Hon CARMEL SEPULONI (Minister for ACC): I have the deepest sympathy for women who—particularly, those who suffer grade 3 and 4 perineal tears. This occurs during 1 to 2 percent of births and, clearly, can be life changing. However, the member is mistaken: ACC does not have a more restrictive policy. It is bound by its legislation, which does not cover a birth injury unless it is caused by the medical treatment the mother received or a failure to provide treatment. I have asked officials for advice on whether high-end perineal tears should be covered by ACC's legislation. 