country, especially in regional and outer metropolitan communities like the Hunter. This is why reform matters, and that's why I'm proud to support this bill. I commend this bill to the House.”Read the full speech in Hansard ↗
“With this scope of practice—and the intense patient contact and support—it makes sense for appropriately qualified RNs to be enabled to prescribe certain medications. This will allow safe and timely and efficient prescription for patients, especially in primary-care and aged-care settings. This system has been in place in the UK since the 1990s. Nurse Charlotte Coulson, who has worked there and in Victoria in palliative care, says that RNs being enabled to prescribe medicines in palliative care cases is particularly impactful and prevents suffering, noting that 'GPs have limited time and multiple priorities'.”Read the full speech in Hansard ↗
“Yesterday, I joined nurses in parliament in support of primary healthcare nurses. They reminded us of the value of patients when nurses are trusted to work to their full scope of practice, something this legislation helps deliver. They reminded us that nurses don't choose this profession because of buildings or systems, but because of a deep commitment to care. And they reminded us that, when illness shrinks a person's world and when fear, uncertainty and vulnerability take hold, nurses are there—present, skilled, compassionate, delivering care when it is needed most and in the ways that matter most. That is the magic of this profession, and it is why this parliament must do everything it can to support nurses to do what they do best: care for people with dignity, skill and humanity. Health care should never depend on where you live, how busy the system is or how long you can afford to wait. This legislation moves us closer to a system that is fairer, more efficient and more responsive to the realities Australians face every day. I commend the bill to the House.”Read the full speech in Hansard ↗
“When I spoke to the now minister for health and ageing a couple of years ago, I was really pleased to hear about the work that was being done on scope of practice across a number of different professions in the health workforce. Today I'm pleased to be able to support the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. It's a practical, forward-looking reform that strengthens Medicare, supports our health workforce and improves timely access to affordable medicines for Australians no matter where they live.”Read the full speech in Hansard ↗
“It means fewer delays in care, better continuity for patients and a health system that works more smoothly, more fairly and more humanely, especially when people are unwell, vulnerable or caring for someone that they love. That is the kind of reform Australians expect from our Labor government, and that is exactly why I commend this bill to the House.”Read the full speech in Hansard ↗
“I really encourage people to support this legislation so that we can have more of our amazing Macquarie registered nurses ready, able and legally allowed to prescribe medications to help take pressure off our GPs and to help support a community that most of them not only work in but live in. I commend this bill to the House.”Read the full speech in Hansard ↗
“If we invest in primary health care, access becomes quicker than in the past. We will have better health outcomes, which means we will have fewer hospitalisations. It will mean that patients will be healthier and communities will be healthier. People will be able to stay in their communities and get the support that they need, thereby reducing the need for those in rural and regional areas to travel long distances. This is a win for all Australians, and I think it is very good use of our health professionals so they're able to fulfil their professional capabilities. I commend the bill to the Senate, and I hope that it's not just going to be this bill that the people in One Nation are supporting. I wish that they would support all the recommendations that we have brought into this parliament to ensure better health outcomes for all Australians.”Read the full speech in Hansard ↗
“I rise to speak in support of the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. This bill delivers a practical reform to the way our health system operates and to the way Australians access timely care. It amends the National Health Act to allow designated registered nurses to prescribe certain medicines under the Pharmaceutical Benefits Scheme. It is a significant reform that goes to the heart of our government's agenda, strengthening Medicare, modernising the workforce and ensuring Australians can receive high-quality care when and where they need it. This legislation builds directly on the work of the Strengthening Medicare Taskforce and the Unleashing the Potential of our Health Workforce review. Both found that highly trained nurses are too often prevented from working to their full scope of practice by outdated regulatory settings. Allowing trained and endorsed registered nurses to prescribe under the PBS is about using the skills already in our system more effectively. It makes sense. It will reduce unnecessary duplication of appointments. It will ease pressure on general practice and, importantly, emergency departments. It will improve access to care, particularly in regional and outer metropolitan communities like mine.”Read the full speech in Hansard ↗
“The future will put pressure on Medicare, and we need to make sure that our entire health system can respond to what will be challenges in our health system. Australians are living longer. More people are managing chronic and complex conditions, and demand on primary care will continue to rise. We can see that happening. Instead of cutting funding from Medicare, instead of neglecting Medicare, instead of freezing rebates like the Liberals and Nationals did for nine years with the same warnings we're getting now, we're setting up Medicare to ensure that it can deliver the care that Australians expect, just having that green and gold Medicare card. We'll continue to remove unnecessary barriers to help ensure that the system remains responsive and sustainable, particularly for growing communities like mine in Bennelong. And this will mean fewer delays. It'll mean better use of our health workforce, and it will give us a Medicare system that works the way people expect it to. The health legislation amendment bill is a practical continuation of the reforms that we've been putting in place since 2022, and I commend the bill to the House.”Read the full speech in Hansard ↗
Hansard records 2 separate contributions by Madonna Jarrett on this bill. They are grouped here so the speaker is listed once.
