Commonwealth of Australia Explanatory Memoranda

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FAIRER PRIVATE HEALTH INSURANCE INCENTIVES BILL 2009 [NO. 2]


2008-2009




               THE PARLIAMENT OF THE COMMONWEALTH OF AUSTRALIA








                          HOUSE OF REPRESENTATIVES








            FAIRER PRIVATE HEALTH INSURANCE INCENTIVES BILL 2009


  FAIRER PRIVATE HEALTH INSURANCE INCENTIVES (MEDICARE LEVY SURCHARGE) BILL
                                    2009


    FAIRER PRIVATE HEALTH INSURANCE INCENTIVES (MEDICARE LEVY SURCHARGE -
                         FRINGE BENEFITS) BILL 2009














                           EXPLANATORY MEMORANDUM











                     (Circulated by the authority of the
  Treasurer, the Hon Wayne Swan MP, and the Minister for Health and Ageing,
                          the Hon Nicola Roxon MP)






Table of contents


Glossary    1


General outline and financial impact    3


Chapter 1    Introduction of Private Health Insurance Incentive Tiers     5






Do not remove section break.





         The following abbreviations and acronyms are used throughout this
         explanatory memorandum.

|Abbreviation        |Definition                   |
|ANTS (MLS) Act 1999 |A New Tax System (Medicare   |
|                    |Levy Surcharge - Fringe      |
|                    |Benefits) Act 1999           |
|Commissioner        |Commissioner of Taxation     |
|ITAA 1936           |Income Tax Assessment Act    |
|                    |1936                         |
|ITAA 1997           |Income Tax Assessment Act    |
|                    |1997                         |
|MLA 1986            |Medicare Levy Act 1986       |
|PHIA 2007           |Private Health Insurance Act |
|                    |2007                         |
|TAA 1953            |Taxation Administration Act  |
|                    |1953                         |

General outline and financial impact

Introduction of Private Health Insurance Incentives Tiers


         Schedule 1 to the Fairer Private Health Insurance Incentives Bill
         2009 amends various Acts to give effect to the measure, announced
         in the 2009-10 Budget, to introduce three new 'Private Health
         Insurance Incentive Tiers'.  These changes will ensure that those
         with a greater capacity to pay make a larger contribution towards
         the cost of their private health insurance.  It will also ensure
         that Government support for private health insurance remains fair
         and sustainable in the future.


         Schedule 1 to the Fairer Private Health Insurance Incentives
         (Medicare Levy Surcharge) Bill 2009 and the Fairer Private Health
         Insurance Incentives (Medicare Levy Surcharge - Fringe Benefits)
         Bill 2009 amends the Medicare Levy Act 1986 and the A New Tax
         System (Medicare Levy Surcharge - Fringe Benefits) Act 1999
         respectively to give effect to the introduction of the three new
         Private Health Insurance Tiers.


         Date of effect:  These amendments apply to income years starting on
         or after 1 July 2010.


         Proposal announced:  This measure was announced in the Treasurer's
         joint media release with the Minister for Health and Ageing No. 048
         of 12 May 2009 'Rebalancing Support for Private Health Insurance'.


         Financial impact:  This measure will have these revenue
         implications:

|2008-09   |2009-10   |2010-11   |2011-12   |2012-13   |
|-$1.0m    |-$130.9m  |$731.9m   |$681.5m   |$712.1m   |


         Compliance cost impact:  This measure is expected to result in a
         medium overall compliance cost impact, comprising medium
         implementation impact and a low increase in ongoing compliance
         costs relative to the affected group.






Chapter 1
Introduction of Private Health Insurance Incentive Tiers

Outline of chapter


      1. These Bills amend various Acts to implement three new Private
         Health Insurance Incentive Tiers.


                . Tier 1:  singles with income for surcharge purposes of
                  more than $75,000 per annum and couples/families with
                  income for surcharge purposes of more than $150,000 per
                  annum (based on current projections) and who hold a
                  complying private health insurance policy, will have their
                  private health insurance rebate reduced by 10 percentage
                  points.  The Medicare levy surcharge will remain at
                  1 per cent for those singles and couples/families that do
                  not hold appropriate private health insurance.


                . Tier 2:  singles with income for surcharge purposes of
                  more than $90,000 per annum and couples/families with
                  income for surcharge purposes of more than $180,000 per
                  annum and who hold a complying private health insurance
                  policy, will have their private health insurance rebate
                  reduced by 20 percentage points.  The Medicare levy
                  surcharge will be increased by 0.25 percentage points for
                  those singles and couples/families that do not hold
                  appropriate private health insurance.


