Victoria Removes GP ‘Gag Clause’ on Voluntary Assisted Dying
15 Oct 2025
The change comes after doctors advocated for greater clarity and the ability to have open conversations about end-of-life options.
Health Minister Mary-Anne Thomas introduced amendments to the Voluntary Assisted Dying Act 2017 to reduce barriers, strengthen safety, and make the system fairer and more compassionate. Since the laws began in 2019, 1,683 terminally ill Victorians have chosen VAD.
The reforms follow an independent review of Victoria’s VAD scheme, which found some safeguards were limiting access and undermining patient-centred care. The changes aim to maintain strong safeguards to ensure decisions are voluntary, informed, and free from coercion.
Key Amendments Include:
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Removal of the gag clause – GPs can now discuss VAD with patients during end-of-life conversations.
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Extended prognosis requirement – eligibility now includes patients with up to 12 months life expectancy (previously six months).
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Simplified prognosis for neurodegenerative diseases – no third prognosis needed if life expectancy is between six and 12 months.
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New administering practitioner role – increasing the workforce able to support VAD.
RACGP Victoria Chair, Dr Anita Muñoz, welcomed the reforms:
“The removal of this gag clause will have a meaningful impact, as will extending the eligibility timeframe. The new administering practitioner role will also improve access for patients, especially in rural and remote areas.”
Previously, some patients had to travel long distances to consult non-GP specialists, creating unfair barriers. The reforms aim to make VAD more accessible across Victoria.
VAD laws now operate in all states except the Northern Territory, where a parliamentary report has recommended introducing legislation. The Australian Capital Territory will commence its VAD laws on 3 November 2025.
Source: RACGP, Victorian Government