Second reading speech
Jarrett supports the bill because allowing designated registered nurses to prescribe PBS medicines will let nurses work to their full scope, ease pressure on doctors and hospitals, and improve affordable access to care, particularly in rural and remote communities.
“This bill delivers on the government's commitment to ensure our health workforce operates at its full scope, enhancing safe and timely access to medicines as well as building a healthcare system that provides accessible and affordable health care for all. This bill is a win for nurses, a win for the people of Brisbane and a win for all Australians. It's a bill with people and care at its heart. It's a bill that delivers on a commitment to provide accessible and affordable health care to Australians no matter where they live.”Read this contribution in Hansard ↗
Second reading speech
Madonna Jarrett supports the bill because it will make health care more accessible and affordable by allowing registered nurses to prescribe certain subsidised medicines through the Pharmaceutical Benefits Scheme.
“This bill builds on Labor's commitment to make health care more accessible and more affordable for all Australians. This bill increases access to and availability of medicines for all Australians. Importantly, it will allow registered nurses to prescribe certain medicines that can be supplied under the Pharmaceutical Benefits Scheme and attract a Commonwealth subsidy. Again—”Read this contribution in Hansard ↗
“This bill is another example of the Albanese government delivering on its commitments to strengthen Medicare, support the health workforce and put patients first. It's a win for nurses, it's a win for patients and it's a win for the sustainability of our health system. I commend this bill to the House.”Read the full speech in Hansard ↗
“This Bill delivers on the Government's commitment to ensure our health workforce operates at full scope, enhancing safe and timely access to medicines. It's a win for nurses and a win for all Australians.”Read the full speech in Hansard ↗
“I rise today to speak in strong support of the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. The Albanese Labor government is committed to supporting and empowering our health workforce. We are not just talking about strengthening Medicare; we are also doing the hard legislative work and structural reform to make health care more accessible for every Australian, and this bill is one piece of the structural reform puzzle in the healthcare sector. This bill addresses the scope of practice reforms for nurses and midwives. It is legislation that is catching up with healthcare demand and practice and it is backed by evidence and consultation.”Read the full speech in Hansard ↗
“This bill helps ensure our local health infrastructure, workforce and policy settings work together so the people of Dunkley get the accessible, high-quality health care they deserve. More broadly, this legislation ensures that, when designated nurse prescribers begin practising from July 2026, the Commonwealth framework will be ready to support them and, more importantly, to support their patients. Australians should be able to get the medicines they need when they need them without unnecessary hurdles or extra costs. They should be able to rely on a health system that is modern, flexible and responsive to their needs, and they should know that their government is willing to reform outdated systems to deliver better outcomes for the population. This bill does exactly that. It is sensible, it is evidence based and it is focused squarely on patients. I commend the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025 to the House and urge all members to support this important step in strengthening our health system for all Australians.”Read the full speech in Hansard ↗
“Allowing nurses to prescribe under the PBS will ensure the health system is responsive and better coordinated and ensure GPs and nurse practitioners can focus on patients with more complex needs. The bill is about making better use of the skills we already have in our health workforce. It is about improving access to medicines and ensuring that Australians can receive the care they need when they need it without any unnecessary delay. The Albanese Labor government is committed to supporting our nurses and values the work that they do. I commend the bill to the House.”Read the full speech in Hansard ↗
“This bill delivers on the Albanese government's commitment to strengthen Medicare, support our health workforce and improve access to affordable medicines. It empowers nurses, it supports patients and it builds a health system that is more responsive, more equitable and more sustainable. This is sensible reform, it is patient focused reform, and it is reform that reflects the realities of modern healthcare in Australia. I commend the bill to the House.”Read the full speech in Hansard ↗
“The Albanese government made an election commitment to prioritise scope-of-practice reforms for health professionals because we know these reforms deliver real benefits to Australian patients through improved access to health care. This bill, the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025, is an important step in delivering on that commitment. It will help ensure Australians have better access to the affordable medicines they need when they need them, and it backs our registered nurses to deliver safe, high-quality care, particularly in primary care and aged care.”Read the full speech in Hansard ↗
