# 2026 Tracker — Aged Care Funding and Residential Care

| Field              | Detail                                                                  |
| ------------------ | ----------------------------------------------------------------------- |
| **Type**           | Tracker — aged care funding, residential care policy, and system reform |
| **Status**         | Live tracking                                                           |
| **Date**           | June 2026                                                               |
| **Classification** | Neutral business/campaign intelligence                                  |

---

## Purpose

Track **funding models, policy changes, and legislative developments** affecting New Zealand's aged residential care (ARC) sector. This includes the Health Committee's aged care inquiry, Budget funding decisions, the ARRC contract review, and regulatory changes impacting rest homes and hospital-level care.

---

## Search Terms

```
"aged care" site:bills.parliament.nz
"aged residential care" site:health.govt.nz
"ARRC" aged care funding
"rest home" site:parliament.nz
"aged care funding" site:beehive.govt.nz
"residential care" site:healthnz.govt.nz
"aged care" "select committee" site:parliament.nz
"aged care" "Budget 2026"
```

---

## Key Sources

| Source                         | URL                          | What It Provides                  |
| ------------------------------ | ---------------------------- | --------------------------------- |
| Ministry of Health — Aged Care | https://www.health.govt.nz   | Policy, regulation, certification |
| Health NZ — Aged Care          | https://www.healthnz.govt.nz | Commissioning, ARRC contract      |
| Budget 2026 — Vote Health      | https://www.budget.govt.nz   | Funding allocations               |
| Aged Care Association          | https://www.nzaca.org.nz     | Provider advocacy                 |
| NZNO (nursing union)           | https://www.nzno.org.nz      | Workforce advocacy                |
| E tū Union                     | https://www.etu.nz           | Care and support worker advocacy  |