                . Tier 3:  singles with income for surcharge purposes of
                  more than $120,000 per annum and couples/families with
                  income for surcharge purposes of more than $240,000 per
                  annum and who hold a complying private health insurance
                  policy, will no longer receive any private health
                  insurance rebate.  The Medicare levy surcharge will be
                  increased by 0.5 percentage points for those singles and
                  couples/families that do not hold appropriate private
                  health insurance.


      2. Existing private health insurance rebate arrangements will remain
         unchanged for singles with income for surcharge purposes of less
         than $75,001 per annum and couples/families with a combined income
         for surcharge purposes of less than $150,001 per annum (based on
         current projections of the Medicare levy surcharge thresholds) and
         who hold a complying health insurance policy.  Singles and
         couples/families with a combined income for surcharge purposes
         below these thresholds will continue to not be liable for the
         Medicare levy surcharge if they do not hold complying health
         insurance.


Context of amendments


Private health insurance rebate


      3. The private health insurance rebate provides a reduction in the
         cost of private health insurance premiums for people who are
         eligible for Medicare and who are members of a registered health
         insurer.


      4. The amount of private health insurance rebate to which a person is
         entitled for an income year varies according to the age of the
         oldest person covered by the policy:


                . when the oldest person covered by the policy is aged less
                  than 65 years, a taxpayer is entitled to a rebate equal to
                  30 per cent of the amount of premium;


                . when the oldest person covered by the policy is aged
                  65 years or over but less than 70 years, a taxpayer is
                  entitled to a rebate equal to 35 per cent of the amount of
                  the premium; and


                . when the oldest person covered by the policy is aged
                  70 years or over, a taxpayer is entitled to a rebate equal
                  to 40 per cent of the amount of the premium.


      5. The private health insurance rebate can be claimed in relation to a
         complying health insurance policy offered by a registered health
         insurer that provides hospital cover, general treatment cover
         ('ancillary' or 'extras') or both (combined).


Medicare levy surcharge


      6. The Medicare levy surcharge imposes a 1 per cent increase in
         Medicare levy liability on certain taxpayers.


      7. A person with taxable income and reportable fringe benefits above
         the relevant Medicare levy surcharge threshold and who does not
         have complying health insurance covering themself and all of their
         dependents is liable for the Medicare levy surcharge.


      8. A complying health insurance policy is defined as one that covers
         hospital treatment and for which any excess payable in respect of
         benefits under the policy is no more than $500 in any 12 month
         period when one person is insured ($1,000 in any 12-month period
         for any other policy).


      9. From 1 July 2009, the income test used to determine a person's
         liability for the Medicare levy surcharge will be expanded to
         include: taxable income, reportable fringe benefits, reportable
         superannuation contributions and total net investment losses.


     10. In 2008-09, the Medicare levy surcharge threshold for individuals
         is $70,000 and for couples/families is $140,000 (increased by
         $1,500 for each dependent child after the first).


     11. In future years, these thresholds will be indexed to average weekly
         ordinary time earnings and increased in $1,000 increments (rounding
         down).


Summary of new law


     12. These Bills reduce the amount of private health insurance rebate an
         eligible taxpayer with a complying private health insurance policy
         is entitled to when they have income for surcharge purposes above
         the relevant Medicare levy surcharge threshold.


                . Singles earning between $75,001 and $90,000 and
                  couples/families earning between $150,001 and $180,000
                  will receive a 20 per cent private health insurance rebate
                  if they are aged up to 65 years (25 per cent if they are
                  aged over 65, and 30 per cent if they are aged 70 years or
                  over).


                . Singles earning between $90,001 and $120,000 and
                  couples/families earning between $180,001 and $240,000
                  will receive a 10 per cent private health insurance rebate
                  if they are aged up to 65 years (15 per cent if they are
                  aged over 65, and 20 per cent if they are aged 70 years or
                  over).


                . Singles earning above $120,000 and couples/families
                  earning above $240,000 will not receive any private health
                  insurance rebate, regardless of age.


     13. For families with more than one dependent child, the relevant
         threshold is increased by $1,500 for each child after the first.


     14. In future years, the singles thresholds will be indexed to average
         weekly ordinary time earnings and increased in $1,000 increments
         (rounding down).  The couples/family threshold will be double the
         relevant singles threshold.


     15. These Bills also increase the rate of Medicare levy surcharge that
         certain taxpayers are liable for when they have income for
         surcharge purposes above specified thresholds and do not have
         complying health insurance.


                . Singles earning between $90,001 and $120,000 and
                  couples/families earning between $180,001 and $240,000
                  will be liable for a 1.25 per cent Medicare levy
                  surcharge.


                . Singles earning above $120,000 and couples/families
                  earning above $240,000 will be liable for a 1.5 per cent
                  Medicare levy surcharge.


