AAP FactCheck Investigation: Has the Tasmanian government been diverting $1.6 billion in health-related federal GST funding from the health sector since 2014?
"Since 2014 approximately $1.6 billion in health-related GST funding for Tasmania has been diverted to other areas by the state government."
Independent federal MP Andrew Wilkie. July 3, 2019.
True - The checkable claims are all true.
Independent MP Andrew Wilkie said Tasmania's health system is in crisis and attacked the coalition state government's funding record, describing it as a "long-running fraud on both the Commonwealth and the people of Tasmania". .
AAP FactCheck examined Mr Wilkie's claim the Tasmanian government had diverted $1.6 billion in GST funding away from health into other sectors since 2014.
Mr Wilkie's office told AAP FactCheck his claim was based on a 2018 report titled 'State of Health, An analysis of the adequacy of public hospital services in Tasmania', by health policy analyst Martyn Goddard.
Mr Goddard is a Hobart-based health policy analyst who has worked on commonwealth policy development projects. He has been a member of the Australian National Council on AIDS and Related Diseases and the Pharmaceutical Benefits Advisory Committee and a health policy officer at the Australian Consumers' Association (Choice). 
Mr Goddard's State of Health 2018 report found Tasmania's population was older and poorer than any other state with the lowest level of income and wealth. The average age of people in Hobart in 2016 was 39.7 years, higher than any other capital. Life expectancy for men in Tasmania was 78.8 and 82.9 for women compared to the national average of 80.4 and 84.6 respectively. Median weekly income and average household assets were substantially below any other state, the report found. 
Mr Goddard's report also detailed per capita state government day-to-day health expenditure for 2014-15 to 2016-17 and examined Commonwealth activity-based funding. Per capita expenditure for that period was 15.2 per cent lower in Tasmania than in Australia as a whole and capital investment was 38.4 per cent lower.
The report lists how the Commonwealth Grants Commission administers GST funding in the two stages - redistribution to the states for an equal per capita amount and the needs of each state's population. It determined how much health-related GST was being diverted from health into other government priorities by adding these two figures together.
The report concluded the Hodgman Liberal government, which came to power in March 2014, had "underfunded the state's health system by around $1.6 billion since being elected, compared with the amount the Commonwealth Grants Commission has calculated needs to be spent to give Tasmanians the same standard and level of care as other Australians". 
The Commonwealth Grants Commission does not have a view on how a state should spend GST revenue, and spending is in accordance with each state's own priorities.
Based on this evidence AAP FactCheck concludes Mr Wilkie is correct to claim that $1.6 billion in health-related GST funding has been diverted by the Tasmanian government since 2014.
Mr Wilkie's description of this as a "long-running fraud on both the Commonwealth and the people of Tasmania" is purely his opinion, as there is no compulsion on the Tasmanian government to spend GST funding on specific services.
AAP FactCheck contacted Tasmania's new health minister Sarah Courtney regarding her department's rejection of Mr Wilkie's claim but received no reply by the time of publication.
Former health minister Michael Ferguson was replaced in a reshuffle on June 30 by Ms Courtney. Mr Ferguson had suffered a series of no-confidence and censure motions in the parliament over his handling of the health portfolio and criticism from wider health sector. 
True - The checkable claims are all true.
1: 'Independent MP Andrew Wilkie asks Federal Government to intervene in Tasmania's health crisis', by David Killick. The Mercury. July 3, 2019: https://www.themercury.com.au/news/tasmania/independent-mp-andrew-wilkie-asks-federal-government-to-intervene-in-tasmanias-health-crisis/news-story/45a912b8d09480f2723270b80b0a90d6
2: 'Submission to the Senate Select Committee on Health', by Martyn Goddard. November 3, 2014 (Page13): https://www.aph.gov.au/DocumentStore.ashx?id=f671120b-b891-476d-9e9e-ab81e8f233e7&subId=301154
3: 'State of Health 2018. An analysis of the adequacy of public hospital services in Tasmania', by Martyn Goddard. (Page 4). October 2018: http://www.parliament.tas.gov.au/ctee/Council/Submissions/HST/HST%2010%20Addendum%20Martyn%20Goddard%20State%20of%20Health%202018.pdf
4. 'Good luck to new minister'. The Mercury. July 4, 2019: https://www.themercury.com.au/news/opinion/good-luck-to-new-minister/news-story/f3e6697e555f07d18631c4dcd0bf8f78
* AAP FactCheck is accredited by the Poynter Institute's International Fact-Checking Network, which promotes best practice through a stringent and transparent Code of Principles. https://factcheck.aap.com.au/
Australian Associated Press