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This instrument amends the Health Insurance (Section 3C Diagnostic Imaging Services – PET and Gallium-67 Services) Determination 2022 to remove the requirement that a service under item 61527 must be requested by a specialist or consultant physician.
Administered by: Health and Aged Care
Registered 23 Sep 2022
Tabling HistoryDate
Tabled HR26-Sep-2022
Tabled Senate27-Sep-2022
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance (Section 3C Diagnostic Imaging Services – PET and Gallium-67 Services) Amendment (No. 1) Determination 2022

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

Dated               20 September 2022

Travis Haslam

Acting First Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health and Aged Care

 

 

 


Contents

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

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

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

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

Schedule 1— Amendments                                                                                          2

Health Insurance (Section 3C Diagnostic Imaging Services – PET and Gallium-67 Services) Determination 2022  2

 

 


1  Name

                        This instrument is the Health Insurance (Section 3C Diagnostic Imaging Services – PET and Gallium-67 Services) Amendment (No. 1) 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

The day after registration of this instrument.

 

                Note:        This table relates only to the provisions of this instrument as originally made.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 Diagnostic Imaging Services – PET and Gallium-67 Services) Determination 2022

1  Subsection 6(2)

Repeal the subsection, substitute:

(2)   Clause 2.4.2 of the diagnostic imaging services table does not apply to the items in Schedule 1 of this instrument.

2  After section 7

Insert:

8  PET nuclear scanning services

 

(1)       Item 61527 applies only if the service is performed on a person:

(a)    in a comprehensive facility; and

(b)   in accordance with sections 9 and 10.

(2)       Also, the item applies only if the owner or operator of the equipment used to perform the service is not in breach of section 11.

9  PET nuclear scanning services—performance under personal supervision

 

(1)   For the purposes of section 8, the service must be performed on a person by or under the personal supervision of:

(a)    a credentialled specialist; or

(b)   a medical practitioner other than the requesting practitioner if the medical practitioner:

(i)                 is a Fellow of the RACP or RANZCR; and

(ii)               has reported 400 or more studies forming part of PET services for which a medicare benefit was payable; and

(iii)             is authorised under State or Territory law to prescribe and administer to humans the PET radiopharmaceuticals that are to be administered to the person; and

(iv)             met the requirements of subparagraphs (i), (ii) and (iii) before 1 November 2011.

Note:          For the purposes of this section, RACP means The Royal Australasian College of Physicians; and RANZCR means The Royal Australian and New Zealand College of Radiologists.

10  PET nuclear scanning services—equipment

 

(1)   For the purposes of section 8, the service must be performed on a person using equipment that meets the requirements set out in Requirements for PET Accreditation (Instrumentation & Radiation Safety) 3rd Edition (2017), issued by the Australian and New Zealand Society of Nuclear Medicine Inc, as existing on 1 July 2020.

 

Note:          The Requirements for PET Accreditation (Instrumentation & Radiation Safety) 3rd Edition (2017) could in 2020 be viewed on the website of the Society (https://www.anzsnm.org.au).

11  PET nuclear scanning services—statutory declaration

 

(1)   The owner or operator mentioned in subsection 8(2) must have given a statutory declaration to the Chief Executive Medicare that includes the following information:

(a)    whether the owner or operator is a credentialed specialist or a medical practitioner who satisfies the requirements mentioned in subparagraphs 9(1)(b)(i) to (iv);

(b)   whether the place where the owner or operator provides the service is in a comprehensive facility;

(c)    whether the equipment meets the requirements mentioned in section 10;

(d)   the facility’s address;

(e)    the provider number for the facility given by the Chief Executive Medicare;

(f)    the location specific practice number for the facility given by the Minister;

(g)    the models, serial numbers and manufacturers of the equipment.

(2)   If the matters declared in the statutory declaration change, the owner or operator must give the Chief Executive Medicare written notice of the change as soon as the owner or operator knows about the change.