ATO Interpretative Decision

ATO ID 2005/88

Goods and Services Tax

GST and custom-made surgical footwear
FOI status: may be released

CAUTION: This is an edited and summarised record of a Tax Office decision. This record is not published as a form of advice. It is being made available for your inspection to meet FOI requirements, because it may be used by an officer in making another decision.

This ATOID provides you with the following level of protection:

If you reasonably apply this decision in good faith to your own circumstances (which are not materially different from those described in the decision), and the decision is later found to be incorrect you will not be liable to pay any penalty or interest. However, you will be required to pay any underpaid tax (or repay any over-claimed credit, grant or benefit), provided the time limits under the law allow it. If you do intend to apply this decision to your own circumstances, you will need to ensure that the relevant provisions referred to in the decision have not been amended or repealed. You may wish to obtain further advice from the Tax Office or from a professional adviser.

Issue

Is the entity, a supplier of footwear, making a GST-free supply under subsection 38-45(1) of the A New Tax System (Goods and Services Tax) Act 1999 (GST Act), when it supplies custom-made surgical footwear?

Decision

Yes, the entity is making a GST-free supply under subsection 38-45(1) of the GST Act when it supplies custom made surgical footwear.

Facts

The entity is a supplier of footwear. The entity supplies surgical footwear that is custom-made to provide support, and correct, a person's deformed foot.

The custom-made footwear is specifically designed for people with a disability and not widely used by people without disabilities.

There is no agreement between the entity and the recipient of the supply that the supply will not be treated as a GST-free supply.

The entity is registered for goods and services tax (GST).

Reasons for Decision

Under subsection 38-45(1) of the GST Act, the supply of certain medical aids and appliances is GST-free where the medical aid or appliance:

is covered by Schedule 3 to the GST Act (Schedule 3) or in the A New Tax System (Goods and Services Tax) Regulations 2019
is specifically designed for people with an illness or disability, and
is not widely used by people without an illness or disability.

The entity supplies modified surgical footwear that has been modified for a client with a disability. Of relevance to the entity's supply is item 41 in the table in Schedule 3 (Item 41).

Item 41 lists 'surgical shoes, boots, braces and irons'. The phrase 'surgical shoes, boots, braces and irons' is not defined in the GST Act. Therefore, it is appropriate to consider its ordinary meaning. The Macquarie Dictionary (1997), 3RD edition, The Macquarie Library Pty Ltd, New South Wales, defines surgical boot as 'a specially constructed boot or shoe designed to support or correct a deformed foot'.

Accordingly, 'surgical shoes and boots' are shoes or boots designed to support or correct a deformed foot or leg or those designed to be worn to support or protect a foot as a result of surgery.

The entity supplies surgical footwear that is custom-made to provide support, and correct, a person's deformed foot.

Therefore, the custom-made surgical footwear are surgical shoes and are covered by Item 41.

The custom-made surgical shoes are specifically designed for people with a disability and not widely used by people without a disability. Therefore, the entity is making a GST-free supply under subsection 38-45(1) of the GST Act when it supplies custom-made surgical footwear.

Amendment History

Date of Amendment Part Comment
9 April 2019 Throughout Updated A New Tax System (Goods and Services Tax) Regulations 1999 to A New Tax System (Goods and Services Tax) Regulations 2019.

Date of decision:  30 July 2002

Legislative References:
A New Tax System (Goods and Services Tax) Act 1999
   subsection 38-45(1)
   Schedule 3
   Schedule 3 table item 41

A New Tax System (Goods and Services Tax) Regulations 2019
   The Regulations

Related ATO Interpretative Decisions
ATO ID 2005/87
ATO ID 2005/89
ATO ID 2005/90
ATO ID 2005/91

Other References:
The Macquarie Dictionary (1997), 3RD edition. The Macquarie Library Pty Ltd, New South Wales

Keywords
Goods and services tax
GST free
GST health
Section 38-45 - medical aids & appliances
GST supplies & acquisitions

Siebel/TDMS Reference Number:  4501994

Business Line:  Indirect Tax

Date of publication:  1 April 2005

ISSN: 1445-2782