     16. For families with more than one dependent child, the relevant
         threshold is increased by $1,500 for each child after the first.


     17. In future years, the singles thresholds will be indexed to average
         weekly ordinary time earnings and increased in $1,000 increments
         (rounding down).  The couples/family threshold will be double the
         relevant singles threshold.


Comparison of key features of new law and current law


      1. :  Private health insurance rebate

|New law                      |Current law                  |
|Single taxpayers with income |Single taxpayers who hold a  |
|for surcharge purposes       |complying private health     |
|between $75,001 and $90,000  |insurance policy and who are |
|will be eligible for a       |eligible for Medicare are    |
|20 per cent private health   |entitled to a rebate of      |
|insurance rebate if they are |30 per cent on the cost of   |
|aged up to 65 years,         |their policy if they are aged|
|25 per cent if they are aged |up to 65 years, 35 per cent  |
|65 to 70 years, and          |if they are aged 65 to       |
|30 per cent if they are aged |70 years, and 40 per cent if |
|70 years or over.            |they are aged 70 years or    |
|Single taxpayers with income |above.                       |
|for surcharge purposes       |                             |
|between $90,001 and $120,000 |                             |
|will be eligible for a       |                             |
|10 per cent private health   |                             |
|insurance rebate if they are |                             |
|aged up to 65 years,         |                             |
|15 per cent if they are aged |                             |
|65 to 70 years, and          |                             |
|20 per cent if they are      |                             |
|aged 70 years or over.       |                             |
|Single taxpayers with income |                             |
|for surcharge purposes above |                             |
|$120,000 will not be eligible|                             |
|for any private health       |                             |
|insurance rebate.            |                             |
|In future years, all of these|                             |
|thresholds will be indexed to|                             |
|average weekly ordinary time |                             |
|earnings and increased in    |                             |
|$1,000 increments (rounding  |                             |
|down).                       |                             |
|A taxpayer who is a member of|A taxpayer who is a member of|
|a couple/family with no more |a couple/family covered by a |
|than one child and with a    |complying private health     |
|combined family income for   |insurance policy and who is  |
|surcharge purposes of between|eligible for Medicare is     |
|$150,001 and $180,000 will be|entitled to a rebate of      |
|eligible for a 20 per cent   |30 per cent on the cost of   |
|private health insurance     |their policy if the oldest   |
|rebate if the oldest person  |person covered by the policy |
|covered by the policy is aged|is aged up to 65 years,      |
|up to 65 years, 25 per cent  |35 per cent if the oldest    |
|if the oldest person covered |person is aged 65 to 70      |
|by the policy is aged 65 to  |years, and 40 per cent if the|
|70 years, and 30 per cent if |oldest person is aged        |
|the oldest person covered by |70 years or above.  A        |
|the policy is aged 70 years  |couple/family is entitled to |
|or over.                     |only one rebate per policy.  |
|A taxpayer who is a member of|                             |
|a couple/family with no more |                             |
|than one child and with a    |                             |
|combined family income for   |                             |
|surcharge purposes of between|                             |
|$180,001 and $240,000 will be|                             |
|eligible for a 10 per cent   |                             |
|private health insurance     |                             |
|rebate if the oldest person  |                             |
|covered by the policy is aged|                             |
|up to 65 years, 15 per cent  |                             |
|if the oldest person covered |                             |
|by the policy is aged 65 to  |                             |
|70 years, and 20 per cent if |                             |
|the oldest person covered by |                             |
|the policy is aged 70 years  |                             |
|or over.                     |                             |
|A taxpayer who is a member of|                             |
|a couple/family with no more |                             |
|than one child and with a    |                             |
|combined family income for   |                             |
|surcharge purposes above     |                             |
|$240,000 will not be eligible|                             |
|for any private health       |                             |
|insurance rebate.            |                             |
|If there is more than one    |                             |
|dependent child, these       |                             |
|thresholds are increased by  |                             |
|$1,500 for each child after  |                             |
|the first.                   |                             |
|In future years, all of these|                             |
|thresholds will be double the|                             |
|relevant singles threshold.  |                             |


