Federal Register of Legislation - Australian Government

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Determinations/Health as made
This instrument amends nine determinations to increase the fees of the health services specified by 1.5 per cent.
Administered by: Health
Registered 18 Jun 2020
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) Determination 2020

I, Paul McBride, delegate of the Minister for Health, make the following Determination.

Dated               10 June 2020

Paul McBride

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................................................................................................... 2

Health Insurance (Section 3C General Medical Services—Transvaginal repair of pelvic organ prolapse and procedures for the excision of graft material) Determination 2018................................. 2

Health Insurance (Section 3C General Medical Services – Optical Coherence Tomography) Determination 2018..................................................................................................................................................... 2

Health Insurance (Section 3C General Medical Services – Transcatheter Aortic Valve Implantation) Determination 2018............................................................................................................................................ 2

Health Insurance (Section 3C Diagnostic Imaging Services – 3D Breast Tomosynthesis) Determination 2018..................................................................................................................................................... 3

Health Insurance (Section 3C General Medical Services – Eating Disorders Treatment Plan and Psychological Treatment Services) Determination 2019............................................................................ 3

Health Insurance (Section 3C General Medical Services - General Practitioner Telehealth Services) Determination 2018................................................................................................................. 5

Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019..................................................................................................................................................... 5

Health Insurance (Section 3C General Medical Services – Mental Health Services for Bushfire Response) Determination 2020................................................................................................................. 6

Health Insurance (Section 3C General Medical Services – Botox, Dysport or Xeomin Injection) Determination 2020............................................................................................................................................ 8

 

 

 

 

 

                                                                                       

                                                                                       


1  Name

                        This instrument is the Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) 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 July 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

Health Insurance (Section 3C General Medical Services—Transvaginal repair of pelvic organ prolapse and procedures for the excision of graft material) Determination 2018

1.             Schedule 1 (item 35570, column 3)
Omit “562.70”, substitute “571.15”.

2.                    Schedule 1 (item 35571, column 3)
Omit “562.70”, substitute “571.15”.

3.             Schedule 1 (item 35573, column 3)
Omit “844.20”, substitute “856.85”.

4.             Schedule 1 (item 35577, column 3)
Omit “685.30”, substitute “695.60”.

5.             Schedule 1 (item 35581, column 3)
Omit “562.70”, substitute “571.15”.

6.             Schedule 1 (item 35582, column 3)
Omit “844.20”, substitute “856.85”.

7.             Schedule 1 (item 35585, column 3)
Omit “1,496.75”, substitute “1,519.20”.

Health Insurance (Section 3C General Medical Services – Optical Coherence Tomography) Determination 2018

8.             Schedule 1 (item 11219, column 3)

Omit “40.65”, substitute “41.25”.

Health Insurance (Section 3C General Medical Services – Transcatheter Aortic Valve Implantation) Determination 2018

9.             Schedule 1 (item 6080, column 3)

Omit “51.70”, substitute “52.50”.

10.          Schedule 1 (item 6081, column 3)

Omit “38.55”, substitute “39.15”.

11.          Schedule 1 (item 38495, column 3)

Omit “1,455.10”, substitute “1,476.95”.

Health Insurance (Section 3C Diagnostic Imaging Services – 3D Breast Tomosynthesis) Determination 2018

12.          Schedule (item 59302, column 3)

Omit “202.00”, substitute “205.05”.

13.          Schedule (item 59305, column 3)

Omit “114.00”, substitute “115.70”.

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

14.          Section 12 (Table 12.1)

Repeal the table, substitute:

 

Table 12.1—amount under section 12

Item

Column 1

Item/s of the table

Column 2

Fee

Column 3

Amount if not more than 6 patients (to be divided by the number of patients) ($)

Column 4

Amount if more than 6 patients ($)

1

90272

The fee for item 90271

26.75

2.10

2

90274

The fee for item 90273

26.75

2.10

3

90276

The fee for item 90275

21.40

1.70

4

90278

The fee for item 90277

21.40

1.70

15.          Schedule 1 (item 90250, column 3)

Omit “72.85” ”, substitute “73.95”.

