Hon David Cunliffe
Government Bill
177—2
As reported from the Health Committee
Commentary
Key
1 Title
2 Commencement
Part 1Preliminary provisions, roles and responsibilities
Subpart 1—preliminary provisions
3 Purpose
4 Interpretation
5 Act to bind the Crown
Subpart 2—Functions of Minister
6 Functions of Minister
Subpart 3—Functions of Director-General
Functions of Director-General
7 Functions of Director-General
8 Powers of direction
9 Form of direction to organisation
10 Delegation of functions or powers
Annual report on state of public health
11 Director-General must produce annual report on current state of public health
Health protection officers and medical officers of health
12 Health protection officers and medical officers of health
13 Exercise of certain powers
Health districts
14 Health districts
Responsibility for public health in certain areas
15 Responsibility for public health in areas outside jurisdiction of local authorities
Appointing or acting as medical officer of health
16 Director-General may act as or must appoint medical officer of health
Subpart 4—Functions of Director of Public Health
Functions of Director of Public Health
17 Functions of Director of Public Health
18 Director of Public Health may provide advice or reports to Minister
Subpart 5—Public health functions of DHBs
19 Public health functions of DHBs
Subpart 6—Reporting and advice functions of medical officers of health
19A Reporting functions of medical officers of health
19B Medical officer of health may provide advice or reports to DHB
Subpart 7—Duties of local authorities and environmental health officers
19C General powers and duties of territorial authorities in respect of public health
19CA Collaboration between local authorities and DHBs
19D Duty of territorial authority to have environmental health officers
19E Provisions governing appointments
19F Functions of environmental health officers
Part 2Health information, notification, reporting, and cervical screening
Subpart 1—Health information
20 Interpretation
21 Disclosure of health information
22 Duty to provide health information
23 Duty to provide information for purposes of blood collection
24 Communication of information for diagnostic and other purposes
25 Anonymous health information
26 Regulations as to retention of health information
Subpart 2—Inspection of records to verify compliance with subsidy authorisations, etc
27 Interpretation
28 Inspection of records to verify compliance with subsidy authorisation or subsidy claim
29 Inspection of provider records to verify compliance with the pharmaceutical schedule
30 Contravention of section 28 or 29 an offence
Subpart 3—Notification and reporting
31 Duty to report matters that constitute public health risk
32 Medical practitioner or specified person must notify notifiable condition
33 Laboratory must notify notifiable condition
34 Laboratory must notify notifiable contaminants
35 Person who obtains result of test of sample overseas must notify contaminant
36 Notifiable conditions in animals
37 Power of Governor-General to amend schedules
38 Temporary specification of notifiable condition
39 Duty of confidentiality and authorised disclosure of identifying particulars obtained from report or notification
40 Medical officer of health may authorise disclosure of notification information
41 Duty to provide information regarding obligations to report and notify
42 Offence to fail to report or notify as required
43 Regulations
Subpart 4—National Cervical Screening Programme
44 Purpose
45 Interpretation
Operation of NCSP
46 Appointment of persons to operate NCSP
47 Objectives of NCSP
48 Enrolment in NCSP
49 Duties of NCSP manager that relate to enrolled women
50 Procedure to prevent or cancel enrolment in NCSP
51 Duties of NCSP manager when women cancel enrolment in NCSP
52 Procedure to re-enrol in NCSP
53 Certain information held by NCSP must not be disclosed
54 Delegation of functions and powers
Duties to provide information to women and to NCSP
55 Duties of persons taking specimens for screening tests
56 Duty of persons performing colposcopic procedure
57 Duty of laboratories where specimens are analysed
Review of NCSP and duty of Director-General to report
58 Establishment of NCSP review committee
59 Work of review committee
60 Review committee’s access to information
61 Report by review committee
62 Duty of Director-General to report
Screening programme evaluators
63 Meaning of evaluate
64 Director-General may designate screening programme evaluators
65 Criteria for designating employees of Ministry
66 Criteria for designating non-employees of Ministry
67 Power of screening programme evaluators to access specimens and health information
68 Duties of screening programme evaluators
69 Duties of persons to whom evaluation material is supplied by screening programme evaluator
70 Screening programme evaluator may publish non-identifiable information obtained during evaluation
Duties to provide information to screening programme evaluators
