Who will lose NDIS funding?
No diagnosis or participant group will automatically lose NDIS funding. A person faces the most risk of losing access when they can't show that their impairment is permanent, has a major effect on daily life, or still meets the need for early intervention. A participant may stay in the National Disability Insurance Scheme but get less money in their next plan.
Plan funding may drop when a support is no longer needed, lacks strong evidence, doubles up on other help, doesn't relate to the person’s disability, or should come from family, health services, education, housing, or another mainstream system. Staying eligible and getting every requested support funded are two separate decisions.
What does losing NDIS funding actually mean?
People often use “losing funding” to mean several different things. The National Disability Insurance Agency may decide that someone no longer meets the access rules. This ends their status as an NDIS participant.
Or the person may stay in the Scheme with a smaller total plan budget. The NDIA can also reject one requested support while still funding others.
These outcomes aren't the same. Research based on 485,676 recorded access decisions for applicants aged seven or older found that 92,524 applicants were ineligible between July 2016 and August 2022. That was about 19% of decided applications.
The figures cover people applying for access, not current participants being removed. Even so, they show how evidence about impairment and daily function can shape the result.
The same research looked at eligibility, the amount put into a plan, and the amount participants actually spent. A large plan doesn't mean all the funds will be used. Low spending doesn't prove that support isn't needed.
It may point to provider shortages, long wait lists, poor plan setup, or trouble finding the right services. A participant should explain these barriers instead of letting unused money tell the story.
When can a participant’s access be at risk?
Access may be reviewed when the NDIA has reason to check whether a participant still meets the Scheme’s rules. Current evidence is key. A diagnosis may support a claim, but it doesn't settle whether an impairment is permanent or how it affects daily life.
Risk grows when reports list symptoms but don't link them to limits in daily function. A report saying someone has autism, a brain injury, or a psychosocial disability gives the diagnosis. It should also explain what the person can't do safely, reliably, or without help.
Useful details may cover communication, mobility, learning, social interaction, self-care, and self-management.
Administrative data found eligibility above 900 per 1,000 applicants for people applying with brain injury or stroke, intellectual disability, or autism. This doesn't give every person with those diagnoses an automatic right to enter or stay in the Scheme. Each decision rests on the person’s impairment, functional capacity, and the rules that apply to their case.
Early-intervention access may also be reviewed when the evidence no longer shows that funded help is likely to cut future support needs or prevent loss of function. Progress by itself doesn't mean there is no disability-related need. Good evidence should explain whether progress relies on support continuing and what is likely to happen if it stops.
Why might someone stay in the Scheme but receive a smaller plan?
A smaller budget often comes from decisions about individual supports, not a finding that the disability has vanished. The NDIA looks at what help is needed for the next plan period. Past funding doesn't promise the same amount next time.
A support is at risk when there is little evidence linking it to the participant’s functional needs and goals. A provider letter asking for more sessions, but giving no outcomes, current barriers, or clear reason for the proposed frequency, leaves the decision-maker with little to assess.
Funding may also shrink when the NDIA believes another service system is responsible. The NDIS funds disability-related supports. The health system is still responsible for clinical health care, diagnosis, and treatment mainly aimed at illness.
Schools, employers, housing services, and other public systems also keep their usual duties. A support close to one of these boundaries needs a clear account of its disability-related purpose.
Informal support is another area that gets close attention. Families often give each other ordinary help, but what's expected must stay reasonable. Evidence should show the time, skill, physical strain, safety risk, and effect on the carer when the help goes beyond normal family support.
Statements such as “the family helps” can hide a huge amount of unpaid work.
Duplicate supports bring another risk. Two services may look alike on paper even when they do different jobs. Reports should spell out the purpose of each service, how providers work together, and why one service can't meet both needs.
Without those details, the NDIA may see one item as needless overlap.
What evidence gives a participant the clearest case?
The strongest evidence links the impairment to real tasks, then links each requested support to a clear need. It tells the decision-maker what happens on a normal day. It also covers bad days when they're part of the person’s usual experience of disability.
Good evidence may include:
- Recent reports from professionals who know the participant and have assessed the relevant areas of function.
- Standardised assessments explained in plain language, with any limits or context made clear.
- Clear examples of the help needed at home, in the community, or during work and study.
- Records showing what happened when support was delayed, cut, or unavailable.
- Progress reports linking funded services to measurable changes and needs that remain.
- A clear account of why each requested support relates to disability rather than normal living costs.
Consistency matters. A participant may describe severe daily limits while a provider report records only mild problems. That gap doesn't always mean either account is wrong.
The provider may have seen the person in a quiet clinic, during a short visit, or after a carer handled the hard parts of the trip. The report should make that context clear.
Evidence should reflect the person’s real support needs, not their best result on one occasion. Someone may finish a task in a controlled setting but be unable to repeat it safely throughout the week. The question is often whether the task can be done reliably and with a reasonable amount of help.
