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This is a Bill, not an Act. For current law, see the Acts databases.


Health Legislation Amendment (Information Sharing) Bill 2023

     Health Legislation Amendment (Information
                  Sharing) Act 2023
                               No.       of 2023


                       TABLE OF PROVISIONS
Clause                                                        Page

Part 1--Preliminary                                              1
 1       Purposes                                               1
 2       Commencement                                           2
 3       Principal Act                                          2
Part 2--Amendment of Health Services Act 1988                    3
 4       New Part 6C inserted                                   3
Part 3--Consequential amendment of Health Records Act 2001       19
 5       Consequential amendment of Health Records Act 2001     19
Part 4--Repeal of this Act                                       20
 6       Repeal of this Act                                     20
                               ═════════════
Endnotes                                                        21
 1       General information                                    21




                                     i
      Health Legislation Amendment
     (Information Sharing) Act 2023  
                    No.          of 2023

                           [Assented to                           ]


The Parliament of Victoria enacts:

                Part 1--Preliminary
     1 Purposes
             The main purposes of this Act are--
              (a) to amend the Health Services Act 1988--
                   (i) to establish a centralised electronic
                       system to enable public hospitals and
                       other specified health services to share
                       specified patient health information for
                       the purpose of providing medical
                       treatment to patients; and


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Health Legislation Amendment (Information Sharing) Act 2023
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                    Part 1--Preliminary


                (ii) to provide for public hospitals and other
                     specified health services to collect and
                     disclose specified patient health
                     information to the Secretary for the
                     purpose of establishing and maintaining
                     the Electronic Patient Health
                     Information Sharing System; and
          (b) to consequentially amend the Health
              Records Act 2001.
2 Commencement
    (1) Subject to subsection (2), this Act comes into
        operation on a day or days to be proclaimed.
    (2) If a provision of this Act does not come into
        operation before 7 February 2024, it comes into
        operation on that day.
3 Principal Act
         In this Act, the Health Services Act 1988 is
         called the Principal Act.




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988



Part 2--Amendment of Health Services
            Act 1988
4 New Part 6C inserted
         After Part 6B of the Principal Act insert--

              'Part 6C--Electronic Patient
               Health Information Sharing
                         System
                     Division 1--Definitions
     134ZE Definitions
               In this Part--
               Electronic Patient Health Information
                    Sharing System means the system
                    established under section 134ZF;
               health information has the same meaning as
                    in the Health Records Act 2001;
               participating health service means--
                      (a) an ambulance service within the
                          meaning of the Ambulance
                          Services Act 1986; or
                      (b) a denominational hospital listed in
                          Schedule 2; or
                      (c) a metropolitan hospital listed in
                          Schedule 3; or
                      (d) a multi purpose service; or
                      (e) a public health service listed in
                          Schedule 5; or
                      (f) a public hospital listed in
                          Schedule 1; or




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


                      (g) a registered community health
                          centre; or
                      (h) the Victorian Institute of Forensic
                          Mental Health established by
                          section 610 of the Mental Health
                          and Wellbeing Act 2022; or
                      (i) a residential care service within
                          the meaning of the Aged Care
                          Act 1997 of the Commonwealth
                          that provides State funded
                          residential aged care services,
                          including State funded residential
                          aged care homes but not including
                          supported residential services
                          within the meaning of the
                          Supported Residential Services
                          (Private Proprietors) Act 2010;
                          or
                      (j) the Victorian Collaborative Centre
                          for Mental Health and Wellbeing
                          established by section 640 of the
                          Mental Health and Wellbeing
                          Act 2022; or
                      (k) a prescribed entity or a prescribed
                          class of entity that provides health
                          services;
               Privacy Management Framework means the
                    Privacy Management Framework
                    established under section 134ZT;
               specified patient health information means
                    health information specified in a notice
                    published in the Government Gazette
                    under section 134ZH that is about a
                    person who is or has been a patient in,
                    or has received health services from, a
                    participating health service, but does



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      Part 2--Amendment of Health Services Act 1988


                     not include a unique identification
                     number assigned by the participating
                     health service to that person.

