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Determinations/Health as made
This determination amends the Health Insurance (Extended Medicare Safety Net) Determination 2017 to apply Extended Medicare Safety Net (EMSN) benefit caps to the new eating disorder items from 1 November 2019, and to index EMSN benefit caps of fixed dollar amounts from 1 January 2020.
Administered by: Health
Registered 26 Sep 2019
Tabling HistoryDate
Tabled HR14-Oct-2019
Tabled Senate14-Oct-2019
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019

I, GREG HUNT, Minister for Health, make the following Determination.

Dated   10 September 2019                             

Greg Hunt

Minister for Health

 

 

 


Contents

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedules................................................................................................................................. 1

Schedule 1— Amendments commencing 1 November 2019                                     2

Schedule 2— Amendments commencing 1 January 2020                                         4

 

 


1  Name

                   This instrument is the Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019.

2  Commencement

             (1)  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.  Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

The later of:

(a) the day after this instrument is registered; 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.

 

2.  Schedule 1

The later of:

(a) 1 November 2019; and

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

 

3.  Schedule 2

The later of:

(a) 1 January 2020; and

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

 

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  Authority

                   This instrument is made under section 10B of the Health Insurance Act 1973.

4  Schedules

                   Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.


 

Schedule 1— Amendments commencing 1 November 2019

Health Insurance (Extended Medicare Safety Net) Determination 2017

 

1 Paragraph 4(3)(a)

Repeal the paragraph, substitute:

(a)       subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

 

2 Subsection 4(3) (after table item dealing with group A30)

Insert:

 

A36

 

3 Subsection 4(3) (note)

            Repeal the note.

 

 

4 Paragraph 4(4)(a)

Repeal the paragraph, substitute:

(a)       subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

 

5 Subsection 4(4) (after table item dealing with group M15)

Insert:

 

M16

 

6 Subsection 4(4) (notes)

Repeal the notes.

 

7 Paragraph 4(5)(a)

Repeal the paragraph, substitute:

(a)       subsections 10ACA(7A) and 10ADA(8A) apply to items 82120, 82125, 82150, 82151, and 82152 in a determination made under subsection 3C(1) of the Act; and

 

8 Subsection 4(5) (note)

Repeal the note.

 

9 Paragraph 4(6)(a)

Repeal the paragraph, substitute:

(b)       subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

 

10 Subsection 4(6) (note)

Repeal the note.


 

Schedule 2— Amendments commencing 1 January 2020

Health Insurance (Extended Medicare Safety Net) Determination 2017

1  Paragraph 4(1)(a)

Repeal the paragraph, substitute:

(a)       subsections 10ACA(7A) and 10ADA(8A) apply to the items of the general medical services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

 

2  Subsection 4(1) (table)

Repeal the table, substitute:

 

Item

Maximum increase ($)

13200

1,702.30

13201

2,471.05

13202

66.00

13203

109.90

13206

66.00

13209

11.05

13210

5.40

13212

71.50

13215

49.50

13218

713.90

13221

22.05

13251

109.90

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

24.50

16400

11.25

16401

55.80

16404

33.50

16406

109.90

16407

65 percent of the Schedule fee for the item

16408

65 percent of the Schedule fee for the item

16500

33.50

16501

66.95

16502

22.35

16505

22.35

16508

22.35

16509

22.35

16511

111.50

16512

33.50

16514

16.80

16515

178.40

16518

178.40

16519

334.40

16520

334.40

16527

178.40

16528

334.40

16530

65 percent of the Schedule fee for the item

16564

222.95

16567

222.95

16570

222.95

16571

222.95

16573

222.95

16590

222.95

16591

111.50

16600

33.50

16603

66.95

16606

133.85

16609

256.45

16618

105.95

16624

144.95

16627

312.15

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

22.05

82105

16.55

82110

22.05

82115

54.95

82130

16.55

82135

22.05

82140

16.55

 

3  Subsection 4(1) (note)

Repeal the note.

 

4 Paragraph 4(2)(a)

Repeal the paragraph, substitute:

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