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MA000027 · Award resource hub

Health Professionals Award (MA000027): both 2026 pay rises, and every date that matters

One table for every dated change to the award's classification structure and minimum rates — the July wage increase, the 1 October 2026 reclassification of health professionals, and the staged increases running to 2030 — plus the reason the October reclassification never reaches your front desk.

The health professional reclassification takes effect from 1 October 2026. It reaches each employee from the start of their first full pay period beginning on or after that date, so a clinic whose fortnight begins on 5 October changes on 5 October.

Culture of One · Written by Shane Gunaratnam, Founder · Last updated 24 September 2026

What this award is, and who it covers

MA000027 — the Health Professionals and Support Services Award 2020 — is the award a private allied health practice in Australia is normally covered by. It covers employers in the health industry for the classifications set out in its Schedule A, and it covers health professionals occupationally. Coverage attaches to those classifications rather than to everyone an employer happens to engage, so the practice's industry is not on its own the answer for every role on the payroll. The list of professions the award names in Schedule B.3 is indicative: the Fair Work Commission has said that schedule does no more than provide an indicative list of common health professionals and their qualifications, and that it does not define the extent of the award's coverage.

Source: MA000027 clause 4.1; [2026] FWCFB 123 at [20] (held)

One award, two populations, two different years

The single most useful thing to know about MA000027 in 2026 is that it holds two separate classification structures, and only one of them is changing.

  • Health professionals covered by the award — physiotherapists, occupational therapists, exercise physiologists, psychologists, speech pathologists, podiatrists, dietitians and the rest — are being reclassified. From 1 October 2026 the structure moves from pay points to AQF level and years of experience in the profession, and the new minimum rates phase in over five stages to 2030.
  • Support Services employees — reception, administration, clerical and cleaning staff — are not. They keep the classification structure they have now, and their award minimum rates move once a year with the Annual Wage Review.

Which half of that split you are in decides everything else on this page.

Key dates: what moves in MA000027, 2026 to 2030

DateWhat happensWho it reachesWhere it comes from
1 July 2026The Annual Wage Review increase to the award's minimum rates took effect, from the first full pay period that started on or after 1 July 2026. The current figures are published in the Fair Work Ombudsman's Pay Guide for MA000027, effective 1 July 2026.Both streamsFair Work Ombudsman Pay Guide, MA000027, effective 01/07/2026, published 24 June 2026
1 October 2026The new health professional classification structure and the first stage of the new minimum rates come into operation. For any individual employee the change takes effect from the start of their first full pay period starting on or after 1 October 2026 — so if your pay period does not begin on 1 October, it starts later that month.Health professionals[2026] FWCFB 123 at [80] (held); the determination, Part B
1 October 2026Every health professional employed on 30 September 2026 translates into the new structure, at that same first full pay period. For an employee classified at Level 1 or Level 2 on 30 September, the award does the translation in the fourteen tables at cl J.4.1(a)–(n), one per AQF level and qualification entry pathway: take the table for the AQF level their profession carries under Schedule B and the pathway they entered on, then read across from the classification and pay point they held on 30 September. Where that pay point does not reflect their years in the profession — not years with that employer — the clause’s own words govern and the table’s answer has to be checked against them. An employee classified at Level 3 or Level 4 is classified on the roles and duties they perform and how long they have performed them. No award minimum falls: the minimum for that employee becomes the higher of the minimum for their translated classification and the minimum that applied to their previous classification under the award on 30 September 2026.Health professionalsMA000027 cl J.4.1 (previous Levels 1–2), cl J.4.2 (previous Levels 3–4) and cl J.4.3 (the higher-of-two-minimums rule), all inserted by PR814029 ppc 01Oct26 and now in the consolidated award
30 June 2027Second of the five stages of the phased increase to health professional minimum rates.Health professionals[2026] FWCFB 123 at [80] (held)
30 June 2028Third stage of the phased increase.Health professionals[2026] FWCFB 123 at [80] (held)
30 June 2029Fourth stage of the phased increase.Health professionals[2026] FWCFB 123 at [80] (held)
30 June 2030Fifth and final stage. From this date the new minimum rates are fully in.Health professionals[2026] FWCFB 123 at [80] (held)
Every 1 JulyWhere the Annual Wage Review varies modern award minimum wages, the variation applies to this award as it does to any other. The staged health professional increases sit on top of it: the Commission rejected any submission that they be absorbed into Annual Wage Review increases, because absorbing them would defeat the purpose of the correction.Both streams[2026] FWCFB 123 at [76] (held)
No changeNone of the October change and none of the phase-in reaches employees classified in the award's Support Services stream — reception, administration, clerical and cleaning staff. The new classification structure and the AQF schedule are written for Health Professional employees. Clause 16.1 continues to apply to Support Services staff and the Commission made no findings that would require it to be amended. Their award minimum rates move once a year, with the Annual Wage Review.Support Services[2026] FWCFB 123 at [73] (held); determination cl B.2; MA000027 clause 16.1

