New Bulk Billing Initiatives-What New Policy Changes Mean for Patients?

On 23 February 2025, the Australian Government announced significant reforms aimed at improving access to bulk billing services and supporting general practices in delivering affordable healthcare. These new measures, which are set to begin on 1 November 2025, are part of the ongoing efforts to strengthen Medicare and ensure that Australians receive quality care without unnecessary financial burden.

Bulk Billing Eligibility

Currently, the bulk billing incentive is available only when treating children under 16 or people holding a Commonwealth Concession Card. From 1 November 2025, this eligibility will be extended to all Australians with a valid Medicare card. This broader eligibility allows more patients to benefit from any bulk bill GP clinic in Mentone, as well as reduce expenses and improve access to timely healthcare. All general practices will be eligible to participate in the expanded incentive program. This change is particularly important in the rural and regional areas where bulk billing has traditionally been limited, and will support practices in delivering inclusive care.

Bulk Billing Practice Incentive Program (PIP)

Along with the expanded eligibility, a new Practice Incentive Program (PIP) will be introduced to support clinics that commit to bulk billing for all general practitioner non-referred attendance (NRA) services. This program includes a 12.5% loading payment on every dollar of Medicare Benefits Schedule (MBS) revenue earned from eligible services. This payment will be shared between the GP and the practice, although details on the distribution are yet to be confirmed. This incentive aims to encourage long-term participation in bulk billing and support the sustainability of general practices. Payments under the PIP will begin in 2026 and will be issued quarterly.

Participation Requirements

To be eligible for the program, a bulk bill GP Clinic in Cheltenham must meet several criteria. The clinic must bulk bill all GP NRA services, clearly advertise their participation in the program on Healthdirect’s National Health Services Directory, and be registered with MyMedicare. Accreditation requirements for practices entering the program will be waived for the first two years, allowing for easier access and faster implementation. GPs must also register through the Organisation Register, with more information on the registration process to be made available before the commencement date.

These new bulk billing measures reflect the government’s commitment to building a stronger and more accessible Medicare system. By supporting both patients and healthcare providers, the changes aim to ensure everyone has access to the care they need, regardless of their financial situation.