Title Personally Controlled Electronic Health Records Bill 2011
Database Bills & Legislation
Long Title a Bill for an Act to provide for a system of access to electronic health records, and for related purposes
Date 23-11-2011 12:12 PM
Source House of Reps
Parl No. 43
Bill Number 269/11
Bill Type Government
Portfolio Health and Ageing
Reps Bill Code O
Status Act
System Id legislation/bills/r4738_first-reps/0000


Personally Controlled Electronic Health Records Bill 2011
</head> <body lang="EN-AU" xml:lang="EN-AU"> <div class="WordSection1"> <p class="Session">2010‑2011</p> <p class="MsoNormal"><span style="font-size:14.0pt"> </span></p> <p class="MsoNormal"><span style="font-size:14.0pt">The Parliament of the</span></p> <p class="MsoNormal"><span style="font-size:14.0pt">Commonwealth of Australia</span></p> <p class="MsoNormal"><span style="font-size:14.0pt"> </span></p> <p class="House">HOUSE OF REPRESENTATIVES</p> <p class="MsoNormal"> </p> <p class="MsoNormal"> </p> <p class="MsoNormal"> </p> <p class="MsoNormal"> </p> <p class="Reading">Presented and read a first time</p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><a name="ConfidenceBlock" id="ConfidenceBlock"/><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="MsoNormal"><span style="font-size:9.5pt"> </span></p> <p class="ShortT">Personally Controlled Electronic Health Records Bill 2011</p> <p class="MsoNormal"> </p> <p class="Actno">No.      , 2011</p> <p class="MsoNormal"> </p> <p class="Portfolio">(Health and Ageing)</p> <p class="MsoNormal"> </p> <p class="MsoNormal"> </p> <p class="MsoNormal"> </p> <p class="LongT">A Bill for an Act to provide for a system of access to electronic health records, and for related purposes</p> <p class="MsoHeader"><span class="CharChapNo"> </span><span class="CharChapText"> </span></p> <p class="MsoHeader"><span class="CharPartNo"> </span><span class="CharPartText"> </span></p> <p class="MsoHeader"><span class="CharDivNo"> </span><span class="CharDivText"> </span></p> </div> <span style="font-size:11.0pt;font-family:"Times New Roman","serif""><br clear="all" style="page-break-before:always"/></span> <div class="WordSection2"> <p class="MsoNormal"><span style="font-size:18.0pt">Contents</span></p> <p class="MsoToc2"><a name="BKCheck15B_1" id="BKCheck15B_1"/>Part 1—Preliminary<span style="font-size:9.0pt;font-weight:normal">                                                                                                            </span> <span style="font-size:9.0pt;font-weight:normal">1</span></p> <p class="MsoToc5">1............ Short title............................................................................................. 1</p> <p class="MsoToc5">2............ Commencement................................................................................... 2</p> <p class="MsoToc5">3............ Object of Act....................................................................................... 2</p> <p class="MsoToc5">4............ Simplified outline of Act..................................................................... 3</p> <p class="MsoToc5">5............ Definitions.......................................................................................... 4</p> <p class="MsoToc5">6............ Definition of <i>authorised representative</i> of a consumer..................... 13</p> <p class="MsoToc5">7............ Definition of <i>nominated representative</i> of a consumer..................... 15</p> <p class="MsoToc5">8............ Things done etc. under provisions of other Acts............................... 16</p> <p class="MsoToc5">9............ Definition of <i>identifying information</i>................................................. 16</p> <p class="MsoToc5">10.......... Definition of <i>shared health summary</i>............................................... 18</p> <p class="MsoToc5">11.......... Act to bind the Crown....................................................................... 18</p> <p class="MsoToc5">12.......... Concurrent operation of State laws................................................... 18</p> <p class="MsoToc5">13.......... External Territories............................................................................ 18</p> <p class="MsoToc2">Part 2—The System Operator, advisory bodies and other matters<span style="font-size:9.0pt;font-weight:normal">     </span> <span style="font-size:9.0pt;font-weight:normal">19</span></p> <p class="MsoToc3">Division 1—System Operator<span style="font-size:9.0pt; font-weight:normal">                                                                               </span> <span style="font-size:9.0pt;font-weight:normal">19</span></p> <p class="MsoToc5">14.......... Identity of the System Operator........................................................ 19</p> <p class="MsoToc5">15.......... Functions of the System Operator..................................................... 19</p> <p class="MsoToc5">16.......... System Operator to have regard to advisory bodies’ advice etc........ 21</p> <p class="MsoToc5">17.......... Retention of records uploaded to National Repositories Service....... 