Senate debates

Wednesday, 6 September 2006

Answers to Questions on Notice

Question No. 1796

3:05 pm

Photo of Lyn AllisonLyn Allison (Victoria, Australian Democrats) Share this | | Hansard source

Pursuant to standing order 74(5), I ask Senator Kemp, the Minister representing the Minister for Human Services, for an explanation as to why an answer has not been provided to question on notice No. 1796, which I asked on 15 May.

Photo of Rod KempRod Kemp (Victoria, Liberal Party, Minister for the Arts and Sport) Share this | | Hansard source

Senator Allison was kind enough to indicate that she was going to ask for an explanation as to why this question had not been answered. Senator Allison, I regret to say I do not have an explanation for why it has not been answered, but I do have the answer! I therefore seek leave, Mr President, to incorporate the answer in Hansard.

Leave granted.

The answer read as follows—

QUESTION NUMBER: 1796

SENATOR ALLISON asked the Minister representing the Minister for Health and Ageing, upon notice, on 15/5/2006:

With reference to the proposed new access card for health and welfare services:

(1) (a)
What proportion of the estimated savings of up to $3 billion over 10 years is estimated to be due to fraud; and (b) can a breakdown of the figures relating to fraud be provided.
(2) (a)
What data is available on the number of fraud incidences per year for each of the 17 health and social services programs within the Human Services portfolio that will be covered by the new access card; and (b) can this information be provided broken down by the type of fraud and program for the past 5 years.
(3)
For the past 5 years, what is the estimate of annual funds illegally obtained through fraud for each of the 17 health and social services programs within the Human Services portfolio that will be covered by the new access card (can this information be provided broken down by the type of fraud and program).
(4)
What proportion of funds is illegally obtained through fraud by: (a) service providers and their employees; (b) service users; and (c) other members of the public intent on defrauding the government.

The Minister for Human Services has provided the following answer to the honourable senator's question:

(1)
The health and social services access card was not introduced as a savings measure. The savings estimate of up to $3 billion over 10 years was developed by KPMG on the basis of high level estimates of fraud and leakage, particularly in Centrelink and Medicare Australia.

(2)(a) & (b) and (3)

Medicare Australia

The available data relating to the number of fraud incidences for Medicare Australia is shown in Table 1 below. This data is not available for 2001-02 and has thus not been provided.

Medicare Australia investigates over two hundred new cases of suspected fraud each year. Where fraud can be proven, the matter is referred to the Commonwealth Director for Public Prosecution. Proven incidences of fraud are categorised only by provider, pharmacist or patient. Further categorisation by type of fraud would require close examination of case files and would be a significant project for which Medicare Australia has no assigned resources.

Table 1: Number of incidences of fraud investigated by Medicare Australia

2002-03 financial year

2003-04 financial year

2004-05 financial year

2005-06 financial year

(year to April)

MBS

PBS

Other*

Total

MBS

PBS

Other*

Total

MBS

PBS

Other*

Total

MBS

PBS

Other*

Total

New

investigations created

220

0

0

220

239

0

0

239

194

27

3

224

212

67

2

281

CDPP referrals

13

2

13

28

31

10

21

62

46

2

3

51

39

12

2

53

Prosecutions

26

0

0

26

56

0

0

56

40

1

1

42

20

5

1

26

*Other includes referrals that were not specifically categorised at the time and would require analysis of old cases to ascertain the relevant category – a project for which Medicare Australia has no assigned resources.

Medicare Australia is unable to provide an estimate of the funds illegally obtained through fraud.

Centrelink

Information regarding the number of convictions recorded for welfare fraud is available only for the entitlement to payments. The available information is shown below in Tables 2 to 6.

Table 2: Centrelink prosecution activity 2000-01 . A total of 2,788 convictions were recorded for welfare fraud involving $26.4 million for the 2000-01 financial year. Of those cases prosecuted, 98.8 per cent were convicted.

Centrelink Prosecution activity, 1 July 2000 to 30 June 2001.

Social Security/Family Assistance Acts

Crimes and Criminal Code Acts

Output

Output

Convictions

Amount Involved

No.

No. [1]

$'000

1.1

Family Assistance

27

621

1.2

Youth and Student Support

73

426

2.1

Housing Support

1

45

3.1

Labour Market Assistance

2,397

22,053

3.2

Support for People with a Disability

141

2,184

3.3

Support for Carers

23

192

3.4

Support for the Aged

36

859

Special Circumstances [2]

90

0

Total

2,788

26,381

Notes:

[1] 98.8% of cases prosecuted resulted in a conviction.

