RACGP Seeks Solutions as Medicare Assignment Changes Raise GP Concerns
05 Jun 2026
The new rules, which begin on 1 July, will change how patients assign their Medicare benefits to doctors when receiving bulk-billed services. The changes are expected to affect general practice workflows, especially in residential aged care settings.
Under the updated system, patients or their authorised representatives will need to provide consent through an electronic or written signature for each bulk-billed service. Practices will also be required to keep records of this agreement for at least two years before submitting Medicare claims.
If a patient is unable to sign, such as those in aged care facilities, a nominated representative like a family member or carer may be able to sign on their behalf. However, GPs have raised concerns that this may not always be possible, potentially limiting access to bulk-billed care for some patients.
RACGP President Dr Michael Wright said the College is actively working with the Department of Health, Disability and Ageing to find a practical solution before the changes begin. He said many GPs are worried the new process could increase administrative burden and affect the delivery of care in nursing homes.
The Department has acknowledged the concerns, saying it understands the transition will be challenging and is considering feedback from healthcare providers. It stated that the changes are intended to ensure proper Medicare billing processes while protecting patient rights and privacy.
Officials also confirmed they are working on options for “enduring assignment of benefit,” which would allow a single agreement to cover ongoing care for eligible patients in specific settings, reducing the need for repeated signatures.
To prepare for the rollout, practices are being advised to review how and when consent is collected, update patient contact details, and explore electronic systems that may support compliant billing processes.
The RACGP has published guidance and resources to help general practices understand and prepare for the upcoming changes.
RACGP Seeks Solutions as Medicare Assignment Changes Raise GP Concerns
Source: newsGP – Royal Australian College of General Practitioners