The National Disability Insurance Scheme (NDIS) is a healthcare program initiated by the Australian Government for Australians with a disability. The Bill was introduced into Parliament in November 2012.
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In July 2013 the first stage of the NDIS, initially known as "DisabilityCare Australia" commenced in South Australia, Tasmania, the Hunter Region in New South Wales and the Barwon area of Victoria, while the Australian Capital Territory commenced in July 2014. NDIS was rolled out nationally on 1 July 2016.
History
During the 1970s, care of people with a disability in Australia shifted from institutionalisation to being cared for in the community. In 1974, Gough Whitlam proposed a national disability insurance scheme like the scheme offered in New Zealand. Academic Donna McDonald suggests that it was Treasurer Bill Hayden who convinced Whitlam to focus on the introduction of Medicare instead.
In 2006, Bruce Bonyhady, chair of Yooralla, met with former Labor cabinet minister Brian Howe, who put him in touch with a group of people who became known as the Disability Investment Group. The Disability Investment Group made an independent submission to the Australia 2020 Summit in 2008. They then sent their recommendations to the Productivity Commission. The Productivity Commission released its report in 2011. Research by PricewaterhouseCoopers in 2011 found that by approximately 2025, the cost of maintaining the status quo would be greater than the cost of the NDIS. In 2011, the Council of Australian Governments agreed that the disability sector in Australia needed reform.
The bill was introduced into parliament in November 2012, by then–Prime Minister Julia Gillard. It was passed in March 2013. At the same time, the NDIS was renamed DisabilityCare Australia. The 2013 Australian federal budget committed $14.3 billion to DisabilityCare, to be paid for by increasing the Medicare levy by 0.5%. As of May 2013, the Australian Government estimated that the disability sector in Australia would need to double to meet the needs of DisabilityCare Australia. The first part of the scheme rolled out on 1 July 2013. The Medicare levy increased from 1.5% to 2% on 1 July 2014, to fund the National Disability Insurance Scheme.
In the first nine months of the scheme, 5,400 people with disability accessed a NDIS plan.
The 2016 Australian federal budget attempted to make savings of $2.1 billion for the NDIS fund from re-assessing Disability Support Pension recipients' capacity to work, and cutting compensation for the carbon pricing scheme. This included scrapping an ad campaign letting people know about the NDIS. Peak disability group People with Disability Australia expressed concerns that the NDIS would become a political football. The National Disability Insurance Scheme was rolled out nationally on 1 July 2016.
The NDIS CEO will resign effective November 2017.
Services
The first stage will provide reasonable and necessary support for people with significant and permanent disability. In the first year of the launch this will include:
The number of people assisted will rise to 20,000 people with disability by 2015. It has been recommended to increase participation to 410,000 however this figure remains uncertain.
According to a report from the Australian Institute of Health and Welfare, demand for disability aid in Australia has seen significant increases in recent years. Job services and community support were the services most in need.
Funding
The cost of DisabilityCare Australia was a point of contention at a time when the Federal Government insisted upon a return to surplus in the 2013 Australian federal budget. In 2010, the Productivity Commission estimated it would cost A$15 billion a year. Two years later a Government report revised that figure to $22 billion in 2018. According to the Minister for Disability Reform, Jenny Macklin, the program will effectively double the cost of supporting those with disabilities. A number of state disability ministers initially described the draft legislation for the NDIS as lacking flexibility and criticised it for being too prescriptive.
The first state to fully commit to funding for the scheme was New South Wales on the 7 December 2012, with costs roughly divided between federal and state governments. The Premier of Queensland, Campbell Newman wanted the federal government to fully fund the scheme, arguing that the state cannot commit funds while the state's debt was high. On 8 May 2013, Campbell Newman signed the agreement in support of the program.
An agreement between Tasmania and the federal government was achieved on 2 May 2013. The state committed to $134 million of initial funding. The Northern Territory signed an agreement to join the scheme on 11 May 2013. From the 1 July 2014 the Medicare levy rose from 1.5 % to 2 % help fund the scheme.
Scott Morrison announced in January 2017 that the Productivity Commission would be conducting an independent review of the NDIS.
Staffing
The Productivity Commission reported that some areas had less than 40% of the amount of employees in the disability services field to cope with demand for NDIS services.
Access issues
Jan Pike, former Paralympian, has said that while having been on the NDIS, it has taken five months for a wheelchair to be delivered to her, and she cannot get contractors to come and install a shower handrail because they are worried they won't get paid due to the NDIS web portal being "broken". A Facebook page, " NDIS Grassroots" has been set up and is used by people with disability to discuss their experiences with the NDIS.