The 2023 NDIS Review: What It Found

In October 2023, Professor Bruce Bonyhady AO and Lisa Paul AO delivered the final report of the independent NDIS Review to the Australian Government. The review — the most comprehensive examination of the NDIS since its creation — found that while the scheme had transformed the lives of many Australians with disability, it also faced serious challenges:

The review made 26 recommendations across five reform areas. The Australian Government accepted most recommendations "in principle" and has been progressively implementing them through legislative amendments and regulatory changes.


Legislative Changes

The NDIS reforms are being enacted through amendments to the NDIS Act 2013 and associated Rules. Key legislative changes include:

NDIS Amendment (Getting the NDIS Back on Track No. 1) Act 2024

This Act (passed in 2024) introduced several foundational changes:

Subsequent NDIS Rules amendments

The operational details of the reforms are being implemented through amendments to various NDIS Rules, including the Provider Registration and Practice Standards Rules, the Incident Management Rules, and the Worker Screening Rules. These amendments are being rolled out progressively through 2025 and 2026.


The New Registration Framework

The most significant structural change for providers is the new risk-proportionate registration framework. This replaces the current binary model (registered or unregistered) with a tiered system.

The three proposed tiers

Tier Who It's For Requirements
Enrolled Lower-risk supports (e.g., community participation, transport, household tasks) Basic registration with declaration of compliance. No audit required. Subject to Code of Conduct and complaints jurisdiction. Worker screening requirements apply.
Registered Medium-risk supports (e.g., personal care, support coordination, therapeutic supports) Current registration level with verification or certification audit against Practice Standards. Full compliance obligations.
Advanced registered Highest-risk supports (SIL, SDA, behaviour support, restrictive practices) Enhanced registration with additional requirements — more frequent audits, enhanced governance requirements, stricter worker qualification standards.

What this means for currently unregistered providers

Under the new framework, all providers delivering NDIS supports will need to be at least enrolled. The era of operating as a completely unregistered provider is ending. However, enrolment is designed to be simpler and less costly than full registration — a declaration of compliance rather than an audit.

For more detail on the registration decision, see our guide on NDIS registered vs unregistered providers.


SIL Registration Mandate

The mandatory registration requirement for SIL providers is the most immediately impactful reform for providers in 2026.

What's changing

Why the mandate exists

SIL is classified as an inherently high-risk support because:

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Practice Standards Updates

The NDIS Practice Standards are being reviewed and updated as part of the reform program. While the core structure of the Practice Standards remains, several areas are being strengthened:

Areas of focus

What providers should do

If you have existing policies and procedures mapped to the current Practice Standards, you will need to review and update them as the updated standards are published. Key areas to watch are governance documentation, incident management procedures, staff training plans, and outcome measurement frameworks.


Pricing Framework Changes

The NDIS pricing framework is also evolving. Key changes include:

For providers, the key action is to stay current with the annual Price Guide and ensure your service agreements and claiming practices reflect the latest pricing rules.


Worker Screening Updates

Worker screening requirements are being enhanced as part of the reform program:


Foundational Supports

One of the major recommendations of the NDIS Review was the creation of foundational supports — a new category of lower-level disability supports available outside an individual NDIS plan. The concept recognises that many people with disability need some level of support but do not meet the threshold for an individualised NDIS plan.

What foundational supports include

How foundational supports affect providers

Foundational supports represent a potential new revenue stream for providers. They are intended to be co-funded by the Commonwealth and state/territory governments (unlike the NDIS, which is Commonwealth-funded). The delivery model, provider requirements, and pricing for foundational supports are still being developed through pilot programs.

What foundational supports are NOT

It is important to understand that foundational supports are not a replacement for individualised NDIS plans. They are designed to complement the NDIS by providing lower-level supports to a broader group of people with disability — including those who do not meet NDIS eligibility criteria. Participants who have an NDIS plan will continue to receive their individualised supports through the scheme. Foundational supports fill the gap for people who need some level of support but do not have a plan.

Provider readiness for foundational supports

If you are interested in delivering foundational supports, consider the following preparation steps:


Reform Timeline

Date Reform Impact Level
October 2023 NDIS Review final report published (26 recommendations) Strategic
2024 NDIS Amendment Act passed; legislative framework for reforms established Legislative
2025 Progressive NDIS Rules amendments; new registration framework design finalised Regulatory
1 July 2026 SIL registration mandate takes effect — all SIL providers must be registered Critical
2026-2027 Progressive implementation of tiered registration framework Operational
2026-2027 Updated Practice Standards progressively released Compliance
2026-2028 Foundational supports pilots and rollout Opportunity

Impact on Small Providers

Small providers (1-50 staff) face particular challenges and opportunities from the reforms:

Challenges

Opportunities


Your Action Plan

Here is a practical action plan for small providers navigating the 2026 reforms:

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Important: This article provides general guidance about NDIS reforms as of April 2026. Reform details are being finalised and may change. Always verify current requirements and timelines with the NDIS Quality and Safeguards Commission and the Department of Social Services before making compliance decisions.