One thing the table cannot settle. The 1 October 2026 figures published with the May 2026 decision are stated before the 2026 Annual Wage Review, and the Commission said a further determination would be published after that review to incorporate any changes flowing from it. Read the published determinations and the Pay Guide for operative figures rather than computing them from the decision's tables.

Source: [2026] FWCFB 123 at [97] (held)

Knowing the dates is not the same as being ready for them

Everything on this page is free, and none of it is behind a form. The table above is the whole schedule, and the articles below it work through what each change means.

The work the table cannot do for you is the one-employee-at-a-time part: placing each health professional the award covers into the new structure, running the higher-of-two-rates comparison for each of them, and arriving at the award minimum rate their new classification produces from their first full pay period after 1 October 2026. That is what REBUILD is — the same worksheets used with private clients, self-paced, one payment.

See what REBUILD covers

Two streams, two answers

Start from the person you are asking about, not from the change.

I employ physiotherapists, OTs, psychologists or other health professionals

The October reclassification applies to them. Three pages cover it end to end.

I'm asking about my receptionist or admin staff

None of the October change reaches them. If that is the whole of your question, one page answers it and nothing else here applies to you.

Support Services staff are on the ordinary Annual Wage Review track. The next scheduled movement in their award minimum rate is 1 July, not 1 October.

The tools

Three free tools, no sign-up on any of them.

New graduate cost calculator

What a new graduate physiotherapist costs in wages and super, and the award settings that move the number.

New graduate progression calculator

How a new graduate's award minimum pay progresses year by year, and what that does to a wage-to-billings ratio as they move up.

Support Services level and rate finder

Pick a level to read the award's own duty definitions for it, compare all nine levels side by side, and only then read the rate. It sits inside the admin and receptionist rates page, because duties decide the level and the rate follows.

Live 1 October · encore

On 1 October, Shane runs the October implementation live

The tools above tell you where a role lands. The room is the other half of it — ninety minutes on getting the reclassification actually done before the new rates reach your payroll: what has to be finished and in what order, a guided audit you run against your own staff list, the scenarios that turn up on nearly every list, and the traps in the first pay periods after the change.

Get REBUILD and the room →

Thursday 1 October, 12:30pm AEST. An encore sitting of the REBUILD Room — ninety minutes, live, and recorded, the same session run a second time. There is no separate ticket and no second price — owning REBUILD is what gets you in the room.

Everything we have published on the Fair Work Commission changes

Newest first. All of it is free and open.

The wider picture these sit inside — what the award does to a clinic's economics rather than what the rule says — is evidence-based economics for clinic owners.

Free: the answers. Paid: the implementation.

Every answer on this page, and on every article and calculator it links to, is free and open. Nothing is behind a form or a download. The answers are the deliverable.

REBUILD is the other thing. It is the October reclassification worked end to end — every clinician translated, floored and repriced, with the same worksheets we use with private clients. Self-paced, and built for a weekend rather than an afternoon, because doing this properly across a team is a project.

See what REBUILD covers

Live 1 October · encore

And on 1 October it comes with the live room

Buy REBUILD before 1 October and you are in the room: ninety minutes, live with Shane, working through the October implementation with the other owners in the room. The recording sits with the nine segments afterwards, so the replay is yours either way — but the questions only get answered on the day.

Get REBUILD and the room →

Thursday 1 October, 12:30pm AEST. An encore sitting of the REBUILD Room — ninety minutes, live, and recorded, the same session run a second time. There is no separate ticket and no second price — owning REBUILD is what gets you in the room.