           Division 2--Electronic Patient Health
               Information Sharing System
     134ZF Electronic Patient Health Information
           Sharing System
         (1) The Secretary must establish and maintain
             the Electronic Patient Health Information
             Sharing System for the purposes of--
                (a) collecting specified patient health
                    information required to be given to the
                    Secretary under this Part; and
                (b) disclosing that information to
                    participating health services for the
                    purpose of providing medical treatment
                    to a person.
         (2) The Secretary is to keep the Electronic
             Patient Health Information Sharing System
             in a form to be determined by the Secretary.
     134ZG Content of Electronic Patient Health
           Information Sharing System
               The Electronic Patient Health Information
               Sharing System must contain any specified
               patient health information required to be
               given to the Secretary by a participating
               health service under this Part.
     134ZH Notice of health information required to
           be given to the Secretary
         (1) The Secretary, by notice published in the
             Government Gazette, may specify health
             information to be given to the Secretary by a
             participating health service for the purposes



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      Part 2--Amendment of Health Services Act 1988


               of the Electronic Patient Health Information
               Sharing System.
         (2) The Secretary may also specify in the notice
             published under subsection (1) a relevant
             date in relation to health information
             specified in the notice, being not earlier than
             3 years before the commencement of this
             Part.
         (3) A participating health service must give to
             the Secretary--
                (a) the health information specified in a
                    notice published under subsection (1)
                    that it holds about a person who is or
                    has been a patient in, or has received
                    health services from, the participating
                    health service, if it was collected by the
                    participating health service on or after
                    the relevant date specified for that
                    information; and
                (b) the unique identification number
                    assigned by the participating health
                    service to a person referred to in
                    paragraph (a).
         (4) The participating health service must give
             the health information and unique
             identification numbers referred to in
             subsection (3) to the Secretary--
                (a) within 5 days after the publication of
                    the notice; or
                (b) by any later date specified in the notice.
      134ZI Health information collected after
            publication of notice
         (1) A participating health service must give to
             the Secretary--



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      Part 2--Amendment of Health Services Act 1988


                (a) the health information specified in
                    any notice published under section
                    134ZH(1) that it collects after the
                    publication of that notice about a
                    person who is or has been a patient in,
                    or has received health services from,
                    the participating health service; and
                (b) the unique identification number
                    assigned by the participating health
                    service to a person referred to in
                    paragraph (a).
         (2) The participating health service must give
             the health information and unique
             identification numbers referred to in
             subsection (1) to the Secretary within 5 days
             after the information is collected.
     134ZJ Direction to comply with notice
         (1) If a participating health service has not
             complied with section 134ZH(4) or
             134ZI(2), the Secretary may give a written
             direction to a participating health service
             that requires the participating health
             service to give to the Secretary the health
             information or any unique identification
             number required to be given under section
             134ZH(4) or 134ZI(2).
         (2) The direction may specify the manner and
             form in which the health information or
             unique identification number referred to in
             subsection (1) is to be given to the Secretary.
         (3) Subject to section 134ZK, a participating
             health service must comply with a direction
             given under this section within 3 months
             after the direction is given.




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      Part 2--Amendment of Health Services Act 1988


     134ZK Extension of time to comply with notice
         (1) A participating health service to which a
             direction under section 134ZJ has been given
             may request that the Secretary extend the
             time for the health service to comply with
             the direction.
         (2) The Secretary, by written notice given to the
             participating health service, may grant an
             extension to a participating health service for
             a specified period of not more than 6 months
             after the direction is given.
         (3) If the Secretary grants an extension to a
             participating health service, the health
             service must comply with the direction
             within the time specified in the notice.
     134ZL No consent required
         (1) A participating health service may collect,
             use or disclose specified patient health
             information as permitted or authorised by
             this Part without the consent of the person to
             whom the information relates.
         (2) The Secretary may collect, use or disclose
             specified patient health information as
             permitted or authorised by this Part without
             the consent of the person to whom the
             information relates.




