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Determinations/Health as amended, taking into account amendments up to Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019
Administered by: Health
Registered 07 Jan 2019
Start Date 01 Jan 2019
Table of contents.

Health Insurance (Extended Medicare Safety Net) Determination 2017

made under section 10B of the

Health Insurance Act 1973

Compilation No. 1               

Compilation date:                              1 January 2019

Includes amendments up to:            Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019

 

 

 

 

 

 

 

 

 

 

Prepared by the Department of Health, Canberra

About this compilation

 

This compilation

This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2017 that shows the text of the law as amended and in force on 1 January 2019 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

 

 

  

  

  

 

 

 



 

1       Name of Determination

                This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2017.

2       Commencement

Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  The whole of this instrument

The later of:

(a) 1 November 2017; and

(b) the day after this instrument has been approved by each House of Parliament.

However, the provisions do not commence at all if the event mentioned in paragraph (b) does not occur.

 

Note:          This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

             (2)  Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3       Definitions

                In this Determination:

Act means the Health Insurance Act 1973.

diagnostic imaging services table means the table prescribed under section 4AA of the Act.

general medical services table means the table prescribed under section 4 of the Act.

Schedule fee has the meaning given in subsection 8 (1A) of the Act.

4.      Maximum increases for items under sections 10ACA and 10ADA of the Act

         (1)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to the items of the general medical services table listed in column 1 of the table below; and

               (b)    the maximum increases for these items are listed in column 2.

 

Item

Maximum increase ($)

13200

1 675.50

13201

2 432.15

13202

64.95

13203

108.15

13206

64.95

13209

10.90

13210

5.30

13212

70.35

13215

48.70

13218

702.65

13221

21.70

13251

108.15

13260

65 percent of the Schedule fee for the item

14201

15 percent of the Schedule fee for the item

 

14202

15 percent of the Schedule fee for the item

16399

24.10

16400

11.05

16401

54.90

16404

32.95

16406

108.15

16407

65 percent of the Schedule fee for the item

16408

65 percent of the Schedule fee for the item

16500

32.95

16501

65.90

16502

22.00

16504

22.00

16505

22.00

16508

22.00

16509

22.00

16511

109.75

16512

32.95

16514

16.55

16515

175.60

16518

175.60

16519

329.15

16520

329.15

16522

438.90

16527

175.60

16528

329.15

16530

65 percent of the Schedule fee for the item

16531

65 percent of the Schedule fee for the item

16533

65 percent of the Schedule fee for the item

16534

65 percent of the Schedule fee for the item

16564

219.45

16567

219.45

16570

219.45

16571

219.45

16573

219.45

16590

219.45

16591

109.75

16600

32.95

16603

65.90

16606

131.75

16609

252.40

16618

104.30

16624

142.65

16627

307.25

32500

110 percent of the Schedule fee for the item

32520

15 percent of the Schedule fee for the item

32522

10 percent of the Schedule fee for the item

32523

15 percent of the Schedule fee for the item

32526

10 percent of the Schedule fee for the item

32528

15 percent of the Schedule fee for the item

32529

10 percent of the Schedule fee for the item

42505

15 percent of the Schedule fee for the item

42702

15 percent of the Schedule fee for the item

42705

15 percent of the Schedule fee for the item

45560

35 percent of the Schedule fee for the item

82100

21.70

82105

16.30

82110

21.70

82115

54.10

82130

16.30

82135

21.70

82140

16.30

Note   Items 82100, 82105, 82110, 82115, 82130, 82135 and 82140 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.       

         (2)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to items 11700, 14100, 20142, 30071, 31560, 32504, 32507, 34106, 35533, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45584, 45585, 45587, 45614, 45617, 45620, 45623, 45624, 45632, 45635, 45652 and 45659 of the general medical services table; and 

               (b)    the maximum increase for each item is 80 percent of the Schedule fee for that item.

         (3)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table listed in the column of the table below; and

               (b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.