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14 years
in the private sector, Australia and the UK
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Questions clinic owners ask about MA000027

Does the 1 October 2026 award change affect my receptionist or admin staff?

No. The 1 October 2026 reclassification under the Health Professionals and Support Services Award (MA000027) applies to health professionals. Reception, administration, clerical and cleaning staff are classified under the award's Support Services stream, which keeps its existing classification structure. Clause 16.1 continues to apply to Support Services staff and the Fair Work Commission made no findings that would require it to be amended ([2026] FWCFB 123 at [73]). Support Services award minimum rates move with the Annual Wage Review each 1 July.

When exactly does the health professional reclassification start?

The determination comes into operation on 1 October 2026, but it does not take effect in relation to a particular employee until the start of that employee's first full pay period that starts on or after 1 October 2026 (PR814029, Part B). A clinic whose fortnight begins on 5 October changes on 5 October, not on the 1st.

What is the phase-in, and when does each stage land?

The new health professional minimum rates are phased in over five stages. The first stage commences with the new classification structure on 1 October 2026. The remaining four take effect from 30 June in each of 2027, 2028, 2029 and 2030 ([2026] FWCFB 123 at [80]). Each stage's figures are set by the Fair Work Commission's published determinations.

Can an employee's award minimum rate go down under the new classification structure?

No. For an employee classified under the award on 30 September 2026, the award minimum becomes the higher of two award minimums: the minimum for the classification they translate into, and the minimum that applied to their previous classification under the award as it stood on 30 September 2026 (MA000027 cl J.4.3, inserted by PR814029; the old pay-point minimums are listed at cl J.4.3(b)). That provision is why no award minimum falls on 1 October, including where a translated classification would otherwise produce a minimum below the pay point the employee currently sits on. It is a test between two award minimums, not a comparison against what an employee is actually paid — pay above the award is governed by the contract, and cl J.4.3 does not speak to it.

Do the October increases get absorbed into the July Annual Wage Review increase?

No. The Fair Work Commission rejected any submission that the increases to health professional minimum rates be absorbed into future Annual Wage Review increases, on the basis that absorbing them would substantially vitiate the correction the increases exist to make ([2026] FWCFB 123 at [76]). The staged increases sit on top of the Annual Wage Review, not inside it.

Which employees does the Health Professionals and Support Services Award cover?

Coverage is set by clause 4.1 of MA000027 read with the classification definitions in its Schedule A. The award's own list of professions is indicative — it is the table at Schedule B.3, which since 24 September 2026 is in the consolidated award itself as well as in determination PR814029. The Fair Work Commission has said that schedule does no more than provide an indicative list of common health professionals and their qualifications, and does not define the extent of the award's coverage ([2026] FWCFB 123 at [20]). A profession's absence from that list therefore does not decide the question either way.

How is a health professional classified from 1 October 2026?

For someone hired on or after 1 October 2026, classification is set on commencement by the AQF level for their profession, and then by their years of experience in the profession. Where the award lists a profession at more than one AQF level, the level of the qualification the employee actually holds decides. For someone already employed on 30 September 2026 the route depends on their classification that day: previous Levels 1 and 2 translate through the cl J.4.1 tables, read across from the classification and pay point they held on 30 September in the table for their AQF level and qualification entry pathway; previous Levels 3 and 4 translate on the roles and duties they perform (MA000027 cl B.2, cl J.4.1 and cl J.4.2, as consolidated to 1 October 2026; the same clauses are in determination PR814029).

I looked up clause J.4.2 and the award only goes to J.3.2. Where is it?

