FOI 25-0301 LD – Ministers Roundtable March 2024 NHRA Q&a

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This document contains Q&A guidance prepared for a March 2024 ministerial roundtable on the National Health Reform Agreement (NHRA), specifically addressing a proposed First Nations Schedule. The NHRA is an intergovernmental funding agreement between Commonwealth and state/territory governments established in 2011, funding public hospital services through activity-based funding, block funding, and public health mechanisms. In 2022-23, it captured $64 billion across 38 million public hospital services. A 2023 mid-term review by Rosemary Huxtable recommended adding a First Nations Schedule to the next NHRA addendum, with specific focus on Closing the Gap commitments, accountability mechanisms tied to health milestones, partnership with Aboriginal Community-Controlled Health Organisations (ACCHOs), cultural safety measurement, and Indigenous data governance. National Cabinet targeted mid-2024 for finalizing the 2025-2030