      2. :  Medicare levy surcharge

|New law                      |Current law                  |
|Single taxpayers with income |Single taxpayers with taxable|
|for surcharge purposes       |income plus reportable fringe|
|between $90,001 and $120,000 |benefits above the Medicare  |
|and without appropriate      |levy surcharge singles       |
|private health insurance will|threshold ($70,000 in        |
|be required to pay the       |2008-09) and who do not have |
|Medicare levy surcharge at a |appropriate private health   |
|rate of 1.25 per cent of     |insurance are required to pay|
|taxable income.              |the Medicare levy surcharge  |
|Single taxpayers with income |at a rate of 1 per cent of   |
|for surcharge purposes above |taxable income.              |
|$120,000 and without         |In future years, the singles |
|appropriate private health   |threshold will be indexed to |
|insurance will be required to|average weekly ordinary time |
|pay the Medicare levy        |earnings and increased in    |
|surcharge at a rate of       |$1,000 increments (rounding  |
|1.5 per cent of taxable      |down).                       |
|income.                      |From 1 July 2009, the income |
|In future years, all of these|test used to determine a     |
|thresholds will be indexed to|person's liability for the   |
|average weekly ordinary time |Medicare levy surcharge will |
|earnings and increased in    |be expanded to include:      |
|$1,000 increments (rounding  |taxable income, reportable   |
|down).                       |fringe benefits, reportable  |
|                             |superannuation contributions |
|                             |and total net investment     |
|                             |losses.                      |
|Each taxpayer who is a member|Each taxpayer who is a member|
|of a family with no more than|of a couple/family with no   |
|one child with a combined    |more than one child with     |
|family income for surcharge  |taxable income plus          |
|purposes between $180,001 and|reportable fringe benefits   |
|$240,000 and without         |above the Medicare levy      |
|appropriate private patient  |surcharge family threshold   |
|hospital insurance will be   |($140,000 in 2008-09) is     |
|required to pay the Medicare |required to pay the Medicare |
|levy surcharge at a rate of  |levy surcharge at a rate of  |
|1.25 per cent of taxable     |1 per cent of taxable income |
|income if each member of the |if each member of the        |
|couple/family is not covered |couple/family is not covered |
|by appropriate private health|by appropriate private health|
|insurance.                   |insurance.                   |
|Each taxpayer who is a member|If there is more than one    |
|of a family with no more than|dependant child, the Medicare|
|one child with a combined    |levy surcharge family        |
|family income for surcharge  |threshold increases by $1,500|
|purposes above $240,000 and  |for each child after the     |
|without appropriate private  |first.                       |
|patient hospital insurance   |In future years, the family  |
|will be required to pay the  |threshold will be double the |
|Medicare levy surcharge at a |singles threshold.           |
|rate of 1.5 per cent of      |From 1 July 2009, the income |
|taxable income if each member|test used to determine a     |
|of the couple/family is not  |person's liability for the   |
|covered by appropriate       |Medicare levy surcharge will |
|private health insurance.    |be expanded to include:      |
|If there is more than one    |taxable income, reportable   |
|dependent child, these       |fringe benefits, reportable  |
|thresholds are increased by  |superannuation contributions |
|$1,500 for each child after  |and total net investment     |
|the first.                   |                             |
|In future years, both of     |                             |
|these thresholds will be     |                             |
|double the relevant singles  |                             |
|threshold.                   |                             |



Detailed explanation of new law


Amendment of the A New Tax System (Medicare Levy
Surcharge - Fringe Benefits) Act 1999


     18. The A New Tax System (Medicare Levy Surcharge - Fringe Benefits)
         Act 1999 (ANTS (MLS) Act 1999) determines whether an individual is
         liable to pay the Medicare levy surcharge in respect of total
         reportable fringe benefits they or their spouse may have.


     19. The test for whether an individual must pay the Medicare levy
         surcharge depends on whether the individual's income for surcharge
         purposes exceeds prescribed income thresholds.


     20. The Fairer Private Health Insurance Incentives (Medicare Levy
         Surcharge - Fringe Benefits) Bill inserts definitions for family
         tier 1 threshold, single tier 1 threshold, tier 2 earner and tier 3
         earner [Schedule 1, items 1, 4, 5 and 6].  No definition for tier 1
         earner is required in this Act, as taxpayers that fall in this
         category are covered by existing provisions in the Act.


     21. Family tier 1 threshold and single tier 1 threshold have the same
         meaning as in the Income Tax Assessment Act 1997 (ITAA 1997).


     22. The meanings of tier 2 earner and tier 3 earner are broadly
         consistent with the meanings given to them in the ITAA 1997.  In
         determining which tier a taxpayer is categorised as, however, the
         references to a dependant child in the ITAA 1997 should instead be
         read as references to a dependant as defined by the ANTS (MLS) Act
         1999, other than a dependant to whom you are married.  This is to
         reflect the slight differences in the definition of dependants in
         the ANTS (MLS) Act 1999 relative to the Private Health Insurance
         Act 2007 (PHIA 2007).  [Schedule 1, item 7]


     23. The existing definitions of singles surcharge threshold and family
         surcharge threshold are repealed.  [Schedule 1, items 2, 3 and 7]


     24. Consequently, all references to 'singles surcharge threshold' are
         replaced with 'singles tier 1 threshold' respectively [Schedule 1,
         item 8], and all references to 'family surcharge threshold' are
         replaced with 'family tier 1 threshold' [Schedule 1, items 10, 12,
         14 and 15].


