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Navigating Australia’s Aged Care Act Reforms and Changes to Entering Residential Aged Care After 1 November 25

What the New Aged Care Act Means for Older Australians (and Their Families)

Australia’s aged care system has been under pressure for years, and the Royal Commission made it clear: things had to change. The new Aged Care Act 2024, which officially started on 1 November 2025, is a major reset. It puts older people’s rights at the centre, focuses on safer and better-quality care, and introduces a fairer way to fund the system.

If you or a loved one is thinking about entering residential aged care (a nursing home), here’s what you need to know.

Big Picture: What’s Changed?

  1. Older Australians Now Have Stronger Rights – The Act includes a legal Statement of Rights, covering dignity, safety, respect, and choice. Providers must meet stricter quality standards and report more openly on safety and care.
  2. My Aged Care Is Easier to Use – Assessments are faster, more personalised, and better supported—especially for people with dementia, Indigenous Australians, or culturally diverse backgrounds.
  3. More Support to Stay at Home – A new Support at Home Program replaces Home Care Packages, with eight levels of support to help people stay independent for longer. Existing users are protected under a “no worse off” rule.
  4. Stronger Oversight – There are tougher penalties for poor care, faster complaint handling, and better protection from neglect or financial abuse.

The Funding Overhaul: Fairer + More Transparent

The old system was confusing and didn’t always match funding with people’s real needs. The new model uses the Australian National Aged Care Classification (AN-ACC), which means:

  • Government covers ALL clinical care
    Nursing, therapy and medical needs are fully funded. No more unexpected medical bills.
  • You still pay based on income and assets
    Fees are means-tested, but the system is fairer for people with low or modest means.
  • Existing residents stay on their current arrangements
    If you entered care before 31 October 2025, nothing changes for you.

Entering Residential Care After 1 November 2025

The steps remain the same:

  1. Call My Aged Care
  2. Get an assessment
  3. Choose a provider
  4. Sign an entry agreement

But the payment rules for new residents have changed.

Accommodation Payments: What’s New?

  • RAD/DAP (Refundable Deposit or Daily Payment)
    – You can still pay a lump sum (RAD) or a daily rate (DAP).
    – Providers now keep 2% per year for up to 5 years (max 10%) to help fund upgrades and maintenance.
    – The rest is refunded when you leave.
  • Rental-Style Payments
    – Indexed twice a year
    – No retention amounts
    – If you have low means, the government still helps cover these costs.

Everyday Living Costs

  • Basic Daily Fee
    – Stays the same for everyone (~$65/day).
  • Means-Tested Care Fee
    – Helps cover personal care and activities.
    – Lifetime cap increased to $130,000.
  • New Hotelling Supplement
    – Applies only to higher-means residents
    – Pays for improved amenities
    – Capped at ~$12.55/day
  • Optional Extras
    – Things like upgraded meals or premium experiences
    – Completely optional — can’t be forced

Why These Changes Matter

The new system is designed to:

  • Give older Australians more choice
  • Deliver safer, higher-quality care
  • Reduce unexpected costs
  • Support low-income seniors
  • Make funding fair and sustainable
  • Reduce pressure on aged care homes
  • Help people stay at home longer if they want to

For more information contact My Aged Care (1800 200 422) myagedcare.gov.au or visit the official Australian Government Health website.

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