71 Duty of health practitioners
72 Duty of persons who hold specimens
73 Duty of hospitals
Miscellaneous
74 Screening programme employees may retain, access, use, and disclose information to perform functions
75 Regulations
76 Incorporation of standards by reference in regulations
77 Application of Standards Act 1988 not affected
78 Offences under this subpart
Part 3Non-communicable diseases
Subpart 1—Interpretation
79 Interpretation
Subpart 2—Principles
80 Principles
Subpart 3—Codes of practice and guidelines
81 Director-General may issue codes of practice or guidelines
82 Prior consultation required
83 What code of practice or guidelines may provide
83A Code of practice must state objectives and targets or measures
84 Codes of practice and guidelines to avoid overlap with enactments
85 Compliance with code of practice or guidelines may be advertised with permission of Director-General
86 Incentives for compliance with codes of practice or guidelines
87 Codes of practice and guidelines not legally enforceable
Subpart 4—Review of this Part
88 Report to Minister
Subpart 5—Regulations
88A Consultation by Minister if no significant progress in achieving objective of code or guidelines
88B Minister may recommend regulations
88C Regulations
Part 4Management of conditions posing health risks
Subpart 1—Application, overarching principles, and role of District Courts
Application
89 Application
Overarching principles
90 Principles to be taken into account
91 Least restrictive alternative
92 Respect for individuals
93 Individual to be informed
Role of District Courts
94 Proceedings under this Part in District Courts to be heard by Family Court Judges, if practicable
94A Proceedings under this Part not open to public
94B Court may appoint lawyer to act for individuals under 16
Subpart 2—Directions that may be given to individuals believed to have specified conditions
Kinds of direction that may be given
95 Directions that may be given to manage health risk posed by condition to which this Part applies
96 Duration of directions
97 Direction for medical examination
98 Direction requiring contacts to stay in specified place
99 Directions in respect of educational institutions
General provisions concerning directions
100 Repeated directions may be given
101 Directions may be varied or rescinded
102 Written directions and notices to be served on individual
103 Appeal against direction
Compliance with directions
104 Duty to comply
105 Force not permissible
Subpart 3—Orders to protect against health risks
Urgent health risk orders
106 Medical officer of health may make urgent health risk order
107 Duration of urgent health risk order
General provisions concerning orders by Court
108 Matters that Court may take into account in assessing health risk
109 Relationship between directions and court orders
Health risk orders
110 Prior consultation with individual and individual’s family or whanau
111 Case conferences
112 Application for health risk order
113 Health risk order
114 Order may impose certain requirements on individual
115 Duration of order or requirements
116 Health risk order may be extended
Medical examination orders and orders concerning contacts
117 Order for medical examination
118 Court may make health risk order contingent on examinations proving positive
119 Order for contacts
General provisions concerning orders
120 Court may cancel or vary orders
121 Medical officer of health and individual may agree on variation
122 Appeals to High Court
123 Appeals to Court of Appeal
124 Enforcement of order by medical officer of health
125 Offence not to comply with order
Subpart 4—Offence to recklessly spread notifiable disease or other notifiable condition
126 Person must not recklessly spread notifiable disease or other notifiable condition
127 Defences
Subpart 5—Residence orders in respect of persons in need of care
Jurisdiction of District Court
128 District Court may make residence order
Application for residence order
129 Application for residence order
130 Action under other enactment
131 Prior consultation by medical officer of health
132 Case conferences
Duration, further applications, and appeals
133 Duration of residence order
134 Residence order may be extended
135 Court may cancel or vary residence order
136 Appeals
Subpart 6—Contact tracing
Interpretation
137 Interpretation
Purpose of subpart
138 Purpose of subpart
Counselling contacts of individual with condition to which this Part applies
139 What contact tracing involves
140 Meaning of relevant officer
141 Appropriateness of contact tracing
142 Individual with condition to which this Part applies to provide certain information
143 Consideration as to whether contact tracing can be undertaken by individual
144 When relevant officer may undertake contact tracing
145 Medical officer of health may direct certain persons to provide information
146 Duty of confidentiality
147 Medical practitioner or medical officer of health may delegate powers, duties, and functions
