The Australian Government is implementing significant changes to the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule from November 1, 2025. These reforms respond to a 2022 independent evaluation that identified major equity problems in the program, including widening gaps for people from lower socioeconomic backgrounds and rural areas, along with record-high gap fees. The changes center on three key reforms: Mental Health Treatment Plans and referrals must now come from either a GP at the patient's MyMedicare registered practice or the patient's "usual medical practitioner"; twelve specific mental health MBS items are being deleted entirely and replaced with standard general attendance items that enable GPs to claim the tripled bulk billing incentive for vulnerable populations; and despite these structural changes, the number of subsidised sessions remains unchanged at 10 individual sessions and 10 group sessions per calendar year. While the government argues these changes will improve continuity of care and reduce administrative burden for GPs, professional bodies including the RACGP and Australian Psychological Society have raised concerns about potential access barriers for vulnerable populations, particularly young people, itinerant populations, and rural residents who may not have a consistent usual GP.