16.          Schedule 1 (item 90251, column 3)

Omit “107.25”, substitute “108.85”.

17.          Schedule 1 (item 90252, column 3)

Omit “92.50”, substitute “93.90”.

18.          Schedule 1 (item 90253, column 3)

Omit “136.25”, substitute “138.30”.

19.          Schedule 1 (item 90254, column 3)

Omit “58.30”, substitute “59.15”.

20.          Schedule 1 (item 90255, column 3)

Omit “85.80”, substitute “87.10”.

21.          Schedule 1 (item 90256, column 3)

Omit “74.00”, substitute “75.10”.

22.          Schedule 1 (item 90257, column 3)

Omit “109.00”, substitute “110.65”.

23.          Schedule 1 (item 90260, column 3)

Omit “466.80”, substitute “473.80”.

24.          Schedule 1 (item 90261, column 3)

Omit “272.15”, substitute “276.25”.

25.          Schedule 1 (item 90262, column 3)

Omit “466.80”, substitute “473.80”.

26.          Schedule 1 (item 90263, column 3)

Omit “272.15”, substitute “276.25”.

27.          Schedule 1 (item 90264, column 3)

Omit “72.85”, substitute “73.95”.

28.          Schedule 1 (item 90265, column 3)

Omit “58.30”, substitute “59.15”.

29.          Schedule 1 (item 90266, column 3)

Omit “291.80”, substitute “296.20”.

30.          Schedule 1 (item 90267, column 3)

Omit “136.25”, substitute “138.30”.

31.          Schedule 1 (item 90268, column 3)

Omit “291.80”, substitute “296.20”.

32.          Schedule 1 (item 90269, column 3)

Omit “136.25”, substitute “138.30”.

33.          Schedule 1 (item 90271, column 3)

Omit “94.25”, substitute “95.65”.

34.          Schedule 1 (item 90273, column 3)

Omit “134.85”, substitute “136.85”.

35.          Schedule 1 (item 90275, column 3)

Omit “75.40”, substitute “76.50”.

36.          Schedule 1 (item 90277, column 3)

Omit “107.90”, substitute “109.50”.

37.          Schedule 1 (item 90279, column 3)

Omit “94.25”, substitute “95.65”.

38.          Schedule 1 (item 90280, column 3)

Omit “134.85”, substitute “136.85”.

39.          Schedule 1 (item 90281, column 3)

Omit “75.40”, substitute “76.50”.

40.          Schedule 1 (item 90282, column 3)

Omit “107.90”, substitute “109.50”.

Health Insurance (Section 3C General Medical Services - General Practitioner Telehealth Services) Determination 2018

41.          Schedule 1 (item 2729, column 3)

Omit “94.25”, substitute “95.65”.

42.          Schedule 1 (item 2731, column 3)

Omit “134.85”, substitute “136.85”.

Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019

43.          Schedule 1 (item 699, column 3)

Omit “73.95”, substitute “75.05”.

44.          Schedule 1 (item 177, column 3)

Omit “59.15”, substitute “60.05”.

Health Insurance (Section 3C General Medical Services – Mental Health Services for Bushfire Response) Determination 2020

45.          Schedule 1, Division 1.1 (item 91000, column 3)

Omit “101.35”, substitute “102.85”.

46.          Schedule 1, Division 1.1 (item 91001, column 3)

Omit “101.35”, substitute “102.85”.

47.          Schedule 1, Division 1.1 (item 91005, column 3)

Omit “126.65”, substitute “128.55”.

48.          Schedule 1, Division 1.1 (item 91010, column 3)

Omit “148.80”, substitute “151.05”.

49.          Schedule 1, Division 1.1 (item 91011, column 3)

Omit “148.80”, substitute “151.05”.

50.          Schedule 1, Division 1.1 (item 91015, column 3)

Omit “174.10”, substitute “176.70”.

51.          Schedule 1, Division 1.1 (item 91100, column 3)

Omit “71.80”, substitute “72.90”.

