Parliament House Press Conference Transcript Monday 10 February 2025
10/02/2025
SENATOR THE HON KATY GALLAGHER
MINISTER FINANCE
MINISTER FOR WOMEN
MINISTER FOR THE PUBLIC SERVICE
MINISTER FOR GOVERNMENT SERVICES
E&OE TRANSCRIPT
PRESS CONFERENCE
PARLIAMENT HOUSE
MONDAY, 10 FEBRUARY 2025
SUBJECTS: Labor's more than 50 million just last week through the one-year health agreement and that will no doubt help to support some of those services. I'll leave it to the ACT government to explain their budget position. But as a former Chief Minister, I understand it's a small budget with a lot of demands on it. But I think if you look around the country and indeed you look at the Commonwealth budget, you will find similar demands being placed. We'll always try and do the right thing by state and territory governments. We like to work with them rather than fight with them, because we believe that gets the best outcomes for the Australian people.
JOURNALIST: Minister Gallagher, you've obviously done a lot for women over the weekend, half a billion-dollar investment, your government is also working very hard for disabled Australians on foundational supports. There is concern that there's not as much being done for mental illness in the last couple of years, it's slipped out of focus since COVID. What would you say to that?
GALLAGHER: I wouldn't accept that. Certainly, I think Mark Butler as the Health Minister has inherited a portfolio with a lot of unmet need right across the board. I think there's always more investments that you can make in health. It's one of those areas in the budget that really doesn't have a finite point. Because you know, as you invest and deal in say, bulk-billing and hospitals and training health packages and listing medicines on the PBS and all of those things, there's always more areas to do more. But I would say, mental health has been absolutely funded appropriately. Some of the investments that Mr Dutton always calls wasteful expenditure would cover areas like mental health in the health budget. And Mark, I know, it's a particular area of his and no doubt we'll have more to say on that as we work through the course of this year.
JOURNALIST: Minister, just on the women's health package, there's been some criticism that it doesn't address a recommendation of the inquiry into reproductive access in terms of equipping state hospitals to provide surgical terminations. Can we just get a response to that criticism and are you able to explain the rationale behind that?
GALLAGHER: So, the Commonwealth area of responsibility is in access to medical terminations. And we've seen a threefold increase in access to medical termination procedures or treatments through Medicare, which is really important and has come up from time to time, particularly for those women that live outside major capital cities and other areas where surgical termination is more accessible. On the hospital front, the approach we've taken is to fund the hospitals. So, the Commonwealth, as a big funder of hospitals, we've provided the states with the resources that they need to run their hospitals and then they make decisions about the services they provide. Some will provide public access to termination. Many will provide access to late-term abortions, particularly when the health of the mother or baby is at risk. And you know, between that, I guess the approach we've come to is that we're coming from medical and surgical, and together improving access to women who want to, or need to, have a termination of pregnancy.
JOURNALIST: Your response, Minister Butler's response to this, is that hospitals are a state government responsibility. So, for people listening who do remember 2019 Labor had a policy to tie public hospital funding to the provision of terminations. To be clear, was that bad policy? It's a state government responsibility now, it was something you were willing to do in 2019. What's changed?
GALLAGHER: Well, that was six years ago. And what we've done and in this whole area of women's health, is spent two years talking with women about what they need, the areas that they believe they aren't getting fair opportunities, and we've tried to address them. There's always more that you can do, but in our approach to hospitals, we don't tell them, for example, that they really do any procedure - because we don't operate the hospitals. We don't have an understanding of the staff that they have working at public hospitals. And not all hospitals around the country offer the same types of services. It's dependant on their workforce. So, the fact that we don't operate them, we don't have line of sight on a lot of those operational matters, means that we've taken the approach of funding the hospitals as much as we can in accordance with state and territory wishes. And they've all signed up to that. And then making sure on our side of the ledger, which is access to the medications needed for a medical termination, that we're doing the right thing there.
JOURNALIST: In terms of addressing that recommendation, then, is it about ongoing conversations with the states? Or what's the federal government's plan going forward?
GALLAGHER: Sure. I mean, the Health Minister engages with counterparts around the country, and women's health is always the key area of focus, which Minister Butler started in the job. So, that will continue. Those discussions about accessibility to healthcare generally, that is the focus of health ministers. So, that will continue, as will discussions about hospital funding, as will discussions about how we invest in Medicare to make sure that across the country, we're providing the best range of services. Hopefully many of them bulk-billed, so that people are able to access them.
JOURNALIST: Senator Smith, you were part of the Senate inquiry that was going to issues around menopause and perimenopause. The weekend's announcement for hormone funding is one part of this issue, but the report that you contributed to recommended a range of things, from better data collection, evidence-based awareness campaigns. Where do you see the government has to go next in terms of addressing this issue that obviously affects half of the population?
MARIELLE SMITH, SENATOR FOR SOUTH AUSTRALIA: So, Clare, a lot of the measures you refer to in our inquiry were included in today's announcement, including the public education campaign. And what we heard throughout the course of the inquiry, overwhelmingly, was two things. One, when women go to see their GP, they didn't feel like they were getting the support they needed. And two, when they weren't getting support for their symptoms, this could impact them in the workplace. The package that we announced on the weekend will go a long way to ensuring that women get that good-quality healthcare support and therefore continue to participate in the workplace where their symptoms have been troubling and made that difficult to do.
JOURNALIST: Is there a view, then, on what some have called for in terms of an extra leave entitlement, like reproductive leave?
SMITH: So, our committee didn't call for reproductive leave. What we said was we needed to look at that more closely. And women told us overwhelmingly that when it came to their participation in the workplace, all those women with troubling symptoms - and to be clear, it's not all women - but for those women with troubling symptoms, small changes make a really big impact. So it might be, if you're an office worker, having a desk fan at your desk. It might be, if you're working in a supermarket, having a breathable uniform rather than a polyester one. So, those changes can make a very big impact. It's a small number of women in industries where those changes aren't necessarily available to them, whether there's a broader question about leave, so we didn't find definitively that menopause leave was the answer there. It was about the changes we could make. And that goes to health as well, because if you're not getting good support from your GP, you're not getting the medicines you need, you're not getting good quality advice on how to manage troubling symptoms, then that will affect your participation in the workforce. The Labor government has announced an amazing package which will make that much more accessible to women, much better care from better-trained doctors, to be frank, in providing menopause and perimenopause support, and more places to get that support. Because we know too many women shopping around for a GP, not able to get the advice they need. By providing more training, by expanding clinics endo clinics to include menopause care, we'll get some really great results here for women because this is what they asked for and I'm really proud the Labor government's delivering.
JOURNALIST: Around HRT, I believe the medicines added to the PBS were gels and oral pills. Obviously, a lot of women use patches and patches have been subject to shortages. Do you have any insight on whether patches will also come under the PBS or is that something the government's working on?
GALLAGHER: So, the announcement we made yesterday was responding to priority areas. So, that was based on feedback that we got from women and from health professionals and other stakeholders through the work that Ged Kearney had done. There are some current hormone replacement treatments on the PBS. This is to add extra ones in. And yeah, there is always more that we can do in this space. And we continue to work with Ged and with the Women's Health Advisory Council, on first steps that we can take. This announcement yesterday was about those three treatments, various treatments, and those new oral contraceptive treatments being on the PBS. Thank you.
ENDS