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The federal government's contentious overhaul of the National Disability Insurance Scheme has passed the senate with the coalition's support. Health minister Mark Butler has acknowledged the reforms will be hard but says they're essential to rein in the cost of the now-50 billion dollar-a-year scheme.

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00:02This bill makes changes to access and eligibility that will remove hundreds of thousands of
00:09people with disability from the NDIS and it makes drastic cuts to support. So practically
00:15we think this will lead to crisis for many people with disability and those who support us. It will
00:22have profound impacts on people with disability who will lose essential supports that they need
00:28to live an ordinary life just like anyone would expect to and it will have impacts on unpaid carers
00:34who will take on additional care. We know that this will disproportionately affect women
00:40who already face barriers to accessing the scheme and who make up the majority of unpaid carers in
00:45this country. Yeah and so an element of this is significant cuts to people's social and community
00:50participation budgets. Just explain for the average person what that actually is who might not be aware
00:57of it and what effect will that have on participants? These cuts will take away funding from people
01:04with disability that people use to go to the doctor, to go to the supermarket, to get groceries,
01:10to go to work, to leave their home. These are critical supports that support people's participation
01:17in the community, that support health and safety. Importantly these cuts won't consider an individual's
01:23personal circumstances so they won't look at whether that person has any other way to leave the home or
01:29any other kinds of supports. So we think that these cuts will drive isolation which we know increases risk
01:37of violence. The Disability Royal Commission was really clear about that so that's a particular concern
01:42for our community, women with disability who already experience higher rates of violence.
01:47And what about the hundreds of thousands of people who are going to lose access to the scheme? That's
01:53what the government has made clear is going to happen. How do you feel about this new eligibility test
01:58that is being worked on now? We are incredibly concerned about the hundreds of thousands of people
02:05who will lose access to the scheme, particularly when there is currently no alternative system, nowhere else to go.
02:11We are concerned about a new eligibility test, increasing potential barriers for people trying
02:18to access the scheme, creating new hurdles for evidence that come at a great cost. Sometimes they
02:24will cost additional medical expenses that people don't have the resources to fund. And we know for our
02:31community that women already do not have equal access to the NDIS as it is. So additional barriers could lock
02:38more women out of support. And what about those concerns over the level of support that's going
02:43to be available outside the NDIS for people with disabilities once they're removed from the scheme
02:48and the coordination with the states? We know that alternative systems of support don't exist.
02:55They don't exist at scale. They don't exist in a nationally consistent way. So the government is saying
03:01that nobody will fall between the gaps between systems. The reality is that so many people in our
03:08community, particularly women and gender diverse people with disability are already falling through
03:13these gaps in the systems. And so we need to see commitments to comprehensive, nationally consistent
03:20supports available outside the NDIS. And I'm incredibly concerned that we will see people removed from the
03:26scheme before that is the case. Yeah. So despite the concerns about this, this is happening now, the
03:32legislation has been passed or is about to be passed. So what's your strategy with helping your
03:37members adapt to this over the coming year? So we'll primarily focus on getting information out to
03:45our community to understand the changes, understand what is happening and how that will affect them,
03:51as well as how they can get support. As a representative organisation, our job is to represent the
03:57priorities and the needs of our community. And women with disability have been telling governments for
04:02decades what a good disability support system looks like. So our role will be to making sure that those
04:08voices continue to be heard.
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