Workers Compensation Reform in NSW: What Not-for-Profits Need to Know

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Workers Compensation Reform in NSW: What Not-for-Profits Need to Know

The Workers Compensation Legislation Amendment (Reform and Modernisation) Act 2026 has passed Parliament. Here’s what’s changing, when it takes effect, and what it means for your organisation and your people.

On 11 February 2026, the NSW Government’s Workers Compensation Legislation Amendment (Reform and Modernisation) Act 2026 received assent, officially becoming law. The reforms represent the most significant overhaul of the state’s workers’ compensation framework in over a decade.

For not-for-profit leaders, board directors, and people managers, the changes carry real operational and financial implications – particularly for organisations managing psychological injury claims, return-to-work processes, and workforce wellbeing.

This article provides a practical overview of what is changing, when each stage takes effect, and what steps organisations should be considering now.

Why This Reform Matters

The existing workers’ compensation system has faced sustained criticism for its complexity, inconsistency in assessment processes, and inadequate support for workers with psychological injuries.
These reforms seek to address those gaps through:
  • Clearer definitions and entitlements for psychological injury claims
  • Stronger permanent impairment assessment processes
  • Extended return-to-work support
  • A phased increase in impairment thresholds over three years
For not-for-profits, many of which operate in high-demand service delivery environments with stretched workforces, these changes are directly relevant.

What Is Changing

1. Psychological Injury Claims

The Act introduces clearer rules for primary psychological injuries; that is, mental health conditions directly caused by work, rather than as a secondary consequence of a physical injury.

Workers who are assessed at 25% or more permanent impairment (rising over time – see rollout schedule below) will be entitled to continue receiving weekly payments beyond the existing 130-week limit.

What this means in practice: Workers experiencing significant, long-term psychological harm from their work will have stronger financial protection. Organisations should expect greater scrutiny of workplace psychosocial risk factors and more clearly defined pathways for psychological injury claims.

2. Permanent Impairment Assessment

The Act strengthens the assessment process by requiring workers to obtain legal advice before commencing a permanent impairment assessment. Improvements have also been made to ensure greater consistency and fairness across assessments.

What this means in practice: The assessment process becomes more structured and transparent. Organisations should ensure their injury management and claims processes are aligned with the updated framework, and that managers understand the revised steps involved.

3. Time Limits on Weekly Payments

Weekly payments for psychological injuries will now have clearer time limits, with a defined 130-week period of support. However, these limits do not apply where a worker meets the permanent impairment threshold.

What this means in practice: There is a clearer distinction between short-term and long-term psychological injury support. Workers with less severe conditions receive defined-period support, while those with serious long-term impairment retain ongoing entitlements.

4. Return-to-Work Intensive Program

One of the most significant additions is the expansion of the Return to Work Intensive Program, which now includes:
  • An additional year of medical benefits and income support
  • Mentoring and case management
  • Tailored, individualised return-to-work assistance
What this means in practice: Workers will have more time and structured support to recover safely and re-enter the workforce. For employers, this means longer engagement with the return-to-work process — and a stronger obligation to participate meaningfully in that process.

Rollout Schedule: What Starts When

Not all provisions commence simultaneously. The Act introduces a phased rollout across three key dates, with psychological impairment thresholds increasing progressively.

July 2026

Provision

 

 

What It Does

 

 

Section 38

 

 

Limits weekly payments for primary psychological injuries after 130 weeks unless the worker has at least 25% permanent impairment

 

 

Section 39A

 

 

Creates a new rule stopping weekly payments for primary psychological injuries after 130 weeks, with the same 25% threshold exception

 

 

Section 151DA

 

 

Pauses the limitation period during medical disputes about permanent impairment thresholds (15% physical / 25% psychological)

 

 

Section 151H

 

 

Prevents damages claims unless the worker has at least 15% physical impairment or 25% psychological impairment (or the injury caused death)

 

 

Section 314

 

 

Updates the definition of a threshold dispute to reflect the new impairment thresholds

 

 

 

July 2027

Provision

 

 

What Changes

 

 

Section 39A(2)

 

 

Psychological impairment threshold increases from 25% to more than 26%

 

 

Section 151DA(1)(a)(i)

 

 

Impairment threshold for pausing limitation periods updated to more than 26%

 

 

Section 151H(2)(b)

 

 

Damages threshold for psychological impairment rises to more than 26%

 

 

Section 314(1)(a)(ii)

 

 

Threshold dispute definition updated to reflect more than 26%

 

 

 

July 2029

Provision

 

 

What Changes

 

 

Section 38(9)

 

 

Weekly payment threshold increases to at least 28%

 

 

Section 39A(2)

 

 

Continuing weekly payments threshold updated to at least 28%

 

 

Section 151DA(1)(a)(i)(B)

 

 

Limitation period pause threshold increases to at least 28%

 

 

Section 151H(2)(b)

 

 

Damages threshold increases to at least 28%

 

 

Section 314(1)(a)(ii)

 

 

Threshold dispute definition updated to at least 28%

 

 

 

What Should Not-for-Profits Be Doing Now?

These reforms don’t require organisations to wait until July 2026 to act. There are practical steps boards and leadership teams can take now:

1. Review your psychosocial risk management framework

With psychological injury claims now more clearly defined and supported, organisations should assess whether they have adequate controls in place to identify and manage psychosocial hazards in the workplace.

2. Update your injury management and return-to-work policies

Ensure your policies reflect the expanded Return to Work Intensive Program and the phased threshold changes.

3. Brief your board

Directors should understand the implications of these reforms for organisational liability, insurance costs, and workforce planning. This is a standing agenda item, not a one-off conversation.

4. Talk to your insurer and legal advisors

Understand how the threshold changes will affect your premiums, claims management processes, and exposure over the next three years.

5. Invest in your people

The strongest control against workers’ compensation risk is a workplace where people are supported, heard, and not pushed to breaking point. In a sector facing rising demand, workforce shortages, and remuneration constraints, this is easier said than done – but it remains the most important investment an organisation can make.

Final Thoughts

The Workers Compensation Legislation Amendment (Reform and Modernisation) Act 2026 represents a meaningful shift toward a fairer and more transparent workers’ compensation system in NSW. For not-for-profits, the reforms bring both opportunity and obligation.

The opportunity is a system that better supports your people when things go wrong. The obligation is to ensure your governance, policies, and workplace culture are strong enough to manage the risk before it reaches that point.

The Breakthrough Office works with not-for-profit boards and leadership teams to strengthen governance, risk management, and operational controls. If your organisation needs support navigating these reforms, get in touch.

Part 2: Three Structural Shifts Reshaping the Not-for-Profit Sector in 2026
Deposits: Paid, Then Forgotten
The Risk & Control Series | Part 3 of 3