---

## Tracker Table

| Date    | Source Type | Item                                                               | MP/Minister/Party                                                                         | Issue                                                                                                        | Position/Action                                                                                                                                       | Evidence URL                                                                                                                                                                                                                                                                                                                                                             | Relevance                                                                                                                                                                                                    | Follow-up                                                                                                                                                              |
| ------- | ----------- | ------------------------------------------------------------------ | ----------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------ | -------------------------------------------------------------------------------------------------------------------------- |
|         | 2026-06     | Current                                                            | Ryman Healthcare FY26 results — strategy shift towards care-centred living                | Ryman Healthcare (NZX/ASX)                                                                                   | Ryman FY26 results (Mar 2026) show $188m positive free cash flow; strategic pivot to care-centred living, reducing development and divesting non-core | Ryman focusing on aged care beds and integrated retirement living; signals major sector realignment                                                                                                                                                                                                                                                                      | https://www.rymanhealthcare.co.nz/investor-news/fy26-marks-significant-year-of-progress                                                                                                                      | 🔴 Critical — NZ's largest aged care provider restructuring strategy                                                                                                   | Track Ryman's care bed investment plans                                        |
|         | 2026-05     | Current                                                            | Oceania Healthcare FY26 record results                                                    | Oceania Healthcare (NZX/ASX: OCA)                                                                            | Oceania delivers record Proforma Underlying EBITDA $97.7m (up 20%); total assets $3.1b; sales volumes up 16%                                          | Record results demonstrate aged care + retirement village model resilience; aged care revenue driving growth                                                                                                                                                                                                                                                             | https://api.oceaniahealthcare.co.nz/wp-content/uploads/2026/05/FY26-Market-Release.pdf                                                                                                                       | 🟠 High — major provider's financial health indicates sector conditions                                                                                                | Track Oceania's care bed expansion plans                                       |
|         |             | 2026-06                                                            | Current                                                                                   | Aged Care Ministerial Advisory Group — timeline slipped to July 2026; Grey Power raises composition concerns | Hon Casey Costello (NZ First) / David Cunliffe (chair)                                                                                                | Appointed 17 Dec 2025; 10 members; three reform areas. OIA reveals $800/day members, $1,200/day chair; Grey Power, NZNO, E tu excluded. Submissions from RNZCGP, HTRHN rural captured.                                                                                                                                                                                   | Draft report due 17 Apr (missed), final due 31 May (missed). MoH page updated 4 Jun says "mid-2026". Grey Power Mag (7 Jun) reports report expected July 2026. Pay equity and workforce excluded from scope. | https://www.health.govt.nz/about-us/new-zealands-health-system/health-system-roles-and-organisations/health-committees-and-boards/aged-care-ministerial-advisory-group | 🔴 Critical — recommendations could reshape aged care policy                   | Report expected July 2026. Full findings: 02_FINDINGS/2026-06-09_2130_Prompt07B2_AgedCareMinisterialAdvisoryGroup.md       |
|         | 2026-05     | Current                                                            | ACA "Budget 2026 missed chance to stabilise aged care" — Tracey Martin op-ed              | The Post — Op-ed by Hon Tracey Martin, CEO Aged Care Association                                             | Budget 2026 failed to stabilise aged residential care; 40-bed charity facility closed due to unsustainable funding                                    | ACA calls for: targeted infrastructure grants, greater use of ARC for rehab/respite, admission/discharge payments. Says Budget missed opportunity while facilities keep closing.                                                                                                                                                                                         | https://www.thepost.co.nz/business/361015120/budget-2026-missed-chance-stabilise-aged-care                                                                                                                   | 🟠 High — sector peak body expressing strong dissatisfaction with Budget outcome                                                                                       | Track whether Government responds with supplementary funding or measures       |
|         |             | 2026-03                                                            | Current                                                                                   | Government response to Health Committee Aged Care Inquiry tabled                                             | Hon Casey Costello (NZ First) — Associate Minister of Health                                                                                          | Government formal response to 14 recommendations; response tabled 10 Mar 2026                                                                                                                                                                                                                                                                                            | Government welcomed report; agreed direction; recs will feed into Advisory Group work. **Note:** KB source brief had Minister as Matt Doocey (National) — Beehive release quotes Casey Costello.             | https://www.beehive.govt.nz/release/health-committee-inquiry-will-help-inform-aged-care-service-improvements                                                           | 🔴 Critical — Government position on each recommendation sets policy direction | Track implementation of accepted recommendations; monitor Budget and workforce plan                                        |
|         | 2026-05     | Current                                                            | Budget 2026 — Vote Health $34.2b; aged care bed night funding                             | Hon Matt Doocey (National) — Minister of Health                                                              | $5.5b extra health funding; 272,000 additional aged care bed nights funded                                                                            | Budget 2026 provides additional residential aged care bed nights but Alzheimers NZ says dementia funding inadequate                                                                                                                                                                                                                                                      | https://alzheimers.org.nz/news/budget-2026-fails-to-meet-fast-growing-dementia-challenge/                                                                                                                    | 🔴 Critical — direct funding impact on aged care capacity                                                                                                              | Track actual bed-night allocation and regional distribution                    |
| 2026-05 | Current     | Budget 2026 — Accommodation bonds discussion                       | Grant Thornton analysis                                                                   | Government considering accommodation bonds to supplement aged care funding                                   | Accommodation bonds could unlock capital from home equity to pay for care; modelled on Australian system                                              | https://www.grantthornton.co.nz/insights/budget-2026-could-accommodation-bonds-help-solve-nzs-residential-aged-care-crisis/                                                                                                                                                                                                                                              | 🟠 High — potential new funding mechanism for aged care                                                                                                                                                      | Monitor Treasury advice and Government position                                                                                                                        |
|         | 2026-03     | Current                                                            | Winter Plan 2026 — Using ARC beds for hospital overflow                                   | Hon Simeon Brown (Health)                                                                                    | $25m winter plan includes up to 567 short-stay beds via ARC facilities; 71 winter beds; 378 FTE                                                       | Partially addresses Health Committee recs #4, #6 on hospital-ARC integration. Short-term seasonal, not structural reform.                                                                                                                                                                                                                                                | https://www.beehive.govt.nz/release/more-staff-extra-beds-hospitals-prepare-winter                                                                                                                           | 🟠 High — demonstrates ARC used as hospital overflow valve                                                                                                             | Track whether winter ARC bed use becomes permanent                             |
|         | 2025-11-20  | Historical                                                         | Health Committee Aged Care Inquiry Report — 14 recommendations                            | Health Committee — Parliament, Chair Sam Uffindell (National)                                                | Inquiry into aged care sector's current and future capacity for neurological cognitive disorders; 100+ submissions                                    | **14 recs across 4 areas:** Access (rest homes do NASC assessments, cultural care), Residential care (triple-stream funding, bed shortfall, dementia beds, end-of-life, alternative models), Home support (flexible contracting, village-provider cross-delivery, longer contracts), Workforce (respite programme, funding certainty, workforce protections, pay equity) | https://www.scoop.co.nz/stories/GE2511/S00065/health-committee-reports-findings-of-aged-care-inquiry-to-the-house.htm                                                                                        | 🔴 Critical — Parliamentary inquiry findings set policy agenda                                                                                                         | Full recs captured in findings file 02_FINDINGS/2026-06-07_1000_Prompt02       |
