Federal Register of Legislation - Australian Government

Primary content

Rules/Other as made
This instrument amends multiple instruments to update the daily patient contribution payable by nursing-home type patients, to update the minimum benefits payable by private health insurers for accommodation and to index the monetary qualifiers for specified Medicare Benefits Schedule items.
Administered by: Health and Aged Care
Registered 30 Jun 2022
Tabling HistoryDate
Tabled HR26-Jul-2022
Tabled Senate26-Jul-2022
Date of repeal 26 Oct 2022
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

Commonwealth Coat of Arms of Australia

 

Private Health Insurance Legislation Amendment Rules (No. 6) 2022

I, Brian Kelleher, delegate of the Minister for Health and Aged Care, make the following Rules.

Dated   26 JUNE 2022

Brian Kelleher                                 

Assistant Secretary

Private Health Industry Branch

Medical Benefits Division
Health Resourcing Group

Department of Health

 


Contents

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

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

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

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

Schedule 1—Amendments—Minimum accommodation benefits                             2

Private Health Insurance (Benefit Requirements) Rules 2011                                                     2

Schedule 2—Amendments—Nursing-home type patient contribution                    7

Private Health Insurance (Complying Product) Rules 2015                                                        7


1  Name

                   This instrument is the Private Health Insurance Legislation Amendment Rules (No. 6) 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

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 section 333-20(1) of the Private Health Insurance Act 2007.

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 1Amendments—Minimum accommodation benefits

Private Health Insurance (Benefit Requirements) Rules 2011

1  Clause 2 of Schedule 1 (Table 1)

Repeal the table (including the heading), substitute:

 

Table 1 – Overnight accommodation for private patients at private hospitals in all States/Territories

 

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$476

‑ over 14 days

$331

Surgical patient or obstetric patient

 

‑ first 14 days

$441

‑ over 14 days

$331

Psychiatric patient

 

‑ first 42 days

$441

‑ 43 – 65 days

$383

‑ over 65 days

$331

Rehabilitation patient

 

‑ first 49 days

$441

‑ 50 ‑ 65 days

$383

‑ over 65 days

$331

Other patients

 

‑ first 14 days

$383

‑ over 14 days

$331

 


 

 

2  Clause 2 of Schedule 1 (Table 2)

Repeal the table (including the heading), substitute:

Table 2 – Victoria - overnight shared ward accommodation for private patients at public hospitals

 

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$476

‑ over 14 days

$331

Surgical patient or obstetric patient

 

‑ first 14 days

$441

‑ over 14 days

$331

Psychiatric patient

 

‑ first 42 days

$441

‑ 43 – 65 days

$383

‑ over 65 days

$331

Rehabilitation patient

 

‑ first 49 days

$441

‑ 50 ‑ 65 days

$383

‑ over 65 days

$331

Other patients

 

‑ first 14 days

$383

‑ over 14 days

$331

 


 

 

3  Clause 2 of Schedule 1 (Table 3)

Repeal the table (including the heading), substitute:

Table 3 – Tasmania - overnight shared ward accommodation for private patients at public hospitals

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$476

‑ over 14 days

$331

Surgical patient or obstetric patient

 

‑ first 14 days

$441

‑ over 14 days

$331

Psychiatric patient

 

‑ first 42 days

$441

‑ 43 – 65 days

$383

‑ over 65 days

$331

Rehabilitation patient

 

‑ first 49 days

$441

‑ 50 ‑ 65 days

$383

‑ over 65 days

$331

Other patients

 

‑ first 14 days

$383

‑ over 14 days

$331

 

4  Subclause 4(3) of Schedule 1

Omit “$887.50”, substitute “$901.70”.

 

5  Subclause 6(3) of Schedule 1

Omit “$264.25 to $887.50”, substitute “$268.50 to $901.70”


 

6  Clause 2 of Schedule 2 (Table)

Repeal the table (including the heading), substitute:

 

Table 1 - Overnight shared ward accommodation for private patients at public hospitals in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South Australia and Western Australia

 

State/Territory

Minimum benefit payable per night

Australian Capital Territory

$393

New South Wales

$393

Northern Territory

$393

Queensland

$403

South Australia

$393

Western Australia

$393

 

7  Clause 2 of Schedule 3 (Table 1)

Repeal the table (including the heading), substitute:

Table 1 - Same-day accommodation for private patients at public hospitals in all States/Territories

Public hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

NSW

$285

$318

$350

$393

ACT

$285

$318

$350

$393

Northern Territory

$285

$327

$377

$393

Queensland

$291

$329

$360

$403

South Australia

$285

$327

$359

$393

Tasmania

$277

$330

$380

$441

Victoria

$280

$331

$384

$441

Western Australia

$324

$324

$324

$324

 

8  Clause 2 of Schedule 3 (Table 2)

Repeal the table (including the heading), substitute:

Table 2 - Same-day accommodation for private patients at private hospitals in all States/Territories

 

Band 1

Band 2

Band 3

Band 4

Private Hospitals

$247

$310

$377

$441

 

9  Clause 6 of Schedule 4 (Table 1, table item dealing with Australian Capital Territory, column headed “Minimum benefit per night”)

Omit “$133.00”, substitute “$137.30”.

10  Clause 6 of Schedule 4 (Table 1, table item dealing with New South Wales, column headed “Minimum benefit per night”)

Omit “$140.10”, substitute “$144.40”.

 

11  Clause 6 of Schedule 4 (Table 1, table item dealing with South Australia, column headed “Minimum benefit per night”)

Omit “$126.00”, substitute “$132.00”.


 

Schedule 2Amendments—Nursing-home type patient contribution

Private Health Insurance (Complying Product) Rules 2015

1  Subrule 8A(3) (paragraph (a) of the definition of patient contribution)

Repeal the paragraph, substitute:

(a) in relation to a nursing‑home type patient at a public hospital, the following amount for the State or Territory in which the hospital is located:

              (i)           Australian Capital Territory - $65.40;

              (ii)          New South Wales - $65.40;

              (iii)         Northern Territory - $65.40;

              (iv)         Queensland - $65.40;

              (v)          South Australia - $65.40;

              (vi)         Tasmania - $65.40;

              (vii)        Victoria - $65.40; and

              (viii)       Western Australia - $65.40.