Federal Register of Legislation - Australian Government

Primary content

Regulations as made
This instrument amends the Health Insurance (Professional Services Review Scheme) Regulations 2019 to reintroduce the 30/20 rule for relevant phone services.
Administered by: Health and Aged Care
Registered 16 Sep 2022
Tabling HistoryDate
Tabled HR23-Sep-2022
Tabled Senate26-Sep-2022
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance (Professional Services Review Scheme) Amendment (2022 Measures No. 4) Regulations 2022

I, General the Honourable David Hurley AC DSC (Retd), Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulations.

Dated                                       15 September 2022

David Hurley

Governor‑General

By His Excellency’s Command

Mark Butler

Minister for Health and Aged Care

 

 

 

  

  


Contents

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

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

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

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

Schedule 1—Amendments                                                                                                                          2

Health Insurance (Professional Services Review Scheme) Regulations 2019                           2

 


1  Name

                   This instrument is the Health Insurance (Professional Services Review Scheme) Amendment (2022 Measures No. 4) Regulations 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 October 2022.

1 October 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Note:          This table relates only to the provisions of this instrument as originally made.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 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 1Amendments

  

Health Insurance (Professional Services Review Scheme) Regulations 2019

1  Section 5

Insert:

relevant phone service means a service specified in any of the following items of the general medical services table:

                     (a)  an item in any of the following Subgroups of Group A40:

                              (i)  Subgroup 2;

                             (ii)  Subgroup 8;

                            (iii)  Subgroup 10;

                            (iv)  Subgroup 16;

                             (v)  Subgroup 20;

                            (vi)  Subgroup 28;

                           (vii)  Subgroup 40;

                          (viii)  Subgroup 41;

                     (b)  an item in Subgroup 3 of Group A45;

                     (c)  an item listed in the following table.

 

Relevant phone services—individual items

Item

Column 1

Group or Subgroup

Column 2

Items of the general medical services table

1

Subgroup 26 of Group A40

92176, 92177

2

Subgroup 1 of Group A41

93302, 93305

3

Subgroup 2 of Group A41

93308, 93311

4

Subgroup 2 of Group A42

93423

5

Subgroup 4 of Group A42

93453

Note:          Some services are specified in items set out in determinations under subsection 3C(1) of the Act.

2  Section 8

Repeal the section, substitute:

8  Circumstances for medical practitioners for prescribed pattern of services

                   For the purposes of section 82A of the Act, circumstances in which services rendered or initiated by a medical practitioner constitute a prescribed pattern of services are that:

                     (a)  the medical practitioner renders or initiates 80 or more relevant services on each of 20 or more days in a 12 month period; or

                     (b)  the medical practitioner renders or initiates 30 or more relevant phone services on each of 20 or more days in a 12 month period.

3  At the end of the instrument

Add:

Part 5Transitional provisions

  

12  Amendments made by the Health Insurance (Professional Services Review Scheme) Amendment (2022 Measures No. 4) Regulations 2022

                   Paragraph 8(b) applies in relation to relevant phone services rendered on or after 1 October 2022.