 

 

Group

A1

A2

A3

A4

A5

A6

A7

A8

A9

A11

A12

A13

A14

A15

A17

A18

A19

A20

A21

A22

A23

A24

A26

A27

A28

A29

A30

T6

Note:           Items 179 to 212 in group A7 appear in the determination made under subsection 3C(1) of the Act with respect to other medical practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

(4) For section 10B of the Act:

(a)   subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table listed in the column of the table below; and

(b)   the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount. 

Group

M3

M6

M7

M8

M9

M10

M11

M12

M14

M15

Notes   Items in groups M3, M6, M7, M8, M9, M10, M11 and M15 appear in the determination made under subsection 3C(1) of the Act with respect to allied health services. The determination operates so that the items are to be treated as if the items were in the general medical services table.

Items in group M14 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

         (5)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to items 82120, 82125, 82150, 82151, and 82152 of the general medical services table; and

               (b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

Note   Items 82120, 82125, and 82150-82152 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

         (6)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table listed in column 1 of the table below; and

               (b)    the maximum increases for these items are listed in column 2.

 

Item

Maximum increase ($)

55054

80 percent of the Schedule fee for the item.

55700

32.95

55701

16.50

55702

8.30

55703

16.55

55704

38.50

55705

16.55

55706

54.90

55707

38.50

55708

16.55

55709

22.00

55710

19.30

55711

8.30

55712

65.90

55713

27.50

55714

19.30

55715

22.00

55716

8.30

55717

11.05

55718

54.90

55719

32.95

55720

11.05

55721

65.90

55722

27.50

55723

22.00

55724

32.95

55725

22.00

55726

11.05

55727

11.05

55729

16.55

55730

8.30

55762

32.95

55763

16.50

55764

87.85

55765

44.00

55766

32.95

55767

16.50

55768

82.40

55769

41.25

55770

32.95

55771

16.50

55772

87.85

55773

44.00

55774

38.50

55775

19.30

Note   Items 55701, 55702, 55710, 55711, 55713, 55714, 55716, 55717, 55719, 55720, 55722, 55724, 55726, 55727, 55730, 55763, 55765, 55767, 55769, 55771, 55773 and 55775 appear in the determination made under subsection 3C(1) of the Act in relation to diagnostic imaging and capital sensitivity services. The determination operates so that the items are to be treated as if the items were in the diagnostic imaging services table.

 

5.      Repeal

This Determination repeals the Health Insurance (Extended Medicare Safety Net) Determination 2009.


Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history. 

Endnote 2—Abbreviation key

 

o = order(s)

ad = added or inserted

Ord = Ordinance

am = amended

orig = original

amdt = amendment

par = paragraph(s)/subparagraph(s)

c = clause(s)

    /sub‑subparagraph(s)

C[x] = Compilation No. x

pres = present

Ch = Chapter(s)

prev = previous

def = definition(s)

(prev…) = previously

Dict = Dictionary

Pt = Part(s)

disallowed = disallowed by Parliament

r = regulation(s)/rule(s)

Div = Division(s)

 

exp = expires/expired or ceases/ceased to have

reloc = relocated

    effect

renum = renumbered

F = Federal Register of Legislation

rep = repealed

gaz = gazette

rs = repealed and substituted

LA = Legislation Act 2003

s = section(s)/subsection(s)

LIA = Legislative Instruments Act 2003

Sch = Schedule(s)

(md) = misdescribed amendment can be given

Sdiv = Subdivision(s)

    effect

SLI = Select Legislative Instrument

(md not incorp) = misdescribed amendment

SR = Statutory Rules

    cannot be given effect

Sub‑Ch = Sub‑Chapter(s)

mod = modified/modification

SubPt = Subpart(s)

No. = Number(s)

underlining = whole or part not

 

    commenced or to be commenced

 

Endnote 3—Legislation history

 

Name

Registration

Commencement

Application, saving and transitional provisions

Health Insurance (Extended Medicare Safety Net) Determination 2017

24 Aug 2017 (see F2017L01082)

1 November 2017

 

Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019

30 Oct 2018 (see F2018L01502)

1 January 2019

 

 

Endnote 4—Amendment history

 

Provision affected

How affected

4(1)………………………….

am F2018L01502

4(2)(a)………………………

am F2018L01502

4(3)………………………….

am F2018L01502