June 2021: Update on the Bonded Medical Program
The Department is actively working with affected individuals to address the issues that arose during the early implementation of the statutory Bonded Medical Program (the Program) in 2020 and to minimise the impacts for them.
Whilst it will take some time to finalise up to 2,000 participant requests, the Department reaffirms the commitment that it will take a ‘no disadvantage’ approach to resolve the issues.This process is well underway. The Department is and will be in contact with individuals to advise that their case has been allocated to a case manager. We appreciate your patience as we carefully work through each case.
The June 2021: Update on the Bonded Medical Program answers the following questions:
- What progress has the Department made?
- How will the Department resolve these issues?
It also contains more information on the following:
- Advice on deferrals and simultaneous work approvals for legacy scheme participants
- Bonded Medical Program information
- More flexibility for Bonded Participants, including those from legacy schemes
- Enquiry response times
Health Workforce Locator
The annual updates of the Distribution Priority Areas (DPA) and the Districts of Workforce Shortage (DWS) for specialists are available from 1 July 2020.
To view these updates, please select the DPA or DWS Classification Filters, and enter an address into the DoctorConnect Health Workforce Locator.
The Government’s Bonded Programs have been in operation since 2001. The statutory Bonded Medical Program (the Program) commenced on 1 January 2020. Up to that point, there were two legacy schemes - the Medical Rural Bonded Scholarship (MRBS) Scheme and the Bonded Medical Places (BMP) Scheme – which are both now closed. Legacy scheme participants can request to opt in to the Program. Since 1 January 2020, successful new medical student applicants have entered the Program directly.
The Program provides students a Commonwealth Supported Place (CSP) in a medical course at an Australian university in return for a commitment to work in eligible regional, rural and remote areas for a specified period after completion of their medical course. This commitment is referred to as a Return of Service Obligation (RoSO).
The Program is a critical component of the Government's Stronger Rural Health Strategy to ensure that the Australian trained medical workforce is well-distributed, flexible and targeted to areas of most need. The Department acknowledges the commitment made by participants to regional, rural and remote Australia.
Existing participants may request to opt in by emailing BRoSS@health.gov.au and are subject to an eligibility check.
Information and useful resources
There are a variety of fact sheets, frequently asked questions and links to resource material available on the Bonded Medical Program Resource page.
Key features of the reformed Bonded Medical Program
The key features of the Program are:
- a standard three (3) year Return of Service Obligation (RoSO) to be completed over an eighteen (18) year period. Participants of the BMP scheme 2016-2019 cohort who have a twelve (12) month RoSO will keep this under the new arrangement
- replacement of the individual contract/deed of agreement with a statutory scheme
- a Program specific web portal, the Bonded Return of Service System (BRoSS) to provide self-service management of RoSO
- a wide range of options as to when, where and how you choose to complete your RoSO within the Program’s time frame and requirements. 18 months can be completed pre-fellowship and 18 months completed post fellowship. RoSO can be non-continuous, full or part-time work, and fly-in/fly-out work in eligible locations may be counted towards RoSO
- more choice and more locations with participants able to complete their RoSO in Modified Monash Model (MMM) 2-7 locations, and in Distribution Priority Areas (DPA) for General Practitioners or District of Workforce Shortage (DWS) for Specialists for their medical speciality
- no restrictions on working in areas which are not eligible for RoSO during the 18-year period
Participants of the Program are bound by Part VD of the Health Insurance Act 1973 (Act) and must abide by the Health Insurance (Bonded Medical Program) Rule 2020 (Rule).
The timelines set by the Health Insurance (Bonded Medical Program) Rule 2020 (Cth) that require the participant to provide information and evidence under sections 15 and 16 are delayed until 30 June 2021.
The Department has implemented a transition period where the participant’s obligations to provide information and upload evidence are delayed until BRoSS is fully functional. The Rule has been amended to formally establish this transition period, which means current participants of the Medical Rural Bonded Scholarship (MRBS) and Bonded Medical Places (BMP) schemes who are opting in to the Program cannot be liable for any administrative penalty arising out of not complying with time frames set out in the Rule.
Participants who wish to keep their Program reporting obligations up-to-date may email BRoSS@health.gov.au
Bonded Return of Service System (BRoSS)
The Bonded Return of Service System (BRoSS), the Department's web portal, is being developed to support the Program. BRoSS will allow bonded students and doctors to self-manage their RoSO and identify eligible locations where they can work.
Self-management of RoSO including planning and recording of events are currently in development and will be released progressively.
Role of Rural Workforce Agencies Rural Workforce Agencies
Rural Workforce Agencies (RWA) in the relevant State or Territory will provide support to Program participants. RWAs can assist with placement into rural roles that are eligible for RoSO. They will also provide information about professional development, rural medical network support and access to grants.