52.          Schedule 1, Division 1.1 (item 91101, column 3)

Omit “71.80”, substitute “72.90”.

53.          Schedule 1, Division 1.1 (item 91105, column 3)

Omit “97.70”, substitute “99.15”.

54.          Schedule 1, Division 1.1 (item 91110, column 3)

Omit “101.35”, substitute “102.85”.

55.          Schedule 1, Division 1.1 (item 91111, column 3)

Omit “101.35”, substitute “102.85”.

56.          Schedule 1, Division 1.1 (item 91115, column 3)

Omit “127.30”, substitute “129.20”.

57.          Schedule 1, Division 1.1 (item 91125, column 3)

Omit “63.25”, substitute “64.20”.

58.          Schedule 1, Division 1.1 (item 91126, column 3)

Omit “63.25”, substitute “64.20”.

59.          Schedule 1, Division 1.1 (item 91130, column 3)

Omit “89.10”, substitute “90.45”.

60.          Schedule 1, Division 1.1 (item 91135, column 3)

Omit “89.35”, substitute “90.70”.

61.          Schedule 1, Division 1.1 (item 91136, column 3)

Omit “89.35”, substitute “90.70”.

62.          Schedule 1, Division 1.1 (item 91140, column 3)

Omit “115.15”, substitute “116.90”.

63.          Schedule 1, Division 1.1 (item 91150, column 3)

Omit “63.25”, substitute “64.20”.

64.          Schedule 1, Division 1.1 (item 91151, column 3)

Omit “63.25”, substitute “64.20”.

65.          Schedule 1, Division 1.1 (item 91155, column 3)

Omit “89.10”, substitute “90.45”.

66.          Schedule 1, Division 1.1 (item 91160, column 3)

Omit “89.35”, substitute “90.70”.

67.          Schedule 1, Division 1.1 (item 91161, column 3)

Omit “89.35”, substitute “90.70”.

68.          Schedule 1, Division 1.1 (item 91165, column 3)

Omit “115.15”, substitute “116.90”.

69.          Schedule 1, Division 1.2 (Table 1.2.1)

Repeal table, substitute:

 

Table 1.2.1 – Amount under clause 1.2.1

Item

Column 1

Item of the table

Column 2

Fee

Column 3

Amount if not more than 6 patients (to be divided by the number of patients) ($)

Column 4

Amount if more than 6 patients ($)

1

91723

The fee for item 91721

31.45

2.45

2

91727

The fee for item 91725

31.45

2.45

70.          Schedule 1, Division 1.2 (item 91721, column 3)

Omit “110.85”, substitute “112.50”.

71.          Schedule 1, Division 1.2 (item 91725, column 3)

Omit “158.60”, substitute “161.00”.

72.          Schedule 1, Division 1.2 (item 91729, column 3)

Omit “110.85”, substitute “112.50”.

73.          Schedule 1, Division 1.2 (item 91731, column 3)

Omit “158.60”, substitute 161.00”.

74.          Schedule 1, Division 1.3 (Table 1.3.1)

Repeal table, substitute:

 

 Table 1.3.1—Amount under clause 1.3.1

Item

Column 1

Item of the table

Column 2

Fee

Column 3

Amount if not more than 6 patients (to be divided by the number of patients) ($)

Column 4

Amount per patient if more than 6 patients ($)

1

91285

The fee for item 91283

25.15

1.95

2

91287

The fee for item 91286

25.15

1.95

75.          Schedule 1, Division 1.3 (item 91283, column 3)

Omit “88.70”, substitute “90.00”.

76.          Schedule 1, Division 1.3 (item 91286, column 3)

Omit “126.90”, substitute “128.80”.

77.          Schedule 1, Division 1.3 (item 91371, column 3)

Omit “88.70”, substitute “90.00”.

78.          Schedule 1, Division 1.3 (item 91372, column 3)

Omit “126.90”, substitute “128.80”.

Health Insurance (Section 3C General Medical Services – Botox, Dysport or Xeomin Injection) Determination 2020

79.          Schedule 1 (item 18365, column 3)

Omit “126.85”, substitute “128.75”.