Federal Register of Legislation - Australian Government

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Determinations/Health as made
This instrument amends a number of determinations made under subsection 3C(1) of the Health Insurance Act 1973 to refer to clauses in the general medical services table as renumbered in the Health Insurance (General Medical Services Table) Regulations (No. 1) 2020, and to make other minor consequential amendments following the remake of these regulations.
Administered by: Health
Registered 30 Apr 2020
Tabling HistoryDate
Tabled HR12-May-2020
Tabled Senate12-May-2020
Date of repeal 02 Sep 2020
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Consequential Change to Incorporated GMST Clauses and Eye Movement Desensitisation and Reprocessing) Determination 2020

I, David Weiss, delegate of the Minister for Health, make the following Determination.

Dated 30 April 2020

David Weiss

First Assistant Secretary

Medical Benefits Division

Health Financing Group

Department of Health

 

 

 


Contents

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

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

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

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

Schedule 1— Amendments to the Health Insurance (Section 3C General Medical Services – Eating Disorders Treatment Plan and Psychological Treatment Services) Determination 2019. 2

Schedule 2 — Amendments to the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.............................................................................. 3

Schedule 3 — Amendments to the Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020........................... 6

Schedule 4 — Amendments to the Health Insurance (Section 3C General Medical Services – Additional GP Bulk-billing Incentives) Determination 2020.................................................................... 9

Schedule 5 — Amendments to the Health Insurance (Allied Health Services) Determination 2014 11

 

 


1  Name

            This instrument is the Health Insurance Legislation Amendment (Consequential Change to Incorporated GMST Clauses and Eye Movement Desensitisation and Reprocessing) Determination 2020.

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.  The whole of this instrument

1 May 2020

 

                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 subsection 3C(1) 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 to the Health Insurance (Section 3C General Medical Services – Eating Disorders Treatment Plan and Psychological Treatment Services) Determination 2019

1     Subsection 4(1), definition of general practitioner

Repeal definition, substitute:

general practitioner has a meaning affected by clause 1.1.3 of the general medical services table.

2     Schedule 4(1), definitions of Modified Monash 4 area, Modified Monash 5 area, Modified Monash 6 area and Modified Monash 7 area and telehealth eligible area

Omit “Part 3”, substitute “Part 7”.

3     Subsection 4(1), after definition of relevant service

Insert:

residential aged care facility has the meaning given in Part 7 of the general medical services table.

4     Subsection 4(1), definition of residential care service

Repeal definition.

5     Subsection 6(1)

Omit “Part 2”, substitute “Schedule 1”.

6     Subsection 6(3)

Omit “1.2.4” (wherever occurring), substitute “1.2.5”.

7     Subsection 6(4)

Omit “1.2.5” (wherever occurring), substitute “1.2.6”.

8     Subsection 6(5)

Omit “1.2.6” (wherever occurring), substitute “1.2.7”.

9     Subsection 6(6)

Omit “1.2.7, 1.2.8 and 1.2.9”, substitute “1.2.8, 1.2.9 and 1.2.10”.

10  Paragraphs 9(2)(b) and 10(2)(b)

Omit “residential care service”, substitute “residential aged care facility”.


 

Schedule 2 — Amendments to the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018

1     Subsection 4(1), definition of general practitioner

Omit “has the meaning given under clause 1.1.2”, substitute “has a meaning affected by clause 1.1.3”.

2     Subsection 6(1)

Omit “Part 2”, substitute “Schedule 1”.

3     Subsection 6(2)

Omit “1.2.4” (wherever occurring), substitute “1.2.5”.

4     Subsection 6(3)

Omit “1.2.5” (wherever occurring), substitute “1.2.6”.

5     Subsection 6(4)

Omit “1.2.6” (wherever occurring), substitute “1.2.7”.

6     Subsection 6(5)

Omit “1.2.7” (wherever occurring), substitute “1.2.8”.

7     Subsection 6(6)

Omit “Clause 1.2.8” (wherever occurring), substitute “1.2.9”.

8     After subsection 6(6)

Insert:

(7) Clause 1.2.10 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in clause 1.2.10.

9     Schedule 1, subclause 1.5.1(2)

Omit “2.17.2” (wherever occurring), substitute “2.15.2”.

10  Schedule 1, subclause 1.5.1(3)

Omit “2.17.3” (wherever occurring), substitute “2.15.3”.

11  Schedule 1, subclause 1.5.1(4)

Omit “2.17.5, 2.17.6, 2.17.7, 2.17.8, 2.17.9, 2.17.11, 2.17.12 and  2.17.13”, substitute “2.15.5, 2.15.6, 2.15.7, 2.15.8, 2.15.9, 2.15.11, 2.15.12 and  2.15.13”.

12  Schedule 1, subclause 1.6.1(1)

Omit “2.18.7”, substitute “2.16.7”.