“I close with this comment: there's probably nothing more important to families than good health. Particularly when someone is unwell, there is nothing else that matters in their life other than their health because, without their health, they literally have nothing, so the health system does matter to people. We have a good health system. This is going to make it better. I commend this legislation to the House.”Read the full speech in Hansard ↗
“This bill is a part of that rebuild. This bill will make life a little bit easier for all Aussies but in particular for those with chronic health conditions. These changes will empower nurses to work to their full scope of practice and improve access to medicines across the country. It enables suitably qualified, endorsed registered nurses to prescribe specified PBS medicines under a carefully designed, nationally consistent framework. Nurses will be able to provide safe, high-quality care, reducing the need for GP appointments for routine repeat scripts or a trip to A&E. We want to remove the barriers to regular and follow-up prescriptions. Registered nurses make up approximately half of the country's health workforce and are the most geographically distributed health profession. This is particularly true in my state of Queensland. More than half of our population lives outside Greater Brisbane. In many communities, the kilometres to the nearest GP and then the nearest chemist are the barrier. In many Queensland communities, nurses are the first point of contact and the most consistent presence in a person's health journey. This is the case across aged-care facilities, community clinics, Indigenous health services and outreach programs. This bill acknowledges that reality and provides a safe pathway for designated registered nurse prescribers to keep people well closer to home.”Read the full speech in Hansard ↗
“I rise to speak in support of the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. This is a practical and carefully designed piece of reform. It makes sure that Australians can access medicines through the Pharmaceutical Benefits Scheme when those medicines are prescribed by appropriately qualified, endorsed and authorised registered nurses. At its heart is a simple Labor principle. It's about getting quality health care. All you should need is your Medicare card, not your credit card. That's what Medicare is about, that's what the PBS is also about and that's what this bill helps to deliver.”Read the full speech in Hansard ↗
“Labor takes a different view. We believe health care is a right, not a privilege. I am proud to support these reforms, because they will help Tasmanians receive the care they need, closer to home, sooner and more affordably. I commend the bill to the Senate.”Read the full speech in Hansard ↗
“This bill builds on that work in a really practical and targeted way. It is another example of our government's commitment to making health care more accessible and more affordable for Australians. It empowers nurses to work to their full scope of practice and will improve access to medicines for ordinary Australians. The bill allows registered nurses to prescribe certain medicines under the PBS. Simply, it means that patients will be able to get a prescription easier and at a lower cost. It ensures that care delivered in appropriate settings is backed by affordability and that access to medicines is not restricted by whom you see but by what you need.”Read the full speech in Hansard ↗
Hansard records 2 separate contributions by Zhi Soon on this bill. They are grouped here so the speaker is listed once.
Second reading speech
Soon supports the bill because allowing qualified registered nurses to prescribe selected PBS medicines will improve timely and affordable access to medication, particularly in regional, rural and remote communities, while maintaining professional oversight.
“The Labor government promised to prioritise reforms to the scope of practice for health professionals that are aimed at delivering real benefits to Australian patients by substantially improving their access to health care. As Australia's population continues to age, there is a greater strain being placed on our health and aged-care systems, alongside a greater prevalence of chronic diseases. The challenge that we face as a government is how to improve timely and affordable access to medications whilst also minimising the pressure we put on the healthcare workforce. The reforms contained in this legislation before the House are part of this Labor government's answer. The bill both allows and creates the regulatory framework for nurse prescribing. As a result of these changes, those hardworking professionals, who make up approximately half of the nation's healthcare workforce, will be able to prescribe a selection of PBS medications. Through nurse prescribing, this Labor government is moving dramatically to enhance access to medications.”Read this contribution in Hansard ↗
Second reading speech
Zhi Soon supports the bill as part of Labor's broader effort to make medicines more accessible and affordable while making better use of the healthcare workforce.
