Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025; Second Reading

Askew stated the coalition supported the intent of expanding nurse prescribing but criticised the government for excluding other qualified professionals like podiatrists. Askew argued the bill was an ad hoc approach that failed to address systemic workforce shortages or provide a comprehensive whole-of-system plan. Askew called for a formal government response to the scope-of-practice review to provide clarity and direction to the health sector.

Walker argued the bill would improve access to care, particularly in regional and remote communities where GPs are scarce. Walker emphasised that the reform recognises the expertise of nurses and allows them to provide timely treatment without compromising safety. Walker stated the bill is built on evidence and consultation, ensuring nurses work within appropriate safeguards and professional standards.

Antic opposed the bill, raising concerns about patient safety, medication interactions, and the risk of fragmented care. Antic argued that nurses lack the diagnostic training of doctors and that prescribing agreements may not provide sufficient clinical oversight. Antic also warned that the reform could expose nurses to increased litigation and professional liability without adequate support structures.

Cox supported the bill, highlighting its importance for rural and remote Western Australia where access to doctors is limited. Cox explained that the legislation ensures nurses can prescribe PBS-subsidised medicines, preventing patients from facing out-of-pocket costs. Cox emphasised that the reform is regulated, with nurses required to meet strict endorsement and training standards under the Nursing and Midwifery Board of Australia.

Roberts supported the bill, noting it aligns with the evolution of nursing qualifications and helps reduce pressure on doctors. Roberts referenced the PBS auditing framework as a safeguard against misuse. Roberts also foreshadowed moving amendments on behalf of Senator Lambie to allow podiatrists to prescribe PBS-subsidised medicines, arguing this would remove bureaucratic barriers for patients.

Polley described the bill as a historic reform that improves access to affordable medicines and recognises nursing professionalism. Polley noted the bill responds to recommendations from the Strengthening Medicare Taskforce and the scope-of-practice review. Polley highlighted that the reform includes strong accountability measures, including peer review oversight through the Professional Services Review scheme.

Dolega supported the bill as part of the government's broader strategy to strengthen Medicare and improve primary care efficiency. Dolega argued that allowing nurses to prescribe straightforward cases would free up GPs for complex care and reduce wait times. Dolega also mentioned government investments in GP training places and urgent care clinics as complementary measures to support the health workforce.

Brown supported the bill, stating it would help Tasmanians access medicines closer to home and at an affordable price. Brown emphasised that the reform maintains rigorous safety standards and professional oversight. Brown contrasted Labor's commitment to strengthening Medicare with previous coalition policies that she argued weakened public health systems.