13  Schedule 1, subclause 1.6.1(2)

Omit “2.18.4”, substitute “2.16.4”.

14  Schedule 1, subclause 1.6.1(3)

Omit “2.18.6”, substitute “2.16.6”.

15  Schedule 1, subclause 1.6.1(4)

Omit “2.18.3”, substitute “2.16.3”.

16  Schedule 1, subclause 1.6.1(6)

Omit “2.18.5”, substitute “2.16.5”.

17  Schedule 1, subclause 1.6.1(7)

Omit “2.18.8”, substitute “2.16.8”.

18  Schedule 1, subclause 1.6.1(8)

Omit subclause, substitute:

(8) For items 235, 236, 237, 238, 239 and 240 multidisciplinary discharge case conference has the meaning given by clause 2.16.14 of the general medical services table.

19  Schedule 1, subclause 1.6.1(9)

Omit “2.18.15”, substitute “2.16.15”.

20  Schedule 1, subclause 1.6.1(10)

Omit “2.18.16”, substitute “2.16.16”.

21  Schedule 1, subclause 1.6.2(4)

Omit “2.18.11”, substitute “2.16.11”.

22  Schedule 1, subclause 1.6.2(5)

Omit “2.18.9” (wherever occurring), substitute “2.16.9”.

23  Schedule 1, Group A7, items 235, 236, 237, 238, 239 and 240, column 2, paragraph (b)

Omit paragraph, substitute:

(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or

24  Schedule 1, subclause 1.7.1(1)

Omit “2.19.1”, substitute “2.17.1”.

25  Schedule 1, subclause 1.7.1(2)

Omit “2.19.2”, substitute “2.17.2”.

26  Schedule 1, subclause 1.7.2(1)

Omit “2.19.3”, substitute “2.17.3”.

27  Schedule 1, subclause 1.8.1(1)

Omit “2.21.1” (wherever occurring), substitute “2.19.1”.

28  Schedule 1, subclause 1.8.1(2)

Omit “2.21.2” (wherever occurring), substitute “2.19.2”.

29  Schedule 1, paragraph 1.9.1(1)(a)

Omit “2.22.1”, substitute “2.20.1”.

30  Schedule 1, paragraph 1.9.1(1)(b)

Omit “2.22.3”, substitute “2.20.3”.

31  Schedule 1, paragraph 1.9.1(1)(c)

Omit “2.22.4”, substitute “2.20.4”.

32  Schedule 1, subclause 1.9.3(1)

Omit “2.22.6” (wherever occurring), substitute “2.20.6”.

33  Schedule 1, subclause 1.10.1(1)

Omit “2.27.1” (wherever occurring), substitute “2.24.1”.

34  Schedule 1, subclause 1.11.1(1)

Omit “2.26.1” (wherever occurring), substitute “2.22.1”.

35  Schedule 1, subclause 1.12.1(1)

Omit “Part 3”, substitute “Part 7”.

36  Schedule 1, subclause 1.12.3(1)

Omit “2.20.1” (wherever occurring), substitute “2.18.1”.

37  Schedule 1, subclause 1.12.3(2)

Omit “2.20.2” (wherever occurring), substitute “2.18.2”.


 

Schedule 3 — Amendments to the Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020

1     Subsection 5(1), definition of Aboriginal and Torres Strait Islander health practitioner

Omit “Part 3”, substitute “Part 7”.

2     Subsection 5(1), definition of contribute to a multidisciplinary plan

Omit “2.18.3”, substitute “2.16.3”.

3     Subsection 5(1), definition of coordinating a review of team care arrangements

Omit “2.18.5”, substitute “2.16.5”.

4     Subsection 5(1), definition of coordinating the development of team care arrnangements

Omit “2.18.4”, substitute “2.16.4”.

5     Subsection 5(1), definition of focussed psychological strategies

Omit “2.22.1”, substitute “2.20.1”.

6     Subsection 5(1), definition of multidisciplinary care plan

Omit “2.18.6”, substitute “2.16.6”.

7     Subsection 5(1), definition of preparing a GP management plan

Omit “2.18.7”, substitute “2.16.7”.

8     Subsection 5(1), definition of residential aged care facility

Omit “Part 3”, substitute “Part 7”.

9     Subsection 5(1), definition of reviewing a GP management plan

Omit “2.18.8”, substitute “2.16.8”.

10  Subsection 5(1), definition of single course of treatment

Omit “1.1.5”, substitute “1.1.6”.

11  Subsection 5(3)

Omit “1.1.2”, substitute “1.1.3”.

12  Schedule 1, subclause 1.1.1(2)

Omit “2.22.7” (wherever occurring), substitute “2.20.7”.

13  Schedule 1, subclauses 1.1.5(1) and 1.1.8(1)

Omit “2.18.11”, substitute “2.16.11”.