“In closing, this government took an ambitious agenda to the Australian people in May last year, and we are delivering on those promises that we made, be it investing in bulk-billing or cutting the cost of PBS medications—not for the first time, but the second—or making changes in the legislation before this House to improve access to medication and to utilise the skills of our healthcare workforce. It is only this side of the House, this Albanese Labor government, who will continue to be busy fighting for the Australian people, including in my great electorate of Banks.”Read this contribution in Hansard ↗
“I rise in support of the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. This bill introduces a practical reform to improve the efficiency of our health system and ensure Australians can access timely health care. This bill amends the National Health Act and the Health Insurance Act to enable nurse practitioners to prescribe certain medicines under the Pharmaceutical Benefits Scheme, and this will in effect help Australians get the care and medicines they need when they need them.”Read the full speech in Hansard ↗
“Australia deserves the world's best health system, and, as part of this, we need to ensure that all Australians, wherever they live, can get affordable medicines when they need them and have them prescribed by someone they trust. This bill will help to deliver on this aim. Under this bill, highly trained designated nurses will be able to extend their scope of practice, primarily in primary care and aged-care services. This is good news for designated registered nurses, good news for patients, particularly in rural and remote areas, and good news for stressed primary and aged-care health settings in the rest of the country. I commend the bill to the House.”Read the full speech in Hansard ↗
Hansard records 2 separate contributions by Mark Butler, including an amendment-moving contribution. They are grouped here so the speaker is listed once.
Moved amendment
Butler supports the bill because allowing designated registered nurses to prescribe certain PBS medicines will improve affordable and timely access to care, particularly in rural and regional communities, while easing pressure on GPs and hospitals.
“This bill delivers on the government's commitment to ensure our health workforce operates at their full scope, enhancing safe and timely access to medicines. It's a win for nurses and a win for all Australians.”Read this contribution in Hansard ↗
Second reading speech
Butler supports the bill because it will let designated registered nurses prescribe subsidised medicines, improving affordable and timely access while addressing workforce shortages. He says prescribing agreements, professional review and independent consideration of eligible medicines will maintain oversight and safety.
“By enabling designated registered nurse prescribing under the PBS, the bill supports safe, timely and affordable access to medicines. Registered nurses can already prescribe. This bill enables them to prescribe under the PBS, improving affordability for consumers. It enables registered nurses to better meet community health needs and strengthens the health system by addressing workforce shortages and building long-term capacity and sustainability. As with other prescribers, the list of medicines that will be able to be prescribed under the PBS by a designated registered nurse prescriber will now be considered, if this bill passes, by the independent Pharmaceutical Benefits Advisory Committee.”Read this contribution in Hansard ↗
Hansard records 2 separate contributions by Jenny McAllister on this bill. They are grouped here so the speaker is listed once.
Second reading speech
McAllister supports the bill because it will let designated registered nurses prescribe specified PBS-subsidised medicines and advance recommended health workforce scope-of-practice reforms.
“The Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025 amends the National Health Act 1953 to authorise designated registered nurses as prescribers under the Pharmaceutical Benefits Scheme. These nurses will be able to prescribe specific medicines that qualify for Commonwealth subsidy under the PBS. This bill advances scope-of-practice reforms identified by the Unleashing the potential of our health workforce review and the Strengthening Medicare Taskforce. Since 2017, the Nursing and Midwifery Board of Australia and chief nursing and midwifery officers have conducted extensive research and consultation on nurse-prescribing models. The NMBA developed the standards—”Read this contribution in Hansard ↗
Second reading speech
McAllister supports the bill because allowing designated registered nurses to prescribe medicines under the PBS will improve affordable and timely access to medicines while maintaining professional oversight and safeguards.
“The government is committed to supporting access to health and affordable medicines and enabling health professionals to work to their optimal scope of practice safely. In the matters before the chamber today, there has been extensive consultation, and that same consultation and careful planning has not yet occurred for podiatrists. Senators, I commend the bill before you. These are important reforms that will improve access and equitable access to health care in our country.”Read this contribution in Hansard ↗
Hansard records 2 separate contributions by Charlotte Walker on this bill. They are grouped here so the speaker is listed once.