     25. This Bill also inserts provisions to give effect to the increase in
         the Medicare levy surcharge for a person assessed as a tier 2 or
         tier 3 earner to 1.25 per cent and 1.5 per cent respectively.
         [Schedule 1, items 9, 11, 13 and 16]


Amendment to the Income Tax Assessment Act 1936


     26. Section 264BB of the Income Tax Assessment Act 1936 (ITAA 1936)
         lists information the Commissioner of Taxation (Commissioner) may
         require a private health insurer to provide on persons covered at
         any time during the financial year by a complying health insurance
         policy issued by the insurer or on persons who paid premiums under
         such a policy.


     27. The Fairer Private Health Insurance Incentives Bill 2009 amends
         subsection 264BB(2) to expand the list of information the
         Commission may require to include whether the premium has been
         reduced under the premiums reduction scheme (section 23-1 of the
         PHIA 2007), and identify the name, address and date of birth of a
         participant (as defined in the PHIA 2007) in the premiums reduction
         scheme.  [Schedule 1, item 1]


Amendment to the Income Tax Assessment Act 1997


         Subdivision 61-G - Private health insurance offset


     28. Subdivision 61-G of the ITAA 1997 allows a taxpayer to claim a tax
         offset for a premium, or an amount in respect of a premium, paid
         under a private health insurance policy instead of having the
         premium reduced under Division 23 of the PHIA 2007 or receiving a
         payment under Division 26 of the PHIA 2007.


     29. This Bill inserts sections 61-230 and 61-235 into Subdivision 61-G
         of the ITAA 1997 which define the new single and family tier 1,
         tier 2 and tier 3 thresholds.  [Schedule 1, item 10]


     30. In 2010-11, the single tier 1 threshold will be $75,000 (based on
         current estimates), the single tier 2 threshold will be $90,000 and
         the single tier 3 threshold will be $120,000.


     31. In 2010-11, the family tier 1 threshold will be double the single
         tier 1 threshold, the family tier 2 threshold will be double the
         single tier 2 threshold and the family tier 3 threshold will be
         double the single tier 3 threshold.


     32. This Bill also inserts section 61-225 which describes the
         circumstances under which singles or families will be assessed as a
         tier 1, tier 2 or tier 3 earner.  [Schedule 1, item 10]


     33. The provisions in section 61-225 ensure that all members of a
         couple/family will assessed as being on the same tier in
         determining their eligibility for the private health insurance
         rebate, even in the circumstance that they have separate private
         health insurance policies.


     34. A single taxpayer is assessed as a tier 1 earner if their income
         exceeds the singles tier 1 threshold and is less than or equal to
         the singles tier 2 threshold.  Similarly, they are a tier 2 earner
         if their income exceeds the singles tier 2 threshold and is less
         than or equal to the singles tier 3 threshold.  Finally, they are a
         tier 3 earner if their income exceeds the singles tier 3 threshold.


     35. A single taxpayer is a person who does not have dependants and is
         not married on the last day of the year.


     36. Each member of a couple/family is assessed as a tier 1 earner if
         the combined income of the couple/family exceeds the family tier 1
         threshold and is less than or equal to the family tier 2 threshold.
          Similarly, they are a tier 2 earner if the combined income of the
         couple/family exceeds the family tier 2 threshold and is less than
         or equal to the family tier 3 threshold.  Finally, they are a tier
         3 earner if the combined income of the couple/family exceeds the
         family tier 3 threshold.


     37. A person may be assessed under the family tier thresholds if:  the
         person is married (within the meaning of the ANTS (MLS) Act 1999)
         on the last day of the year; or, on any day in the year, the person
         contributes in a substantial way to the maintenance of one or more
         dependent children (within the meaning of the PHIA 2007) who is
         either their child, or their sibling who is dependent on them for
         economic support.  The circumstances intended to be covered by this
         second part of the test could include where there are only
         dependent children (within the meaning of the PHIA 2007) in a
         family and one dependent child pays the premiums for the other
         dependent children.


     38. 'Sibling' in this context is intended to have a broad meaning,
         namely a brother, sister, half-brother, half-sister, adoptive
         brother, adoptive sister, stepbrother, stepsister, foster brother
         or foster sister.  Siblings who are not dependent on you for
         economic support are not included.  To be dependent on you for
         economic support, a sibling must look to you for their care and
         financial wellbeing in a general sense, not merely on particular
         occasions.  Merely looking after a sibling temporarily (for
         example, while the sibling's principal care-giver is away) is not
         sufficient to constitute dependency.  Therefore the requisite
         dependency relationship will rarely occur in practice, and usually
         will only exist where there is no-one else (for example, a parent)
         who has general day-to-day care of the dependent child.