|         | 2026-06     | Current                                                            | Bupa Nurses Pay Equity Claim — NZNO lodges claim for 380+ RNs at 40 homes                 | NZNO / Bupa                                                                                                  | NZNO lodged pay equity claim citing historic gender-based wage discrimination in aged care nursing                                                    | Claim filed 21 May 2026; references Care in Crisis report; lodged one year after Govt gutted pay equity scheme                                                                                                                                                                                                                                                           | https://www.scoop.co.nz/stories/GE2605/S00082/bupa-nurses-take-pay-equity-claim-over-historic-wage-discrimination.htm                                                                                        | 🔴 Critical — could set precedent for sector-wide pay equity                                                                                                           | Track claim progress; Government response; implications for other providers    |
|         | 2026-05     | Current                                                            | Enliven Reevedon Rest Home (Levin) closure — funding system failure                       | Enliven Central / Presbyterian Support Central                                                               | 40-bed not-for-profit rest home closed after 50+ years; >$3M operating losses over 8 years                                                            | "This is a failure of the funding system" — 40 standard care beds lost; staff transferred to War Veterans Home                                                                                                                                                                                                                                                           | https://www.enlivencentral.org.nz/events-news/reevedon-rest-home-closure                                                                                                                                     | 🔴 Critical — first major not-for-profit closure; signal of wider crisis                                                                                               | Track other not-for-profit homes at risk; track Government response            |
|         |             | 2026-06                                                            | Current                                                                                   | Ministerial Advisory Group report delayed — now expected July 2026                                           | David Cunliffe (chair), 10 members                                                                                                                    | Report on aged care funding model reform. OIA reveals $800/day members, $1,200/day chair, 12 nominees undisclosed. Grey Power, NZNO, E tu excluded. Submissions from RNZCGP, HTRHN captured.                                                                                                                                                                             | Draft report due 17 Apr (missed), final due 31 May (missed). Grey Power Mag (7 Jun) reports July 2026. Pay equity and workforce excluded from scope.                                                         | https://www.health.govt.nz/about-us/new-zealands-health-system/health-system-roles-and-organisations/health-committees-and-boards/aged-care-ministerial-advisory-group | 🔴 Critical — recommendations could reshape entire sector                      | Prepare analysis when published. Full findings: 02_FINDINGS/2026-06-09_2130_Prompt07B2_AgedCareMinisterialAdvisoryGroup.md |
|         | 2026-05     | Current                                                            | ACA "Budget 2026 missed chance" — Tracey Martin op-ed calling aged care an election issue | Hon Tracey Martin, CEO Aged Care Association — The Post op-ed                                                | Budget 2026 took no meaningful action; "aged care is health care"; 40-bed facility closed as direct consequence                                       | ACA calls for infrastructure grants, admission/discharge payments, evidence-based funding; explicitly makes aged care a 2026 election demand                                                                                                                                                                                                                             | https://www.thepost.co.nz/business/361015120/budget-2026-missed-chance-stabilise-aged-care                                                                                                                   | 🟠 High — sector peak body putting election pressure on all parties                                                                                                    | Track party election manifestos for aged care commitments                      |
|         | 2026-05     | Current                                                            | Accommodation bonds proposal for aged care funding                                        | Grant Thornton (Pam Newlove)                                                                                 | Proposal to allow elderly to pay refundable lump sum bond (~65% median house value) for residential care                                              | Bonds could inject capital; modelled on Australia; requires legislation, prudential model, Government underwriting                                                                                                                                                                                                                                                       | https://www.rnz.co.nz/news/business/596289/could-eldery-be-charged-hundreds-of-thousands-in-bonds-to-enter-aged-care                                                                                         | 🟠 High — potential new funding mechanism                                                                                                                              | Monitor Government and Treasury response; cross-reference Australian system    |
|         | 2026-03     | Current                                                            | Aged Care Sector Workforce Crisis                                                         | NZNO / E tū / Aged Care Association                                                                          | Chronic understaffing; pay parity gap between DHB and aged care nurses; care worker shortages                                                         | Unions calling for mandated staffing ratios and pay parity; Government reviewing but no legislation yet                                                                                                                                                                                                                                                                  | https://www.nzno.org.nz                                                                                                                                                                                      | 🔴 Critical — workforce shortages directly affect care quality                                                                                                         | Track NZNO campaign on staffing ratios                                         |
| 2026-02 | Current     | Ngā Paerewa Health and Disability Services Standard implementation | Ministry of Health                                                                        | New standards replacing NZS 8134:2008; rest homes must transition to new audit framework                     | Phased implementation underway; affects all rest home certification audits                                                                            | https://www.health.govt.nz/regulation-legislation/certification-of-health-care-services                                                                                                                                                                                                                                                                                  | 🟠 High — audit framework change affects all providers                                                                                                                                                       | Monitor transition timelines and compliance issues                                                                                                                     |
| 2026-01 | Current     | Dementia Care Funding Gap                                          | Alzheimers NZ                                                                             | Budget 2026 fails to meet fast-growing dementia challenge; 70,000+ New Zealanders living with dementia       | Alzheimers NZ says dedicated dementia funding needed; current system not fit for growing demand                                                       | https://alzheimers.org.nz/news/budget-2026-fails-to-meet-fast-growing-dementia-challenge/                                                                                                                                                                                                                                                                                | 🔴 Critical — dementia is fastest-growing aged care demand driver                                                                                                                                            | Track dementia-specific funding announcements                                                                                                                          |
| 2025-09 | Historical  | ARRC Contract Review                                               | Health NZ / Ministry of Health                                                            | Review of Age-Related Residential Care Services Agreement                                                    | Contract terms being updated; provider feedback sought on pricing and service specifications                                                          | https://www.healthnz.govt.nz                                                                                                                                                                                                                                                                                                                                             | 🟠 High — governs all publicly-funded aged care                                                                                                                                                              | Review new ARRC contract when released                                                                                                                                 |
| 2025-06 | Historical  | Health and Safety at Work Amendment Bill introduced                | Hon Brooke van Velden (ACT)                                                               | HSWA refocus on "genuine" risks; aged care sector compliance implications                                    | Bill passed first reading; aged care providers concerned about regulatory burden changes                                                              | https://www.parliament.nz/en/pb/daily-progress-in-the-house/daily-progress-for-thursday-12-february-2026/                                                                                                                                                                                                                                                                | 🟡 Monitor — may affect workplace safety obligations in aged care                                                                                                                                            | Track Committee stage amendments                                                                                                                                       |
|         | 2024-12     | Historical                                                         | Government commits to aged care workforce plan                                            | Hon Matt Doocey / Hon Casey Costello                                                                         | Workforce plan for aged care sector; retention and recruitment focus                                                                                  | Plan under development; expected to address pay, conditions, and training pathways                                                                                                                                                                                                                                                                                       | https://www.beehive.govt.nz                                                                                                                                                                                  | 🟠 High — workforce is critical enabler of aged care capacity                                                                                                          | Review workforce plan when published                                           |