148 Status of delegations
149 Offence to fail to comply with direction to provide required information
Subpart 7—Disclosure of communicable condition to partners and household members
150 Interpretation
151 Medical practitioner or prescribed person may disclose certain matters to close associates
152 Medical practitioner or prescribed person may consult with medical officer of health
Part 5Public health role of local authorities
Subpart 1—Reporting
153 General powers and duties of territorial authorities in respect of public health
154 Regional Councils may be required to provide Director-General or DHB with reports
155 Territorial authorities may be required to provide DHBs with reports
156 Provisions relating to reports
157 Duty of territorial authority to have environmental health officers
158 Provisions governing appointments
159 Functions of environmental health officers
Subpart 2—Provision of sanitary services
160 Sanitary services defined
161 Matters to be considered before directions given
162 Minister may direct territorial authority about sanitary services
162A Proposals for complying with direction under section 162
163 Grants and subsidies for refuse disposal works, sewerage works, and water supplies
164 Establishment of mortuaries and disinfecting stations
165 Duties of territorial authorities as to burials
Subpart 3—Control of nuisances
166 Nature of nuisance
167 Duties of territorial authority
168 Inspections to ascertain existence of nuisance
169 Offence to cause or permit nuisance
170 Provisions of this subpart do not limit other rights
171 Rectification orders
172 Buildings or dwellinghouses unfit for human occupation
173 Effect of order under section 172
174 District Court Judge may view place and summon owner or occupier
175 Breach of order is offence
176 On default of owner, territorial authority must carry out work
177 Power to stop nuisance without notice
178 Interim closure of dwellinghouse posing serious risk to public health
179 Nuisance caused by act or default outside district
180 Recovery of expenses and costs of territorial authority
Medical officer of health may step in if territorial authority’s response unsatisfactory
181 Inadequate response to nuisance representing significant health risk
182 Medical officer of health may take enforcement action
Authorised activities
183 Determinations permitting activities not affected
183 Authorised activities
Subpart 4—Bylaws
184 Public health bylaw defined
185 Consultation required before territorial authority makes public health bylaw
186 Bylaws
187 Application of other enactments to bylaws
188 Local Government Act 2002 amended
152A Public health bylaws
Subpart 5—Reviews of territorial authorities and intervention by Minister
189 Review of territorial authorities
190 Non-performance by territorial authority
191 Order for mandamus
Subpart 6—Relationship of this Part with certain other enactments
192 Action under certain other enactments to be preferred
193 Bylaws under this Part prevail over other bylaws
Part 6Regulated activities
Subpart 1—Objective of this Part and regulations of activities posing risk to public health
194 Objective
194AA This Part does not apply merely because of continuation of existing regulations
194AA Expiry of section 194AA
194A Minister may recommend making of regulations
194B Regulations in respect of activities
194C Incorporation by reference
Subpart 2—Duties of operators of activities
195 Duty to comply with this Part
196 Taking of all practicable steps to prevent risks to public health
197 Consent holder must advise relevant consent authority of important changes
198 Persons carrying on regulated activities must assist assessors and designated officers in exercise of powers
199 Periodic compliance assessments of operators of activities
Subpart 3—Applications for, and granting of, consents
200 Application of subpart
201 Person proposing to carry on regulated activity must apply to relevant consent authority
202 Application to be accompanied by payment and public health risk management plan, if required
203 Consent authority to obtain report and respond to application within 20 working days
204 Grant of application
205 Provisional consent may be granted
206 Advice about non-compliance and requests for further information
207 Renewal of consent
208 Amendments to public health risk management plan may be required on renewal
209 Applicant for consent or renewal must advise consent authority of important changes
210 Administrative charges
Subpart 4—Cancellation of consents by consent authority and surrender of consents
211 Mandatory cancellation
212 Discretionary cancellation
213 Steps to be taken before consent cancelled
214 Surrender of consent
Reviews and appeals
215 Review of refusal or cancellation
216 Appointment of reviewer and conduct of review
217 Reconsideration by consent authority
218 Right of appeal
219 Notice of right of appeal
220 Decisions to have effect pending determination of appeal