21</p> <p class="MsoToc3">Division 2—Jurisdictional advisory committee<span style="font-size:9.0pt;font-weight:normal">                                          </span> <span style="font-size:9.0pt;font-weight:normal">22</span></p> <p class="MsoToc5">18.......... Establishment, functions and status of the jurisdictional advisory committee           22</p> <p class="MsoToc5">19.......... Membership of the jurisdictional advisory committee....................... 22</p> <p class="MsoToc5">20.......... Termination of appointment of members of the jurisdictional advisory committee   23</p> <p class="MsoToc5">21.......... Substitute members of the jurisdictional advisory committee............ 23</p> <p class="MsoToc5">22.......... Application of the Remuneration Tribunal Act.................................. 23</p> <p class="MsoToc5">23.......... Regulations may provide for matters relating to committee............... 23</p> <p class="MsoToc3">Division 3—Independent advisory council<span style="font-size:9.0pt;font-weight:normal">                                                     </span> <span style="font-size:9.0pt;font-weight:normal">25</span></p> <p class="MsoToc4">Subdivision A—Establishment, functions and status<span style="font-size:9.0pt;font-weight:normal">                                      </span> <span style="font-size:9.0pt;font-weight:normal">25</span></p> <p class="MsoToc5">24.......... Establishment and functions of the independent advisory council..... 25</p> <p class="MsoToc5">25.......... Independent advisory committee has privileges and immunities of the Crown         25</p> <p class="MsoToc4">Subdivision B—Membership<span style="font-size:9.0pt; font-weight:normal">                                                                                </span> <span style="font-size:9.0pt;font-weight:normal">25</span></p> <p class="MsoToc5">26.......... Membership of the independent advisory council............................. 25</p> <p class="MsoToc5">27.......... Appointment of members.................................................................. 25</p> <p class="MsoToc5">28.......... Acting appointments......................................................................... 26</p> <p class="MsoToc4">Subdivision C—Members’ terms and conditions<span style="font-size:9.0pt;font-weight:normal">                                            </span> <span style="font-size:9.0pt;font-weight:normal">27</span></p> <p class="MsoToc5">29.......... Remuneration.................................................................................... 27</p> <p class="MsoToc5">30.......... Leave................................................................................................. 28</p> <p class="MsoToc5">31.......... Disclosure of interests to the Minister............................................... 29</p> <p class="MsoToc5">32.......... Disclosure of interests to the independent advisory council.............. 29</p> <p class="MsoToc5">33.......... Resignation....................................................................................... 29</p> <p class="MsoToc5">34.......... Termination of appointment.............................................................. 30</p> <p class="MsoToc5">35.......... Other terms and conditions............................................................... 30</p> <p class="MsoToc4">Subdivision D—Procedures of the independent advisory council<span style="font-size:9.0pt;font-weight:normal">              </span> <span style="font-size:9.0pt;font-weight:normal">31</span></p> <p class="MsoToc5">36.......... Who presides at meetings.................................................................. 31</p> <p class="MsoToc5">37.......... Regulations may provide for other procedural matters...................... 31</p> <p class="MsoToc3">Division 4—Functions of Chief Executive Medicare<span style="font-size:9.0pt;font-weight:normal">                                </span> <span style="font-size:9.0pt;font-weight:normal">32</span></p> <p class="MsoToc5">38.......... Registered repository operator.......................................................... 32</p> <p class="MsoToc2">Part 3—Registration<span style="font-size:9.0pt; font-weight:normal">                                                                                                          </span> <span style="font-size:9.0pt;font-weight:normal">33</span></p> <p class="MsoToc3">Division 1—Registering consumers<span style="font-size: 9.0pt;font-weight:normal">                                                                   </span> <span style="font-size:9.0pt;font-weight:normal">33</span></p> <p class="MsoToc5">39.......... Consumers may apply for registration.............................................. 33</p> <p class="MsoToc5">40.......... When a consumer is eligible for registration..................................... 33</p> <p class="MsoToc5">41.......... Registration of a consumer by the System Operator......................... 33</p> <p class="MsoToc3">Division 2—Registering healthcare provider organisations<span style="font-size:9.0pt;font-weight:normal">                </span> <span style="font-size:9.0pt;font-weight:normal">35</span></p> <p class="MsoToc5">42.......... Healthcare provider organisation may apply for registration............. 