In August 2011, the then Council of Australian Governments (COAG) agreed to the National Health Reform Agreement (NHRA) [PDF 1.39MB | DOCX 195KB]. NHRA sets out the shared intention of the Commonwealth and state and territory governments to work in partnership to:
- improve health outcomes for all Australians
- ensure the sustainability of the Australian health system.
The NHRA is amended from time to time.
Addendums
NHRA 2026–2031 (Consolidated)
Downloads
NHRA 2026–2031 (Consolidated) [PDF 1.5MB]
NHRA 2026–2031 (Consolidated) [DOCX 651KB]
Schedule L – Addendum to the National Health Reform Agreement
From 1 July 2026 – Provides revised public hospital funding and health reform arrangements for the period 1 July 2026 to 30 June 2031.
Downloads
Schedule L – Addendum to the National Health Reform Agreement [PDF 1.6MB]
Schedule L – Addendum to the National Health Reform Agreement [DOCX 415KB]
Previous addendums
Schedule K – Addendum to the National Health Reform Agreement
From 1 July 2025 – Provides revised public hospital funding and health reform arrangements for the period 1 July 2025 to 30 June 2026
Downloads
Schedule K – Addendum to the National Health Reform Agreement [PDF 4.0MB]
Schedule K – Addendum to the National Health Reform Agreement [DOCX 71KB]
Schedule J – Addendum to the National Health Reform Agreement
From 1 July 2020 – Implements revised public hospital funding and health reform arrangements
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 as part of the schedule J.
Downloads
Schedule J – Addendum to the National Health Reform Agreement [PDF 2.71MB]
Schedule J – Addendum to the National Health Reform Agreement [DOCX 182KB]
National Health Reform Agreement Long Term Reforms Roadmap [PDF 1.44MB]
National Health Reform Agreement Long Term Reforms Roadmap [DOCX 2.8MB]
Schedule I – Addendum to the National Health Reform Agreement
From 1 July 2017 – Implements the arrangements outlined in the Heads of Agreement as agreed by COAG in April 2016
Downloads
Schedule I – Addendum to the National Health Reform Agreement [PDF 1.81MB]
Schedule I – Addendum to the National Health Reform Agreement [DOCX 88KB]
Schedule I – Addendum to the National Health Reform Agreement
From 1 July 2017 – Implements the arrangements outlined in the Heads of Agreement as agreed by COAG in April 2016
Downloads
Schedule I – Addendum to the National Health Reform Agreement [PDF 1.81MB]
Schedule I – Addendum to the National Health Reform Agreement [DOCX 88KB]
National Healthcare Specific Purpose Payment
From 1 July 2012 the National Healthcare Specific Purpose Payment was replaced by National Health Reform funding.
| Title | 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 |
| Title | |
|---|---|
| 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 |
