Federal Register of Legislation - Australian Government

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Determinations/Health as made
This instrument amends multiple instruments to apply annual fee indexation by increasing the schedule fees of items in the specified determinations.
Administered by: Health and Aged Care
Registered 07 Apr 2022
Tabling HistoryDate
Tabled HR26-Jul-2022
Tabled Senate26-Jul-2022
To be repealed 26 Oct 2022
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Indexation) Determination 2022

I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated               31 March 2022

Travis Haslam

Acting First Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health

 

 

 


Contents

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

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

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

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

Schedule 1— Indexation Provisions............................................................................................ 2

Schedule 2— Indexation Amendments...................................................................................... 10

 

 


1  Name

                        This instrument is the Health Insurance Legislation Amendment (Indexation) Determination 2022.

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 2022.

 

                Note:        This table relates only to the provisions of this instrument as originally made.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— Indexation Provisions

Health Insurance (Allied Health Services) Determination 2014

1.    After section 16

Insert:

17  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in Schedule 2 of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020

2.    After section 7

Insert:

8.                Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services Optometric Services) Determination 2020

3.    After section 15

Insert:

16.                Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020

4.    After section 6

Insert:

6A.       Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination, other than the fee for the following:

(a) an item in Group P9.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Poly Implant Prosthese MRI) Determination 2020

5.    After section 10

Insert:

11  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

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

6.    After section 6

Insert:

Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

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

7.    After section 6

Insert:

7.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020

8.    After section 6

Insert:

7.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis) Determination 2020

9.     After section 6

Insert:

7.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis for Chronic Graft Versus Host Disease) Determination 2022

10. After section 8

Insert:

9.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – Insertion of Testicular Prosthesis) Determination 2021

11. After section 6

Insert:

7.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services—Transcatheter Mitral Valve Repair) Determination 2021

12. After section 6

Insert:

Indexation

(1)      On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021

13. After section 7

Insert:

7  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in this Determination, other than the fee for the following:

(a)    items 91792, 91803, 91804, 91805, 91794, 91806, 91807, 91808, 91892, 91893, 91895, 91820, 91821, 91844, 91845, 92011, 92055, 92056, 92057, 92058, 92059, 92137, 92139, 92118, 92119, 92120, 92121, 92122, 92123, 92132, 92133, 92150, 92151, 92152, 92153, 92171, 92177, 92186, 92188, 92198, 92200, 92211, 92716, 92717, 92719, 92720, 92722, 92723, 92725, 92726, 92732, 92733, 92735, 92736, 92738, 92739, 92741, 92742, 92747 in Group A40.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (General Practice COVID19 Management Support Service) Determination 2021

14. After section 8

Insert:

9.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

15. After section 11

Insert:

12  Indexation

(1)     (1)  On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C Diagnostic Imaging – Cardiac MRI for Myocarditis) Determination 2021

16. After section 7

Insert:

8.  Indexation

(1)     On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)     The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)     An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021

17. After section 9

Insert:

10.  Indexation

(1)           On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

(2)           The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.

(3)           An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

 


 

Schedule 2— Indexation Amendments

Health Insurance (Section 3C General Medical Services – Smoking Cessation Services) Determination 2021

18. Amendments of listed provisions—Schedule

The items of the table in Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 93680

39.10

39.75

2          

Item 93682

31.30

31.80

3          

Item 93683

75.75

76.95

4          

Item 93685

60.60

61.55

5          

Item 93690

39.10

39.75

6          

Item 93692

31.30

31.80

7          

Item 93693

75.75

76.95

8          

Item 93695

60.60

61.55

9          

Item 93700

39.10

39.75

10      

Item 93702

31.30

31.80

11      

Item 93703

75.75

76.95

12      

Item 93705

60.60

61.55

 

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

19. Schedule 1 (item 699)

Omit “75.75”, substitute “76.95”.

20. Schedule 1 (item 177)

Omit “60.60”, substitute “61.55”.

 

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021

21.          Amendments of listed provisions—Schedule

The items of the table in Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91794

14.30

14.55

2          

Item 91806

31.30

31.80

3          

Item 91807

60.60

61.55

4          

Item 91808

89.20

90.65

5          

Item 91895

60.60

61.55

6          

Item 91820

77.20

78.45

7          

Item 91821

110.50

112.25

8          

Item 91844

77.20

78.45

9          

Item 91845

110.50

112.25

10      

Item 92011

176.70

179.50

11      

Item 92055

120.10

122.00

12      

Item 92056

95.15

96.70

13      

Item 92057

58.60

59.50

14      

Item 92058

58.60

59.50

15      

Item 92059

59.95

60.90

16      

Item 92137

63.75

64.80

17      

Item 92139

63.75

64.80

18      

Item 92118

59.70

60.65

19      

Item 92119

87.90

89.30

20      

Item 92120

59.70

60.65

21      

Item 92121

59.70

60.65

22      

Item 92122

75.80

77.00

23      

Item 92123

111.65

113.45

24      

Item 92132

59.70

60.65

25      

Item 92133

59.70

60.65

26      

Item 92150

59.70

60.65

27      

Item 92151

87.90

89.30

28      

Item 92152

75.80

77.00

29      

Item 92153

111.65

113.45

30      

Item 92171

59.70

60.65

31      

Item 92177

59.70

60.65

32      

Item 92186

77.20

78.45

33      

Item 92188

110.50

112.25

34      

Item 92198

77.20

78.45

35      

Item 92200

110.50

112.25

36      

Item 92211

127.25

129.30

37      

Item 92717

14.30

14.55

38      

Item 92720

31.30

31.80

39      

Item 92723

60.60

61.55

40      

Item 92726

89.20

90.65

41      

Item 92733

14.20

14.55

42      

Item 92736

31.00

31.80

43      

Item 92739

60.05

61.55

44      

Item 92742

89.20

90.65

 

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

22. Subsection 11(1)

Omit “67.35”, substitute “68.40”.

23. Subsection 11(2)

Omit “48.90”, substitute “49.70”.

24. Subsection 11(3)

Omit “57.25”, substitute “58.15”.

25. Subsection 11(4)

Omit “41.60”, substitute “42.25”.

26. Schedule 3 (section 3)

Omit “47.45”, substitute “48.20”.

 

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID19 Vaccine) Determination 2021

27. Subsection 9(1)

Omit “67.35”, substitute “68.40”.