Which signs suggest funding may be under pressure?
A request for new reports or more detail needs a quick response. It doesn't prove that funding will end. It shows the NDIA sees a gap or needs fresh information before deciding.
Other warning signs include old reports, support recommendations with no stated basis, large amounts of unused plan money with no explanation, and goals that no longer match the supports being claimed. A change in living arrangements may also raise questions about which help is funded, who provides it, and whether old assumptions still hold.
Watch closely when a plan reassessment focuses on improved capacity. Improvement may support less funding when the person can now manage with less help. But gains made through therapy, assistive technology, or regular support may fade if that help is taken away.
Reports should say whether the gains will last without support or depend on it continuing.
Policy research found that major NDIS documents have kept a strong focus on Scheme costs while using fairly little rights-based language. It also found more focus on family, community, decisions, and reviews. The researchers describe a clash between rights and entitlements and the push for cost control, consistency, and sustainability.
A fair reading is that participants should expect close checks and more standard decisions. The study doesn't prove that any named diagnosis will be targeted.
How should someone prepare for a reassessment?
Start with the current plan and mark every support that's still needed. For each item, write down the disability-related problem it deals with, what the support does, and what may happen without it. This makes a simple map for gathering evidence.
Ask providers to report on function, results, and barriers that remain. A useful report should skip broad claims such as “ongoing therapy is recommended.” It should name the proposed support, frequency, expected result, and why that level of help is needed.
It should also say whether a cheaper option was tried or why it wouldn't meet the need.
Keep brief records of daily support. Note the task, help given, time needed, and any safety problem. Record missed services and why they were missed.
Provider shortages and wait lists aren't the same as choosing not to use a funded support.
Check that the evidence covers changes since the last plan. New risks, less carer capacity, a move, or a drop in function may change the amount and type of support needed. Improved skills should be recorded honestly too.
The goal is a true account, not the biggest possible budget.
Before meeting the NDIA or its delegate, make a short list of the decisions you need. Put vital supports first. Take a support person if that helps you speak up or remember details.
Ask for any unclear questions to be put in plain language.
What should a participant do after an unfavourable decision?
Read the written decision and work out its exact effect. Check whether the NDIA ended access, cut the whole plan, or refused one support. The response should deal with the reason given, not simply repeat the first request.
Ask for the reasons and review details if they aren't clear. Review rights and time limits may depend on the type and date of the decision, so follow the instructions in the notice and get current advice quickly. Keep the notice, reports, emails, and call notes in one place.
An internal review can look at whether the decision was correct. If the review result is still unfavourable, some decisions may go to the Administrative Review Tribunal. Advocacy or legal support may help a participant find the evidence gap and explain the issue.
The Tribunal doesn't decide whether someone deserves help in a broad sense. It reviews the decision under the rules that apply.
Don't answer a reduced plan by sending a thick bundle of unrelated medical records. More pages don't always mean stronger evidence. Focus on the point in dispute.
If the NDIA says a support belongs in the health system, explain its disability-related role. If it says family can give the help, record the true workload and why that level is unreasonable. If it says progress reduced the need, show which gains rely on ongoing support.
What do people often misunderstand about funding risk?
The first mistake is treating diagnosis as the whole case. Diagnosis gives a condition a name. NDIS decisions focus heavily on impairment, function, and the purpose of each support.
Two people with the same diagnosis may get very different plans because their daily needs aren't the same.
The second mistake is thinking unused money protects the next budget. Unspent funds may come from access barriers, but the reason must be recorded. Without an explanation, low use may look like low need.
Another mistake is calling every helpful expense an NDIS support. A service may improve someone’s life yet still be a normal living cost or the job of another system. The funding case needs a direct link to disability-related function.
People also mix up a smaller plan with removal from the Scheme. A participant may keep access while losing one support or getting fewer hours. Knowing the exact decision makes it easier to gather useful evidence and pick the right review path.
What is the single best step to take now?
Create a one-page evidence map linking each permanent functional limit to the help needed and the result that support brings, then use it to check every report before the next NDIA decision.
Common questions
Who is getting cut from the NDIS?
People may lose NDIS funding if they no longer meet the access rules or if their support needs are better met by another service. Each case is reviewed, so there is no single group that will automatically be cut.
What are the changes to NDIS in 2026?
In 2026, the NDIS will keep changing how people enter the scheme, receive plans, and use their funding. New checks and planning rules may affect what support a person gets and how much money is included.
Why is the government cutting NDIS funding?
The government says it wants to slow rising NDIS costs and keep the scheme running for people with permanent disability. It also wants other public services to pay for support that is not meant to come from the NDIS.
What is no longer funded by NDIS?
The NDIS does not fund everyday living costs, illegal goods, or items that are not linked to a person's disability needs. It may also refuse support that should be provided by health, education, housing, or another public service.Sources
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