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      Part 2--Amendment of Health Services Act 1988


            Division 3--Access to the Electronic
            Patient Health Information Sharing
                          System
    134ZM Access to, use and disclosure of
          information held in Electronic Patient
          Health Information Sharing System for
          provision of medical treatment
               A person employed or engaged by a
               participating health service and who is
               authorised by that health service may access
               the Electronic Patient Health Information
               Sharing System and use and disclose
               specified patient health information for the
               purpose of providing medical treatment to a
               person.
     134ZN Access to and use of information for
           purposes of establishing and maintaining
           Electronic Patient Health Information
           Sharing System
         (1) A person employed or engaged by a
             participating health service and who is
             authorised by that health service may access
             the Electronic Patient Health Information
             Sharing System and use specified patient
             health information for the purposes of--
                (a) giving the information to the Secretary
                    as required by sections 134ZH, 134ZI,
                    134ZJ and 134ZK; and
                (b) information security and data
                    management.




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      Part 2--Amendment of Health Services Act 1988


         (2) In this section and section 134ZO--
               information security and data management
                    means--
                      (a) examination and analysis of
                          information contained in the
                          Electronic Patient Health
                          Information Sharing System to
                          the extent reasonably required
                          for the purpose of verifying the
                          accuracy of that information; and
                      (b) examination and analysis of
                          information to the extent
                          reasonably necessary to ensure
                          the Electronic Patient Health
                          Information Sharing System
                          operates securely and effectively.
     134ZO Secretary authorised to access Electronic
           Patient Health Information Sharing
           System and use and disclose specified
           patient health information
         (1) The Secretary, or a person employed or
             engaged and authorised in writing by the
             Secretary, may access the Electronic Patient
             Health Information Sharing System and use
             and disclose specified patient health
             information for the following purposes--
                (a) establishing, maintaining and operating
                    the Electronic Patient Health
                    Information Sharing System;
                (b) undertaking information security and
                    data management in relation to the
                    Electronic Patient Health Information
                    Sharing System;




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


                (c) otherwise ensuring that the Electronic
                    Patient Health Information Sharing
                    System operates securely and
                    effectively.
         (2) The Secretary, or a person employed or
             engaged and authorised in writing by the
             Secretary, may use unique identification
             numbers given to the Secretary under this
             Part for the following purposes--
                (a) establishing, maintaining and operating
                    the Electronic Patient Health
                    Information Sharing System;
                (b) undertaking information security and
                    data management in relation to the
                    Electronic Patient Health Information
                    Sharing System;
                (c) otherwise ensuring that the Electronic
                    Patient Health Information Sharing
                    System operates securely and
                    effectively.

                      Division 4--Offences
     134ZP Offence of unauthorised access to
           Electronic Patient Health Information
           Sharing System
         (1) A person must not knowingly access the
             Electronic Patient Health Information
             Sharing System unless the person is
             authorised under this Part to access the
             Electronic Patient Health Information
             Sharing System.
               Penalty: 240 penalty units or 2 years
                        imprisonment.




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


         (2) Subsection (1) does not apply if--
                (a) the person is authorised or required by
                    or under this Act or any other Act to
                    access the Electronic Patient Health
                    Information Sharing System; or
                (b) the person is required to access the
                    Electronic Patient Health Information
                    Sharing System by law.
         (3) For the purposes of subsection (2)(a),
             "any other Act" does not include the Health
             Privacy Principles in the Health Records
             Act 2001 or Part 3 or Part 5 of that Act.
     134ZQ Offence of access to Electronic Patient
           Health Information Sharing System for
           unauthorised purpose
         (1) A person who is authorised under this Part
             to access the Electronic Patient Health
             Information Sharing System must not access
             the Electronic Patient Health Information
             Sharing System other than in accordance
             with this Part.
               Penalty: 240 penalty units or 2 years
                        imprisonment.
         (2) Subsection (1) does not apply if--
                (a) the person accesses the Electronic
                    Patient Health Information Sharing
                    System as authorised or required by
                    or under any other Act; or
                (b) the person is required to access the
                    Electronic Patient Health Information
                    Sharing System by law.