Second reading speech
Walker supports the bill because it would let suitably qualified nurses prescribe certain Pharmaceutical Benefits Scheme medicines, improving timely access to care, especially in regional, rural and remote communities, without lowering safety standards.
“For too many Australians, particularly those living in regional, rural and remote communities, getting timely health care isn't as simple as booking an appointment down the road. Sometimes there isn't a GP down the road. Sometimes the nearest clinic is hours away. And sometimes your local nurse is the health professional you know, you trust and you see most regularly. If that nurse has the qualifications, the training and the appropriate endorsement, why should patients have to jump through another hoop just to access a medicine they're already taking? This bill recognises that common sense. It allows suitably qualified registered nurses to prescribe certain medications under the Pharmaceutical Benefits Scheme, helping patients get the care they need sooner without compromising safety.”Read this contribution in Hansard ↗
Second reading speech
Walker supports the bill because it will let properly trained nurses prescribe pharmaceutical benefits, helping patients receive safe, affordable treatment sooner and closer to home with fewer barriers.
“There is another point worth making. Nursing is one of Australia's most trusted professions. Every day, nurses care for Australians at some of the most difficult moments in their lives with compassion, professionalism and skill. This bill, the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025, says that we recognise that expertise. It says we trust properly trained nurses to do the job they have prepared for and, most importantly, it says that the health system should be designed around patients, not bureaucracy. If someone can receive safe, affordable treatment closer to home more quickly and with fewer barriers, that's a good outcome. That's what this bill delivers. It's practical, it's sensible and it will make a real difference for communities right across Australia, especially those that have too often found themselves at the back of the queue when it comes to accessing health care. I commend the bill to the Senate.”Read this contribution in Hansard ↗
7 speakers · 4 support · 2 oppose · 1 unclear
“In conclusion, the Nationals are all for positive changes in our health system that will improve access to high-quality care when and where people need it. I acknowledge the essential role nurses play in our health system, especially in our regions, and the very, very important work that they do. But I will always advocate for evidence based policy that is set up to succeed and to address the core issues that my constituents are concerned about. This bill is lazy. It is politically driven policy that does not address the root causes of the problems in our health system. It has not been tested and is being set up to fail.”Read the full speech in Hansard ↗
“The government's proposed authorised nurse prescribers will be registered nurses with additional training who work in a collaborative arrangement with an autonomous prescriber professional who can already prescribe independently, expanding the scope of practice for a registered nurse. Labor is proposing this new model of prescribing in Australia. Nurses who meet these criteria are not expected to be qualified to prescribe until the middle of 2026, but that's only less than six months away. That's not far away in the scheme of things. So I do wonder and I do question, as with much of what Labor introduces, whether it's policy on the run, whether it masks a more serious situation—and that is the lack of doctors practising in Australia. I would like to think that Labor would not be using this as a trojan horse to not then provide the necessary funding, ongoing support, for such things as the medical schools.”Read the full speech in Hansard ↗
“What we have here is legislation that addresses a pathway for registered nurses who are qualified, have capacity and have the regulatory framework to be able to do their jobs better, to allow better outcomes for patient care. On that basis, I'm very supportive of the principle of the legislation as passing it will improve patient outcomes, will improve healthcare services and will actually free up capital and time for nurses, doctors and specialists to be able to support patients where it's needed. That's going to continue to be a big challenge for our country into the future.”Read the full speech in Hansard ↗
“Expanding the scope of practice in a safe and regulated way has the potential to improve access to medicines, particularly for Australians living outside metropolitan centres. The introduction of nurse prescribing follows consultation and regulatory development through the Nursing and Midwifery Board of Australia and with health ministers, with the first cohort of nurses expected to begin prescribing from mid-2026. The details of these measures have now been carefully examined through the Senate Community Affairs Legislation Committee process. The opposition will support the changes in this bill to recognise the important role nurses play in our healthcare system and the potential benefits of sensibly expanding the scope of practice. These measures are consistent with our focus on ensuring Australians have timely and affordable access to essential health care, particularly in rural and remote communities.”Read the full speech in Hansard ↗