Clause J.4.2 is correct. It sits in Schedule J of the Health Professionals and Support Services Award 2020, and until recently it could not be found there: the consolidated award on the Fair Work website carried amendments only up to 1 April 2026, and its Schedule J ended at J.3.2. In late September 2026 the Commission re-issued the consolidated award, which now carries amendments up to and including 1 October 2026 and runs to J.4.4. Clauses J.4.1 and J.4.2 translate existing health professionals into the new structure and clause J.4.3 is the retained-rate floor. The J.3.2 you may have found is a real but unrelated clause: it is the minimum rate of pay retained for dental assistants and pathology collectors, not a health professional translation rule. The same clauses are in the determination that varies the award — PR814029, issued 7 September 2026, operative 1 October 2026 — where clause J.4 starts on page 17 and clause J.4.2 on page 25. Two things to watch. Earlier drafts numbered these rules J.3.1 to J.3.3 and they were renumbered to J.4 before the final determination issued, so a citation to J.3.x for a health professional is working from a superseded draft. And the clause 17 rate tables in the re-issued consolidated award are the October rates: clause 17 is substituted by PR814029 with effect from 1 October 2026 and carries no pay points at all, and Schedule C summarises those October rates too. The rates payable before then survive in one place in the document — clause J.4.3(b), the retained-rate floor, which lists the minimum rates applicable as at 30 September 2026 for Level 1 pay points 1 to 6, Level 2 pay points 1 to 4, Level 3 pay point 5 and Level 4 pay point 4. Those are the rates you must pay until the first full pay period starting on or after 1 October 2026, and they are printed there as a floor rather than as a rate table, so it is an easy page to walk past.

What should a clinic owner actually do before 1 October 2026?

Work out which of your employees are health professionals under the award and which are Support Services, classify each health professional under the new structure, compare the minimum that produces against the minimum that applied to their previous classification on 30 September 2026 (cl J.4.3(b)) and use the higher of the two as their award floor, check that what you actually pay each person clears it, and confirm each employee's classification in writing. The award requires an employee to be advised of their classification in writing on starting and when it changes (MA000027 clause 12.2). The order of those steps is our reading of what the award's requirements mean in practice; the award does not set out a checklist.

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    Where to check this against the primary source

    The dates and rules on this page come from four documents: the Health Professionals and Support Services Award as currently published, the Fair Work Ombudsman's Pay Guide for it, the Fair Work Commission's decision of 26 May 2026, and the determination of 7 September 2026 that varies the award from 1 October. The October classification and translation rules are in that determination, and the consolidated award was re-issued in late September 2026 carrying them too, which is why this page cites both. Where this page describes what a change means for a clinic rather than what those documents say, it says so. If a decision about a real employee turns on what you read here, read the sources.

    • The award and the current rates — Fair Work Ombudsman: Health Professionals and Support Services Award summary. This page links the award itself and the Pay Guide, which is republished each year after the Annual Wage Review and is the quickest place to read the current minimum rates. The Pay Guide is a summary: where it and the award differ, the Fair Work Ombudsman's own note says the award applies.
    • The determination that varies the award — Fair Work Commission determination PR814029 (7 September 2026). This is the document that actually changes the award, and it comes into operation on 1 October 2026. It inserts the clauses that translate existing health professionals into the new structure: clause J.4 begins on page 17, clause J.4.2 on page 25, and the no-disadvantage floor at clause J.4.3 on page 27. In late September 2026 the Commission re-issued the consolidated award on its own website, which now carries amendments up to and including 1 October 2026 and contains the same J.4 clauses, so either document will resolve them. Read the as-at line on its first page: it now says the award incorporates all amendments up to and including 1 October 2026. That is the publication date of the text, not the date the rates start — clause 17 is marked “substituted by PR814029 ppc 01Oct26”, and the rates in it apply from the first full pay period starting on or after 1 October 2026. The rates payable before then are in the Fair Work Ombudsman Pay Guide above, and inside the award itself at clause J.4.3(b), the retained-rate floor.
    • The decision behind the October change — Fair Work Commission, [2026] FWCFB 123 (26 May 2026). This settled the new classification structure: paragraph 80 carries the operative dates and paragraph 76 the ruling that the increases are not absorbed into Annual Wage Review increases. The draft determination annexed to this decision numbered the translation clauses J.3.1 to J.3.3. They were renumbered to J.4 before the final determination issued. A citation to J.3.1, J.3.2 or J.3.3 for a health professional therefore points at the draft; the final numbering is J.4.

    About this information

    Culture of One is a business advisory firm, not a law firm. This is general information about the Health Professionals and Support Services Award — not legal or workplace-relations advice — and it does not take account of your clinic, your contracts or any individual's circumstances. The award and the Fair Work Commission's determinations are the authority; where this page and those documents differ, those documents govern. Before you change anyone's classification or pay, check the published determinations and get advice on your own situation.

    Last updated 24 September 2026.