Calls for Sustainable NDIS Reforms
Disability advocates are urging the Australian government to avoid cutting essential services in its upcoming May budget. This comes as some members of the Labor Party are pushing for a complete overhaul of the National Disability Insurance Scheme (NDIS). The government has stated that significant efforts are underway to manage the rising costs of the $50 billion disability support program, which is increasing by more than 10 per cent annually.
A key component of the government’s strategy involves mandatory registration for providers of supported independent living. These services can include personal care and assistance with daily tasks such as showering, dressing, and cooking. The aim is to reduce the growth rate of the program by half.

Currently, most service providers under the NDIS are not registered, and the new registration process will require them to meet higher standards in terms of quality, safety, and worker training. This move is intended to ensure that the program remains effective and efficient while maintaining high levels of care.
The discussion around reforming the NDIS should extend beyond cost management and involve a major redesign of the scheme. This includes addressing difficult issues such as eligibility criteria, according to Mike Freelander, a Labor backbencher and paediatrician. Freelander emphasized that the NDIS was originally designed for individuals with severe disabilities and that it is crucial to maintain this focus.
“We need to be quite black and white about it,” he said. “There are going to be people who will be very angry with us, but we need to try and keep that to a minimum.”
Government’s Approach to Cost Management
Cabinet minister Michelle Rowland confirmed that the government is exploring ways to control the growing costs of the NDIS. She stated that extensive work is being done to make the program more sustainable.
“Extensive work is being done to bring that (growth rate) onto a more sustainable footing,” she said.
However, disability advocates warn that any reductions in services should not compromise the care provided to participants. Megan Spindler-Smith, acting chief executive of People With Disability Australia, highlighted the importance of ensuring the NDIS remains sustainable without leaving individuals without necessary support.
“If we don’t make sure that the NDIS is sustainable, we really understand that has long-term implications,” she said. “But we need to make sure that we’re not creating a situation where people with a disability are kind of thrown into a void where they have access to no supports whatsoever.”
Long-Term Vision for the NDIS
Prime Minister Anthony Albanese acknowledged the positive impact the NDIS has had on participants’ lives but stressed the need for long-term sustainability. He stated that the government aims to ensure the scheme is “fit for purpose” and will approach the budget in the same way as other important initiatives.
“We want to make sure that it’s fit for purpose … we’ll be working on the budget like we do on other items for that,” he said.
Opposition NDIS spokeswoman Melissa McIntosh agreed that an “overhaul” of the scheme is necessary but cautioned against making cuts to eligibility as a means of reducing costs. She warned that such measures could lead to “cost shifting” and potentially harm the program’s effectiveness.
“When you’re trying to tidy up and minimise the types of disability that is covered by the scheme, (you) risk having cost shifting,” she said.




















