Bulk billing incentives changes in place, but more reform needed

The federal government’s $7.9 billion overhaul of bulk billing incentives is now in effect. 

The government hopes the changes will lift bulk billing rates, but participation remains voluntary. Many practices have been carefully weighing whether the incentives are sufficient to cover the true costs of providing care. Rising practice expenses, workforce shortages, and the complexity of running a clinic mean that bulk billing every patient is not always financially sustainable. 

While the AMA welcomes the federal government’s recognition of the need to improve funding for general practice and support patient access to care, the reality is structural reform is still urgently needed — particularly to support longer consultations and address the growing complexity of patient care.

Through our Modernise Medicare campaign, we continue to call for significant investment in a new seven-tier rebate structure and greater investment in the Workforce Incentive Program to strengthen GP-led, multidisciplinary teams.

We have also been clear that doctors must retain the right to set their own fees. While the new incentives may assist some practices, they do not alter the fundamental principle that GPs must be able to determine the value of their services. The AMA will continue to advocate strongly for doctors’ autonomy, ensuring government policy supports — not undermines — the viability of general practice.

As the government’s bulk billing reforms roll out, we will continue to monitor their impact closely. 

To help members navigate the changes, we have developed an online fact sheet.