Podiatrists with endorsement for scheduled medicines have been prescribing safely for decades under state and territory legislation. A nationally endorsed prescribing pathway has existed through the Podiatry Board of Australia since 2010.

Despite this, patients of endorsed podiatrists cannot access Pharmaceutical Benefits Scheme (PBS) subsidies for those medicines. Please share this article amongst your networks to support advocacy efforts.

What is the current situation?

The current Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025 expands PBS access to include authorised nurse prescribers. APodA likewise supports the inclusion of professions that are endorsed to prescribe medicines – and we are advocating for podiatry to be included.

This is about preventing patients from being forced into a second appointment simply to access affordable treatment. It is also about recognising podiatrists with endorsed prescribing rights for what they already do, safely and competently, every day.

Despite decades of safe prescribing under state and territory frameworks, and an endorsed pathway through the Podiatry Board of Australia since 2010, podiatry patients don’t have access to PBS. 

Here is just one example of what can happen if podiatry is left out of the Bill as currently drafted:

An endorsed podiatrist may diagnose a condition and determine that a medicine is urgently required – such as an antibiotic for a diabetic foot infection. Yet the patient cannot receive that medicine at a PBS-subsidised price from their podiatrist. Instead, the patient must book a second appointment with a GP or nurse practitioner purely to obtain a PBS script.

This legislative omission will result in:

  • Delays to treatment
  • Higher out-of-pocket costs for patients
  • Unnecessary duplication of care
  • Wasted GP capacity
  • Increased risk of poor outcomes, including hospitalisation.

The good news is the Australian Podiatry Association (APodA) has worked with Senator Jacqui Lambie who has sponsored an amendment to this legislation and the change to include podiatry will need to be voted in the Senate. At this stage we don’t know when it will be tabled (as of 18/03/26), but it will be soon.

What is the Australian Podiatry Association doing?

The advocacy of APodA has included many years of activities.  More recently, here are some of these activities:

APodA also alerted the podiatry community to the opportunity to lodge submissions. The response was strong. Of the 44 submissions lodged:

  • Over 30 supported an amendment to include podiatry on the PBS
  • Podiatrists shared real examples of delayed care, unaffordable medicines, and preventable hospitalisations – this was invaluable.

Supportive submissions were also lodged by:

  • The Tasmanian Government
  • The Royal Melbourne Hospital
  • SA Medical Health and Research Institute.

This advocacy is grounded in patient need, workforce capability, and alignment with national health policy.

What is the goal?

The ‘ask’ is simple: Allow endorsed podiatrists to write PBS-subsidised prescriptions for medicines they are already legally authorised to prescribe.

This does not:

  • Expand the medicines podiatrists can prescribe
  • Override state or territory law
  • Create a new scope of practice.

It simply aligns PBS access with long regulated, existing practice.

If we don’t get this, what are the risks?

To reiterate, if podiatry remains excluded:

  • Patients may continue to face delays in urgent care
  • Out of pocket costs remain unnecessarily high
  • GP clinics remain clogged with script only visits and telehealth appointments
  • Fragmented prescribing continues outside national monitoring systems
  • Podiatry patients, particularly those with complex needs, remain disadvantaged by the system.

This risk is not theoretical. Submissions have already documented poor outcomes linked to delayed access to medicines. Not only that, but the Bill itself rightly acknowledges the value of timely access via endorsed nurse prescribers.

Without the parallel inclusion of podiatrists, thousands of Australians will be left behind – particularly those with complex foot health needs, not least owing to systemic health challenges.

Why does this need to happen?

To recap, including podiatry on the PBS:

  • Improves timely access to treatment
  • Supports podiatrists to practice to their full scope
  • Reduces delays and duplications in patient care
  • Supports healthcare outcomes particularly in regional, rural and remote communities
  • Aligns with longstanding national health priorities and the recently discussed need for a National Medicines Register.
  • Strengthens medicines stewardship by ensuring podiatry is represented within standing national health priorities.
  • Ensures podiatry-issued prescriptions flow into national monitoring systems and My Health Record.
  • Creates a more coherent, more integrated approach to prescribing across the healthcare system.
  • Supports rural and remote communities where podiatrists may be the only accessible healthcare professional to issue prescriptions in support of foot health.
  • Relieves pressure on overburdened general practice clinics by removing unnecessary script-only visits or telehealth visits.

Importantly, this is a low-cost, low-risk reform. Modelling by the Australian Podiatry Association estimates:

  • $2.4 million in PBS expenditure over five years
  • Offset by reduced Medicare spending from avoided duplicate GP visits.

Thank you to members

This advocacy is only possible because of member support. Membership enables APodA to:

  • Produce high quality evidence
  • Draw on national expertise
  • Engage directly with federal decision-makers
  • Speak with authority on behalf of the profession.

This is what being “at the table” looks like. Thank you to so many members who directly and indirectly support these outcomes.

This entire undertaking is about pushing for a more efficient health system – and standing up for fairness, safety, and common sense. What remains at stake is not only the recognition podiatrists deserve but the accessible care patients need.

What can members do right now?

The Senate still needs to vote on this bill, and individual senators respond to constituent voices. A direct, personal letter from a podiatrist — someone on the frontline of patient care — carries real weight.

To make it as easy as possible for you to take action, we have prepared two members-only resources to help you write to your local senator today. Click the links below to download (you must be logged in to access):

Customisable letter template to send directly to your senator.

List of senators and their contact information.

You can also help by:

  • Sharing your experiences — email us at advocacy@podiatry.org.au with your patient stories or examples of how the PBS gap has affected your practice.
  • Amplifying our social posts — like, comment and share our posts on FacebookInstagram and LinkedIn to help spread awareness of this inequity.

We will continue to keep you updated through our monthly newsletters and emails as the bill progresses through the Senate.

Do you have an interest in medicines and prescribing?

This advocacy work also highlights the importance of strong professional support for podiatrists who prescribe, or who are working towards endorsement. The APodA Medicines in Podiatry Special Interest Group (SIG) plays a critical role in supporting members across every stage of the prescribing journey – from early interest, through endorsement, to advanced practice.

The Medicines in Podiatry SIG is a member‑exclusive community designed to build confidence, capability and connection around medicines use in podiatry.

Why join the Medicines in Podiatry SIG?

Members of the SIG gain access to:

  • Mentorship and guidance to support endorsement pathways and safe prescribing practice
  • Opportunities to become a mentor, contributing to the development of peers and the profession
  • Targeted education, resources and updates focused specifically on medicines and prescribing in podiatry
  • A discounted subscription to eMIMS, supporting evidence‑based clinical decision‑making
  • Access to the member‑only Medicines in Podiatry Facebook Group, providing peer discussion, shared experience and case‑based learning.

Together, these benefits support podiatrists to practise confidently, safely and to their full endorsed scope.

More information

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