The Australian government, in collaboration with the coalition, introduces significant aged care reforms requiring higher contributions from new entrants
In a landmark agreement, the Australian government and the Coalition have unveiled comprehensive reforms to the aged care sector, mandating higher means-tested contributions from new entrants. These changes, described as “once in a generation,” aim to make the sector more sustainable while ensuring that current residents are not adversely affected.
Under the new reforms, three in ten full pensioners and seven in ten part pensioners entering residential care will be required to contribute more towards their care. The reforms stipulate that new entrants with assets exceeding $238,000 or an annual income above $95,400 will pay a supplement. However, the family home will remain exempt from these calculations.
The cost of rooms in residential facilities will also rise, with providers now able to charge up to $750,000 without special approval, an increase of $200,000 from the current limit. This price will be indexed over time. Additionally, residential aged care providers can retain 2% of accommodation deposits per year for five years, addressing the financial losses many providers currently face.
For home care, the government will introduce a new Support at Home program starting next July. This initiative aims to benefit 300,000 more Australians over the next decade by providing nursing care, occupational therapy, and support for daily activities like showering, medication management, cleaning, and gardening. These packages will also be subject to greater means testing, with full pensioners paying 5% of their support costs and 17.5% of their everyday living costs. Self-funded retirees will cover 80% of their everyday living costs and half of the costs for supporting their independence. All residents will have their clinical care costs fully covered.
Prime Minister Anthony Albanese, alongside Aged Care Minister Anika Wells and Treasurer Jim Chalmers, announced these reforms, emphasizing their potential to provide better support for elderly Australians and reduce wait times for care services. The government also plans to raise the lifetime cap on non-clinical care costs from $80,000 to $130,000 across home and residential care.
The reforms, which have been in the works for months through back-room negotiations, are expected to save the federal government $12.6 billion over 11 years. The “no worse off” principle ensures that current aged care residents will not face increased contributions.
Analysis
Political
The aged care reforms represent a significant political manoeuvre by the Australian government, showcasing its commitment to addressing long-standing issues in the sector. By securing the Coalition’s support, the government demonstrates a rare instance of bipartisan cooperation. However, the increased financial burden on new entrants may spark criticism from opposition parties and advocacy groups, potentially impacting the government’s popularity among elderly voters and their families.
Social
Socially, the reforms highlight the ongoing challenge of balancing quality care with financial sustainability. The increased contributions required from new entrants may lead to concerns about the accessibility and affordability of aged care services. While the reforms aim to provide better support and reduce wait times, they also underscore the need for a comprehensive approach to social welfare that considers the diverse needs of the elderly population.
Economic
Economically, the reforms are designed to address the financial strain on the aged care sector. By increasing means-tested contributions and allowing providers to charge higher fees, the government aims to create a more sustainable funding model. The projected $12.6 billion in savings over 11 years reflects a strategic effort to manage public finances while improving care quality. However, the economic impact on individuals and families, particularly those with limited resources, will need careful monitoring.