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Last week, Parliament passed sweeping reforms to Australia's aged care system. These "once-in-a-generation" changes, set to begin next year on July 1, aim to improve how care is provided to older Australians at home, in their communities and in nursing homes. The new Aged Care Act focuses on improving quality and safety, protecting the rights of older people and ensuring the financial sustainability of aged care providers. A key change is the introduction of a new payment system, requiring wealthier people to contribute more for non-clinical services. If you – or a loved one – are planning for aged care, here's what the changes could mean for you. What to expect from the home care overhaul Over the past decade, there's been a noticeable shift towards "ageing at home". The number of Australians using home care has more than quadrupled, surpassing those in nursing homes. To meet growing demand, the government is adding 107,000 home care places over the next two years, with a goal to reduce wait times to just three months. Starting July 1 2025, Support at Home will replace the Home Care Packages program. The table below shows some of the key differences between these two programs. Department of Health 2024 Home Care Packages are currently delivered under four annual government subsidy levels, covering care and provider management costs. Under Support at Home, the number of home care budget levels will double to eight, with the highest level increasing to A$78,000. This aims to provide more tailored support and accommodate those needing higher levels of care. Under the new system, recipients will receive quarterly budgets aligned to their funding level and work with their chosen provider to allocate funds across three broad service categories: clinical care, such as nursing or physiotherapy independence support, including personal care, transport and social support everyday living assistance, such as cleaning, gardening and meal delivery. Clinical care...John Ivison: With our ‘post-national’ leader it’s no wonder Trump thinks we aren’t a real country
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