Federal Register of Legislation - Australian Government

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Determinations/Health as made
Extends the cessation date of Determination HS/7/2001 to allow Medicare benefits to continue to be paid until 20 April 2006, while the Medical Services Advisory Committee assesses evidence for the deep brain stimulation treatment for Parkinson's Disease.
Administered by: Health
Registered 11 Jan 2005
Tabling HistoryDate
Tabled HR08-Feb-2005
Tabled Senate08-Feb-2005
Date of repeal 19 Mar 2014
Repealed by Health (Spent and Redundant Instruments) Repeal Regulation 2014


Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005

_______________________________________________________

I, TONY ABBOTT, Minister for Health and Ageing, make the following determination under subsection 3C(1) of the Health Insurance Act 1973.

Dated             22/12/04

                                                                        Tony Abbott

 

Minister for Health and Ageing

_______________________________________________________


 

1.             Citation

                This determination is the Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005.

2.             Interpretation

                (1)   In this Determination:

                 relevant centre means a centre that is specified in Schedule 1.

                 relevant service means a health service that is specified in Schedule 2.

                      the Act means the Health Insurance Act 1973.

                      Note 1: general medical services table and professional service are defined in subsection 3 (1) of the Act.

                      Note 2: health service is defined in subsection 3C (8) of the Act.

(2)      For the avoidance of doubt, in this Determination:

(a) a reference to the Act includes a reference to regulations made under the Act; and

(b)   a reference to the National Health Act 1953 includes a reference to regulations made under that Act.

3.                        Commencement

This Determination commences on 1 February 2005.

4.                           Cessation

This Determination ceases to have effect on 30 April 2006.

5.             Treatment of a relevant service (Act s. 3C (1))

                Subject to section 6, a relevant service shall be treated as if:

(a)        it were both a professional service and a medical service for the purposes of the provisions of the Act and the National Health Act 1953 that relate to professional and medical services; and

(b)       there were an item in the general medical services table relating to the relevant service that specified a fee for the service, being the fee specified in the Schedule for that service.


 

6.                           Specified circumstances (Act s. 3C (1))

Section 5 applies only to a relevant service performed in the following circumstances:

(a)       the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and

(b)      the service is performed in respect of a patient whose response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations.


SCHEDULE 1 – RELEVANT CENTRES

 

 

                             

STATE

HOSPITAL

Victoria

Epworth Private

 

Alfred Public

 

St Vincent's Public

NSW

St Vincent's Private

 

North Shore Private

WA

Sir Charles Gairdner

Queensland

Mater Private

 

St Andrew’s War Memorial

 

Wesley Private

 


SCHEDULE 2 – RELEVANT SERVICES

 

40850

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Anaes.) (Assist.)

$1921.45

40851

DEEP BRAIN STIMULATION for Parkinson’s disease (bilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Anaes.) (Assist.)

$3,362.60

40852

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), subcutaneous placement of neurostimulator receiver or pulse generator. (Anaes.) (Assist)

$289.00

40854

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), revision or removal of brain electrode (Anaes.)

$446.60

40856

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), removal or replacement of neurostimulator receiver or pulse generator (Anaes.)

$216.75

40858

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), placement, removal or replacement of extension lead (Anaes.)

$446.60

40860

DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire (Anaes.)

$1,716.30

40862

DEEP BRAIN STIMULATION for Parkinson’s disease, electronic analysis and programming of neurostimulator pulse generator (Anaes.)

$160.90