221 Procedure on appeal
222 Court’s decision final
223 Court may refer matter back for reconsideration
224 Orders as to costs
225 Appeal on question of law
Subpart 5—Public health risk management plan
226 Director-General must publish guidelines
227 When approved public health risk management plan required
228 Contents of public health risk management plan
229 Public health risk management plan to be approved by assessor
229A Public health risk management plan to be approved by consent authority
230 Duration of plans
231 Review and renewal of plans
Subpart 6—Records of consents
232 Records
233 Director-General may keep nationwide record
234 Form of record
235 Information to be recorded
236 Amendments of records
237 Cancellation, etc, of entries
238 Inspection of records
Subpart 7—Amendments to Schedule 3 and regulations
239 Minister may recommend amendment to Schedule 3
240 Recommending additions to Schedule 3
241 Recommending removals from Schedule 3
242 Amendment to Schedule 3
243 Regulations in respect of regulated activities
244 Incorporation by reference
Subpart 8—Assessors
Appointment of assessors
245 Appointment of assessors
245A Geographical areas in respect of which assessors appointed
246 Surrender of appointment
Directory of assessors
247 Directory of assessors
248 Matters to be contained in directory
249 Territorial authority must supply information on assessors to Director-General
Functions, duties, and powers of assessors
250 Functions of assessors
251 Accountability of assessor for performance of functions
252 Duty of assessor to disclose potential conflict of interest
253 Powers of assessors
254 Restrictions on entry
255 Requirement for warrant to enter dwellinghouse or marae
256 Review of decisions of assessors
Replacement of assessors
257 Consent holder must not replace assessor without consent of consent authority
Regulations relating to assessors
258 Regulations
Part 7Emergencies and border health
Subpart 1—Emergencies
259 Minister may declare emergency
260 Duration of declaration by Minister
261 Minister may amend or revoke declaration
262 Minister must review need for declaration
263 Health emergency declared by Order in Council
264 When emergency powers may be exercised
265 State of emergency under other enactments
266 General emergency powers
267 Safeguards for persons isolated or subject to quarantine under section 266(1)(g)
268 Emergency power relating to redirection of aircraft
269 Emergency powers relating to closure of premises and restriction of association
270 Condition relating to orders made under section 269
271 Powers of medical officer of health to requisition things
272 Power of entry and inspection
273 Power to require information
274 Non-compliance with requisition offence
275 Power of members of police to assist medical officer of health
276 Offences relating to obstructing medical officer of health or people assisting medical officer of health
277 Medical officer of health may cause sanitary works to be undertaken
278 Priority for medicines
279 Offences against sections in this subpart
Subpart 2—Border health
280 Interpretation
281 Director-General may designate points of entry
Quarantine
282 Places of inspection for ships
283 Affected places
284 Ships and aircraft liable to quarantine
285 Persons liable to quarantine
286 People liable to quarantine to comply with directions and supply information
287 Detention of craft and people for inspection
288 Lifting of detention of craft
289 Powers and duties of medical officer of health or health protection officer in relation to quarantinable conditions
290 Surveillance of certain people liable to quarantine
291 Grounds of appeal
292 Notice of appeal
293 Powers of District Court on appeal
294 Children and people with incapacity
295 When liability of craft to quarantine ceases
296 When liability of persons to quarantine ceases
297 Restrictions applying while craft liable to quarantine
298 Quarantine signal for ship
299 Inspection of craft liable to quarantine
300 Ship’s declaration of health
301 Aircraft declaration of health
302 Ship arriving from affected place
303 Ship with quarantinable condition on board
304 Grant of pratique
305 Medical officer of health or health protection officer may order craft to another port or airport
306 Affected baggage, cargo, or stores
307 Decontamination, disinfection, and fumigation of craft
308 Ship sanitation certificates
309 Power to board any ship and inspect
Departure of persons and craft from New Zealand
310 Persons with quarantinable condition about to leave New Zealand
311 Persons with quarantinable condition about to leave New Zealand to supply information and comply with directions
312 Inspection of ship or aircraft departing from New Zealand
Miscellaneous provisions
313 Inspection of points of entry
314 Power to obtain information about craft, freight, and passengers
315 Offences involving ships or aircraft
316 Offences against sections in this subpart