35</p> <p class="MsoToc5">43.......... When a healthcare provider organisation is eligible for registration.. 35</p> <p class="MsoToc5">44.......... Registration of a healthcare provider organisation............................. 35</p> <p class="MsoToc5">45.......... Condition of registration—uploading of records, etc........................ 36</p> <p class="MsoToc5">46.......... Condition of registration—non‑discrimination in providing healthcare to a consumer who does not have a PCEHR etc........................................................................................................... 37</p> <p class="MsoToc3">Division 3—Registering repository operators, portal operators and contracted service providers<span style="font-size:9.0pt; font-weight:normal">    </span> <span style="font-size:9.0pt;font-weight:normal">38</span></p> <p class="MsoToc5">47.......... Persons may apply for registration as a repository operator, a portal operator or a contracted service provider       38</p> <p class="MsoToc5">48.......... When a person is eligible for registration as a repository operator, a portal operator or a contracted service provider.......................................................................................................... 38</p> <p class="MsoToc5">49.......... Registration of a repository operator, a portal operator or a contracted service provider          39</p> <p class="MsoToc5">50.......... Condition about provision of information to System Operator......... 39</p> <p class="MsoToc3">Division 4—Cancellation, suspension and variation of registration <span style="font-size:9.0pt;font-weight:normal">40</span></p> <p class="MsoToc5">51.......... Cancellation or suspension of registration......................................... 40</p> <p class="MsoToc5">52.......... Variation of registration.................................................................... 41</p> <p class="MsoToc5">53.......... Notice of cancellation, suspension or variation of registration etc..... 42</p> <p class="MsoToc5">54.......... Effect of suspension.......................................................................... 43</p> <p class="MsoToc5">55.......... PCEHR Rules may specify requirements after registration is cancelled or suspended             43</p> <p class="MsoToc3">Division 5—The Register<span style="font-size:9.0pt; font-weight:normal">                                                                                         </span> <span style="font-size:9.0pt;font-weight:normal">45</span></p> <p class="MsoToc5">56.......... The Register...................................................................................... 45</p> <p class="MsoToc5">57.......... Entries to be made in Register........................................................... 45</p> <p class="MsoToc3">Division 6—Information use and disclosure for identity verification <span style="font-size:9.0pt;font-weight:normal">46</span></p> <p class="MsoToc5">58.......... Identifying information may be used and disclosed.......................... 46</p> <p class="MsoToc2">Part 4—Collection, use and disclosure of health information included in a registered consumer’s PCEHR<span style="font-size: 9.0pt;font-weight:normal">                                                                                                                                     </span> <span style="font-size:9.0pt;font-weight:normal">48</span></p> <p class="MsoToc3">Division 1—Unauthorised collection, use and disclosure of health information included in a consumer’s PCEHR<span style="font-size:9.0pt; font-weight:normal">                                                                                                   </span> <span style="font-size:9.0pt;font-weight:normal">48</span></p> <p class="MsoToc5">59.......... Unauthorised collection, use and disclosure of health information included in a consumer’s PCEHR     48</p> <p class="MsoToc5">60.......... Secondary disclosure........................................................................ 48</p> <p class="MsoToc3">Division 2—Authorised collection, use and disclosure<span style="font-size:9.0pt;font-weight:normal">                             </span> <span style="font-size:9.0pt;font-weight:normal">50</span></p> <p class="MsoToc4">Subdivision A—Collection, use and disclosure in accordance with access controls<span style="font-size:9.0pt;font-weight:normal">     </span> <span style="font-size:9.0pt;font-weight:normal">50</span></p> <p class="MsoToc5">61.......... Collection, use and disclosure for providing healthcare.................... 50</p> <p class="MsoToc5">62.......... Collection, use and disclosure to nominated representative............... 50</p> <p class="MsoToc4">Subdivision B—Collection, use and disclosure other than in accordance with access controls<span style="font-size:9.0pt;font-weight:normal"> </span> <span style="font-size:9.0pt;font-weight:normal">51</span></p> <p class="MsoToc5">63.......... Collection, use and disclosure for management of PCEHR system.. 51</p> <p class="MsoToc5">64.......... Collection, use and disclosure in the case of a serious threat............. 51</p> <p class="MsoToc5">65.......... Collection, use and disclosure authorised by law.............................. 52</p> <p class="MsoToc5">66.......... Collection, use and disclosure with consumer’s consent................... 