“The opposition won't stand in the way of this bill passing the House. On its face, the bill is broadly consistent with the objective of ensuring Australians have timely and affordable access to essential health care, particularly in rural and remote communities. However, as always, the details matter. We will be carefully examining the implementation of these arrangements through the upcoming Senate Community Affairs Legislation Committee process and considering any issues or amendments that arise once the committee reports later this month.”Read the full speech in Hansard ↗
“The coalition supports the intent of this bill. Expanding prescribing capabilities to registered nurses has the potential to improve access to medicines and make better use of the skills already within our health workforce, particularly in regional, rural and remote areas. However, the government's narrow approach means significant pressure points remain embedded in the system. By limiting this expansion to registered nurses alone and excluding other suitably qualified health professionals such as podiatrists, Labor has missed an opportunity for more comprehensive reform. Reducing the burden on our healthcare system will not occur through a single policy lever. The coalition agrees that we must start somewhere. We support taking prudent first steps, but we are clear eyed that this legislation on its own will not deliver the systemic change required to address workforce shortages or growing patient demand.”Read the full speech in Hansard ↗
“Finally, this does overlay the cloud of overprescription. We know that pharmaceutical companies love nothing more than getting their products into the hands of willing recipients. For those reasons—and many, many others—I simply won't be supporting this bill today.”Read the full speech in Hansard ↗
1 speaker · 3 contributions · 1 support
Hansard records 3 separate contributions by Jordon Steele-John, including an amendment-moving contribution. They are grouped here so the speaker is listed once.
Second reading speech
Steele-John says the Greens support the bill because allowing qualified nurses to prescribe medicines will deliver faster, more affordable care and help prevent unnecessary hospital admissions, particularly where access to doctors is limited.
“The Greens are pleased to support this reform. This reform comes at an important time. To share the impact of this change, I'd like to quote Rebecca Manski, who gave an interview to the ABC. Ms Manski is a registered nurse in a rural New South Wales community who is training to become a nurse prescriber. She said:”Read this contribution in Hansard ↗
Second reading speech
Steele-John says the Greens support the bill because nurse prescribing will make health care faster and more affordable while maintaining patient-safety safeguards. He argues the reform should go further by giving qualified podiatrists and podiatric surgeons access to PBS subsidies.
“I am pleased to continue speaking to the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. Nurse prescribers have been pushing for this for a very long time—to be able to work to their full scope of practice and support patients to access faster, more affordable quality health care. The Greens are pleased to support this bill.”Read this contribution in Hansard ↗
Moved amendment
Jordon Steele-John supports the bill but calls on the government to extend PBS prescribing access to endorsed podiatrists and podiatric surgeons, arguing this would save patients money and reduce avoidable hospitalisations.
“(iii) allowing endorsed podiatrists and podiatric surgeons to access PBS benefits when prescribing medicines would save patients money in the short term and would achieve budget savings by reducing avoidable hospitalisations; and”Read this contribution in Hansard ↗
1 speaker · 1 support
“One Nation will support the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. It amends the National Health Act and the Health Insurance Act 1973 to enable approved registered nurses to prescribe certain pharmaceutical benefits under the Pharmaceutical Benefits Scheme, the PBS. Australia's health system is experiencing increasing demand due to an ageing population and rising prevalence of chronic disease, something we do need to better understand. Improving access to safe and effective medications is essential to meeting the health needs of everyday Australians.”Read the full speech in Hansard ↗
5 speakers · 3 support · 2 mixed
“I agree wholeheartedly with the intent of this bill to expand access and support a more flexible and responsive primary healthcare workforce. But intent alone is not enough. It is one thing to extend access to medical care, but we must absolutely be resolute in ensuring that this greater access does not undermine patient safety and outcomes. For these reforms to succeed, the safety concerns of professional medical bodies with deep experience in the field of prescribing and patient care must be heeded, and the safeguards they urge must be implemented.”Read the full speech in Hansard ↗
“The expansion of scope of practice should empower our healthcare professionals. It should improve accessibility and efficiency in health care. Our first priority should always be patient safety and the protection of patient care. Given the increasing complexity of medical care in this country, particularly for older Australians and for those with multiple medical problems, the best model of care is that provided in a multidisciplinary team. I support this bill as I support increasing the scope of practice of all competent healthcare professionals in Australia, but I call on the government to ensure that these changes are appropriately scrutinised and monitored and then not instituted in a kind of band-aid solution in response to the—at this point—unaddressed issue of our chronic healthcare workforce deficiencies. Having said that, I commend the bill to the House.”Read the full speech in Hansard ↗
