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EXPLANATORY STATEMENT NATIONAL HEALTH ACT 1953 National Health (Pharmaceutical Benefits – Therapeutic Groups) Amendment Determination 2013 (No. 3) PB 47 of 2013 Authority This legislative instrument is made pursuant to subsection 84AG(1) of the National Health Act 1953 (the Act), which gives the Minister the power to determine a therapeutic group and that two or more listed drugs are in the same therapeutic group. Purpose This legislative instrument amends the National Health (Pharmaceutical Benefits – Therapeutic Groups) Determination 2010 (PB 1 of 2010) (the Principal Determination), which determines a number of therapeutic groups and the listed drugs that are in those therapeutic groups. The purpose of this amending instrument, which is required by subsection 84AG(4) of the Act, is to remove from its therapeutic group, effective 1 August 2013, each listed drug which has at least one listed brand to which section 99ADH will apply on 1 August 2013. Section 99ADH deals with price disclosure price reductions. This instrument amends Part 1 of Schedule 1 to the Principal Determination. Part 1 sets out the ACE inhibitor group (the Angiotensin converting enzyme inhibitor group). This instrument removes the listed drug ‘Fosinopril’ from this group. The amending instrument also removes the therapeutic group; ACE inhibitor group (the angiotensin converting enzyme inhibitor group) as subsection 84AG(5) of the Act provides that a therapeutic group must contain at least one listed drug. Variation and revocation Unless there is an express power to revoke or vary PB 1 of 2010 cited in this Instrument and explanatory statement, subsection 33(3) of the Acts Interpretation Act 1901 is relied upon to revoke or vary PB 1 of 2010. Consultation This instrument is required under the Act consequential to price disclosure price reductions, is minor and machinery in nature and therefore does not require any additional consultation. This instrument commences on 1 August 2013. This instrument is a legislative instrument for the purposes of the Legislative Instruments Act 2003. 2 Statement Compatibility with Rights Statement ofofCompatibility withHuman Human Rights Prepared in accordance 3 ofHuman the Human Rights (Parliamentary Scrutiny) Prepared in accordance with with Part Part 3 of the Rights (Parliamentary Scrutiny) Act 2011 Act 2011 National Health (Pharmaceutical Benefits – Therapeutic Groups) Amendment National Health (Pharmaceutical Benefits Groups) Amendment Determination 2013 (No. –3)Therapeutic (PB 47 of 2013) Determination 2012 (No. 2) (PB XX of 2012) This Legislative Instrument is compatible with the human rights and freedoms recognised or This Legislative Instrument instruments is compatible withinthe human3 rights freedoms declared in the international listed section of the and Human Rights recognised or declared(Parliamentary in the international instruments listed in section 3 of the Scrutiny) Act 2011. Human Rights (Parliamentary Scrutiny) Act 2011. Overview of the Legislative Instrument Overview of the Legislative Instrument This Legislative Instrument is made pursuant to subsection 84AG(1) of the National Health This Legislative Instrument pursuant to subsection 84AG(1)amends of the National Act 1953 (the Act), which relatesistomade therapeutic groups. This instrument the National Health Act 1953 (theBenefits Act), which relates to therapeutic groups. This2010 instrument Health (Pharmaceutical – Therapeutic Groups) Determination (PB 1 of 2010) principle instrument which determines a number of therapeutic (the amends Principalthe Determination) which determines a number of therapeutic groups groups and the and the listed drugs that are in those therapeutic groups. listed drugs that are in those therapeutic groups. This instrument (the Amending Determination) amends the Principal Determination by removing the definition of the ‘ACE inhibitor group’ (the Angiotensin converting enzyme inhibitor group) as this group is no Human rights implications longer determined to be a therapeutic group, removes the listed drug fosinopril from this group, removesinstrument the group.engages Article 2 and 12 of the International Covenant on Thisand legislative Economic, and Cultural Rights (ICESCR) by assisting with the progressive Human rightsSocial implications realisation by all appropriate means of the right of everyone to the enjoyment of the This legislative instrument engages Articleand 2 and 12 ofhealth. the International Covenant on highest attainable standard of physical mental Economic, Social and Cultural Rights (ICESCR) by assisting with the progressive realisation Theappropriate PBS is a benefit which withtoadvancement ofof this by by all meansscheme of the right ofassists everyone the enjoyment thehuman highestright attainable providing for subsidised access by patients to medicines. The recommendatory role of standard of physical and mental health. the Pharmaceutical Benefits Advisory Committee (PBAC) ensures that decisions Theabout Pharmaceutical Benefits is aonbenefit scheme which assists with advancement of subsidised access to Scheme medicines the PBS are evidence-based.. this human right by providing for subsidised access by patients to medicines. The recommendatory role of the Pharmaceutical Benefits Advisory Committee (PBAC) ensures thatConclusion decisions about subsidised access to medicines on the PBS are evidence-based. This Legislative Instrument is compatible with human rights as it does not raise any human rights issues. Conclusion Adriana This Legislative Instrument is compatible with Platona human rights because it advances the protection of human rights.Secretary, Pharmaceutical Evaluation Branch Assistant Pharmaceutical Benefits Division, Department of Health and Ageing Adriana Platona Assistant Secretary, Pharmaceutical Evaluation Branch Pharmaceutical Benefits Division, Department of Health and Ageing