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Determinations/Health as amended, taking into account amendments up to Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2020
Administered by: Health
Registered 18 Feb 2021
Start Date 01 Jan 2021
Table of contents.

Health Insurance (Extended Medicare Safety Net) Determination 2017

made under section 10B of the

Health Insurance Act 1973

Compilation No. 5

Compilation date:                               1 January 2021

Includes amendments up to:               F2020L01444

Registered:                                         18 February 2021

Prepared by the Office of Parliamentary Counsel, 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 2021 (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If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

  

  

  


Contents

1                             Name of Determination                                                                                     1

3                             Definitions                                                                                                                        1

4.                            Maximum increases for items under sections 10ACA and  10ADA of the Act                                                                                                                                            1

Endnotes                                                                                                                                                                 8

Endnote 1—About the endnotes                                                                                                        8

Endnote 2—Abbreviation key                                                                                                            9

Endnote 3—Legislation history                                                                                                       10

Endnote 4—Amendment history                                                                                                     11

 

 


 

1       Name of Determination

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

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, and items in a determination made under subsection 3C(1) of the Act, 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

1,714.20

13201

2,488.35

13202

66.45

13203

110.65

13206

66.45

13209

11.15

13210

5.45

13212

72.00

13215

49.85

13218

718.90

13221

22.20

13251

110.65

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

24.65

16400

11.35

16401

56.20

16404

33.75

16406

110.65

16407

65 percent of the Schedule fee for the item

16408

65 percent of the Schedule fee for the item

16500

33.75

16501

67.40

16502

22.50

16505

22.50

16508

22.50

16509

22.50

16511

112.30

16512

33.75

16514

16.90

16515

179.65

16518

179.65

16519

336.75

16520

336.75

16527

179.65

16528

336.75

16530

65 percent of the Schedule fee for the item

16564

224.50

16567

224.50

16570

224.50

16571

224.50

16573

224.50

16590

224.50

16591

112.30

16600

33.75

16603

67.40

16606

134.80

16609

258.25

16618

106.70

16624

145.95

16627

314.35

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

42504

15 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

22.20

82105

16.65

82110

22.20

82115

55.35

82130

16.65

82135

22.20

82140

16.65

         (2)   For section 10B of the Act:

(a)    subsections 10ACA(7A) and 10ADA(8A) apply to item 11704, 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

               (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, 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

               (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

A10

A11

A12

A13

A14

A15

A17

A18

A19

A20

A21

A22

A23

A24

A26

A27

A28

A29

A30

A31

A32

A33

A35

A36

A39

A40

A41

T6

(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, 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

               (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

M16

M17

M18

M19

O1

         (5)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to items 13899 of the general medical services table and items 75001, 75004, 75150, 75153, 82150, 82151, 82152, 90183, 90188, 90202 and 90212 in a determination made under subsection 3C(1) of the Act; 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.

         (6)   For section 10B of the Act:

                (a)    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

               (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

33.20

55703

16.65

55704

38.75

55705

16.65

55706

55.30

55707

38.75

55708

16.65

55709

22.15

55712

66.35

55715

22.15

55718

55.30

55721

66.35

55723

22.15

55725

22.15

55729

16.65

55762

33.20

55764

88.45

55766

33.20

55768

83.00

55770

33.20

55772

88.45

55774

38.75

 


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.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

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

 

ad = added or inserted

o = order(s)

am = amended

Ord = Ordinance

amdt = amendment

orig = original

c = clause(s)

par = paragraph(s)/subparagraph(s)

C[x] = Compilation No. x

    /sub‑subparagraph(s)

Ch = Chapter(s)

pres = present

def = definition(s)

prev = previous

Dict = Dictionary

(prev…) = previously

disallowed = disallowed by Parliament

Pt = Part(s)

Div = Division(s)

r = regulation(s)/rule(s)

ed = editorial change

reloc = relocated

exp = expires/expired or ceases/ceased to have

renum = renumbered

    effect

rep = repealed

F = Federal Register of Legislation

rs = repealed and substituted

gaz = gazette

s = section(s)/subsection(s)

LA = Legislation Act 2003

Sch = Schedule(s)

LIA = Legislative Instruments Act 2003

Sdiv = Subdivision(s)

(md) = misdescribed amendment can be given

SLI = Select Legislative Instrument

    effect

SR = Statutory Rules

(md not incorp) = misdescribed amendment

Sub‑Ch = Sub‑Chapter(s)

    cannot be given effect

SubPt = Subpart(s)

mod = modified/modification

underlining = whole or part not

No. = Number(s)

    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 (F2017L01082)

1 November 2017

 

Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019

30 Oct 2018 (F2018L01502)

1 January 2019

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

26 Sept 2019 (F2019L01276)

Sch 1: 1 Nov 2019 (s 2(1) item 2)
Sch 2: 1 Jan 2020 (s 2(1) item 3)

Health Insurance (Extended Medicare Safety Net) Amendment Determination 2020

25 Feb 2020 (F2020L00166)

Sch 1 (items 1–3): 1 May 2020 (s 2(1) item 2)

Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2020

20 Nov 2020 (F2020L01444)

Sch 1 (items 1–6): 1 Jan 2021 (s 2(1) item 2)

 

Endnote 4—Amendment history

 

Provision affected

How affected

s 2................................

rep LA s 48D

s 4................................

am F2018L01502; F2019L01276

 

ed C2

 

am F2020L00166; F2020L01444

s 5................................

rep LA s 48C