The National Health Reform Agreement

In August 2011 Council of Australian Governments (COAG) agreed to the National Health Reform Agreement [PDF 1.39MB | DOCX 195KB], which sets out the shared intention of the Commonwealth and state and territory (state) governments to work in partnership to improve health outcomes for all Australians and ensure the sustainability of the Australian health system.

From 1 July 2012 the National Healthcare Specific Purpose Payment was replaced by National Health Reform funding.

From 1 July 2017 Schedule I - Addendum to the National Health Reform Agreement [PDF 1.81MB | DOCX 88KB], implements the arrangements outlined in the Heads of Agreement as agreed by COAG in April 2016.

From 1 July 2020 Schedule J - Addendum to the National Health Reform Agreement: revised public hospital funding and health reform arrangements take effect. [PDF 2.71MB | DOCX 182KB]

A consolidated version of the National Health Reform Agreement is available here [PDF 1.35MB | DOCX 195KB]

The National Health Reform Agreement Long Term Reforms Roadmap was endorsed by all Australian Health Ministers at the Health Ministers’ Meeting on 17 September 2021. [PDF 1.44MB | DOCX 2.8MB]

Bilateral agreements on co-ordinated care reforms
Title PDF DOCX
Bilateral Agreement between the Commonwealth and New South Wales 353KB 151KB
Bilateral Agreement between the Commonwealth and Victoria 727KB 157KB
Bilateral Agreement between the Commonwealth and Queensland 472KB 128KB
Bilateral Agreement between the Commonwealth and Western Australia 228KB 130KB
Bilateral Agreement between the Commonwealth and South Australia 850KB 112KB
Bilateral Agreement between the Commonwealth and Tasmania 463KB 113KB
Bilateral Agreement between the Commonwealth and the Australian Capital Territory 422KB 138KB
Bilateral Agreement between the Commonwealth and the Northern Territory 202KB 117KB
Bilateral agreements for minimum Commonwealth funding for public hospital services
Title PDF
Bilateral Agreement between the Commonwealth and Tasmania 481KB
Bilateral Agreement between the Commonwealth and Tasmania – Extension 1.32MB
Bilateral Agreement between the Commonwealth and the Australian Capital Territory 524KB
Bilateral Agreement between the Commonwealth and the Australian Capital Territory - Extension 99KB
Bilateral Agreement between the Commonwealth and the Northern Territory 394KB
Bilateral Agreement between the Commonwealth and the Northern Territory - Extension 399KB