February 21, 2026
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Payroll tax changes threaten patient care

Australians might be slugged as much as 15 p.c additional for a visit to the physician if states observe by on a brand new payroll tax interpretation.

Royal Australian School of Common Practitioners Vice-President and Queensland Chair, Dr Bruce Willett, says up to date rulings of present payroll legal guidelines are poised to heap additional stress on the ailing bulk-billing community.

“This isn’t a Queensland challenge. That is mainly a whole-of-country challenge,” he instructed AAP on Sunday.

“The entire states have an settlement the place they co-ordinate the appliance of payroll tax. The issues truly began in NSW and Victoria, who’ve been probably the most aggressive chasing payroll tax.”

Dr Willett stated the Queensland authorities has been co-operating on modifications to payroll tax legal guidelines following separate rulings in Victoria and NSW.

Redefined relationship

Beforehand, medical practices didn’t pay payroll tax for tenant docs as they have been thought-about contractors and their wages weren’t included as a part of the general enterprise.

“That is been the association for 30 years and that is all been hunky dory,” he stated.

“What’s occurred is, notably in NSW and Victoria, (governments) have taken a really aggressive view and deemed that to be an worker/employer relationship.”

It successfully means practices with tenant docs must pay payroll tax on 100 p.c of what they invoice transferring ahead.

In Queensland, companies that pay $6.5 million or much less a 12 months in taxable wages are topic to a payroll tax charge of 4.75 p.c.

The speed rises to 4.95 p.c for companies with annual taxable wages above $6.5 million.

Dr Willett stated the previous charge was greater than the revenue margin for many practices, that means they will not be capable of take up the change with out passing on the fee to sufferers.

Consequently, he expects out-of-pocket charges to extend by about 15 p.c as GPs will nonetheless really feel obliged to bulk invoice some sufferers however not others.

‘New stealth tax’

Queensland’s Shadow Treasurer David Janetzki stated the “new tax” would have critical penalties for the state’s residents.

“This new stealth tax will drive up affected person charges and emergency division shows and drive down bulk billing,” he stated.

However not like different states, the Queensland Income Workplace has pledged to not backdate payroll tax payments for affected clinics, agreeing to restrict audits to the 2021/2022 monetary 12 months and past.

Queensland Transport Minister Mark Bailey disputed the payroll tax ruling would result in greater physician charges for sufferers.

“The state authorities income folks don’t particularly goal the well being sector in any respect, whereas in different states I do know that they do,” he instructed reporters in Greenbank on Sunday.

“This can be a payroll tax degree that’s the lowest within the nation and we want reform within the GP sector at a federal degree after a decade of neglect. I believe a few of the accusations have been inaccurate this morning.”

He branded a report in The Courier-Mail a “beat-up” and stated the Albanian authorities was working to deal with points within the main care community, together with a well-publicised scarcity of bulk-billing appointments.

Victorian Premier Daniel Andrews and NSW counterpart Dominic Perrottet have been publicly lobbying for the nationwide cupboard to make reforming the sector its primary precedence this 12 months.

The nationwide cupboard is subsequent scheduled to satisfy on February 1.

-AAP



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