     39. To give effect to the means testing of the private health insurance
         rebate, amendments have been made to existing provisions in
         Subdivision 61-G of the ITAA 1997 detailing the amount of offset to
         which a taxpayer is entitled.  New provisions have been inserted
         allowing for a taxpayer's eligibility for the private health
         insurance tax offset to be reduced by 10 percentage points,
         20 percentage points or removed altogether if they are assessed as
         a tier 1, tier 2 or tier 3 earner respectively.  [Schedule 1, items
         4, 6, 7, 8 and 9]


      1.


                Greg is a single 35 year old with a complying health
                insurance policy.  In 2010-11, Greg's income for surcharge
                purposes is $95,000.  Greg will be assessed as a tier 2
                earner and will receive a private health insurance rebate of
                10 per cent.


      2.


                Sarah is a single parent aged 45 with a complying health
                insurance policy that covers herself and her two children -
                Matt (aged 8) and Michelle (aged 10).  In 2010-11, Sarah's
                income for surcharge purposes is $147,000.  Sarah will not
                be assessed as a tier earner as her income does not exceed
                any of the tier thresholds.  Sarah will receive a private
                health insurance rebate of 30 per cent.


      3.


                Tony and Kate live together as a couple with Kate's children
                - Liz (aged 15) and Alan (aged 9).  Tony is aged 40 years.
                Kate is aged 48 years.  In 2010-11, Tony's income for
                surcharge purposes is $120,000 and Kate's is $50,000.  Tony
                has an individual policy and Kate has a family policy with
                her two children.  Their combined income for surcharge
                purposes is $170,000.  Tony and Kate will both be assessed
                as a tier 1 earner and will receive a private health
                insurance rebate of 20 per cent despite the fact Tony and
                Kate have separate policies.


      4.


                Cid and Simon live together as a couple.  Cid is aged 55 and
                Simon is aged 67.  In 2010-11, Cid's income for surcharge
                purposes is $60,000 and Simon's is $150,000.  Cid and Simon
                have a couple complying health insurance policy.  Their
                combined income for surcharge purposes is $210,000.  Cid and
                Simon will both be assessed as a tier 2 earner and will
                receive a private health insurance rebate of 15 per cent
                (because the oldest person covered by the policy - Simon -
                is aged over 65 years but less than 70 years).


     40. The Bill amends subsection 61-205(3) to ensure a taxpayer may
         receive an offset in situations in which they have under claimed
         the level of rebate to which they are entitled under either
         Division 23 or 26 of the PHIA 2007.  [Schedule 1, items 2 and 3]


     41. Subsection 61-210(2) currently provides that if before
         1 January 1999, a person was registered, or eligible to be
         registered, under the Private Health Insurance Incentives Act 1997,
         they are entitled to claim the greater of the 30 per cent rebate
         (if they are aged under 65 years) or the incentive amount that was
         provided under that Act (specified in subsection 61-220(1)).  The
         Bill amends this provision to ensure individuals or
         couples/families that are assessed as tier 3 earners are not
         entitled to claim any offset amount under the incentive amount
         provisions.  [Schedule 1, item 5]


         Subdivision 960-M - Indexation


     42. This Bill inserts indexation provisions for the calculation of the
         singles tier thresholds in future years in Subdivision 960-M of the
         ITAA 1997.  [Schedule 1, items 11 to 15]


     43. In future years, the singles tier thresholds will be indexed
         annually to the estimate of full-time adult average weekly ordinary
         time earnings.  To avoid complex results from this indexation the
         amount will be rounded down to the nearest $1,000.  [Schedule 1,
         item 15]


     44. There are two formulas inserted into the indexation provisions in
         Subdivision 960-M:  the first is for calculating the singles tier 1
         threshold in future years; and the second is for calculating the
         singles tier 2 and tier 3 thresholds in future years.


     45. The indexation provisions relating to the singles tier 1 threshold
         (previously the singles surcharge threshold) were formerly
         contained in the Medicare Levy Act 1986 (MLA 1986) (having been
         inserted by Tax Laws Amendment (Medicare Levy Surcharge) Act (No.
         2) 2008.  These provisions use a 2007 reference year for
         calculating the indexation factor - reflecting the threshold's
         introduction for the 2008-09 income year.  The new singles tier 2
         and 3 thresholds created by this Bill, will in contrast use a 2009
         reference year for calculating the indexation
         factor - reflecting the thresholds' introduction in the 2010-
         11 income year.