14  Schedule 1, subclause 1.1.7(1)

Omit “2.18”, substitute “2.16”.

15  Schedule 1, subclause 1.1.10(1), definition of eligible allied health provider

Omit “clause 2.6.1”, substitute “Part 7”.

16  Schedule 1, subclause 1.1.10(1), definition of risk assessment

Omit “2.6.1”, substitute “2.6.2”.

17  Schedule 1, subclause 1.1.10(1), definition of eligible disability

Omit “2.6.2”, substitute “2.6.1”.

18  Schedule 1, subclause 1.1.11(1)

Omit “2.22.1” (wherever occurring), substitute “2.20.1”.

19  Schedule 1, subclauses 1.1.11(1) and (2)

Omit “2.22.3”, substitute “2.20.3”.

20  Schedule 1, subclause 1.1.11(1)

Omit “2.22.5”, substitute “2.20.5”.

21  Schedule 1, subclause 1.1.11(2)

Omit “2.22.4”, substitute “2.20.4”.

22  Schedule 1, subclause 1.1.11(3)

Omit “2.22.7”, substitute “2.20.7”.

23  Schedule 1, subclause 1.1.12(1), definition of patient’s medical condition requires urgent assessment

Omit “2.16.1”, substitute “2.14.1”.

24  Schedule 2, subclause 2.1.1(1), definition of eligible allied health provider

Omit “clause 2.11.5”, substitute “Part 7”.

25  Schedule 2, subclause 2.1.1(1), definition of risk assessment

Omit “2.11.5”, substitute “2.11.4”.

26  Schedule 2, paragraph 2.2.1(1)(a)

Omit paragraph, substitute:

(a) practice midwife has the same meaning as in clause 5.5.2 of the general medical services table.

27  Schedule 2, paragraph 2.2.1(1)(b)

Omit “2.41.1”, substitute “5.5.1”.

28  Amendments of listed provisions – practice midwife

Before “midwife”, insert “practice” in the following provisions:

(a)    Schedule 2, subclause 2.2.1(2) (wherever occurring);

(b)   Schedule 2, item 91850, column 2;

(c)    Schedule 2, item 91852, column 2;

(d)   Schedule 2, item 91855, column 2;

(e)    Schedule 2, item 91857, column 2.

 

 

 

 


 

Schedule 4 — Amendments to the Health Insurance (Section 3C General Medical Services – Additional GP Bulk-billing Incentives) Determination 2020

1     Subsection 5(1), definition of bulk-billed

Omit “2.34.1”, substitute “3.2.1”.

2     Subsection 5(1), definition of eligible area

Repeal definition.

3     Subsection 5(1), before definition of patient at risk of COVID-19 virus

Insert:

Modified Monash 2 area has the meaning given by Part 7 of the general medical services table.

Modified Monash 3 area has the meaning given by Part 7 of the general medical services table.

Modified Monash 4 area has the meaning given by Part 7 of the general medical services table.

Modified Monash 5 area has the meaning given by Part 7 of the general medical services table.

Modified Monash 6 area has the meaning given by Part 7 of the general medical services table.

Modified Monash 7 area has the meaning given by Part 7 of the general medical services table.

4     Subsection 5(1), definition of practice location

Omit “clause 2.34.1”, substitute “Part 7”.

5     Subsection 5(1), definition of unreferred service

Omit “2.34.1”, substitute “3.2.1”.

6     Schedule 1, subclause 1.1.1(1)

Omit “2.34.2(3)”, substitute “3.2.2(3)”.

7     Schedule 1, Group M1, item 10981, column 2

Omit paragraph (e), substitute:

(e) the service is not provided at, or from, a practice location in:

(i)  a Modified Monash 2 area; or
(ii)  a Modified Monash 3 area; or
(iii)  a Modified Monash 4 area; or
(iv)  a Modified Monash 5 area; or
(v)  a Modified Monash 6 area; or
(vi)  a Modified Monash 7 area

8     Schedule 1, Group M1, item 10982, column 2

Omit paragraph (e), substitute:

(e) the service is provided at, or from, a practice location in:

(i)  a Modified Monash 2 area; or
(ii)  a Modified Monash 3 area; or
(iii)  a Modified Monash 4 area; or
(iv)  a Modified Monash 5 area; or
(v)  a Modified Monash 6 area; or
(vi)  a Modified Monash 7 area


 

Schedule 5 — Amendments to the Health Insurance (Allied Health Services) Determination 2014

1     Subsection 4(1), definition of focussed psychological strategies

Insert immediately following paragraph (e) in the definition:

(ea) eye movement desensitisation and reprocessing;

2     Subsection 4(1), definition of focussed psychological strategies continuing professional development

Insert immediately following paragraph (f) in the definition:

(fa) eye movement desensitisation and reprocessing;