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      Part 2--Amendment of Health Services Act 1988


         (3) For the purposes of subsection (2)(a),
             "any other Act" does not include the Health
             Privacy Principles in the Health Records
             Act 2001 or Part 3 or Part 5 of that Act.
     134ZR Offence of unauthorised use or disclosure
           of specified patient health information
         (1) A person who is authorised under this Part
             to access the Electronic Patient Health
             Information Sharing System must not use or
             disclose specified patient health information
             obtained by that person from the Electronic
             Patient Health Information Sharing System
             other than in accordance with this Part.
               Penalty: 240 penalty units or 2 years
                        imprisonment.
         (2) Subsection (1) does not apply if--
                (a) the use or disclosure of the specified
                    patient health information is expressly
                    authorised or required by or under any
                    other Act; or
                (b) the use or disclosure of the specified
                    patient health information is authorised
                    by law.
         (3) For the purposes of subsection (2)(a),
             "any other Act" does not include the Health
             Privacy Principles in the Health Records
             Act 2001 or Part 3 or Part 5 of that Act.
         (4) This section applies whether or not the use or
             disclosure would otherwise be permitted
             under section 141.




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


              Division 5--Disapplication of the
              Freedom of Information Act 1982
     134ZS Freedom of Information Act 1982 does not
           apply
                (1) The Freedom of Information
                    Act 1982 does not apply to--
                      (a) a document given to the Secretary
                          for the purposes of complying
                          with a notice under section 134ZH
                          or 134ZI or a direction under
                          section 134ZJ; or
                      (b) the Electronic Patient Health
                          Information Sharing System.
                (2) In this section--
                     document has the same meaning as in
                         the Freedom of Information
                         Act 1982.

              Division 6--Privacy Management
                        Framework
     134ZT Minister must establish Privacy
           Management Framework
         (1) The Minister, by order published in the
             Government Gazette, must establish a
             Privacy Management Framework for the
             Electronic Patient Health Information
             Sharing System as soon as practicable after
             the day on which this Part comes into
             operation.
         (2) In establishing the Privacy Management
             Framework, the Minister must consult with
             the following persons and bodies in relation
             to whether certain health information or
             classes of health information should require



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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


               additional levels of protection under the
               Privacy Management Framework--
                (a) relevant groups and organisations that
                    represent the interests of patients, carers
                    or health care workers;
                (b) any relevant public sector body within
                    the meaning of the Public
                    Administration Act 2004;
                (c) participating health services.
         (3) The Privacy Management Framework
             must--
                (a) specify categories of health information
                    that are sensitive in nature and include
                    a process to safeguard that information;
                    and
                (b) include a process to safeguard the
                    identity of patients who may be at risk
                    of harm, including patients who
                    identify as being at risk of family
                    violence; and
                (c) include a process to facilitate patients
                    accessing reports that specify who has
                    accessed their health information
                    through the Electronic Patient Health
                    Information Sharing System; and
                (d) include a process for regular audits and
                    compliance checks of the Electronic
                    Patient Health Information Sharing
                    System.
         (4) The Privacy Management Framework takes
             effect on--
                (a) the day on which it is published in the
                    Government Gazette; or




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


                 (b) a later day as specified in the order.
         Note
         Section 41A of the Interpretation of Legislation Act 1984
         provides that the power to make an instrument includes the
         power to repeal, revoke, rescind, amend, alter or vary the
         instrument in the exercise of that power.
     134ZU Compliance with Privacy Management
           Framework
                Any person who is authorised or permitted
                under this Part to access the Electronic
                Patient Health Information Sharing System
                must comply with the Privacy Management
                Framework to the extent reasonably
                practicable.

