Under Section 19AB of the Health Insurance Act 1973, international medical graduates (IMGs) are restricted on where they can work and access Medicare benefits. With restrictions placed on their Medicare provider number for a period of 10 years, IMGs are required to work in a Distribution Priority Area (DPA) if they are a GP or a District of Workforce Shortage (DWS) area if they are a non-GP specialist. An IMG is classified as a person who:
- Completed a medical degree outside of Australia or New Zealand
- Completed a medical degree in Australia or New Zealand as a temporary resident
Known as the 10 year moratorium, the restrictions remain in place until the service period is completed and the doctor becomes a permanent resident or Australian citizen.
10 year moratorium scaling:
Through 10 year moratorium scaling, GPs and non-GP specialists can work in more remote locations to reduce the amount of time they are required to work in DPA and DWS areas by up to 5 years. The more remote a location is, the more scaling credits will be applied to their 10 year moratorium service requirements. Once the doctor meets the requirements of Section 19AB and 19AA, they will be able to work in any location across Australia.
What does this mean for an IMG?
As long as you are in training or working in public hospital (even as a consultant), this clause should not impact you.
The problem arises if you want to enter private practise before your moratorium ends, in which case you will not be able to access Medicare Benefits. This means that your patients will have to pay the entire fee that you charge from their own pocket. There are quite a few exemptions to this rule (which I might elaborate later)