52</p> <p class="MsoToc5">67.......... Collection, use and disclosure by a consumer................................... 52</p> <p class="MsoToc5">68.......... Collection, use and disclosure for indemnity cover........................... 52</p> <p class="MsoToc5">69.......... Disclosure to courts and tribunals..................................................... 53</p> <p class="MsoToc5">70.......... Disclosure for law enforcement purposes, etc................................... 54</p> <p class="MsoToc3">Division 3—Prohibitions and authorisations limited to PCEHR system<span style="font-size:9.0pt;font-weight:normal">              </span> <span style="font-size:9.0pt;font-weight:normal">55</span></p> <p class="MsoToc5">71.......... Prohibitions and authorisation limited to health information collected by using the PCEHR system        55</p> <p class="MsoToc3">Division 4—Interaction with the Privacy Act 1988<span style="font-size:9.0pt;font-weight:normal">                                  </span> <span style="font-size:9.0pt;font-weight:normal">57</span></p> <p class="MsoToc5">72.......... Interaction with the <i>Privacy Act 1988</i>................................................ 57</p> <p class="MsoToc5">73.......... Contravention of this Act is an interference with privacy.................. 57</p> <p class="MsoToc2">Part 5—Other civil penalty provisions<span style="font-size:9.0pt;font-weight:normal">                                                                   </span> <span style="font-size:9.0pt;font-weight:normal">58</span></p> <p class="MsoToc5">74.......... Registered healthcare provider organisations must ensure certain information is given to System Operator            58</p> <p class="MsoToc5">75.......... Certain participants in the PCEHR system must notify data breaches etc.                58</p> <p class="MsoToc5">76.......... Requirement to notify if cease to be eligible to be registered............. 60</p> <p class="MsoToc5">77.......... Requirement not to hold or take records outside Australia................ 60</p> <p class="MsoToc5">78.......... Participant in the PCEHR system must not contravene PCEHR Rules 61</p> <p class="MsoToc2">Part 6—Civil penalty supporting provisions<span style="font-size:9.0pt;font-weight:normal">                                                      </span> <span style="font-size:9.0pt;font-weight:normal">62</span></p> <p class="MsoToc3">Division 1—Civil penalty orders<span style="font-size: 9.0pt;font-weight:normal">                                                                         </span> <span style="font-size:9.0pt;font-weight:normal">62</span></p> <p class="MsoToc5">79.......... Civil penalty orders........................................................................... 62</p> <p class="MsoToc5">80.......... Civil enforcement of penalty............................................................. 63</p> <p class="MsoToc5">81.......... Conduct contravening more than one civil penalty provision............ 63</p> <p class="MsoToc5">82.......... Multiple contraventions..................................................................... 63</p> <p class="MsoToc5">83.......... Proceedings may be heard together................................................... 64</p> <p class="MsoToc5">84.......... Civil evidence and procedure rules for civil penalty orders............... 64</p> <p class="MsoToc5">85.......... Contravening a civil penalty provision is not an offence................... 64</p> <p class="MsoToc3">Division 2—Relationship to other proceedings<span style="font-size:9.0pt;font-weight:normal">                                            </span> <span style="font-size:9.0pt;font-weight:normal">65</span></p> <p class="MsoToc5">86.......... Civil proceedings after criminal proceedings..................................... 65</p> <p class="MsoToc5">87.......... Criminal proceedings during civil proceedings................................. 65</p> <p class="MsoToc5">88.......... Criminal proceedings after civil proceedings..................................... 65</p> <p class="MsoToc5">89.......... Evidence given in civil proceedings not admissible in criminal proceedings            65</p> <p class="MsoToc3">Division 3—Other matters<span style="font-size:9.0pt; font-weight:normal">                                                                                     </span> <span style="font-size:9.0pt;font-weight:normal">67</span></p> <p class="MsoToc5">90.......... Ancillary contravention of civil penalty provisions........................... 67</p> <p class="MsoToc5">91.......... Mistake of fact.................................................................................. 67</p> <p class="MsoToc5">92.......... State of mind..................................................................................... 68</p> <p class="MsoToc5">93.......... Civil penalty provisions contravened by employees, agents or officers 68</p> <p class="MsoToc2">Part 7—Voluntary enforceable undertakings and injunctions<span style="font-size:9.0pt;font-weight:normal">               </span> <span style="font-size:9.0pt;font-weight:normal">69</span></p> <p class="MsoToc5">94.......... Acceptance of undertakings.............................................................. 