Federal Register of Legislation - Australian Government

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SR 1999 No. 346 Regulations as made
These Regulations amend the Health Insurance (Professional Services Review) Regulations 1999.
Administered by: Health
General Comments: This instrument was backcaptured in accordance with Section 36 of the Legislative Instruments Act 2003
Made 15 Dec 1999
Registered 01 Jan 2005
Tabled HR 15 Feb 2000
Tabled Senate 15 Feb 2000
Gazetted 22 Dec 1999
Date of repeal 19 Mar 2014
Repealed by Health (Spent and Redundant Instruments) Repeal Regulation 2014
Table of contents.

Health Insurance (Professional Services Review) Amendment Regulations 1999 (No. 1)

Statutory Rules 1999 No. 346

I, WILLIAM PATRICK DEANE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 15 December 1999.

WILLIAM DEANE

Governor-General

By His Excellency’s Command,

MICHAEL WOOLDRIDGE


Health Insurance (Professional Services Review) Amendment Regulations 1999 (No. 1)1

Statutory Rules 1999 No. 3462

made under the

 

 

 

Contents

                                                                                                                 Page

                        1  Name of Regulations                                                         2

                        2  Commencement                                                                2

                        3  Amendment of Health Insurance (Professional Services Review) Regulations 1999        2

Schedule 1       Amendments                                                               3

 


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1              Name of Regulations

                These Regulations are the Health Insurance (Professional Services Review) Amendment Regulations 1999 (No. 1).

2              Commencement

                These Regulations commence on 1 January 2000.

3              Amendment of Health Insurance (Professional Services Review) Regulations 1999

                Schedule 1 amends the Health Insurance (Professional Services Review) Regulations 1999.

 


Schedule 1        Amendments

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(regulation 3)

[1]         Regulation 3, note

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Note

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Note 1

[2]         Regulation 3, after the note

insert

Note 2   The expressions Committee, inappropriate practice, person under review, profession, referred services and service are defined in s 81 of the Act.

[3]         After Part 2

insert

Part 3                 Prescribed pattern of services

7              Definition

                For this Part:

professional attendance means a service of a kind mentioned in group A1, A2, A5, A6, A7, A13, A14 or A15 of Part 2 of the general medical services table.

Note   The expressions general medical services table, general practitioner and medical practitioner are defined in s 3 of the Act.

8              Purpose of this Part

                This Part prescribes the circumstances in which referred services constitute a prescribed pattern of services for Part VAA of the Act.

Note   Section 106KA of the Act provides that conduct of a person under review in connection with rendering or initiating services that constitute a prescribed pattern of services may be taken to be inappropriate practice.

9              Practitioners affected by these Regulations

                For subsection 106KA (3) of the Act, the following groups of practitioners in the profession of medicine are groups to which these Regulations apply:

                (a)    general practitioners;

               (b)    other medical practitioners rendering professional attendances.

10            Circumstances constituting a prescribed pattern

                The circumstance in which services that are professional attendances constitute a prescribed pattern of services is that 80 or more such services are rendered on each of 20 or more days in a 12 month period.

11            Exceptional circumstances

                For subsection 106KA (5) of the Act, the following circumstances are declared as constituting exceptional circumstances:

                (a)    an unusual occurrence causing an unusual level of need for professional attendances;

               (b)    an absence of other medical services, for patients of the person under review during the relevant period, having regard to:

                          (i)    the location of the practice of the person under review; and

                         (ii)    characteristics of the patients of the person under review.

Note   For relevant period, see s 106KA of the Act.

Notes

1.       These Regulations amend Statutory Rules 1999 No. 258.

2.       Made by the Governor-General on 15 December 1999, and notified in the Commonwealth of Australia Gazette on 22 December 1999