          Division 7--Independent review of this
                         Part
     134ZV Independent review by expert panel
         (1) The Minister must cause an independent
             review of the operation of this Part,
             including the Privacy Management
             Framework, to be conducted by an expert
             panel after the second anniversary of the day
             on which this Part comes into operation.
         (2) The independent review must examine and
             make recommendations in relation to the
             following--
                 (a) whether health information is
                     sufficiently protected;
                 (b) which health services should be
                     participating health services for the
                     purposes of this Part;
                 (c) the misuse of specified patient health
                     information;




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      Part 2--Amendment of Health Services Act 1988


                (d) the costs of compliance and the
                    administrative burden imposed on
                    participating health services by this
                    Part;
                (e) whether the Electronic Patient Health
                    Information Sharing System is
                    operating as intended.
         (3) The independent review may examine and
             make recommendations in relation to the
             following--
                (a) current issues and trends relating to
                    health information systems;
                (b) data management;
                (c) information technology security;
                (d) patient privacy;
                (e) any other relevant matter.
         (4) The independent review must be completed
             no later than the third anniversary of the day
             on which this Part comes into operation.
         (5) The Minister must cause a copy of a report
             of the independent review to be laid before
             each House of Parliament no later than 3
             sitting days after the day on which the final
             report of the independent review is given to
             the Minister.
         (6) The Minister must consider any
             recommendations made by the independent
             review, including any recommendations to
             amend this Act, and within 18 months of
             receiving the final report--
                (a) implement the recommendations made
                    by the independent review; or




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Health Legislation Amendment (Information Sharing) Act 2023
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      Part 2--Amendment of Health Services Act 1988


                (b) advise Parliament why the
                    recommendations have not been
                    implemented.
    134ZW Appointment of expert panel
         (1) For the purposes of section 134ZV, the
             Minister must appoint 3 persons to form the
             expert panel.
         (2) The Minister must ensure that each person
             appointed to the expert panel has experience
             in one or more of the following--
                (a) human rights and privacy matters;
                (b) legal and regulatory compliance;
                (c) health information systems;
                (d) clinical care;
                (e) health care quality and patient safety;
                (f) consumer or patient advocacy.
         (3) The Minister must not appoint a person to
             the expert panel if the person is--
                (a) a current employee or executive officer
                    of a registered political party within the
                    meaning of the Electoral Act 2002; or
                (b) a current or former member of
                    Parliament.'.




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   Health Legislation Amendment (Information Sharing) Act 2023
                        No.      of 2023
   Part 3--Consequential amendment of Health Records Act 2001



Part 3--Consequential amendment of Health
           Records Act 2001
   5 Consequential amendment of Health Records
     Act 2001
            After section 14E of the Health Records
            Act 2001 insert--
          "14F Health information collected or held by
               the Electronic Patient Health Information
               Sharing System
            (1) Nothing in HPP 1.3 or 1.5 applies to the
                collection of health information by the
                Secretary for the purposes of the Electronic
                Patient Health Information Sharing System
                established by Part 6C of the Health
                Services Act 1988.
            (2) Nothing in Part 5 or HPP 6 applies to health
                information held by the Secretary in the
                Electronic Patient Health Information
                Sharing System established by Part 6C of
                the Health Services Act 1988.".




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Health Legislation Amendment (Information Sharing) Act 2023
                     No.      of 2023
                  Part 4--Repeal of this Act



          Part 4--Repeal of this Act
6 Repeal of this Act
          This Act is repealed on 7 February 2025.
   Note
   The repeal of this Act does not affect the continuing operation of
   the amendments made by it (see section 15(1) of the
   Interpretation of Legislation Act 1984).
                 ═════════════




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         Health Legislation Amendment (Information Sharing) Act 2023
                              No.      of 2023
                                        Endnotes



                                    Endnotes
1 General information
  See www.legislation.vic.gov.au for Victorian Bills, Acts and current
  authorised versions of legislation and up-to-date legislative information.
   
      Minister's second reading speech--
      Legislative Assembly:
      Legislative Council:
      The long title for the Bill for this Act was "A Bill for an Act to amend the
      Health Services Act 1988 to establish a centralised electronic system to
      enable public hospitals and other specified health services to share
      specified patient health information, to make consequential amendments
      to the Health Records Act 2001 and for other purposes."




                 By Authority. Government Printer for the State of Victoria.




                                            21


 


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