69</p> <p class="MsoToc5">95.......... Enforcement of undertakings............................................................ 69</p> <p class="MsoToc5">96.......... Injunctions........................................................................................ 70</p> <p class="MsoToc2">Part 8—Other matters<span style="font-size:9.0pt; font-weight:normal">                                                                                                      </span> <span style="font-size:9.0pt;font-weight:normal">73</span></p> <p class="MsoToc3">Division 1—Review of decisions<span style="font-size: 9.0pt;font-weight:normal">                                                                          </span> <span style="font-size:9.0pt;font-weight:normal">73</span></p> <p class="MsoToc5">97.......... Review of decisions.......................................................................... 73</p> <p class="MsoToc3">Division 2—Delegations<span style="font-size:9.0pt; font-weight:normal">                                                                                           </span> <span style="font-size:9.0pt;font-weight:normal">75</span></p> <p class="MsoToc5">98.......... Delegations by the System Operator................................................. 75</p> <p class="MsoToc3">Division 3—Authorisations of entities also cover employees<span style="font-size:9.0pt;font-weight:normal">               </span> <span style="font-size:9.0pt;font-weight:normal">76</span></p> <p class="MsoToc5">99.......... Authorisations extend to employees etc............................................ 76</p> <p class="MsoToc3">Division 4—Treatment of certain entities<span style="font-size:9.0pt;font-weight:normal">                                                      </span> <span style="font-size:9.0pt;font-weight:normal">77</span></p> <p class="MsoToc5">100........ Treatment of partnerships.................................................................. 77</p> <p class="MsoToc5">101........ Treatment of unincorporated associations......................................... 77</p> <p class="MsoToc5">102........ Treatment of trusts with multiple trustees.......................................... 77</p> <p class="MsoToc5">103........ Exception in certain circumstances.................................................... 78</p> <p class="MsoToc5">104........ Division does not apply to Division 3 of Part 3................................ 78</p> <p class="MsoToc3">Division 5—Alternative constitutional bases<span style="font-size:9.0pt;font-weight:normal">                                                </span> <span style="font-size:9.0pt;font-weight:normal">79</span></p> <p class="MsoToc5">105........ Alternative constitutional bases......................................................... 79</p> <p class="MsoToc3">Division 6—Annual reports and review of Act<span style="font-size:9.0pt;font-weight:normal">                                            </span> <span style="font-size:9.0pt;font-weight:normal">82</span></p> <p class="MsoToc5">106........ Annual reports by Information Commissioner.................................. 82</p> <p class="MsoToc5">107........ Annual reports by System Operator.................................................. 82</p> <p class="MsoToc5">108........ Review of operation of Act............................................................... 83</p> <p class="MsoToc3">Division 7—PCEHR Rules, regulations and other instruments<span style="font-size:9.0pt;font-weight:normal">         </span> <span style="font-size:9.0pt;font-weight:normal">85</span></p> <p class="MsoToc5">109........ Minister may make PCEHR Rules.................................................... 85</p> <p class="MsoToc5">110........ Minister may determine a law of a State or Territory to be a designated privacy law               87</p> <p class="MsoToc5">111........ Guidelines relating to the Information Commissioner’s enforcement powers etc.    87</p> <p class="MsoToc5">112........ Regulations....................................................................................... 87</p> <p class="MsoNormal"> </p> </div> <span style="font-size:11.0pt;font-family:"Times New Roman","serif""><br clear="all" style="page-break-before:always"/></span> <div class="WordSection3"> <p class="Page1">A Bill for an Act to provide for a system of access to electronic health records, and for related purposes</p> <p class="MsoNormal" style="margin-top:12.0pt;line-height:normal"> <span style="font-size:16.0pt">The Parliament of Australia enacts:</span></p> <?DMS-Include seriesId="4ac2e13b-2fe3-6124-bae7-a195a81950d0"?><?DMS-Include seriesId="4b1fbb6e-0b7d-4f84-9860-cb3f91553a76"?><?DMS-Include seriesId="79155fcc-9427-442f-95aa-ef619416104d"?><?DMS-Include seriesId="327d49bc-ebf5-6dab-8722-f4502f3fa7da"?><?DMS-Include seriesId="d651b6e4-3ad5-e148-873a-a1cd4712e7d6"?><?DMS-Include seriesId="8825a97e-3ba7-4493-870f-9141880a330e"?><?DMS-Include seriesId="4f001955-60e0-c676-9930-8a3b781142d7"?><?DMS-Include seriesId="c3231f35-d08e-c585-c4e4-d74e5c60c7a1"?></div> </body> </div></div></body></html>