“The reasons for workforce shortages in rural health are many and complex. Certainly there is inadequate resourcing of regional health systems. Training pathways make getting regional experience difficult or unaffordable. Housing and childcare shortages prevent talented professionals from moving to regional Australia. We really do have a wicked problem, and there isn't just one policy to solve it, but this piece of legislation is part of that puzzle, and I really welcome it. The truth is that, if we're going to address workforce challenges, we do need to come at it from all angles, and that includes making sure that every single healthcare professional is supported to work at their full scope of practice. This bill supports a reform that does precisely this.”Read the full speech in Hansard ↗
“Let's be honest. There are a couple of other things. For those people who might be nervous about this bill, it expands the scope of practice, but it does have strong safeguards. Only appropriately qualified nurse prescribers will be authorised, and there will continue to be oversight to ensure prescribing is safe, appropriate and accountable. This reform will not solve every challenge facing our healthcare system, but it is a practical and necessary step in the right direction. It reflects the trust that we have in our healthcare workforce, supports better patient outcomes and helps build a more flexible and sustainable healthcare system for the future. For these reasons, I support the bill.”Read the full speech in Hansard ↗
“This bill has the potential to move us meaningfully towards a more equitable health system but only if the detail is done well. I urge the government to engage openly with the findings of the Senate committee, once available, and to ensure the regulations are transparent, evidence based and clear. Australians deserve a health system that's accessible, safe and equitable. This bill can contribute to that goal if we get the implementation of it right, and I'll continue to engage constructively with the government to ensure that that happens.”Read the full speech in Hansard ↗
Record
House · Introduced and read a first time
Introduced
The bill was formally presented to the chamber and read a first time, which starts its parliamentary journey.
House · Second reading moved
Second reading opened
A minister or sponsoring member moved the second reading, opening the main debate on the bill's purpose and principles.
House · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
House · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
House · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
House · Second reading agreed to
Second reading agreed
The chamber agreed to the bill at second reading, meaning it accepted the bill in principle and allowed it to continue.
House · Consideration in detail debate
Consideration in detail
The chamber considered the bill in detail and dealt with amendments before the next stage.
House · Third reading agreed to
Third reading agreed
The chamber agreed to the bill at third reading, which completed passage through that chamber.
Senate · Introduced and read a first time
Introduced
The bill was formally presented to the chamber and read a first time, which starts its parliamentary journey.
Senate · Second reading moved
Second reading opened
A minister or sponsoring member moved the second reading, opening the main debate on the bill's purpose and principles.
Senate · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
Senate · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
Senate · Second reading debate
Second reading debate
The bill reached this recorded parliamentary step.
Senate · Second reading agreed to
Second reading agreed
The chamber agreed to the bill at second reading, meaning it accepted the bill in principle and allowed it to continue.
Senate · Committee of the whole: amendments considered
Amendment packages agreed
The chamber considered amendments before the bill moved to the next stage.
Senate · Third reading agreed to
Third reading agreed
The chamber agreed to the bill at third reading, which completed passage through that chamber.
House · Consideration of Senate message
House disagreed to Senate amendments
The House dealt with Senate amendments or requests so both chambers could settle the bill in the same form.
Senate · Message from House of Reps reported
Message from House of Reps reported
The bill reached this recorded parliamentary step.
Senate · Consideration of House of Reps message Details: Senate did not insist on its amendments
Senate did not insist on amendments
The Senate dealt with the House response to amendments so both chambers could settle the bill in the same form.
Parliament · Finally passed both Houses
Passed both houses
Both houses passed the bill in the same form, completing parliamentary passage.
Assent · Assent
Assent
The Governor-General gave Royal Assent, turning the bill into an Act.
Senate Community Affairs Legislation Committee
Report tabled 26 Feb 2026
Referred to Committee (27 Nov 2025): Senate Community Affairs Legislation Committee; Committee report (26 Feb 2026)
APH bill page notes