         Subdivision 995 - Definitions


     46. The Bill inserts definitions of single and family tier 1, tier 2
         and tier 3 thresholds, and tier 1, tier 2 and tier 3 earners into
         the ITAA 1997.  [Schedule 1, items 16 to 18 and 21 to 26]


     47. The Bill also inserts the definition of index number required for
         the calculation of the indexation factor for the singles tier 1, 2
         and 3 thresholds.  [Schedule 1, items 19 and 20]


Amendment of the Medicare Levy Act 1986


     48. The MLA 1986 determines whether an individual is liable to pay the
         Medicare levy surcharge in respect of their, or their spouse's,
         taxable income.


     49. The test for whether an individual must pay the Medicare levy
         surcharge depends on whether the individual's income for surcharge
         purposes exceeds prescribed income thresholds.


     50. The Fairer Private Health Insurance Incentives (Medicare Levy
         Surcharge) Bill 2009 inserts definitions for singles and family
         tier 1 threshold, and tiers 2 and 3 earners [Schedule 1, items 1,
         3, 4 and 5].  No definition for tier 1 earner is required in this
         Act, as taxpayers that fall in this category are covered by the
         existing provisions in the Act.


     51. Family tier 1 threshold and single tier 1 threshold have the same
         meaning as in the ITAA 1997.


     52. The meanings of tier 2 earner and tier 3 earner are broadly
         consistent with the meanings given to them in the ITAA 1997.  In
         determining which tier a taxpayer is categorised as, however, the
         references to a 'dependant child' in the ITAA 1997 should instead
         be read as references to a 'dependant' as defined by the ANTS (MLS)
         Act 1999, other than a dependant to whom you are married.  This is
         to reflect the slight differences in the definition of dependants
         in the ANTS (MLS) Act 1999 relative to the PHIA 2007.  [Schedule 1,
         item 6]


     53. The existing definitions of 'singles surcharge threshold' and
         'family surcharge threshold' are repealed.  [Schedule 1, item 2 and
         6]


     54. Consequently, all references to 'singles surcharge threshold' are
         replaced with 'singles tier 1 threshold' [Schedule 1, items 7 and
         15] and all references to 'family surcharge threshold' are replaced
         with 'family tier 1 threshold' [Schedule 1, items 9, 11, 12, 13,
         17, 19, 20 and 21].


     55. This Bill also inserts provisions to give effect to the increase in
         the Medicare levy surcharge for a person assessed as a tier 2 or
         tier 3 earner to 1.25 per cent and 1.5 per cent respectively.
         [Schedule 1, items 8, 10, 14, 16, 18 and 22]


      1.


                Xu is single and does not have private health insurance.  In
                2010-11, Xu's income for surcharge purposes is $130,000.  Xu
                will be assessed as a tier 3 earner and will be liable for
                the Medicare levy surcharge at a rate of 1.5 per cent of
                taxable income.


      2.


                Johnny and Penny live together as a couple.  Both Johnny and
                Penny do not have private health insurance.  In 2010-11,
                Johnny's income for surcharge purposes is $70,000 and
                Penny's income is $90,000.  Johnny and Penny will both be
                assessed as a tier 1 earner and will be liable for the
                Medicare levy surcharge at a rate of 1 per cent of their
                taxable income.


      3.


                Eli and Kym live together as a couple with Kym's children -
                Courtney (aged 15) and Liam (aged 9).  Eli does not have
                private health insurance, but Kym has a policy covering
                herself and her two children.  In 2010-11, Eli's income for
                surcharge purposes is $100,000 and Kym's is $110,000.  Their
                combined income for surcharge purposes is $210,000.  Eli and
                Kym will both be assessed as a tier 2 earner and both will
                be liable for the Medicare levy surcharge at a rate of
                1.25 per cent of their taxable income.


Amendment of the Private Health Insurance Act 2007


         Division 23 - Premiums reduction scheme


     56. Division 23 of the PHIA 2007 describes the amount by which premiums
         payable under a complying health insurance policy is reduced if a
         person is a participant in the premium reductions scheme.


     57. To give effect to the means testing of the private health insurance
         rebate, the Fairer Private Health Insurance Incentives Bill amends
         the existing provisions detailing the percentage of premium
         reduction to which a taxpayer is entitled.  New provisions are
         inserted allowing for a taxpayer's eligibility for the private
         health insurance premiums reduction scheme to be reduced by
         10 percentage points, 20 percentage points or removed altogether if
         they are assessed as a tier 1, tier 2 or tier 3 earner
         respectively.  [Schedule 1, items 27 to 31]


         Division 26 - The incentive payments scheme


     58. Division 26 of the PHIA 2007 describes the amount of payment a
         person is eligible for in respect of premiums paid under a
         complying health insurance policy for the whole or part of the
         financial year and which was not reduced under Division 23 of the
         PHIA 2007.


