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Reform tracker · New Zealand

Health Practitioners Competence Assurance Amendment Bill

New Zealand's bill would let the Health Minister direct the health regulators on policy and let a ministerial committee overturn registration refusals. Parliament has since been dissolved for the November 2026 election.

Status note: Introduced 18 May 2026. Parliament was dissolved on 1 October 2026 for the 7 November election, and we could not confirm that the bill had its first reading. Whether it proceeds depends on the next Parliament.

The stated rationale

The Cabinet paper says the framework is "outdated, inflexible and too slow", criticises "unnecessarily high standards" including "long training programmes, strict supervision requirements" and "patch protection", and states that "workforce regulation is not a supply control tool". The bill grew out of the government's Putting Patients First review, which promised "right-sized" regulation.

What the bill would do

  • Let the Minister issue policy directions to the health regulators, modelled on how Ministers direct Crown agents. The Cabinet paper notes Australian health Ministers have similar powers.
  • Add Crown-agent-style planning and reporting.
  • Create a ministerial committee that can overturn refusals of registration or conditions on practice.
  • Remove the Māori-specific wording from the cultural competence function.
  • Allow interim suspension without notice where there is a risk of serious harm.

It does not merge the regulators. Paragraphs of the Cabinet paper that follow its criticism of “18 separate profession-funded regulators” are withheld.

Why it matters for psychologists

The Cabinet paper names physician associates and “associate psychologists” as new professions, and says regulators “have sometimes been slow to adapt … due to professional resistance or lack of direction from government”. A Minister with power to direct the Psychologists Board on policy would be a significant change for the profession.

The fair reading

In our view, New Zealand’s government uses right-touch-style language more openly than the others. But the classic right-touch model relies on independent assessment of risk, while this bill relies on ministerial direction. That is why, as we see it, the main criticism here is about political control of regulators rather than lighter touch as such.

Who supports it

  • Government (the bill is in the name of Health Minister Simeon Brown)

Who has raised concerns

  • ASMS, the senior doctors' union: "standards chop and change with every new government"
  • Authors of an NZMJ viewpoint on the 2025 Putting Patients First proposals (equity and Te Tiriti o Waitangi)
  • Pharmacy Council (2025): said some consultation suggestions could increase risk to public safety

Sources

  1. Cabinet paper: Policy approval for amendments to the HPCA Act (decided August 2025, released September 2025)
  2. Putting Patients First consultation summary (2025)
  3. Ministry of Justice: Bill of Rights advice on the Bill (dated March 2026, published May 2026)
  4. ASMS: Minister's attack on Medical Council sets dangerous precedent
  5. Pharmacy Council: Putting Patients First consultation summary (May 2025)
  6. Newsroom (opinion, Ian Powell): Simeon Brown's health practitioners bill puts political whims ahead of public safety (Aug 2026)
  7. NZMJ viewpoint: Equity, regulation and Te Tiriti o Waitangi: a rapid review of Putting Patients First

Further reading

Newsroom (opinion, Ian Powell) · 19 Aug 2026

Simeon Brown's health practitioners bill puts political whims ahead of public safety

An opinion piece by Ian Powell, former executive director of ASMS, arguing New Zealand's HPCA Amendment Bill gives the Health Minister too much power over independent health regulators.

Why it matters: Captures what we see as the main criticism in New Zealand: political control of regulators, rather than lighter-touch regulation as such.

News & commentaryExternalRegulator independence
New Zealand Cabinet paper · Aug 2025

Policy approval for amendments to the Health Practitioners Competence Assurance Act

The New Zealand government's case for reform. It criticises 'unnecessarily high standards', long training and strict supervision, 'patch protection' and siloed regulators, and names associate psychologists among new professions it says regulators have been slow to adapt to, citing 'professional resistance or lack of direction from government'.

Why it matters: A strikingly direct statement of what the government believes is wrong with professional regulation. It mentions psychology once, naming associate psychologists as a new profession.

Official reportExternalRegulator independence