Senator Ruston discusses the process for approving specialist discretion pathways for first-line biologics therapy for children with Inflammatory Bowel Disease (IBD) and the timeliness of PBAC assessments.
Speakers: Senator Anne Ruston, Senator Nita Green, Unknown Speaker, Senator Ellie Whiteaker
HealthSenator Anne RustonSenator Nita GreenUnknown SpeakerSenator Ellie WhiteakerSenate Community Affairs Legislation Committee [Part 2]Supplementary Budget Estimates 2026–27Senate Community Affairs Legislation Committee [Part 2], 28 Oct 20263883
Transcript
Senator Ellie Whiteaker
>> Thank you. Then we will go to SenatorRuston.
Senator Anne Ruston
>> Thank you. Um just before I get back onPHI, I was just um um following up onsome questions that Senator PCO wasasking in in relation to um uh the IBDSo, I I was just um wondering justfollowing on and um from Senator Pop'sI suppose maybe it's more to thehas the government asked payback toconsider consider specialist discretionpathways for firstline biologics therapyand IBD for children?
Senator Nita Green
>> Um Senator, I have to take on notice ifthere hasn't been any correspondencefrom the minister. Um I think the um uhum Professor Watson um can take youthrough all the steps that Peback hasbeen taking. I will say I didn't getobviously a chance to say this whenSenator PCO was um addressing thesequestions. Um but I think I think thegovernment recognizes that um you knowif doesn't matter if your child is sickin any way [clears throat] you wouldexpect um and want um the the bestavailable treatments um uh uh that arepossible and so I think that everyonewho is working on this recognizes theimportance of ensuring that that work isdone in a timely way um and um andthat's why um feedback has beenundertaking that work
Senator Anne Ruston
>> and and I I don't think there'd beenanybody who's got a family that wouldn'tagree with you, Senator Green. But Imean, we have heard so much um at thelast estimates and again at thisestimates about the process.>> We're not talking about process here.We're talking about people and we'retalking about children. And so I supposemy question is, you know, do wereasonably think that the approvalapplicationand the process that is sitting aroundum a determination as to whether a childwith a condition that untreatedcontinues to cause ongoing damage tothat child.is the system um responding to the needsof that child? um and focusing on thebest interest of the child because we doseem to have spent a lot of time talkingabout process and not too much timetalking about the potential um physicaland emotional impact an untreatedchild with IBD particularly severe casesof IBDum or Crohn's disease. So I I maybe itis to you minister on the basis of yourprevious comment. I mean do you thinkthat the processhas beenshown to be driving in the bestinterests of these children becausewe've talked about this for some time
Senator Nita Green
>> I understand that Minister um Senatorand I think you know of course I thinkAustralians want faster access to umcutting edge medicines and affordablemedicines. I think that the the um uhthe treatment and well-being of patientsis quite central to the work thatPabback does and they if if you'reinterested in the answer can explain toyou those considerationsum which are part of the the um the workthat they are doing but of course theinterests of patients particularly umthe um children that are involved is umis is paramount as as part of those
Senator Anne Ruston
you entirely that Australians arelooking for faster access and perhapsthat's why we're all looking for aresponse to the HDA review uh whichseems to be continually kicked into thelong grasp. But look, thank you verymuch that I'm sorry I got you up forsuch a short session questions. I wasjust very keen to understand that.