Question Time AU

Bill Debate · Second Reading

Private Health Insurance Amendment (Modernising the Private Health Insurance Rebate) Bill 2026; Second Reading

House of Representatives · Thursday 10 September 2026

Continued from Thursday 25 June 2026.

Official Hansard for this day (APH) · Read this debate on OpenAustralia

At a glance

The debate centred on removing the age-based private health insurance rebate uplift for Australians over 65 and replacing it with a uniform income-tested system. Labor members argued the change promoted intergenerational fairness and redirected $3 billion in savings to aged care, including new beds and dementia support. Coalition members opposed the bill, characterising it as a tax on seniors that would increase premiums, drive people into the public system, and shift costs to state governments. They claimed the rebate cut would force many seniors to drop or downgrade cover, thereby increasing pressure on an already strained public hospital system.

Summary in reported speech - not a transcript. AI-generated, so check the official record before quoting.

How the debate unfolded

Continued the debate

Cook supported the bill, arguing that the current age-based rebate is inequitable because it provides higher subsidies to wealthy retirees than to younger families with similar incomes. Cook stated that the reform aligns the rebate with income rather than age, maintaining a maximum 24 per cent subsidy for all Australians. Cook emphasised that the $3 billion in savings would be reinvested into aged care, funding 5,000 new residential beds annually and expanding Support at Home packages. Cook argued this approach ensures intergenerational balance by encouraging younger Australians to remain in the private health insurance pool while improving care standards for older Australians.

Opposition response

McIntosh opposed the bill, describing it as an $11 billion tax on older Australians that removes their higher rebate. McIntosh argued that premium increases of up to 21.3 per cent for some couples would force 1.2 million pensioners and others to drop or downgrade cover, shifting costs to the public hospital system. McIntosh cited independent modelling suggesting that for every dollar saved by the Commonwealth, states would incur $1.20 in additional healthcare costs. McIntosh claimed the policy exploits the vulnerability of older Australians who rely on private cover for timely access to procedures like joint replacements and cancer screenings.