     59. To give effect to the means testing of the private health insurance
         rebate, the Bill amends the existing provisions detailing the
         percentage of premium reduction to which a taxpayer is entitled.
         New provisions are inserted allowing for a taxpayer's eligibility
         for the private health insurance incentive payments scheme to be
         reduced by 10 percentage points, 20 percentage points or removed
         altogether if they are assessed as a tier 1, tier 2 or tier 3
         earner respectively.  [Schedule 1, items 32 to 36]


         Subdivision 282-A - When and how payments can be recovered


     60. Subdivision 282-A sets out amounts paid under the premiums
         reduction scheme and incentive payments scheme that are recoverable
         as debts due to the Commonwealth.


     61. The Bill inserts a new Subdivision 282-AA which allows for the
         recovery of certain amounts of monies by the Commissioner.


     62. The Commissioner will be responsible for the recovery of private
         health insurance premium reductions made to a participant in the
         premium reductions scheme and which exceed the amount allowable
         under section 23-1 of the PHIA 2007.  The Commissioner will also be
         responsible for the recovery of payments made under Subdivision 26-
         B which exceed the amount to which the person was entitled under
         section 26-1 of the PHIA 2007.  [Schedule 1, item 38]


     63. The double recovery of debts under existing debt recovery
         provisions and the new recovery provisions in 282-AA is prevented
         by the insertion of new section 282-17.  [Schedule 1, item 38`]


     64. In addition, to ensure private health insurers are not adversely
         impacted by the new debt recovery provisions, an amount is not
         recoverable if the situation giving rise to the amount was not the
         fault of the private health insurer.  [Schedule 1, item 37]


     65. A general interest charge will be payable on amounts levied under
         Subdivision 282-AA.  [Schedule 1, item 38]


         Division 323 - Disclosure of information


     66. Section 323-1 prohibits the disclosure of protected information
         unless the disclosure is an authorised disclosure.  Section 323-5
         lists circumstances in which a person is authorised to disclose
         information.


     67. The Bill adds that a disclosure of information for the purpose of
         enabling a person to perform functions under the ANTS (MLS) Act
         1999, MLA 1986, Subdivision 61-G of the ITAA 1997 or any other
         provision of the ITAA 1997, or of any other Act, to the extent that
         a provision relates to a provision in the above mentioned Acts, is
         an authorised disclosure.  [Schedule 1, items 40 and 41]


     68. The penalty provision in section 282-25 is consequentially amended
         to make it an offence to use, make a record of, disclose or
         communicate to any person information that that relates to the
         affairs of another person and was acquired under the new paragraph
         inserted into this section.  [Schedule 1, item 39]


         Schedule 1 - Dictionary


     69. This Bill inserts definitions for general interest charge and tiers
         1, 2 and 3 earners into the PHIA 2007.  [Schedule 1, items 42 to
         45]


Amendment of the Taxation (Interest on Overpayments and Early Payments) Act
1983


     70. The Bill amends the table under section 3C of the Act to include as
         a relevant tax liability, a liability arising under Subdivision 282-
         AA of the PHIA 2007.  [Schedule 1, item 49]


     71. This will allow the Commissioner to pay interest on an overpayment
         where a taxpayer receives a refund as a result of a successful
         objection or amendment to the liability under Subdivision 282-AA.


     72. The Bill also amends paragraphs 8E(1)(d) and 8E(2)(d) of the Act
         which provide for interest on overpayments resulting from
         assessments.  [Schedule 1, items 50 and 51]


     73. This will ensure that interest is paid only on an actual credit
         amount provided to the taxpayer.


Amendment of the Taxation Administration Act 1953


     74. Section 8AAA of the Taxation Administration Act 1953 (TAA 1953)
         explains how to work out the general interest charge on an amount
         owed to the Commissioner.  Subsection 8AAB(5) provides a list of
         the provisions of Acts other than the ITAA 1936 under which a
         general interest charge liability can be made.


     75. The Bill inserts section 282-19 of the PHIA 2007 onto the list set
         out in subsection 8AAB(5).  [Schedule 1, item 46]


     76. Subdivision 250-A of Schedule 1 to the TAA 1953 deals with the
         methods by which the Commissioner may collect and recover amounts
         of taxes and other liabilities.  Subsection 250-10(2) provides an
         index of each tax-related liability that can be incurred under
         other Acts.


     77. The Bill inserts a liability for excess private health insurance
         premium reduction or refund under section 282-18 of the PHIA 2007
         into the index in subsection 250-10(2).  [Schedule 1, item 47]


Application and transitional provisions


     78. These amendments apply to assessments for the 2010-11 year of
         income and later years of income.





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