[2] Non-customers prosecuted for failure to provide information and for being knowingly concerned in customers' offences.

Table 3: Centrelink prosecution activity 2001-02. A total of 2,856 convictions were recorded for welfare fraud involving $27.9 million for the 2001-02 financial year. Of those cases prosecuted, 98.7 per cent were convicted.

Centrelink prosecution activity, 1 July 2001 to 30 June 2002

Social Security/Family Assistance Acts

Crimes and Criminal Code Acts

Output

Convictions

Amount Involved

No. [1]

$'000

1.1

Family Assistance

19

330

1.2

Youth and Student Support

161

1,170

2.1

Housing Support

1

14

3.1

Labour Market Assistance

2,448

22,849

3.2

Support for People with a Disability

145

2,295

3.3

Support for Carers

24

238

3.4

Support for the Aged

40

984

Special Circumstances [2]

18

0

Total

2,856

27,880

Notes:

[1] 98.7% of cases prosecuted resulted in a conviction.

[2] Non-customers prosecuted for failure to provide information and for being knowingly concerned in customers' offences.

Table 4: Centrelink prosecution activity 2002-03. A total of 2,829 convictions were recorded for welfare fraud involving $30.9 million for the 2002-03 financial year. Of those cases prosecuted, 98 per cent were convicted.

Centrelink prosecution activity, 1 July 2002 to 30 June 2003.

Social Security/Family Assistance Acts

Crimes and Criminal Code Acts

Output

Convictions

Amount Involved

No. [1]

$'000

1.1

Family Assistance

26

875

1.2

Youth and Student Support

235

1,816

3.1

Labour Market Assistance

2,193

21,200

3.2

Support for People with a Disability

242

4,556

3.3

Support for Carers

38

427

3.4

Support for the Aged

60

1,931

Special Circumstances [2]

35

138

Total

2,829

30,943

Notes:

[1] 98% of cases prosecuted resulted in a conviction.

[2] Non-customers prosecuted for failure to provide information and for being knowingly concerned in customers' offences.

Table 5: Centrelink prosecution activity 2003-04. A total of 2,977 convictions were recorded for welfare fraud involving $36.6 million for the 2003-04 financial year. Of those cases prosecuted, 98 per cent were convicted.

Centrelink prosecution activity for FaCS Payments, 1 July 2003 to 30 June 2004.

Social Security/Family Assistance Acts

Crimes and Criminal Code Acts

Output

Convictions

Amount Involved

No. [1]

$'000

1.1

Family Assistance

17

622

1.2

Youth and Student Support

404

3,276

3.1

Labour Market Assistance

2,100

23,798

3.2

Support for People with a Disability

331

6,032

3.3

Support for Carers

32

534

3.4

Support for the Aged

73

2,331

Special Circumstances [2]

20

29

Total

2,977

36,622

Notes:

[1] 98% of cases prosecuted resulted in a conviction.

[2] Non-customers prosecuted for failure to provide information and for being knowingly concerned in customers' offences.

Table 6: Centrelink prosecution activity 2004-05. A total of 3,446 convictions were recorded for welfare fraud involving $41.1 million for the 2004-05 financial year. Of those cases prosecuted, 98 per cent were convicted.

Centrelink prosecution activity by Payment, 1 July 2004 to 30 June 2005

Student Assistance/Social Security/Family Assistance Acts

Crimes and Criminal Code Acts

Payment

Convictions

Amount Involved

No. [1]

$

Age Pension [2]

72

2,508,114

Austudy Payment

108

1,185,713

Carer Payment

37

628,959

Disability Support Pension [3]

320

6,023,874

Newstart Allowance [4]

1,608

14,050,518

Parenting Payment Partnered

80

836,437

Parenting Payment Single

740

11,202,412

Widow Allowance

19

305,585

Youth Allowance

379

3,223,657

Other [5]

83

1,185,466

Total

3,446

41,150,735

Notes:

[1] 98% of cases prosecuted resulted in a conviction.

[2] Age Pension includes Wife's Pension (Age) and Widow B Pension.

[3] Disability Support Pension includes Wife's Pension (Disability Support).

[4] Newstart Allowance includes Newstart Mature Age Allowance.

[5] Other includes Abstudy, Sickness Benefit, Special Benefit, Family Payment and Partner Allowance.

(4)
This information is not available from either Centrelink or Medicare Australia.