---

## Current Status Summary

**Aged care sector under significant pressure — crisis deepening.** Key developments:

1. **Budget 2026** provides $5.5b extra health funding including 272,000 additional aged care bed nights — but sector bodies say it failed to stabilise aged care.
2. **Bupa nurses pay equity claim** (21 May 2026) — 380+ RNs at 40 homes lodge claim; could set sector-wide precedent.
3. **Reevedon Rest Home (Levin) closed** — first major not-for-profit closure (40 beds) directly attributed to funding system failure.
4. **Ministerial Advisory Group final report OVERDUE** — due 31 May 2026, not yet public as of 10 Jun 2026.
5. **ACA making aged care a 2026 election issue** — Tracey Martin op-ed calls on all parties for action.
6. **Accommodation bonds** proposed as alternative funding mechanism (Grant Thornton, 25 May 2026).
7. **Health Committee aged care inquiry** (Nov 2025) provides Parliamentary roadmap; Government response tabled March 2026.
8. **Health NZ funding model review** ongoing — could fundamentally restructure commissioning.
9. **Workforce shortages** remain critical: 900+ nurse vacancies, 70% overseas workforce, ~$20k pay gap with DHB nurses.
10. **Care in Crisis report** (Oct 2025) continues to drive union advocacy; no mandated staffing ratios yet.
11. **Ngā Paerewa standards** implementation changing audit landscape.
12. **Ryman Healthcare FY26** strategy shift — $188m free cash flow; pivot to care-centred living.
13. **Oceania Healthcare FY26** record results — EBITDA up 20%.
14. **Dementia Mate Wareware Action Plan 2026–2031** — refreshed five-year roadmap for dementia care.
15. **West Coast aged care bed crisis** — Buller lost 54 beds in a decade; 20 on O'Conor Home waiting list; families face 660km round trips.
16. **Winter Plan 2026** provides 567 short-stay ARC beds for hospital overflow — short-term fix, not structural reform.
17. **ACA calls for urgent national workforce plan** following immigration changes (NZ Doctor, Jun 2026).

---

## Tracking Conventions

| Symbol                  | Meaning                    |
| ----------------------- | -------------------------- |
| 🟢 **No action needed** | Monitor only               |
| 🟡 **Monitor**          | Track progress             |
| 🟠 **High relevance**   | Consider engagement        |
| 🔴 **Critical**         | Active engagement required |
| ✅ **Complete**         | Action taken               |

---

_Part of the NZ Seniors Knowledge Base — Political & Campaign Intelligence layer_
_Last updated: June 2026_
