Ahpra is a national body created by identical state legislation rather than by the Commonwealth, which is why it sits under the federal tier here only as an approximation. That constitutional shape matters for reform: change requires health ministers acting collectively, not one minister deciding.

For this database the important fact is that Ahpra is one of at least four separate bodies an overseas-trained specialist must satisfy before seeing a patient, and it is the only one of the four that has been comprehensively reformed. The Kruk review drove the Expedited Specialist pathway, open from 21 October 2024 and extended to general medicine physicians and general paediatricians from 19 January 2026. A parallel streamlined pathway for internationally qualified registered nurses from comparable jurisdictions opened in 2025.

The steps downstream of registration -- visa, Medicare provider number, hospital credentialing -- were not part of that reform and were not resequenced around it.

That is the pattern this project exists to record. One step in a chain is made dramatically faster, it is announced as the removal of red tape, and total elapsed time barely moves, because the binding constraint was never in that step. Whether that is what happened here is an empirical question this database cannot yet answer, and Fix the steps after registration, not the registration step is where the question is put.