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SLI 2012 No. 16 Regulations as made
This regulation amends the Health Insurance (General Medical Services Table) Amendment Regulations 2011 to implement a 2011-12 Budget decision and otherwise ensure that the medical servies funded through the MBS continue to be up-to-date and representative of best medical practice.
Administered by: Health
Registered 24 Feb 2012
Tabling HistoryDate
Tabled Senate28-Feb-2012
Tabled HR28-Feb-2012
Date of repeal 01 Nov 2012
Repealed by Health Insurance (General Medical Services Table) Regulation 2012

Commonwealth Coat of Arms

Health Insurance (General Medical Services Table) Amendment Regulation 2012 (No. 1)1

Select Legislative Instrument 2012 No. 16

I, QUENTIN BRYCE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulation under the Health Insurance Act 1973.

Dated 22 February 2012

QUENTIN BRYCE

Governor-General

By Her Excellency’s Command

TANYA PLIBERSEK


1              Name of regulation

                This regulation is the Health Insurance (General Medical Services Table) Amendment Regulation 2012 (No. 1).

2              Commencement

                This regulation commences on 1 March 2012.

3              Amendment of Health Insurance (General Medical Services Table) Regulations 2011

                Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2011.


Schedule 1        Amendments

(section 3)

 

[1]           Schedule 1, Division 2.4, table, item 109

substitute

109

Professional attendance by a specialist in the practice of his or her specialty of ophthalmology following referral of the patient to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on:

   (a)  a patient aged 9 years or younger; or

  (b)  a patient aged 14 years or younger with developmental delay;

(other than a service to which any of items 104, 106 and 10801 to 10816 applies)

189.20

[2]           Schedule 1, subparagraph 2.20.3 (2) (c) (ii)

omit

who is qualified in the way mentioned in paragraph 57 (1) (b)

insert

mentioned in paragraph 2.20.7 (1) (b)

[3]           Schedule 1, subclauses 2.20.6 (3) to (5)

substitute

         (3)   Unless exceptional circumstances exist, items 2700, 2701, 2715 and 2717 cannot be claimed:

                (a)    with a service to which items 735 to 758, or item 2713 apply; or

               (b)    more than once in a 12 month period from the provision of any of the items for a particular patient; or

                (c)    within 3 months following the provision of a service to which item 2712, or item 2719 of the Health Insurance (Review of GP Mental Health Treatment Plan) Determination 2011 (as in force on 29 February 2012), applies; or

               (d)    more than once in a 12 month period from the provision of a service to which item 2702 or 2710 of the Health Insurance (General Medical Services Table) Regulations 2010 (as in force on 31 October 2011) applies for the patient.

         (4)   Item 2712 applies only if one of the following services has been provided to the patient in the previous 12 months:

                (a)    the preparation of a GP mental health treatment plan under:

                          (i)    items 2700, 2701, 2715 and 2717; or

                         (ii)    items 2702 and 2710 of the Health Insurance (General Medical Services Table) Regulations 2010 (as in force on 31 October 2011);

               (b)    a review of a GP mental health treatment plan under item 2712, or item 2719 of the Health Insurance (Review of GP Mental Health Treatment Plan) Determination 2011 (as in force on 29 February 2012);

                (c)    a psychiatrist assessment and management plan under item 291.

         (5)   Item 2712 does not apply:

                (a)    to a service to which items 735 to 758, or item 2713 apply; or

               (b)    unless exceptional circumstances exist for the provision of the service:

                          (i)    more than once in a 3 month period; or

                         (ii)    within 4 weeks following the preparation of a GP mental health treatment plan (item 2700, 2701, 2715 or 2717); or

                (c)    unless exceptional circumstances exist for the provision of the service to a patient within 3 months after the patient is provided a service to which item 2719 of the Health Insurance (Review of GP Mental Health Treatment Plan) Determination 2011 (as in force on 29 February 2012) applies.

[4]           Schedule 1, subparagraph 2.20.7 (2) (a) (i)

omit

calander

insert

calendar

[5]           Schedule 1, paragraph 2.20.7 (2) (b), except the note

substitute

               (b)    a service which:

                          (i)    for the period from 1 March 2012 to 31 December 2012 — is provided to a patient who has already been provided, in the calendar year, with 10 (or if exceptional circumstances exist — 16) other services to which any of the items in Subgroup 2, or items 80000 to 80015, 80100 to 80115, 80125 to 80140 or 80150 to 80165 apply; and

                         (ii)    for each subsequent calendar year — is provided to a patient who has already been provided, in the calendar year, with 10 other services to which any of the items in Subgroup 2, or items 80000 to 80015, 80100 to 80115, 80125 to 80140 or 80150 to 80165 apply.

[6]           Schedule 1, Division 2.44, table, item 42740

substitute

42738

Paracentesis of anterior chamber or vitreous cavity, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, one or more of, as an independent procedure

295.15

42739

Paracentesis of anterior chamber or vitreous cavity, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, one or more of, as an independent procedure, for a patient requiring anaesthetic services (Anaes.)

295.15

42740

Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery (Anaes.)

295.15

[7]           Dictionary, definition of non-medicare service, paragraph (b)

omit


Note

1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.comlaw.gov.au.