Finalising Private Health Insurance (Health Benefits Fund Enforcement) Rules 2025 and Private Health Insurance (Risk Equalisation Administration) Rules 2025

The Australian Prudential Regulation Authority (APRA) is finalising the updated Private Health Insurance (Health Benefits Fund Enforcement) Rules 2025 and the Private Health Insurance (Risk Equalisation Administration) Rules 2025. These Rules are being remade as they are due to sunset on 1 October 2025.

Private Health Insurance (Health Benefits Fund Enforcement) Rules 2025

On 14 July 2025 APRA commenced a short consultation on remaking Private Health Insurance (Health Benefits Fund Enforcement) Rules 2015 with minor changes. 

No submissions were made to this consultation.

Private Health Insurance (Risk Equalisation Administration) Rules 2025

On 13 January 2025 APRA and the Department of Health and Aged Care (the Department) commenced a joint consultation on remaking a number of private health insurance rules due to sunset on 1 October 2025, including remaking Private Health Insurance (Risk Equalisation Administration) Rules 2015 with minor changes. 

Three submissions were received in response to this consultation. A minor drafting change suggested via consultation has been adopted.

Next steps

APRA will now remake Private Health Insurance (Health Benefits Fund Enforcement) Rules 2025 and Private Health Insurance (Risk Equalisation Administration) Rules 2025 as proposed. The updated rules will come into effect on 30 September 2025.

Yours sincerely
 

Suzanne Smith
Executive Board Member