In the realm of National Disability Insurance Scheme (NDIS) and sex work, there exists a variety of opinions and practices. Let’s delve into various perspectives and clarifications surrounding this complex topic.

NDIA on behalf of the Minister – Yes

The NDIA, acting on behalf of the Minister, confirms that Sexual Activity Supports may be considered reasonable and necessary under specific circumstances. However, due to competing priorities, operational guidelines (OG) are not currently in development.


The CEO of NDIA emphasises that requests for Sexual Activity Supports are assessed based on the ‘reasonable and necessary’ criteria outlined in the NDIS Act. While no specific operational guideline exists for sexual activity supports, decisions align with current legislation.

NDIS National Call Centre – No

A Touching Base Committee member’s inquiry to the NDIS National Call Centre revealed a stance against funding sex worker services, citing it as not within their funded supports. However, clarification and resolution on this matter remained elusive during the conversation.

Touching Base and Northcott – Yes

Self-managed and plan-managed NDIS participants may claim for sexual services if deemed reasonable and necessary within their NDIS plan goals. Participants must justify the necessity of such services, similar to justifying other supports in their plan.

Headline Google Search for NDIS Sex Workers – Yes & No

Search results yield conflicting information. While some sources suggest that funding for sex workers is possible with NDIA approval, others indicate limitations and highlight the necessity of justifying the need within the framework of reasonable and necessary supports.

Disability Support Project – Yes if supported by health team

Our position is if the allied health team, OT, BSP etc. are deeming it reasonable and necessary then it is fundable under the reasonable and necessary framework and NDIS legislation.

Advocating for NDIS Funding for Sexual Services: A Case for Equality and Autonomy

Ensuring that the National Disability Insurance Scheme (NDIS) covers the cost of sexual services for people with disabilities is not just about meeting immediate needs; it’s about upholding fundamental rights and promoting autonomy.

Equality in Sexual Expression

Just like individuals without disabilities, people with disabilities deserve the opportunity to explore their sexuality and seek sexual fulfillment. While some may have the means to satisfy their desires independently, others may face barriers, whether due to physical limitations or social factors.

Addressing Essential Needs

The NDIS exists to support individuals in living ordinary lives, which includes facilitating access to sexual expression. While daily care tasks are crucial, so too is the ability to experience intimacy and relationships, as outlined in the Convention on the Rights of Persons with Disabilities.

Reasonable and Necessary Support

By funding sexual services, the NDIS acknowledges the validity of sexual needs and desires among people with disabilities. For some, this may be the only avenue to experience intimacy, learn about their bodies, and develop social skills necessary for relationships.

Empowering Autonomy

Access to sexual services can significantly contribute to building self-esteem and autonomy for individuals with disabilities. It allows them to assert control over their bodies and desires, fostering confidence and independence in their interactions and relationships.

In essence, advocating for NDIS funding for sexual services is not just about meeting physical needs; it’s about affirming the dignity and agency of individuals with disabilities, recognising their right to sexual expression, and promoting inclusivity and equality in all aspects of life.