317 Strict liability and defence to offences under section 316
318 Penalties for offences under section 316
319 Health risk orders
320 Power to arrest without warrant
321 Subpart 1 and this subpart operate independently
322 Regulations about risks to public health at border
Part 8Miscellaneous provisions
Health impact assessments
323 Purpose of health impact assessments
324 Health impact assessments
325 Copy of health impact assessment must be supplied to Director-General
General powers of entry and inspection
326 General power of entry and inspection
327 Requirement for warrant to enter dwellinghouse or marae
Examination of children
328 Examination of children at early childhood centres and schools
Compliance orders
329 Medical officer of health or health protection officer or environmental health officer may issue compliance order
330 Compliance with compliance order
331 Form and content of compliance order
332 Appeals
333 Stay of compliance order pending approval
334 Variation and cancellation of compliance order
335 Appeals against decision on change or cancellation of compliance order
336 Failure to comply with compliance order is offence
Incorporation by reference
337 Incorporation of material by reference into regulations and compliance documents
338 Effect of amendments to, or replacement of, material incorporated by reference
339 Proof of material incorporated by reference
340 Effect of expiry of material incorporated by reference
341 Requirement to consult
342 Access to material incorporated by reference
343 Acts and Regulations Publication Act 1989 not applicable to material incorporated by reference
344 Application of Regulations (Disallowance) Act 1989 to material incorporated by reference
General provisions about search warrants
345 Application of sections 346 to 351
346 Application for search warrant
347 Mode of application for search warrant
348 Form and content of search warrant
349 Transmission of search warrant
350 Retention of documents
351 When search warrant is executed
General provisions about entry and search powers
352 Application
353 Entry and search powers
354 Powers of persons called to assist
355 Powers and duties of person exercising entry and search power
356 Inventory of items seized
357 Compliance with certain provisions may be deferred in certain circumstances
358 Further extension to, or dispensation from, obligation to comply with certain provisions
358A Entry of defence areas
General
359 Evidence of authority of medical officer of health or health protection officer
360 Building Act 2004
361 Protection of persons acting under authority of Act
362 Obstruction of officers
363 Compensation for property requisitioned or destroyed or damaged
364 Director-General may order post-mortem examination
365 Attendance of medical officer of health at meetings of local authorities
366 Expenses of local authorities
Service of documents
367 Service of documents
Offences generally
368 General penalty for offences
369 Strict liability
370 Defences
371 Additional penalty for certain offences for commercial gain
372 Liability of principal for acts of agents
373 Offences punishable on summary conviction
Regulations about public health generally
374 Regulations about public health generally
375 Regulations about needles and syringes and related products
376 Regulations about housing improvement and overcrowding
377 Special provisions as to regulations
378 Transitional regulations
379 Expiry of section 378
380 Regulations and other enactments having effect under this Act
381 Expiry of section 380
Transitional provisions
382 Bylaws
383 Existing health districts continue
384 Director of Public Health continues in office
385 Medical officers of health continue in office
386 Health protection officers continue in office
387 Other designated persons continue in office
388 Environmental health officers continue in office
389 Personal information
390 Civil proceedings relating to nuisances
391 Requirements to clean, repair, or close premises
392 Consents relating to offensive trades and stock saleyards
393 Specified requirements
394 Tuberculosis Act 1948
395 Ongoing matters under Part 3 or 4 of Health Act 1956
Related amendments to other enactments
395A Amendments to Epidemic Preparedness Act 2006
395B Interpretation
395C Inserting references to epidemic disease in principal Act
395D New sections 27 and 28 and Schedule added
27 Power of Governor-General to amend Schedule
28 Temporary specification of epidemic disease
396 Amendments to New Zealand Public Health and Disability Act 2000
Repeals and consequential amendments
397 Repeals and revocations
398 Consequential amendments
Schedule 1Notifiable conditions and epidemic diseases
Schedule 1 Notifiable conditions
Schedule 2Notifiable contaminants
Schedule 3Regulated activities
Schedule 3ANew Schedule added to Epidemic Preparedness Act 2006
Schedule 4Repeals and revocations
Schedule 5Consequential amendments
Legislative history
The Parliament of New Zealand enacts as follows: